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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.

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What Is Substance Abuse Treatment? A Booklet for Families
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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
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For additional resources, please visit the SAMHSA Store.

Last Updated: 08/30/2022

SAMHSA Behavioral Health Treatment Services Locator

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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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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).

Chronology of deaths due to avalanches in Russia

January 18, 2021, 15:38,

updated March 22, 2021, 18:44

TASS-DOSIER. On March 22, 2021, an avalanche occurred near the village of Imandra in the Murmansk region, where ski routes pass. The press service of the Investigative Department of the Investigative Committee of the Russian Federation for the region reported that a girl died as a result of the emergency.

TASS has prepared a chronology of deaths caused by avalanches in Russia over the past five years. Since the beginning of 2016, at least 23 incidents of this kind have been reported (excluding the emergency on March 22, 2021).

January 7, 2016 Three skiers died as a result of an avalanche on Mount Cheget in the Elbrus region (Kabardino-Balkaria). They descended along the southern slope of the mountain outside the marked route, in the zone of increased avalanche danger.

February 18, 2016 In the Kirovsk region, where the largest ski center in the Murmansk region is located, specialists from the local avalanche safety center released an avalanche from Mount Yukspor using an explosion. However, the avalanche turned out to be more massive than expected. As a result of the descent of the snow mass, an employee of the center died, who ensured the safety of people from below, not letting them go to the place of the descent. Snow dust from the avalanche covered the streets of Kirovsk, windows were broken in the houses.

On February 27, 2016 an avalanche came down on the Vilyuchinsky volcano in the Yelizovsky district of Kamchatka. Under it, a tourist from Germany died, who, as part of a group, was engaged in heliskiing - skiing and snowboarding with a helicopter transfer to the mountain.

March 2-3, as a result of three avalanches in Buryatia, tourist groups from Moscow and Nizhny Novgorod, as well as a worker of a local jade mining company, found themselves under snow. In total, three people became victims of the incident.

April 18, 2016 in the region of the Ikatsky mountain range (Kurumkansky district of Buryatia) a group of six climbers from Irkutsk fell under an avalanche. As a result, two people died. On April 21, during a search and rescue operation, the surviving tourists were evacuated to the village of Umhei.

On February 27, 2016 a snow avalanche descended on the Vilyuchinsky volcano in the Yelizovsky district of Kamchatka. Under it, a tourist from Germany died, who, as part of a group, was engaged in heliskiing - skiing and snowboarding with a helicopter transfer to the mountain.

On July 5, 2016 an avalanche covered two climbers from Germany near the Garvash pass in Kabardino-Balkaria. One of them died (his body was discovered on August 30 of the same year). The second with multiple fractures was evacuated to a hospital in Nalchik.

January 22, 2017 in Khibiny (Kola Peninsula, Murmansk region) due to adverse weather conditions, an avalanche occurred on a group of 11 people who were not registered with the Ministry of Emergency Situations and were moving on snowmobiles in the area of the Skalnaya gorge of the southern slope mountains Vudyavrchorr. Two tourists died, one was saved (he refused hospitalization), eight people were not injured.

March 3, 2017 On the northern slope of Mount Cheget in the Elbrus region, an avalanche hit a group of tourists. The accident happened on the slope of the mountain, which was previously closed for skiing. Snowboarders cut the avalanche, causing the snow mass to come down. Seven people became victims of the incident. The tourists were not registered with the rescue services.

On March 12, 2017 four tourists were caught in an avalanche on Mount Mamai (Kabansky district of Buryatia). One of them, a French citizen, died.

April 9, 2017 On the Vilyuchinsky volcano (Kamchatka), a 31-year-old man riding a snowmobile and his nine-year-old son fell under an avalanche. Both died.

January 13, 2018 An avalanche in the Ordzhonikidze district of Khakassia caused the death of two tourists. In total, there were six people in the group moving on snowmobiles.

August 8, 2018 on the Mezhergi glacier between the Pushkin and Dykh-Tau peaks in the Bezengi gorge of Kabardino-Balkaria, as a result of an avalanche, four servicemen of the special forces of the Russian Guard died - senior warrant officer Evgeny Kogut, warrant officer Pamir Seitov and warrant officer Pekar Vadim Aryslanov. During the planned training sessions, they had to climb Pushkin Peak, which is one of the most difficult for climbers in the Elbrus region.

On December 29, 2018 two avalanches descended in the village of Mnogovershinny (Nikolaevsky district of the Khabarovsk Territory). There were 11 people under the snow blockages - a worker of a compressor station of a gold mining company and ten rescuers who came to his aid after the first snow melt. As a result, two people died, nine were saved.

January 5, 2019 Two snowboarders died in an avalanche at the Gornaya Karusel ski resort in Sochi. They rode on the track, previously closed due to increased avalanche danger.

January 9, 2019 in Kabardino-Balkaria, rescuers found the body of a skier from Moscow on the slope of Mount Elbrus at an altitude of 3.5 thousand meters, near the station of the Mir cable car. A source in the region's emergency services told TASS that the man died after being hit by an avalanche while riding in a prohibited area.

On February 28, 2019 , an avalanche hit the Dukka mountain range near the Arkhyz resort in Karachay-Cherkessia, killing one person and injuring five others. According to the Association of Mountain Guides of Russia, the deceased Sergei Kambalov was a member of this organization. Residents of Moscow and the Moscow Region suffered, including Dmitry Orlov, Director of the Treasury of Otkritie Bank. The head of the republic, Rashid Temrezov, told reporters that the incident occurred with a group of heliski lovers who landed on a mountainside in a helicopter. They did not register with the Ministry of Emergency Situations and did not report their route.

