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Meeting Date: September 21, 2026
Subject: A3 (Anyone, Anywhere, Anytime) Program Updates
Submitted For: Dr. Grant Colfax
Department: Health Services
Presenter: Chad Pierce, PsyD, Mental Health Chief of Crisis Services
Referral History:
In November 2020, Contra Costa Health (CCH) brought together a multi-disciplinary team to start the design phase of A3 (Anyone, Anywhere, Anytime). The goal was to figure out the nuts and bolts of the A3 model. The Design Team consisted of people with lived experience, family members, law enforcement, fire and emergency medical responders, behavioral health professionals, improvement advisors, and mobile crisis team members.
The need for A3 advanced based on research showing that behavioral health challenges are widespread and increasingly recognized as a major area of need:
About 1 in 5 people in Contra Costa County experience behavioral health challenges;
Behavioral health challenges are the third most common call ambulances respond to in the county; and
Every year, there are more than 8,000 visits to psychiatric emergency services in the County.
The Design Team prioritized four areas for the A3 model:
A need for help – People can reach the A3 Miles Hall Crisis Call Center multiple ways (e.g., direct line to call center, 911, 988, 211, community health providers, etc.);
Someone to talk to – Care begins as soon as a call to the call center is answered. Clinical staff provide support, triage presenting concerns and determine when an in-person response is necessary;
Someone to respond – A3 staff will determine the type of response that is appropriate for each situation. Mobile teams are dispatched to address the crisis and provide care; and
A place to go – People may need a place to go for additional support (e.g. PES, YSU, ED, alternative destination, etc.). Once a team is on site, they may determine whether a person in crisis needs more support.
In the past, when someone experienced a crisis – fi...
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