Enhancing Access to Mental Health Crisis Care: A Comprehensive Guide from VTDigger

When facing a mental health or substance use crisis, many Vermonters tend to head straight to the emergency department (ED) for help. However, this may not always be the quickest or best option. Vermont offers a Mobile Crisis Response service that is more efficient and tailored for immediate care.

By calling or texting 988, individuals can access trained mental health professionals and peer support specialists. This service brings support right to the person in crisis—whether at home, work, or school—helping them avoid the long wait times and high costs often associated with hospital visits.

Since launching in January 2024, Vermont’s Mobile Crisis Teams have made a significant impact:

• They responded to 2,293 crisis calls across the state in 2024.
• The average response time is just 32 minutes.
• These teams supported 1,179 young people in crisis.
• Peer support specialists were involved in 14% of adult and 17% of youth responses.

These numbers illustrate how effective and lifesaving the Mobile Crisis Model is in Vermont.

The initiative is a result of collaboration among various community mental health agencies led by Health Care and Rehabilitation Services (HCRS) in partnership with the Vermont Department of Mental Health. They work together to ensure everyone has access to timely, coordinated care during a crisis.

A vital part of this service is the integration of Peer Support. Peer specialists are individuals who have gone through similar experiences and can offer understanding and hope. Their presence helps build trust, making it easier for people to open up about their challenges. A crisis program director noted, “Peers in crisis services provide people with an opportunity to talk to someone who understands their journey.”

Peer specialists provide:

• Emotional and practical support during crises.
• Guidance on resources for recovery.
• Follow-up care to support ongoing recovery.

For example, in a recent case, a Mobile Crisis Team assisted an elderly gentleman who was confused and lost. With the team’s help, he was safely returned home and later received follow-up support to ensure he had access to necessary community resources.

The impact of this program has been significant, with many individuals finding relief and connection through peer support. HCRS CEO George Karabakakis emphasized that the Mobile Crisis service has fundamentally changed how support is provided, reinforcing the idea that no one is alone.

The Vermont Department of Mental Health and its partners are committed to expanding and enhancing this service. As more peer support specialists join the effort, Vermont is building a stronger mental health network for everyone in need.

If you or someone you know is in crisis, don’t hesitate to reach out. You can call or text 988 for immediate help.

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