Source [[Book - Healing - Our Path from mental illness to mental health. Thomas insel]] (The author proposes a different approach to reacting to mental illness crisis) The crisis call is not to 911 (police and fire) but to 988. The 988 hub can serve as an air traffic controller, with access to GPS, a bed registry, as well as a priority connection to police, if needed. The 988 hub deploys a van with a mobile crisis team, including a psychiatric nurse, a social worker, and a peer, someone with lived experience with acute psychosis. The team works with Roger and his family, potentially all day, to defuse the immediate crisis, engaging Roger by listening to his concerns and allaying his panic. The nurse has telehealth backup for medical questions and access to Roger’s medical records. The social worker educates the family about community care options to consider. And the peer sits with Roger to listen and reassure him, based on her own experience. Together, they decide that for Roger’s safety, a stay at a psychiatric crisis stabilization unit will help so that he can find relief for his anguish and get back to a routine of regular sleep and meals. During his seven-day stay on the unit, Roger meets other teens and a few adults who are struggling with mental illness. For the first time, after months of isolation, he realizes he is not alone. He meets a coach who had struggled with psychosis as a teenager. But the coach doesn’t talk about conspiracies, aliens, or the CIA—he helps Roger create a three-month plan to reach very specific goals: personal safety at home, success at school, his first date with a girl. Roger also meets a psychiatrist, who gives him medication for his “stupid thoughts” and explains the side effects that they will manage together so the medication doesn’t interfere with his goals. And he gets a team, including a social worker and an occupational therapist, who will be in his corner for the next six months to help him navigate school, college planning, and getting a part-time job so he can avoid isolation and rumination. They talk about how much of his experience he should share at school and how to explain his absence. The team believes in shared decision-making, meaning that Roger has agency in every step. And they give him hope that mental illness is real, but it does not need to define him. Meanwhile Roger’s parents and Owen join a family-to-family support group run by the local chapter of the National Alliance on Mental Illness (NAMI), where they can learn strategies for managing mental illness and avoiding disability, even when Roger does not recognize his illness. Other parents tell them not to confront Roger’s delusions; they should try to relate to the “noncrazy Roger” by engaging him on practical goals that he wants to master. At their first meeting, they learn that what they have been calling a “break” really is like a fractured leg. It requires acute care to set the bone, then months, maybe years of rehabilitation to restore strength and mobility. ---- - This requires a new mindset change. - The product is good but has yet to be used.