LEARNING COMMUNITY MATERIALS
To view videos of the Learning Community’s weekly calls click here.
STATE CARDS
United States 988 Legislation Card
United States 988 Legislation Card
United States 988 Crisis Card
United States 988 Crisis Card
United States 988 Crisis Card
United States 988 Crisis Card
Virginia 988 Crisis Card
Utah 988 Crisis Card
Nevada 988 Crisis Card
Washington State 988 Crisis Card
QUESTIONS & QUOTES
“Helper selection criteria should include: empathy, respect and the ability to establish a good initial contact.”
"Mental health patients under involuntary commitment can wait for hours, days or weeks..."
"Ikigai is largely just the activity that will blissfully keep you busy until the end of your days.”
“Crisis services result in better outcomes at a lower cost and generate a Return on Investment of 2 to 1 just in healthcare..."
"...A person with lived experience of both SMI/SUD and justice involvement should be treated the same as any other employee, and the organization should proceed without any bias or stigma toward this employee.”
"Patients who are abandoned to withdrawal and untreated pan have an increased death risk, nearly 300 percent, and their risk of suicide if also significantly elevated..."
“We knew that if we wanted to address overdose mortality and high utilization in hospitals,” she says, “then we had to look at the role of behavioral health.”
“Thank you, Hope.” I prayed. “Thank you for setting me free.” To which she replied: “Who was the one who decided I exist?”
“If we don’t have a seat at the table, we’re not afraid to bring our own chair.”
“…Life is unfair. Death is unfair. Anger is a natural reaction to the unfairness of loss.”
"…If we take decades to build [the 988 system], we’re going to lose a lot of lives.”
!["…If we take decades to build [the 988 system], we’re going to lose a lot of lives.”](https://i0.wp.com/talk.crisisnow.com/wp-content/uploads/2023/07/2023-07-19-Crisis-Jam_quote-cover.png?fit=300%2C169&ssl=1)
"I've known thousands of blind people. Guess what? Blind people have crises just like anybody else."
"Forget the catch!" Geographical boundaries become walls prohibiting timely access to crisis care. Find ways to break them.
“Hello to all the people living in institutions, I remember you”
“A chatbot is no substitute for human empathy.”
“Thank you for believing that we were alive” Jorge Galleguilos, the eleventh miner brought to safety, to President Pinera.
Dr. David Satcher said, ''The nation must address suicide as a significant public health problem and put into place national strategies to prevent the loss of life and the suffering suicide causes. We must act now.''
”We are in a world where most of the workforce is completely closed about their own lived experience, and yet, peers are expected to be completely open.”
"It doesn't matter where we do interventions. It's less costly and its more effective because it's right to the person who is in need."
"If you were in trouble, do you have relatives or friends you can count on to help you whenever you need them, or not?"
"Guilt feels less deserved, pain is less painful, misfortune is less oppressive, when someone is there with you."
"...We mean that no suicide is fated. None are predestined. Until the person actually takes a final lethal act, there is still hope."
"Most people survive depression… but to [those who die of suicide] there should be no more reproof attached than to the victims of terminal cancer."
!["Most people survive depression… but to [those who die of suicide] there should be no more reproof attached than to the victims of terminal cancer."](https://i0.wp.com/talk.crisisnow.com/wp-content/uploads/2023/04/2023-04-19-Crisis-Jam-Quote-cover.png?fit=300%2C169&ssl=1)
“Black communities need transformational change, bold and radical investments in systems that increase safety, healing opportunities, and programs...”
"What is the biggest challenge to improving crisis coordination? Senator, workforce..."
“Ukeru is a restraint-free training program to manage aggressive behavior, that teaches us to reframe that behavior as a survival skill that guests have learned over time and our job [with crisis teams] is to end the escalation.”
![“Ukeru is a restraint-free training program to manage aggressive behavior, that teaches us to reframe that behavior as a survival skill that guests have learned over time and our job [with crisis teams] is to end the escalation.”](https://i0.wp.com/talk.crisisnow.com/wp-content/uploads/2023/03/2023-03-22-Crisis-Jam-Quote.png?fit=300%2C169&ssl=1)
"3 hours is the average time an officer waits at a medical facility until transfer of custody occurs..."
