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Crisis Information

Psychiatric Emergency Service: A 24-hour facility with capacity to evaluate and treat psychiatric emergencies for both voluntary and involuntary clients. Provides intensive medical oversight, nursing care, medication support, assessment & reassessment, linkage and referral to ongoing mental health services; has general mental health services and case management with the capacity to treat patients for up to 20-23 hours to stabilize an acute crisis.

Provider:
SFGH Psychiatric Emergency Services
1001 Potrero Avenue
Ph: 415-206-8125

An emergency care provider which provides assessment, general mental health services, intensive case management and medication support, seven days per week, in an effort to ameliorate crisis situations and to divert from Psychiatric Emergency Services OR to facilitate admissions to acute psychiatric hospitals when necessary. Is linked with 911 and other emergency providers. Provides emergency coverage for adult clients of the system. Mobile crisis also provides response for geriatric crisis and HIV crisis after 5 p.m. and on weekends

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Mobile Crisis Treatment Team (MCTT)

The Mobile Crisis Treatment Team is made up of a diverse multidisciplinary staff providing psychiatric crisis intervention services for adults located in the City and County of San Francisco.

MOBILE CRISIS HAS A NEW TELEPHONE NUMBER

415-970-4000

Monday through Friday 8:30 AM to 11 PM (last field visit at 10PM)
Saturdays and Holidays  12 Noon to  8 PM  (last field visit at 7PM)
[Closed Sundays]

Services Provided:
•    Emergency crisis assessment/intervention services conducted in the field
•    Early intervention before situation escalates to critical crisis point
•    Consultation services provided to consumers, housing/support systems, mental health providers, and other concerned parties
•    Assistance with linkage to outpatient mental health services
•    5150 evaluation capacity and determination of appropriate level of care
•    Short-term medication services may be available
•    Spanish, Russian, and Cantonese/Mandarin speaking staff (schedules vary)
•    Available to all adult residents (at least 18 years old), regardless of payer source

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Westside Crisis Clinic
245 11th St. 
Ph: 415-353-5050

Suicide Prevention: Telephone counseling and referral for people who are depressed and suicidal. Mental Health and drug service information and referral available 24 hours a day. Drug relapse prevention support available 24 hours a day. Support for those with HIV and AIDS available 5 p.m. to 5 a.m.

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San Francisco Suicide Prevention
Ph: 415-781-0500

Urgent Care: Brief intervention that is provided in cases of non-emergent but stressful conditions which require contact within 24 hours. Services include: assessment, general mental health services, case management and medication support.

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Missing Persons Support

Missing Persons Database
The National Missing Persons Database is a powerful resource that will enable not only family members of the missing person, but law enforcement, medical examiners, and other members of the justice community to enter data regarding missing persons. Although it is currently in its infancy, the system currently provides links and contact information to authorities on both and state and local level for all 50 states.

Control Yourself – don't shout into the phone or at arriving officers or medical professionals. They can't understand you if you shout. 

What To Do / What Steps To Take
If you have a missing loved one with serious mental illness, the following steps and information may be helpful:

Step 1.) Notify your local police immediately of your missing loved one and provide them with all the information you can. If the person remains missing more than three (3) days, ask the police to place them on the FBI's National Computer (NCIC) list as an "endangered adult". This computer network provides information nationwide. The network will give you a police number to use when searching for your relative.

Step 2.) When missing persons with mental illness over age 21 are located, the police and other agencies cannot hold or ask that they be held against their will if they have not committed a crime. No one has the authority to force the person to seek aid or medical care against his or her will unless there is a medical guardianship or court order specifying what action to take when the individual is found.

Step 3.) Prepare a one-page flyer which includes a picture of the missing person, along with his or her vital statistics (age, height, weight, hair color, eye color, clothes last seen wearing, last known location, etc.). 


What should you do in an emergency?
Control Yourself – don't shout into the phone or at arriving officers or medical professionals. They can't understand you if you shout.

On the phone: Be ready to give concrete examples of the dangerous behaviors and to support your contention that the person is mentally ill. For example, say, "My daughter pulled a knife" as opposed to "My daughter wants to kill me."

State over the phone the following information and be ready to repeat it to arriving police officers and/or medical professionals:

  • Your name.

  • Your address.

  • Family member's name.

  • Your relationship.

  • That the person is mentally ill and give the diagnosis.

