Crisis services are an integral component of addressing mental illness in communities across the state. The mental health crisis lines listed below are available for all people in Washington regardless of your income or whether you have insurance or not.
For immediate help: call 911 for a life-threatening emergency or 988 for a mental health emergency.
You may call your local county crisis line to request assistance for you or a friend or family member (24/7/365) regardless of whether you have insurance. Crisis Line Phone Numbers by County
What happens if you call a crisis line?
Call, text, or chat 988 to be connected to the National Suicide Prevention Lifeline (NSPL). It will be confidential, free, and available 24/7/365.
Services are available in Spanish, along with interpretation services in over 250 languages. For people who are deaf, hard of hearing, and TTY users: Use your preferred relay service or dial 711 then 1-800-273-8255.
You can dial 988 if you are having:
- Thoughts of suicide
- Mental health crises
- Substance use concerns
- Any other kind of emotional distress
- You can also dial 988 if you are worried about a loved one who may need crisis support.
988 does not replace any crisis call centers in Washington state. It is an addition to the state’s network of crisis center providers. The ten-digit NSPL number, 1-800-273-TALK (8255), is still active along with 988.
For questions about the 988 programs, please email 988ProgramInfo@doh.wa.gov. Do not use this inbox if you or someone you know needs crisis support. Instead, call, text, or chat 988.
National Poison Help Hotline: 1-800-222-1222
Poisonings and overdose attempts are on the rise- the best prevention in case of exposure is to have the hotline number handy.
Safe Medication Return’s new website and toll-free number
- Secure storage and safe disposal of medication helps reduce overdoses, poisonings, and suicide attempts. Safe Medication Return lets people appropriately dispose of unwanted household over the counter and prescription medications (including medications for household pets).
- Call (844) 482-5322 or visit the site for more information or to order mail-back supplies.
Out-of-home firearm storage interactive map
The goal of Harborview’s Injury Prevention & Research Center and University of Washington’s Firearm Injury & Policy Research Program is to reduce firearm injury and death and prevent suicide and domestic violence. This interactive map found here shows local businesses and law enforcement agencies willing to consider requests for temporary, voluntary firearm storage.
You’re not alone. There is someone that’s willing to listen to you without judgment. Teen Link is a program of Crisis Connections that serves youth in Washington State.
Our teen volunteers are trained to listen to your concerns and talk with you about whatever’s on your mind – bullying, drug and alcohol concerns, relationships, stress, depression, or any other issues you’re facing. No issue is too big or too small! Calls and chats are confidential. Talk it out!
1.866.TeenLink ( 866.833.6546)
Teen Link Flyer
Trans Life Line (all ages)
- Peer support, advocacy and micro grant information ‘run by and for trans people.’
- Call: 1-877-565-8860, Available: 7am-1am, everyday.
The Trevor Project (Ages 13-25)
- Call, text, or chat with us anytime you need support. If you are thinking about suicide, or feeling lonely, we’re here to listen.
- Trevor Lifeline Hotline: 1-866-488-7386. 24 hours, 7 days/week
- Trevor Text Line: Text “START” to 678678
Washington has developed a system for delivering intensive home and community-based mental health services to Medicaid-eligible children and youth.
Learn about these efforts, including Wraparound with Intensive Services (WISe), what you need to know as a provider, and the governance structure that guides the work. Click Here
Health Care Authority: What Treatment Services are Available?
Psychotic disorders rarely emerge suddenly. Most often, the symptoms evolve and become gradually worse over a period of months or even years. Early intervention with evidence-based treatment decreases the duration of untreated psychosis (DUP), improving outcomes over a lifetime, resulting in reduced health care costs, and improved quality of life for individuals and their families.
Family Initiated Treatment (FIT)
As a provider, be aware that parents may consent to family-initiated treatment (FIT) on behalf of youth who meet medical necessity. Consent from the youth is not required. The FIT process creates an additional access point but does not guarantee care on demand for youth admitted through FIT. You will have individual processes and requirements for evaluation and admission to services.
