Between 2014 and 2018, 43% of U.S. mental health facilities offered no mental health crisis services, according to a recent analysis of the annual National Mental Health Services Survey. Less than half (48%) of facilities reported providing active-response crisis services, while an even smaller proportion (34%) reported offering walk-in emergency psychiatric services. Services varied significantly by state, with the lowest availability in the Northeast and in coastal or border states such as California, Texas, Florida, and North Carolina. These results suggest significant policy efforts are necessary to ensure equitable access to outpatient crisis care. To learn more, see the study in Psychiatric Services.