The nationwide rollout of 988, a new three-digit number to call when individuals are in a mental health crisis, has the potential dramatically improve access to crisis care. Crisis care includes components such as a 24/7 call center, crisis mobile response teams, and crisis receiving and stabilizing services. For some individuals in crisis, medication can be a helpful part of the treatment plan. In this town hall conversation between two prescribers and two individuals with lived experience, we will discuss the current state and future directions of medication in crisis care. We will address, from multiple perspectives, topics like how a clinician may optimally discuss the potential risks and benefits of medication while recognizing there are two experts in the room, where psychiatric advanced directives and wellness recovery action plans fit into crisis care, and how organizations may utilize the Self Modification of Anti-Racism Tool (SMART) to become intentionally anti-racist.