Mental health care across the United States is plagued by insufficient and inequitable access to effective resources and treatments. Too often, local communities become the de facto frontlines for intervention in mental health crises—schools, law enforcement, and hospital emergency rooms, none of which are adequately staffed or trained to meet the needs. To fill these gaps, philanthropists are focusing on supporting mental health care models at the local level. These focused efforts, targeting specific neighborhoods and cities, employ new, innovative approaches to improve access to mental health services, many of them scalable to larger communities.