Spokane Regional Crisis Services

Spokane County Community Services Department (CSD), Spokane County Regional Behavioral Health (SCRBH) Division (Administrative Services Organization) ensures there are Behavioral Health Crisis Response Services available 24 hours, 7 days per week, 365 days per year to all Individuals within the Spokane Regional Service Area (RSA), which includes: Adams, Ferry, Lincoln, Pend Oreille, Spokane, and Stevens counties. Crisis services, including Involuntary Treatment Act (ITA) services, shall be provided regardless of an Individual’s health insurance or ability to pay.

Crisis services provide immediate and short-term intervention aimed at assisting Individuals to stabilize during an actual or perceived urgent or emergent situation that occurs when an Individual’s stability, or functioning is disrupted and there is an immediate need to resolve the situation, to prevent a serious deterioration in the Individual’s mental or physical health, or to prevent the need for referral to a significantly higher level of care.

Crisis services are intended to stabilize an Individual by providing immediate treatment and intervention in a location best suited to meet the needs of the Individual and provide treatment services in the least restrictive environment available. Crisis behavioral health services including ITA services, may be provided without an intake evaluation or screening process.

Behavioral health crisis services are provided to individuals experiencing mental health or substance use related symptoms, which are impacting an Individual’s safety, well-being and functioning. Crisis services include:

Behavioral Health Crisis Hotline services staffed by skilled professionals to assess, resolve crisis by phone, make appropriate referrals, and/or dispatch mobile teams or the Designated Crisis Responder (DCR). The Spokane Regional Service Area Behavioral Health Crisis Hotline Number is 1 (877) 266-1818;

Walk-In crisis services during business hours to contracted behavioral health crisis providers within the Spokane RSA, which include:

Adams County: Adams County Integrated Health Care
425 E. Main Street, Suite 600, Othello, WA 99334
Ferry, Lincoln, and Stevens Counties: Northeast Washington Alliance Counseling Services
Ferry County:              65 N. Keller, Republic, WA 99166
* Lincoln County:          1211 Merriam Street, Davenport, WA 99122
Stevens County:         165 E. Hawthorne Avenue, Colville, WA 99114 OR
                                        301 E. Clay, Suite 201, Chewelah, WA 99109
Pend Oreille County: Pend Oreille County Counseling Services
105 S. Garden Avenue, Newport, WA 99156
Spokane County:  Frontier Behavioral Health
107 S. Division Street, Spokane, WA 99202

Mobile crisis response services with the ability to respond to a behavioral health crisis in the community (e.g. homes, schools, or hospital emergency rooms);

Involuntary Treatment Act (ITA) services includes all clinical services and administrative functions for the evaluation for involuntary detention or involuntary treatment of Individuals in accordance with RCW 71.05 and RCW 71.34. Crisis services become ITA services when a Designated Crisis Responder (DCR) determines an Individual must be evaluated for involuntary behavioral health treatment. ITA services continue until the end of an involuntary commitment;

A range of short-term crisis stabilization services (e.g., lesser restrictive alternative in the community with natural supports to assist in implementing a safety plan, Crisis Stabilization facilities, Sobering, Withdrawal Management); and 

Urgent and Emergent care services with the capacity for immediate clinical intervention, triage, and stabilization (e.g., Crisis Stabilization facilities, Evaluation and Treatment centers, Secure Withdrawal Management and Stabilization Services facilities, inpatient psychiatric admissions, single-bed certification placement).

Contact information for the local crisis response provider for each county may be found here.

Behavioral Health Crisis Hotline Services

Mobile Crisis Response Services Flyers