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NSPL is a national network of over 180 local, independent, and state-funded crisis centers. They are equipped to respond and help people in emotional distress or experiencing thoughts of suicide.
988 does not replace the NSPL phone number but provides another, easier way for people to reach more crisis centers. You can call either 988 or 1-800-273-TALK (8255) to be connected.
July 16, 2022. The 988 dialing code is available nationwide.
Veterans and service members may reach the Veterans Crisis Line by pressing 1 after dialing or texting 988 (or 1-800-273-TALK (8255)).
988 was established to improve access to crisis services in a way that meets our country’s growing suicide and mental health-related crisis care needs. 988 provides easier access to the NSPL network and related crisis resources, which are distinct from the public safety purposes of 911. 911’s focus is on dispatching Emergency Medical Services (EMS), fire, and police as needed.
The primary goal of the NSPL is to provide support for people in suicidal crisis or mental health-related distress in the moments they most need it, and in a manner which is centered on the person in crisis.
The vast majority of those seeking help from the NSPL do not require any additional interventions at that moment. Currently, fewer than two percent of NSPL calls require emergency services, like 911. While some safety and health issues may warrant a response from law enforcement and/or EMS (namely when a suicide attempt is in progress), the 988 coordinated response is intended to promote stabilization and care in the least restrictive manner.
A small percentage of NSPL calls require activation of the 911 system when there is imminent risk to someone’s life that cannot be reduced during the call. In these cases, the crisis counselor shares information with 911 that is crucial to saving the caller’s life.
The NSPL greeting states that calls may be monitored or recorded for quality assurance purposes. Additionally, crisis centers in the NSPL network may independently use call recordings for training purposes, dependent on the best practices of the center.
It’s also important to note that people contacting 988 are not required to provide any personal data to receive services. SAMHSA recognizes the importance and the expectation of privacy when a person contacts 988. The network system has several safeguards to address concerns about privacy.
Yes, you can dial 988 for substance use crises, however, in case of an overdose emergency, call 911 and administer naloxone.
The Substance Abuse and Mental Health Services Administration (SAMHSA) views 988 as an opportunity to transform the country’s behavioral health crisis system to respond to anyone in need.
Congress has provided the Department of Health and Human Services workforce funding through the American Rescue Plan, some of which will support the 988 workforce.
The President’s Fiscal Year 2022 budget request provides additional funding for the NSPL itself and for other federal crisis funding sources.
At the state level, in addition to existing public/private sector funding streams, the National Suicide Hotline Designation Act of 2020 allows states to enact new state telecommunications fees to support 988 operations.
E2SHB1477 is further funded by a tax on Washington’s phone and Voice over Internet Protocol (VoIP) lines.
The 988 Suicide & Crisis Lifeline currently provides live crisis center calling services in English and Spanish and uses Language Line Solutions to provide translation services in over 250 additional languages. Text and chat are currently available in English only.
The Lifeline currently serves TTY users either through their preferred relay service or by dialing 711 then 1-800-273-8255. Lifeline also offers services through chat and text. Lifeline is in the process of expanding to video phone service to better serve deaf or hard of hearing individuals seeking help through the Lifeline/988.
The work of public health professionals is important because public health initiatives affect people every day in every part of the world. It addresses broad issues that can affect the health and well-being of individuals, families, communities, populations, and societies - both now, and for generations to come.
Public health’s programs help keep people alive. These programs have led to:
Important Note: No refunds will be given if a record could not be located or the documentation you provided did not prove you were eligible to receive a birth/death certificate.
Women can learn about text4baby from over 700 partners who have signed up to help promote text4baby. Partners include:
You may also learn more by visiting the text4baby website.
Text4baby is an education campaign of the National Healthy Mothers, Healthy Babies Coalition (HMHB). HMHB works with a broad range of partners to encourage the women they reach to take advantage of this free service. CDC, as an agency of the Department of Health and Human Services, is one of over 700 partners supporting text4baby.
Yes. The text messages are in English and Spanish. Participants can sign up for text4baby in English by texting BABY to 511411. They can sign up for text4baby in Spanish by texting BEBE to 511411.
Text4baby is designed for pregnant women through their pregnancy and the first year of their baby’s life.
To stop receiving texts from the text4Baby service, users simply text the word STOP to 511411 from the same phone they use to get the messages.
