Behavioral Health Response, Inc.

What Behavioral Health Response, Inc. does

Behavioral Health Response, Inc. (BHR) is a St. Louis, Missouri-based nonprofit organization founded in 1994 that delivers 24/7 behavioral health crisis services across 32 states. Its core offerings include a 24/7 crisis hotline staffed by trained clinicians, telephone counseling, mobile outreach visits, mental health trainings, and a Crisis Call Diversion program in which BHR specialists work alongside St. Louis Metro 911 operators to redirect non-emergency mental health calls. The organization is Missouri's largest 988 Suicide & Crisis Lifeline provider and is featured in SAMHSA's National Guidelines as a recognized leader in crisis care, reflecting its integration into the national public behavioral health infrastructure.

BHR's service model is fundamentally human-clinician-based and trauma-informed, with no proprietary technology platform, software product, or AI/ML capability disclosed beyond a general reference to "the latest technology and knowledge." Service delivery is telephonic and remote-first, anchored at physical locations in St. Louis, with no consumer-facing application, no API, and no third-party software integrations described. Marketing and outreach rely on community engagement, earned media (radio, podcast, TV), and educational content published on its website rather than paid acquisition.

As a nonprofit, BHR does not monetize crisis services through consumer pricing. Its revenue model — implied rather than disclosed — relies on government contracts (988 network reimbursements, municipal 911 diversion agreements), state and county behavioral health appropriations, federal grants linked to SAMHSA programs, and private donations. The organization reports no venture capital, private equity, or institutional investor ownership. In FY2025, BHR answered 80,219 crisis hotline calls, its highest annual volume on record.

Name

Behavioral Health Response, Inc.

Legal name

Behavioral Health Response, Inc.

Website

https://bhrstl.com

Company type

Private

Founded year

1994

Operating status

Operating

Headcount range

51–100 employees

Short description

Behavioral Health Response, Inc. is a St. Louis-based nonprofit founded in 1994 that operates a 24/7 crisis hotline, mobile outreach, and crisis call diversion services across 32 states, serving as Missouri's largest 988 Suicide & Crisis Lifeline provider.

Ownership category

akta.pro rank

Product category

Behavioral Health Crisis Intervention Services

NAICS

Outpatient Mental Health and Substance Abuse Centers (621420), Emergency and Other Relief Services (624230), Offices of Mental Health Practitioners (except Physicians) (621330)

SIC

Services-Social Services (8300), Services-Health Services (8000)

akta.pro primary industry

Behavioral Health Crisis Services Management (988/Hotlines/Mobile Crisis Coordination) (HLAEAHAK)

akta.pro secondary industries

Crisis Support, Suicide Prevention & Acute Behavioral Triage Platforms (HLALAEAI), Crisis Stabilization Units & Psychiatric Emergency Services (HLAFACAH), Mental Health & Crisis Support Services (BPAGAEAH)

Keywords

• Crisis intervention services
• Behavioral health support
• Suicide prevention hotline
• Mental health counseling
• Crisis call diversion

Headquarters

HQ city

St Louis

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Others

Revenue model

1. Nonprofit Crisis Services: BHR operates as a nonprofit organization providing free crisis support, telephone counseling, and mental health resources 24/7. Revenue is likely derived from government contracts, grants, and donations rather than direct customer payments.

Go-to-market motion1 record

Distribution channels3 records

Marketing channels3 records

Core offering

Behavioral Health Response, Inc. provides 24/7 crisis intervention, telephone counseling, and mobile outreach services to individuals experiencing behavioral health crises, supported by Crisis Call Diversion services integrated with St. Louis Metro 911 and Mental Health Trainings for community education. Services are delivered free of charge by trained clinicians using trauma-informed care protocols and are available telephonically across 32 states from a base in St. Louis, Missouri.

Product overview

Behavioral Health Response (BHR) is a nonprofit organization offering a suite of behavioral health and crisis response services. The core offering is the 24/7 Crisis Hotline, supported by telephone counseling and mobile outreach visits. BHR also provides Crisis Call Diversion services integrated with local 911 systems, and Mental Health Trainings for community education. These services are delivered through a network of trained clinicians providing trauma-informed care, with telephonic services available across 32 states and physical locations in St. Louis, Missouri.

Differentiator

Problem solved

Functional benefit

Quantifiable outcome

• 80,219 crisis hotline calls answered in FY2025

Segments1 record

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Three partnerships are on record, tiered core.

• 988 Suicide & Crisis LifelinecoreStrategic or Co-development Partner · 1 January 1994BHR serves as Missouri's largest 988 Suicide & Crisis Lifeline provider since 1994, partnering with the national crisis hotline system to deliver immediate mental health support to callers in Missouri.
• SAMHSA (Substance Abuse and Mental Health Services Administration)coreStrategic or Co-development PartnerBHR is featured in SAMHSA's National Guidelines as a leader in crisis care. This partnership establishes BHR as a nationally recognized behavioral health crisis response organization and provides credibility for their service model.
• St. Louis Metro 911coreStrategic or Co-development PartnerCrisis Call Diversion Specialists work alongside St. Louis Metro 911 operators to redirect non-emergency mental health calls away from emergency response and toward appropriate behavioral health resources.

Scale indicators5 records

Recent moves6 records

Expansion highlights5 records

Emerging players

• Trans Lifeline: Peer-run crisis hotline staffed by transgender volunteers. Comparable to BHR as a nonprofit crisis-line operator, though narrower in scope and population served.
• The Trevor Project: Operates 24/7 crisis lines (phone, text, chat) for LGBTQ+ youth. Comparable to BHR in nonprofit crisis-line delivery model and youth focus, but differentiated by population and digital channels.

Broad incumbents

• Carelon Behavioral Health: Large managed behavioral-health organization (MBHO) operating crisis lines and behavioral-health management services. Comparable to BHR as a crisis-services provider but at a vastly larger, for-profit scale.
• Magellan Health: Diversified managed-care company with a behavioral-health segment that includes crisis services. Comparable to BHR in crisis-line capability, but operates as a broad incumbent across many states.

Others

• 988 Suicide & Crisis Lifeline (SAMHSA-administered network): The national 988 network of which BHR is a member. Not a competitor, but the umbrella program and contract counterparty that shapes BHR's operating model and funding.
• Mental Health America: National nonprofit focused on mental-health awareness, screening, and advocacy. Comparable to BHR as a nonprofit mental-health organization, though more advocacy- and education-oriented than direct crisis response.
• American Foundation for Suicide Prevention (AFSP): National nonprofit funding research, education, and survivor support for suicide prevention. Comparable to BHR in mission and nonprofit funding mix, though AFSP focuses on research/advocacy rather than direct crisis-line operations.

Direct peers

• Vibrant Emotional Health: Administrator of the NYC-backed 988 contact routing and one of the original Lifeline operators. Directly comparable to BHR as a 988 crisis-line provider with national reach and a trauma-informed clinical model.
• Crisis Text Line: Provides 24/7 crisis support via text-based channels. Comparable to BHR as a crisis-services nonprofit operating 24/7 with a remote-trained volunteer/clinician pool and national footprint.
• Boys Town National Hotline: Long-standing national crisis hotline serving youth and families, operated by a nonprofit. Comparable to BHR as a phone-based crisis-line incumbent with a national service area and youth component.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/bhr

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Behavioral Health Response, Inc.