Loweruka, Virginia anali gawo la kusintha kwa dziko lonse kupita ku 988, njira yosavuta ya manambala atatu yazadzidzidzi.

Nambala yatsopanoyi idalowa m’malo mwa National Suicide Prevention Lifeline, yayitali – komanso yovuta kukumbukira – nambala ya 800 yomwe idalumikizidwa ndi malo ochezera am’deralo m’dziko lonselo. Kusinthaku, komwe kudayamba koyamba ku Virginia chaka chatha, kwakulitsa kale mafoni ndi 25 peresenti ndipo akatswiri akuyembekeza mafoni, mameseji ndi mauthenga ena masauzande ambiri pomwe chidziwitso cha hotline chikukula m’boma lonse.

Nambala yapakati idapangidwa kuti ithandizire kuyitanitsa komwe kulipo, kupangitsa kuti anthu azifika poyankha pa kuyimba koyamba. Koma ku Virginia, telefoniyi imalumikizidwanso ndi zomwe boma likuchita pothana ndi mavuto. Malamulo omwe amapereka ndalama zothandizira ma telefoni owonjezera adalemba mwachindunji kutumizidwa kwamavuto am’manja ndi magulu osamalira anthu ammudzi monga gawo la ntchito ndi udindo wawo. Cholinga chachikulu ndikutumiza othandizira ophunzitsidwa kuti aziyimbira mafoni omwe sangachedwe pafoni, pasanathe ola limodzi foni italandiridwa, atero a John Lindstrom, CEO wa Richmond Behavioral Health Authority.

Koma kuthekera koyankha kuyitanidwaku kumasiyanabe kumadera onse aku Virginia omwe ali ndi magulu othandizira anthu ammudzi – maboma ndi mabungwe omwe amapereka ndalama zakomweko omwe ali ndi ntchito yopereka chithandizo chamavuto. Lindstrom adati kuchepa kwa ogwira ntchito komanso kusiyanasiyana kwandalama kwapangitsa kuti ntchito yolemba ntchito ikhale yovuta kwambiri, kulepheretsa ma CSB ambiri kukulitsa maguluwo mwachangu.

Chifukwa chake pomwe malo oimbira mafoni a Virginia 988 akugwira ntchito mokwanira, pali kusiyana kwakukulu momwe mabungwe am’deralo angayankhire mwachangu – ndi ntchito zomwe atha kupereka. Othandizira ena azamisala akuda nkhawa kuti zitha kusokoneza oyimba komanso kubzala kusakhulupirirana ndi dongosololi ngati anthu omwe ali pamavuto salandira mayankho omwe amayembekezera pa hotline, yomwe atolankhani ena afotokoza kuti “911 matenda amisala.”

“Ndili ndi nkhawa kuti ziyembekezo zidzakwezedwa,” atero a Bruce Cruser, wamkulu wa bungwe la Mental Health America, gulu lolimbikitsa anthu kuti azigwira ntchito.

“Mauthengawa akhala akusokoneza, osati ku Virginia kokha komanso m’dziko lonselo,” adatero. “Ndipo ndikuganiza kuti tiyenera kunena momveka bwino kuti ngati mukufuna kudzipha kapena muli pamavuto, mutha kuyimba pa 988 ndipo mulumikizidwa ndi katswiri wophunzitsidwa bwino. Koma sizikutanthauza kuti mutha kulumikizana ndi anthu ammudzi nthawi yomweyo. ”

Ndiye, mungayembekezere chiyani kuchokera pa foni yam’manja?

Pomwe njira yothanirana ndi mavuto aboma idakali pachitukuko, malo ake oyitanitsa 988, m’njira zambiri, ali patsogolo panjira. Virginia anali choyamba mu fuko kuti agwiritse ntchito chindapusa cha 988, kuthandizira malowa kudzera pamisonkho yapa telecom pamwezi. Ndipo kwa miyezi yambiri, dipatimenti ya boma ya Behavioral Health and Development Services yakhala ikuyika malo awiri ochezera omwe alipo – PRS ku Northern Virginia ndi Frontier Health ku Johnson City, Tennessee – kutenga pafupifupi 100 peresenti ya mafoni amisala ku Virginia.

