According to the US Census Bureau, the Hispanic or Latino population, which can include people of any race, was 62.1 million in 2020, or 18.9% of the total U.S. population. This represents 23% growth since 2010 and is the nation’s second largest racial or ethnic group. Over 71% of Hispanics or Latinos speak a language other than English at home, and 28% report that they are not fluent in English. Hispanic or Latino people can face barriers to obtain healthcare, including affordable and accessible mental healthcare. Aside from language, a lack of cultural competency among providers, stigma, and fears related to legal status can all prevent them from getting the assistance they need for any mental or behavioral health concerns.
One of the primary goals of instituting the 988 Lifeline service in the US was achieving greater access to mental health care for all, and a reimagination of what crisis and mental health care can be in communities across America. We know there can be disparities in access to care, and the quality of care itself, for BIPOC individuals including the Hispanic and Latino population. To reduce both language and cultural competency barriers to Hispanic or Latino people receiving care, and to ensure the answer rates for these calls can be as high as calls for English-speaking services, SAMHSA and Vibrant Emotional Health are seeking more Spanish-speaking centers to join the 988 Lifeline network.
If your organization has proficiency in Spanish language mental health, emotional wellbeing, or suicide prevention support through crisis counseling, and are interested in becoming a 988 Lifeline center, please visit https://988lifeline.org/our-network/ and contact the 988 Lifeline through the “Become a Lifeline Crisis Center” tab.
From Wednesday, April 19 through Friday, April 21, Aaron from the iCarol team will be at the American Association of Suicidology Conference in Portland, Oregon hosting our booth in the exhibit hall and attending other events.
The conference is a convergence of professionals working across the spectrum of the suicide prevention industry, from those operating crisis centers and other direct care services, to professionals working in academic settings conducting suicide prevention research, advocates focused on prevention, education and awareness, and those with lived experience.
So we can continue to stay ahead of the topics that most impact iCarol’s customers and continue to support the work of crisis centers, Aaron will join a number of networking and information events. This includes the Lines for Life crisis center tour, and receptions and networking meetings for 988 centers.
Having supported crisis centers since the earliest days of the Lifeline network, and serving a large portion of the network that are iCarol customers, we have witnessed the Lifeline’s growth year after year, both in the number of participating centers and the volume of contacts the Lifeline receives through calls, chats, and other forms of communication, and eventually transitioning to the 988 initiative. At this year’s update we’re anticipating the latest news on the development and growth of the 988 network. We’re closely following the continuing conversations on how communities are changing their practices around responding to mental health emergencies and similar crises, with a continuing shift towards crisis intervention teams and other professionals leading the response as opposed to law enforcement.
iCarol enthusiastically supports the efforts to reimagine crisis response in communities across the United States. It’s crucial that people everywhere have access to human-focused, culturally competent crisis care that meets their needs whether that be through an empathetic listener on a crisis line, an in-person visit from a mobile crisis response team, or a stay at a crisis stabilization center. It’s our mission to provide tools to crisis centers that help them respond to their community’s needs. We hope you’ll explore our website to learn more about how we are serving this industry.
The discussions at AAS directly inform iCarol’s strategy and product development in the coming months and years, which ensures we will continue to meet the needs of suicide prevention and crisis centers everywhere, providing the tools they need to do their life-saving work. That’s why we want to ensure we take advantage of being together in-person in Portland to have conversations about challenges, needs, and solutions. If you plan to be at the AAS Conference, please stop by our booth to download our guides and materials, including our ebook on choosing software for crisis intervention and suicide prevention services. Aaron will be available for meetings at your convenience to answer your questions, or have conversations about your challenges or projects and explore how iCarol can be of assistance.
Even with increased awareness and understanding about mental health and mental illness, mental health care, particularly psychiatric care, can still be difficult to access. This often leaves Primary Care Physicians (PCPs), nurses, and other healthcare workers on the frontlines of mental health care in the United States.
However, in Utah PCPs can access specialized psychiatric consultations through the Consultation Access Link Line to Utah Psychiatry (CALL-UP) Program. This legislative funded program is designed to address the limited number of psychiatric services in Utah and improve access to them, and serves patients at no cost to providers or patients in the state of Utah.
iCarol is proud to play a role in the service delivery of CALL-UP, through CALL-UP’s use of iCarol for psychiatrist on-call shift sign up, CALL-UP program documentation to maintain state funding, and through iCarol’s Public Web Forms.
Here’s how iCarol fits into the service delivery workflow of the CALL-UP program in Utah:
The on-call service for psychiatry consultation is available Monday through Friday from 12:00pm to 4:30 pm. Participating psychiatrists are invited by the CALL-UP program administrators to sign into the iCarol system to sign up for shifts where they will be on-call for consultations.
