Liberty Resources COVID-19 Emergency Response for Suicide Prevention - Liberty Resources Inc. (LRI), NCQA PCMH certified and current SAMHSA PBHCI and CCBHC grantee, proposes establishing a comprehensive crisis intervention system in a three county region in Central New York (CNY), to include Onondaga, Oswego and Madison Counties. Approximately 800 will be served in the mental health crisis intervention system of mobile crisis and crisis respite. Of those, it is anticipated that approximately 75 of those will be high risk for suicide. The CNY Region is among the neediest in comparison to the state. Onondaga County’s suicide mortality rate exceeds that of New York State (NYS) of 10 vs. 8 per 100,000. In the city of Syracuse, 15.4% of adults report experiencing poor MH for 14 or more days in the last month; higher than NYS excluding NYC (11.2%). Depression is the leading cause for ED visits in Oswego County, with 8 of the top 10 conditions for ED visits in the region being BH related. Oswego County has a suicide mortality of 17.3 per 100,000 people, far exceeding the national average, twice that of NYS and the highest in CNY. Compared to NYS, Oswego County has a higher rate of binge drinking (consuming 5+ drinks in a row) at 22.5% compared to 19.6%, and a higher rate of alcohol consumption at 23.90% compared to 15.70%. Madison County also experiences a higher rate of suicide mortality than the NYS average at 14.1 per 100,000 and a Non-Suicidal Self Injury Hospitalizations at 117.4 per 100,000 persons in Madison County compared to 65.0 in NYS; in addition 11.7% of adults report poor mental health for at least 14 days of the last month, including stress and depression. Madison County is also higher than the NYS average for binge drinking at 25%. LRI proposes to expand on the continuum of behavioral health services with a focus on interventions for rapid care for adults who have attempted suicide or experienced a suicidal crisis. LRI promotes a model for Central New York (CNY) that aligns with the SAMHSA National Guidelines for Behavioral Health Crisis Care Best Practices. LRI’s existing services and key community partnerships promote a framework for this model. The system includes a Regional Crisis Call Center, LRIs Mobile Crisis team, three Residential Crisis Respite facilities, outpatient mental health and substance use disorder (SUD/OUD) services, comprehensive care coordination and care transition planning. Regional Prevention Coalition DCOs in each county will provide extensive suicide prevention training in safeTALK, Mental Health First Aid, and ASIST Training. In addition, coalitions will provide comprehensive community prevention education. All clients will be referred to LRIs outpatient services or community based recovery supports. A population of focus will be given priority access to LRIs Help Restore Hope domestic violence hotline, advocacy and shelter dwelling facilities. Suicide focused Evidenced based practices will be employed in clinical treatment. Also, telehealth services will be utilized during the pandemic situation. IT setup for Electronic Health Records will be prioritized to ensure the appropriate data collection and analysis of outcomes can be reported.