LEARNING COMMUNITY MATERIALS
To view videos of the Learning Community’s weekly calls click here.
STATE CARDS
United States 988 Crisis Card
Virginia 988 Crisis Card
Utah 988 Crisis Card
Nevada 988 Crisis Card
Washington State 988 Crisis Card
QUESTIONS & QUOTES
“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
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
Coping with Emotional Emergencies
Lifeline International
Deploying Emergency Responders
National Guidelines for Child and Youth Behavioral Health Crisis Care
Accessibility for People with IDD
Privacy Considerations for 988 and Crisis Response
1M4 Mobile Crisis Directory
Healing Through Justice
The State of Mental Health from the Voice of America, Ad Council
Native and Strong Lifeline
Embedding Equity into 988
Patient-Centered Care
AFSP Project 2025
Self-Assessment for Modification of Anti-Racism Tool (SMART)
Caring for Our Own: Reducing Suicide Risk and Enhancing Mental Health
The Hope Institute Treating Suicide Directly
Coordinating with EMS and 911
Violence Assessment and Threats
Crisis Access for Children and Teens
988 and Statewide Crisis Hotline in Arizona
Engaging and Helping Persons at Imminent Risk of Suicide on the Lifeline
Making Emergency Help Accessible for All
Colorado Crisis Hub
988 Goes Live!
Washington State 988 Building Hope
Crisis Services for People Experiencing Homelessness
Implementing Recommendations for Effective Planning and Response with Deaf Communities for 988 in New Hampshire
Dignity in Crisis Care
Lynnwood Community Justice Center Project
Co-morbid Medical Challenges
Innovation for Behavioral Health Crisis Care
Medicaid Crisis Opportunities
Overcoming Staffing Challenges in Recovery Supports Services
Civilian Crisis Response and Equity
SAMHSA Operational Readiness: Part 2
Evolution of the Poison Center System
Connecticut Youth Mobile Crisis
Enhanced Crisis Need Calculator
24/7, 40 Below and 70% Diverted
SAMHSA’s 988 Communication and Partner Toolkit
Standardized Billing for Crisis Care
Children's Crisis Continuum
Systems Engineering 101
Medicaid's Role in Building Comprehensive Crisis Care Systems
Day in the Life Crisis Receiving Center
How Communities Must Use 988 to Improve Care and Correct Crisis System Disparities
Medicare, Parity & Crisis Services
Building Effective and Equitable Emergency Responses, Pew's Initial Steps
SAMHSA 988 Operational Readiness I
988 Implementation Act
Children's Crisis Services
Alabama Crisis System of Care
"A Day in the Life... Mobile Crisis Teams" Video
The Dedicated Mental Health Crisis Response Model
Lifeline Evaluation
The Work Force Doesn't Exist... Now What?
Boarding in the ED
Focusing on Recovery Even (Especially) in Crisis
Cultural and Linguistic Competence: A Strategy to address Health Disparities & Achieve Health Equity.
Routinizing Crisis Planning
Suicide Prevention: The Journey
Mobile Crisis Services, Maricopa County, Arizona
Serving Deaf People in Need
Defining Peer Support in Crisis Services
IDD and Crisis
Recovery Matters: Peer Support and the Crisis Continuum
Moving Toward Equitable and Effective Psychiatric Emergency Services
Integral Care
Regional Partnership Catalyst Program
All Nations Crisis Hotline
Youth Mobile Response Decriminalizing Mental Health
Mapping LA County Crisis Flow
The Arizona Model of Crisis Receiving Center
New Hampshire ED Boarding
The LOCUS Family of Service Intensity Decision Tools
CCBHCs in the Crisis Continuum
The Little Known, Racist History of the 911 Number
Improving the Child and Adolescent Crisis System: Moving from a 911 to a 988 culture
Medicaid Forward Report
MACPAC Recommendations 2021
988 Cost Briefing
988 Contact Volume Briefing
LA County Systems Engineering Snapshot
Utah Efforts Preparing for 988
Atlanta 311 and 911 Data Analysis
Philanthropy and Mental Health: Under-resourced and Misunderstood
Georgia Peer Crisis Workforce
