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SERVING CASS | FREMONT | HARRISON | MILLS | MONONA | MONTGOMERY | PAGE | POTTAWATTAMIE | SHELBY COUNTIES

Navigating a Mental Health Crisis

When mental illness is present, the potential for crisis is never far from mind. Crisis episodes related to mental illness can feel incredibly overwhelming. There’s the initial shock, followed by a flood of questions—the most prominent of which is: “What can we do?”

People experiencing mental illness—and the people who care for them—need information. However, that information is not always readily available and the search for answers may require more energy and persistence than possible in times of crisis.

​"Navigating a Mental Health Crisis: A NAMI Resource Guide for Those Experiencing a Mental Health Emergency" (Crisis Guide) provides important, potentially life-saving information for people experiencing mental health crises and their loved ones. This guide outlines what can contribute to a crisis, warning signs that a crisis is emerging, strategies to help de-escalate a crisis, available resources and so much more.

Download Navigating a 

Mental Health Crisis Guide

A Portable Treatment Record

A Portable Treatment Record from the Crisis Guide is available for download and use to begin creating your personal crisis plan. 

Download Portable Treatment Record

You can also download the following infographics. They cover warning signs, what to do if you expect someone is thinking about suicide and how to prepare for a crisis. These printable resources are a great way to spread awareness about what to do in a crisis.

Looking for Extra Support?

If you or a loved one are feeling suicidal or in danger, please dial 911. 


If you or someone you know needs some extra support, here are a few options:

National NAMI Helpline:

Call the NAMI Helpline at 800-950-6264 M-F, 10 am – 6 pm, ET

Or in a crisis, text "NAMI" to 741741 for 24/7, 

confidential, free crisis counseling


HOPE 4 IOWA - Call 1-844-673-4469

The HOPE 4 IOWA Crisis Call Line connects individuals in crisis to a helping hand and the resources to address and improve mental wellness. Available 24/7.  


Have a question? You can also email the HOPE 4 IOWA Crisis Line at [email protected] One of our counselors will respond within 24 hours.

Call HOPE 4 IOWA

Email HOPE 4 IOWA


National Suicide Prevention Lifeline – Call 1-800-273-TALK (8255)

The National Suicide Prevention Lifeline is a national network of local crisis centers that provides free and confidential emotional support to people in suicidal crisis or emotional distress 24 hours a day, 7 days a week. 

Call National Suicide Prevention Lifeline

Crisis Text Line – Text NAMI to 741-741

Connect with a trained crisis counselor to receive free, 24/7 crisis support via text message.


National Domestic Violence Hotline – Call 800-799-SAFE (7233)

Trained expert advocates are available 24/7 to provide confidential support to anyone experiencing domestic violence or seeking resources and information. Help is available in Spanish and other languages.

Call National Domestic Violence Hotline

National Sexual Assault Hotline – Call 800-656-HOPE (4673)

Connect with a trained staff member from a sexual assault service provider in your area that offers access to a range of free services. Crisis chat support is available at Online Hotline. Free help, 24/7.

Call National Sexual Assault Hotline


Southwest Iowa Region MHDS – Call 712-328-5645

If you are in need of other services related to mental health or disability services please reach out to the Southwest Iowa Region MHDS.

Call Southwest Iowa MHDS

Visit Southwest Iowa MHDS Website