DENVER, Colo. — There’s a new type of emergency room in some cities designed to provide care specifically for someone experiencing a mental health crisis.

The Behavioral Health Solution Center in Denver, Colorado, is a first-of-its-kind facility offering both short- and long-term care options.

The Support Team Assistance Response, or “STAR,” van is also a new mobile service option the city is offering patients instead of an ambulance or police squad car.

“We had initially a lot of surprise of, ‘Why is a van pulling up to me instead of the typical law enforcement response?’” said Chris Richardson, Associate Director of Criminal Justice Services with the Mental Health Center of Denver.

Since this mobile service launched in June, Richardson says STAR has already responded to around 1,700 calls.

Before STAR’s existence, it was firemen, EMTs or law enforcement responding to each mental health crisis. This brought its own set of fears and concerns for residents.

“There’s a lot of communities out there that have that notion that if they call 911, someone’s going to respond that they may have trauma history with or if there’s a response that they don’t want, so they just don’t call.”

Richardson says at least 30% of calls STAR has responded to were referred by police who arrived first on the scene.

When the STAR van arrives, both a paramedic and mental health clinician are on board to meet patients where they are.

“Being able to even hand someone water and say, ‘Hey, where can we get you right now that’s going to make you feel like safe?’” Richardson added.

The Behavioral Health Solution Center is offering that safe space.

“These are people that have been to jails numerous times, that have been to hospitals numerous times and that hasn’t worked for their crisis,” said Marissa VanDover, Associate Director of Crisis Services at the Mental Health Center of Denver.

Hospitals and jails are two vastly different extremes, but they’re common places where patients struggling with mental illness are often transported.

In the past two years, workers say the city’s jail had nearly half of its population on “active mental health watch” and in need of immediate mental health care in an alternative setting.

VanDover says the Behavioral Heath Solution Center now fills what’s been a gap in services.

“We have walk-in crisis centers that do a phenomenal job, but they’re timed out in 24 hours, and we know not everybody recovers in 24 hours,” said VanDover.

Since the pandemic, VanDover says, emergency calls for mental health have sky-rocketed across the country.

“We’re seeing increased levels of depression and anxiety across the board.”

This groundbreaking solution center is open around the clock and staffed by almost 60 clinicians, nurses, peer support specialists and counselors.

“We can do a cooking group. We can do an outside yoga group.”

Upon admission at the center, patients have two treatment options. From there, residents who have nowhere safe to go can then move to its transitional housing wing for an additional 30-day recovery and preparation to step back into the real world.

“To really focus on themselves, to focus on their recovery, to be able to apply for every job, every benefit they need and deserve.”

While facilities across the country do offer long-term residential care, some are difficult to access in a short period of time, especially without insurance.

VanDover is hoping this solution center be a model for other cities to follow.

“We have people tell us every day that they’ve come here and they’ve become hopeful,” said VanDover.

John Presley has every piece of equipment he needs to save lives, the pharmacy inside the hospital he owns is fully stocked and ready to go, and yet Cumber River Hospitals in Celina, Tennessee sits empty. Promised state and federal aid has gone elsewhere leaving this rural community with no emergency room.

The 52-year-old bought Cumberland River Hospital two years ago. He was briefly able to open it last year, before having to close. As COVID-19 cases in this county of 7,600 people surged during the fall, the only emergency room within a 90-mile radius was gone.

"It is insane. People are having to travel an hour and a half to get healthcare. You see that in third world countries; it should not be happening here in the United States," Presley said sitting inside the shuttered ER.

Presley is still waiting on nearly $2 million in reimbursements from insurance companies for the brief period of time he was able to open in 2020. CARES Act Money allocated by the federal government, meant to help save hospitals like this one, went elsewhere in the state of Tennessee.

"It was very discouraging because we had worked intently to get the facility open," Presley added.

So, here sits Cumberland River Hospital, silent and empty, all in the middle of a pandemic.

"There’s no doubt in my mind people ended up dying that may not have had to have died because of lack of access to healthcare in rural communities," he added.

The outlook for America's rural hospitals is not much better this year. By some estimates, hospitals could still be looking at $53 billion in lost revenue for 2021.

Brock Slabach with the National Rural Health Association is worried about the ripple effects ER closures are having on the communities they serve.

"We’re going to see a lot of closures. I think the pandemic is going to ravage a lot of rural facilities," Slabach said.

Last year was a record year for rural hospital closures in America. An estimated 20 shuttered their doors during the pandemic. A staggering 137 emergency rooms have closed since 2010, and most have been in states that haven’t expanded Medicaid.

Presley's expenses are running him around $12,000 a month. He's drained every ounce of his personal savings. So, to keep from foreclosure, he's started renting the hospital out to movie production crews.

"We are filming movies in a fully-functioning hospital that should be saving lives," Presley said.

When hospitals across America are forced to become movie sets to stay alive, people Presley can't help but wonder how the script for a horror film somehow became a real-life nightmare.

"We just need the federal government to step in and say, 'We need to reopen these facilities.'"