Crisis Care Centers Initiative
A countywide network of crisis care centers, the stabilization of mental health residential treatment, and a well-supported behavioral health workforce.
The Crisis Care Centers initiative, approved by King County voters in April 2023, will begin implementation in 2024 to create a countywide network of five crisis care centers, restore and expand mental health residential treatment beds, and grow the community behavioral health workforce.
The nine-year levy aims to strengthen our community’s behavioral health system by creating places for people experiencing an urgent behavioral health need to access immediate behavioral health care, similar to the physical health care system. Crisis Care Centers will create a place for people to go and promote continuity of care by linking 988, mobile crisis teams, and other behavioral health resources to support people’s recovery.
We want your input!
Feedback? Questions? Contact CCCLevy@kingcounty.gov
What to expect—CCC implementation timeline
The Crisis Care Centers planning process is now underway in the Department of Community and Human Services. As part of that, the department is convening various planning meetings to inform the three components of the initiative: crisis care centers, residential treatment, and workforce.
The strength of the Crisis Care Centers initiative is in the coalition of providers, peers, first responders, elected leaders, workers, and residents from across King County who informed and supported the concept and proposal. Throughout the implementation process, King County will engage with the coalition, community behavioral health partners, and the community to meet the goals of the initiative.
Calendar of Upcoming Events
Re-occuring Monthly Crisis Care Centers Community Meetings
COMMUNITY UPDATE MEETING: Monthly, 3rd Tuesday, 1-2pm – Will provide an overall update on the Levy planning process and its paramount and supporting goals. (Next meeting: Tuesday, October 17, 2023.) Register here
YOUTH PARTNER MEETING: Monthly, 4th Wednesday, 1-2pm – Focus is on the youth-specific components of the Levy, including the youth Crisis Care Center, youth residential treatment needs, and expansion of the youth behavioral health provider workforce. (Next meeting: Wednesday, October 25, 2023.) Register here
CRISIS SYSTEM INTEGRATION PARTNER MEETING: Monthly, 2nd Thursday, 11am-12:30pm - Focus is on clinical design of the Crisis Care Centers and integration with the services and systems that relate to people experiencing a behavioral health crisis. (Next meeting: Thursday, October 12, 2023.) Register here
SUBSTANCE USE SERVICES PARTNER MEETING: Monthly, 4th Tuesday, 3-4pm - This meeting will focus on the specific components of the Crisis Care Center Levy that relate to services for people who use drugs or other substances, including how the Crisis Care Centers may partner with current service providers and potentially directly provide substance use treatment, harm reduction, and withdrawal management support services. (Next meeting: Tuesday, October 24, 2023.) Register here
MONTHLY CRISIS CARE CENTERS COMMUNITY RECAP MEETING: Monthly, 1st Tuesday, 6-7pm - This meeting will providea recap of the previous month's community engagement meetings at an evening time. Register here
Crisis Care Centers Initiative Request for InformationKing County released two Requests for Information (RFIs) on Friday, September 29 to solicit information to help inform the Crisis Care Centers planning process, including future siting and procurement processes. One RFI is for King County Local Jurisdictions to solicit information to help inform the Crisis Care Centers siting process, and the second RFI is for behavioral health agencies and other potential partners to solicit information from potential Crisis Care Center operators. Both RFIs are for informational purposes only, and responses will not be a commitment to action. The decision to respond or not respond to these RFIs will not give organizations or jurisdictions preferential nor disadvantageous treatment during any future Crisis Care Centers siting or procurement processes. Please send questions to DCHScontracts@kingcounty.gov.
King County Local Jurisdiction RFI (Due November 15, 2023, 11:59 PM Pacific Time)
- Request for Information
- Amendment 1: Extending Deadline to November 15 from October 27
- Survey link to submit response
- Frequently Asked Questions
- Link to register for the Zoom information session on Thursday, October 12, 3:00 - 4:30pm Pacific Time
Behavioral Health Agencies and other Potential Partners (Due December 8, 2023, 11:59 Pacific Time)
- Request for Information
- Survey link to submit response
- Frequently Asked Questions
- Link to register for the Zoom information session on Friday, October 13, 11:00am - 12:30pm Pacific Time
About the CCC
The Crisis Care Center initiative will:
- Create Five Crisis Care Centers: Distributed geographically across the county, the centers will provide walk-in behavioral health care access and the potential for short-term stays to help people stabilize, depending on needs, with one center specifically serving youth.
- Preserve and Restore Mental Health Residential Treatment Beds: Prevent the loss of additional mental health residential treatment options and work to increase the availability of psychiatric residential treatment beds for longer-term stays with supports.
- Invest in the Behavioral Health Workforce: Create career pathways through apprenticeship programming and access to higher education, credentialing, training, and wrap-around supports. It will also invest in equitable wages for the workforce at crisis care centers.
Download information about Crisis Care Centers in Spanish, Somali, Vietnamese and Chinese.
In case you missed it! Community Meeting Recordings
The five Crisis Care Centers (CCC) will be distributed geographically across the county so that first responders, crisis response teams, families, and individuals have a place nearby to turn to in a crisis. King County would not unilaterally site facilities in the four regional zones identified in the levy.
Instead, King County will partner with cities and providers to identify opportunities to site the Crisis Care Centers. Key components of this process are expected to include procurement processes by which providers locate appropriate sites, as well as consultation with cities to identify potential sites, to ensure geographic distribution throughout the County as described in the ballot measure ordinance. The levy outlines support for centers through new construction, repurposing existing buildings, or a mix of both. If approved, the implementation plan will include more specifics on the siting process for the centers.
Operations and services
Timing and investment of all services is dependent upon the implementation plan that will be proposed by the Executive by the end of 2023 and reviewed and adopted by the Regional Policy Committee and King County Council. That said, the Executive’s proposal envisions early investments in:
- expanding mobile behavioral health services or services at existing sites that promote access to behavioral health services for people experiencing or at risk of a behavioral health crisis
- providing early investments to preserve existing mental health residential facilities and
- investing in growing and retaining the behavioral health workforce to ensure a sufficient workforce is available.
The MIDD Behavioral Health Sales Tax Fund is a countywide 0.1% sales tax that funds initiatives to increase access to behavioral health services and support residents to connect to community and thrive in recovery. As required by state law, MIDD funds must be used for new and expanded mental health and substance use disorder services and may be used for therapeutic courts. Since 2008, MIDD has supported over 50 different high-quality programs and services to address mental health and substance use conditions for King County residents most in need. MIDD plays a critical role in King County’s strategy to increase access to behavioral health services. Like the proposed CCC, MIDD is a local response to behavioral health needs unmet by inadequate funding from state and federal sources. MIDD is focused on keeping people out of costly and ineffective emergency response systems such as jails, emergency rooms, and hospitals, and instead helping people access care in their community.
MIDD generally does not invest in capital infrastructure. Instead, revenues are dedicated to a wide variety of smaller programs and services across the full spectrum of behavioral health care to impact five strategy areas that include Prevention and Early Intervention, Crisis Diversion, Recovery and Reentry, System Improvement, and Therapeutic Courts. The Crisis Care Center, on the other hand, is targeted to make deep investments to preserve existing and create new facility capacity in specific areas of the behavioral health system where resources are most needed.