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SAMHSA’s National Helpline | SAMHSA

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  • SAMHSA’s National Helpline is a free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders.

    Also visit the online treatment locator.

SAMHSA’s National Helpline, 1-800-662-HELP (4357) (also known as the Treatment Referral Routing Service), or TTY: 1-800-487-4889 is a confidential, free, 24-hour-a-day, 365-day-a-year, information service, in English and Spanish, for individuals and family members facing mental and/or substance use disorders. This service provides referrals to local treatment facilities, support groups, and community-based organizations.

Also visit the online treatment locator, or send your zip code via text message: 435748 (HELP4U) to find help near you. Read more about the HELP4U text messaging service.

The service is open 24/7, 365 days a year.

English and Spanish are available if you select the option to speak with a national representative. Currently, the 435748 (HELP4U) text messaging service is only available in English.

In 2020, the Helpline received 833,598 calls. This is a 27 percent increase from 2019, when the Helpline received a total of 656,953 calls for the year.

The referral service is free of charge. If you have no insurance or are underinsured, we will refer you to your state office, which is responsible for state-funded treatment programs. In addition, we can often refer you to facilities that charge on a sliding fee scale or accept Medicare or Medicaid. If you have health insurance, you are encouraged to contact your insurer for a list of participating health care providers and facilities.

The service is confidential. We will not ask you for any personal information. We may ask for your zip code or other pertinent geographic information in order to track calls being routed to other offices or to accurately identify the local resources appropriate to your needs.

No, we do not provide counseling. Trained information specialists answer calls, transfer callers to state services or other appropriate intake centers in their states, and connect them with local assistance and support.

  • Suggested Resources

    What Is Substance Abuse Treatment? A Booklet for Families
    Created for family members of people with alcohol abuse or drug abuse problems. Answers questions about substance abuse, its symptoms, different types of treatment, and recovery. Addresses concerns of children of parents with substance use/abuse problems.

    It's Not Your Fault (NACoA) (PDF | 12 KB)
    Assures teens with parents who abuse alcohol or drugs that, "It's not your fault!" and that they are not alone. Encourages teens to seek emotional support from other adults, school counselors, and youth support groups such as Alateen, and provides a resource list.

    After an Attempt: A Guide for Taking Care of Your Family Member After Treatment in the Emergency Department
    Aids family members in coping with the aftermath of a relative's suicide attempt. Describes the emergency department treatment process, lists questions to ask about follow-up treatment, and describes how to reduce risk and ensure safety at home.

    Family Therapy Can Help: For People in Recovery From Mental Illness or Addiction
    Explores the role of family therapy in recovery from mental illness or substance abuse. Explains how family therapy sessions are run and who conducts them, describes a typical session, and provides information on its effectiveness in recovery.

    For additional resources, please visit the SAMHSA Store.

Last Updated: 08/30/2022

SAMHSA Behavioral Health Treatment Services Locator


Welcome to the Behavioral Health Treatment Services Locator, a confidential and anonymous source of information for persons seeking treatment facilities in the United States or U.S. Territories for substance use/addiction and/or mental health problems.

PLEASE NOTE: Your personal information and the search criteria you enter into the Locator is secure and anonymous. SAMHSA does not collect or maintain any information you provide.

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  • FindTreatment.


    Millions of Americans have a substance use disorder. Find a treatment facility near you.

  • 988 Suicide & Crisis Lifeline

    Call or text 988

    Free and confidential support for people in distress, 24/7.

  • National Helpline

    1-800-662-HELP (4357)

    Treatment referral and information, 24/7.

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    Immediate crisis counseling related to disasters, 24/7.