"Last year alone, San Diego County law enforcement responded to 38,380 calls for service."
"Law enforcement should only be engaged in situations where there is a clear threat to public safety."
“If you talk to a man in a language he understands, that goes to his head. If you talk to him in his own language that goes to his heart."”
“Emergency Department Boarding is wrong medically, legally, ethically, morally and economically.”
“Law enforcement shouldn’t be on the scene of a mental health crisis unless there’s a clear, logical reason to have the presence of an armed public servant.”
“The increasing dependence on… hospital EDs to provide behavioral evaluation and treatment is not appropriate, not safe, and not an efficient use of dwindling community emergency resources. More importantly, it impacts the patient, the patient’s family, other patients and their families, and of course the hospital staff.”
“Accidental Death and Disability… revolutionized the way we view and manage injury in America. For many of us, it helped to define our careers.”
“Siri, I’m feeling depressed.”
“From the curbside to the country club, crisis makes us all equal.”
"Listen to youth! And, bring them to the table. Let them make a difference. You'd be surprised."
"Just the time is of such critical importance here in terms of taking care of someone like this. The response from the medical team was fast and seconds and minutes matter in a situation like this," Dr. Sanjay Gupta said.
“The response to a person having a mental health crisis has always been to blame, shame, and criminalize, instead of to love, care, and empathize…"
"In an effective crisis system… Perhaps the most potent element of all is relationships. To be human. To be compassionate."
“My hope is that the first responders are able to do what they do well and that we can step in on some of those other calls that really don't require EMS or the police department...”
“The U.S. is facing a mounting mental health crisis, and it is crucial that people have somewhere to turn when they’re in crisis – and equally important that they can speak to someone in their preferred language.”
“We’re at a tipping point. The federal government and many other organizations across the U.S. have made mental health a priority and are addressing the numerous systemic challenges that exist, and now we must collectively change the way we, as a country, view mental health.”
“We believe everyone is connected; everyone is related,” she says. “So we treat people at our clinics like family.”
“The autism spectrum isn’t linear, but circular, with strengths and challenges that change throughout the day.”
“The Anthropologist is rarely stationary. Rather, this is the person who ventures into the field to observe how people interact with products, services, and experiences in order to come up with new innovations.”
“Why are we so punitive to people who are seeking help and taking care of themselves? … The call is coming from inside the house.”
“We wanted to know: Does it vary by country (It does not!)? Does it vary by cause of death (Doesn’t matter!)? Is it stronger for men vs. women (Equally strong!)? This was a snapshot of real life, right? With implications for real-life health outcomes.”
“Anyone can get broken. But this is the most important thing… Anyone can live. Anyone can find hope.”
"...their chances of survival would be better in the zone of combat than on the average city street [in the US]."
!["...their chances of survival would be better in the zone of combat than on the average city street [in the US]."](https://i0.wp.com/talk.crisisnow.com/wp-content/uploads/2022/08/pic131-Quote-08.31.jpg?fit=300%2C169&ssl=1)
"To hold two conflicting ideas in constructive tension"
“[Most kids are pretty resilient.] The notion is that they’re like flowers—they’re growing and going to be okay… By providing children and adolescents the support they need, we help them flourish rather than flounder.”
![“[Most kids are pretty resilient.] The notion is that they’re like flowers—they’re growing and going to be okay… By providing children and adolescents the support they need, we help them flourish rather than flounder.”](https://i0.wp.com/talk.crisisnow.com/wp-content/uploads/2022/08/pic127-Quote-08.17.jpg?fit=300%2C169&ssl=1)
"Law enforcement officers agree they're often not the best equipped to respond to a MH emergency..."
"...This resource may enable these two powerful forces for change to come together and develop new, more effective approaches to reducing suicide attempts and deaths."
"If 988 is for everyone, Kansas has to think about I/DD for mobile crisis teams."
“My whole paradigm of thinking about this had been wrong, which is suicidality is secondary to mental disorders, and so if we treat the mental illness we’ll take care of the suicidality, and to find out… not so much.”
"On July 16, the US will transition to using the new 988 dialing code. This is a once-in-a-lifetime opportunity to strengthen and expand the existing National Suicide Prevention Lifeline. 988 is a first step toward strengthening and transforming crisis care in this country."
