Crisis Services

Two Women Walking

Need mental health help? Dial 988 for free confidential help from the National Suicide Lifeline. Call 24 hours per day, 7 days a week. 

Mental Health Crisis: If you or someone you know is experiencing a mental health crisis, call your regional number here

If you or someone you know is experiencing a mental health, substance use or problem gambling crisis please call (866) 789-1511 or click here.

A mental health crisis is a moment when someone’s behavior can put themselves or others in danger, especially if they do not get help.

Some examples of a mental health crisis are:


  • Threatens to or talks about hurting or killing themselves
  • Increases alcohol or drug use
  • Feels hopeless
  • Withdraws from friends and family
  • Feels rage or uncontrolled anger
  • Feels anxious, agitated  or unable to sleep
  • Feels trapped, like there is no way out
  • Encounters dramatic mood changes
  • Engages in reckless behaviors
  • Threatens to harm others
  • Sees no reason for living


Mental health crisis services are covered under Apple Health Integrated Managed Care (IMC) and Behavioral Health Services Only (BHSO) health plans.

Washington Recovery Help Line is a statewide 24-hour crisis intervention and referral line for those struggling with issues related to substance abuse, problem gambling and mental health.  If you or someone you know is experiencing a mental health, substance use or problem gambling crisis please call (866) 789-1511 or click here


Physical health emergencies: You are always covered for emergencies. No prior authorization or referral are required. An emergency means a physical or behavioral health condition that comes on suddenly, is life threatening, has pain, or other severe symptoms that cannot wait to be treated. Some examples of an emergency are:

  • A heart attack or severe chest pain
  • Bleeding that won’t stop or a bad burn
  • Broken bones
  • Trouble breathing, convulsions or loss of consciousness
  • When you feel you might hurt yourself or others
  • If you are pregnant and have signs like pain, bleeding, fever or vomiting


If you think you have an emergency, no matter where you are, call 911 or go to the nearest hospital location where emergency providers can help you. Emergencies are covered anywhere in the United States. As soon as possible, call your doctor or behavioral health provider to arrange for follow-up care after the emergency is over.

Regional Crisis Numbers

Region Counties Crisis Line Organization 
Great Rivers Cowlitz, Grays Harbor, Lewis, Pacific, Wahkiakum (800) 803-8833

Great Rivers


Greater Columbia Asotin, Benton, Columbia, Franklin, Garfield, Kittitas, Walla Walla, Whitman, Yakima (888) 544-9986

Greater Columbia


King King (866) 427-4747/
(206) 461-3222
King County BH-ASO 
North Central Chelan, Douglas, Grant, Okanogan (800) 852-2923 Beacon Health Options 
North Sound Island, San Juan, Skagit, Snohomish, Whatcom (800) 584-3578

 North Sound


Pierce Pierce (800) 576-7764 Beacon Health Options 
Salish Clallam, Jefferson, Kitsap (888) 910-0416

 Salish BH-ASO

Southwest Clark, Klickitat, Skamania (800) 626-8137 Beacon Health Options 
Spokane Adams, Ferry, Lincoln, Pend Oreille, Spokane, Stevens (877) 266-1818

Spokane County 


Thurston-Mason Mason, Thurston (800) 270-0041/
(360) 754-1338
Apple Health Children:
(360) 480-5721