CAHOOTS: A Compassionate Crisis Response System

CAHOOTS crisis response mental health support
Dr. Neeshu Rathore
Dr. Neeshu Rathore
 
May 4, 2025 3 min read

CAHOOTS, which stands for Crisis Assistance Helping Out On The Streets, is a unique program that blends mental health support with emergency response services. It was developed in Eugene, Oregon, and has gained recognition for its effective approach in handling crises, especially those related to mental health. In this blog, we’ll explore how CAHOOTS operates, its benefits, and some real-life examples that illustrate its impact.

What is CAHOOTS?

CAHOOTS is a mobile crisis unit that dispatches a medic and a mental health professional to the scene when someone is in crisis. Instead of the typical police response, CAHOOTS focuses on providing immediate mental health support.

How Does CAHOOTS Work?

  1. Emergency Call: When a person experiences a crisis, a call is made to 911 or a local crisis number.
  2. Dispatching CAHOOTS: Instead of sending police, CAHOOTS is dispatched based on the nature of the call.
  3. On-Site Support: The team arrives on-site and assesses the situation, providing the necessary support, whether it’s medical attention or emotional care.
  4. Follow-Up Care: They often connect individuals with ongoing mental health resources to ensure continued support.

Types of Crises Addressed by CAHOOTS

CAHOOTS handles a variety of situations, including:

  • Mental Health Crises: Anxiety attacks, depression episodes, suicidal thoughts.
  • Substance Abuse Issues: Overdoses or intoxication where medical attention is needed.
  • Homelessness: Offering resources and assistance for those living on the streets.

Comparison with Traditional Emergency Response

Aspect CAHOOTS Traditional Police Response
Team Composition Medic + Mental Health Professional Police Officers
Focus Mental Health and Support Law Enforcement
Outcome Goal Stabilization and Support Law and Order
Response Time Often quicker for mental health Varies

Real-Life Examples of CAHOOTS in Action

  • Example 1: A young man experiences a panic attack in public. Instead of sending police, the CAHOOTS team arrives, calms him down, and helps him understand his feelings. They then connect him with a therapist for ongoing support.

  • Example 2: An individual on the streets shows signs of severe depression and is not eating. CAHOOTS responds, provides immediate care, and connects him to a shelter and mental health services for rehabilitation.

Benefits of the CAHOOTS Model

  • Reduced Arrests: CAHOOTS helps minimize unnecessary police involvement, reducing arrests for non-violent offenses.
  • Community Trust: By focusing on care, not law enforcement, CAHOOTS fosters trust within the community.
  • Cost-Effective: Utilizing mental health professionals can save cities money on emergency services and incarceration.

Conclusion

While this blog does not provide a conclusion, it's important to recognize that the CAHOOTS model showcases how compassionate, mental health-focused responses can effectively address crises in a way that benefits individuals and the community as a whole.

Dr. Neeshu Rathore
Dr. Neeshu Rathore
 

Clinical Psychologist, Associate Professor in Psychiatric Nursing, and PhD Guide with extensive experience in advancing mental health awareness and well-being. Combining academic rigor with practical expertise, Dr. Rathore provides evidence-based insights to support personal growth and resilience. As the founder of Psywellpath (Psychological Well Being Path), Dr. Rathore is committed to making mental health resources accessible and empowering individuals on their journey toward psychological wellness.

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