New Law Creates 988 Hotline For Mental Health Emergencies

Oct 19, 2020
Originally published on October 20, 2020 1:54 pm

President Trump has signed into law a bipartisan bill to create a three-digit number for mental health emergencies. The Federal Communications Commission had already picked 988 as the number for this hotline and aims to have it up and running by July 2022. The new law paves the way to make that a reality.

"We are thrilled, because this is a game changer," says Robert Gebbia, CEO of the American Foundation for Suicide Prevention.

He and other mental health advocates say this will make it easier for more Americans to access mental health care.

The existing National Suicide Prevention Lifeline is a 10-digit number — 1-800-273-TALK — and it has seen a rise in call volume in recent years.

Still, the number isn't easy to remember or dial in times of crisis, says Gebbia. "When you're in crisis and you're already emotionally upset, the hardest thing to do is find the number that's a 10-digit number and call it."

A three-digit number makes it a lot easier. "When there are other emergencies, we know 911," he says. "It's ingrained in our heads — we don't have to think about it."

He and other mental health advocates think the new 988 number will become similarly widely accepted and used.

"A national three-digit number will make it far easier for millions of Americans to reach out for help and get immediate connection to care when they're experiencing a mental health or suicidal crisis," says Kimberly Williams, president and CEO of Vibrant Emotional Health, the organization that runs the National Suicide Prevention Lifeline. "Most importantly, 988 will help save lives."

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 coronavirus pandemic, peaking at an increase of 6% in July, compared with the same period a year ago, 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.

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ARI SHAPIRO, HOST:

Over the weekend, President Trump signed a bill creating a new three-digit suicide prevention hotline. The Federal Communications Commission had set aside 988 for the lifeline. The number will not become active for nearly two years. And as NPR's Rhitu Chatterjee reports, that allows mental health providers time to adapt.

RHITU CHATTERJEE, BYLINE: By July 2022, anyone having thoughts of suicide or experiencing a mental health crisis can call 988 to get help.

BOB GEBBIA: We are thrilled because this is a game-changer.

CHATTERJEE: Bob Gebbia is the CEO of the American Foundation for Suicide Prevention. He says the existing 10-digit number for the Suicide Prevention Lifeline can be hard to call in the middle of a crisis.

GEBBIA: So when you're in crisis, you're already emotionally upset and struggling. The hardest thing to do is to find a number that's a 10-digit number and call it.

CHATTERJEE: A three-digit number is easier to remember and dial.

GEBBIA: We know 911. It's ingrained in our heads, right? So I don't have to think about it.

KIMBERLY WILLIAMS: A national three-digit number will make it far easier for millions of Americans to get immediate connection to care.

CHATTERJEE: Kimberly Williams is president and CEO of Vibrant Emotional Health, the organization that runs the National Suicide Prevention Lifeline. When someone calls the lifeline now, they're connected to one of 170 local crisis centers around the country. Williams says 988 will likely cause a rise in number of calls to these centers.

WILLIAMS: Under 988, it's, you know, anticipated that far more people are going to be reaching out for help.

CHATTERJEE: But many crisis centers are underfunded and don't have enough staff to handle the existing call volumes. The new law provides for additional funding for these crisis centers to expand their capacity. Lauren Conaboy is with Centerstone, a behavioral health care provider working in several states.

LAUREN CONABOY: This legislation itself gives states the authority to levy fees on wireless bills, similar to how 911 is financed in a lot of states.

CHATTERJEE: These centers have already experienced a significant rise in number of calls during the pandemic. The new law, Conaboy says, will help meet a growing need.

WILLIAMS: 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.

CHATTERJEE: Rhitu Chatterjee, NPR News.

SHAPIRO: And if you or someone you know is having thoughts of suicide, please call 1-800-273-TALK.

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