Commonly Used Behavioral Health and Justice Terms

Our glossary provides helpful definitions for common terms, jargon, abbreviations, and acronyms you may come across in conversations about: 

  • Behavioral Health (Mental Health/substance abuse disorder SUD)

  • Intellectual and developmental disabilities IDD/Neuro Cognitive conditions

  • Criminal justice and legal matters

It provides technical definitions and plain-spoken language examples. We also included helpful links to outside sources for additional information.

365 Population

Definition

When a court has reason to believe that a defendant is not able to understand the charges against them nor participate in their own defense due to mental health concerns, the court SHALL order the CMHP to consult with the defendant to determine if the community has appropriate resources for restoration present and available. 


If the defendant is charged with specific serious charges, like aggravated murder or high level Measure 11, the court has the discretion not to order the consultation. 

Per rule OAR 309-088-0125 , the CMHP SHALL use the reporting template available at http://www.oregon.gov/oha/OSH/LEGAL/Pages/information-mental-health-providers.aspx

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CMHP Community Restoration Consultation

The consult with the CMHP is required in statute. The Certified Forensic Evaluator (CFE) examination is optional. However, it is typically completed as a matter of course. The CMHP does not need to wait for the CFE evaluation to do the restoration consultation. Due to the amount of time that it can take to schedule a CFE, if restoration outside of the jail or hospital is recommended during the initial CMHP consultation, it is helpful to work with the court to release the person to restoration services (e.g., medication, case management, ACT, housing, etc.) in the community and schedule the CFE while the person is in the community. If the person waits in jail until a CFE is available, a person who previously was stable enough for community restoration, may have decompensated too much for that to occur before the CFE can evaluate them, and thus by default will be sent to the state hospital.

370 Population

Definition

A defendant is considered to be under "370" when they are engaged in services to attempt restoration of their ability to participate in their own defense. Certified Forensic Evaluators (CFE) assess defendants to determine if they are 'able', 'not able', or 'never able' to proceed. In keeping with ORS 161.370, attempts for restoration can occur for the maximum length of the possible sentence or 3 years, whichever is shorter, if the defendant is housed within an institution. If the defendant is within the community, there is not an end of jurisdiction as long as the lack of capacity endures. 


Restoration services cannot currently be provided in jail in Oregon in keeping with the Mink decision (Oregon Advocacy Center v. MINK, March 6, 2003 https://caselaw.findlaw.com/us-9th-circuit/1253234.html). Additionally, a person must be moved from jail within 7 days if being found to be unable under 370 (ibid).

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Procedure for determining issue of fitness to proceed. Aid and Assist. Competency Restoration.

Restoration Services are the same services that would be used to stabilize mental health concerns (e.g., medication, housing, case management, treatment, etc.) Legal skills training may be helpful in some cases, and yet on its own is not necessary nor sufficient for restoration in most cases (e.g. if someone is experiencing acute psychosis, they require mental health stabilization. It will not be helpful to discuss the role of the judge while they are experiencing acute psychosis).

Acute Care Psychiatric Facility

Definition

Psychiatric hospitals are a place for people in crisis who may need safety monitoring and assessment, as well as therapeutic interventions and medication management.

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This level of care may not be available in all areas of the state.

Acute Inpatient Care Facility

Definition

Acute care is a facility where the patient remains under constant care. It is a branch of secondary health care where a patient receives active, but short-term treatment for a severe illness or injury, an urgent medical condition, or recovery from surgery.

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This level of care may not be available in all areas of the state.

Assertive Community Treatment (ACT)

Definition

Assertive Community Treatment (ACT) is a team-based service delivery treatment model that offers customized, community-based services for people living with mental illness and who are at risk of hospitalization. ACT is based on the idea that people receive better care and better outcomes when their treatment care providers work together.

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This level of care may not be available in all areas of the state.

Case Management

Definition

Case managers serve as a liaison for client wellness through advocacy, communication, education, resource referral, and service facilitation.

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Certified Forensic Evaluator

Definition

A licensed and certified psychologist or psychiatrist who performs evaluations to determine if a defendant presents with a qualifying mental disorder and if the defendant is currently able, not able, or never able to aid and assist in the defendant's defense.

