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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.
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 LocatorHome
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.
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Millions of Americans have a substance use disorder. Find a treatment facility near you.
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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).
How to apply for disability in 2022
There are 11 million 631 thousand people with disabilities in Russia. Every twelfth inhabitant of the country is an adult or a child with a disability. This status often means not only physical, but also social restrictions: from difficulties with training and employment to visiting shops and theaters. To support such people around the world, the UN 15 years ago opened the Convention on the Rights of Persons with Disabilities for signing. And ten years ago this document was ratified in Russia. What has changed during this time - understood our publication.
In 2021, according to Rosstat, 11 million 631 thousand citizens with disabilities lived in Russia. Of these, 6 million 499 thousand women and 5 million 134 thousand men had this status. There are 704 thousand children with disabilities in Russia, according to the latest official data.
The list of diseases for disability in Russia has not changed for several years. Among the main causes are general diseases and occupational injuries. Among them: diabetes, heart attack, asthma, epilepsy, oncology and even depression and psoriasis, as well as amputation and others.
At the same time, the list of causes of childhood disability is different: mental illness and mental retardation are in the first place with 30 percent of all diagnoses, then (24 percent) are congenital anomalies, then (10) are dysfunction of the endocrine system, and, finally, neurology and disorders motor function (8 and 5 percent, respectively).
Where disabled people live best
According to Rosstat, most disabled people live in the Central Federal District. Here, the largest population, respectively, and the number of disabled people is greater. A smaller number of disabled people was noted in the Volga Federal District. Next comes the Northwestern Federal District, where St. Petersburg dominates. The smallest number in the Far East. And in the Chukotka Autonomous Okrug there are less than two thousand such people.
Regions differ not only in the number of people with disabilities, but also in the conditions that they can provide. The latest rating of regions with the most accessible social infrastructure for such people was compiled by the Ministry of Labor even before the pandemic, in 2018.
At the same time, in Russia as a whole, 64.1 percent of social facilities, according to the Ministry of Labor, then turned out to be accessible to people with disabilities.
What the convention prescribes
In 2006, the United Nations drew attention to the different levels of opportunities for people with disabilities not only within one country, but also in different states. As a result, in 2006, the UN adopted the Convention on the Rights of Persons with Disabilities. In 2007, the document was opened for signing by countries, and in 2008 the convention entered into force.
According to the document, the signatory countries undertake to ensure the realization of all human rights and freedoms without discrimination based on disability. And for this they guarantee, for example:
- accessibility of persons with disabilities to transport, to information and communications, as well as to facilities and services;
- recognition of the rights of persons with disabilities to education and ensuring access to it;
- expansion in the labor market of employment opportunities for disabled people and their promotion;
- providing persons with disabilities with the same range of free or low-cost health care services and programs as other persons. And so on.
What has changed in Russia
It took several years to bring Russian legislation into line with these and other norms. For this, 36 federal and 715 regional legislative acts were adopted, the Government reported on the work done in 2016. In real life, this was embodied in thousands of ramps installed throughout the country, the creation of specially designated parking spaces for the disabled, the purchase of automobile and urban transport available for the transportation of disabled people.
During the first five years of the state program, the number of schools where children with disabilities could study increased by 4.8 times, and the number of institutions for adaptive sports for disabled people increased from 15 in 2011 to 57 institutions in 2016. Also, on six all-Russian TV channels, the number of subtitles increased from 3 to 14 thousand hours a year, which amounted to almost 30 percent of the airtime.
Work to ensure the rights of disabled people in Russia continues today, State Duma deputy, chairman of the All-Russian Society of Disabled People Mikhail Terentyev told Parliamentary Newspaper.
“A large block of bills was adopted in 2021, it is also planned to make changes to the legislation in 2022,” the deputy said.
New in 2022
Thus, from January 1, pensions for disabled people are calculated automatically. The new procedure involves the appointment of insurance and social disability pensions on a non-declared basis. At the same time, information about a person enters the Pension Fund through a system of interdepartmental interaction. And the process of assigning a pension takes no more than five days, after which the person receives a notification.
