Chicago’s Crisis Assistance Response and Engagement (CARE) program responds to 911 calls involving individuals experiencing a mental health or substance use-related crisis. The City has continued to scale up operations since the first on-the-ground team was launched in September 2021. Early in his tenure, Mayor Brandon Johnson committed to expanding the CARE program for two reasons: alternate response directly supports his “Treatment Not Trauma” policy priority, and the work is an element of his “People’s Plan for Community Safety.”

In September 2023, the Chicago City Council passed an ordinance creating the Treatment Not Trauma Working Group of internal stakeholders. The ordinance required a report with recommendations for expanding non-police alternate crisis response programs and clinical services while increasing community awareness of both.

The Chicago Department of Public Health (CDPH) is organized to provide guidance, services, and strategies that make Chicago a healthier and safer city. However, the pandemic and demand for adding City-run mental health clinics have pushed the agency to increase the types of direct services provided to the public