“We must build equity and attention to the nuances of race, culture and ethnicity into the front end of 988.”
"They're people with jobs. They're people who work full-time and still can't afford to live in the city.”
“We need immediate access to a call counselor who is ASL fluent”
“People need to have ‘the dignity of risk’ and ‘the right to fail’”
“We cannot arrest our way out of this problem… and we can’t do it alone. We’re talking about the sanctity of all human life. [We must] support crisis services all across America.”
![“We cannot arrest our way out of this problem… and we can’t do it alone. We’re talking about the sanctity of all human life. [We must] support crisis services all across America.”](https://i0.wp.com/talk.crisisnow.com/wp-content/uploads/2022/06/pic107-Quote-06.08.jpg?fit=300%2C169&ssl=1)
“It starts with people standing up and telling their stories… When they hear your story and the story of others, they realize, hey, I’m not alone. And that’s really the goal here- is we want people to not suffer in silence and alone, we want them to be able to get help when they need it.”
“Many see innovation as sexy and mysterious… But innovation is a discipline to be mastered and managed. It is hard work. Getting good at it requires significant practice...”
“We’re often more restrictive than accessible with our crisis services, but it’s frequently because we lack the capacity to meet the community need.”
“Incorporates the unique and essential role of peers and their families in all aspects of providing crisis services – from creating a crisis system that meets the needs of the local community to including peer support workers as part of the continuum of care.”
"...During one of the most vulnerable, desperate moments of his life, he couldn’t contact 911 to get help.”
“Our goal is to reach more people and serve them more effectively”
“There are always two experts in the room [in crisis care.]”
![“There are always two experts in the room [in crisis care.]”](https://i0.wp.com/talk.crisisnow.com/wp-content/uploads/2022/04/pic92-Quote-04.20.jpg?fit=300%2C169&ssl=1)
“My friends, the system isn’t broken -- it was just never fully built.”
“Together we can work towards a future where mental health and substance use crises—just like any other kind of medical emergencies—receive the care they deserve, with someone to call, someone to come and somewhere to go.”
“We are in a historic moment of horse-versus-locomotive competition, where intuitive and experiential expertise is losing out time and time again to number crunching.”
“Homelessness is by itself stressful, dangerous, and unhealthy. Add mental illness…, either as a cause or consequence, and you have a modern tragedy.”
“No one interviewed for this story supports boarding. Instead, it’s widely viewed as a grim reality.”
“It's truly a game changer for the person in services who received messaging that people care.”
“Let’s get all Americans the mental health services they need, more people they can turn to for help, and full parity between physical and mental health care.”
"The full scope is overwhelming; help others see the baby steps"
"Really, it’s about controlling our fear as psychiatric providers..."
"We have also come to this hallowed spot to remind America of the fierce urgency of now..."
“Just getting rid of those outdated, untrue beliefs and creating safe spaces for people to talk about their struggles.”
"All models are wrong... but some are useful."
“It’s time to shed antiquated prejudices...”
“Between the idea and the reality… falls the shadow.”
“The challenges today’s generation of young people face are unprecedented...”
“We were told you’re not going to be able to change it... We ignored them.”
"The flock of geese doesn’t respond to the call… but to the flight."
“We have to challenge the belief that mental health crisis services must come in a police car.”
“In an average day, 17 veterans die by suicide—not in a far-off place, but right here at home.”
"...allowing members of the Havasupai tribe living at the bottom of the Grand Canyon to readily access health care services..."
“...but all the pieces must work together as a system.”
“[To police] Just bring them straight to us. You don’t have to call or let us know...”
![“[To police] Just bring them straight to us. You don’t have to call or let us know. We don’t need a packet. Come to us. Just bring them.”](https://i0.wp.com/talk.crisisnow.com/wp-content/uploads/2021/10/pic46-Quote-10.20.jpg?fit=300%2C169&ssl=1)
What are the Lifeline requirements to answer 988? “Trained, competent and caring.”
“...988 is a once-in-a-lifetime opportunity to strengthen crisis responsiveness. ”
“...10% of law enforcement agencies’ total budgets was spent responding to and transporting persons with mental illness in 2017.”
