(Brett Sholtis \/ WITF)<\/span><\/figcaption><\/figure>\n<\/div>\nBefore they ended the call, Colluccio asked her if she would like a call back the next day. She said yes, so he scheduled one.<\/p>\n
Colluccio had just enough time for a sip of tea before another call came in. It was a young man in college, overwhelmed by stress. They talked for over an hour.<\/p>\n
This was a pretty typical evening, he said.<\/p>\n
\u201cSometimes it\u2019s more of an immediate intervention because sometimes people call with pills in hand and are actively considering ending their lives,\u201d Colluccio said. \u201cThere are people who have called and said, \u2018If you did not pick up, I\u2019d have killed myself.\u2019\u201d<\/p>\n
Nationwide, there are more than 200 call centers like this one. Calls are tied to area codes. If nobody picks up locally, the call gets kicked to somewhere else. The promise is to always have someone pick up the phone.<\/p>\n
In some places, like Bucks County, additional resources are available for callers who need more help than counselors can offer on the phone. Colluccio can dispatch a mobile crew of mental health workers to visit someone at home. But in Hanover, Pennsylvania, a town a few hours west, the 988 call center doesn\u2019t have that option.<\/p>\n
Jayne Wildasin runs that center and said workers sometimes have to put down their headsets, get in their cars, and go meet with a caller who might live as far as an hour away.<\/p>\n
\u201cSo right now, if there\u2019s a crisis at someone\u2019s house, we could potentially go there,\u201d Wildasin said.<\/p>\n
In another part of the state \u2014 rural Centre County \u2014 the local 988 call center relies on volunteers \u2014 mostly college students from Penn State. Denise Herr McCann runs the operation and said that her team can call in mobile mental health experts, but more of them are needed.<\/p>\n
There is also a need for additional mental health professionals who can help once a crisis has passed.<\/p>\n
\u201cSometimes those resources are other counseling services, and they don\u2019t have capacity,\u201d Herr McCann said. \u201cPeople are calling, and providers are six weeks out if they\u2019re lucky. That\u2019s not any good.\u201d<\/p>\n
For decades, suicide prevention call centers have scraped together funding from local, state, and federal sources. With the switch to 988, they now must meet new federal regulations, such as data collecting and licensure requirements, said Julie Dees, who oversees the call center in Bucks County. That all costs money.<\/p>\n
\u201cThere are increased responsibilities that are being put on the call centers, but there\u2019s really no additional funding being put on that,\u201d Dees said.<\/p>\n
It\u2019s an issue around the U.S., according to a recent analysis<\/a> from the Pew Charitable Trusts. The polling and research organization noted that states are largely left to foot the bill for the change to 988 \u2014 and many of the crisis centers doing the work have been underfunded for years. It recommended that state policymakers evaluate funding needs to ensure that crisis services connected to 988 will be sustainable and seamless.<\/p>\nThe Biden administration invested $432 million toward building the capacity of local and backup call centers and providing associated services. But the expectation is that states will come up with the main funding streams.<\/p>\n
The 2020 law enacting the 988 number<\/a> also allows states to pass legislation to add a fee to cellphone bills as a permanent source of funds for 988 and associated mental health services.<\/p>\nPennsylvania\u2019s outgoing Democratic governor has proposed a funding fee model but it hasn\u2019t yet gained traction in the Republican-controlled legislature. The lack of a funding mechanism worries Kevin Boozel, who heads the County Commissioners Association of Pennsylvania.<\/p>\n
\u201cThis is life or death,\u201d Boozel said. \u201cAnd you can\u2019t halfway do it.\u201d<\/p>\n
Fearing that too many calls could flood the system, Pennsylvania has decided to hold back on publicizing the new 988 number until next year. Counties need more time to set up funding, hire workers, and build capacity for things like those mobile crisis teams.<\/p>\n
This story is from a partnership that includes NPR<\/a>, WITF<\/a>, and KHN<\/a>.<\/em><\/p>\n