Press Releases

Mayor Adams Announces New Model to Have City’s 911 Mental Health Crisis Response Initiative, B-HEARD, be Fully Operated by NYC Health + Hospitals

Under New Model, B-HEARD Teams Will Continue to Respond to 911 Mental Health Calls With Medical and Mental Health Professionals Working Under NYC H+H

Nov 14, 2025

New York City Mayor Eric Adams today announced a major evolution of Behavioral Health Emergency Assistance Response Division (B-HEARD) — the city’s health-led response to 911 mental health calls — that will shift the focus even further towards a health-first response by streamlining management to be fully operated and managed by NYC Health + Hospitals in the coming months. As part of the transition, Fire Department of the City of New York (FDNY) emergency medical technicians (EMTs) previously assigned to B-HEARD will be reassigned to other emergency response units as part of the city’s efforts to improve ambulance response times in cases of emergencies. This change will preserve EMTs for the most critical medical emergency responses while enabling B-HEARD to continue featuring medical and mental health professionals for nonviolent mental health 911 calls. After the transition, B-HEARD will continue to send out response teams to nonviolent 911 mental health calls with medical and mental health professionals. The new model is expected to take effect in the spring of 2026. Today’s announcement further builds on Mayor Adams’ commitment to supporting New Yorkers with serious mental illness and treating the city’s mental health crisis as a public health issue.

“Today, we are proud to announce a new model for our city’s response to 911 mental health calls that will be fully operated by NYC Health + Hospitals,” said Mayor Adams. “This new model for B-HEARD will allow our FDNY EMTs the opportunity to focus further on other emergency response units as part of our city’s efforts to improve ambulance response times and use our resources more efficiently, while still addressing mental health emergencies we continue to see playing out in our city. From day one, our administration’s goal has been to keep New Yorkers safe and to help those struggling with severe mental illness; doing this means we must provide treatment and support to those in crises in the most efficient and compassionate way possible. We are building a culture of compassion in the name of public safety, public health, and the public interest, and we are proud to be delivering just that.”

“NYC Health + Hospitals is proud to be the largest provider of behavioral health services in New York City, and our commitment to the city’s innovative B-HEARD program is unwavering,”said NYC Health + Hospitals President and CEO Mitchell Katz, MD. “We are grateful to our outstanding partners in the program’s first iteration, and we look forward to continuing its evolution as we serve New Yorkers in mental health crisis.”

Launched in 2021, B-HEARD was created as an interagency collaboration between the FDNY and NYC Health + Hospitals with oversight from the Mayor’s Office of Community Mental Health (OCMH). During its initial years of operation, B-HEARD partnered EMTs and mental health clinicians to respond as a team to 911 mental health calls without violence or weapons as the primary concern.

Over the life of the program — between its launch in 2021 through June 2025 — B-HEARD teams have responded to nearly 35,000 mental health 911 calls. Of the patients who received a mental health assessment by a NYC Health + Hospitals clinician, 43 percent were served in the community instead of being transported to a hospital emergency department. B-HEARD teams work to understand each individual’s needs, de-escalate situations, and, whenever possible, connect with family members and the individual’s existing clinicians to determine the best path forward. The program achieved an overwhelming patient-satisfaction rate with 96 percent of survey respondents reporting B-HEARD helped them and 94 percent agreeing that the B-HEARD response was more appropriate for their needs than the traditional emergency response they had previously received. Each B-HEARD response reflects New York City’s commitment to responding to the mental health crisis with the most appropriate care and reducing unnecessary use of a hospital’s emergency department and of police resources.

NYC Health + Hospitals is the largest provider of behavioral health in New York City. The system provides over 60 percent of behavioral health services citywide, serving over 78,000 patients annually across emergency, inpatient, and outpatient care.

Commitment to Mental Health

In 2023, Mayor Adams announced a sweeping mental health agenda, “Care, Community, Action: A Mental Health Plan for New York City,” with $20 million in new commitments that invested in, among other initiatives, an online hub to connect New Yorkers with serious mental illness to care, as well as a substantial expansion of the clubhouse program. 

Alongside the Adams administration’s focus on mental health, Mayor Adams also launched “HealthyNYC” in November 2023, an ambitious plan to extend the average lifespan of all New Yorkers by, among other things, reducing the impact of mental-health-related deaths like overdoses, suicide, and homicides by 2030. Additionally, HealthyNYC expands access to culturally-responsive mental health care and social support services, including early intervention for communities of color and LGBTQIA+ youth, and helps address the impact of social media on youth mental health and suicidal ideation to reduce suicide deaths. 