![“[Our] survey results indicate that 10% of law enforcement agencies’ total budgets was spent responding to and transporting persons with mental illness in 2017.”](https://i0.wp.com/talk.crisisnow.com/wp-content/uploads/2021/09/pic40-Quote-09.29.jpg?fit=300%2C169&ssl=1)
“...we are now talking about the preventability of suicide and not the inevitability of suicide. ”
“Services have been organized around your ... convenience, not ours, but… a crisis has no schedule.”
“Law enforcement shouldn’t be on the scene of a mental health crisis...”
“Medical Clearance is a fallacy… the root of barriers [to access]… a shield.”
![“Medical Clearance is a fallacy… the root of barriers [to access]… a shield.”](https://i0.wp.com/talk.crisisnow.com/wp-content/uploads/2021/09/pic33-Quote-09.01.jpg?fit=300%2C169&ssl=1)
“Mobile crisis services took too long to respond.”
“We use four common stages of recovery (hope, empowerment, self-responsibility, and attaining meaningful roles) to help people live with dignity.”
“The safest communities don’t have the most cops, they have the most resources.”
“Gradatim Ferociter”
"You had me at hello."
“Critical need for connection in times of crisis.”
"We’ve got one shot to get this right."
"A movement is rooted in distributive action."
"More than a choke point, the hospital ED simply becomes a dead end for many in crisis."
"It’s not making individuals in crisis fit to a system. It’s adjusting the system..."
“Someone to call. Someone to come to you. And, if needed, some place to go.”
"Mobile crisis teams are an essential component to getting services to an individual in the community where they are at."
Will 988 Yield First or Second Order Change?
"In an effective crisis system, perhaps the most potent element of all is relationships..."
"We must build equity and attention to the nuances of race, culture and ethnicity into the front end of 988."
What are the learnings from Arizona?
"We are moving to standardization of what people can expect [in crisis]…"
What is the 988 and Crisis Care Learning Community?
What are the federal funding opportunities that could help support 988? Is there a list?
"We’re talking about the sanctity of all human life. [We must] support crisis services all across America"
!["We’re talking about the sanctity of all human life. [We must] support crisis services all across America"](https://i0.wp.com/talk.crisisnow.com/wp-content/uploads/2021/04/pic06-Quote-Chief-Paul.jpg?fit=300%2C168&ssl=1)
How many agents to answer the phones?
“Mobile crisis worth a million.”
Does private insurance cover crisis care?
"The opportunity of a lifetime"
Does Crisis Now work for rural?
FEATURED PRESENTATIONS
Peers Across the Crisis Continuum
Wrestling with Suicide Alone: Top Ten Reasons
The CCBHC Model: Updates and Current Efforts Relating to the Crisis Continuum of Care
Connect with people you trust by Google and IASP
The Bridge Center for Hope: Pioneering Crisis Services in Louisiana
Suicides after Prescription Opioids are Stopped: Let’s Move Beyond Statistics through the CSI:OPIOIDs Research Study
Regionalizing Crisis Care in Central Maryland
Loss and Grief, Coping Strategies and Resources
Medical Role in Crisis Care
988 1-year Anniversary!
Access to 988 for ASL Users
Crisis Care Continuum in Central Region Arizona
The Americans with Disabilities Act and Mental Health Crisis Response
SPRC Lived Experience Initiatives: Program Overview
SafeUT Overview
2024 National Strategy for Suicide Prevention and Action Plan
Crisis Text Line | Crisis Jam
Mobile Crisis Response Services in Georgia
Behavioral Health Disparities in Aging: Crisis Resources
Engagement with Faith Communities to Support 988 Implementation
Behavioral Health and Law Enforcement: Models to Keep Improving Responses
Moving America's Soul on Suicide
Important Considerations for Supporting LGBTQ+ People
Community Mobile Response Works
Ukeru: Life Without Restraint
Taking Care of Our Workforce
Mental Health Shouldn't Come in a Police Car
Anti-Stigma Grand Challenge
Culturally Responsive Mental Health Crisis Services for Hispanic and Latinx Populations
SAMHSA Convening 3 Synthesis
How We Do It Again: Scaling Emergency Behavioral Health Services
We’ve Been Here Before: History of Emergency Medical Services
Meeting the rising need and demand for mental health information and resources
