"If This Is an Emergency, Hang up and Dial 911" in the Era of 988
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Updated: Sep 3, 2025

Prehospital Thrombolysis: A Manual from Berlin
Published on: November 26, 2013
Leah G Pope1, Michael T Compton1
1New York State Psychiatric Institute and Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York City.
Abstract:
The recent implementation of 988 as a behavioral crisis hotline is a critical opportunity for improving crisis care across the United States. The bold vision for 988 is to offer individuals experiencing a mental health crisis a rapid entry into a coordinated crisis system and reduce reliance on 911 (and prevent a police response when it is not warranted). In this Open Forum, the authors suggest that mental health professionals have a role to play in educating their clients about when to use 988. Promoting 988 will also depend on answering key questions about what constitutes a crisis and how 988 is being implemented at a local level.
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