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  • Icon from Find practitioners and treatment programs providing buprenorphine for opioid addiction (heroin or pain relievers). Find practitioners and treatment programs providing buprenorphine for opioid addiction (heroin or pain relievers).
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The Locator is authorized by the 21st Century Cures Act (Public Law 114-255, Section 9006; 42 U.S.C. 290bb-36d). SAMHSA endeavors to keep the Locator current. All information in the Locator is updated annually from facility responses to SAMHSA’s National Substance Use and Mental Health Services Survey (N-SUMHSS). New facilities that have completed an abbreviated survey and met all the qualifications are added monthly. Updates to facility names, addresses, telephone numbers, and services are made weekly for facilities informing SAMHSA of changes. Facilities may request additions or changes to their information by sending an e-mail to [email protected], by calling the BHSIS Project Office at 1-833-888-1553 (Mon-Fri 8-6 ET), or by electronic form submission using the Locator online application form (intended for additions of new facilities).

Depressive disorders shorten human life by 3.8%

Depressive disorders shorten human life by 3.8% - Newspaper.Ru

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Depressive disorders are a major cause of disability and a factor in the risk of coronary heart disease and suicide. On average, depression shortens life by 3.8%.

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Every autumn, the pages of glossy magazines are adorned with advice on how to deal with depression. The advisers have in mind a slight despondency caused by a cold snap and prolonged rains. Real depression is a more serious illness, fraught with disability and even premature death. Experts from several medical centers in Australia, Canada and the United States analyzed more than 400 million cases of depressive disorders reported in 2010, their distribution across countries, gender and age, as well as the impact of depression on the number of suicides and the occurrence of coronary heart disease. The results of the study published in the journal PLOS Medicine indicate that depression is one of the main causes of disability, it shortens people's lives by an average of 3.8% and places a heavy burden on health care.

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Depressive disorders cause a feeling of melancholy and hopelessness that lasts for months and sometimes years.

Patients lose interest in their usual activities, they develop physical ailments such as sleep disturbance. One depressive disorder, clinical depression, is a chronic illness that can lead to suicide. It includes at least one episode, lasting at least two weeks, during which the patient constantly experiences intense anguish, sometimes committing suicide. There is a milder form of depression - dysthymia . Patients with dysthymia are constantly unhappy, these are the eternal Pierrots. Both types of depression are treated with antidepressants and psychotherapy.

Researchers analyzed available statistics and surveys and counted 298 million cases of clinical depression and 108 million cases of dysthymia in 2010. Even small children suffer from these disorders, starting from the age of five, but the main contingent of patients is adults of working age. Women get sick more often than men: they accounted for 187 million cases of depression and 62 million cases of dysthymia, while men accounted for 111 million and 44 million cases, respectively.



Scientists have calculated how many years people spend on disability caused by depression, and how many years of healthy life they have lost due to associated complications and premature death (clinical depression contributes to the development of coronary heart disease and provokes patients to commit suicide).

In the 1990s and 2000s, depressive disorders were one of the leading causes of disability.

In 2010, the disease is not losing ground. Depressive disorders were the second leading cause of disability. Clinical depression reduces life by an average of 2.5%, and dysthymia by 0.5%. When depression-induced suicide and coronary disease are taken into account, this rises to 3.8%.

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These are averages. In different countries they get sick in different ways. Researchers associate different levels of morbidity with military conflicts, sexual violence, and child abuse. The leaders in incidence are Afghanistan, North Africa and the Middle East. The most likely reason for this situation is protracted military conflicts. Often and seriously fall ill with depressive disorders in Russia and Eastern Europe, the least common in Japan, China, Australia and Mexico.

The relative severity of depressive disorders also varies.

Depression ranks 11th among the disabling diseases, this is the world average,

but in North Africa, the Middle East and the Pacific coast of Latin America (in the Andes) it is higher, where depression ranks third among the causes disability. In South West Africa, depression is only 19th, not because of a quiet life, but because it has been supplanted by infectious diseases such as AIDS and malaria.

The researchers emphasize that depression should be a focus of attention, a priority for public health.

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How to recognize depression? How to identify depression at work in an employee?

Russian scientists claim that with the help of neural networks and a text analysis algorithm, it is possible to determine depression and other disorders from posts in social networks. Project manager Ivan Smirnov told RBC about the potential of the technology

Reading time: 5–7 minutes

, associate professor of RUDN University, specialist in the field of artificial intelligence and computer science.

