CROA Agencies

Bellingham Fire Department

Bellingham Fire Department has deployed two Community Paramedic teams within the city limits. These teams are made up of a Firefighter Paramedic and an Intensive Case Manager focusing on the high utilizers of the 911 system. Together they make connections to medical and behavioral health care, accompany clients to appointments, and help manage their overall care. The benefit is two-fold: people are connected to medical and social services that better meet their needs and it creates capacity for the Fire Department to more quickly respond to immediate emergencies.

Chelan County Behavioral Health Unit

Chelan County in partnership with the Chelan County Sheriff’s Office, implemented the Behavioral Health Unit in 2021. The Behavioral Health Unit is a mobile co-response team, that provides law enforcement access to a Mental Health Professional or Case Manager, who provides direct referrals to available services and resources for individuals with behavioral health needs. This includes individuals in a behavior health crisis or at risk for crisis, individuals with a behavioral health issue who are at risk of arrest, and proactively dispatching to any call where a behavioral health crisis is suspected. The Behavioral Health Unit may prioritize cases involving individuals who are a danger to the community/and or pose a threat to officer safety, high utilizers of emergency services, and escalating behaviors.

Additional goals of the Behavioral Health Unit is to relieve routine patrol response and get officers back into service as quickly as possible, reduce the number of arrests and emergency department admissions, and identify treatment gaps in the County to promote new approaches to improve behavioral health and social services.

City of Everett
Started in 2015, the Community Outreach and Enforcement Team has two outreach workers and four Police officers who engage with people without homes, suffering from addiction, or mental health concerns within the City of Everett. Our goal is to connect those we serve to resources available in our community.
City of Kirkland

The City’s new Community Responder team of five trained Mental Health Professionals responds to 9-1-1 calls in coordination with Kirkland police officers and/or firefighter / emergency medical technicians when a call for service has an underlying behavioral health component. Although responding with public safety personnel, the innovative new Community Responder Program is housed in the City Manager’s Office. One of the objectives of program is to reduce over-reliance on police as a primary response to 9-1-1 calls involving community members in behavioral health crises. The Community Responder Program was initially funded in the City’s 2021-2022 budget as part of the Community Safety Initiative.

Eastside Fire & Rescue

Eastside Fire & Rescue’s Mobile Integrated Healthcare (CORE Connect) is patient centered with a holistic approach focused on improvement of client outcomes. Our goal is to connect individuals with the most appropriate health and social services for their unique needs. The CORE team, a firefighter/EMT and social worker, identifies individuals with complex needs through firefighter referrals, who then follow up to conduct outreach visits and develop care management plans.

Lakewood Police Department

The Lakewood Police Department implemented a co-responder team in 2015 which pairs a Law Enforcement Officer with an embedded Mental Health Provider. The team is available to respond on-scene to 911 calls involving individuals with mental health and/or chemical abuse issues. The team also receives referrals from LWPD Officers, community providers, community members, family members and individuals who reside in Lakewood and surrounding areas. The team can assist with immediate crisis intervention, follow-up for coordination of services and other case-management needs, and developing strategies for chronic callers. The team provides education to community groups and members regarding the impact of mental illness and chemical abuse on individuals, families, and the community at large

Monroe Police Department

In partnership with Snohomish County Human Services, the Monroe Police Department Community Outreach Team consists of a social worker working alongside a Monroe Police Officer. Established in 2017, this team serves our chronic homeless, mentally ill, and drug dependent populations, providing connections to resources, medical assistance, substance abuse treatment, housing, and rides to appointments. Their work improves lives and helps sustain Monroe as a vibrant place to live, play and recreate.

Mount Vernon Police Department

Started in 2017, the Outreach Coordination Program has one Mental Health Profession who engages with people without homes within the city and to MV citizens who over-utilize the 911 system to develop resiliency plans which include connections to other community agencies and individual caring community members.

Olympia Police Department

Based off of the CAHOOTS model from Eugene, Oregon, the Olympia Police Department deploys a team of civilian first responders to calls for service due to poverty, behavioral health and substance use. The Crisis Response Unit (CRU) team responds to calls independently of law enforcement or with OPD officers. Additionally, the Olympia Police Department employs Outreach Specialists to engage with community members that have frequent contact with traditional first responders through their Familiar Faces program.

Port Angeles Fire Department

In 2019 Port Angeles Fire Department created a division of Community Paramedicine with the directive to reduce non-emergent usage of the 911 system and Emergency Services. Our goal is to identify individuals internally or through outside agency referral, engage with them in the field and provide medical care, and connect them with vital resources and services. Community Paramedicine employs three full-time paramedics who work directly with law enforcement, outreach services, and medical/behavioral health providers to meet these needs.

