Crisis Services

Crisis Can Affect Anyone at Anytime

Crisis Services Professionals are available by phone 24 hours a day, 7 days a week to speak with anyone experiencing a crisis due to mental illness and/or substance use issues. Crisis outreach services are available to everyone in Island, San Juan, Skagit, Snohomish, and Whatcom Counties. Call North Sound Region's 24/7 Crisis Line: 800.584.3578

The Crisis Line can help when you or someone you care about is:

  • Thinking about or talking about harming yourself or others.
  • Thinking, talking or writing about suicide.
  • Looking for pills, guns or other ways to harm your-self.
  • Feeling anxious, hopeless, or desperate.
  • Being bullied.
  • Being verbally, physically or sexually abused.
  • Angry or seeking revenge.
  • Acting recklessly or involved in unsafe behavior.
  • Increasing their use of alcohol and other drugs.
  • Avoiding friends and family.
  • Not sleeping well or sleeping too much.


Mobile Crisis Outreach Teams are available to help those in the community experiencing a crisis due to mental illness and/or substance use issues. They provide assistance in community settings such as homes and schools. They are professionals trained to evaluate a person for safety, de-escalate a crisis, and provide information and education. They also refer people to community behavioral health services for additional support.

Crisis Service Providers

Volunteers of America 

Snohomish County Human Services

Compass Health

Crisis Resources

To report a crisis alert via the web, please fill out and submit the form on the Care Crisis Response Site, at

988 Suicide & Crisis Lifeline (Call)
The 988 Suicide & Crisis Lifeline provides free and confidential emotional support to people in suicidal crisis or emotional distress 24 hours a day, 7 days a week, across the US.

Crisis Training

North Sound BH-ASO Crisis System Training Module 

(PDF Version)

Crisis Assessment

Beginning in 2020, the North Sound BH-ASO has commissioned an annual assessment of the North Sound area crisis system. This Annual Assessment is developed to not only satisfy our reporting requirements with HCA, but to provide a brief examination of how the crisis system is operating and identify opportunities to improve or expand service delivery as part of our strategic planning.

2023 Crisis Assessment

2022 Crisis Assessment

2021 Crisis Assessment

2020 Crisis Assessment

Child, Youth, and Family Crisis Response Teams for Snohomish and Whatcom Counties

North Sound BH-ASO and Compass Health are teaming up to create a new mobile crisis service for families in the region. Mobile crisis teams specializing in children, youth, and families will provide a short-term intervention that is a mobile, on-site, face-to-face therapeutic response to families with young people when they start to notice changes in behavior and need help to figure out what is going on and address it before things get worse.

For more information please visit our News & Events page.

Suspect Fraud?


Anonymously report suspected fraud, waste, or abuse to the North Sound BH-ASO Compliance Officer by using the Compliance Hotline.

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Dissatisfied with service?


or visit the Ombuds website for assistance in filing a complaint or appealing a denial of service.

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