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- Where are they located?

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Carter Geers knows when people need help.

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- Do they know about the resources
in their area?

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He coaches call takers

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who are talking to people in the midst
of a mental health crisis.

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It's something he understands
because like many of us,

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he's had that experience too.

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(emotional piano music)

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- I have struggled
with suicidal ideation in the past,

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and I've been in situations where I just
I felt hopeless.

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( sound of typing) 

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- The history of detoxes.

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The calls are not easy to handle.

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- We get people coming in that are going
through the worst of the worst.

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- Things, saying like killing yourself
today.

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But now Carter
and dozens of other specialists,

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plus those calling in crisis,
have some newfound support.

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- Crisis Connections, this is Holly.

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Crisis Connections is one of three agencies
across Washington state

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now answering calls in 250 languages
as part of the Nationwide

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988 Suicide and Crisis Lifeline
launched in July of this year.

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(uplifting music)

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Nine, eight,
eight is a free, confidential line,

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you can call or text for you
or for a friend.  A replacement

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for local or national suicide hotlines
and other help lines.

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And our state has helped

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answer the call by providing
some much needed funding for the program.

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I worked on a number of suicide
prevention bills, and this one.

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This one will make the greatest difference
to save lives.

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With the 2021 passage of House Bill 1477.

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Lawmakers imposed a tax on phone
and Internet lines

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to start building out
an integrated mental health crisis system,

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a system that Rochelle Williams
wants to make as inclusive as possible.

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You know, two ears. One heart.

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Natives helping Natives.

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Williams and enrolled member of the
Ehattesaht First Nation

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and also a Tulalip tribal
descendant is the tribal program manager

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at Volunteers of America, Western
Washington in Everett,

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which serves as another of our state's
988 call centers.

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- Let me get you in the right place.

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Hold on.

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Press 4
after you call 988

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and you'll be connected to the
Native and Strong Crisis Lifeline.

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Our country's first helpline made for
and run by native and indigenous people.

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- I know that there is a lot of mistrust
in our communities.

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I know that a lot of native people are not
trusting of a lot of different systems.

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We also believe sometimes
that tribal programs fail quite often.

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The reason for this, I think, is because
we're missing that cultural connection.

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We're missing
being connected to our own people.

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A team of 16
native people will run Native and Strong

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to try to respond to a sobering statistic.

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American Indian and Alaska
Native people have the highest rate

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of suicide of any ethnicity in the U.S..

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What we're hoping is to save a lot
of lives, even with all of this work.

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If we saved one, if somebody called in

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that saved their life,
that's that we want.

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- what insurance do you...

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988 Program administrators also want
to push back on some misinformation.

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They are not.

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Geo locating your phone when you call in.

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We do not have the ability to trace,

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nor are we interested in tracing anyone's
call.

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Michelle
McDaniel is CEO of Crisis Connections

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and says only when someone calls 988
with an urgent, life

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threatening emergency,
an overdose of pills for example,

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would an active rescue protocol
go into effect.

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In that situation,
if possible, a 988 operator

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would be authorized to track a caller's
number through caller ID.

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- And then we would contact 911 and say,
Hey, here's the situation.

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We're on a call
with someone who reached out to us.

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They have taken pills.

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We're worried about them.

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(ambulance siren)

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Emergency responders
would handle things from there.

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But Williams says active rescues occur

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with only 0.08% of the calls
that come into 988.

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Most people are able to simply talk
out their issues with a call specialist.

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80% of the calls that we receive on 988
are resolved

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at that crisis line level.

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But that leaves 20% of cases not resolved.

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And that's what Michele Roberts
is working to change.

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Long term, our goal is to build out
the rest of the crisis support system.

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Roberts Is the assistant secretary
for prevention and Community Health

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at the Washington State
Department of Health and says,

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beyond 24/7 call centers,
people in crisis need two main things.

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Someone to come and somewhere to go.

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Someone to come would mean
a non-police response team for people

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in crisis and somewhere to go
would be a walk in mental health

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receiving facility
to replace overburdened emergency rooms.

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- If you have a crisis
and you call 988.,

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you can get a next day appointment with a counselor
if you need one to get support in person.

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That part of the system
is set to launch in January of 2023

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as mental health care needs continue
to grow around our state.

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(emotional piano music)

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Mental health crises are hard to explain
and hard to respond to.

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But with a new, inclusive
988 system and more resources

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coming to our state,
the hope is to erase any stigma around

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seeking out help and to make those crises
a lot easier to bear.

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- We're going to keep building

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and improving what we're doing
so that we can continue to support people.

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We're not always going to

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have a magic wand,
but we will always have an open ear.