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Choice Model Program

Definition

The Choice Program assists with case coordination and placement into appropriate levels of care.

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Formerly known as AMHI

Community Crisis Beds

Definition

Community Crisis beds help to fill the gap in services between independent living and admission to a hospital when a person is experiencing a mental health crisis. They offer residential services, with 24/7 staff and provide a high level of clinical services.

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This level of care may not be available in all areas of the state.

Community Mental Health Program (CMHP)

Definition

Community mental health program refers to a system of care where the person living with a mental health disorder is able to remain in the community, often in their own home, instead of more restrictive setting. The goal often includes much more support than simply providing outpatient psychiatric treatment.

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Community Restoration and Support Services (for "Aid and Assist/.370")

Definition

Community restoration and support services include competency restoration, as well as treatment and trial preparation for individuals who experience symptoms of mental illness while staying in their community.

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Aid & Assist; 370

Restoration Services are the same services that would be used to stabilize mental health concerns (e.g., medication, housing, case management, treatment, etc.) Legal skills training may be helpful in some cases, and yet on its own is not necessary nor sufficient for restoration in most cases (e.g. if someone is experiencing acute psychosis, they require mental health stabilization. It will not be helpful to discuss the role of the judge while they are experiencing acute psychosis)

Coordinated Care Organization (CCO)

Definition

A coordinated care network of Primary Care Physicians (PCP), addictions treatment counselors, mental health care, and dental care providers who work together in their local communities to serve people who receive health care coverage under the Oregon Health Plan (Medicaid).

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Crisis Call Line

Definition

A dedicated phone number that any member of the community can call when he or she feels they are in crisis. Call takers are specially trained for crisis response and local resources.

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Non-emergency dispatch staff will be able to provide this number, if not listed locally elsewhere.

Crisis Intervention Team (CIT)

Definition

Crisis Intervention Teams include specially trained police offers and local mental health staff who work together to divert those experiencing a mental health crisis from hospitals and jails - when appropriate. These teams may also include first responders, dispatchers, college campus security officers, and correctional officers.

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An evidence based best police practice. White paper's available on the GOBHI website for review: http://www.ocbhji.org/wp-content/uploads/2017/09/Executive-Summary-MH-Task-Force-FINAL-1010171.pdf

Crisis Intervention Team Center of Excellence (CITCOE)

Definition

CITCOE is a joint effort of the Department of Public Safety Standards and Training (DPSST), The Center for Policing Excellence (CPE) and The Oregon Center on Behavioral Health and Justice Integration under Greater Oregon Behavioral Health, Inc. (GOBHI). This team's goal is to promote the development of criminal justice behavioral health training programs for specialized police response models, throughout Oregon.

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CITCOE contacts are listed on the GOBHI website under the Criminal Justice Program tab: http://www.ocbhji.org/citcoe/

DSM V

Definition

The DSM V is the fifth edition of the Diagnostic and Statistical manual of mental disorders. This manual is used by clinicians and researchers to assist with the diagnosis and research of mental disorders. Each diagnostic listing contains detailed information regarding the specific criteria required for a diagnosis and an extensive overview of that particular mental disorder.

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Refer to the DSM V for the most updated information, as many things have been modified since the DSM IV.

Early Assessment & Support Alliance (EASA)

Definition

EASA is an early intervention team approach treatment program that works with individuals who have experienced a first psychotic break - ages 12 - 25. EASA is funded by the Oregon Health Authority through agreements with Community Mental Health Programs in most Oregon Counties. An interdisciplinary team of providers offer wraparound services with a strong emphasis on education, skill building, natural, and peer supports.

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Many Oregon Counties who receive OHA funding have these programs available. Check with your local Behavioral Health Agency.

Forensic Psychiatrist

Definition

Forensic psychiatry is a branch of psychiatry that is related to criminology. It serves as an interface between law and psychiatry and involves knowledge of mental health diagnosis and behaviors. A forensic psychiatrist provides services in the continuum of social services and care- i.e. determination of competency to stand trial; assessments

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In order for a forensic psychiatrist to evaluate an individual's fitness to proceed they must be certified by the Oregon Health Authority as a certified forensic evaluator (CFE). A list of CFEs can be found at http://www.oregon.gov/oha/hsd/amh-fe/pages/index.aspx.

