Crisis Network Services
Statewide support for help with crisis, mental health, or substance abuse please contact
Hawaii CARES 988 at (808) 832-3100 or Toll-Free at (800) 753-6879. You can also call/text/chat to 988.
Emergency Shelter
This provides stabilization for individuals with challenging behaviors in a 24/7 awake-staffed environment. The facility is located on Oahu, but emergency services (Crisis Hotline, CMO, Crisis Shelter) are available to all DOH-DD Participants statewide. Criteria for shelter stay may include: a) medication stabilization b) threat to losing current placement due to ongoing history of challenging behaviors c) health & safety reasons (as defined by the assessor).
Crisis Network Training and Consultation Services
CARE facilitates meetings and trainings on various topics to serve DD individuals, agency providers, families, caregivers, and communities statewide. These services shall be provided to achieve an increased knowledge base and capacity of agency providers, families, and others to support the behavioral needs of individuals; development of mutual support networks; collaborative “best practices”; identification of issues impacting the behavioral needs of individuals. Trainings may be customized to meet specific agency needs, and are free of cost to attendees.
Crisis Support Management (CSM)
CSM services provide time-limited support and interventions to individuals who are in crisis and in need of necessary services and are not linked to a case manager. The goal of the program is to return consumers who have known or suspected mental health or substance abuse diagnosis to their pre-crisis state. Consumers are administered services at the request of the State of Hawaii’s Adult Mental Health Division. Services typically include assisting the individual in stabilizing community living and accessing needed services. Services are provided by crisis case managers with education, experience, and training in crisis stabilization. CSM provides services throughout Oahu, Kauai, and the island of Hawaii.
Licensed Crisis Residential Services (LCRS)
The LCRS programs are short-term (up to two weeks) residential programs for adults who have a serious mental illness and are experiencing a crisis in managing their illness. CARE’s LCRS programs are located in Honolulu on Oahu and Hilo on the island of Hawaii. The LCRS is staffed 24/7 by a registered nurse and mental health workers trained in crisis management with continual consultation by a psychiatrist. The service provides ongoing monitoring of psychiatric symptoms, medication management, and behavioral stabilization.
The CARE Hawaii DD Crisis Network Services provides the following services:
Training and Consultation for Individuals
Training is driven by the provision of support to individuals and their circle of support to implement proactive strategies/interventions that will reduce challenging behaviors and preserve the individual's current living situation or program.
Adult Foster Homes
Care Hawaii, Inc.’s foster homes are designed for individuals with behavioral challenges to educate and facilitate program planning and support the foster family. Services are meant to increase independence with activities of daily living (ADLs), develop communication, social, recreational, and leisure skills, and/or enhance independent living, self-direction, and choice-making. This includes individually tailored supports that assist with the acquisition, retention, or improvement of skills.
24-Hour Crisis Hotline
The Crisis Hotline is for any individual who qualifies for services with DDD (those already accepted in the DD/Waiver and those waiting to get into the Waiver) who is about to experience an impending crisis or is experiencing a crisis situation.
Crisis Mobile Outreach (CMO)
CMO provides community-based services to individuals experiencing psychiatric and psychosocial emergencies, responding to emergencies with timely (within 45 minutes) face-to-face crisis stabilization services. Services are designed to assess the individual’s needs regarding the crisis he or she is experiencing and then ensure that a plan is implemented to assist the individual to be safe and to ensure the safety of the community. Individuals are referred to the CMO team by the Hawaii CARES 988 crisis line (808-832-3100). Services are provided by crisis workers with education, experience, and training in crisis intervention and management. CMO provides services throughout Oahu, Kauai, and the island of Hawaii.
If further intervention is needed, our Crisis Mobile Outreach team is dispatched to their location. A team member will arrive at the scene within 45 minutes. If home stabilization is not working, the assessor will determine the next level of care; such as our Crisis Shelter for stabilization, or a higher level of care (ie: hospitalization). The PRIMARY GOAL is to stabilize the situation within the home.