“Thanks to the new rules, people with disabilities will receive their pension within a month after being appointed and without unnecessary bureaucracy,” said Terentiev.
From March 1, the size of the quota for employees with disabilities will depend on the number of employees of the enterprise. Such amendments have been made to the Law “On Employment in the Russian Federation”. As with the current rules, the size of the quota will depend on the number of employees. Thus, for employers with more than 100 employees, a quota for hiring disabled people is set in the amount of 2 to 4 percent of the average number of employees. For employers whose number of employees is from 35 to 100 people inclusive - no more than 3 percent of the average number of employees. The specific size of the quota is determined by the legislation of the subject.
In addition, as of March 1, inquiries for employment of disabled people will be stricter. Since that time, a legislative norm has come into force that supplements the measures of social protection of persons with disabilities in the field of employment. According to these changes, the quota for the disabled will be considered fulfilled by the employer only when formal employment contracts are concluded with the required number of people with disabilities.
“Before that, it was enough if the employer simply created such positions and announced them, which was not always true,” commented the deputy.
Also, until July 1, 2022, disability can be obtained in a simplified manner. Until that time, the Temporary procedure for recognizing a person as a disabled person has been extended, which simplifies the procedure for registering a disability, without the personal presence of a citizen.
“This allows us to minimize social contacts of citizens during the period of countering the spread of coronavirus infection,” said Mikhail Terentyev.
In addition, the State Duma passed a bill on free hospitalization of disabled children with their parents in the first reading.
“Currently, free hospitalization with parents is provided only for children under four years of age. The new document recognizes the status of a "disabled child" as a sufficient basis for making a decision on the presence of such a child together with one of his relatives in a hospital at no cost to him, without additional medical indications. the deputy said.
Another document that is planned to be adopted in the spring session is on free higher education for certain categories of disabled people. This rule is planned to be extended to citizens who, having received a disability, are unable to work in their former specialty. The document has already passed the first reading and is ready for further consideration, Mikhail Terentyev specified.
Where to start?
The deputy also told in detail how to apply for disability under the new rules and what changes may appear in this procedure in the near future. According to the rules valid until July 1, 2022, the procedure for registering disability has been simplified. It is carried out without the personal presence of a citizen.
“This makes it possible to minimize the social contacts of citizens during the period of countering the spread of coronavirus infection,” said Mikhail Terentyev.
Specialists of the medical and social expertise make an absentee decision on the establishment of disability both for the first time and when extending disability based on documents issued by medical organizations, the expert clarified.
“If a disability is registered for the first time, then the medical organization itself sends the entire package of documents for a citizen to the ITU bureau in the form of an electronic document or on paper,” the deputy said.
At the same time, a citizen must contact a medical organization and undergo the necessary specialist doctors and examinations.
“If during the period of the Temporary Order a disabled child reaches the age of 18, then the extension of disability is carried out by establishing I, II or III disability groups for a period of 6 months,” the expert said.
After July 1, the medical and social examination will work, taking into account the proposed changes in the rules for recognizing a person as disabled. They are being considered right now, said Terentyev.
The main offers are as follows:
- the introduction of a provision according to which a citizen can choose between full-time and part-time examination;
- normative consolidation of the provision on the remote form of appealing against the decision of the ITU in a higher authority;
- the introduction of a single consent of a citizen to conduct activities and examinations provided for by the program of additional examinations (the citizen will have the right to refuse to conduct additional examinations, in this case, the decision to recognize a citizen as disabled or to refuse to establish disability should be made on the basis of information available to the ITU) .
What else is required?
In addition to the benefits listed above, which came into force in 2022, people with disabilities are entitled to other benefits.
Benefits in the sphere of labor
For employees with group I or II disability, the working week may not exceed 35 hours. For all disabled people, regardless of the disability group, an annual paid leave of at least 30 calendar days a year is established, and unpaid leave is also provided for up to 60 calendar days a year.
