Crisis To Care Collaborative

from crisis
to care

The Crisis to Care Collaborative’s 2026 Progress Report outlines Erie County’s coordinated effort to improve how individuals experiencing behavioral health emergencies are identified, dispatched, and connected to care. Built around the national crisis-care pillars of someone to call, someone to respond, and somewhere to go, the report sets measurable 2026 targets aimed at reducing unnecessary arrests and emergency department visits while expanding community-based crisis response options. The report includes the following objectives:

  • Double behavioral health call coding: Through updating call-processing systems, expanding countywide coordination, and increasing training for call takers and dispatchers, Erie County aims to double the number of 911 calls accurately coded as mental health-related—from 21,000 in 2024 to at least 42,000 annually. These changes are underway, with full implementation expected to extend beyond 2026.
  • Expand access to clinical support: Buffalo EMS has set a 2026 goal of connecting 500 behavioral health-related callers with nurse navigators who can assess needs and guide individuals to appropriate care.
  • Expand mobile crisis response: With support from the Patrick P. Lee Foundation, Crisis Services plans to add 19 Mobile Outreach Program staff and increase community assessments from 1,711 in 2024 to approximately 2,925 in 2026.
  • Increase use of community-based crisis care: BestResponse, a 24/7 Intensive Crisis Stabilization Center (ICSC) that opened earlier this year in Buffalo, expects to serve 1,800 individuals by the end of 2026. As community-based alternatives expand, the CTC Collaborative aims to reduce annual Comprehensive Psychiatric Emergency Program (CPEP) visits by 1,000.

To ensure that people in Erie County experiencing a behavioral health emergency receive accessible, effective behavioral health crisis stabilization services and follow-up care. 

To reduce the likelihood that people in Erie County experiencing a behavioral health emergency are arrested or inappropriately brought to ECMC’s Comprehensive Psychiatric Emergency Program (CPEP).