Forensic Psychologist

Definition

Forensic psychology is at the intersection of psychology and the justice system. It involves an understanding of fundamental legal principals, particularly in regards to a person's ability to stand trial, child custody and visitation guidelines, and/or discrimination in the work place.

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In order for a forensic psychologist to evaluate an individual's fitness to proceed they must be certified by the Oregon Health Authority as a certified forensic evaluator (CFE). A list of CFEs can be found at http://www.oregon.gov/oha/hsd/amh-fe/pages/index.aspx.

Law Enforcement Assisted Diversion (LEAD)

Definition

LEAD is a police led diversion program designed to connect people with substance use disorders and/or mental health needs to local providers.

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This service may not be available in all areas of the state.

Local Public Safety Coordinating Council (LPSCC)

Definition

Local Public Safety Coordinating Councils can be vitally important resources for local governments as they seek to fulfill their mandates to assure public safety and the fair treatment of all community members, while staying within a reduced budget. The councils provide a forum for identifying issues and helping to find solutions. Per ORS 423.560, " the council shall include, but need not be limited to: 

(1) Police Chief; 

(2) Sheriff; 

(3) Prosecuting Attorney; 

(4) State court Judge; 

(5) A public defender or Defense Attorney; 

(6) Community Corrections Director; 

(7) County Commissioner; 

(8) Juvenile Department Director; 

(9) Health Director; 

(10) Mental Health Director; 

(11) Crime Victim Advocate; 

(12) Community Member; 

(13) City Councilor or Mayor; 

(14) City Manager or other city representative; 

(14) Oregon State Police representative; and 

(15) Oregon Youth Authority representative

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There is no specific requirement for the number of meetings - some counties meet annually, other meet quarterly, and some monthly.

Mental Health First Aid (MHFA)

Definition

Mental Health First Aid is an 8 hour educational course designed to provide lay-people with the basics for assisting a person who is experiencing a mental health crisis. The course helps to identify signs and symptoms of mental illness and provide support until a higher level of care - if appropriate -can be provided. Often compared to First Aid, in that it is not designed to diagnose or treat, only to provide measures to keep a person safe in the moment, and encourage appropriate help, when needed.

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The Oregon Police Chiefs and Sheriffs have signed a memorandum to have all LE officers trained in MHFA by the end of 2020.

Mobile Crisis Services

Definition

Mobile Crisis Clinicians respond to where the person who is in crisis is located at the time of crisis. They may accompany law enforcement officers, or respond separately.

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Crisis Response Teams

All Oregon counties will be receiving money from OHA to implement mobile crisis services. Check with your local Behavioral Health agency for their program hours and staffing; as some programs may not be up and running yet.

Oregon Criminal Justice Commission (CJC)

Definition

Oregon Criminal Justice Commission (CJC) is a nine-member volunteer commission in the U.S. state of Oregon. It was established in 1995, and charged with providing a "centralized and impartial forum for statewide policy development and planning" in order to "improve the efficiency and effectiveness of state and local criminal justice systems." The members are appointed by the Governor of Oregon and approved by the Oregon State Senate.

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Oregon Health Authority (OHA)

Definition

The OHA is a government agency in the state of Oregon. It's mission is to help people and communities achieve optimum physical, emotional, mental, and social well-being through partnerships, prevention, and access to quality affordable health care.

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Oregon Performance Plan (OPP)

Definition

OPP represent the next step in Oregon's commitment to increase and improve community services for adults with severe and persistent mental illnesses (SPMI) and to assure ADA compliance for adults living with SPMI living in and receiving publicly funded services in Oregon.

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Oregon Psychiatric Security Review Board (PSRB)

Definition

The Psychiatric Security Review Board's mission is to protect the public by working with partnering agencies to ensure persons under its jurisdiction receive the necessary services and support to reduce the risk of future dangerous behavior using recognized principles of risk assessment, victims' interests, and person-centered care.

