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Recovery is for everyone. Or is it?

A theme for September’s Recovery Month is “Recovery is for Everyone.” It sounds nice, but is it really true? We’re all impacted by mental health and substance use conditions in some way, whether we live with them or know someone who does. But with 74 million adults and 5 million adolescents in America living with a mental health or substance use condition,[1] is recovery really for everyone?

Where do you stand?

Do you think recovery is possible for a person given a diagnosis of schizophrenia? Is recovery possible for someone in active heroin addiction?

If you think recovery is possible for them, do you expect recovery for them?

Think about it for a minute.

Recovery for me

I am a person in recovery. At the beginning of my journey, I was a teenager with a bright future ahead of me who had been given a mental health diagnosis. It was easy for others to hold hope for me because my accomplishments were a recent memory. Recovery was possible and expected for me.

Today, I have a successful career, an advanced education, a home, and a deep connection to my community. It’s easy for people to expect recovery for me because I’ve proven it’s possible.

But in the middle of my story is endless years of pain and despair. My teenage accomplishments quickly became overshadowed by more diagnoses, hospitalizations, failed medication trials, and a disability determination. The longer my struggles continued the harder it was for me and the people around me to believe my recovery was possible. An expectation of recovery was replaced with low expectations of my abilities, personal responsibility, and chances for a meaningful life.

The irony is that these low expectations quickly became more distressing for me than any symptom I was experiencing. It was the lack of expectation for recovery in my life that brought the soul-crushing despair that nearly ended my life.

Measuring down

My experience is not isolated. It is common to determine someone’s ability to recover based on internal and external factors and then act accordingly. These factors may include a person’s income, education history, employment, housing, support system, family culture, ethnicity, and geography; the number of times they have been in rehab or failed medication trials; and the number of diagnoses, type of diagnoses, drugs used and number of physical health comorbidities. The list could be endless.

Now let’s go back to the scenarios above and add a few more details:

Do you expect recovery for the man you pass at the bus stop who is experiencing homelessness, who hears voices and who has no education?

What about the woman you see at the park who uses street drugs, whose kids are in foster care and who is unemployed. Do you expect recovery for her?

Recovery for everyone in action

Expecting recovery for everyone requires an unwavering commitment to the belief that recovery is possible for every person, no matter their diagnosis, treatment history, or current and past circumstances. The next step after believing recovery is possible is taking action on that belief through communicating with hopeful, empowering language, encouraging risk-taking in the pursuit of recovery, and focusing on strengths versus perceived deficits.

At the systems level, expecting recovery for everyone means:

  • Providing equitable recovery opportunities through services and supports, including beyond traditional treatment delivery systems
  • Outreaching to engage Black, Brown, LGBTQ+ and other marginalized communities
  • Transforming practices and environments to reflect recovery-oriented principles

If we all believed that recovery was for everyone, it would radically change our communities and service delivery systems for the better. It would send a message of hope and save lives during a time when suicide rates in the U.S. have increased 30% from 2000 to 2020.[2]

Imagine what would change if we believed recovery was for everyone.

Join the conversation

We are pleased to host a free webinar, “What I would tell my younger self: Conversations about hope, recovery and the “S” word,” on Wednesday, September 14, 2022, at 3:00 p.m. ET. Register today to hear our presenters share the advice they would give to their younger selves to better navigate mental health and substance use challenges, and engage in the conversation!

Visit MagellanHealthcare.com/Recovery for resources to use and share this Recovery Month and beyond.


[1] Key Substance Use and Mental Health Indicators in the United States: Results from the 2020 National Survey on Drug Use and Health

[2] National Institute of Mental Health, “Suicide” information




Suicide in the Military

This article was co-authored by Stephanie Bender, DA, MA, LMHC.

Misconceptions, Risk Factors, and How You Can Help

The military suicide rate has gradually increased over time. Among active-duty members, the suicide rate per 100,000 significantly rose from 2015 (20.3) to 2020 (28.7). Most of the suicides were completed by enlisted service members less than 30 years old. The most common method of suicide was a firearm, followed by hanging/asphyxiation. (1)

Misconceptions about Military Suicide (1, 3)

Due to stigma of mental health problems, cultural issues, and ways in which the media covers suicide, there are many beliefs among the general population and the military about suicide that are not true. Some are:

