Mobile Response Stabilization Service (MRSS)

View video sessions from the recent Two-Day MRSS Virtual Conference hosted by the Ohio Department of Mental Health and Addiction Services and the Center for Innovative Practices. Click here.

| Mobile Response Stabilization Services (MRSS) Core Trainings Offered to Ohio Care Providers (All Virtual)
AS PART OF THE Ohio Department of Mental Health and Addiction Services (OhioMHAS) partnership with Ohio Governor Mike DeWine’s Children’s Initiative and the Ohio Department of Medicaid, the Center for Innovative Practices (CIP) will present a series of MRSS online trainings for Ohio care providers. MRSS help children/youth and their families who are experiencing an emotional or behavioral stressor by interrupting immediate crisis and ensuring youth and their families are safe.
Click here to register | Learn More about MRSS HERE.

MRSS stands for Mobile Response and Stabilization Services. Families with youth and young adults up to age 21 who are experiencing difficulties or distress can receive assistance within 60 minutes after contacting MRSS. You may also receive up to 42 days of intensive, in-home services and linkage to on-going supports.

Services provided by the MRSS team may include: safety assessments, de-escalation, peer support, and skill building, among others. Access to MRSS is available 24 hours per day, seven day a week. You make the call, together we respond.

PRIVACY POLICY/STATEMENT: MHOhio is committed to protecting your privacy and developing technology that gives you the most powerful and safe online experience. This Statement of Privacy applies to the MHOhio site and governs data collection and usage. By using the MHOhio site, you consent to the data practices described in this statement. Read full OhioMHAS Privacy Statement here.

Download MRSS Practice Standards Provider Self-Assessment Here | Download MRSS Benchmark Tool Here | Download MRSS Intake Form (Updated 12/10/21) Here | Download MRSS Discharge Form (Updated 12/10/21) Here | View MRSS Privacy Statement Here

MRSS services are for any family defined crisis. A few examples of common issues that MRSS staff can help with include:

– escalating emotional or behavioral issues                    – mental health issues
– addiction and substance abuse                                       – physical and emotional trauma
– school truancy                                                                      – running away from home
– parent/child or caregiver/child conflict                          – suicidal ideation

To learn more about MRSS and the experiences of caregivers and clients in Ohio counties, click here or visit,

NEW | Ohio’s New MRSS Practice Manual
The Mobile Response and Stabilization Service (MRSS) Practice Manual is authorized by the Ohio Department of Alcohol and Addiction Services and serves as the basis for process improvement and expansion of MRSS to improve behavioral health services for the state’s young people. The  intent of this manual is to establish expectations for operational components and to guide implementation, while allowing ample flexibility to accommodate county/regional needs and practice innovation. The Practice Manual outlines the goals, guiding principles, eligibility criteria, service components, implementation models, best practices, roles and responsibilities, metrics and resources recommended for MRSS. The Practice Manual has been developed through a consensus process including the Ohio Department of Alcohol and Addiction Services, County Board Authorities, service providers, peer supporters, parents, youth and Ohio and national professionals with expertise in children’s crisis services and mobile response and stabilization. The practice manual is based on best and promising practices from Ohio and other statewide MRSS programs including Connecticut, Michigan, Maryland, and Nevada.

Download PDF of MRSS Practice Manual Here

orporate existing categorical services, if appropriate to meet the needs of the consumer.

NEW RESOURCE | Crisis Services White Paper Report from OhioMHAS
Across Ohio, people of all ages and their families are seeking care in record numbers for substance use disorder and mental health concerns. Frequently, these Ohioans are exhibiting severe symptoms, such as psychosis, suicidal ideation, agitation, aggression, and/ or are exhibiting symptoms of substance withdrawal or the toxic effects of substance misuse or abuse. In many communities, people rely on emergency departments that may lack the behavioral health resources to adequately assess, stabilize, and connect people to community services and supports. Also, emergency departments may not have sufficient resources to provide an adequate response to a psychiatric behavioral health emergency, particularly when people experience prolonged wait times for an available psychiatric bed. In the community, when a person is in crisis and suffering a behavioral health condition or other problem that affects the person’s emotional well-being and safety, law enforcement is often called to respond. The person in crisis may be arrested and jailed without access to the appropriate care. Jail is not the right place for people living with mental illness and their presence there creates difficulties for jail staff

Download PDF of Report Here

RESOURCE | Risk Assessment and Risk Response for Youth
Christopher Morano, Ph.D. has been a licensed psychologist for nearly 30 years. and served as past Director of Emergency Mobile Mental Health Services for Milwaukee County Children and Families. Along with experience both performing the service and managing those who do, Dr. Morano has trained locally and nationally in community crisis intervention. He has helped set up teams across the country and served as a consultant from Oakland, CA to Buffalo, NY. At present Dr. Morano is the consultant for child crisis services for the state of Nevada. He also serves on the faculty of the University of Maryland at Baltimore, doing national training in crisis intervention. Dedicated to the delivery of mental health services in the community, Dr. Morano’s work is committed to helping systems develop successful community solutions utilizing a continuum of care, with formal and informal support, emphasizing less intensive, safe and naturally occurring strategies. He also recently published a book on alternative ways of thinking about, and helping children, called Paleo Parenting: The Many Myths of Childhood Mental Illness. His recent presentation, entitled “Risk Assessment – Self-Harm​ and Risk Response and Planning​,” can be viewed here. Download PDF of Presentation

IN THIS TIME OF COVID-19, Ohio’s Mobile Response and Stabilization Services can be especially helpful to children/youth and their families. Below are various resources from throughout the state designed to help keep clinicians and caregivers connected to their clients and families in order to keep the pace of recovery, despite the many challenges. Please share the link to this page with anyone you feel might benefit from these resources at this particular time.

