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988 Implementation Update 01 12 2022
Ohio 988 Network Planning and Implementation Jan. 12, 2022 “Like a physical health crisis, a mental health crisis can be devastating for individuals, families and communities. Too often, that experience is met with delay, detainment and even denial of service that can all add to a person’s trauma history. While a crisis cannot be planned, we can plan how we organize services to meet the needs of those individuals who experience a mental health crisis.
It can also lead to hope, recovery and action.”
~CRISIS NOW - Taking the Lead, NASMHPD, 2019 Ohio’s Crisis Services Vision
- Visible and accessible crisis services.
- Supports that are person-centered and quality-driven.
- Ensuring people are stabilized and thriving in their community. Someone to talk to
- Someone to respond
- A place to go 988 is What is 988?
Federal legislation requires all states to transition from the 10-digit National Suicide Prevention Lifeline to the 3-digit 988 by July 16, 2022.
The national number operates in Ohio now, supported by 15 approved and certified suicide prevention lifeline call center providers in the state.
The easy-to-remember 988 number will help connect Ohioans in a mental health or addiction crisis with Ohio’s behavioral health crisis response and support system.
Crisis Work Currently Underway
CONNECT
- 988 Planning
- Ohio Careline
- Crisis Text Line
- Open Beds/BH Connection
- Web-based Statewide Directory
RESPOND
- Mobile Response Stabilization Services for Youth (MRSS/OhioRISE)
- Community Mobile Response
- Co-Responder Response
STABILIZE
- Crisis Stabilization Units
- Residential/Respite Care
THRIVE
- Strong Families, Safe Communities
- First Episode Care for Serious Mental Illness
- Outpatient Service Capacity
- Housing
- School
- Employment
- Day Activities 6 988 Current National Suicide Prevention Lifeline Network
NATIONAL OHIO
- Oversight by SAMHSA, federal Substance Abuse and Mental Health Services Administration, within HHS
- Coordinated by contractor Vibrant Emotional Health
- Operated since 2004
- Ohio has 17 approved Lifeline call centers
- One additional center is nearing completion of onboarding
- Call centers go through a 3-phase process and much training for approval
- In phase 1 of expansion, upgrades, capacity-building and enhancing crisis connections
- Ohio received national planning grant
- Monthly 988 Planning Committee & subcommittee meetings since Feb. 2021
- Extensive needs assessment
- Draft Implementation Plan submitted 9/30/2021
- Integration of 988 into Ohio Crisis Task Force
- Continue refining and development of transition plan
- Actuarial analysis
- Sustainability planning
- Final Implementation Plan due 1/21/22, but work is ongoing
- Go live date July 16, 2022
- Monitor, evaluate and course correct 988 Planning Process National Lifeline Coverage Now: 45 Counties – Near Future: 88 Counties
- Representatives from ADAMH Boards, Behavioral Health providers
- Peers and peer/family advocacy organizations
- Veterans and active-duty military
- Minority groups, UMADAOPs, LGBTQ representation
- Current Suicide Prevention Lifeline providers
- Ohio Suicide Prevention Foundation
- First responders
- Telecom industry, PUCO, Deloitte
- The General Assembly
- 911 providers
- Mobile Crisis, Crisis services 988 Planning and Subcommittee Membership Key Dates and Progress Oct 2020 Federal 988 Act signed into law Dec 2020 OhioMHAS hosts first stakeholder meeting on 988 and submits planning grant application Feb 2021 MHAS receives grant;
Planning Committee is formed Sep 2021 Draft implementation plan shared with Planning Committee and stakeholders Sep 2021 Draft Plan submitted to the federal contractor Oct 2021 – Jan 2022 Planning Committee & BH crisis care network finalize 988 call centers for “go live” 7/2022; First implementation plan due Jul 2022 988 goes lives in Ohio with a national marketing launch Aug 2022 – Jun 2023 Development and capacity-building continues for 988 and crisis care service system Jul 2023 – Jun 2025 Ongoing work with federal/state partners for tech upgrades, improved call center capacity, interconnectivity with 911/other helplines
- 988/911/211 Interoperability
- Needs Assessment
- MRSS
- Lifeline Providers, active and pending
- Marketing 988 Planning Subcommittees Top Planning Priorities for July 2022 Rollout -1- Build system capacity to ensure 90% of Lifeline calls and 50% of Lifeline chats and texts from Ohioans can be answered in state by July 2022.
-2- Ensure service quality is maximized through ongoing training, support, and development and implementation of a shared web- based resource directory.
-3- Ensure necessary technology for Ohio Lifeline providers: high- speed internet, communication, documentation, and up-to-date referral resources.
Capacity Building and Sustainability
- Expansion of call center capacity for anticipated higher call volumes
- Upgraded technology systems and equipment
- Statewide resource directory RFP
- Statewide back-up provider to prevent Ohio callers from being bounced out-of-state RFP
- Chat and text provider(s) RFP
- Marketing resources for statewide and community-based awareness-building and tailored messaging
- Call center training vendor engaged
- 988 Administrator and staff Next Steps and Decisions
- Initial funding plan developed
- Sustainable funding options
- Crisis system enhancements
- Awareness-building: stakeholder partners and general public
- Education on Ohio’s Crisis System and 988 implementation
- Implementation and funding discussions
- Coordination with Next-Gen 911 Note: Ohio is still awaiting specific information from the federal government on details of the 988 national technology platform and national marketing plan, which impacts infrastructure development needs.
QUESTIONS?
Stacey Frohnapfel-Hasson, MPA, OCPC OhioMHAS Chief, Prevention and Problem Gambling Stacey.Frohnapfel@mha.ohio.gov 614-644-8456