  • Seeking mental health treatment will negatively impact one’s ability to obtain a security clearance and pursue a chosen career.
    • Fact: Seeking mental health treatment, in and of itself, does not negatively impact one’s ability to obtain/retain a security clearance. In fact, waiting to seek mental health treatment may cause increased work-related problems that could negatively affect one’s career.
  • After receiving hospital care for mental health issues, individuals are no longer at risk for suicide.
    • Fact: Suicide risk is significantly higher immediately following hospitalization when individuals are in the process of adjusting to their previous lives and return to settings in which stressors previously occurred.
  • Most military firearm deaths are from combat.
    • Fact: Most military firearm deaths are from suicide.
  • Suicide risk is not related to how firearms are stored.
    • Fact: Unsafe firearm storage increases suicide risk. Those who lock or unload guns when not in use are much less likely to die from suicide when compared to those who keep them unlocked and/or loaded.
  • Most people who have suicidal thoughts die by suicide.
    • Fact: Most people who think about suicide do not act on these thoughts.
  • Suicide is never impulsive.
    • Fact: Some individuals ponder suicide for significant periods of time, while others do not. It can take less than 10 minutes between thinking and acting on suicidal thoughts and concomitant use of substances can increase impulsivity.
  • Most military suicides are completed by individuals who experience deployment and/or combat.
    • Fact: Most military suicides are completed by individuals who have never been deployed and/or experienced combat.

Suicide Risk Factors (1, 2, 3)

Suicide is rarely caused by a single issue. It is a complex phenomenon, precipitated by a combination of emotional, psychological, physical, and cultural/environmental circumstances. Many military suicide risk factors are similar to those in the general public; but some are unique to military life. Major military suicide risk factors include:

Life circumstances

  • Relationship problems
  • Financial problems
  • Legal issues
  • Lack of advancement or having a sense of a loss of honor due to a disciplinary action
  • Lack of social support
  • Challenges related to post-deployment reintegration
  • Multiple redeployments
  • Challenges related to retirement and re-engaging in civilian life

Physical/Psychological issues

  • History of physical/sexual abuse, violence, or trauma
  • Prior suicide attempt and/or family history of suicide
  • Prior or current alcohol and substance misuse
  • Severe or prolonged combat stress
  • Combat-related psychological injury
  • Traumatic Brain Injury

Environmental/Cultural issues

  • Limited access to mental health care
  • Religious beliefs that support suicide as a solution; negative attitudes toward getting help
  • Perception of being weak or placing career at risk if mental health support is sought
  • Stigma from family, friends, and colleagues

How the Military is Addressing Suicide (5)

Due to concerning levels of suicide in the military population, in March 2022, Secretary of Defense Lloyd J. Austin announced the creation of a Suicide Prevention and Response Independent Review Committee to explore and recommend interventions to address suicide and the mental health of military service and family members. Findings and recommendations will add to the already existing information and initiatives the Department of Defense has previously established across all or specific to military branches.

New Suicide Hotline

The 988 Suicide and Crisis Lifeline launched in July 2022. Congress designated the new 988 dialing code to improve access to crisis services in a way that meets our country’s growing suicide and mental health-related crisis care needs.

988 connects those experiencing mental health, substance use, or suicidal crises with trained crisis counselors through the National Suicide Prevention Lifeline. People can also dial 988 if they are worried about a loved one who may need these types of crises supports. Chat is also available.

Pressing “1” after dialing 988 will connect you directly to the Veterans Crisis Lifeline which serves our nation’s Veterans, service members, National Guard and Reserve members, and those who support them. For texts, continue to text the Veterans Crisis Lifeline short code: 838255.

Learn more about 988 in Magellan’s blog post: https://mfed.info/988.

How Family and Friends Can Help (6)

Family and friends can also help prevent suicide by (6):

  • Being aware of risk factors (see above-listed risk factors) and warning signs such as:
    • Statements regarding no reason to live or being a burden to family
    • Buying or storing means to suicide such as weapons or medications
    • Making plans to say goodbye such as updating wills and giving away possessions
  • Being supportive and non-judgmental
  • Staying involved: just asking “how was your day?” can help one feel supported and connected
  • Giving positive affirmations that the loved one is not a burden and is loved
  • Knowing how to contact emergency help
    • Call 911, 988, or the Military/Veteran Crisis line at 1-800-273-8255 (press 1)
    • If there is any chance that someone might get injured:

– Remain calm

– Remove yourself or your children from any danger

– If possible, remove items that the person can use in a suicide attempt

For a downloadable version of this article, please visit MFed Inform.


