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Crisis Solutions Center. King County contracts with DESC to provide crisis diversion services in King County. DESC’s Crisis Solutions Center provides therapeutic, community-based alternatives to jail and hospital settings for individual in behavioral health crisis.

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Crisis Solutions Center

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    1. Crisis Solutions Center King County contracts with DESC to provide crisis diversion services in King County. DESC’s Crisis Solutions Center provides therapeutic, community-based alternatives to jail and hospital settings for individual in behavioral health crisis. Mental Illness & Drug Dependency (MIDD) Crisis Diversion Services

    2. Mobile Crisis Team (MCT) The MCT consists of two-person teams of Mental Health Professionals that responds to referrals from first responders in the community to assist with people in mental health and substance use crisis and relieve the need for further intervention.

    3. Mobile Crisis Team • Provides crisis intervention services to individuals in a behavioral crisis in the community. • Helps resolve crises, provide referrals to ongoing services and supports, and assist with arranging or providing transportation for individuals as needed. • Is available to respond to crises 24 hours a day, 7 days a week. • Provides services throughout King County to any individual age 18 or older.

    4. The Mobile Crisis Team can be used as an option for assisting with callers that frequently call 911, who lack resources or who need connection with their current provider, to address their utilization of the 911 system. Referents are asked to remain with individual, or to identify an alternative to insure safety,until the MCT arrives and establishes their ability to work with the individual.

    5. The Mobile Crisis Team allows first responders to get back on the street and respond to other needs in their community.

    6. The Basics for MCT… If a first responder determines or suspects an individual is in mental health or substance abuse crisis: • Determine if he/she is willing to engage in services and has some behavioral control. • Call dispatch or the MCT directly at (206) 245-3201to request an outreach. This is not a public number; it is a direct line to the MCT, please don’t share it with anyone outside of your agency. The MCT is available for consultation or a direct outreach to any location in King County. The team will provide first responders with an estimated time of arrival to assist in determining if the resource is an option. They can also provide transportation.

    7. Crisis Diversion Facility (CDF) The CDF is a 16 bed facility able to accept people age 18 and over, 24 hours a day in mental health and substance abuse crisis in order to divert them from the jail and hospitals.

    8. The Basics of the CDF… • All referents are required to contact the CDF to provide a phone screening. Referents can also call the MCT to assist with this process. • Participation is voluntary. • The facility will accept individuals 24 hours a day, 7 days a week, who can stay for up to 72 hours. • Services at the CDF will include crisis and stabilization services, case management, needs assessments, and linkage with community-based services.

    9. CDF Medical Exclusionary Criteria Exclusionary criteria are used to determine that the individual is medically stable for referral. A brief screening with the nurse on staff will occur at the phone screening. Individuals under the influence will be screened for admission to determine if there are any concerns regarding withdrawal or seizure risk. Substances on board do not prevent an individual from receiving services at the CDF

    10. Referrals to the CDF To access the CDF, either call the MCT or (206) 682-2371 Referents will be asked to provide the following: • Demographic information of the client (if known) • Reason for referral • Any medical or other relevant information available that will assist with the intervention • Danger to Self, Danger to Others, Destruction to Property, Grave Disability information

    11. Referrals to the MCT and CDF • Behavioral Crisis: A person who is experiencing acute exacerbation of an existing behavioral health condition and is willing to receive services or someone who may have suicidal ideation while exhibiting behavioral control. Persons experiencing a behavioral crisis are appropriate candidates for referral. • Behavioral Emergency: A person who is out of behavioral control, is deemed an imminent danger to self or others and is unwilling to accept treatment, and likely to require seclusion or restraint to maintain their safety. Persons experiencing a behavioral emergency are not appropriate for candidates for referral.

    12. Crisis Diversion Interim Services (CDIS) The CDIS is a 30 bed facility for individuals leaving the CDF whose shelter situation may be dangerous or have the potential to send him/her into crisis again. Individuals who are served at the CDIS will be connected to services and supports in the community to help remove barriers to treatment and reduce involvement with first responders.

    13. Crisis Diversion Interim Services • Individuals are referred to the CDIS only by CDF staff, and can stay for up to two weeks. • Services at the CDIS include case management services to identify all housing and support options available.

    14. Individuals at the CDF and CDIS will be linked directly to services in order to remove some of the barriers to seeking treatment. They accept individuals on a repeat basis, and are able to work with them in a style and manner that respects the individual’s ability to tolerate interventions and change.

    15. Who can refer to these programs? Referrals to the Mobile Crisis Team and the Crisis Diversion Facility come only from first responders in King County, including: • Fire Departments/Medic One Units • Law Enforcement • Hospital Emergency Departments Social Workers • Designated Mental Health Professionals Referrals to the Crisis Diversion Interim Services come only from the Crisis Diversion Facility

    16. Where is the Facility? The Crisis Diversion Facility will be located at 1600 S. Lane Street in Seattle, WA. It is within close proximity of I-5, I-90, multiple hospitals, the King County Jail, and local Metro bus routes. Directions from I-90 Westbound: I-90 take the Rainier Ave. N. Exit Merge on Rainier Ave. N. Turn East onto Lane St. Directions from I-5: I-5 Northbound take Exit 164A, I-5 Southbound take Exit 164; Turn East on Dearborn; Turn North on Rainier Ave. Turn East at Lane St.

