Mobile Crisis Services
Community Based Mobile Crisis Team
Pacific Clinics and Solano County Behavioral Health offer Mobile Crisis services in Solano County in partnership with the local Police Departments. The program was initially launched in May of 2021 in Fairfield and Suisun City. BH has expanded the program to all cities in April 2022 however had to be paused due to staffing gaps in September of 2022 and relaunched in May 2023. The community-based Mobile Crisis Team is now operating 8:30 am- 10:00 pm, M-F in all cities. We continue to coordinate with Vallejo and their new IHART Team operated by the Felton Institute to coordinate dispatch and protocols. The Pacific Clinics team continues to recruit more staff and jointly with BH, meets biweekly with all city law enforcement agencies who attend to cross-train and jointly determine next steps for expansion as required by the State through BHIN 23-025.
Solano County Behavioral Health is proud to launch this vital program along with a new contract with Medic Ambulance to support community transports to prevent individuals in crisis being transported in a police car, reducing trauma. These long-awaited service requested by community members, persons served, family members and stakeholders, are funded by Solano County and the voter approved Proposition 63, Mental Health Services Act (MHSA) as described in the Integrated Three-Year Plan.
How to access: Call 911 and dispatch will coordinate with mobile crisis 8:30 am - 10 pm, Monday - Friday
Please print and share in your workplaces and community:
To understand the different Mobile Crisis Response teams, view this document with the various Response Tiers (how calls are triaged) and Critical Engagement Programs like Homeless Outreach, AOT, and others that coordinate with Mobile Crisis.
School-Based Mobile Crisis Team
In addition to Community-Based Mobile Crisis Services, Solano BH has contracted with the Solano County Office of Education (SCOE) as a result of the the Mental Health Student Services Act (MHSSA) grant award of $4 Million across 5 years, which expands mental health services and supports for students in K-12 school sites across Solano County. The MHSSA Grant supports the enhancement and expansion of training for school personnel, parents/caretakers and students in recognizing the signs of mental health conditions, stigma reduction and suicide prevention for Solano school districts and charter schools. Additionally, this grant supports the enhancement of districts’ crisis protocols as well as the implementation of a specialized school-based mobile crisis team to respond to student crises on school campuses during the school day. SCOE provides crisis screenings and assessments for middle and high school students identified to be at risk for dropping out of school, for participating school districts and charter schools as well as crisis intervention focusing on de-escalation. School sites and personnel are the primary referral source for the SCOE School-Based Mobile Crisis Services.
Lanterman Petris Short (LPS) Act & 5150
Update on Solano BH's process for LPS Reform, also known as SB43:
The Lanterman-Petris-Short (LPS) Act (Welfare and Institutions Code section 5100, et seq.) provides for the evaluation and treatment of a person who is gravely disabled, which is defined to mean a condition in which a person, as a result of a mental health disorder, is unable to provide for his or her basic personal needs for food, clothing, or shelter. The responsibility for administering the LPS system falls largely with counties. Senate Bill 43 (2023-2024 Reg. Session), Statutes 2023, Chapter 637 (SB 43), signed by the Governor on October 10, 2023, expanded the definition of gravely disabled to include a person who, as a result of a mental health disorder, a severe substance use disorder, or a co-occurring mental health disorder and a severe substance use disorder, or as a result of impairment by chronic alcoholism, is unable to provide for their basic personal needs for food, clothing, shelter, personal safety, or necessary medical care. SB43 allows that the expanded definition of gravely disabled becomes effective on January 1, 2024 or can be deferred to 2026 if a county, by adoption of a resolution of its governing body, elects to defer implementation, thereby postponing implementation of the new definition of grave disability.
On December 5, 2023, the Solano County Board of Supervisors elected to defer implementation of changes in Senate Bill (SB) 43 until January 1, 2026 upon recommendation from Solano Behavioral Health. Consequently, we will not be using the expanded definition of grave disability outlined in SB 43 nor will we honor involuntary holds for 5150/5585s for this new population at this time. Please refer to the Board Resolution attached.
SB 43’s expansion of the definition of grave disability will require a significant effort in building and expanding the treatment, workforce, delivery networks, housing capacity and models for locked treatment settings or models of care for involuntary SUD treatment to successfully meet the conservatorship needs of the population. The breadth of this effort requires more time than SB 43’s effective date allows. To support training and policy changes, Solano County BH will form a workgroup for our LPS/PES implementation early in the Spring and invited interested partners after discussion in our standing LPS committee. Email [email protected] with any questions.
What is an involuntary hold or 5150?
5150 is the number of the section of the Welfare and Institutions Code, which allows an adult who is experiencing a mental health crisis to be involuntarily detained for a 72- hour psychiatric hospitalization when evaluated to be a danger to others, or to himself or herself, or gravely disabled.
