Crisis Service Array
​​​If you are searching for specific crisis resources in your county or surrounding counties, please go to Crisis Solutions NC and use the county search tool on the left ​hand side of the page. 
​​​​​If you are in need of behavioral crisis resources please call our 24/7 Access Center line at: 1-800-939-5911

risis Services are designed to address acute symptom exacerbations for those with behavioral health disorders in an effort to either avert an inpatient crisis admission or to facilitate such an admission. Crisis Services range from brief interventions provided by the member's existing provider to intensive 24/7 stabilization and treatment provided in an inpatient setting. The full range of crisis services include the following:

  • ​Service provider as first responder: A member's existing service provider must be the first responder telephonically in the event of a behavioral health crisis. For certain enhanced services (e.g., ACTT and IIH), the first responder role must be in-person whenever necessary. As such, all providers, including LIPs (Licensed Independent Practitioners) must have arrangements to ensure a qualified person is available 24/7/365 to help manage urgent and emergent issues. It is expected that such a person will have access to relevant clinical information for that member including, at a minimum, a crisis plan or psychiatric advanced directive if one has been developed.
  • Behavioral Health Urgent Care Centers (BHUC) In 2014 North Carolina DHHS developed these models to ensure a broad range of urgent access to care through the state. BHUC centers include access to behavioral health assessment through the following tiers

      • Tier 1 – a traditional office-based provider appointment during regular business hours for non-emergent conditions.

      • Tier 2 – open access/walk-in availability during office hours for non-emergent conditions.

      • Tier 3 – walk-in availability during office hours for emergent conditions, including the ability to manage involuntary commitments.
      • Tier 4 – 24/7 walk-in availability for emergent conditions, including the ability to manage involuntary commitments.

        inal Innovations ensures access for our members to Tiers 1-3 in all catchments and also has access to Tier 4 centers in select areas.
  • Mobile Crisis Management (MCM) is a 24/7/365 mobile service designed to de-escalate and/or safely mange a member's behavioral health crisis situation in the community setting. Response time is required within two hours.

  • NC START - NC START (Systematic, Therapeutic, Assessment, Respite and Treatment) provides prevention and intervention services to adults with intellectual and/or developmental disabilities and complex behavioral health needs, such as individuals with a dual diagnosis.  NC START provides crisis response and respite for the individual in crisis. It also provides ongoing training, consultation, and support to family members and providers after the NC START respite event is completed. The first priority of NC START services is to provide person-centered supports that enable the individual to remain in his or her home or community placement during and after a crisis.

  • Emergency Rooms ​ ERs are rarely a therapeutic place for individuals with behavioral health emergencies. Therefore, Cardinal Innovations provides all of the above crisis services in order to direct members to more appropriate care. However, all ERs in Cardinal Innovations service areas have access to specialty behavioral health teams, either provided by the hospital in-person or through telepsychiatry. Any member requiring medical attention prior to psychiatric disposition may require an ER visit for the evaluation

  • Facility Based Crisis/Non-Hospital Detoxification Centers are typically co-located in a facility-based unit of up to 16 beds. These are 24-hour services that can be provided in either locked or unlocked units. Some units are capable of admitting members on involuntary commitment (IVC). The average length of stay is generally for to five days. These facilities can handle members who are unsafe to remain in the community but who do not require an inpatient admission to a psychiatric hospital

  • Inpatient Psychiatric Hospitalization

    • Community hospital psychiatric units should be able to manage almost any member with a behavioral health crisis. Excessive violence, age restrictions, treatment resistance or medical complexity occasionally may prevent a community unit from being able to adequately serve the member.  These facilities are expected to provide assessments of the highest quality, evidenced-based therapeutic interventions, and timely discharge and coordination of care. Generally, average lengths of stay are seven to eight days for adults.

    • State psychiatric and substance abuse hospitals provide the final safety net for the most severely ill members in our service areas. Admission, due to severe capacity restrictions are typically limited to those with severe treatment resistance and/or aggression, and who are likely to require a longer term admission (greater than one month). Cardinal Innovations consumers from the Piedmont and Mecklenburg regions are eligible for admission to Broughton Hospital and J.F. Keith ADATC. Members in our Northern Region are eligible for admission to Central Regional Hospital and R.J. Blackley ADATC.​