GBRICS Partnership

Transforming Behavioral Health Crisis Response Services

The Greater Baltimore Regional Integrated Crisis System (GBRICS) partnership is an innovative project that will invest $45 million over five years to transform behavioral health response crisis services in Baltimore City, Baltimore County, Carroll County and Howard County. The goal is to create a well-functioning behavioral health crisis response system that helps resolve crises quickly for individuals and families, meets people where they are comfortable, and provides appropriate care and support, while avoiding unnecessary police interaction, emergency department (ED) use, and hospitalization. This will also improve infrastructure and expand behavioral health crisis services to be available around the clock.


Overall Goal: Reduce unnecessary Emergency Department use and police interaction for people in behavioral health crisis

Create a regional hotline that is supported with infrastructure for real-time capacity and referrals tracking, coordinated dispatching of mobile crisis response plus dashboard reporting

Expand capacity, set regional standards following national best practices

Support behavioral health providers to offer same day access (SDA) services to address immediate needs

Support culture change to increase awareness and use of the hotline as an alternative to calling 911 or using the ED

Drive regional activity and shared accountability


When will GBRICS be up and running?

The investment of nearly $45 million, five-year grant for GBRICS was announced at the end of 2020. Planning, coordination and implementation activities to transform the behavioral health crisis response system begin in 2021. The integrated crisis response system will be developed in phases, with all pieces of the GBRICS proposal expected to be in place by the end of 2023. The five-year grant period ends in December 2025.

Who developed GBRICS?

The GBRICS Partnership was developed by a broad coalition of 17 hospitals, four local behavioral health authorities, and many behavioral health experts and community leaders across the four local jurisdictions.

Initial investment of funding for GBRICS was made available by the Maryland Health Services Cost Review Commission Regional Partnership Catalyst Grant Program.  Behavioral Health System Baltimore is the Regional Administrative Manager for GBRICS, responsible for day-to-day project management, fiscal accountability, and supporting collaboration among stakeholders.

To see the full list of collaborators, see the full GBRICS Partnership Proposal. The 17 hospital partners who helped develop GBRICS are:

Hospital Partners:

  • Carrol Hospital
  • MedStar Union Memorial Hospital
  • Grace Medical Center
  • Mercy Medical Center
  • Greater Baltimore Medical Center
  • Northwest Hospital
  • Howard County General Hospital
  • Sinai Hospital
  • Johns Hopkins Bayview Medical Center
  • Saint Agnes Hospital
  • Johns Hopkins Hospital
  • University of Maryland Medical Center
  • Medstar Franklin Square Medical Center
  • University of Maryland Saint Joseph Medical Center
  • Medstar Good Samaritan Hospital
  • University of Maryland Medical Center Midtown
  • MedStar Harbor Hospital

Other Key Partners:

  • Baltimore County Health Department, Bureau of Behavioral Health
  • Howard County Health Department, Behavioral Health Bureau 
  • Carroll County Health Department, Bureau of  Prevention, Wellness, & Recovery
  • The Horizon Foundation


How can I get involved with GBRICS?

There are a variety of ways to get involved in developing GBRICS, as the system needs to work for everyone.  To start, join the GBRICS email list to receive announcements of GBRICS community forums where you can get more information as the work unfolds, to engage in the topics or areas of interest to you, and to offer your ideas and feedback. Scroll to the bottom of the page to sign up for GBRICS emails.


GBRICS in the News


For more information about the GBRICS Partnership contact, Adrienne Breidenstine, at