References

  1. Department of Defense Under Secretary of Defense for Personnel and Readiness. Annual Suicide Report. Calendar Year 2020. https://www.dspo.mil/Portals/113/Documents/CY20%20Suicide%20Report/CY%202020%20Annual%20Suicide%20Report.pdf?ver=0OwlvDd-PJuA-igow5fBFA%3d%3d
  2. Military OneSource. When a Service Member May Be at Risk for Suicide. Sept. 2, 2021. https://www.militaryonesource.mil/health-wellness/mental-health/suicide/when-a-service-member-may-be-at-risk-for-suicide/
  3. Association for Behavioral and Cognitive Therapies. (No date) ABCT Fact Sheet. Military Suicide. https://www.abct.org/fact-sheets/military-suicide/
  4. Suitt TH. Watson Institute. International & Public Affairs. Brown University. High Suicide Rates among United States Service Members and Veterans of the Post 9/11 Wars. June 21, 2021. https://watson.brown.edu/costsofwar/files/cow/imce/papers/2021/Suitt_Suicides_Costs%20of%20War_June%2021%202021.pdf
  5. U.S. Department of Defense. May 17, 2022. DOD Names Lead for Suicide Prevention and Response Independent Review Committee. https://www.defense.gov/News/News-Stories/Article/Article/3034968/dod-names-lead-for-suicide-prevention-and-response-independent-review-committee/
  6. Mental Illness Research Education and Clinical Center. Suicide Prevention: A Guide for Military and Veteran Families (no date). (https://www.mirecc.va.gov/visn19/docs/A_Guide_for_Military_Veteran_Families.pdf

Stephanie Bender

Stephanie Bender, DA, MA, LMHC is a Regional Supervisor for Magellan Federal working in the Military and Family Life Counseling Program. Stephanie currently manages school-based MFLCs in Virginia Beach, VA. Stephanie received her undergraduate degree in Family Studies from Messiah University, her Master’s Degree in Counseling from the Seattle School of Theology and Psychology, and her Doctorate in Ecopsychology and Environmental Humanities from Viridis Graduate Institute. She has been independently licensed since 2008 in the state of Washington. Stephanie’s grandfathers were Veterans of the Army, and her father is a retired Lieutenant Colonel in the Air Force. Stephanie’s hobbies include hiking in the mountains, taking walks with her goats, and hosting visitors to her hometown of Olympia, WA.




Self-Care Practices Within a Wellness Dimensional Model

August is National Wellness Month, which makes it the perfect time to reflect on how we care for ourselves. Wellness is a series of interconnected dimensions that contribute to a person’s overall health and well-being. These dimensions of health include:

  1. Social
  2. Spiritual/Community
  3. Physical
  4. Emotional
  5. Financial
  6. Occupational/Career

It is necessary to give attention to each dimension as they
are interdependent and contribute to one’s overall wellbeing.

This is especially true for those in helping professions like behavioral health. According to Green Cross Standards of Self-Care Guidelines, “In order to ensure high-quality patient and client services, we have an ethical obligation to attend to our own health and well-being.”[1]

Here are some suggestions for self-care practices for each of the six main wellness dimensions. Notice that many of the self-care activities overlap to meet more than the aspect of wellness.

 

Wellness Dimension Description Self-Care Activities[2]
Social Maintaining healthy relationships with friends, family, intimate partners, and the community ·   Taking a walk with a friend

·   Volunteering at a food bank

·   Joining a new club

·   Texting a family member

Spiritual/Community Discovering your values and beliefs and finding meaning and purpose in life ·   Daily gratitude journaling

·   Practicing meditation/yoga

·   Volunteering

·   Attending a religious/spiritual service

Physical Providing care for all aspects of your body (safety, nutrition, health, movement, and physical touch) ·   Getting enough sleep

·   Receiving a hug from a loved one

·   Maintaining a balanced diet

·   Laughing aloud

Emotional Working to understand and value your emotions and manage your emotions in a constructive way ·   Daily gratitude journaling

·   Saying “no” when overscheduled

·   Seeing a therapist

Financial Managing resources to meet current and future financial obligations while feeling satisfied with your financial situation ·   Keep a journal of financial goals

·   Regularly check bank balances to stay knowledgeable about spending habits

·   Cancel unused subscriptions

·   Invest the time to find better deals on things such as insurance, internet, and phone service