Here, of course, I want to joke - they say that in social networks there are not only depression, but also other disorders. But business is no longer in the mood for jokes: every year the global economy loses billions. And if everything is clear with other diseases - two or three weeks of sick leave and that's it - then what should we prepare for here? And how to build a relationship with an employee to whom this technology has paid attention?

According to WHO, more than 300 million people worldwide suffer from depression. Depression leads to apathy and frequent absenteeism, increases fatigue, interferes with concentration. All this greatly reduces productivity and costs the economy $1 trillion annually.

The UK economy loses an estimated £70bn a year due to mental health problems. In the US, depression affects 18.5% of the population and costs between $100bn and $200bn a year to treat depression. At the same time, for every $1.5 spent on the organization of the workplace, there is $2.1, which goes to compensation in connection with mental disorders.

In the USA, depression is taken seriously: it is detected in a timely manner, effective diagnosis and treatment are applied, and even a disability group is assigned. At the same time, back in 2013, the NYT wrote that over the past 15 years, the number of Americans receiving social insurance for disability from mental disorders has doubled: up to 1.5 million people.

In Russia, according to WHO data for 2017, 5. 5% suffer from depression. But you should not rejoice: these are only those that fall into the statistics. Most are simply not diagnosed, and the disease itself is less taken seriously in Russia. The system of psychiatric care is built in such a way that severe disorders are a priority, and not depression or neurosis at all.

But this could have been avoided.

If signs of depression are detected as early as possible, it can be easily cured, and thus avoid serious consequences and losses. The algorithm offered by specialists from the FRC IU RAS, headed by Ivan Smirnov, allows you to do this in a few months.

To create an algorithm, the researchers analyzed data on more than 1.3 thousand Vkontakte users: friends and communities, posts and comments, photos and reposts. In total - 95 thousand publications. We also studied essays on the topic “About myself and relationships with others”, written by healthy and depressed people - here the differences in vocabulary were even more noticeable. To train the neural networks, they used language models based on deep learning: that is, learning broad representations, not narrow tasks.

In practice, it works like this: the algorithm analyzes new posts by 300 parameters - marker words, sentence length and composition, style. For example, it calculates the Trager coefficient - the ratio of the number of verbs to the number of adjectives. The normal value is about 1. Based on the received data, the system determines the diagnosis with an accuracy of up to 70%.

Among the most characteristic signs are impoverished vocabulary, monosyllabic sentences, confusion of speech and logic. Neurotic people also repost other people's posts more often than others. The general tone of such posts is negative, with shades of aggression and destructiveness. Personal characteristics and conflicts are often described.

At the same time, the algorithm reveals personal qualities that most often lead to depression: extraversion, neuroticism, etc. It can also be used to analyze how your employees are inclined towards a healthy lifestyle based on posts in social networks.

Now the development is at the stage of final tests. Its authors are sure that such algorithms will help to identify other mental disorders: dementia, schizophrenia, autism. To make the results even more accurate, additional sources will be needed: clinical tests, medical histories, diagnostic data. Then the algorithms will be able to help doctors clarify the patient's diagnosis and assess the risks of diseases in advance.

There are more traditional ways. Here are signs that will help you understand that something is wrong with your employee:

  • His mood and behavior change dramatically.
  • He gets tired quickly and moves little.
  • He often looks anxious, worried.
  • Performance drops, deadlines are regularly missed.
  • Often misses working days, arrives sleepy and exhausted.

If you notice any of the above - and more than one or two weeks in a row - start with a simple conversation. Find out what is bothering the person, how long he has had this condition and whether he has ever sought help.

If an employee is unable to cope with the load and has to work overtime, try to distribute tasks among others. The working day should be stable and predictable, and tasks should not change every second.

If the reason is that the job has become uninteresting and no longer motivating, offer an alternative: new tasks, training, or another position.

Make sure employees have access to healthy food, daylight and medical care. Organize trainings and team events to make employees feel engaged and rely more on peer support.

If the problem is deeper, convince a specialist to contact you, even if this requires additional funds.

There is an opinion that depression is a problem of weak employees who do not know how to cope with their problems. But this is not so: an increasing number of top managers and middle managers suffer from depression and other disorders.

Learn more