  • State whether medications are being used, whether it was stopped and when was the last time the meds were taken.

  • Describe what your family member is doing now.

  • Say whether you feel threatened.

  • Say whether your family member is hearing voices or fears someone.

  • Say whether a weapon is in the house --- to minimize further agitation, remove any guns from the house before the police arrive

  • Say where inside the house is your family member

  • Say whether there is a history of violence

Until professionals arrive, you must STAY CALM and:

  • Be polite, respectful, reassuring, low-key and direct with your family member.

  • Maintain on-going communication directly with the person and do not include others in side conversations.

  • Do not try to trick or deceive your family member.

  • Avoid immediately moving in close or touching the person unless necessary.

  • Remove all objects with which a person may do harm to self or others.

When professionals arrive:

  • Have all the lights on inside the house.

  • Identify yourself.

  • Carry nothing in your hands especially coming outside to meet them, in which case walk, don't run to meet them.

  • Don't ramble.

  • Be prepared to repeat the information you gave over the phone.

  • State whether there is a history of suicide attempts.

  • State whether your family member is violent or delusional.

  • Have treating psychiatrist's phone number handy.


Arrested in San Francisco?

My family member has been arrested in San Francisco - What do I do?

A step-by-step guide to when a family member who suffers from a brain disorder (mental illness) is arrested in the City and County of San Francisco.

STEP 1.) SUPPORT YOUR RELATIVE

If your family member/friend calls you and says that he/she has been arrested, help him/her stay calm and offer your help and support.

If your family member/friend is being held at a district police station, remind him/her of the right to have an attorney present if being questioned by police officers or detectives.

If he/she is already at the San Francisco County Jail Intake and Release Center at 425 7th Street, he/she will be screened for mental illness, as well as other health concerns, upon arrival.  It is very important that they be direct and honest to benefit as much as possible from this screening process.  Assure your family member that it is OK to discuss his/her physical and mental condition, diagnosis, medications, etc., with the staff conducting the screening, which includes nursing staff and Jail Psychiatric Service staff.  It is important your family member feels safe to speak openly with the mental health screeners.

STEP 2.) CONTACT THE SHERIFF’S DEPARTMENT

Call the public information number (415) 553-1443 to find out if your loved one is in jail.

STEP 3.) SEND A FAX

Immediately prepare a fax requesting that your relative be screened for placement in the mental health unit.  Click on the Inmate Medication Information Form on this web page.  Print, complete, and fax as instructed below.
Also, follow the instructions below if this form is not available:

Begin this fax with your relative’s:
Full legal name
Date of birth
Social Security Number
In the body of the fax include:
His/her diagnosis
His/her psychiatrist’s name, phone number, and address
The medications prescribed for your family member by name, dosage, and time of day to be administered
Report whether a particular medication has proven to be ineffective or has dangerous and/or uncomfortable side effects
Report any history of suicide attempts/threats or other violent intentions in the recent past.  Briefly describe the events and when they occurred
Any other urgent medical conditions that might require immediate attention, such as diabetes, high blood pressure, seizures, heart problems, etc., and medications currently prescribed for those conditions.  Include his/her medical doctor’s name, address, and phone number for verification purposes.  The medical information you provide is tremendously valuable in making an assessment and will help the mental health staff select the best treatment for your relative.  There is a clear preference for maintaining effective current treatment.  However, the Jail Psychiatric Service staff must conduct its own assessment of your relative’s condition and may not necessarily prescribe exactly the same medications.

IMPORTANT:  DO NOT address any impending charges against your family member in this fax.  Medical information only!

Keep a copy of this fax for future reference
On the cover page, indicate whether your relative has provided you with a written confidentiality waiver.  If your relative has not previously done so, ask that he/she be asked to sign one while in jail.  The Jail Psychiatric Service staff is prohibited by law from giving anyone information about a client’s status unless they have the client’s consent, but the staff can receive information from relatives or friends without the client’s consent.

Fax the document to the numbers below.  Faxes can be sent twenty-four (24) hours a day, seven days a week.

Jail Health/Psychiatric Services FAX:  (415) 575-4352
Jail Classification FAX:  (415) 575-6362

STEP 4.) COUNTY JAIL INFORMATION
Use the links at www.sfsheriff.com to access visiting hours, telephone numbers, mailing addresses, and frequently asked questions.