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Too often, people with mental illness do not receive a mental health response when experiencing a mental health crisis. Instead, people in crisis often come into contact with law enforcement rather than a mental health professional. People in crisis deserve better.
The lack of a robust mental health crisis system leads to tragic results. One in four fatal police shootings between 2015 and 2020 involved a person with a mental illness, and an estimated 44% of people incarcerated in jail and 37% of people incarcerated in prison have a mental health condition — with 2 million people with mental illness booked into the nation’s jails every year. Millions more end up in emergency departments ill-equipped to address mental health crises, often waiting hours or days to access care.
NAMI is committed to advancing efforts to reimagine crisis response in our country. We believe that every person in crisis, and their families, should receive a humane response that treats them with dignity and connects them to appropriate and timely care. NAMI is calling for a crisis standard of care in every community that provides a continuum of crisis services — 24/7 call centers that answer 988 calls locally, mobile crisis teams and crisis stabilization programs — that end the revolving door of ER visits, arrests, incarceration and homelessness.
In 2020, the nation took a significant step forward with the enactment of the National Suicide Hotline Designation Act, a bill NAMI advocated for that created a nationwide three-digit number (988) to assist people experiencing a mental health or suicidal crisis. This number will be available in communities across the country by July 2022.
While an easy-to-remember number is important, we need more than a number. We need crisis response services that provide a mental health response to mental health crises.
NAMI is leading efforts to urge policymakers to invest in a crisis system that provides people with someone to talk to, someone to respond and somewhere to go. It will take federal, state and local action to implement the crisis standard of care in every community to ensure everyone in crisis gets the help they need, when they need it.
In addition to calling on federal policymakers to require that crisis services be covered by all health insurers and to provide substantial funding to states to cover services and costs that can’t be billed to insurance, mental health advocates need to urge their state leaders to action. Advocates must educate state policymakers about how our current response to crisis falls short, and how a reimagined crisis response system will help. This system should include:
The legislation creating 988, which will route through the National Suicide Designation Lifeline, expanded the scope of the Lifeline to include mental health crises. Recognizing that this expanded scope and greater visibility for the Lifeline would create greater demand and expectation of response, the legislation also allows states to charge fees on phone bills to help fund these services. Many NAMI State Organizations across the country are working with state policymakers to implement state legislation that outlines the crisis services that will be available statewide and implement these fees, which are similar to 911 fees.
Learn more about model state legislation to implement 988 and crisis services.
Mental health advocates across the country have the power to demand that the crisis standard of care be offered in every community, to every person who needs it. You can help by making legislators aware of both the problem — our inadequate crisis system — and the solution. Here are five ways you can act today:
A 988 poll, conducted by Ipsos on behalf of NAMI, shows that creating and funding a 988 crisis response system shows broad support for a robust mental health crisis system, as well as federal and local action to fund it. The poll was conducted Oct. 22–25, 2021 and surveyed 2,049 adults.
Fifteen of the nation’s leading mental health professional organizations, advocacy groups and funders published this plan offering federal and state policymakers an evidence-based toolkit for implementing a continuum of mental health and substance use care in conjunction with the federally mandated 988 crisis hotline for mental health emergencies, which will be operational in July 2022.
NAMI Blogs & Webinars
How Advocates Can Push for a Crises Standard of Care
Black Mental Health and the Importance of 988 Legislation
Help Not Handcuffs: Implementing a New System
Help Not Handcuffs: Additional Community Models
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