The National Association of Counties (NACo), in collaboration with The Pew Charitable Trusts and RAND, hosted a series of conversations with county leaders to understand the progress, challenges and lessons learned from 911/988 interoperability across various models, including embedded clinicians, call transfer and co-located response. This series will spotlight the work of five of the innovative counties shaping crisis response systems.

Douglas County, Kan.

  • County Seat: Lawrence, Kan.
  • Population: 118,785

Douglas County, Kan. exemplifies how investment in local systems and human service partnerships can streamline behavioral health care within communities.


Durham County, N.C.

  • County Seat: Durham
  • Population: 324,833

Durham County leverages a strategic partnership with the City of Durham to create a community-driven vision for public safety and crisis response.


Los Angeles County, Calif.

  • County Seat: Los Angeles, Calif.
  • Population: 10,014,009

Los Angeles (LA) County is the most populous county in the United States, with over 10 million residents, 70 public safety answering points (PSAP) centers and 80 law enforcement agencies, making the integration of 988 and 911 a challenge.


Travis County, Texas

  • County Seat: Austin
  • Population: 1,290,188

Travis County’s commitment to transforming behavioral health care into a readily available emergency resource is apparent the minute 911 dispatchers ask, “Are you calling for police, fire, EMS or mental health services?” 


Pima County, Ariz.

  • County Seat: Tucson, Ariz.
  • Population: 1,043,433

Pima County serves as a leader in crisis response by becoming one of the first communities in the country to embed clinicians within their 911 operating system.


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