Poulsbo Fire Department

The City of Poulsbo and the Poulsbo Fire Department have been partnering to operate the Poulsbo Fire CARES program since January 2021. Poulsbo Fire CARES consists of a firefighter/crisis intervention officer and a behavioral health professional who respond to calls involving behavioral health issues and follow up after fire and police referrals.

Poulsbo Police Department

The Poulsbo Police Department has had a co-responder program since 2016. They currently have one mental health professional who partners with officers in the field and provides follow up to high needs and at-risk individuals.

RADAR Navigator Program

The RADAR Navigator Program pairs co-responding MHP Navigators with law enforcement officers in North King County for in-progress calls and follow-up when behavioral health needs are identified. Serving the cities of Shoreline, Lake Forest Park, Kenmore, Bothell and Kirkland, Washington.


​REdisCOVERY is response, outreach and case management teams that respond to behavioral health crises in the field with law enforcement, conducts encampment outreach in the woods, performs home visits with the Community Paramedics and links individuals to available and appropriate services when released from emergency room and/or jails. We reduce costs to the community by reducing the unnecessary use of emergency services by bringing services to where they are needed when they are needed by providing street and shelter medical clinics. We are a mobile response that includes specially trained de-escalators, medical professionals, psychiatric providers, and individuals with the treasure of lived experience and recovery. We are housed within the Olympic Peninsula Community Clinic (OPCC) otherwise known as the “free clinic” who have been providing services to our communities most vulnerable since 2001.

Seattle Fire Department

The Seattle Fire Department’s Mobile Integrated Health program has existed since 2016. It provides immediate and schedule response to a wide variety of crises with an interagency team of SFD firefighters and Human Services Department case managers.

Seattle Police Department and DESC

The Seattle Police Department has had a co-responder model since 2010 in collaboration with DESC. They currently have 5 co-responder pairs made up of one officer and one mental health professional. They focus on 911 response and follow up to high risk and high needs individuals.

Sound and Tukwila Police Department

Sound and the Tukwila Police Department have partnered up to offer an MHP co-responder that works alongside Tukwila Police officers to offer mental health and community focused resources and interventions as well as respond to mental health crisis in the moment along with follow up as indicated.

Sound and Burien Police Department

Sound the Burien Police Department have partnered up to pair an MHP with a police officer to offer mental health and community focused resources and interventions as well as respond to mental health crisis in the moment along with follow up as indicated.

Sound and Burien Fire Department

Sound and the Burien Fire Department have partnered up to pair an MHP with a fire fighter to offer mental health and community focused resources and interventions as well as respond to mental health crisis in the moment along with follow up as indicated.

Snohomish County Human Services

Snohomish County employs 6 human services professionals embedded with Snohomish County Sheriffs, Arlington PD, Marysville PD, and Monroe PD. We work alongside law enforcement to conduct outreach and engagement to homeless individual with untreated behavioral health issues, with the goal of helping individuals on a path towards safe and affordable hosing, employment and behavioral health stability.

Spokane Police Department

Spokane Police Department started a Behavioral Health Unit in 2020. The unit consists of 5 teams of officer/deputies paired with clinicians. Their primary objectives are to respond to active crisis call for service, coordinate apprehensions with DCRs, and follow up on high utilizers of services. The Spokane Regional Behavioral Health Unit can be reached through this website or

South Snohomish Fire and Rescue RFA (South County Fire)

South County Fire’s Community Resource Paramedic Program links patients with the community services you need. Our goal is to help people stay safely at home – and out of the emergency room.

The South County Fire Community Resource Paramedic program was established in 2013 with 1 community Resource Paramedic. Now, Our staff consists of 3 PM’s, 2 falls division staff, 2 compass social worker/peer support employees.

Whatcom County Response Systems

Whatcom County Health Department launched the Response Systems division in 2022, focused on serving people who lack adequate care for behavioral health challenges. Many of these community members rely heavily on 911, crisis services or are caught up in the legal system.


The Response System division operates diversion programs in partnership with local Fire/EMS, Law Enforcement, Hospital, 911 dispatch and legal system partners. Our programs aim to increase effective care coordination across complex systems of care:

  • Ground-level Response and Coordinated Engagement (GRACE, est. 2018)-partnered with Bellingham Fire, Ferndale Fire and Bellingham Police
  • Law Enforcement Assisted Diversion (LEAD, est. 2020)
  • Alternative Response Team (ART, launching in 2023)-partnered with WhatComm dispatch and Compass Health
  • Co-Responder Program (launching in 2023)-partnered with Whatcom County Sheriff’s Office