This research is the result of a partnership between Covenant House Alaska and the Institute of Social and Economic Research at the University of Alaska, Anchorage, as part of a national effort, initiated by Covenant House Institute, to create partnerships between Covenant House service providers and academic institutions. This report documents trends in use of Crisis Center at Covenant House Alaska and the characteristics of its clients. Use of Crisis Center, measured by visits and length of stay, has been increasing since 2003. The number of youth coming to Covenant House Crisis Center from outside of Anchorage is increasing, as is the number Alaska Natives served by Covenant House. Data indicate that many after aging out of foster care, many youth end up at Covenant House. Similarly many who receive mental health care outside of the state, return to Alaska and end up at Crisis Center. Few have high school diplomas or GED and three out of four are unemployed.