Occupational/Career Using your talents, knowledge, and skills in satisfying and rewarding work ·   Volunteering

·   Learn new skills aligned with your talents

·   Collaborate with coworkers on projects of interest

·   Create a plan to meet career goals

If your company offers an Employee Assistance Program (EAP), a variety of health and wellness services including many of the above, are often included free of charge to employees. Magellan Healthcare offers an EAP that delivers improved employee wellbeing and engagement, called eMbrace. When users take our Gallup® Wellbeing Survey, their total thriving and wellbeing scores will be calculated across the above six essential areas. These scores shape a personalized plan with services and resources to help individuals thrive in all areas. Click here to learn more and share with your employer today.

You can also take individual action. Start small by incorporating one or two of the activities above into your daily routine and see what works best for you. The more you practice, the more likely these positive wellness activities will become habits that lead to a more vibrant, healthy life.

Article originally published on MFed Inform.

 


[1] Canadian Veterinary Journal

[2] University of New Hampshire, Illinois State University, La Belle Society, Canadian Veterinary Journal




Benefits of Hiring Our Veterans

Article originally published on MFed Inform.

Veterans, as a talent pool, are often overlooked as they transition to civilian employment. Employers may not understand how to translate their experience and skillsets into nonmilitary roles or how to offer support to our veterans as they experience that evolution in their careers.

Magellan Federal has a long legacy of empowering military personnel, their families, and veterans to live healthier, more productive lives. To deliver our important mission, we are privileged to hire talented veterans across multiple disciplines in a variety of roles as part of our team. Tapping into this unique pool of talent has been extremely successful in delivering professional services to the federal government. Our many years of experience attracting and retaining military talent allows us to offer expertise to other organizations looking to hire this mission-critical population.

First, promote a military-friendly culture

To establish your organization as being a good fit for veterans, you will need to first promote a culture of support. This will help veterans understand how they will be supported as an employee at your organization.

Magellan Federal’s support includes on-the-job training programs and managerial training programs for veterans; public workshops; live and on-demand trainings; a dedicated military/veteran group within our Diversity, Equity, and Inclusion program; and military paid leave programs.

Magellan Federal is honored that veterans made up 20% of all new hires in 2021, and that we have been designated a Military Friendly, Top 10 employer for 2022. Tracking and promoting your veteran demographics within your workforce will also help veteran candidates feel more at ease that there is a community within your organization.

Now, hire!

Helpful military veteran recruitment techniques:

  • Partner with organizations dedicated to veteran employment, such as Vetjobs, Military Spouse Employment Partnership (MSEP), Veterans ASCEND, MilitaryHire.com, and Hiring Our Heroes to find veterans that will complement and enrich your workforce.
  • Have your talent acquisition team participate in trainings and certification on how to uniquely identify talent within the veteran community.
  • Participate in recruiting efforts within the military population, including virtual and in person hiring events.
  • Consider participating in a Fellowship Program, such as with Hiring Our Heroes. The HOH Fellows Programs are workforce development programs that place highly skilled and educated transitioning service members, veterans, military spouses, and military caregivers with employers committed to hiring them.
  • Celebrate the successes of the veterans that you hire within your organization to attract additional talent. As our veteran on the talent acquisition team attests, “I’ve worked at Magellan Federal more than five years and can tell you I’ve absolutely found my new “tribe.” I feel that I’m part of something bigger than myself and that I’m surrounded by dedicated professionals that wake up every day and strive to improve the lives of warriors and their families. In my humble opinion, there is no finer place of employment for veterans, military spouses, or anyone that’s passionate about supporting our nation’s warriors and their families.”
  • Commend your dedication to hiring veterans and look to obtain designations that increase visibility as an employer for this special population such as a Military Friendly Employer. Magellan Federal is proud to have this designation and intend to maintain our status and continue to support the military community.

A Call to Action

Commit your organization to supporting a community that has spent years supporting the safety and wellbeing of our nation. Recognize their dedication and sacrifice for our freedom. Challenge yourself to look at their talents, skills, and experiences and how they can enhance your own employee population as a diverse and unique population. How can you help them transition to a civilian workforce? Offer to help them grow their networks—review a resume or introduce them to colleagues. These small steps are the foundations of a successful career.




Support for PTSD in the Military

Article originally published on MFed Inform.

