Crisis Services

Responding with Care |
                Available 24 Hours a Day

Trillium embraces North Carolina's Crisis Solutions Initiative to ensure people know where to get help quickly and effectively rather than going to a hospital emergency room when experiencing a behavioral health or intellectual/developmental disability crisis. Please view our Weathering the Storm brochure to learn how to prepare yourself and your family ahead of time. Anyone experiencing a physical health emergency or a life-threatening situation, please, call 911.

Types of emergency/crisis services available in our area include:

We also require Network Providers to develop Person-Centered Crisis Prevention Plans with persons they serve and to be accountable for their first-responder roles and responsibilities.

Any person may receive crisis and emergency services in eastern North Carolina for mental health, substance use, and intellectual/developmental disabilities issues. Regardless of where you live, work or go to school, you can contact a Mobile Crisis Team at any time (see below). A trained person answering the phone will connect you with services to address your situation.

Started on July 2022: 988 offers access 24 hours a day, 7 days a week to trained crisis counselors who can help people experiencing mental health-related distress. That could be:

• Thoughts of suicide
• Mental health or substance use crisis, or
• Any other kind of emotion distress

Mobile Crisis Teams

Mobile Crisis Teams work for Network Providers who contract with Trillium. Teams are made up of experienced clinical staff well-trained in crisis prevention and stabilization techniques. When a person experiences a behavioral health crisis, a member of the Mobile Crisis Team will respond and meet the person wherever it may be--at home, at school, at work or in the community. If you or a loved one is experiencing a mental health or substance use crisis, please call the Mobile Crisis Team serving your county listed below.

Facility Based Crisis Centers

If it is a physical health emergency or a life-threatening situation, call 911.

In an emergency, you can call our Behavioral Health Crisis Line at 1-888-302-0738 24 hours a day, 7 days a week. A Mobile Crisis Team for your county can come to your location, or you can go to a crisis center. 

Walk-in clinics are available across our region. Similar to an urgent care for physical health, you can walk-in to these clinics for help with mental health concerns. Here is the full list of Walk-in Clinics by County. 

We also work with Facility-Based Crisis (FBC) Centers which can help you without an appointment.  

Virtual or Telephone Appointmens (Telepsychiatry or Telehealth)

Telepsychiatry incorporates modern technology to connect psychiatrists and behavioral health professionals with people who have mental health or substance use challenges living in remote areas with little to no medical resources. In 2009, a partnership between RHA Health Services, Inc., the Department of Psychiatry at East Carolina University's Brody School of Medicine and Trillium piloted a 13-county Telepsychiatry program in eastern NC. 

Crisis Intervention Team Training (CIT)

Crisis Intervention Team (CIT) training is a jail diversion and de-escalation model of training for law enforcement during which officers gain a better understanding of the needs of individuals with serious mental illness, substance use disorders or intellectual/developmental disabilities.

Individuals experiencing or witnessing a behavioral health crisis can request a CIT-trained officer when they call 911.

Learn more about our Regional CIT Training Program.

Mental Health First Aid

Mental Health First Aid courses train adults to recognize the potential risk factors and warning signs for a range of mental health problems, including depression, anxiety/trauma, psychosis, and psychotic disorders, substance use disorders, and self-injury. Trillium offers two courses, Adult Mental Health First Aid and Youth Mental Health First Aid.  

To register for a free class, enter "Mental Health First Aid" in the search box at the top of our website. For more information or to request a training in your community, email MHFAtraining@TrilliumNC.org or call 1-866-998-2597. 

For more information about Mental Health First Aid, click on the link below.

• Mental Health First Aid

NC START

(Systemic, Therapeutic, Assessment, Respite, and Treatment)

North Carolina Systemic, Therapeutic, Assessment, Resources, and Treatment (NC START) is a statewide community crisis prevention and intervention program for individuals age 6 and above with intellectual/developmental disability and co-occurring complex behavioral and/or mental health needs. START crisis prevention and intervention services are provided through clinical systemic consultation, training, education, therapeutic respite, crisis response, and therapeutic couching. The model works to improve the lives of the individuals served and their families by providing services and supports using a person-centered, positive, multidisciplinary, cost-effective, systemic and evidence-informed approach.

To learn more about NC START in North Carolina, click on the following links:

• NC Start
• NC Start Overview
• NC Start Regional Map

To learn more about emergency and crisis services in North Carolina, click on the following links.

• NC DHHS Mental Health, Developmental Disabilities, and Substance Use - Crisis Services
• NC DHHS Family Disaster Plan
• National Child Traumatic Stress Network

Trillium requires priority admission to all women who are pregnant and injecting drugs, pregnant and using substances and other individuals who are injecting drugs.