Crisis System of Care

The Louisiana Department of Health (LDH)/Office of Behavioral Health (OBH) is implementing the Medicaid service delivery system related to crisis services, the Louisiana Crisis Response System (LA-CRS).

LDH/OBH has joined the rest of the nation to transition the Suicide Prevention Lifeline 10-digit number to an easier to remember 3-digit dialing code, 988, for calls and text.   988 chats are available through the Lifeline website

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After working with partners in Medicaid and national experts, OBH finalized the service design associated with a crisis system of care that is modern, innovative and coordinated. LA-CRS services include: 

• Mobile Crisis Response (MCR) is an initial community-based, mobile crisis response intended to provide relief, resolution and intervention to individuals where they are located through crisis supports and services during the first phase of a crisis in the community.
• Behavioral Health Crisis Centers (BHCC) are facility based services that operates twenty-four (24) hours a day, seven (7) days a week, as a walk-in center providing short-term behavioral health crisis intervention.
• Community Brief Crisis Support (CBCS) is an ongoing crisis intervention response rendered for up to fifteen (15) days and designed to provide relief, resolution and intervention through maintaining the member at home / in the community, de-escalating behavioral health needs, referring for treatment needs, and coordinating with local providers.
• Crisis Stabilization (CS) are short-term bed-based crisis treatment and support services for members who have received a lower level of crisis services and are at risk of hospitalization or institutionalization.

Currently, services are available for Medicaid recipients who are:

• 21 years and older 
• Associated with one of the 6 Managed Care Organizations in Louisiana (Aetna Better Health, AmeriHealth Caritas of Louisiana, Healthy Blue, Humana Healthy Horizons of Louisiana, Louisiana Healthcare Connections, and United Healthcare)
• Experiencing emotional distress, and would benefit from crisis response from trained practitioners to get the supports needed to resolve the crisis and stay in the community
• Not already on a legal commitment and are able to voluntarily participate in services 

Not seeing services in your region? Contact your 24/7 MCO Behavioral Health Care Crisis Line.

Medicaid Members Contact your MCO Behavioral Health Care Crisis Line

Select an area of the map for Crisis Resources in your area.

Modeling a Crisis System of Care

Early in the development of this new system, the Louisiana Department of Health sought input from stakeholders and interested parties to assist in the development of a vision for a modern and comprehensive crisis system of care through a Request for Information.Based on findings from the Request for Information, LDH developed a crisis framework:

• My Choice Louisiana Crisis Framework

As part of the process to implement new Medicaid covered crisis response services in Louisiana, LDH/OBH partnered with the Center for Evidence to practice to identify and train providers for these crisis response services.

Crisis Service Providers Offering Services
(click on map above for more information on accessing services)

Mobile Crisis Response For Adults (21 and older)	Behavioral Health Crisis Care For Adults (21 and older)	Community Brief Crisis Support  For Adults (21 and older)	Crisis Stabilization For Adults (21 and older)
Region 1 Metropolitan New Orleans Resources for Human Development, Inc.	Region 2 Greater Baton Rouge Recovery Innovations DBA RI International	Region 1 Metropolitan New Orleans Resources for Human Development, Inc.	Region 2 Greater Baton Rouge Recovery Innovations DBA RI International
Region 3 South Central LA Start Corporation		Region 3 South Central LA Start Corporation
Region 7 Northwest LA Council on Alcoholism & Drug Abuse of Northwest Louisiana	Region 9 Florida Parishes Ness Healthcare	Region 7 Northwest LA Council on Alcoholism & Drug Abuse of Northwest Louisiana
Region 9 Florida Parishes Ness Healthcare	Region 10 Jefferson Parish Jefferson Parish Human Services Authority	Region 9 Florida Parishes Ness Healthcare
Region 10 Jefferson Parish Jefferson Parish Human Services Authority		Region 10 Jefferson Parish Jefferson Parish Human Services Authority

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Mobile Crisis Response and Community Brief Crisis Support For Youth (under the age of 21)
Region 3 South Central LA Gulf Coast Teaching Family Services Region 4 Acadiana Area The Extra Mile
Region 5 Imperial Calcasieu Imperial Calcasieu Human Services Authority
Region 6 Central LA Gulf Coast Teaching Family Services

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Crisis Service Providers Under Development

Services for Adults

Mobile Crisis Response	Behavioral Health Crisis Care	Community Brief Crisis Support	Crisis Stabilization
	Region 6 Central LA Red River Healthcare		Region 6 Central LA Red River Healthcare
			Region 10 Jefferson Parish Jefferson Parish Human Services Authority

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Services for Youth

	Mobile Crisis Response and Community Brief Crisis Support
	Region 1 Metropolitan New Orleans Resources for Human Development, Inc.
	Region 2 Greater Baton Rouge Southeast Community Health Systems
	Region 9 Florida Parishes Southeast Community Health Systems
	Region 10 Jefferson Parish Jefferson Parish Human Services Authority

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