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The Oregon Psychiatric Security Review Board supervises people who have successfully asserted the insanity defense to a criminal charge (guilty except for insanity)

Peer Delivered Services

Definition

Peer delivered services involve recovery mentors and peer support specialists who have personal lived experience with mental health and addiction challenges. They offer an array of services and share supportive personal relationships with people addressing behavioral health challenges.

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This is a fast growing support program. Contact the local Behavioral Health agencies for what is available in your community.

Peer Support Specialists

Definition

A Peer Support Specialist is a person providing peer delivered services to an individual or family member with similar life experience, under the supervision of a qualified Clinical Supervisor

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This is a fast growing support program. Check in with local Behavioral Health agencies for what is available in your community

PreManage

Definition

Emergency Department Information Exchange (EDIE) expands real-time notifications to medical groups, CCO's, health plans, care managers, and social workers with the goal of reducing medically unnecessary admissions, system expenses, and closing the communication gap across treatment providers for better patient outcomes. Funding provided by Health Plans, Hospitals, and OHA.

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EDIE

All 59 Oregon County hospitals are currently receiving EDIE notifications.

Residential Treatment Facilities (RTF)

Definition

A private residential treatment facility that is licensed by the Department of Health to provide services on a 24 hour-7 day a week basis by trained treatment staff. Limit is 6 to 16 patients.

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Residential Treatment Home (RTH)

Definition

A private residential treatment home that is licensed by the Department of Health to provide services on a 24 hour- 7 day a week bases by trained treatment staff. Limit is up to 5 patients.

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SIM Intercept 0

Definition

Intercept 0 - Can include preventative services from birth to the point of crisis. SIM mapping usually focus on crisis lines and care.

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Newest intercept, not all communities have identified this intercept in their mapping plan.

SIM Intercept 1

Definition

Intercept 1 -Law Enforcement and/or emergency services

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Crisis Intervention Training, Mobile Crisis Teams, & LEAD programs

SIM Intercept 2

Definition

Intercept 2 - Post arrest: Initial Detention/Initial Hearings

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Dropping charges and referring to treatment services

SIM Intercept 3

Definition

Intercept 3 - Post Initial Hearings: Jail/Prison, Courts, Forensic Evaluations & Forensic Commitments

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Specialty/Treatment Courts; Assisted Outpatient Treatment; Guilty Except for Insanity (GEI)

SIM Intercept 4

Definition

Intercept 4 -Re-entry from Jails, State Prisons, & Forensic Hospitalization

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Comprehensive release planning practices

SIM Intercept 5

Definition

Intercept 5 - Community Corrections & Community Support

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Specialized PO Caseload

Secure Residential Treatment Facilities (SRTF)

Definition

A 24-hour supervised highly-structured environment with focus on prevention, skill building, health, and safety. Staff members are trained on de-escalation and intervention techniques. Facilities are secured for the safety of the patient and the staff.

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Civilly committed individuals whose clinical needs necessitate placement in a secure facility until able to be moved to a community placement appropriate for that individual.

Sequential Intercept Model (SIM)

Definition

Sequential Intercept Model is an approach used to decriminalize people with serious mental health disorders. It is used to effectively plan for diversion, treatment, case management, and re-entry of people with co-occurring disorders who are involved in the criminal justice system

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GOBHI has trainers who are willing and available to come to communities in Oregon to walk them through this process at no charge. The GAINS Center also has trainers able to do this.

Severe and Persistent Mental Illness (SPMI)

Definition

Severe and persistent mental illness is the most serious and debilitating form of mental illness, causing long lasting, disabling disturbances in thinking, feeling, and relating. Individuals with SPMI may exhibit behaviors that bring them to the attention of law enforcement and concerned community members. Through early intervention, medication therapy and education, individuals have a greater chance of recovery then what was historically believed.

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May need assistance with applying or re-applying for SSDI, OHP, Food Stamps, and other social services.

Short-Term Crisis Stabilization Beds

Definition

Short-term crisis stabilization beds are located in a state licensed crisis respite facility for the purpose of providing individuals with 24/7 supervision, consistent with the individual's treatment goals, clinical needs, and the individuals informed choice.

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Access through local Behavioral Health County agencies.