“Pakati pa awiriwa, zomwe ziyenera kuchitika ndikuti mafoni okhala ndi nambala yaku Virginia amatumizidwa kudziko lonse kupita ku imodzi mwa malo oimbira foniwa,” atero a Bill Howard, mkulu wa bungwe la Crisis Supports & Services division. PRS idzakhala malo oyambira kuyimbira anthu pafupifupi 85 peresenti ya boma, pomwe Frontier nthawi zambiri azilumikizana ndi Southwest Virginia.

Komabe, mosiyana ndi 911, yomwe imatumiza oimba kupita kumalo otumizira omwe ali pafupi nawo kudzera pa malo, njira zapadziko lonse lapansi 988 zimatengera nambala yaderalo, anachenjeza Laura Clark, director wamkulu wa PRS ‘CrisisLink service. Izi zikutanthauza kuti anthu aku Virginia omwe ali ndi manambala a foni omwe ali kunja kwa boma sangalumikizidwe ndi malo oyimbira foni – vuto lomwe akuluakulu aboma akugwirabe ntchito kuti athetse, adatero.

US Capitol. Opanga malamulo aboma adapereka koyamba malamulo oti mayiko asinthe kupita ku nambala 988. (Jane Norman/ States Newsroom DC Bureau)

Koma kwa omwe amayimba foni m’boma omwe ali ndi ma code a dera la Virginia, cholinga chake ndikuyankha pafupifupi 100 peresenti yama foni mkati mwa masekondi 20 (PRS imathanso kuyankha zolemba ndikupereka mawonekedwe ochezera a pa intaneti). Othandizira aku Frontline nthawi zambiri sakhala asing’anga omwe ali ndi zilolezo, koma Clark adati amaphunzitsidwa kuwunika koyambirira komanso kupereka chithandizo chamalingaliro kwa oyimba.

“Palibe asing’anga okwanira padziko lapansi kuti akhale patsogolo,” adatero. Koma ngati woyimbayo akufunika kuyankha mozama, PRS ili ndi akatswiri azamisala kwa ogwira ntchito kuti aziwongolera othandizira pakuyimba ndikuwonetsetsa kuti akutsatira ndondomeko.

“Chodetsa chathu choyamba ndi chitetezo chanthawi yomweyo cha woyimba – kuwonetsetsa kuti atha kuyimbira foni chifukwa sali pachiwopsezo,” adatero Clark. “Timatha kuwathandiza m’maganizo, kuwathandiza kupanga mapulani oti adzipange okha, ndiyeno kuwalumikiza ku chithandizo chamankhwala chomwe chimawathandiza kuti agwirizane ndi zosowa zawo.”

Zomwe zilipo kuchokera ku Tucson, Arizona, zomwe zapanga njira yoyankhira zovuta, zikuwonetsa kuti malo oimbira foni amatha kuthetsa pafupifupi 80 peresenti yamavuto popanda kulowererapo, atero a Alyssa Ward, wamkulu wachipatala chachipatala ku Virginia’s Medical Assistance Services. Ndipo zikafika pamzere wokha wa 988, akuluakulu aboma ali ndi chiyembekezo kuti dongosolo la Virginia lakonzeka kuthana ndi kuchuluka kwa mafoni omwe akuyembekezeredwa.

Clark adati PRS pakadali pano ili pafupifupi 85 peresenti ya anthu ogwira ntchito ndipo ikulembanso antchito ambiri. Ndalama zaboma zakhala zokwanira kulipira ndalama zogwirira ntchito mpaka pano, ngakhale adachenjeza kuti zitha kusintha ngati ma voliyumu akuyimba adzapitilira kukwera monga momwe adachitira kale.

Howard adanenanso kuti kuyambira Januware chaka chatha, mayankho akuboma awonjezeka ndi 33 peresenti, chizindikiro cholimbikitsa kuti malo oimbira foni akusintha kuti achuluke. Ndipo boma likupitiliza kuphatikizira mautumiki azaumoyo, kuphatikiza kulumikizana ndi Mental Health America yaku Virginia. utumiki mzere wotentha kwa oimba foni omwe ali pachiwopsezo chochepa omwe ali ndi mafunso okhudza zothandizira anthu ammudzi kapena kuchira kwamisala.