Later that month, Mayor Adams announced “Teenspace” — the city’s tele-mental health service available to all New York City teenagers between the ages of 13 and 17 years old at no cost. In the first six months of the program, the service — created in partnership with online therapy platform Talkspace — allowed more than 6,800 New York City teenagers to connect with a licensed therapist through phone, video, and text for free.

The announcement builds on the work of the Adams administration in addressing the crises of severe mental illness on New York City streets. In August 2025, Mayor Adams launched the “End the Culture of Anything Goes” campaign to highlight the work the administration has done to change the culture and laws that prevented people with severe mental illness from getting the help they needed while making the investments necessary to support outreach, harm reduction, wraparound services, and housing to make lasting impacts in lives and communities. As part of this campaign, Mayor Adams made a series of announcements promoting the administration’s efforts to help New Yorkers struggling with severe mental illness and substance addiction while simultaneously addressing quality of life and public safety on New York City streets, including:

• Announcing a major milestone to connect over 3,500 homeless New Yorkers from streets and subways to permanent housing, including over 1,000 New Yorkers from the subways as a result of Mayor Adams’ Subway Safety Plan, first launched in 2022.
• An expansion of the NYPD’s Quality of Life Division, or “Q-Teams,” announced earlier this year, to every precinct and all housing commands citywide. Q-Teams focus on tackling daily issues that impact New Yorkers’ sense of safety and well-being, including cracking down on illegal mopeds, towing abandoned vehicles, cleaning up encampments, addressing outdoor drug use, responding to noise complaints, and more.  
• Opening of 13 newly contracted clubhouses — the city’s first procurement of clubhouses in nearly 30 years — to support people with severe mental illness thanks to a $30 million investment by the Adams administration.
• Launching the city’s first-ever Involuntary Transports Dashboard, which allows New Yorkers to track trends in involuntary transports and better understand how the city connects individuals with emergency psychiatric care, while simultaneously upholding the administration’s commitment to transparency.
• Announcing a new proposal to further support New Yorkers’ struggling with substance use disorder and to address public drug use, as well as a $27 million investment focused on improving access to substance use disorder treatment through outreach and enhanced treatment strategies.
• Opening the Bridge to Home facility, a new, innovative support model designed to help patients living with severe mental illness who are ready to be discharged from the hospital but do not have a place to go. 
• Opening two additional Extended Care Units in the city’s public hospitals, where patients can stay for up to 120 days after being discharged from an inpatient psychiatric unit, receive psychopharmacological treatment, and pursue rehabilitative activities.

Strong Fiscal Management

In the lead up to the upcoming November 2025 Financial Plan Update, Mayor Adams recently announced a new investment that will increase the unformed headcount of the New York City Police Department (NYPD) by 5,000 officers, increasing the total number of officers to 40,000 — the highest level in 20 years — by Fiscal Year (FY) 2029. Mayor Adams is making an investment of $17.8 million in the upcoming fiscal year that will increase to $315.8 million by FY 2029 to support the phased-in hiring of the additional 5,000 officers by July 2028. 

Today’s announcement follows Mayor Adams’ long history of strong fiscal management, including delivering an on-time, balanced, and fiscally-responsible $115.9 billion Adopted Budget earlier this year, which built on the FY 2026 Executive Budget, often called the “Best Budget Ever.” The Executive Budget doubled down on Mayor Adams’ commitment to make New York City the best place to raise a family by, among other things, investing in “After-School for All,” a $755-million plan to deliver universal after-school programming to families of children in kindergarten through eighth grade; baselining funding for 3-K citywide expansion and special education pre-K to build on the administration’s work to dramatically expand access to early childhood education; investing over $400 million to fully fund the transformation of Fifth Avenue in Manhattan into a world-class, pedestrian-centered boulevard; and revitalizing “The Arches,” the public space on the Manhattan side of the Brooklyn Bridge. The FY 2026 Adopted Budget was also the first to implement Mayor Adams’ landmark “Axe the Tax for the Working Class” plan, which abolishes and cuts New York City’s personal income tax for filers with dependents living at or below 150 percent of the federal poverty line. Because of this plan — which the Adams administration successfully fought to pass in Albany this budget cycle — $63 million will go back into the pockets of over 582,000 low-income New York filers, including their dependents, helping make New York City more affordable for working-class families.

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CONTACT: City Hall Press Office, (212) 788-2958