Primary Care Physicians (PCPs) are instructed to contact the CALL-UP program to request a consultation. If the PCP calls in, CALL-UP staff collect basic demographic, needs, and other important data from the PCP in order to comply with state funding requirements, which is input by the phone specialist into iCarol, using an iCarol Contact Form. Then, they can forward the call to the on-call psychiatrist for the consultation to occur.
PCPs can also request a consultation online, using an iCarol Public Web Form. The form has a built-in screening element that first ensures the requestor is a physician, as this is a requirement for program access. If they are not a physician, a prompt instructs them to please contact their doctor.
If the requestor is a PCP then they continue to use the form to provide the information needed to obtain a consultation, including the demographic and other information required to maintain state funding.
Once the Public Web Form is received by CALL-UP staff, they have the information they need to contact the PCP requesting consultation, and connect them with the on-call psychiatrist. Because the iCarol Web Form is simply a publicly available iCarol Contact Form, they already have the data they need, automatically submitted to iCarol with the form, to meet their reporting requirements.
For more information about Utah’s CALL-UP Program, visit their website.
Want to learn more about Public Web Forms and talk through how they might be used for your program or partnership?
CW: This blog post discusses stalking, sexual assault, and intimate partner violence.
January is National Stalking Awareness Month (NSAM), and though millions of men and women are stalked every year
in the United States, the crime of stalking is often misunderstood, minimized and/or ignored.
What is “stalking?”
Stalking is a pattern of behavior directed at a specific person that causes fear. Many stalking victims experience being followed, approached and/or threatened — including through technology. Stalking is a terrifying and psychologically harmful crime in its own right as well as a predictor of serious violence.
Facts about stalking*
In 85% of cases where an intimate partner attempted to murder their partner, there was stalking in the year prior to the attack.
Of the millions of men and women stalked every year in the United States, over half report being stalked before the age of 25 and over 15% report it first happened before the age of 18.
Stalking often predicts and/or co-occurs with sexual and intimate partner violence. Stalkers may threaten sexual assault, convince someone else to commit assault and/or actually assault their victims.
Nearly 1 in 3 women who were stalked by an intimate partner were also sexually assaulted by that partner.
Stalking tactics might include: approaching a person or showing up in places when the person didn’t want them to be there; making unwanted telephone calls; leaving unwanted messages (text or voice); watching or following someone from a distance, or spying on someone with a listening device, camera, or GPS.
What is the impact on stalking victims?*
46% of stalking victims fear not knowing what will happen next.
29% of stalking victims fear the stalking will never stop.
1 in 8 employed stalking victims lose time from work as a result
of their victimization and more than half lose 5 days of work or more.
1 in 7 stalking victims move as a result of their victimization.
Stalking victims suffer much higher rates of depression, anxiety, insomnia, and social dysfunction than people in the general population.
How you can help
Helpline staff and volunteers can do a number of things to help people who reach you and talk about being stalked:
Provide validation and empathy.
Don’t minimize behaviors that are causing the person concern (e.g. “I wouldn’t worry.” “That doesn’t sound harmful.” “They’re only text messages.”)
If your organization does not provide direct services to assist with the issue, provide helpful resources such as a local domestic/intimate partner violence helpline, sexual assault helpline, legal resources, law enforcement, etc.
We all have a role to play in identifying stalking and supporting victims and survivors. We encourage you to learn more from the Stalking Prevention, Awareness, and Resource Center at www.stalkingawareness.org.
*Source: Stalking Prevention, Awareness, and Resource Center (SPARC)
CW: This blog post discusses human trafficking, abuse, violence, and exploitation.
The United States recognizes January as National Slavery and Human Trafficking Prevention Month. While this is designation originated in the US in 2010 by presidential proclamation, many other countries, including Canada, take part in education and awareness around human trafficking and slavery during January as well.
What is Human Trafficking?
Human trafficking occurs when someone, using force, fraud, or coercion, obtains some form of labor or commercial sex act from the victim, often for the direct profit of the perpetrators. Traffickers use violence, manipulation, or false promises of well-paying jobs or romantic relationships to lure their victims into trafficking situations. Human Trafficking is often described a modern-day slavery. Traffickers may recruit, transport, harbor and/or exercise control, direction or influence over the movements of a person in order to exploit that person, typically through sexual exploitation or forced labor.
Who are the victims?