A person on a 5150 can be held in the hospital involuntarily for up to 72 hours. This does not mean that they will necessarily be held the entire 72 hours; it means that psychiatric hospitals have the legal right to do so if determined to be necessary. A person can be held involuntarily in a psychiatric facility only if he or she meets at least one of the three basic criteria as a result of a mental health disorder:
- A danger to others.
- A danger to self – Not limited to suicidal behavior.
- Gravely disabled – Unable to take care of food, clothing, and housing needs. The law also states that the evaluator shall consider available relevant information about the historical course of the person’s mental illness.
Documentation: The Department of Health Care Services (DHCS) has issued an updated DHCS 1801 “Application for up to 72-Hour Assessment, Evaluation, and Crisis Intervention or Placement for Evaluation and Treatment” 5150/5585 form per the update BH Information Notice. The new revision date is 09/2023; Please discontinue use of any previous form versions effective immediately.
The most prominent changes on this form revision include:
• The detainment start date and time must now be clearly listed on page 1.
• Additional line space was provided for the narrative sections on page 1.
Only law enforcement personnel or person’s trained and designated by the Solano County Behavioral Health Director may complete it.
DHCS 1801 (Revised 09/2023) Form: https://www.dhcs.ca.gov/formsandpubs/forms/Forms/DHCS-1801.pdf
Disability Rights California's guide to LPS: https://www.disabilityrightsca.org/publications/understanding-the-lanterman-petris-short-lps-act
*Image from: NAMI Santa Clara, https://namisantaclara.org/wp-content/uploads/2019/10/Involutary-Treatment-Law.png
Laura's Law (AOT) Assisted Outpatient Treatment
What is AOT?
Assisted Outpatient Treatment (AOT) is a new intervention strategy adopted by the Solano County Board of Supervisors for local implementation. Also known as "Laura's Law", AOT is a civil (not criminal) legal procedure that can be requested by concerned family members, care-givers, and other qualified referral sources (see below) for people who may be too ill to recognize the need for services. Under AOT, eligible individuals can receive court-ordered, intensive treatment in the community. The goal of AOT is to improve access and adherence to services at the lowest level of care necessary in order to prevent further deterioration that can result from untreated serious mental illness.
What services does AOT provide?
- Services are first offered voluntarily if the person is willing to accept help
- Intensive case management team that provides mental health treatment, medication monitoring, access to primary health care, and substance abuse counseling
- Assistance in applying for an obtaining benefits such as SSI and food stamps
- Help finding supportive housing
- Vocational rehabilitation
- Peer mentoring and support
- Collaboration with and support for families
- Oversight by a Judge when needed to encourage compliance
- No forced medication
Who can request AOT? (per W&I Code 5345-5349.5)
- Immediate adult family member
- Adults residing with individual
- Director of treating agency, organization, facility, or hospital
- Treating licensed mental health professional
- Peace officer, parole or probation officer supervising the individual
Who qualifies for AOT? (must meet all, per W&I Code 5345-5349.5)
- Solano County resident, minimum of 18 years of age
- Clinical determination that the person is unlikely to survive safely in the community without supervision
- Person's condition is substantially deteriorating
- Person has been offered chance to participate in development of their treatment plan for services and continues to fail to become involved
- Person has a history of a lack of participation in mental health program that have resulted in either 2 or more hospitalizations in the last 36 months, or have one attempt to cause harm to self or others in the last 48 months
- Person is likely to benefit from AOT services
AOT Referral Form:
If you have Internet Explorer Click here for a fillable form. If you are using another browser you can also click here for the printable version. Please email the completed Referral Form to [email protected].
Presentation: Assisted Outpatient Treatment (AOT) Presentation
Brochure: Laura's Law Assisted Outpatient Treatment (AOT) Brochure
Crisis Stabilization Services
If this is a crisis, please either call 911 or call our crisis unit at 707-428-1131
Crisis Stabilization Services (CSS)
Crestwood Behavioral Health
2101 Courage Drive
Crestwood Crisis Stabilization Unit (CSU) provides Solano County children, adolescents and adults, who are experiencing a mental health crisis, a safe and warm place to land. It is their first step on their road to recovery. The CSU has 12 beds and is open 24-hours a day, 7-days a week and no appointment is necessary. Clients are welcomed into our safe, homelike environment, where they will receive compassionate recovery support from our diverse team of clinical staff who are trained in trauma-informed approaches of care.
The CSU is funded by Solano County Health and Social Services Mental Health Services Act.
Call- Text- Chat
The new “988 Lifeline” (previously known as the National Suicide Prevention Lifeline) is supported by California crisis call centers that have always answered the National Suicide Prevention Lifeline 800 number and are part of the SAMHSA Lifeline network. For callers inquiring about help within Solano, as we do not have a crisis hotline center, they will get routed to the 988 center who then coordinates with our local services.
If you have any other service questions, call the Behavioral Health Access Line at (800) 547-0495 - Monday through Friday, between the hours of 8:00 am and 5:00 pm
The Access line is not a crisis service.