Get urgent behavioral health help in Silent Hill

Use emergency help now if someone may harm themselves or someone else, cannot stay safe, is missing after expressing safety concerns, is unconscious, has trouble breathing, has a suspected overdose, has a serious injury, or symptoms are escalating faster than a safety plan can manage.

Do not use a portal message, routine ticket, nonurgent form, or standard callback request for urgent safety concerns.

• Use emergency services if there is immediate danger or medical risk.
• Go to Alchemilla Emergency Services for overdose, injury, severe medication reaction, withdrawal risk, loss of consciousness, or medical symptoms.
• Use crisis support if the person needs urgent behavioral health help or help deciding whether emergency care is needed.
• Contact Brookhaven for behavioral health assessment, crisis referral, safety review, observation, or inpatient care questions when the person can be safely routed through that process.
• If someone cannot be transported safely, use emergency response rather than trying to move them alone.

• Urgent behavioral health help is needed when symptoms, distress, or safety concerns cannot wait for routine care.
• Use emergency services for immediate danger, serious injury, overdose, severe medication reaction, medical instability, or inability to stay safe.
• Use Alchemilla Emergency Services when medical screening or stabilization may be needed before Brookhaven review.
• Brookhaven may help with crisis referrals, safety reviews, observation, inpatient review, and behavioral health follow-up.
• Family, friends, and support people can share concerns, even when privacy rules limit what Brookhaven can share back.
• Do not wait for a portal response if symptoms are escalating quickly or someone may not be safe.

Use this option	When
Emergency services	Immediate danger, serious injury, overdose, unconsciousness, violence risk, missing-person safety concern, or inability to transport safely.
Alchemilla Emergency Services	Medical symptoms, injury, overdose, severe medication reaction, withdrawal risk, intoxication, or behavioral health crisis with medical risk.
Crisis support	Urgent behavioral health support, de-escalation, safety planning, or help deciding whether emergency care is needed.
Brookhaven Hospital	Behavioral health assessment, crisis referral, safety review, observation, inpatient review, or follow-up after emergency care.
Routine provider or portal contact	Nonurgent questions when the person is safe and symptoms are not escalating quickly.

• The person has thoughts of self-harm or harm to others and may act on them.
• The person has a plan, intent, or access to means for self-harm or harm to others.
• The person says they cannot stay safe or asks not to be left alone.
• The person is missing, has left unexpectedly, or cannot be contacted after expressing safety concerns.
• There is a suspected overdose, poisoning, severe intoxication, or medication misuse.
• There is trouble breathing, chest pain, fainting, seizure, severe confusion, or loss of consciousness.
• There is a serious injury, head injury, strangulation injury, assault injury, burn, or possible broken bone.
• There is severe agitation, hallucinations, paranoia, or unsafe behavior that cannot be managed safely.
• Symptoms are escalating faster than a safety plan can manage.

• Review whether inpatient care or observation is recommended.
• Review a crisis referral or safety concern.
• Coordinate after emergency behavioral health care.
• Clarify recent Brookhaven discharge instructions.
• Review follow-up needs after a recent Brookhaven stay.
• Support safety planning or higher-level care recommendations.
• Receive concerns from family, friends, or support people when appropriate.

• Suspected overdose, poisoning, or medication misuse.
• Severe medication reaction, allergic reaction, or unsafe side effects.
• Withdrawal risk or severe intoxication.
• Loss of consciousness, seizure, fainting, or severe confusion.
• Head injury, strangulation injury, serious fall, assault injury, or bleeding.
• Trouble breathing, chest pain, severe pain, or sudden medical symptoms.
• Behavioral health crisis with unclear medical stability.

• Talking about death, suicide, punishment, hopelessness, or being a burden.
• Giving away belongings, saying goodbye, or suddenly withdrawing.
• New or worsening hallucinations, paranoia, confusion, agitation, or disorganized thoughts.
• Not sleeping for long periods or sudden severe sleep changes.
• Sudden mood changes, rage, panic, despair, numbness, or risky behavior.
• Increased substance use, intoxication, withdrawal symptoms, or medication misuse.
• Stopping medication, missing doses, taking extra doses, or restarting old medications without guidance.
• Missing appointments, disappearing, or becoming unreachable after concerning messages.
• Feeling unsafe at home or unable to follow the safety plan.

• Ask directly whether they can stay safe.
• Ask whether they have thoughts of harming themselves or someone else.
• Do not leave them alone if they say they cannot stay safe and it is safe for you to remain nearby.
• Move yourself to safety if they become threatening or unsafe.
• Call crisis or emergency support if they may harm themselves or someone else.
• Do not try to transport them alone if they are medically unstable, violent, unconscious, severely intoxicated, or unable to cooperate safely.
• Share clear information with responders, including location, medications, substances, weapons, recent statements, and recent care.

• The person’s name, age, and location.
• What happened and when it started.
• Any words, messages, threats, or behaviors that suggest safety risk.
• Whether the person has a plan, intent, or access to means for harm.
• Whether they are alone, missing, unreachable, or with someone safe.
• Known medications, missed doses, recent medication changes, or overdose concerns.
• Substance use, intoxication, or withdrawal concerns.
• Medical symptoms, injuries, allergies, or recent emergency care.
• Recent Brookhaven, Alchemilla, crisis, or outpatient behavioral health care.
• Any safety plan, follow-up appointment, or support-person information.

• Review discharge or crisis-care instructions.
• Confirm whether Brookhaven follow-up or admission review is recommended.
• Schedule follow-up care as soon as possible.
• Review medication instructions and pharmacy pickup.
• Update the safety plan based on what happened.
• Ask what symptoms should prompt urgent help again.
• Ask whether support people should be involved.

Important: Privacy limits do not prevent you from sharing urgent safety information with emergency or crisis staff. If the situation is dangerous, share what you know and use emergency support.

• Ask whether the patient has authorized a support person.
• Ask whether a release, proxy setting, or legal document is needed.
• Ask what information can be shared with family or support people.
• Share urgent safety concerns even if staff cannot share details back.
• Use emergency support if privacy questions delay care during a crisis.