{"id":51926,"date":"2022-06-30T15:01:02","date_gmt":"2022-06-30T22:01:02","guid":{"rendered":"https:\/\/eltecolote.org\/content\/?p=51926"},"modified":"2022-12-06T17:01:07","modified_gmt":"2022-12-07T01:01:07","slug":"988-a-step-towards-transforming-mental-healthcare-in-california","status":"publish","type":"post","link":"https:\/\/eltecolote.org\/content\/en\/988-a-step-towards-transforming-mental-healthcare-in-california\/","title":{"rendered":"988: A step towards transforming mental healthcare in California"},"content":{"rendered":"\n

[Mara Cavallaro is El Tecolote\u2019s Report for America Corps Member who reports on mental health & healthcare inequality in the Latinx community.]<\/em><\/p>\n\n\n\n

California has repeatedly failed people who struggle with mental health and whose families call for help. In 2020, when Angelo Quinto\u2019s family dialed 911 from Antioch for emergency assistance, police arrived on the scene and killed him. The year before that, in 2019, police shot and killed 23-year-old Walnut Creek resident Miles Hall during a mental health crisis. Taun Hall, Miles\u2019 mother and AB-988 advocate, told CalMatters <\/em>that had she had another emergency number to call, \u201cMiles would be alive today. With everything I have in my body, I believe that.\u201d <\/p>\n\n\n\n

Next month, the framework for an alternative number will be in place, and with it, an opportunity to rethink state responses to mental health emergencies and implement policies that reimagine public care. Beginning July 16, dialing \u201c988\u201d will connect callers with an expanded National Suicide Prevention Hotline, thanks to federal legislation from 2020<\/a>. <\/p>\n\n\n\n

Publicized by the California Department of Health Care Services as an \u201calternative to 911 for people seeking help during a mental health crisis,\u201d the new number should eventually be interoperable with 911. In other words, if someone dials 911 with a mental health crisis, the call should be transferred to a 988 call center. <\/p>\n\n\n\n

It seems unlikely, though, that the interoperability goal will be met this month statewide. \u201cWe\u2019re going to start with one 911 call center, work out the kinks, work out the protocols, and then slowly build out to the rest of the team,\u201d said Binh Au, the Alameda crisis line program director. \u201cA more formalized process is going to take some time to build.\u201d <\/p>\n\n\n\n

Au\u2019s call center, Crisis Support Services of Alameda County, is one of 13 centers that currently answer National Suicide Prevention Hotline calls and that will answer the state\u2019s \u201c988\u201d calls. Of those 13, four others \u2014 San Francisco Suicide Prevention, Contra Costa Crisis Center, Starvista, and San Rafael\u2019s Suicide Prevention and Community Counseling \u2014 serve the Bay Area. For the most part, California\u2019s call centers are limited to remote (ie. over the phone) services. <\/p>\n\n\n\n

+++<\/p>\n\n\n\n

To date, $20 million in state funding has been designated to support 988 implementation. Dr. Le Ondra Clark Harvey, CEO of the California Council of Community Behavioral Health Agencies (CBHA), which includes the 13 988 call centers, told El Tecolote <\/em>that so far that funding has gone towards hiring and the technological infrastructure for an interoperable hotline.<\/p>\n\n\n\n

However, as California\u2019s call centers prepare for a predicted doubling of calls, texts, and chats with the easy-to-remember 988 number, it has become evident that $20 million in one-time funding will not be enough to support the expanded lifeline. On May 25, the CBHA requested additional funds from Governor Newsom. In their letter to the governor, they wrote, \u201cCalifornia is not prepared to deliver on the promise of 988. We will not be ready to connect callers with lifesaving mobile crisis response or crisis receiving and stabilization centers. However, with a small $8 million investment, we can ensure that, at the very least, the California crisis centers are ready and able to answer the calls\u2026\u201d <\/p>\n\n\n\n

The mobile crisis response teams and crisis stabilization centers that the CBHA refers to as part of the \u201cpromise of 988\u201d are central to legislation introduced by Assemblymember Rebecca Bauer-Kahan (D-Orinda) last year. AB-988, also known as the Miles Hall Lifeline Act, recognizes that the introduction of 988 is just a first step. \u201cAB-988 is really a special, unique opportunity that California has. It\u2019ll transform the way that behavioral health crisis response in California is conducted,\u201d Jordan Curley, Bauer-Kahan\u2019s Chief of Staff, told El Tecolote<\/em>. <\/p>\n\n\n\n