On May 6, 2019 , nine tourists from Novosibirsk fell under an avalanche on the South Chuisky Range (Altai Republic). Only two girls managed to escape, who were able to report what happened on May 8. In May, rescuers found five dead bodies at the scene, after which the operation was suspended due to the danger of a new avalanche. The remains of two more tourists were found in June 2019 in a lake at the foot of the mountain.

November 10, 2019 near the village of Priiskovoe in Khakassia, as a result of an avalanche, a man who was riding a snowmobile was covered with snow. He died.

December 22, 2019 15 km from the village of Egvekinot in Chukotka, after an avalanche, a snowboarder who was riding on an unequipped slope disappeared. On January 4, 2020, rescuers and volunteers who participated in the search found his body at the scene of the emergency. 19 March 16, 202092 years of birth from St. Petersburg. Two more victims were hospitalized.

October 17, 2020 in the mountains of the Kosh-Agachsky district of the Altai Republic, two employees of the Republican Committee for the Protection, Use and Reproduction of Wildlife Objects disappeared while carrying out work to account for the Siberian mountain goat and mountain sheep. At the appointed time, they did not come to the meeting place with the main group. Later it became known that the missing were caught in an avalanche. On October 18, the body of the first was discovered, on 19October - the second dead.

On January 8, 2021 an avalanche occurred in the area of the Otdelnaya Mountain ski resort (Norilsk). As a result of the incident, a married couple and a one and a half year old child died, a 14-year-old teenager was hospitalized with serious injuries. According to the investigation, on the eve of the Ministry of Emergency Situations warned about the danger of avalanches, however, in the Unified Duty Dispatch Service (EDDS) of Norilsk, the duty officer did not include information about the avalanche danger he received in the operational summary. Igor Vakulenko, the operational duty officer of the EDDS of Norilsk, was detained, on January 14, 2021, the Norilsk City Court placed him under house arrest.

January 18, 2021 in the village of Dombay (Karachay-Cherkessia) on Mount Mussa-Achitara, an avalanche occurred on the ski slope. Under the snow mass were two trailers with a ski equipment rental point, a cafe was also damaged. One person died, eight were rescued. The cause of the emergency was the forced release of avalanches. A criminal case was initiated under the article "Negligence, negligently entailing the infliction of grievous bodily harm or death of a person."

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History of clashes between Israelis and Arabs on the Temple Mount in Jerusalem

Over the past few days, more than 600 Palestinians and 20 Israeli policemen have been injured in clashes outside the Al-Aqsa Mosque on the Temple Mount in Jerusalem over the threat of expulsion of Palestinian families from the eastern part of the city. These are the most violent clashes in the area in recent years.

TASS talks about the status of the Temple Mount and the incidents caused by the controversy surrounding it.

Status of the Temple Mount

The Temple Mount is a sacred place for both Jews and Muslims. The mountain and the Wailing Wall adjacent to it are the main shrines of Judaism, and the Al-Aqsa mosque located here is the third most important place in Islam (after the al-Haram mosque in Mecca and the Prophet's mosque in Medina).

Chronology of collisions

In September 1996, one of the first major collisions on the mountain occurred, resulting in loss of life. The opening by the Israelis after the restoration of the ancient tunnel under the Temple Mount caused three days of armed clashes between Israeli police and Palestinians. The Palestinians perceived this event as an attack on the integrity of Muslim shrines. As a result, 15 Israelis and 52 Palestinians were killed.

On September 28, 2000, a demonstrative visit to the Temple Mount by the leader of the Israeli Likud party, Ariel Sharon, provoked a Palestinian uprising ("Al-Aqsa Intifada"). Already in the first weeks of the conflict, more than 90 people became its victims. At the direction of the Israeli government, entry to the Temple Mount for non-Muslims has been stopped. The situation somewhat normalized in 2003, then the Israeli police periodically restricted the access of Muslims to the Temple Mount for both PNA residents and other citizens according to the age limit (they did not let people under 50 years old). During this intifada (2000-2005), according to various estimates, more than 1,000 Israelis and more than 4,000 Palestinians were killed.

In February 2007, Muslim protests were triggered by the start of work on a new footbridge near the Temple Mount. Islamic activists feared that the Al-Aqsa Mosque could be damaged during the work. On February 9, after Friday prayers, the protests escalated into clashes with the police, during which more than 30 people on both sides were injured, more than 100 people were detained by the police.

On September 27, 2009, a new wave of violence occurred when a group of Jewish tourists attempted to pray on the Temple Mount on the eve of Sukkot (the Feast of Tabernacles). As a result, Arab unrest began in the Old City and East Jerusalem. During the two-week riots and clashes with the police, several dozen people were injured, more than 80 were arrested.

On November 5, 2014, clashes broke out again between Palestinians and Israeli police on the Temple Mount. The reason was the appearance there of a group of Jewish right-wing activists who intended to hold a prayer service in support of radical rabbi Yehuda Glik, who was seriously wounded near the walls of the Old City in October. During the riots, 20 Palestinians and one Israeli policeman were injured.

On September 13, 2015, on the Jewish New Year's Eve (Rosh Hashanah), Israeli forces attempted to restrict Palestinian access to the Temple Mount to ensure safe visits by Jewish pilgrims. This situation, against the background of earlier rumors about Israel's intention to change the status quo on the Temple Mount, led to a series of attacks in September 2015-October 2016 by lone Palestinian terrorists on Israeli citizens using cold weapons. In the media, these attacks were called the "intifada of knives." As a result of these clashes, 30 Israelis were killed, more than 200 Palestinians were killed by Israeli security forces.

On July 14, 2017, three armed Palestinians killed two Israeli soldiers on the Temple Mount.