Wraparound with Intensive Services (WISe)
Wraparound with Intensive Services, or WISe, is an approach to helping children, youth, and their families with intensive mental health care. Services are available in home and community settings and offer a system of care based on the individualized
need of the child or youth. WISe is a voluntary service that takes a team approach to support you and your family in meeting your goals.
Children’s long-term inpatient program (CLIP)
The Children’s Long-term Inpatient Program (CLIP) is the only publicly funded, long-term inpatient program for youth in Washington State where youth ages 5-17 years old may be voluntarily committed and those from 13-17 years old may be involuntarily committed. Four CLIP inpatient psychiatric facilities have a total of 94 funded beds.
The Center of Parent Excellence (COPE) project
The COPE project was developed as a support to enhance our System of Care framework. The project is intended to provide a pathway for Washington State parents who are accessing and navigating the children’s behavioral health system to have peer support to ease their journey, whenever possible.
Support is provided by A Common Voice, a statewide, family-run nonprofit organization that provides advocacy and support for families whose children have intensive behavioral health needs.
Find help through the COPE project
The COPE project is staffed by lead parent support specialists, hired for their lived experience as a parent/caregiver. If you are a Washington State parent/caregiver of a child/youth who may benefit from assistance accessing and navigating behavioral health services, please contact your regional lead parent support specialist.
Dads M.O.V.E is expanding! With a recent SAMSHA grant, the program is now hiring and serving Eastern Washington and Grays Harbor areas.
Dads M.O.V.E. seeks to provide every parent/caregiver (especially dads) with the tools, support, and training needed to be fully engaged in the recovery of their children.
Being The Village
A supportive environment that offers genuine community and social support for Black mothers.
A Mindful State
REAL stories in REAL TIME from personal perspectives of navigating struggles.
Intellectual and Developmental Disabilities
Parent to Parent
Parent to Parent matches parents of children with special needs to parents with similar experiences.
This peer-supporting-peer program offers parental emotional support, connection to community services, social and recreational events, and more.
Parent to Parent – Washington State (arcwa.org)
University of Washington in partnership with Seattle Children’s hospital provides training, resources, education, and case staffing for professionals serving children with intellectual and/or developmental disabilities.
Introduction to Diagnosis Overviews
What to look for common medications, and alternative treatments.
Types of Disorders and Treatments article from Drug Watch
Depression Symptoms, Types, Causes, and Symptoms article from Drug Watch
Find A Provider
Washington State Mental Health Referral Service for Children and Teens
How to Use the Mental Health Referral Service
Call 833-303-5437 Monday to Friday, 8 a.m. to 5 p.m. Or, complete an online request.
What can families expect?
- First, you have a telephone call (15–20 minutes) with a Referral Specialist to chat about what type of mental health services your child/teen needs.
- Next, the Referral Specialist will research mental health providers in your area to find at least 2 providers that meet your family’s needs.
- After matches are found, a referral specialist will call and email the information to you to coach how to access a provider in real-time.
- A few weeks after providing the referrals, the referral specialist will check if the matches were a good fit and an appointment was scheduled. At this time, we will address any barriers you experienced and match you to another provider as needed.
- Our service works closely with Primary Care Providers throughout WA State and faxes the referral matches to your PCP for care coordination. For families with Apple Health insurance, referral matches are sent to Apple Health case managers to provide additional care support.
Washington Partnership Access Line
How to use the PAL line: Call 866-599-7257 Monday through Friday, 8 a.m. to 5 p.m.
PAL partners with the Washington Mental Health Referral Service for Children and Teens listed above to support “primary care providers (doctors, nurse practitioners and physician assistants) with questions about mental health care such as diagnostic clarification, medication adjustment, or treatment planning. Child and adolescent psychiatrists are available to consult during business hours.
PAL for Schools
- Like the PAL line above, school staff and students are connected to psychologists and psychiatrists at Seattle Children’s and the University of Washington.
