From hot crisis to cool moments, you can find the right level of care for mental health or substance use, and ways to stay mentally well and resilient.

​IMMEDIATE DANGER

SIGNS: Suicidal or homicidal ideas, talk or behavior signaling harm to self or others;
weapon or other means present
ACTION: Call 911 immediately. Get to a safe place.
WHAT TO SAY: “I need help now. I am (or someone else is) in danger now.”
​FOR MORE INFORMATION:

• When calling 911, try to provide specific information about the situation, including location and specific threats.
• If you call 911 by mistake, or no longer need a response, DO NOT HANG UP until the 911 Operator has connected.

​EMERGENT CRISIS

 ​SIGNS: Suicidal or homicidal ideas, talk or behavior signaling harm to self or others; severely depressed mood; disorientation or unusual behavior
ACTION: Call 800-351-7347 or 988; text 741741
WHAT TO SAY: “I am very concerned about ...”

FOR MORE INFORMATION:

• Tri-County Crisis Hotline 24/7 local services for Miami, Darke and Shelby Counties
• 988 Suicide and Crisis Lifeline Press 1 for Veterans, 2 for Spanish language, 3 for LGBTQ+
• Crisis Text Line Text 4Hope to initiate the conversation

​UNMANAGED ILLNESS

SIGNS: Frequent or persistent depressed mood or anxiety interfering with daily living; unexplained unusual behaviors; uncontrollable substance use
ACTION: Call 800-351-7347 or 988; Resource Guide
WHAT TO SAY: “I am having trouble with … and would like to talk to someone”
​FOR MORE INFORMATION:​​

• Tri-County Crisis Hotline 24/7 local services for Miami, Darke and Shelby Counties
• 988 Suicide and Crisis Lifeline Press 1 for Veterans, 2 for Spanish language, 3 for LGBTQ+
• Tri-County Service Provider Network. Agencies that are contracted by the Tri-County Board to provide mental health and substance use treatment and support services, regardless of a person's ability to pay.
• Resource Guide to Treatment, Support and Counseling Services in Miami, Darke and Shelby Counties. Downloadable PDF and Searchable Online versions available.

MANAGED ILLNESS

SIGNS: Occasional challenges to daily living; generally stable with treatment
ACTION: Resource Guide or Service Provider Network
WHAT TO SAY: “I need to make an appointment with my therapist”; “I would like my provider to review my treatment plan”
​FOR MORE INFORMATION:

• Tri-County Service Provider Network. Agencies that are contracted by the Tri-County Board to provide mental health and substance use treatment and support services, regardless of a person's ability to pay.
• Resource Guide to Treatment, Support and Counseling Services in Miami, Darke and Shelby Counties. Downloadable PDF and Searchable Online versions available.
• Telehealth options. Counseling services provided over an internet connection. Many provider agencies have telehealth options; some providers are telehealth-only. Check with your insurance provider or Employee Assistance Program about telehealth options available to you.

EARLY ILLNESS

SIGNS: Frequent or persistent depressed mood or anxiety interfering with daily living; unexplained unusual behaviors; uncontrollable substance use
ACTION: Call 800-351-7347 or 988; Resource Guide; EAP or Insurance Approved Providers
WHAT TO SAY: “I am struggling and need to talk to someone”
​FOR MORE INFORMATION:

• Tri-County Service Provider Network. Agencies that are contracted by the Tri-County Board to provide mental health and substance use treatment and support services, regardless of a person's ability to pay.
• Resource Guide to Treatment, Support and Counseling Services in Miami, Darke and Shelby Counties. Downloadable PDF and Searchable Online versions available.
• Telehealth options. Counseling services provided over an internet connection. Many provider agencies have telehealth options; some providers are telehealth-only. Check with your insurance provider or Employee Assistance Program about telehealth options available to you.
• Self-Screening. If you are concerned about the mental health of yourself or a loved one, you can start with a free, confidential self-screening. 

TEMPORARY STRESS/GRIEF

SIGNS: Temporary depressed mood or anxiety; grief after loss; increasing substance use
ACTION: Call Warm Lines; Support Groups; Resource Guide; EAP or Insurance Approved Providers; Self-Help
WHAT TO SAY: “Where can I connect with others like me?”
​FOR MORE INFORMATION:

• ​Warm Lines are non-emergency lines where you can talk to someone, generally volunteers or persons who are not licensed treatment providers, and who are often peers.
• Miami Valley Warmline
• ​NAMI Mental Health Support Groups
• Grief Support downloadable PDF
• Self-Screening. If you are concerned about the mental health of yourself or a loved one, you can start with a free, confidential self-screening. 

GENERALLY WELL

SIGNS: Generally positive mood and low anxiety; low to moderate stress; generally enjoying life
ACTION: Self-screenings; self-help books and apps; regular check-ins with primary care physician
WHAT TO SAY: “My life is satisfying, but I want to be sure it can stay that way.”
​FOR MORE INFORMATION:

• Self-Screening. Check in on your mental health with a free, confidential self-screening. 
• Manage your mental health during stressful days such as Holidays and Severe Weather
• Practice mindfulness and other resilience strategies
• Keep your home safe from prescription drug misuse

RESILIENT

SIGNS: Positive mood, even in the face of challenges; able to recover quickly from setbacks
ACTION: Mindful activities and exercise; self-help books and apps; practice work-life balance; self-screenings
WHAT TO SAY: “I am grateful for what I have!”
FOR MORE INFORMATION: 

• Resilience is the quality of being able to resist temptations, overcome circumstances, and be mindful of one's own ability to make choices that can determine quality of life.
• Practice Gratitude each day
• Self-Screening. Check in on your mental health with a free, confidential self-screening. 

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Consumers

Consumers are the individuals who use the services of the Tri-County Board of Recovery and Mental Health Services Provider Network.

Consumers come from all walks of life, and of all ages. We are family, friend, neighbor, co-worker, classmate...

The Tri-County Board and its service providers respect the individuality of each person, strive to protect privacy, and work together to help each person be his or her best.

If you are concerned about the mental health of yourself or another, you can take a FREE, CONFIDENTIAL online screening to determine whether you should connect with a mental health professional.