Posttraumatic stress disorder (PTSD) is an increasingly important topic and issue within the U.S. military, across all Services. With thousands of counselors around the globe providing health and wellness care on military installations, Magellan Federal has a wealth of knowledge on PTSD and we would like to raise awareness around the symptoms, causes, and share some of the resources available to those who suffer from it.

Get to Know PTSD

PTSD is a medically diagnosed mental health condition that can develop after experiencing, witnessing, or learning the details of a traumatic event. Common causes include:

  • Combat
  • Threat of injury or death
  • Terrorist attack
  • Serious accident
  • Sexual assault
  • Physical assault
  • Natural Disaster
  • Childhood sexual or physical abuse

There are four different categories of symptoms that must be present for a diagnosis of PTSD:

  1. Intrusions: recurring distressing memories, dreams, or flashbacks
  2. Avoidance: staying away from people or places that remind them of the trauma
  3. Persistent negative mood or thoughts: inability to experience positive emotions; excessive blame, fear, shame and/or guilt; detachment from others
  4. Arousal or reactivity: irritability, hypervigilance, difficulty concentrating, self-destructive behaviors

PTSD became a mental health diagnosis in 1980 with the influence of social movements, such as veteran, feminist, and Holocaust survivor advocacy groups. Research about veterans returning from combat was a critical piece to the creation of the diagnosis. So, the history of what is now known as PTSD often references combat history.[i]

Prevalence in Service Members

According to the Defense Health Agency, between 2016–2020, 93,346 Service members received care for PTSD in the Military Health System and 74,232 of those Service members were diagnosed during or following deployment.[ii]

Available Programs and Resources for Service Members

While individual, trauma-focused psychotherapy is the first line of treatment recommended for PTSD, non-clinical support is also important and available to enable the healing process.

Magellan Federal helps deliver the Defense Health Agency’s Warrior Care Recovery Coordination Program (WC-RCP) to proactively support Recovering Service members (RSMs) who have been wounded, ill, and injured – including those with PTSD – in their recovery and reintegration into military service or transition to civilian life through non-clinical specialized programs and resources that also include support for their families and caregivers. Some of these programs and resources include:

Recovery Coordination Program (RCP): Under this program, available to all branches of service, Recovery Care Coordinators (RCCs) work closely with each Service member to develop a non-medical plan for recovery. Service members who may be suffering from PTSD are eligible to receive the support of an RCC.

RCCs are available at military treatment facilities and installations across the country. You can access assistance through your military services’ wounded, ill, and injured programs including:

Military Caregiver Support: Provides resources and information for military caregivers who assist RSMs with activities of daily living. Since 2013, DoD’s support for military caregivers has positively impacted thousands of lives by addressing key issues that affect caregivers in the short and long term. These issues often include mental and physical health, finances, transportation, maintaining a strong family, navigating through legal issues, and housing. In partnership with the National Resource Directory (NRD), the new electronic Caregiver Resource Directory (e-CRD) is also available. The e-CRD is a live document that is searchable, ready to download, and updated weekly to populate the most current vetted caregiver-specific resources available.

Military Adaptive Sports Program (MASP): This program provides opportunities for all RSMs to participate in adaptive sports and reconditioning activities to improve their physical and mental quality of life throughout the continuum of recovery and transition. MASP is designed to enhance recovery by engaging RSMs early in individualized physical and cognitive activities outside of traditional therapy settings. Through MASP, Service members also have access to the Healing Arts, which support both physical and psychological recovery and rehabilitation from visible and invisible wounds of war including PTSD, traumatic brain injury (TBI), and others.

National Resource Directory (NRD): This website provides access to tens of thousands of vetted services and resources at the federal, state, and local levels that support recovery, rehabilitation, and community integration for Service members, wounded warriors, veterans, and their families/caregivers. There are over 300 resources readily available regarding PTSD, such as:

  • PTSD Foundation of America
  • Brain Injury Network
  • National Center for PTSD
  • National Veterans Wellness & Healing Center
  • And many more…

When to Ask for Help

Remember, PTSD affects people differently and treatment is not one size fits all. If you think you or someone you know is possibly experiencing signs or symptoms of PTSD, no one has to cope alone. Help is out there in an array of forms from a variety of sources to meet anyone’s unique needs, whether it be clinical, non-clinical, or a combination of both.

To learn more about PTSD, visit https://health.mil/Military-Health-Topics/Total-Force-Fitness/Psychological-Fitness/Post-Traumatic-Stress-Disorder or https://www.ptsd.va.gov/index.asp.