- How to connect to PAL for Schools: email PAL4Schools@seattlechildrens.org”
PAL for Moms
- Like the PAL lines above, PAL for Moms is a perinatal psychiatry consult line that provides perinatal mental health consultation, recommendations and referrals for Washington state providers caring for pregnant or postpartum patients.
How to connect to PAL for Moms: Call 877-725-4666 (PAL4MOM), available weekdays 9am – 5pm.
Ways to provide emotional support to children grieving losing a loved one – Mesothelioma Hope shares online resources here for everyone- physical ailment or otherwise!
After Pregnancy Coverage
No cost follow up care including behavioral health services for up to 12 months after your pregnancy ends with Medicaid coverage.
Is a site to search verified mental health professionals based on insurance, areas, treatment specialty, and other preferences
Black, Caribbean & African Diasporas Therapists Referrals in Washington State
Heartfelt Mental Health:
By and for the LGBTQIA+, polyamorous, & sex positive community.
Heartfelt Mental Health provides tele-med medication management and therapy services.
Black Therapists Referrals in Washington State — Liberation Healing Seattle
Native and Strong- 9-8-8 line
One of our state’s three 988 crisis centers, this line is available for people who call the 988 Suicide & Crisis Lifeline and is specifically for Washington’s American Indian and Alaska Native communities. Calls are answered by Native crisis counselors who are tribal members and descendants closely tied to their communities. The Native and Strong Lifeline counselors are fully trained in crisis intervention and support, with special emphasis on cultural and traditional practices related to healing.
Nation’s first Native and Strong Lifeline Launches as Part of 988 | Washington State Department of Health
D/deaf and Hard of Hearing
My Deaf Therapy
utilizes ASL, KODA/CODA, and other languages/ dialects to provide mental health services for individuals and families across hearing, BIPOC, LGBTQ+, neurodiverse and other spectrums.
National Deaf Therapy
Mental Health American Sign Language Therapy uses ASL “from initial contact to intensive ASL therapy sessions” to center mental health.
Wilson Clinical Services
Specializing in Deaf, Hard of Hearing, Deaf Blind, and Blind mental health services.
Behavioral Health Services eligibility is often determined by your insurance coverage.
Many insurance companies have the benefit of behavioral health case management. Behavioral health case management can assist with locating services for your child or youth.
If you have a commercial plan such as Regence, Blue Cross Blue Shield, First Choice or Kaiser here is a link to behavioral health locator and case management services for many commercial plans.
Washington has transitioned to integrated managed care which allows services to be coordinated through a single health plan including mental health and substance use disorder treatment. If you or your youth are Medicaid eligible you should contact your Managed Care Organization (MCO) for care coordination and case management needs. Here is contact information for the MCO’s:
Amerigroup Member Services:
Coordinated Care Member Services:
Molina Member Services:
United Healthcare Member Services:
If you do not know your Medicaid plan or need help finding a provider that accepts Medicaid insurance call the Washington Health Care Authority (HCA) at 1-800-562-3022 or Healthplanfinder Customer Support Center at 1-855-923-4633.
Web link for information on care plans and coverage: https://www.hca.wa.gov/health-care-services-supports/apple-health-medicaid-coverage
Where to turn for Insured employer health plans,
Office of Behavioral Health provides information and referrals to all community members and assist with complaints, grievances, appeals, Mental Health Advanced Directives, and the Fair Hearings process. Learn more here
Self-funded employer health plans, Self-funded government plans, and religious organization health plans.
Office of Behavioral Health Advocacy
Questions/ need help with grievance processes, appeals, administrative hearing processes? OBHA (formerly known as the Behavioral Health Ombuds) has ‘peers with lived experience whose services are free and confidential. Serves as a neutral and confidential intermediary and provides an informal process to support residents in resolving complaints related to behavioral health programs, services, and its certified providers. This interactive map will connect you to your area’s regional contact.”