Date

New Practical Guide on Advising Patients on Using 988 vs 911
 

December 26, 2024

The Substance Abuse and Mental Health Services Administration (SAMHSA) has issued a new guide titled Advising People on Using 988 Versus 911: Practical Approaches for Healthcare Providers.

Both healthcare providers and patients have experienced confusion in deciding whether 988 or 911 is appropriate across a range of situations. Understanding the differences between 988 and 911 and being able to communicate these differences to patients in ways that address their needs and concerns and respect their desired outcomes can help support effective crisis management.

This practical guide encourages and supports primary care, behavioral health, and emergency medical services (EMS) providers to integrate crisis care discussions into routine practice. Through intentional, informative conversations with patients about crisis care and the appropriate use of 988 and 911, providers can assess their patients more holistically and educate them and their trusted networks about available crisis care options.

To support these conversations in daily practice, this guide provides practical steps and real-world scenarios. Both are grounded in research emphasizing the importance of early intervention and clear communication in improving crisis outcomes and reducing reliance on emergency response systems. The guide includes sample crisis intervention scripts, grounding exercises, and deep breathing techniques to support crisis de-escalation.

For questions, contact SAMHSA at (877) 726-4727 or visit www.samhsa.gov.