Komabe, pali kusatsimikizika kwakukulu pa momwe Virginia angakonzekerere kupereka chithandizo kwa oyimba omwe zosowa zawo sizikukwaniritsidwa ndi othandizira akutsogolo. Boma likadali m’kati mwa njira yopangira deta yomwe ikufuna kuthandizira dongosolo lazovuta, kulola malo oimbira foni ndi magulu azovuta zam’manja kuti apeze kaundula wa bedi la dziko lonse ndi mndandanda wazinthu zothandizira anthu ammudzi.

Ndi dongosolo lomwelo ndi nambala yafoni yosiyana

– Laura Clark, mkulu wamkulu wa CrisisLink services for PRS

Mpaka nsanjayo itakhazikika bwino, sipadzakhala njira yabwino yowonera momwe dongosololi likulumikizira anthu aku Virginia kumagulu ena azamisala. Ndipo a Howard adati mabungwe akomweko akadali koyambira kupanga magulu omwe ali ndimavuto, omwe akhala gawo lofunikira kwambiri pazachipatala cha Tucson.

“Sitikutembenuza chosinthira pomwe mwadzidzidzi tili ndi netiweki yatsopano, malo atsopano,” adatero Clark. “Ndi dongosolo lomwelo lomwe lili ndi nambala yafoni yosiyana.”

“Iyi ndi njira yazaka zambiri, yokhazikika,” adapitilizabe. “Chifukwa chake anthu amdera lathu akuyenera kumvetsetsa, akayimba 988, sakutsimikiziridwa kuti ayankha payekha.”

Chotchinga ndi chiyani?

Pamapeto pake, akuluakulu aboma akuyembekeza kusintha kukhala chitsanzo chofanana ndi cha Tucson, chomwe nthawi zambiri chimadziwika ngati golide kudziko lonselo. Pansi pa kupitiliza kwa chisamaliro chadongosolo, malo oimbira foni amaganiziridwa kuti “kuwongolera magalimoto” pagulu lazantchito, kuchokera kumagulu ake amavuto am’manja omwe amatha kuyankha odwala maola 24 patsiku mpaka malo okhazikika kumene angayambe kulandira chithandizo bwinobwino.

Koma kukulitsa mautumikiwa mdziko lonse ndi cholinga chokwezeka, ndipo chomwe chakumana ndi zovuta kale. Chimodzi mwa zazikulu ndi a kuchepa kwa othandizira azaumoyovuto lomwe lidalipo ku Virginia lomwe akatswiri amati lakulitsidwa ndi mliri wa COVID-19.

Zakhala zodetsa nkhawa kwambiri pomwe boma likukonzekera kuchuluka kwa anthu omwe akufuna. Pansi pamavuto aku Virginia omwe akutukuka, magulu am’manja adzatumizidwa kuchokera ku “magawo” asanu, malo otumizira anthu am’deralo omwe amayendetsedwa ndi ma board ogwira ntchito m’deralo komanso okonzeka kuthana ndi mafoni 988 omwe ali pachiwopsezo chachikulu. Cholinga, malinga ndi dongosolo la bomandikupereka mwayi wa 24/7 ndi mayankho kuchokera ku gulu pasanathe ola limodzi.

Pakali pano, komabe, ogwira ntchito kulibe. Mwachitsanzo, a Lindstrom, adati akuyesetsabe kubwereketsa malo owonjezera 10 mpaka 15 ku Richmond Behavioral Health Authority. Opanga malamulo posachedwapa adapereka ndalama zowonjezera $ 1.1 miliyoni kuderali – gawo lachiwonjezeko chandalama m’boma pantchito zachipatala – koma sizikudziwikabe ngati ndizokwanira kupereka malipiro ampikisano ndikulemba anthu oyenerera.

“Ndikuganiza kuti pakadali pano tonse tili m’mavuto,” adatero Lindstrom. Ndipo ngakhale atadzaza maudindowo, sipadzakhalanso antchito okwanira kuti apereke yankho la mafoni 24/7.