“At the same time, employment services should work in a proactive mode, help a person with a disability in finding a job and adapting to the workplace. On the Jobs in Russia website, you can find vacancies within the framework of the quota system for jobs for the disabled,” advised Mikhail Terentyev.
Also, one of the parents (guardian or custodian) for the care of disabled children, upon his written application, is provided with four additional paid days off per month
Benefits in the field of housing and communal services
Disabled people and families with disabled children are provided with a 50 percent compensation for housing and utility bills.
“Also, disabled people of groups I and II, disabled children, citizens with disabled children, are provided with compensation for the cost of paying a capital repair fee in the amount of 50 percent,” the expert said.
Disabled people of groups I and II, disabled since childhood, disabled children are exempted from paying property tax (in relation to one object).
“When paying land tax, a benefit is provided in the form of a reduction in the tax base by the amount of the cadastral value of 600 square meters of one land plot (disabled people of groups I and II; disabled children, disabled children; disabled veterans of the Great Patriotic War and disabled combatants),” specified expert.
In addition, disabled people are provided with benefits in the field of education (when entering a university), in the field of transport (to pay for OSAGO, free parking, when paying for public transport, railway and air transport), free provision of technical means of rehabilitation, preferential provision medicines.
“It should also be noted that the Circle of Kindness Foundation, established by presidential decree, supports children with severe life-threatening diseases (including orphan ones): it purchases expensive drugs and pays for the necessary treatment,” recalled Mikhail Terentyev.
More detailed information about benefits for people with disabilities can be found on the website of the All-Russian Society of the Disabled in the "Answers to the most frequently asked questions" section.
“Special attention should be paid to the fact that, in accordance with regional legislation, persons with disabilities may be provided with additional measures of social support. Such lists of benefits need to be clarified with the social protection authorities of the region where the disabled person lives, ”said the chairman of the All-Russian Society of the Disabled.
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- Disability and health
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- More than 1 billion people are affected by disability.
- The number of people with disabilities is growing rapidly. This is due, in part, to demographic trends and the increasing burden of chronic diseases.
- Almost everyone will experience a temporary or permanent disability at some point in their lives.
- People with disabilities are experiencing much greater hardship during the COVID-19 pandemic.
- People with disabilities often face stigma and discrimination when accessing health care, and receive substandard services.
- There is an urgent need to mainstream disability at all levels of the health system, especially at the level of primary health care.
Disability refers to the interactions of people with disabilities (such as cerebral palsy, Down syndrome, and depression) with personal and environmental factors (such as negative attitudes from others, inaccessibility of vehicles and public infrastructure, and limited social support).
It is estimated that more than 1 billion people are affected by disability. This is approximately 15% of the world's population, with up to 190 million (3.8%) of people aged 15 years and over experiencing significant functional limitations, often requiring medical services. The number of people with disabilities is increasing due to the increasing burden of chronic diseases and the aging of the population. Disability is directly related to human rights, as people with disabilities due to their condition face numerous violations of their rights, including acts of violence, mistreatment, prejudice and disrespect; this is often accompanied by other forms of discrimination, in particular on the basis of age and gender. In addition, people with disabilities face various barriers, stigma and discrimination in accessing health care and related services and support systems. Because disability is more prevalent in lower-middle-income countries, and since disability and poverty are mutually reinforcing and both perpetuate, supporting people with disabilities is a development priority.
There are many forms of disability. Some of the disability-causing health conditions worsen a person's condition and require constant attention from medical professionals, while others do not. However, all people with disabilities have the same general health needs as everyone else and therefore need access to basic health services. Article 25 of the UN Convention on the Rights of Persons with Disabilities (CRPD) affirms the right of persons with disabilities to the highest attainable standard of health without discrimination. However, the reality is that few countries provide people with disabilities with adequate and quality services.
Barriers to health care
People with disabilities face a wide variety of barriers when trying to access health care, including those listed below.
- People with disabilities often complain about prejudice, stigmatization, and discrimination from healthcare professionals and other healthcare workers.
- Many health professionals lack sufficient knowledge and understanding of the rights of people with disabilities and their health needs, and are not adequately trained and trained in disability issues.
