A crisis hotline is a phone number people can call to get immediate emergency telephone counseling, usually by trained volunteers. The first such service was founded in England in 1951 and such hotlines have existed in most major cities of the English speaking world at least since the mid-1970s. Initially set up to help those contemplating suicide, many have expanded their mandate to deal more generally with emotional crises. Similar hotlines operate to help people in other circumstances, including rape, bullying, self-harm, runaway children, human trafficking, and people who identify as LGBTQ+ or intersex. Despite crisis hotlines being common, their effectiveness in reducing suicides is not clear.
Abbreviated dialing is the use of a very short digit sequence to reach specific telephone numbers, such as those of public services. The purpose of such numbers is to be universal, short, and easy to remember. Typically they are two or three digits.
Emergency psychiatry is the clinical application of psychiatry in emergency settings. Conditions requiring psychiatric interventions may include attempted suicide, substance abuse, depression, psychosis, violence or other rapid changes in behavior.
The London Ambulance Service NHS Trust (LAS) is an NHS trust responsible for operating ambulances and answering and responding to urgent and emergency medical situations within the London region of England. The service responds to 999 phone calls across the region, and 111 phone calls from certain parts, providing triage and advice to enable an appropriate level of response.
Suicide intervention is a direct effort to prevent a person or persons from attempting to take their own life or lives intentionally.
The Hamilton Police Service (HPS) is the police service of the city of Hamilton, Ontario, Canada. As of 2021, the service employed 829 sworn officers and 414 non-sworn staff, serving a population of about 570 000 residents. The service's headquarters are located at 155 King William St., Hamilton, Ontario. As of 2022, the service's budget is $183 542 539, roughly 18.5% of the City's overall budget. It is one of the oldest police forces in Ontario.
An emergency service unit (ESU), alternatively emergency service detail (ESD) or emergency service squad (ESS), is a type of unit within an emergency service, usually police, that is capable of responding to and handling a broader or more specific range of emergencies and calls for service than regular units within their organization, such as rescue, emergency management, and mass casualty incidents. They are similar to police tactical units, fire department technical rescue, and incident response teams in other emergency services and organizations, and often have similar or overlapping roles; the term is also used synonymously for these units, or as a catch-all for units that combine multiple disciplines and roles under one banner.
Assertive community treatment (ACT) is an intensive and highly integrated approach for community mental health service delivery. ACT teams serve individuals who have been diagnosed with serious and persistent forms of mental illness, predominantly but not exclusively the schizophrenia spectrum disorders. ACT service recipients may also have diagnostic profiles that include features typically found in other DSM-5 categories. Many have histories of frequent psychiatric hospitalization, substance abuse, victimization and trauma, arrests and incarceration, homelessness, and additional significant challenges. The symptoms and complications of their mental illnesses have led to serious functioning difficulties in several areas of life, often including work, social relationships, residential independence, money management, and physical health and wellness. By the time they start receiving ACT services, they are likely to have experienced failure, discrimination, and stigmatization, and their hope for the future is likely to be quite low.
Outside In is a medical and youth service nonprofit organization in Portland, Oregon, United States that provides primary care and "wraparound services" for low income and homeless clients. It also has several other programs such as needle exchange program for drug users, and eligibility restricted tattoo removal service. The needle exchange has been the cause of community objection as well as cancellation of insurance policy and donors declining to give. It has reported that in fiscal year 2015–2016, it has given out 988,399 needles which was 20,962 more needles than what was returned. Founded in 1968 to serve youth, the organization has since continued to revise its services to meet the needs of its clients. Its services as described in October 2014 include medical care, mobile medical vans, tattoo removal, housing, education, counseling, and job training.
Patient dumping or homeless dumping is the practice of hospitals and emergency services inappropriately releasing homeless or indigent patients to public hospitals or on to the streets instead of transferring them to a homeless shelter or retaining them. These cases may usually require expensive medical care with minimal government reimbursement from Medicaid or Medicare. The term homeless dumping has been used since the late 19th century and resurfaced throughout the 20th century alongside legislation and policy changes aimed at addressing the issue. Studies of the issue have indicated mixed results from the United States' policy interventions and have proposed a variety of ideas to remedy the problem.
A suicide crisis, suicidal crisis or potential suicide is a situation in which a person is attempting to kill themselves or is seriously contemplating or planning to do so. It is considered by public safety authorities, medical practice, and emergency services to be a medical emergency, requiring immediate suicide intervention and emergency medical treatment. Suicidal presentations occur when an individual faces an emotional, physical, or social problem they feel they cannot overcome and considers suicide to be a solution. Clinicians usually attempt to re-frame suicidal crises, point out that suicide is not a solution and help the individual identify and solve or tolerate the problems.
Crisis intervention is a time-limited intervention with a specific psychotherapeutic approach to immediately stabilize those in crisis.
The Oregon Health Plan is Oregon's state Medicaid program. It is overseen by the Oregon Health Authority.
988 is a telephone number used in some North American (NANP) countries for a suicide prevention helpline. In the United States, it is known as the 988 Suicide & Crisis Lifeline. In Canada, it is known as the 9-8-8 Suicide Crisis Helpline.
A Crisis Intervention Team (CIT) is a police mental health collaborative program found in North America. The term "CIT" is often used to describe both a program and a training in law enforcement to help guide interactions between law enforcement and those living with a mental illness.
Crisis Text Line is a global nonprofit organization providing free and confidential text-based mental health support and crisis intervention by texting HOME to 741741. The organization launched in 2013, and its services are available 24 hours a day throughout the United States, Canada, UK, and Ireland. As of March 2024, the organization reported that it had supported over 9 million support conversations.
CAHOOTS is a mental-health-crisis intervention program in Eugene, Oregon, which has handled some lower-risk emergency calls involving mental illness and homelessness since 1989. This makes it the earliest, or one of the earliest, Mobile Crisis Teams.
Behavioral Crisis Response (BCR) is a behavioral health emergency response program in Minneapolis, Minnesota. This program dispatches unarmed mental health professionals to 911 calls. It is run by Canopy Mental Health and Consulting, a Richfield, Minnesota-based company in mental health services, in collaboration with the Office of Community Safety.
The Veterans Crisis Line is a United States–based crisis hotline for military veterans, service members, their families, and caregivers. The service is available 24/7 via the toll-free hotline number 988. Callers press 1 on their keypad to connect to the Veterans Crisis Line instead of the 988 Suicide & Crisis Lifeline, which shares the same number. It can also be reached by texting the SMS number 838255 or via online chat on the hotline's website.
