Emergency and Crisis Stabilization Services

A behavioral health Emergency Services Program (ESP) providing:

  • Mobile Crisis Intervention
  • Community-Based Evaluation and Support
  • Community Crisis Stabilization

Services are provided in:

Franklin County
Hampshire County
North Quabbin


CSO Crisis Programs provide behavioral health assessment, intervention and stabilization to youth, families and adults 24hrs/day, 365 days/year. Individuals may request crisis services on their own or they can be referred by family members, medical providers, schools, state agencies, law enforcement, etc. Crisis services are available to all individuals regardless of insurance or ability to pay.


Crisis interventions, whenever possible, are provided at locations that support consumer and family preferences. In most circumstances, individuals can be seen in natural and familiar settings such as home or school or a physician’s office. Assessments are strength based and engage both natural and professional supports. Interventions with youth are family focused. Services are provided by professional clinicians who may work with a trained paraprofessional who provides additional support and advocacy. Adults can also have the support of a professional peer staff when the peer is on duty.

Crisis Services are a preferred alternative to hospital emergency departments (EDs) for individuals seeking behavioral health services when there is no urgent medical condition or immediate safety concern.

Mobile Crisis Intervention (MCI)

MCI is a service of the Massachusetts Children’s Behavioral Health Initiative (CBHI) to improve children’s behavioral services. Mobile Crisis Intervention is a service for MassHealth eligible youth aged 20 and under.

MCI is a short-term (up to 7 days) community-based, on-site, therapeutic response to a youth experiencing a behavioral health crisis for the purpose of identifying, assessing, treating, and stabilizing the situation and reducing immediate risk of danger to the youth or others. Commercially insured youth are eligible for a 24-hour mobile intervention.

MCI Services:

  • Crisis assessment and support by a clinician with a paraprofessional.
  • Up to 7 days of crisis intervention and stabilization services.
  • Development of a Crisis management plan.
  • On-site therapeutic response.
  • Psychiatric consultation and urgent psychopharmacology intervention, as needed.
  • Referrals and linkages to all medically necessary behavioral health services and supports, including access to appropriate services along the behavioral health continuum of care.

Community Crisis Stabilization (CCS)

CSO has two adult Community Crisis Stabilization residences (“respites”) located at the Crisis Office sites in Greenfield and Northampton. CCS residences provide 24-hour support and stabilization for voluntary adults age 18 and over. CCS is a safe alternative to

inpatient care for individuals who can manage their welfare with the guidance and support of our professional staff. CCS goals of stabilizing and returning home usually take 3-5 days.

CCS Services:

  • Quiet home-like atmosphere
  • Daily assessment and brief counseling
  • Case management
  • Daily nursing support
  • Recovery and wellness focused groups
  • Peer Support
  • Discharge planning
  • Psychiatric consultation when needed.

To Contact Crisis Services, call your nearest Crisis Services office:

Greenfield/Franklin County
Staff on-site 24-hours
MCI Youth – 24-hours

Athol/N. Quabbin
Staff on-site weekdays, 8AM-8PM
MCI Youth – 24-hours

Northampton/Hampshire County
Staff on-site 24-hours
MCI Youth – 24-hours

Peer Support Services

The Crisis Adult Mobile and the CCS Residence are both staffed with Peer Support staff for adults who are receptive to peer support and advocacy. Peers are professionally trained staff with experience receiving mental health services and willingness to share knowledge and experience of recovery. All peer services are voluntary.


Families and individuals can experience the quickest response to a psychiatric crisis without medical symptoms by first calling the local Crisis Services team. Individuals will be seen sooner than in the hospital emergency room, and in most cases at the location of their choice.