The requirement of a referral from the crisis hotline for mobile crisis is problematic in that it creates a barrier to an already established service and process within our agency and community.   Our team has gone to great lengths to develop positive relationships within our communities and our local schools, physicians, law enforcement, and other community partners regularly reach out personally to our team in an effort to provide timely, on-site interventions and to ultimately avoid unnecessary hospitalizations.   Personal relationships with our team has been the driving force within our small communities and calling a hotline for assistance does not provide the same response as a local, known entity.