North Carolina action guide · Verified July 29, 2026
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Urgent need, crisis, abuse concern, or service breakdown

Get immediate crisis help and notify the I/DD team

Call 911 for life-threatening danger; otherwise use 988 or the county crisis route, then notify the LME/MCO and care team.

Official sources checked 2026-07-29

Start here

North Carolina Crisis Services

Before you start

  • Current location, immediate danger, communication needs, diagnoses, medications, triggers, calming strategies, medical risks, contacts, plan, and recent changes.

Who to contact

Use the official destination above, the county-assigned LME/MCO, the contact on the controlling notice, or the program-specific help route cited here.

Step by step

  1. For life-threatening danger call 911 and request a CIT officer when police are needed.
  2. For other behavioral-health crisis support call or text 988 or use the county crisis line.
  3. After immediate safety, notify the LME/MCO and ask whether NC START or another I/DD-specific response is appropriate.

Expected next

Immediate safety response plus a documented follow-up owner, reassessment, crisis plan, or referral.

Save this proof

Call times, responders, incident facts, discharge material, team notifications, referral, and updated crisis plan.

If this stalls or the answer is no

Escalate according to immediate risk; ask the LME/MCO to name the post-crisis owner and next event.

Beyond Childhood planning aid

Get immediate crisis help and notify the I/DD team checklist

A Beyond Childhood planning aid derived from the cited official sources.

  • Owner and date started
  • Documents or information supplied
  • Confirmation or notice
  • Current status
  • Next event and date
  • Escalation contact

Derived from LME/MCO Directory, North Carolina Crisis Services, NC START

Official resources

Limits

988, mobile crisis, NC START, emergency departments, law enforcement, and waiver services have different roles and availability.

Beyond Childhood’s checklists and prompts are planning aids derived from official sources. They are not official forms, legal advice, eligibility decisions, or guarantees of funding, capacity, quality, or service.

Checked sources

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