What to Do In A Crisis, Who to Call, Where to Go

A mental health crisis can be a very frightening and upsetting situation.  In an acute crisis, where the person is irrational or out of control, thinking about suicide or making an attempt, hearing voices, paranoia, confusion or otherwise may be a danger to themselves or others, or you are not sure how acute it is, you have several options.  Thinking about your options in advance can help make the decision easier to handle at the time.

If the danger appears to be imminent, call the police emergency number 911 and tell them that it is a mental health emergency and that you would like a CCIT or CIT trained officer. 

Your second option is to call the 24-hour Call Center, run by Boston Medical Center, with services provided by Bay Cove Human Services, at 1-833-229-2683

Call Center clinicians will provide information, referral or arrange an in-person evaluation (depending on type of insurance or Mass Health).  They may suggest calling 911.  Try to remain calm and answer questions fully.

The third option is available only to people with no insurance or who have the following insurance plans:

·       All Mass Health plans (not Connector plans)

·       Beacon Health Strategies managed plans

·       Fallon

·       Harvard Pilgrim

·       Neighborhood Health Plan

·       Celticare/Cenpatico

·       Senior Whole Health

·       Tufts Health Plan (Navigator, Spirit)

·       Unicare State Indemnity Plan

·       Medicare

·       DMH only

(Note:  Boston Medical Center is working to add other commercial insurances.  Call the Help Line to see if your plan has been added)

If your person is willing, you may take them to the Urgent Care Center at 270 Communication Way, Hyannis during their open hours (Mon-Fri: 7 am – 11 pm and Weekends: 11 am – 7 pm) for an office-based evaluation.  They also provide urgent psychopharmacology by appointment.  They have Mobile Crisis Intervention for persons under the age of 21 as well as an adult (18 years or older) Community Crisis Stabilization program which provides a staff-secured, short-term treatment program which may be an alternative or diversion to inpatient hospitalization.  Always contact the Call Center before you go to this site. 

If you have private insurance not listed above (such as a Blue Cross plan), you can take your person to the Emergency Department at Cape Cod Hospital for evaluation.

Click here for information on The Cape Cod & The Islands Emergency Services Program