Shaping Crisis Response Spotlight Series
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.
Building and Supporting Comprehensive Behavioral Health Crisis Response Systems
In this panel discussion, experts and county leaders will discuss the role of 988 in building and supporting comprehensive behavioral health care systems.
In early December, the Senate introduced the Local 9-8-8 Response Act of 2023. This bipartisan bill, introduced by Senator Alex Padilla (D-Calif.), aims to enhance mental health crisis response through the 9-8-8 Suicide and Crisis Lifeline.
In 2018, Congress passed the Substance-Use Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act. On September 30, many policy provisions in the original package expired, requiring congressional reauthorization to continue these critical programs among a worsening overdose crisis.
Every other week, NACo’s County Countdown reviews top federal policy advocacy items with an eye towards counties and the intergovernmental partnership. In this week’s edition – our last County Countdown of the year – we are looking ahead to 2024, and some of the top policy issues for counties.
On November 16, the White House released the first-ever U.S. Playbook to Address Social Determinants of Health, a policy guide aimed at integrating social services, public health, and the healthcare system to improve health outcomes in local communities by breaking down federal agency and local system silos.
On November 13, members of NACo's Commission on Mental Health and Wellbeing sent a letter to the U.S. Senate Committees on Finance and Health, Education, Labor and Pensions. The Commission called on Congress to support counties in delivering high-quality, assessible mental health services to address residents' comprehensive behavioral health needs in any mental health legislation package.
Whether you're looking to create a CJCC from scratch or enhance an existing one, discover the invaluable insights needed to make your county's justice system more efficient, fair and just.
Insights from the Reaching Rural Initiative - Navigating Leadership, Innovation and Community Impact in Addressing Substance Use Disorder in Rural Communities
The Reaching Rural Initiative is co-sponsored by the Bureau of Justice Assistance, the Centers for Disease Control and Prevention and the State Justice Institute.
NACo Commission on Mental Health and Wellbeing
Launched in February 2023, the NACo Commission on Mental Health and Wellbeing brings together county leaders from across the nation to take action to address the ever-growing mental health crisis from the county government perspective.