Anyone, of any age, race, religion, sex, or background can become a victim of human trafficking, however certain groups of people are more commonly victimized and enslaved, or vulnerable to trafficking, than others. Women and children are more likely to be victimized than men. Human trafficking particularly affects women and children who are BIPOC (Black, Indigenous and people of color), immigrants or migrants.
How big is the problem?
Human Trafficking and Slavery are more prevalent than most people probably think. According to the US State Department, by some estimates, as many as 24.9 million people — adults and children — are trapped in a form of human trafficking around the world, including in the United States. Instability caused by natural disasters, conflict, or a pandemic can increase opportunities for traffickers to exploit others. During the COVID-19 pandemic, traffickers are continuing to harm people, finding ways to innovate and even capitalize on the chaos.
Does the person appear disconnected from family, friends, community organizations, or houses of worship?
Has a child stopped attending school?
Is a juvenile engaged in commercial sex acts?
Is the person disoriented or confused, or showing signs of mental or physical abuse?
Does the person show signs of having been denied food, water, sleep, or medical care?
Is the person often in the company of someone to whom he or she defers? Or someone who seems to be in control of the situation, e.g., where they go or who they talk to?
Does the person have freedom of movement? Can the person freely leave where they live? Are there unreasonable security measures?
Anyone can join in the fight against human trafficking. If you suspect someone is being victimized, you should not confront them while they are in the presence of the suspected perpetrator, nor should you confront a suspected perpetrator. This could be dangerous for you and the victim. Instead, experts advise you reach out to emergency services or law enforcement to report suspected trafficking.
There are many things you can do to help fight human trafficking beyond reporting suspected trafficking when you see it. You can get involved in your community’s efforts to end trafficking, donate to organizations that fight human trafficking, and much more. Click here for a comprehensive list of ideas for how you can help.
One of the things I like most about Halloween is that it offers such a wide range of ways to participate and have fun. Horror movies not your thing? You can stick to fun activities like carving a jack-o-lantern and handing out candy to trick or treaters (in normal, non-pandemic years at least). And then there are the endless costume possibilities. You can be anything from a superhero to your favorite movie character to some very obscure cultural reference or the more traditional choice of ghost or vampire.
So with that range of costume possibilities and ways to have fun in mind, it’s always deeply upsetting to see Halloween become an event where mental illness is misrepresented and stigmatized. Some haunted house attractions are centered around “asylum” themes, or have a “haunted psych ward” component. Actors wearing straight jackets or wielding weapons chase visitors and shout lines about hearing voices. The message is very clear: Mental illness, and people who experience mental illness, are scary, violent, and to be feared.
In recent years, several costumes have been pulled from the shelves following pressure from mental health advocates. Unfortunately every year there are still a few new inappropriate and offensive costumes that pop up and make their way to stores and online retailers, and regrettably they are eventually seen out in public at bars and parties. And each time one is sold and then worn, it perpetuates the stigma and misconceptions around mental illness.
These interjections of mental illness into Halloween are neither fun nor harmless, but keep in place harmful stereotypes. These attractions and costumes continue pushing the idea that a person living with mental illness is violent and should be avoided. Discrimination is still a problem for people living with mental illness, and every day those who experience symptoms choose not to seek help for fear of mistreatment by the public, or that their relationships with family and friends will suffer. These depictions also hurt those who have experienced mental illness, especially those who have been hospitalized. Their deepest fears about what society thinks of them are realized when they see illness become a subject of fear-based entertainment.
It would never be acceptable to have haunted houses set in a hospice or cancer wing of a hospital, nor would we find cancer patient costumes to be appropriate. It’s important that we all speak up when we see mental illness being stigmatized, and stand up for those who have experience with illness and are negatively impacted by the perpetuation of stigma.
Guest blogger Sidhra Musani is Program Manager at Dr. Shabaz Charity Group
Guest blog views and opinions expressed are those of the author and do not necessarily reflect the official position of CharityLogic/iCarol, or iCarol’s parent company, Harris Computer Systems.
Help Us Launch Our Mental Health Helpline to Support the Greater Minnesota
Community by December 2022!
Sukoon: Healing of the Minds is an initiative that aims to provide support and resources for
minds in distress in a culturally informed manner, particularly for underserved and
marginalized communities. It’s designed to help individuals from all walks of life cope when
they are struggling with their mental health and wellness, regardless of their background,
situation or needs. So everyone can get the help they need, with confidentiality and empathy,
without fear of judgment or stigma.
Our Helpline Will Serve 7 Days a Week!
