About Dr. Balfour

Dr. Margie Balfour is a psychiatrist and nationally recognized leader in behavioral health crisis care, quality improvement, outcomes measurement, and law-enforcement responses to behavioral health emergencies. She is the founder of MultiPass Consulting, where she partners with communities and organizations across the country to design, strengthen, and scale behavioral health crisis systems.

Previously, Dr. Balfour served as Chief of Quality & Clinical Innovation at Connections Health Solutions, where she led the transformation of the Tucson Crisis Response Center into the centerpiece of a nationally recognized crisis system and played a key role in the organization’s expansion into multiple states. She currently serves in a part-time Executive Policy Advisor role at Connections Health Solutions.

Dr. Balfour is a national thought leader in behavioral health crisis system design. She co-authored the National Council for Mental Wellbeing’s Roadmap to the Ideal Crisis System and was a key contributor to SAMHSA’s national crisis service definitions and guidelines. She is also an Associate Professor of Psychiatry at the University of Arizona, where her work focuses on advancing evidence-informed crisis care models and evaluating their impact on outcomes and system-level costs.

A sought-after speaker and advisor, Dr. Balfour serves on the NAMI Scientific Advisory Council and has participated on expert panels and advisory boards for federal agencies, managed care organizations, regulatory bodies, professional associations, and advocacy groups.

Originally from Monroe, Louisiana, Dr. Balfour earned a BA in Biology from Johns Hopkins University and an MD and PhD in Neuroscience from the University of Cincinnati. She completed residency and fellowship training in Community Psychiatry at UT Southwestern Medical Center in Dallas.

Consulting Services

I’m passionate about building systems that ensure people with behavioral health needs—especially those with the highest acuity and complexity—receive high-quality care that keeps them in their communities whenever possible. I believe good care is often cost-effective, but only when we can measure outcomes in ways that demonstrate value, identify gaps, and expand our understanding of what works and what doesn’t.

Drawing on my background in operations, quality improvement, and research, I support communities in strengthening their behavioral health systems. I collaborate with a range of partners—from individual providers to state and local governments to managed care organizations—either independently or as part of a multidisciplinary consulting team.

Examples include

  • Advising state and local policymakers on crisis system assessment, planning, and development
  • Supporting provider organizations in designing, launching, and refining behavioral health services
  • Enhancing emergency department workflows and clinical care for behavioral health patients
  • Assisting managed care organizations in structuring service arrays and value-based payment models
  • Developing outcome measures that align with national standards and reflect local priorities
  • Establishing effective quality improvement frameworks and processes
  • Strengthening collaboration between law enforcement and behavioral health systems
  • Leading system mapping efforts with a focus on Sequential Intercepts 0, 1, and crisis services
  • Offering technical assistance and subject matter expertise for a broad range of behavioral health initiatives

Speaking Engagements

I love teaching, facilitating discussions, and creating clear, engaging visuals. With over 200 conference and webinar presentations, 50+ media appearances, and extensive training experience for organizations like SAMHSA, the DOJ, and local agencies, I can speak to diverse audiences on topics such as crisis systems, emergency psychiatry, policing and justice reform, quality improvement, and outcome measurement.

Examples include

  • Conference presentations
  • Keynote address
  • Trainings for clinicians, law enforcement, policymakers
  • Podcast guest
  • Interview/commentary for video or print media