Bureau of Behavioral Health

The vision of the Howard County Health Department Bureau of Behavioral Health is to create a model community in which behavioral health equity and optimal wellness are accessible for all who live, work and visit Howard County.

Experiencing a Behavioral Health or Mental Health Crisis? Call or Text 9-8-8, the 24/7 National Suicide & Crisis Lifeline.

Substance Use Prevention Survey

Help us identify our community's needs regarding substance use. Your feedback will strengthen our community's response. Your anonymous feedback will inform local health initiatives and community programs. Enter for a chance to win an insulated travel cup and multiport phone charger. For more information, contact the Health Department at 410-313-6112.

Adult Survey

Adult Survey flier

Youth (under 18) survey

Youth (under 18) flier

Community Survey on Firearms

The Howard County Health Department is seeking your input on firearm safety, concerns, and potential solutions. Your feedback will help guide community conversations and shape educational materials that reflect local needs. The survey is anonymous, takes just four minutes to complete, and your perspective is invaluable.

Click here to complete the survey.

Behavioral Health

"The term 'behavioral health' in this context means the promotion of mental health, resilience, and wellbeing; the treatment of mental and substance use disorders; and the support of those who experience and/or are in recovery from these conditions, along with their families and communities.” - SAMHSA

Mission, Vision and Core Values of the Bureau of Behavioral Health

Behavioral Health Strategic Plan FY 2026

Community Services Directories

Youth Opioid Response & Prevention Needs Assessment - Executive Summary

Pain Management Patient Information Guide

Maryland Adult Use Cannabis Legalization Information

Adults 21+ will be able to purchase cannabis from licensed dispensaries beginning July 1, 2023. Learn more information about this new law and find resources about using cannabis responsibly on the Maryland Cannabis Administration website.

Public Health Alert - Xylazine

The U.S. Drug Enforcement Administration (DEA) is warning the public of a sharp increase in fentanyl being mixed with xylazine. Xylazine, also known as “Tranq,” is a powerful sedative.  Xylazine and fentanyl drug mixtures place users at a higher risk of a fatal drug overdose. Because xylazine is not an opioid, naloxone (Narcan) does not reverse its effects. Still, experts always recommend administering naloxone if someone might be suffering a drug overdose. People who use drug mixtures containing xylazine also can develop severe wounds, including necrosis—the rotting of human tissue—that may lead to amputation.

Resources-

If you need help, talk to one of our Peer Support Staff at 667-203-1253 or 667-203-1264 for information or for harm reduction kits.

CAREAPP - connect to community programs and services

Upcoming Behavioral Health Events

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QPR Suicide Prevention Training

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Question. Persuade. Refer. (QPR) Suicide Prevention Training

This Suicide Prevention Month, join Horizon Foundation for QPR suicide prevention training. QPR equips participants with the tools to recognize warning signs, offer hope, and connect individuals to help.

To register, visit MHAMD.org/events

  • September 13 - QPR & naloxone training
  • September 16 - QPR for loved ones of LGBTQ Youth
  • September 18 - QPR & naloxone training
  • September 23 - QPR

Event Flier

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Out of the Darkness Walk

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Walk With us to Prevent Suicide

The American Foundation for Suicide Prevention (AFSP) organizes the "Out of the Darkness Walks" in communities nationwide to raise awareness and funds for suicide prevention. These walks provide an opportunity to show support for mental health and remember those affected by suicide. 

Howard County Walk

Date: Saturday, September 27, 2025

Time: Check-in starts at 9:00 AM. Event starts at 10:00 AM.

Location: Azlon Plaza, 6100 Merriweather Drive, Columbia, MD 21045

Click here to register. For more information, please contact Jessica Fisher at jefisher@howardcountymd.gov or call 410-313-0616.

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Drug Take Back Day

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Medication and Sharps Disposal

Convenient Drive-thru event presented by HC DrugFree. Safely dispose of prescription medication, over-the-counter medication, sharps, vitamins, pet medication, vape devices, inhalers, and more!

Saturday, October 25, 10am-2pm

Wilde Lake Village Center Parking Lot

5305 Village Center Dr., Columbia, MD 21044

Event website

Event flier

Resources

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Crisis Intervention Hotlines & Support Groups

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Grassroots Crisis Intervention Center 410-531-6677 (local) or 9-8-8, 24 hours, 7 days a week
Mental Health Walk-in hours 24 hours, 7 days a week
Substance Use Walk-in hours 24 hours, 7days a week

Location: 8990 Old Annapolis Rd., Suite A, Columbia, MD 21045
Website: https://www.grassrootscrisis.org/

National Alliance on Mental Illness (NAMI) Howard County 410-772-9300
Location: 9650 Santiago Rd #1, Columbia, MD 21045
Website: https://namihowardcounty.org/          

Suicide & Crisis Lifeline: Call or Text 9-8-8 - Provides counseling for suicide prevention

Maryland Crisis Hotline: 1-800-422-0009 - Provides counseling for victims of domestic or sexual assault, suicide prevention, support groups, emergency shelter, shelter referral, medical care, and assistance with the process of prosecution.

