New Law Creates 988 Hotline For Mental Health Emergencies



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Mental health advocates say 988, a simple 3-digit number, will be easier for people to remember in the midst of a mental health emergency.

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The existing Lifeline is a national network of about 170 local crisis centers. When someone calls the national number, they’re routed to the local crisis center that’s closest to them.

But many crisis centers «are struggling to stay afloat,» says Gebbia. They get very little federal funding, and have to raise money on their own. Some have even closed in recent years.

If a crisis center is unable to respond to all callers at any time, calls are diverted to backup centers. There can be dropped calls along the way or long wait times before callers can speak to a trained counselor.

«It’s very hard for someone when they’re struggling to make that call,» says Gebbia. «And to be on hold, not have the call go through, not have the call answered in a timely way, can be devastating. It can be a matter of life and death.»

The new law helps solve this problem, say Gebbia and Williams, because it provides funding and resources to boost the capacity of local crisis centers to handle call volumes, which are expected to go up once 988 is up and running in 2022.

«Under 988 it is anticipated that far more people will be reaching out for help,» says Williams.

The law also gives states the authority to levy fees on wireless bills, «similar to how 911 is financed in a lot of states,» says Lauren Conaboy, vice president of national policy at Centerstone, a behavioral health care provider working in several states.

Gebbia adds that the new law will help change how society responds to mental health emergencies.

Right now, many people end up relying on 911 for these emergencies. And the cases are handled by the police and hospital emergency departments.

«But often, the person can be helped just by a conversation,» he adds. «We don’t have to dispatch police.»

Cases that need more intervention can be resolved without sending someone to an emergency department. «States will have more funding now to invest in things like crisis mobile teams… with trained mental health personnel,» says Gebbia.

Call volumes to the National Suicide Prevention Lifeline have increased during the pandemic, peaking at an increase of 6% in July, 2020, according to Vibrant Emotional Health.

And studies show that the need for mental health care is growing, says Conaboy. The new law, she says, will help meet that growing need.

«So that two years down the road, we’re equipped as a nation to provide those emergency services and to make it as easy as possible for someone in that moment of crisis to reach out,» she says.

  • mental health care
  • suicide prevention
  • mental health



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