To learn more about WC-RCP programs and resources, visit https://warriorcare.dodlive.mil/.


[i] Friedman MJ, MD, PhD. Department of Veterans Affairs. PTSD: National Center for PTSD. History of PTSD in Veterans: Civil War to DSM-5. Available online: https://www.ptsd.va.gov/understand/what/history_ptsd.asp

[ii] Defense Health Agency, Military Health System. PTSD 101 Infographic (May 2021). Available online: https://www.health.mil/-/media/Images/MHS/Infographics/June-Toolkit-2021/PTSD-101-Infographic.ashx




Benefits of Hiring Military Spouses

With a rich history of providing service and support to Warriors, Veterans, and their families, Magellan Federal is fortunate to attract and employ talent who have served our country or who have family members who have served. Here’s why Magellan Federal is fully committed to hiring military spouses.

Employment Challenges for Military Spouses

Deployments and relocations often lead to gaps in resumes, leading recruiters to incorrectly conclude that these candidates don’t have what it takes to keep a job. But in the context of military spouses, nothing could be further from the truth. The challenges of military life require an underlying creativity, grit, and a commitment to persevere.

In our experience, resume gaps are sometimes reflections of great self-sacrifice and the application of hidden talents. Military spouses are incredibly resourceful at using their time to their advantage—seizing additional education opportunities and certifications, stepping up for important volunteer opportunities as “unsung heroes,” and continually expanding their professional networks and interests. Many times, these highly desirable talents stay locked within the realm of volunteer organizations as employers make false assumptions about the employability of military spouses and the benefits of hiring them. Smart organizations see the benefit of employing military spouses in flexible roles to ensure they can support their home life while delivering important work.

Employer Benefits—Service and Loyalty

Once an employer has whittled a candidate field down to those with the desired or required skill sets, it is time to look further at the quality of the candidate and potential for retention. Of note, less than 1% of eligible Americans commit to service in the Armed Forces.

It’s no surprise that those who choose to marry service members often share these values and desire to serve. Bringing military spouses onboard at your organization will not only boast diverse skills that complement and improve your capabilities, but these individuals also often have an unmatched dedication to service. Military spouses spend their lives supporting their partner’s career, ensuring their spouse can perform their job with the certainty that all is well on the home front. That level of effort and flexibility to adapt to the ever-changing demands to meet the daily and emergent situations that arise, makes them extremely self-sufficient, alert for challenges, and exceptionally skilled in multi-tasking and dealing with changing priorities. These “soft skills,” coupled with the fact that most are driven to make their own significant contributions make them an invaluable addition to any organization.

To read the full article, visit https://www.magellanfederal.com/whats-new/mfed-inform/




The new 988 Suicide and Crisis Lifeline is here

The new 988 Suicide and Crisis Lifeline launched on July 16, 2022. With 988, it’s now easier than ever for anyone experiencing mental health-related distress–whether that is thoughts of suicide, a mental health or substance use crisis, or any other kind of emotional distress–to seek immediate help.

The new 988 dialing code operates through the existing National Suicide Prevention Lifeline (the Lifeline) network of over 200 locally operated and funded crisis centers across the U.S. People can now access a strengthened and expanded Lifeline via 988 or the existing 10-digit number (which will not go away).

In this post, we’ll continue the introduction of the new 988 Suicide and Crisis Lifeline and provide additional resources for you to learn more and be prepared if you or someone you know experiences a mental health crisis.

What is 988?

Beyond being an easy-to-remember number, 988 provides a direct connection to trained, compassionate and community-based crisis counselors for anyone experiencing mental health-related distress–whether that is thoughts of suicide, a mental health or substance use crisis, or any other kind of emotional distress.

Who can use 988?

988 services are confidential, free and available 24/7/365 for anyone experiencing a mental health, substance use or suicidal crisis. And 988 isn’t just for you. People can also dial 988 if they are worried about a loved one who may need crisis support.

How are 988 services accessed?

The 988-dialing code is available for call (multiple languages) or text (English only), and chat services (English only) can be accessed at 988Lifeline.org. 988 services are available through every landline, cell phone and voice-over-internet device in the U.S.

 How is 988 different from 911?

The focus of 988 is to provide easier access to the Lifeline network and related crisis resources, which are distinct from 911, where the focus is on dispatching Emergency Medical Services, fire and police, as needed.

Why was 988 created and where can I get more information?