Runaway Hotline: 1-800-621-4000 – Support services for runaways and homeless youth

Mid-Shore Council on Family Violence: 1-800-927-4673 -  Provides direct services for victims of family violence including a 24-hour hotline, crisis intervention, counseling, support group, emergency shelter, client advocacy, children’s program, court accompaniment, information and referral.

Maryland State (HIV/AIDS) Hotline: 1-800-638-6252, 1-800-553-3140 (Hearing Impaired). Information on testing and other referrals.

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Community Services Directories

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Community Services Directories

Network of Care Directory of Services (for Howard County) - A searchable directory for individuals, families and agencies concerned with behavioral health. It provides information about behavioral health services, laws, and related news, as well as communication tools and other features.

Directory of Behavioral Health ServicesBehavioral Health Services Directory

Behavioral Health Resource Directory Request Form

Behavioral Health Providers FAQs

Bilingual Behavioral Health Resources: Click here (Updated November 2024)

*Directories are not intended to be an exhaustive, authoritative guide to services. The guides on this page are updated frequently, however, changes occur regularly in agencies and organizations, thus, information may be outdated when you read these directories.

Behavioral Health Navigation Services: Call 410-313-6240 for resources, information & referrals.

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Self-Help Meetings & Resources

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Alcoholics Anonymous (local information)

The Serenity Center (self-help/12 step meeting hall)

On Our Own of Howard County (open door wellness center)

SMART Recovery (resources and meeting information)

Narcotics Anonymous (national meeting locator)

Free State Region NA (Howard County and other local area NA site)

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Howard County Recovery Housing Centers

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Harm Reduction Services

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Mobile service and expanded programs available

Call or visit to learn about Harm Reduction Services. Tuesday & Thursday, 10 am - 3 pm at the Health Department and Monday & Wednesday 1 pm - 4 pm at the Leola Dorsey Community Resource Center. Talk to Peer Support Staff with lived experience. Call 667-203-1264 or email harmreductionssp@howardcountymd.gov

Our services include:

  • HIV/Hepatitis & STI testing and support services
  • Narcan/Overdose Response training & kits
  • Safe sex supplies
  • Peer Support staff access
  • Wound care
  • Harm Reduction kits/safer use supplies
  • Referrals to medical services/social service agencies
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LEAD Program

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The LEAD program is a public health and safety initiative being carried out in partnership with multiple Howard County stakeholders. LEAD offers the police an alternative to arresting and charging for crimes that are committed due to unmet behavioral health needs and poverty. Instead of the usual criminal justice response, police officers can offer the LEAD program for minor eligible offenses. A Case Manager will then meet with the individual to determine their needs and offer support. Services can include: peer support; referrals for MH/SUD services; referrals to workforce development; and referrals for any identified needed services.

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Overdose Prevention Team

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Howard County’s Overdose Prevention Team (formerly known as Opioid Intervention Team) is responsible for developing a local strategy to reduce overdoses in our County and hosting meetings to discuss updates. Learn more about the Overdose Prevention Team and its upcoming meetings.

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Behavioral Health Staff Information & Services Directory

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A directory of Bureau of Behavioral Health staff and services they provide.

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Past Behavioral Health Events

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Howard County Suicide Prevention Forum 
Join the Howard County Health Department's Bureau of Behavioral Health, the Local Health Improvement Coalition (LHIC) and other partners for a presentation and panel discussion to explore collaborative community-based suicide prevention strategies. Click for the Suicide Prevention Forum.

Mental Health and It's Impact on Everything
Click here to view recording. (Passcode: c$XF1EK5)

This workshop will largely focus on the mental and emotional impact of living through a pandemic. Participants will have an increased understanding of emotional wellness throughout the lifespan and be better equipped to meet their mental and emotional health needs.

Difficult Conversations About Race series 
Click here to view the recordings.

This 3-part virtual series is a response to the civil unrest of the past year and beyond. Our presenter will offer guidance and structure around conversations addressing racial injustice and confusion, as well as cultural competency, a critical topic that has emerged as more important than ever during the COVID-19 pandemic.

Getting Access to Mental Health Care: Howard County
Click here to view the recording

Join Leah Bulka, LMSW, Behavioral Health Navigator and Suicide Prevention Coordinator from the Howard County Health Department, Cynthia Schulmeyer, Ph.D., NCSP, Coordinator of Psychological Services from the Howard County Public School System, and MHAMD staff for a presentation on mental health resources in Howard County. Followed by a Q&A where you can get answers to questions about accessing resources and treatment.

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