Biden Administration Transitions to New 988 Suicide and Crisis Lifeline to Help People in Mental Health Crisis

In a major step towards improving our nation’s response to people experiencing mental health crises, on July 16, the Substance Abuse and Mental Health Services Administration (SAMHSA) transitioned to the new, national 988 dialing code for the Suicide and Crisis Lifeline.

Most people in crisis call the general 911 emergency line for help. Although this system is convenient for deploying first responders, in most places, it is an inefficient way to connect people to behavioral health services, and often results in law enforcement being dispatched to situations that do not require a police response. The new 988 dialing code directly connects people to trained crisis responders within the National Suicide Prevention Lifeline Network, creating a valuable opportunity to increase connections to compassionate and accessible care.

This opportunity is significant for law enforcement and others in the criminal justice system, who have traditionally had limited means for connecting people to crisis services. Unfortunately, people in contact with the criminal justice system have higher rates of behavioral health needs and are at an elevated risk of suicide. Rates of mental health conditions are 3 to 5 times higher among people who are incarcerated than people who are not, and rates of substance use conditions are 12 to 14 times higher. Suicide risk is 62 percent higher for those who have been incarcerated as compared to the general population and risk of death is higher overall.

Fortunately, the transition to the 988 Lifeline provides an easier way to connect people to crisis care.  Law enforcement, jail, courts, and reentry service providers can now incorporate information about the 988 Lifeline in their planning strategies to better ensure people have the resources to be successful and weather mental health challenges.

The best way to reduce the overincarceration of people with mental illness and substance use disorders is to keep them out of the justice system in the first place. The new 988 Lifeline is the first step in an unprecedented effort to create an integrated crisis continuum that will expand access to proper treatment and advance comprehensive, cross-systems change to help people in crisis.

About the authors


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Strategy Director, Justice & Health Initiatives
Hallie Fader-Towe directs strategy for projects focusing on improving safety by better aligning justice and health systems. Since joining the organization in 2009 as a policy analyst, Hallie has worked with leaders in almost every state in the country on
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policy and practice at the intersection of justice, behavioral health, and housing. She has led and overseen projects related to state policy on crisis response, pretrial release, competency to stand trial, familiar faces, diversion, problem-solving courts, and connections to housing upon reentry and has worked with counties of all shapes and sizes on analyzing local data to design and implement new policies and programs. Hallie received a BA from Brown University and a JD from Harvard Law School. 
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