Congress designated the new 988 dialing code in 2020 to improve access to crisis services in a way that meets our country’s growing suicide and mental health-related crisis care needs. The Substance Abuse and Mental Health Services Administration (SAMHSA) is the lead federal agency, along with Vibrant Emotional Health (operational home of the National Suicide Prevention Lifeline), in partnership with the Federal Communications Commission and Department of Veterans Affairs, to make 988 a reality in the U.S.

SAMHSA provides comprehensive resources for anyone to learn more about 988, suicide prevention and mental health crisis services at   SAMHSA.gov/988.

Is my state ready for 988?

States are at varying degrees of readiness for the volume increases expected from moving to the 3-digit code, 988. The federal government is responding to resource challenges with unprecedented levels of funding and an all-of-government approach to partner with state and local leaders to improve system capacity and performance.

Find additional information and materials on suicide prevention at MagellanHealthcare.com/Prevent-Suicide, and stay tuned for our September Suicide Prevention Awareness Month campaign and free webinar.

Sign up to receive updates a few times a month from Magellan on free behavioral health resources you can use and share with family, friends and colleagues here.


Sources: SAMHSA and the National Action Alliance for Suicide prevention




Raising awareness of BIPOC mental health and ending stigma

Magellan Healthcare is a proud supporter of BIPOC Mental Health Awareness Month in July. BIPOC is an acronym for Black, Indigenous and People of Color that aims to empower groups formerly identified as “minority” or “marginalized.”

In this post, we’ll discuss BIPOC mental health and barriers to care. You can learn more by watching a recording of our webinar, “Navigating mental healthcare: Unique challenges faced by the BIPOC community,” here.

Prevalence of mental health conditions among BIPOC communities

BIPOC face unique stressors that increase mental health vulnerability. Racism and discrimination are consistently found to be associated with poorer mental health.[1]

The Substance Abuse and Mental Health Services Administration (SAMHSA) reports the prevalence of mental health conditions among BIPOC:[2]

BIPOC adults (prevalence of any mental health condition)

  • 32% Two or more races
  • 19% American Indian and Alaska Native
  • 18% Hispanic or Latinx
  • 17% Black or African American
  • 17% Native Hawaiian and Other Pacific Islanders
  • 14% Asian American

BIPOC youth (prevalence of depression)

  • 21% Two or more races
  • 17% Hispanic or Latinx
  • 15% Asian American
  • 12% American Indian and Alaska Native
  • 11% Black or African American
  • (data not available) Native Hawaiian and Other Pacific Islanders

Barriers for BIPOC in accessing mental healthcare

BIPOC are less likely to receive treatment for mental health or substance use conditions.[2] In 2020, 5.7% of Asian Americans, 9.4% of Black people or African Americans, and 10.7% of Hispanic or Latinx people received mental health services, compared to 21% of White people.[2]

Research indicates, compared with people who are White, people in BIPOC communities are:[3]

  • Less likely to have access to mental health services
  • Less likely to seek out treatment
  • More likely to receive low or poor quality of care
  • More likely to end services early

Several factors contribute to BIPOC being less likely to receive treatment for mental health or substance use conditions, including a lack of insurance or underinsurance, mental illness stigma, a lack of diversity and cultural competence among mental healthcare providers, language barriers and distrust in the healthcare system.[4]

Increasing awareness of the issues people of color and those in marginalized communities face helps reduce stigma so those with mental health concerns can get the help they need to thrive in their lives.

On July 20 Magellan Healthcare hosted a webinar, “Navigating mental healthcare: Unique challenges faced by the BIPOC community,” for BIPOC Mental Health Awareness Month. Watch a recording of the webinar as we explore different roles in behavioral healthcare and overcoming stigma to help BIPOC feel more knowledgeable and comfortable about reaching out for help: https://www.magellanhealthcare.com/event/navigating-mental-healthcare/.


[1] “Racism as a Determinant of Health: A Systematic Review and Meta-Analysis”, “Self-Reported Experiences of Discrimination and Health: Scientific Advances, Ongoing Controversies, and Emerging Issues”, “Discrimination and Subsequent Mental Health, Substance Use, and Well-being in Young Adults”

[2] SAMHSA 2020 National Survey of Drug Use and Health Adult and Youth Mental Health Tables

[3] Counseling Today, “The historical roots of racial disparities in the mental health system”

[4] American Psychiatric Association, “Mental Health Disparities: Diverse Populations”