PCWA Crisis System

Crisis behavioral health services are available to residents in Pierce County through a variety of partnerships with community providers.


 Carelon Behavioral Health aims to develop active working groups comprised of stakeholders across the behavioral health, criminal justice, and social services fields to advance the crisis system of care. Materials will be posted to this website as they are available.


Crisis Connections operates the 24/7/365 regional crisis line for Pierce County. For all callers, the crisis hotline will triage, screen, and conduct an assessment of needs and intervention preferences; and as indicated, will offer resolution-focused telephonic crisis support, support caller use of his/her crisis plan, coordinate with caller’s lead local treatment providers, and facilitate linkage to timely and appropriate interventions and resources such as the youth and adult mobile crisis interventions and the designated crisis responders as described below). Any individual in Pierce County may use the regional crisis line (800-576-7764) for a behavioral health crisis. Click here for information for Individuals and Families.

Pierce County

Community-based crisis response services for adults are provided by MultiCare Mobile Outreach Crisis Team (MOCT).

Trueblood Enhanced Mobile Crisis Response (MCR) is provided by Multicare

Community-based crisis response services for children and youth are provided by Catholic Community Services.

Individuals can call to speak to a counselor 24 hours a day, every day using the regional crisis line at 800-576-7764.

Designated Crisis Responders (DCRs)

MultiCare employs DCRs (title changed from Designated Mental Health Professionals [DMHP] effective April 1, 2018) who respond to facilities throughout the community to assess for risk and to determine if an individual can be safely served in an outpatient or voluntary inpatient setting or if they require involuntary hospitalization in order to be stabilized. The DCRs are the only entity with the authority to detain an individual involuntarily and should only be accessed when all other voluntary and collaborative options have been exhausted. When needed, DCRs respond to police or family requests to evaluate individuals who are displaying behaviors that place them or those around them in imminent danger. Evaluations can take place in any community location. DCRs work with area law enforcement to arrange for endangered individuals to be transported to an emergency department for a complete psychiatric evaluation.