The bill, which held two senate hearings this week, seeks to scale up 988\u2019s services by establishing a phone line surcharge. The fee, of up to 30 cents per line, would serve as an ongoing source of funding for the hotline. Equally important, AB-988 outlines a five-year plan for the creation of mobile dispatch units that can respond in person to emergency calls, as well as crisis stabilization programs to provide short term patient observation and professional support. Californians have been able to call Suicide Prevention Hotlines and speak with someone over the phone for decades. AB-988 seeks to finally establish a consistent system for in-person responses to those calls. <\/p>\n\n\n\n

Washington, Colorado, and Nevada have already passed lifeline funding legislation similar to AB-988. And at the local level, a handful of counties have been practicing similar models of mental health care response, most famously in Eugene, Oregon. Eugene\u2019s CAHOOTS (Crisis Assistance Helping Out on the Streets) program is transferred over 20 percent of calls to 911\u2014 the calls that are nonviolent and have a behavioral health component. Instead of police, CAHOOTS dispatches a medic and a crisis responder, who bring medical supplies and blankets with them. Program Coordinator Ebony Morgan told NPR<\/em><\/a> that in thirty years of operation, \u201cwe\u2019ve never had a serious injury or a death that our team was responsible for.\u201d <\/p>\n\n\n\n

By contrast, as the cases of Miles Hall and Angelo Quinto demonstrate, involving law enforcement in mental health crises has caused preventable deaths. Binh Au told El Tecolote<\/em> that \u201cmany of our community members\u2026have trauma around the police.\u201d And yet, in the East Bay, several existing mental health mobile crisis teams\u2014such as CATT, the Alameda City CARE Team, and the Fremont MET team\u2014involve law enforcement. Still, consensus among advocates and mental health professionals on the need to remove police from mental health responses is growing. Oakland\u2019s MACRO program, which is in development, has made a commitment not to involve law enforcement in their mobile responses. <\/p>\n\n\n\n

+++<\/p>\n\n\n\n

Looking beyond AB-988\u2019s five-year plan, Kulwa Apara, Alameda CSS\u2019 Spanish text line supervisor, expressed the need for more mental health housing programs. \u201cOne thing that I would say has been a major stressor\u2026especially for Spanish speaking clients\u2014is definitely the increasingly exorbitant cost of living in the Bay Area,\u201d she said. \u201cThe housing crisis is really pushing people to the edge.\u201d <\/p>\n\n\n\n

There is a lot of work left to do to ensure a comprehensive societal response to mental health crises\u2014whether that be mobile response units, greater state funding for call centers, or housing programs. But the Bay Area is fortunate to count on dedicated professionals like Au and Apara who are prepared to respond to the community\u2019s mental health needs. <\/p>\n\n\n\n

\u201cWith COVID and discrimination and acts of violence within our schools, it makes sense that people live with suicidal thoughts,\u201d Binh Au told El Tecolote<\/em>. \u201cIt makes sense that people live with depression or anxiety. It\u2019s not your fault that you have those feelings. And there\u2019s help for folks. We do<\/em> have capacity. We want people to reach out\u2026It doesn\u2019t have to be an emergency, it doesn\u2019t have to be a big thing. You deserve to be heard, you deserve care and kindness. You deserve the help now.\u201d<\/p>\n\n\n\n

+++<\/p>\n\n\n\n

*The National Suicide Prevention Lifeline has both English and Spanish lines. Other languages should be accommodated for by call interpreters. Anyone can call. <\/em><\/p>\n\n\n\n

To reach the National Suicide Prevention Lifeline before July 16, call 800-273-8255<\/strong>. <\/p>\n\n\n\n

To reach the National Suicide Prevention Lifeline on\/after July 16, call 988<\/strong> or 800-273-8255<\/strong>.<\/p>\n\n\n\n

For Crisis Support Services of Alameda County\u2019s text\/chat line in text “Safe<\/strong>” to 20121 <\/strong>or “Seguro<\/strong>” to 20121<\/strong>. English text line hours: 4pm-11pm 7 days\/week. Horario espa\u00f1ol: 5pm \u2013 9pm martes-viernes.<\/p>\n\n\n\n

To reach San Francisco Suicide Prevention text line, text 415-200-2920. <\/p>\n\n\n\n

To reach the Contra Costa Crisis Center text line, text \u2018HOPE\u2019 to 2012<\/p>\n","protected":false},"excerpt":{"rendered":"

[Mara Cavallaro is El Tecolote\u2019s Report for America Corps Member who reports on mental health & healthcare inequality in the Latinx community.] California has repeatedly failed people who struggle with mental health and whose families call for help. 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