The helpline will be open and available to the local community 7 days a week. Individuals
can call/text the line anytime between 8 PM and 8 AM for anonymous and free support. Our
culturally informed and trained respondents will respond by seeking to listen, understand,
support, encourage, and assist as needed. Referrals to practitioners, support groups, local
agencies, and other relevant resources will also be provided to connect the caller/texter with
potential next steps.
What sets us apart? Empathy with Cultural Understanding.
Did you know that BIPOC communities in particular are much more likely to develop mental
health conditions? Among the major barriers for treatment are lack of access to culturally
informed mental health treatment and the gaping demand for understanding the unique
mental health needs of those communities. Cultural challenges get in the way, and anxiety as
well as stigma prevent people from reaching out. Our diverse team of respondents
understands those cultural challenges and struggles. As the organization works to develop
specialized care services, our aim is for individuals to begin their journey to healing through
this helpline with informed respondents who can understand and validate their experiences
(through mutual lived experiences). All respondents are trained to help with the following
and more:
Depression
Anxiety
Grief & Loss
Mental Health Challenges
Homelessness
Cultural and Religious issues
Financial Stress
Intimate Partner Violence
Suicide
Child Abuse or Neglect
Substance Use & Abuse
Sexual Assault
Identity Crisis
About the Organization
Dr. Shabaz Charity Group (DSCG) is a nonprofit organization that aims to create specialized
programming, increase awareness, and provide resources to strengthen the mental, physical
and emotional health and wellness of our greater Minnesota community. Our focus is to
bridge the gap in providing culturally informed resources and mental health services to
minority communities. Please help us provide these resources by donating to our campaign!
The Dr. Shabaz Charity Group is non-profit charity organization with 501(c)(3) status. All
donations are tax deductible.
Want to support this work with a one-time donation? Donate HERE
Interested in becoming a monthly donor? Check out our $100 or $10 monthly campaigns.
Want to learn more about the work we’re doing, check out our website HERE.
Have any questions, comments, suggestions, or concerns, please do contact us at
depdirector.dscg@gmail.com or give us a call at 612-282-5150.
Of course that means creating a safe space where everyone is encouraged to live as their authentic selves and express who they are and how they wish to be addressed. That feeling extends to all of our customer organizations and end users of the iCarol software.
In the iCarol Help Center Community, and in responses to our latest customer survey, we received several requests for the ability for volunteers and staff users to note their pronouns within the iCarol system.
We’re excited to announce that sharing one’s pronouns in their volunteer/staff profile is a new enhancement that will be included in our latest release to iCarol. This release is expected to go into affect today, Tuesday, June 14.
Enabling and using pronouns in iCarol is easy. If a volunteer or staff member would like to share their pronouns, they should first edit their profile, then choose their pronouns from the dropdown menu, and click the ‘Save’ button.
Once enabled, a user’s pronouns will appear alongside their name throughout the different areas of iCarol where knowing a person’s pronouns will help you communicate and address them as they wish to be addressed, such as the main Contacts page.
And when viewing shifts.
Learning and then using a person’s correct pronouns creates a healthy and safe workplace environment, conveys respect, and affirms one’s identity. We hope this enhancement will help you and your team support one another and foster inclusion within your organization! If you have any questions, please open a ticket with our Support Team using the iCarol Help Center!
The United States Department of Health and Human Services (HHS), through its Substance Abuse and Mental Health Services Administration (SAMHSA), announced a $282 million investment to help transition the National Suicide Prevention Lifeline from its current 10-digit number to a three-digit dialing code – 988.
Once implemented, the 988 code is intended to be a first step toward transforming crisis care in the United States by creating a universal entry point to needed crisis services in line with access to other emergency medical services.
With funds from the Biden-Harris Administration’s Fiscal Year (FY) 2022 budget and additional funds from the American Rescue Plan, SAMHSA’s $282 million investment will support 988 efforts across the country to shore up, scale up and staff up, including:
$177 million to strengthen and expand the existing Lifeline network operations and telephone infrastructure, including centralized chat/text response, backup center capacity, and special services (e.g., a sub-network for Spanish language-speakers).
$105 million to build up staffing across states’ local crisis call centers.
The team at iCarol is excited to see the commitment and investment on behalf of the US government towards the 988 initiative. We believe that 988 will improve accessibility and equity for Americans seeking emotional support and assistance. By designating a three-digit number for suicide prevention and mental health crises, our leaders send a clear message that these concerns deserve the same immediate attention and access to assistance as a physical health emergency, while also reducing harmful stigmas that create barriers to treatment. As the leading software provider among the existing National Suicide Prevention Lifeline network of centers, we stand ready to support our customers making the transition to answering 988, and welcome new centers coming on board for the 988 initiative.