There are some exemptions to the Department of Health (DOH) face covering order, including people with certain disabilities or health conditions, people who are deaf or hard of hearing, and children under the age of 2. (Officials encourage use of a face covering by children ages 3 to 5 if possible. Children 5 and older must wear a face covering.)
Travelers and others visiting Washington are advised to comply with the Center for Disease Control's current COVID-19 travel advisory guidance.
For additional information and tips on precautions to take during your state visit DOH's Travelers & Commuters website.
People with COVID-19 have a wide range of symptoms reported - ranging from mild symptoms to severe illness.
Symptoms may appear 2-14 days after exposure to the virus. People with these symptoms or combination of symptoms may have COVID-19:
Children have similar symptoms to adults and generally have mild illness.
This list is not all inclusive. Please consult your medical provider for any other symptoms that are severe or concerning to you.
A problematic pattern of opioid use leading to impairment, distress or poor quality of life.
Opioids are a class of drugs that include the illegal drug heroin, synthetic opioids such as fentanyl, and pain relievers available legally by prescription, such as oxycodone (OxyContin®), hydrocodone (Vicodin®), codeine, morphine, and many others. (NIDA)
Medication-assisted treatment (MAT) is the use of medications, in combination with counseling and behavioral therapies, to provide a “whole-patient” approach to the treatment of substance use disorders. Medications used in MAT are approved by the Food and Drug Administration (FDA) and MAT programs are clinically driven and tailored to meet each patient’s needs.
Medication-assisted treatment (MAT) safely combines behavioral therapy and medication, such as buprenorphine, to provide a whole-patient approach to treat opioid use disorder. In scientific studies, MAT has been shown to reduce the feeling of withdrawals, cravings and accidental drug poisonings.
Swimmer’s itch, also called cercarial dermatitis (sir-CARE-ee-uhl der-muh-TIGHT-iss), appears as a skin rash caused by an allergic reaction to certain parasites that infect some birds and mammals. These microscopic parasites are released from infected snails into fresh and salt water (such as lakes, ponds, and oceans.) While the parasite’s preferred host is the specific bird or mammal, if the parasite comes into contact with a simmer, it burrows into the skin causing and allergic reaction and rash.
Swimmer’s itch is found throughout the world and is more frequent during summer months.
Within minutes to days after swimming in contaminated water, you may experience tingling, burning, or itching of the skin. Small reddish pimples appear within twelve hours. Pimples may develop into small blisters. Scratching the areas may result in secondary bacterial infections. Itching may last up to a week or more but will gradually go away.
Most cases of swimmer’s itch do not require medical attention. If you have a rash, you may try the following for relief:
Source: Centers for Disease Control and Prevention (CDC)
Any individual or agency may file a complaint with the Health District if they believe a public health violation has occurred or when there is dissatisfaction with conditions that may be the responsibility of the Health District.
Generally, the Health District does not disclose information on who files complaints. However, we may be required to release identifying information in response to a public records request or court order, per Revised Code of Washington (RCW) 42.56, information is not release when revealing the identity of a person who files a complaint would endanger their life, physical safety, or property. Complaints can be filed anonymously, however not providing contact information may limit our ability to properly follow-up and investigate the complaint.
Contact the Health District by phone, online, or in person at any of our office locations.
Please be prepared to provide the following information:
A well site evaluation is an inspection and written determination by the Health District that states whether a selected site is suitable for the construction of a new well, or whether an existing well is in a suitable site to serve as a sources of drinking water. During a well site evaluation, the land surrounding the proposed new well site is assessed for potential sources of contamination. For evaluations where the well already exists, the well’s visible construction is also assessed for potential problems.
Washington Administrative Code (WAC) 246-290 and WAC 246-291 require that a well site evaluation be performed by authorized personnel as part of source approval for any new or previously unapproved source serving a public water system. WAC 246-290 also requires a well site evaluation as part of the approval of a well that serves as the water source for a bottled water plant or ice plant.
Usually, people request site evaluations for loan certification purposed or for evaluation of and assistance with some problem that they are experiencing with their home’s individual water system.
Please note: a well site evaluation is only appropriate for loan certification on properties that do not already have an existing well and/or the intent is to drill a new well. For properties where the well and water system is already in place, the applicant should request an Operational Survey (PDF) instead.
No. The well site evaluation is only one of the items required for approval of a well to serve a public water system or bottled water/ice plant.
No. Legal availability of water is determined by the county in which the system is installed or by Washington State Department of Ecology.