Learn More about Mobile Response Stabilization Services Here

For Teens In Crisis Seeking Support, “Hey, I’m Here” Is a Place to Turn
Youth dealing with challenges to their mental wellness, especially during current times of crisis and concern, can find like-minded young people via, “Hey, I’m Here.” As the video says, “When you need support, every second matters and it’s important to know that you are not alone.”

View ‘You’re Not Alone’ Video | Visit ‘Hey, I’m Here’ Website
Contact via Instagram @HeyImHereOhio | Email

“Hey, I’m Here” is part of Ohio’s Mobile Response and Stabilization Services (MRSS), helping children, youth, and their families who are experiencing an emotional or behavioral stressor by interrupting immediate crisis and ensuring youth and their families are safe. MRSS provides the support and skills necessary to return youth and families to typical functioning.

Parent Advocacy Connection Ohio Map

Right: Parent Advocacy Connection Ohio Map | Click on image to enlarge and expand.

Below: Suggested Resources for Clinicians to Pass Along to Young Clients | Click on an Image Below to Download PDFs

Locate Your FCFC Chair and Coordinator/Director
Click on the link here and you will be led to a map of Ohio. – Click on your county, and you’ll be provided with a list, viewing the FCFC Chair and Coordinator/Director and their contact information along with the FCFC Service Coordination Mechanism, and the FCFC Shared Plan (HB 289).

Ohio Family and Children First (OFCF) is a partnership of state and local government, communities and families that enhances the well-being of Ohio’s children and families by building community capacity, coordinating systems and services, and engaging families. OFCF’s vision is for every child and family to thrive and succeed within healthy communities.Mission Pyramid.

To view and download a PDF of the 88 County FCFC Coordinator/Director Statewide Directory, click here.

MRSS County Healthline Numbers

Resources for Multi-System Youth in Ohio

Far Right: MRSS COUNTY HEALTHLINE NUMBERS – Click on image to enlarge and expand. | Near right, A Resource Directory for Multi-System Youth in Ohio – Click on image to download PDF.

Please note the Resources for Multi-System Youth in Ohio, a directory encompassing mental health, medical care, family support, community engagement, crisis response and stabilization, service coordination, training, legal help, and housing. There includes as well the contact information of Department of Developmental Disabilities Regional Liaisons. Click Here for PDF of Directory.

DOWNLOAD FREE RESOURCE PDFs: – Click on image or: Beam Cards Here  | Take a Break Cards (Elementary and Middle School) Here | Break Cards (High School and College) Here | FASD Resource Directory Here | De Stress Cards Here

Beam Cards

Take a Break Cards (Elementary and Middle School)

Break Cards (High School and College)

De Stress Cards

FASD Resource Directory







Considerations for SOC Leaders to Implement Continuum of Crisis Response Services
Hosted by the National TA Network for Children’s Behavioral Health, operated by and coordinated through the University of Maryland.

This presentation was prepared by the National Technical Assistance Network for Children’s Behavioral Health under contract with the U.S.

View PDF | Considerations for SOC Leaders to Implement Continuum of Crisis Response Services

Mobile Response and Stabilization Services help children/youth and their families who are experiencing an emotional or behavioral stressor by interrupting immediate crisis and ensuring youth and their families are safe. MRSS provides the support and skills necessary to return youth and families to typical functioning.

Lessons Learned
• Develop contracts with key model specifications and performance expectations • Institute culture of “crisis defined by caller”
• Institute culture of “JUST GO!” • Single statewide call center: Easier for families; enhances access • Standardized practice model for all sites
• Promote access, quality and outcomes using performance data analysis and reporting, workforce development, data transparency
• Mobile crisis creates an important linkage to EDs – Divert from ED (by responding to schools, homes) – Help connect youth and families in ED back to the community
• Programs are kept fiscally viable by combining grant funds and third party reimbursement
• Adapt/leverage the model to link and integrate with other services/systems     (e.g., SBDI)

An Inpatient Alternative | Mobile Crisis Response and Stabilization Services (MRSS)
Mobile Crisis Response and Stabilization Services (MRSS) are one example of a cost-effective alternative to the use of EDs and inpatient treatment.  MRSS provide mobile, on-site and rapid intervention for youth experiencing a behavioral health crisis, allowing for immediate de-escalation of the situation in the least restrictive setting possible; prevention of the condition from worsening; and the timely stabilization of the crisis.

VIEW PDF | Mobile Crisis Response Stabilization Services

The mobile crisis component of MRSS is designed to provide time-limited, on-demand crisis intervention services in any setting in which a behavioral health crisis is occurring, including homes, schools and EDs.  Depending on the needs of the child, the stabilization component may include a temporary, out-of-home crisis resolution in a safe environment.  A growing body of evidence points to MRSS as a cost-effective method for improving behavioral health outcomes; deterring ED and inpatient admissions; reducing out-of-home placements; reducing lengths of stay and the cost of inpatient hospitalizations; and improving access to behavioral health services.  In addition, families often report greater satisfaction with MRSS when compared to the ED. is presented by The Center for Innovative Practices | Part of the Begun Center for Violence Prevention
at Case Western Reserve University’s Mandel School of Applied Social Services
Campus Location: 11235 Bellflower Road Room 375  | Cleveland, OH 44106
Mailing Address: 10900 Euclid Avenue | Cleveland, OH 44106-7164
Telephone: 216-368-5235 | email:
© 2019 Center for Innovative Practices, Cleveland, Ohio 44106