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Mobile Crisis Team
24/7 Hotline and Crisis Outreach in Cuyahoga County, Ohio, USA
216-623-6888
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A psychological crisis is a type of response to a critical event or series of events. When usual methods of coping with the critical event have failed, the person is in distress, and a severe disturbance of mood or thinking threatens a person's safety, Mobile Crisis Team (MCT) professionals go to where the person is, conduct a clinical assessment, and provide the services needed to help the person effectively address the crisis situation.
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For those most at risk for harm, MCT arranges admission to inpatient psychiatric services. For others who need supervised treatment and support, MCT arranges for admission to one of the community’s several crisis stabilization programs. For those who can remain at home, MCT crisis workers and psychiatrists provide initial and follow-up care. Upon resolution of the crisis situation, MCT links the person with community healthcare organizations that can provide the ongoing services that the person needs to minimize the likelihood of future crises.
Please note that this website does not function as a hotline, and you cannot obtain crisis services through the use of this site.
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If you are in Cuyahoga County, Ohio, call our Mobile Crisis Team at 216-623-6888 for 24/7 services, information, and support for a psychiatric crisis. For an emergency, call 9-1-1.
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Rick Oliver is Director of Crisis Services, and is licensed as a Professional Clinical Counselor.
Rick has directed the provision of mental health services for severely mentally ill adults at several community mental health centers in the Cleveland area. He also directed a specialized treatment program for those who had both a severe mental illness and a severe substance-use disorder. Rick has been with the MHS Mobile Crisis Team since it began in 1995.
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During the 2007 fiscal year that ended 30 June 2007,
MCT served 9,042 adults and 1,137 children. Each day, an average of 37 new individuals call or are referred to MCT for services. Of those, about ten receive a face-to-face assessment and begin crisis intervention services, while those who had begun services earlier participate in follow-up crisis intervention services.
Crisis services are funded by Medicaid, private donations, and the Cuyahoga County Community Mental Health Board (CCCMHB). The CCCMHB is responsible for establishing a system of mental health services that includes crisis intervention. It conducts an annual audit and evaluation of our services.
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Goals and objectives of MHS crisis services.
Primary goals of MHS crisis services are to help children and adults of Cuyahoga County who are experiencing a psychiatric crisis to maximize their safety and health, manage mental health symptoms, and reduce their subjective distress. To achieve these goals, the objectives of MHS crisis services are to:
- operate Cuyahoga County's 24/7 Suicide Hotline and mental health information and referral service;
- provide 24/7 mobile crisis assessment and crisis intervention services to children and adults experiencing a psychiatric crisis, at locations throughout Cuyahoga County;
- conduct 24/7 crisis assessments at locations throughout Cuyahoga County, in order to assure the least-restrictive placement for those who may need psychiatric hospitalization or other structured treatment settings;
- authorize admission of children to the inpatient, crisis shelter, and in-home services funded by the CCCMHB for families without health insurance;
- authorize admission of adults to the inpatient services of Northcoast Behavioral Healthcare System (NBHS), North Campus;
- authorize transfers of individuals from private hospital emergency departments to the Board-funded emergency services of the Columbia St. Vincent Charity Hospital Psychiatric Emergency Room (PER);
- coordinate the utilization of other CCCMHB-funded crisis and emergency services;
- link new clients with Board-funded counseling and community psychiatric supportive treatment services; and
- collaborate with the CCCMHB and the community's healthcare and social service organizations to implement the County’s suicide prevention plan, and the State's mental health recovery plan.
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"On a day as full of potential calamity as any other ..."
So begins a feature article describing a workday in the life of Mobile Crisis Team counselor John Rudolph. Published in the 10 November 2002 issue of The Plain Dealer Sunday Magazine, Coming to the Rescue: Answering the Cry for Help, by Jacqueline Marino, is a fascinating look at the demands, tension, humor, and compassion of work where every call can bring news of a life-threatening crisis.
Read "Coming to the Rescue."
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The Cuyahoga County Community Mental Health Board implements its Suicide Prevention Plan.
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The Cuyahoga County Community Mental Health Board has placed billboards similar to the one shown here throughout the County. The actual billboards display the local telephone number (216-623-6888) of the MHS Mobile Crisis Team. This campaign implements part of the Board's Suicide Prevention Awareness Campaign. Increased public awareness of suicide and community resources for intervention are also a part of the prevention plan published by the Ohio Department of Mental Health. To open an Adobe PDF of the state's plan, click here. A discussion of risk factors associated with suicidal conduct can be found in our web essay, Toward an Understanding of Suicidal Conduct.
In April 2008, a study of the County's suicide-prevention efforts was published in the journal, Suicide and Life Threatening Behavior. See this summary of the study.
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One goal of the Suicide Prevention plan adopted by the Cuyahoga County Community Mental Health Board is to increase public awareness of the 24/7 suicide prevention hotline operated by the Mobile Crisis Team. To this end, the Board created a 15-second public service video, and you may watch the video here. To watch, you will need to have media-player software installed on your computer.
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The Mobile Crisis Team earned AAS certification as an approved Crisis Intervention Program in October 2003. MCT then became one of only 144 certified, 24/7 crisis response programs in the U.S. and Canada. MCT is certified until October 2011.
The American Association of Suicidology conducted its first site evaluation of the Mobile Crisis Team on 3 October 2003. Paul F. Carroll and Eleanor K. Letcher were the AAS Certifiers. Certification means that MCT met or exceeded standards in administration, training, service delivery, services in life-threatening crisis, ethical issues, community integration, and program evaluation. To visit the AAS website, click here. To read the 2003 AAS certification letter, click here. To see the a copy of the 2006 certification letter, click here
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Mobile Crisis Team Outcomes
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The nation's first, published, scientific comparison of hospital admissions as a result of mobile, community-based vs. hospital-based crisis services showed that MHS crisis services substantially decreased hospitalizations in Cuyahoga County, Ohio. Furthermore, treatment in the community did not increase the risk of subsequent hospitalizations.
Click here to learn more!
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Clients served by MCT were 17% more likely to participate in follow-up services than client served by hospital-based crisis services; clients new to the community mental health system were 48% more likely to participate. Authors of the study attributed the findings to MCT's "conscious and systematic effort to promote and facilitate linkage with community agencies for ongoing services."
Click here to learn more!
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Outcome data have been collected, analyzed, and used to improve services since the program's beginnings in 1995. This study of MCT services during 1995 examines the characteristics of referrals, the characteristics of persons who participated in face-to-face services, and service outcomes.
Nearly 60% of initial MCT visits were made within two hours of the referral; 75% saw the MCT psychiatrist within two days of referral.
Click here to learn more!
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Copyright ©
Mental Health Services for Homeless Persons, Inc. (MHS)
1744 Payne Avenue; Cleveland, Ohio 44114 U.S.A.
216-623-6555 - TTY/TDD: 216-623-6540
The URL of this page is
http://www.mhs-inc.org/MobileCrisisTeam.asp
It was most recently updated on 5 February 2008.
We welcome your comments.
Please write to Joel[at]mhs-inc.org
Enter search terms in the text-box below, and click the Search button to find information within the MHS website, or throughout the web.
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