- Many health care facilities do not have policies in place to accommodate the needs of people with disabilities. Such policies may include increased appointment times for people with disabilities, more flexible appointments, outreach services, and measures to reduce patient costs.
- Women with disabilities face specific barriers to accessing sexual and reproductive health services and information. Health professionals often incorrectly believe that women with disabilities do not have sexual relations or are unable to perform motherhood.
- People with disabilities are rarely asked to speak their minds and participate in decision-making about health care for this population.
- Health facilities and care centers are often remote from the mainstream population or located in areas that are not easily accessible by accessible vehicles.
- People with disabilities cannot enter buildings and institutions with steps at the entrance and use services if they are on floors that cannot be reached by elevator.
- Toilets, aisles, doorways are often not adapted to the needs of wheelchair users or restrict the movement of people with mobility impairments.
- Persons with disabilities may find it difficult to use non-adjustable furniture, including beds and medical examination chairs.
- Health facilities and other places of care are often poorly lit, lack clear information signs, or have complex layouts that impede the movement of people.
Barriers to communication
- The main barrier to medical care for people with hearing impairments is the limited availability of written materials or sign language interpreters in health care settings.
- Written patient information and prescriptions are not always presented in an accessible manner, such as Braille or large print, which makes it difficult for people with visual impairments.
- Information for patients is often formulated in a complex way and suffers from an abundance of professional terms. Presenting health information in an easy-to-understand format, including clear language with illustrations and other visual elements, can make it easier for people with cognitive impairments to understand.
- More than half of all people with disabilities in low-income countries are unable to pay for adequate health care.
- Many people with disabilities also complain about the inability to pay for travel to medical facilities and purchase medicines, not to mention paying for appointments with medical specialists.
Disability management in the health sector
Disability is often not perceived as a health problem. This explains the lack of measures to mainstream disability in the health sector, whose role is also often overlooked in national disability strategies and action plans for the implementation and monitoring of the CRPD.
The achievement of the highest possible level of health and well-being for all will only be possible if governments recognize the need to change the current paradigm, recognizing that global health goals can only be achieved if disability is mainstreamed into health sector priorities , including those related to:
- universal access to health care without financial hardship;
- protecting the public during health emergencies; and
- improving the accessibility of multisectoral public health interventions, including the availability of water, sanitation and hygiene services.
Disability awareness is a sine qua non for universal access to health services without financial hardship because people with disabilities:
- three times more likely to be denied medical care;
- four times more likely to experience mistreatment in health care settings;
- are 50% more likely to experience catastrophic healthcare costs.
Disability awareness is critical to protecting communities during health emergencies, as people with disabilities experience much greater hardship during the COVID-19 pandemic, including:
- directly - due to an increased risk of infection and obstacles to obtaining medical care; and
- indirectly as a result of the introduction of restrictions aimed at limiting the spread of the virus (for example, as a result of interruptions in the work of support services).
Disability awareness is the key to improving the health and well-being of the population, since people with disabilities:
- are 4-10 times more likely to be victims of violence;
- are at increased risk of non-fatal injuries from road traffic crashes.
Children with disabilities:
- three times more likely to be the target of sexual abuse;
- twice as likely to be malnourished.
To improve access of people with disabilities to health services WHO:
- guides and supports efforts by Member States to raise awareness of disability issues and promotes the inclusion of a disability dimension in national health policies and programmes;
- promotes the collection and dissemination of data and information on disability;
- develops policies, including guidelines for mainstreaming disability into health services;
- strengthens the capacity of policy makers and service organizations in health systems;
- promotes strategies to ensure that people with disabilities are informed about their health status and that health personnel uphold and protect their rights and dignity;
- contributes to the implementation of the United Nations Strategy for the Inclusion of Persons with Disabilities (UNDIS), which aims to promote “sustainable and transformative progress towards mainstreaming the inclusion of persons with disabilities into all components of the work of the United Nations”; and
- provides Member States and development partners with updated evidence, analysis and guidance on disability mainstreaming in the health sector.