Tulare County, California · Behavioral Health
Building a stronger
crisis continuum.
A multi-year partnership translating vision, regulation, data, and frontline practice into a more connected behavioral health crisis system.
From questions to a system-wide picture
Mapping the crisis continuum.
We helped Tulare County understand what its crisis system had, what the community needed, and where capacity could be strengthened.
- Engaged stakeholders across youth, adult, peer, clinical, hospital, law enforcement, and community settings
- Gathered and organized operational data for crisis-capacity planning
- Modeled continuum needs and supported facility and service planning
- Translated findings into a shared, actionable view of the system
Turning state requirements into local practice
Preparing for the Medi-Cal mobile crisis benefit.
We guided the County through the practical work needed to align mobile crisis services with California DHCS requirements.
- Developed and refined the DHCS implementation plan and supporting crisis tools
- Reviewed policies and procedures for regulatory and operational alignment
- Supported staffing models, job descriptions, training plans, and workforce readiness
- Advanced coordination, performance measures, data points, and satisfaction feedback
Building dependable systems behind the service
Strengthening quality, reporting, and practice.
The partnership expanded into ongoing technical assistance focused on reliable processes, usable data, and consistent crisis practice.
- Supported LPS 5150 authorization policy, procedure, forms, and training resources
- Developed an approach and tools for SB 929 data collection and reporting
- Created and refined crisis-system KPIs and practical reporting forms
- Provided structured work planning and implementation support
Moving from implementation to continuous improvement
Monitoring quality in real time.
We continued alongside the County as a technical partner—helping monitor practice, interpret patterns, and reinforce quality.
- Reviewed LPS hold documentation across participating provider settings
- Delivered feedback and technical assistance to strengthen authorization practice
- Maintained and refined crisis response team and system-level KPIs
- Connected monitoring findings to training, workflow, and quality improvement
Equipping helpers for collaborative conversations
Putting safety planning into practice.
We created and delivered a practical workshop that helped Tulare County participants approach safety planning as a person-centered, collaborative process.
- Developed a structured learner guide and workshop curriculum
- Used realistic examples to turn core concepts into practical application
- Strengthened skills for identifying warning signs, internal coping strategies, and sources of support
- Emphasized clear, usable plans that can be developed alongside the person receiving support
Keeping the work useful, current, and connected
Sustaining the next phase.
The current phase carries forward a practical model: observe the system, learn from the data, and adapt support to emerging needs.
- Continued technical assistance and crisis-system performance monitoring
- Ongoing KPI goal-setting, review, and refinement
- Support for consistent documentation, reporting, and quality practices
- A durable improvement rhythm grounded in local operations
One partnership · Six areas of impact
Strategy that stays
close to the work.
Across each phase, the focus has remained constant: give Tulare County practical tools, clear information, and hands-on support to strengthen behavioral health crisis response.