This blog was originally published in December 2020. As this pandemic rages on, the message remains relevant, and so we’re sharing it with you again to mark the 2021 holiday season.
Content warning: This post discusses sensitive topics such as suicide and abuse.
In a year as strange and relentless as 2020, I needed a sense of normalcy more than ever this holiday season, and that came in the form of my annual viewing of “It’s a Wonderful Life.” In years’ past, the film’s theme of suicide prevention struck me most. But like a lot of things, the experience of 2020 placed a new filter over the movie for me, and I started noticing elements that, while always there, hadn’t been as noticeable to me before.
The crises of 2020 were relentless. And when the bad news just keeps coming and it feels there’s no end in sight, no clear solution or relief, it can be easy to fall into total despair. George Bailey experiences this very thing in “It’s a Wonderful Life.” George passed on his own dreams so the dreams of others could be realized and those he loved could be happy, and for awhile he appears okay with that. Then a series of crises compound, and old trauma and resentments quickly rise to the surface. George, completely devoid of hope and solutions, is now staring into the icy churning waters of a river flowing beneath him. For all his good deeds and sacrifices, look at how bad things are. What was it all for? He contemplates how the world might be better off if he wasn’t here, or if he never existed at all.
George’s scenario got me thinking about the exhaustive work so many people have been doing all throughout the COVID-19 pandemic, only to have things stay the same, or get worse, day in and day out, with no relief in sight. When there’s no clear impact or positive change to motivate you, to reassure you that your sacrifices and work matters, how do you keep going? How do you resist despair and hopelessness?
I think the answer is similar to what we see in “It’s a Wonderful Life.” George can’t see his positive impact until he’s shown a world without him in it. Perhaps we need to briefly imagine what the world would look like without those forces of good working hard to help others.
What would our world look like now if helplines, contact centers, and other community services didn’t exist?
Contact centers and Information and Referral services like 2-1-1 commonly act as their community’s primary source of information about COVID-19, providing information on everything from common symptoms to look for and where to go to get tested. In many cases 2-1-1 became the official state/provincial source of COVID-19 information. Without that centralized information delivery service, health departments, emergency rooms, and medical offices are overwhelmed with people seeking information. Phone lines jam and human resources are syphoned from direct care treating those who are ill. Fewer people know where to get tested. More people get sick, and more lives are lost as a result.
The economic fallout from the pandemic will be with us for some time. Some say the financial recovery may take longer than public health recovery. Thankfully, people looking for financial assistance for their very survival—help with utilities or food—had places to reach. Places where a compassionate and knowledgeable specialist could, in a single interaction, provide ideas and resources that may help with several needs. Without those contact centers, those in need are left feeling lost and overwhelmed. Already worn down by their situation, they must now spend time and effort navigating the network of community services on their own. They don’t know how the systems work. They are frustrated and even more overwhelmed. It takes longer to access assistance. They miss several meals. They only find out about a fraction of the services for which they were eligible.
Quarantines and stay-at-home orders kept people at home more, and for many the people they live with are a source of comfort. For others, it’s a source of conflict or even danger. Suddenly, vulnerable individuals suffering abuse at the hands of a parent or partner, or LGBTQIA youth living with unsupportive family members, were cut off from their daily escapes and support systems. Without services specializing in providing safety and emotional support, they become more isolated. Tensions in the household rise. Abused partners and Queer youth have no professional confidential counseling to access quietly and privately through chats or text messages. There’s no emergency shelter to escape to.
Viruses and physical health have taken center stage this year, but the mental health toll is undeniable. We’ve been going through a collective, worldwide trauma. Everything familiar was disrupted and the entire concept of “normal” disappeared overnight. Many people are experiencing emotions they aren’t sure what to do with, and they aren’t ready to talk to their friends or loved ones. Others lack those connections and are processing things all on their own. Imagine a world without an outlet to help one cope with those feelings. No warmlines or impartial empathetic listeners, no crisis or suicide prevention services. The emotional suffering deepens and spreads, and we lose even more people to a different type of pandemic—suicide—that was present long before COVID-19.
So yes, 2020 was the worst, filled with more crises happening all at once than many of us could have imagined. And in a seemingly never-ending string of challenges, it may feel at times like your contributions, all your exhaustive efforts, aren’t making a dent. If reassurance and evidence of your impact seems elusive, think back to George Bailey’s tour of seedy Pottersville, the bad place version of Bedford Falls. Close your eyes and take a stroll through that scary, imaginary world without organizations like yours, and see that things could actually be much worse. It’s because of the good work of those who care, like you, that it isn’t.