Sobering Facilities

Definition

Sobering facilities provide a safe, supportive environment for services related to individuals who are alcohol dependent, and who may have a secondary problem such as drug addiction or mental health disorder. The service population is typically made up of people with low income, who are homeless and have no insurance.

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Sobering Centers

Sobering Stations are often open to receive intoxicated individuals 24/7. Some sobering stations will need the individual to be medically cleared before admission, while others have nursing or other specially trained addictions staff on site.

Stepping Up Initiative

Definition

Stepping Up is an initiative sponsored by the National Association of Counties, the Council of State Governments-Justice Center, and the American Psychiatric Association aimed at reducing the number of people with serious mental illness who become incarcerated in local jails who come to the attention of law enforcement primarily due to their symptomology. The initiative involves a county level commitment from the county commissioners.

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Not all Oregon Counties have joined this nationwide initiative.

Sub-Acute Psychiatric Care

Definition

Sub-Acute treatment offers brief and intensive on-site psychiatric services to help stabilize an individual after a significant emotional or behavioral incident, with the goal of returning the individual to the community. This is a secure unit.

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Funded through the OHP and some private insurance policies.

Supported Employment (SE)

Definition

Supported employment services work closely with mental health treatment services - (i.e. EASA) and other intense treatment options. Employment specialists receive referrals from within their mental health agencies. Supported employment services assist individuals to obtain and maintain integrated employment. This service is funded under the Oregon Health Plan.

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This service may not be available in all areas of the state.

Supported Housing

Definition

Supported housing is a combination of housing and services intended as a cost-effective way to help people live more stable and productive lives. Supported housing is believed to work well for those individuals who face the most complex housing challenges - individuals facing homelessness due to low income and other persistent issues ; substance use disorder (SUD); severe and persistent mental illness (SPMI); intellectual/developmental disabilities; mobility or sensory impairments. Supported housing programs often include social services, such as job skills, life skills, A&D treatment and mental health treatment, as well as Case Management. This program is funded through community services and the Oregon Health Plan (OHP).

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Community social service agencies will typically have the contact information for agencies assisting clients with the paperwork and program requirements for applying for this program. This service may not be available in all areas of the state.

Telehealth

Definition

Telehealth has a great potential to expand access and to improve the quality of healthcare for rural community members. It can help to reduce the burden of the patients needing health care by allowing them to receive services in their own community, reduce the need to travel long distances, improve monitoring, and improve the timeliness of communication with care providers.

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This is a fast growing support program. Check in with local BH agencies for what is available in your community

The United States Department of Justice (USDOJ)

Definition

The United States Department of Justice (USDOJ), also known as the Justice Department, is a federal executive department of the U.S. government, responsible for the enforcement of the law and administration of justice in the United States, equivalent to the justice or interior ministries of other countries.

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Trauma-Informed Care

Definition

Trauma-informed care is an educational program to help enlighten community members, including but not limited to teachers, first responders, and law enforcement officers of the impact that trauma, even trauma that happened years ago, can have on a person's ability to act, follow instructions, or process information in the present.

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Trauma-informed techniques include things like cool, calming colors in schools and doctors' offices and, if appropriate, sitting down beside the person that you are speaking with so as to not appear threatening. TIC training through GOBHI is offered free of charge.

Treatment Courts

Definition

Treatment Courts (also called Specialty Courts) are problem-solving courts that provide court-supervised probation and mandated treatment. The use of treatment courts has increased significantly in the last few years throughout the country.

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Specialty Courts

Higher need and risk to recidivate offenders have the best outcomes. Community Corrections officers can be a major player in have a successful outcome with the participant. Mental Health Case Managers, DHS (if children are in the household) and a judge with the understanding of Mental Health issues are also beneficial for the program's success.

Walk-in Crisis Center

Definition

An outpatient behavioral health clinic with dedicated hours that allow individuals experiencing a behavioral health crisis the option of being seen without first needing to make an appointment. Many do not require insurance verification at the time of the crisis appointment.

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A person experiencing a Mental Health crisis may use the walk in clinic during the programs hours without an appointment. Law Enforcement may provide transportation to someone in crisis who will voluntarily go, if the person does not meet criteria for Police Officer Custody. The individual does not have to have an open case with the Behavioral Health Department and does not need insurance to be seen in crisis.