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Psychiatric Crisis System Consulting

Designing, Implementing and Transforming Coordinated Systems of Crisis Care

Psychiatric crisis systems are among the most complex, high-stakes operational environments in health and human services. They sit at the intersection of clinical care, law enforcement, Medicaid managed care, licensure, regulation, and community-based provider networks. Getting them right means lives saved, avoidable hospitalizations prevented, and communities made safer. Getting them wrong has consequences that are both human and financial.

Hess III Consulting has been working inside psychiatric crisis systems since 2011 — not as observers, but as system architects, independent evaluators, business intelligence analysts, and implementation leads. We have worked with the largest psychiatric crisis organization in the United States, produced Crisis System 360° Evaluations, designed collaborative crisis protocols, authored clinical policies and procedures for crisis providers in active operation today.

When government and public sector payers and providers need expertise in psychiatric crisis system design, evaluation, or transformation — they call us.

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Psychiatric Crisis System Consulting Services

Our psychiatric crisis consulting practice spans the full system lifecycle — from initial system design through operational implementation, independent evaluation, and continuous quality improvement. We work with States, Counties, Cities, Medicaid managed care organizations (MCOs), certified community behavioral health centers (CCBHCs), community mental health centers, and nonprofit organizations to strengthen the Behavioral Health Coordinated System of Crisis Care; ensuring residents have someone to talk to, someone to respond, and a place to go. 

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Crisis System Design and Implementation

  • Design of comprehensive psychiatric crisis systems of care including crisis hotlines, specialty hotlines (e.g. Veterans, Law Enforcement etc.), warmlines, mobile crisis teams, crisis stabilization units (CSUs), respite, Welcome Rooms, clubhouses, recovery centers, post crisis wraparound, Mobile Response and Stabilization Services, post-crisis follow-up care, closed loop referral systems for unmet social determinants of health and health related social needs (SDOH/HRSNs). 
  • Development of models of care, clinical protocols, desktop procedures, and staff workflows aligned with SAMHSA's National Behavioral Health Crisis Care Guidance standards.
  • Crisis system design for Medicaid managed care organizations entering new markets or restructuring existing contracts, including geographic service area (GSA) alignment, provider network development, and performance-based payment mechanism design.
  • Development of mobile crisis response protocols meeting or exceeding defined response time requirements.
  • Design of psychiatric crisis de-escalation policies and procedures including DTS/DTO/PAD/GD risk assessment frameworks, emergency admission processes, and assertive outpatient treatment compliance.
  • Design of crisis referral pathways and coordination protocols.
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Crisis System Independent Evaluation

  • Independent 360-degree evaluation of psychiatric crisis systems — including adult crisis services, children’s crisis services, mobile response, telephonic crisis, crisis stabilization units, and involuntary assertive outpatient treatment — with findings, recommendations, and implementation support.
  • Root cause analysis of critical incidents, corrective action plan development, and structured performance improvement planning.
  • Evaluation of crisis system performance against local, State, and federal compliance and accreditation standards.
  • Facilitation of stakeholder listening sessions with providers, members, families, first responders, law enforcement, and government partners.
  • Development of performance benchmarks and quality metrics including: crisis response times, disposition rates, follow-up contact rates, inpatient diversion rates, member satisfaction, and clinical outcome measures.
  • Production of published evaluation reports, white papers, and technical reports for regulatory agencies, MCOs, and public distribution.
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First Responder Partnerships

Crisis System Multi-Stakeholder Coordination and Collaborative Protocols

  • Design of comprehensive psychiatric crisis systems of care including crisis hotlines, specialty hotlines (e.g. Veterans, Law Enforcement etc.), warmlines, mobile crisis teams, crisis stabilization units (CSUs), respite, Welcome Rooms, clubhouses, recovery centers, post crisis wraparound, Mobile Response and Stabilization Services, post-crisis follow-up care, closed loop referral systems for unmet social determinants of health and health related social needs (SDOH/HRSNs). 
  • Development of models of care, clinical protocols, desktop procedures, and staff workflows aligned with SAMHSA's National Behavioral Health Crisis Care Guidance standards.
  • Crisis system design for Medicaid managed care organizations entering new markets or restructuring existing contracts, including geographic service area (GSA) alignment, provider network development, and performance-based payment mechanism design.
  • Development of mobile crisis response protocols meeting or exceeding defined response time requirements.
  • Design of psychiatric crisis de-escalation policies and procedures including DTS/DTO/PAD/GD risk assessment frameworks, emergency admission processes, and assertive outpatient treatment compliance.
  • Design of crisis referral pathways and coordination protocols.
Schedule a Free Consultation

Unmatched Experience Designing Psychiatric Crisis Systems

Hess III Consulting has over 15-years experience designing, implementing and optimizing psychiatric crisis systems including crisis call centers, mobile teams, stabilization units, inpatient facilities, and involuntary treatment in Alaska, Arizona, Arkansas, Colorado, Georgia, Idaho, Kansas, Louisiana, Nevada, North Carolina, Ohio, Pennsylvania, Virginia, and Washington.

Hess III Consulting's Crisis Experience

We've Been Trusted By:

Mercy Care
Magellan Health
Crisis Response Network JPG
Centene
Molina Healthcare
International
Connections Health Solutions

Are You Ready to Transform Your Psychiatric Crisis System?

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We love getting to know good people doing good things. Reach out and schedule a free consultation. We'll gladly share early insights and help figure out how we can best support you and your organization. Absolutely no commitment required.

  • (480-559-1051
  • info@hess3.com