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If you or someone you know is in crisis right now, call or text 988 to reach the 988 Suicide and Crisis Lifeline. This page describes services for organizations.
Call CenterBehavioral Health

Crisis line answering, by people, in every language

Someone reaching out in a hard moment needs to be heard and understood. Ad Astra answers after-hours and crisis lines for behavioral health organizations with trained staff, brings in a professional interpreter when the caller needs one, and escalates to your on-call clinician under your protocol.

Trained, trauma-informed staffHIPAA-aligned workflowsOn-call clinician escalation
24/7/365
Always answered
300+
Languages supported
130k+
Assignments annually
9 sec
Average connection in core languages
What we handle

After-hours coverage that keeps people connected to care

We do not replace your clinicians. We make sure every call is answered by a person, the caller is understood, and the right member of your team is reached when it matters.

After-hours answering

Calls to your clinic or program are answered by a person on nights, weekends, and holidays, with your greeting and protocol.

Crisis line answering

Trained, trauma-informed staff answer crisis calls and follow your protocol, including immediate escalation when a caller is at risk.

Warm handoff to clinicians

When a caller needs clinical support, we reach your on-call clinician and connect them, so the caller is not left waiting alone.

Multilingual and culturally competent

A professional interpreter joins the same call when a caller needs another language, so nothing is lost when it matters most.

Secure message management

Messages are kept in password-protected logs and delivered to your team on the schedule your contract sets.

Privacy built in

HIPAA-aligned workflows, role-based access, and audit logs protect what callers share with us.

How it works

How a call to your line runs

A person answers

A trained staff member answers with your greeting and follows your call protocol from the first word.

The caller is understood

If the caller needs another language, a professional interpreter joins the same call within seconds.

The right person is reached

Your on-call clinician is paged under your protocol, or a secure message is logged and delivered to your team.

Your protocol, followed exactly

We load your scripts, risk questions, and escalation contacts, and test them with your team.

Trauma-informed training

Staff are trained to stay calm, listen closely, and never rush a caller.

Morning summaries

Your team sees every after-hours call, message, and escalation at the start of the day.

Powered by AdAstraConnect

One platform behind every after-hours call

AdAstraConnect keeps calls, interpreter sessions, messages, and escalations in one secure system, with role-based access and full audit logs.

  • Centralized call management
  • Real-time interpreter access on every call
  • Supervisor dashboards and live queue views
  • Call recording and on-demand transcription
  • Reporting by program, line, and time period
  • SSO, role-based access, and full audit logs
Who we support

Programs we answer for

Community mental health centers

After-hours and crisis coverage for outpatient programs.

Substance use treatment programs

Confidential answering with secure message delivery.

County behavioral health departments

Countywide after-hours lines in every language residents speak.

Crisis response programs

Overflow and after-hours answering under your protocol.

Hospital behavioral health units

Answering for discharge follow-up and patient lines.

Warmlines and peer support lines

Coverage that keeps a person on the line when your team is off.

FAQ

Crisis line answering, answered

People do. Trained, trauma-informed staff answer every crisis call, and professional interpreters interpret when a caller needs another language. AI is never the voice on the line. It only assists behind the scenes, with routing and notes, so our staff can focus on the caller.

Yes. When a caller needs another language, a professional interpreter joins the same call, so the caller does not have to hang up, wait, or repeat their story. Ad Astra supports more than 300 languages and dialects, including many that are hard to staff locally.

You set the protocol. Before go-live, we load your risk questions, escalation contacts, and the situations that require an immediate page or transfer. Staff follow that protocol on every call, reach your on-call clinician when it is required, and log each escalation so your team can review it.

Calls run on AdAstraConnect, with HIPAA-aligned workflows, role-based access controls, and full audit logs. Messages are stored in password-protected logs and delivered to your team on the schedule in your contract. Only the people you authorize can see what callers share.

No. We answer the line and make sure each caller is heard, understood, and connected to the right person on your team. Clinical assessment and care stay with your clinicians. Our role is to keep the line open and the handoff clean, at any hour.

Request a Capabilities Briefing

Tell us about your after-hours line

Share your program, call volume, coverage hours, and the languages your community speaks. We will prepare a capabilities briefing built around your protocol.

  • A briefing built around your line and your call volume
  • Clear answers on procurement routes and compliance
  • A dedicated client success manager from day one

Request a Capabilities Briefing

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