    17. Questions? For more information, contact: • Kathy Ryan, Crisis Solutions Center Program Manager 206-792-6665 or • Susan Schoeld, Crisis Diversion Program Manager 206-263-8967 or • Crisis Solutions Center mainline 206-682-2371 05/02/14

    18. Additional Resources The following resources are all available to the public. Please feel free to share the information and contact numbers with the individuals, families and community members with whom you engage.

    19. SMART 911 SMART 911 is a supplemental data service currently under development that allows members of the public to create a safety profile that can be seen by emergency responders when 9-1-1 is called. Go to and click on “Sign Up”.  When a call is made to 9-1-1 from a registered phone number, that profile will be displayed at the 9-1-1 center. The data is secure and is only available to emergency service personnel. Safety profiles can include as little or as much information a person wishes to share and may include address, medical and security information. Anyone can create a safety profile.  Those that are especially encouraged to register are people with medical or disability information.

    20. SMART 911 Setting up a profile can take as little as 10 minutes,  depending on how much information is provided. Safety profiles can be updated at any time. People are encouraged to create a safety profile for everyone in the household. It is also an option to create safety profiles on behalf of elderly parents, those with disabilities, or anyone not comfortable with computers. The person who creates the profile would likely be designated as the primary contact.  

    21. The Crisis Clinic The 24-Hour Crisis Line, (206) 461-3222, provides immediate help to individuals, families and friends of people in emotional crisis. They are a primary source for linking Seattle-King County residents to emergency mental health services. They offer telephone-based crisis intervention and information and referrals to community services for youth and adults in Seattle-King County, WA They offer emotional support to those in crisis or considering suicide through our 24-Hour Crisis Line.

    22. King County 211 King County 2-1-1, part of the Crisis Clinic, provides the most comprehensive information on health and human services available to King County residents. They are experts in understanding the eligibility requirements of many human services systems and on food, shelter, housing, rent and utility assistance, legal assistance, financial assistance, governmental assistance programs, health care, employment, education and family support programs. Dial 2-1-1 or 800-621-4636

    23. Dutch Shisler Service Center(aka Sobering Center) The Dutch Shisler Service Center serves as a safe and secure place for adults, 18 years and older, to sleep off the acute effects of intoxication. It also serves as a recovery access point where people receive case management services, outpatient chemical dependency treatment, and assistance to move towards greater self-determination.   Services provided by the Sobering Center include: screening for medical problems, shelter for sleeping off the effects of alcohol or other drugs, and case management to assist with social services. Sobering Support Center staff members are trained to know and recognize the common medical problems of homeless people with chronic  alcohol or drug addiction. They give emergency first aid and send people in need of emergency medical care to Harborview Medical Center.

    24. Sobering Center The sobering center serves up to 60 adults at a time. The service never closes for new admissions; when the 61st person arrives at the door, someone in the original 60 is discharged. It is not a medical facility and ambulances cannot bring people to the center.  The majority of the people walk up to the center or receive alternative transportation. Some of the criteria for admission include: blood alcohol under .40, vital signs reasonable, and a willingness to cooperate. Dutch Shisler Sobering Support Center1930 Boren AvenueSeattle, WA 98121 To speak to someone about a referral, call (206) 205-1092

    25. Children’s Crisis Outreach Response System The Children’s Crisis Outreach Response System (CCORS) provides free, comprehensive crisis services to children, youth and families throughout King County. CCORS provides urgent and ongoing support, including short-term stabilization services, in the home or in the community. Outreach to the family occurs within 2 hours of initial call. 24 hours a day · 7 days a week · FREE

    26. To access CCORS, call (206) 461-3222 WHO THEY SERVE • Children and youth ages 3-18 and their families who are having emotional or behavior problems and are currently located in King County HOW TO REFER • Children and families are screened and referred to CCORS through the Crisis Clinic • Anyone can call for support or referrals

    27. Geriatric Regional Assessment Team The Geriatric Regional Assessment Team (GRAT) responds to calls from first responders and other community referents requesting community–based crisis intervention and stabilization services for older adults in King County. The team is available county-wide to assess those in crisis and connect them with appropriate services and supports. There is no fee for these services. When a first responder calls to make a referral, they discuss the situation and make a decision about how timely the response needs to be; GRAT can do outreach within 24 hours if necessary. GRAT will see all individuals referred to their services within three business days.

    28. To access GRAT, call (425) 899-6300 or (800) 548-0558 They are available Monday-Friday 8am to 5pm (except holidays). WHO THEY SERVE • Older adults, age 60 years of age or older, residing in King County who are in a crisis that is likely due to a mental health or substance abuse problem. • GRAT is not appropriate if a crisis is life threatening or if there is an imminent danger of harming self or others. • A referent can always consult with GRAT if they have any questions about a referral. Anyone can call for support or referrals.