Holliday Stephanie Brooks, Matthews Samantha, Hawkins Wendy, Cantor Jonathan H, McBain Ryan K
Rand Health Q. 2024 Jun 3;11(3):6. eCollection 2024 Jun.
The 988 Suicide and Crisis Lifeline-known more simply as 988-holds promise for significantly improving the mental health of Americans and accelerating the decriminalization of mental illness. However, the rapid transition to 988 has left many gaps as communities scramble to prepare-not the least of which includes determining how 988 will interface with local 911 response systems and law enforcement. 911 is often the default option for individuals experiencing mental health emergencies, despite the fact that 911 call centers have limited resources to address behavioral health crises. Since 988 launched in 2022, one key area of focus has been ways that jurisdictions approach 988/911 interoperability: the existence of formal protocols, procedures, or agreements that allow for the transfer of calls from 988 to 911 and vice versa. This study presents case studies from three jurisdictions that have established models of 988/911 interoperability. It provides details related to interoperability in each model, including the role of each agency, points of interagency communication, and decision points that can affect the way a call flows through the local system. It also identifies facilitators, barriers, and equity-related considerations of each jurisdiction's approach, as well as lessons learned from implementation. This study should be of interest to jurisdictions that are looking to implement 988/911 interoperability, including those that are spearheading local initiatives and those that are responding to state-level legislation. Its findings are relevant to 988 call centers, public safety answering points, mobile crisis units, law enforcement, and local and state decisionmakers.
988自杀与危机生命线（简称为988）有望显著改善美国人的心理健康状况，并加速精神疾病非刑事化进程。然而，向988的快速转变留下了许多空白，因为社区在匆忙准备——其中最主要的空白包括确定988将如何与当地911应急系统及执法部门衔接。911通常是心理健康紧急情况患者的默认求助选项，尽管911呼叫中心处理行为健康危机的资源有限。自988于2022年推出以来，一个关键的重点领域一直是各司法管辖区处理988/911互操作性的方式：即是否存在允许将呼叫从988转接到911以及反之亦然的正式协议、程序或协定。本研究展示了来自三个已建立988/911互操作性模式的司法管辖区的案例研究。它提供了每个模式中与互操作性相关的详细信息，包括每个机构的作用、机构间沟通点以及可能影响呼叫在当地系统中流转方式的决策点。它还确定了每个司法管辖区方法的促进因素、障碍以及与公平性相关的考虑因素，以及实施过程中的经验教训。本研究对于希望实施988/911互操作性的司法管辖区应该会有吸引力，包括那些率先开展地方举措的司法管辖区以及那些响应州级立法的司法管辖区。其研究结果与988呼叫中心、公共安全应答点、移动危机处理小组、执法部门以及地方和州决策者相关。
