Register an Alternative Response Program
Thank you for your participation in this Statewide survey of programs developed for specialized responses to 911 calls involving behavioral health crises. If you have any questions or would like assistance completing this survey please contact CO 911 Resource Center at director@co911rc.org.
Register to Submit and Generate Report
County where services are located
Select county/counties where program services are provided. Submit additional surveys for each county where services are offered.
Program Information
This section requests information on the specialized response/s to 911 calls involving behavioral health crises that your jurisdiction has developed
Program name * ( Do not use abbreviations)
What year was your program implemented? *
4. Provide a brief narrative description of your specialized response to 911 calls involving behavioral health crisis. *
Lead Agency Contact Information
This is generally the lead/primary agency involved in administering the specialized response program for 911 calls involving behavioral health crises. If there is not a lead agency, please enter information on the agency that is willing to be the contact agency for program information. Contact email and phone number will not be published on the web page. If you have more than one program please submit a separate response for each program. There is an option to submit another response at the end of this survey - thank you.
Lead agency name * ( Do not use abbreviations)
Agency contact *
Title*
Phone Number
Type of Agency *
Select the primary agency function that is involved in the specialized response. For example, if you are an EMS that operates out of a fire department, select EMS if that is the primary function involved in the response.
Collaborating Agency
Tailored 911 responses to behavioral health crises often stem from collaborative efforts among diverse agencies. These partners work together to create specialized response programs. Please list all Collaborating Agency Name, specify agency type, and note any inter-agency collaborations for the specialized response.
Jurisdiction Characteristics
This section requests information on the demographics for the area where services are provided.
Service area categorization *
Types of populations served (Check all that apply) *
Specialized Response Components
Describe the components of the specialized responses to 911 calls involving behavioral health crisis in your jurisdiction .
Check all the specialized emergency response components that your program provides?
Program Funding
Funding for specialized responses can be difficult to develop. This section asks you to describe how your program is funded in two to three sentences. Provide information on how your program is currently funded. Please check all that apply
How is your program funded?
From the funding categories checked above, what are the specific names of the funding sources?
Add any additional funding strategies that you used to initially implement your program that are not listed above.
What are your greatest funding barriers?
Colorado Designated Learning Sites
Designated learning sites are programs that have been recognized for their innovative specialized responses and have already been invited to be a Colorado State Designated Learning Site. Their administration is willing to have program staff provide information and assistance to other jurisdictions that want to establish similar programs. If you are not sure, please check "no."
Is your program a designated Colorado Learning Site Program ?
Learning Site Designation
Designated learning sites are programs that have been recognized for their innovative specialized responses and have already been invited to be a Colorado State Designated Learning Site. Their administration is willing to have program staff provide information and assistance to other jurisdictions that want to establish similar programs. If you are not sure, please check "no."
Are you interested in becoming a state designated learning site or want more information on the process? If you select yes, we will contact the primary contact listed on the form.
Add any additional funding strategies that you used to initially implement your program that are not listed above.
Evaluations
Does your program currently measure any outcomes?
Outcome measures captured
Outcome measures interested in capturing