“Not until we are lost do we begin to understand ourselves.”
Mental Health Crisis Support and Resources
This practice is not structured or equipped to provide immediate acute crisis services.
If you are in a life-threatening emergency, please call 911, or reach out to the following mental health crisis support services.
General local & national resources
Crisis support resources, warmlines and additional information compiled by InclusiveTherapists.com, a social justice and liberation-oriented mental health directory, community, and resource hub. Please visit their website for additional resources, including the information and background provided by hotlines on the use of law enforcement reporting.
Steps to take during crisis
Before calling 911: If you or someone you know is in immediate, life-threatening danger and decide to call 911, please be aware that police are frequently not equipped to offer mental health support and may even pose danger to Black, Indigenous, and People of Color, Transgender, Mentally Ill, Neurodivergent, and Disabled People.
Please reach out to community leaders, neighbors, friends, and family to be present if you are calling the police.
See below for crisis warm-lines that do not use police intervention
For community-based alternatives to police in Santa Cruz County:
Visit: Don't Call the Police for resources with transparency about reporting policies (please note that San Jose, CA is the nearest city to Santa Cruz in the directory)
Search for mobile crisis or community response teams in your city.
Call 211 in Santa Cruz County (also available in many other cities) to access a directory for a variety of services, including housing, food, and mental health services, 24 hours a day. Ask in advance whether they dispatch the police if this is a concern.
Ask trusted loved ones for support: In addition to calling crisis services, please consider letting your trusted loved ones know that you are struggling. Feel free to share these tips below with them if they're helpful to you:
Ask them to stay with you and to make a plan together. You don't have to face this alone.
If you do not want police or hospital intervention, communicate this clearly; please be aware that if you are in danger of harming yourself or others, your loved ones may intervene on your behalf and this may require emergency intervention.
Ask them to listen and empathize, and not judge, give advice, or center their own feelings.
If you are using substances, alcohol, or self-injury to cope, ask them to stay with you without judgement.
Crisis services: warm-lines that do not use police intervention
The warm-lines below offer transparency about their reporting and tracing policies.
Wildflower Alliance
Wildflower Alliance Peer Support Line
1-888-407-4515
See hours here
StrongHearts Native Helpline
StrongHearts: 24/7 confidential and anonymous culturally-appropriate domestic and sexual violence helpline for Native Americans.
Call 24/7: 1-844-762-8483 or chat online
LGBT National Helpline
National Hotline: 1-888-843-4564
See hours here
Coming Out Support Hotline: 1-888-688-5428
Youth Talkline: 1-800-246-7743
Senior Hotline: 1-888-234-7243
LGBT National Help Center: free and confidential support for LGBTQIA+ people and those with questions about sexual orientation and/or gender identity.
Call Blackline
Call or text: 1-800-604-5841
Blackline: Peer support and counseling prioritizing BIPOC, with an LGBTQ+ Black Femme Lens.
Trans Lifeline
US: 1-877-565-8860
Canada: 1-877-330-6366
Oprime 2 para hablar con alguien en español.
See hours here
Thrive Lifeline
Text 24/7: 1-313-662-8209
Thrive Lifeline: Trans-led and operated, focusing on people with intersecting marginalized identities.
Psychedelic Support Line
Call or text: 623-473-7433
11am-11 p.m. PT
Fireside Project: Support during and after psychedelic experiences.
The following crisis support resources may be mandated to report calls regarding suicide to the police (i.e. "active rescue"). If this is a concern, we encourage you to first ask about their reporting policies before sharing your situation.
Please use these resources below with discretion.
National Suicide Prevention Lifeline (24/7)
(800) 799-4889 Deaf or hard of hearing
Text "DEAF" to 741741
(800) 273-8255 Video relay service and voice/ caption
(800) 273-8255 Call or text
Telefónica's de crisis y salud mental (en Español)
Ayuda en Español, Línea de Prevención del Suicidio en Español: 888-628-9454
La Línea de Ayuda Nacional Online del Asalto Sexual: 1-800-656-4673
Love Is Respect (Chat En Español): para jovenes 1-866-331-9474
Atención de salud mental perinatal para mamás (PSI):
Llama al 1-800-944-4773 (4PPD) #1
Mensaje de texto: 971-203-7773
Línea Directa Nacional de Salud Mental Materna (HRSA) 24/7: 1-833-TLC-MAMA
Trevor Hotline for LGBTQ+ youth
866-488-7386
Text "START" to 678678
Trevor Hotline for LGBTQ+ youth
We R Native
For Native Youth, by Native Youth
Text "Native" to 741 741. Free, 24/7 counseling support
NAMI Helpline 24/7
Text "NAMI" TO 741741 to talk to a trained crisis counselor 24/7
Postpartum and Pregnancy Support
Postpartum Support International: Call 1-800-944-4773 or Text: 800-944-4773
National Maternal Mental Health Hotline (24/7): call or text 1-833-TLC-MAMA
National Domestic Violence Hotline
(800) 799-7233
Rape, Abuse and Incest National Network (RAINN)
(800) 656- 4673
Veterans Crisis Line
(800) 273-8255
National Sexual Assault Telephone Hotline
(800) 656-4673
Alcoholism & Drug Dependency Hope Line
(800) 622-2255
Lines for Life
800-273-8255
Lines for Life: talk to a suicide or substance use specialist. They also offer support for: military & family, senior loneliness, teen-to-teen crisis help, and racial equity support.
The Adult Mental Health Services Program is part of Santa Cruz County Health Services Agency's Mental Health and Substance Abuse Division. We provide supportive services to transition age youth(18-25), adults (25-60) and older adults(over 60) in need of mental health treatment. The needs of people served are diverse and often complex requiring a broad continuum of care from outpatient assessment to inpatient hospitalization, with a strong focus on community based psychosocial rehabilitation.