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Friday, December 8 • 11:25am - 12:05pm
988 One Year Later: National Trends in Crisis Care and Pre-Hospital Behavioral Health Emergency Response

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The new 988 National Suicide and Crisis Lifeline went live in July 2022, providing an alternative to 911 for people experiencing behavioral health emergencies.  This-compounded with bipartisan support for increasing behavioral health funding and policing reform movements focused on creating non-law enforcement responses to behavioral emergencies-is catalyzing a once-in-a-lifetime expansion in behavioral health crisis services.  It is important for AAEP membership to be aware of these developments as they provide new opportunities for funding emergency behavioral health care, creating alternatives that lessen the need for ED utilization, and better care for the individuals we serve.  Furthermore, AAEP members can shape the development of these new services via policy advocacy and as local medical leaders.  The presenters include SAMHSA leadership, national experts in suicide prevention and crisis systems, a police sergeant and a peer services director.  The session will begin with an overview of SAMHSA's vision for crisis care in which everyone has "someone to call, someone to respond, and a safe place to go."  Next we provide an overview of 988, data and lessons learned from the first year of implementation, and future plans.  Then we outline trends, best practices, and funding opportunities for mobile crisis and facility-based crisis care.  SAMHSA has a goal that peers will be involved in crisis care.  A director of peer services at a 988 center will describe the uniquely effective way that peers can help develop safety plans in acute care settings and provide ongoing care to individuals in crisis after a hospital visit.  Next we will discuss the role of law enforcement in BH emergency response and highlight best practices for collaborations between law enforcement and care providers.  Then we describe tools that communities can use to help plan and coordinate the development of their crisis systems and highlight opportunities for clinical leadership and policy advocacy at both the national and state legislative levels.  The session will conclude with a panel discussion and audience Q&A.

avatar for Margie Balfour, MD, PhD

Margie Balfour, MD, PhD

Chief of Quality and Clinical Innnovation, Connections Health Soutions
Dr. Margie Balfour is a psychiatrist and national leader in crisis care, quality improvement, and law enforcement responses to behavioral health emergencies. She is Chief of Quality & Clinical Innovation at Connections Health Solutions and an Associate Professor of Psychiatry at the... Read More →
avatar for Richard McKeon, Ph.D, MPH

Richard McKeon, Ph.D, MPH

Senior Advisor- 988 and Behavioral Crisis Office, SAMHSA
Richard McKeon Ph.D. MPH has worked for the past 20 years for the Substance Abuse and Mental Health Services Administration after working as a Psychiatric Emergency Services Director, and then Clinical Director, at a hospital based community mental health center. At SAMHSA, he spent... Read More →
avatar for Michael Allen, MD

Michael Allen, MD

Professor of Psychiatry and Emergency Medicine, University of Colorado School of Medicine
Dr. Allen hails from the Carolina Low Country and grew up on the Marine bases at Parris Island and Quantico. He attended Florida State University, the Medical University of South Carolina and trained in psychiatry at the Institute of Living. He then served on the faculty at Cornell... Read More →

Friday December 8, 2023 11:25am - 12:05pm PST
Vendôme A