Ndi chifukwa RBHA ndiye likulu la Chigawo 4, gawo lalikulu lomwe limayambira ku Richmond ndi madera ozungulira (Chesterfield, Henrico, Hanover ndi Petersburg, komanso Goochland ndi Powhatan) mpaka kudera la Farmville. Ponseponse, Lindstrom adati ikukhudza gawo limodzi mwa magawo asanu a boma. Pomwe akugwira ntchito yokulitsa maola omwe magulu ake akupezeka, ali mkati mochita mgwirizano ndi mabungwe azinsinsi omwe angathandizire kuyankha kwamavuto amderali.

Zomwezo zikuchitika m’madera onse a boma, koma palinso zovuta kumeneko. Pamene boma onjezerani mitengo yobwezera ya Medicaid pazachipatala, ilibenso dongosolo lanthawi yayitali lolipira anthu omwe amathandizira odwala popanda inshuwaransi.

Mindy Carlin, mkulu wa bungwe la Virginia Association of Community-Based Providers, adanena kuti mapangano oyambirira pakati pa makampani apadera ndi mabungwe am’deralo amayembekeza kuti opereka chithandizo chachinsinsi apereke kuchuluka kwa ntchito za pro-bono. Nkhanizi zikukambidwabe mwachangu, zomwe zikuchedwetsa kuyesetsa kubweretsa akatswiri ambiri m’munda.

“Othandizira pawokha azikhala okhudzidwa kwambiri ndi kusaina chilichonse chomwe chinganene kuti akuyenera kupereka chithandizo popanda njira iliyonse yolipirira ntchitoyo,” adatero. “Ndipo ichi ndi chinthu – ma CSB alibe njira yoperekera chithandizo chonse chomwe chikufunika. Ndikuganiza kuti aliyense amadziwa zimenezo. Chifukwa chake, omwe amapereka zinsinsi ayenera kukhala nawo gawoli. ”

Pamapeto pake, Cruser adati zonse zibwereranso pakufunika kwamankhwala ambiri amisala ku Virginia. Kuchuluka kwa bajeti komwe kulipo kwadzetsa kulowetsedwa kwa ndalama kuzipatala za boma ndi zina zovuta kulandira malopakati pa mautumiki ena, koma iwo akadali mu magawo oyambirira a chitukuko.

Ndipo pamene Virginia akupita patsogolo mwanjira zina, amabwereranso mwa ena. Kumayambiriro kwa chaka chino, mwachitsanzo, opanga malamulo a boma adapanga Tulukani kwa dongosolo la Marcus Alert lomwe boma lakhazikitsidwa posachedwapa – gawo lina lachisamaliro chazovuta chomwe chinatanthauza kuchepetsa kutengapo gawo kwa apolisi pazochitika zadzidzidzi.

Galimoto ya apolisi ku Richmond, Va. Apolisi nthawi zambiri amakhala malo oyamba okhudzana ndi odwala omwe akudwala matenda amisala, omwe boma lidafuna kuchepetsa kudzera mu dongosolo la Marcus Alert. (Ned Oliver/Virginia Mercury)

M’malo mwake, zikutanthauza kuti opitilira theka la madera 133 a boma sadzafunikanso kupanga magulu apadera othandizirana pakati pa akatswiri azamisala ndi mabungwe osunga malamulo. Padakali chofunikira kuti mzinda uliwonse ndi chigawo chilichonse chipange mapulani otumizira mafoni amisala ku 988 hotline, koma ndondomekozi siziyenera kuchitika mpaka 2023, ndipo maofesala akadakhala akuyankhabe pamavuto azaumoyo ku Virginia kuti ziwonekere. tsogolo ngati zinthu zikuchulukirachulukira opereka mafoni asanayambe kulowererapo.

Cruser akuda nkhawa kuti ndi gawo lina lakukhazikitsidwa kwa boma lomwe lingakhale losokoneza kwa oyimba, makamaka popeza akuluakulu aboma alumikiza 988 ku dongosolo la Marcus Alert komanso kuyesetsa kukulitsa ntchito zamavuto.

“Chomwe simukufuna ndi chakuti anthu amayembekezera china chake kuchokera pa foni yam’manja chomwe sapeza,” adatero. “Ndiye kuti amalephera kuzigwiritsa ntchito. Makamaka tikamanena za kuyankha limodzi kapena kuyankha kwachipatala pakagwa mwadzidzidzi m’malo moyankha apolisi. ”

PEZANI MITU YA M’MWA APITIKE KU INBOX YANU



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