Leaders as Connectors: Building Trust Across Agencies and Communities
Aaron “Arrow” Foster, MA, LAC, CRC, CRSS
VP, Peer & Crisis Program Development and Training
The Crisis Before the Crisis
A person in emotional distress calls for help. The call center does its best to respond. A mobile crisis team is available, but the dispatch pathway is unclear. Law enforcement has prior history with the person, but not the behavioral health context. The emergency department is already crowded. A peer support specialist may be exactly who the person needs, but that role has not yet been integrated into the response protocol.
No one involved is trying to fail. In fact, every agency may be working hard. The problem is not a lack of commitment: The problem is a lack of connection.
Across crisis systems, leaders are often asked to solve challenges that sit between organizations: behavioral health and law enforcement, 988 and 911, hospitals and mobile crisis, state agencies and local providers, tribal partners and county systems, clinical teams and peer support workers, funders and frontline staff. The work does not move forward simply because each organization improves internally. It moves forward when leaders build the trust, habits, and shared language that allow agencies and communities to work together. That is why connector leaders are essential.
SAMHSA’s 2025 crisis care guidance emphasizes a coordinated crisis continuum that includes Someone to Contact, Someone to Respond, and a Safe Place for Help. It also highlights the importance of collaboration across 988 contact centers, mobile crisis teams, stabilization settings, hospitals, peer services, 911, public safety, and other partners.
Connector leaders make that coordination real.
Why Connector Leaders Are Essential: A crisis system is not a single program. It is a network.
A strong crisis continuum may include 988 contact centers, mobile crisis response, crisis stabilization, peer support, outpatient providers, hospitals, emergency medical services, law enforcement, schools, shelters, tribal partners, community-based organizations, managed care organizations, Medicaid agencies, and state behavioral health authorities.
Each partner sees a different part of the person’s experience. Each partner also operates under different rules, funding streams, documentation requirements, liability concerns, staffing pressures, and cultural assumptions.
Connector leaders understand this complexity. They do not pretend that collaboration happens because people attend the same meeting. They build the conditions that make collaboration possible.
Connector leaders help partners answer questions such as:
Who is responsible for what?
What happens when a person moves from one part of the system to another? How do we share information appropriately?
What does safety mean from the perspective of the person in crisis, the responder, the family, and the community?
How do we reduce unnecessary emergency department use, law enforcement involvement, or hospitalization while still meeting urgent needs?
How do we include peer support and lived experience as core system assets, not afterthoughts?