Transcript 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
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.
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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.
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.
If a first responder determines or suspects an individual is
in mental health or substance abuse crisis:
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Determine if he/she is willing to engage in services
and has some behavioral control.
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Call dispatch or the MCT directly at (206) 245-3201
to 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.
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.
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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.
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The facility will accept individuals 24 hours a day, 7 days a
week, who can stay for up to 72 hours.
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Services at the CDF will include crisis and stabilization
services, case management, needs assessments, and linkage
with community-based services.
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
To access the CDF, either call the MCT or (206) 682-2371
Referents will be asked to provide the following:
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Demographic information of the client (if known)
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Reason for referral
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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
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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.
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.
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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.
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.
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
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-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.
Directions from I-90 Westbound:
I-90 take the Rainier Ave. N. Exit
Merge on Rainier Ave. N.
Turn East onto Lane St.
For more information, contact:
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Kathy Ryan, Crisis Solutions Center Program
Manager 206-792-6665 or [email protected]
Susan Schoeld, Crisis Diversion Program Manager
206-263-8967 or [email protected]
Crisis Solutions Center mainline 206-682-2371
05/02/14
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.
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 Smart911.com 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.
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.
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.
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
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.
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 Center
1930 Boren Avenue
Seattle, WA 98121
To speak to someone about a referral, call (206) 205-1092
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 shortterm 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
WHO THEY SERVE
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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
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Children and families are screened and referred to CCORS
through the Crisis Clinic
Anyone can call for support or referrals
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.
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.