This tier focuses on individuals experiencing significant behavioral health symptoms that affect their functioning at home, school, work, or in the community. Individuals in this tier are starting to see impacts to their daily life and could most likely benefit from professional assessment and care.

Step 3 - Intervention

What are the signs?

Emotional Health


  • Frequent presence of anxiety, anger, depression, hopelessness, intrusive thoughts, negative outlook, and/or distraction.
Physical Health


  • Sleep difficulty, fatigue, aches and pains.
  • Changes in appetite.
  • Unexpected changes in weight.
  • Using substances such as drugs and alcohol.
Performance and Behavior


  • Decreased performance and attendance in school and work activities.
  • Difficulties regulating emotions and behavior.
Social Activity


  • Continued changes in social activity, such as avoidance or conflict with family, peers, and friends.

Evaluate Symptoms and Access Treatment

Individuals experiencing significant mental health symptoms that affect their functioning at home, school, work, or in the community.

Get Involved

Man having a conversation with his son

Get in Touch

Contact a Howard County Behavioral Health Navigator. Behavioral Health Navigation connects community members, providers, and families to mental health and substance use resources in the community.  To contact a Behavioral Health Navigator, call Kala Jenkins at 410-313-6240 or email kjenkins@howardcountymd.gov. You can also complete a referral form online here.

Contact Maryland Coalition of Families (MCF) to access peer support services that help parents and caregivers with emotional support and service navigation. Learn more about peer support by calling 410-730-8267 or visiting www.mdcoalition.org.

Seek individual, group and/or family mental health services. You can access information about these services and find providers online or using your mobile phone using the Howard County Care App.

A teenager meeting with a therapist

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