If you or a loved one are in immediate danger, call 911. Notify the operator that it’s a psychiatric emergency, provide all relevant and specific details about the emergency, and request an officer who is trained to help people with mental health conditions.

Find support in a crisis.

Resources available.

CICS Crisis Phone Line

Call 844-258-8858

24-hour crisis phone line available within the Central Iowa Community Services (CICS) region including the counties of Boone, Franklin, Hamilton, Hardin, Jasper, Madison, Marshall, Poweshiek, Story, and Warren.

CICS Crisis Text Line

Text HELLO to 741-471

National Suicide Prevention Lifeline

Call 1-800-273-TALK (8255)

24-hour, toll-free, confidential suicide prevention hotline.


When you are in doubt on who to call.

Tips for supporting someone who is undergoing a crisis.

Reach out for help.

  • Transport them to an emergency room if you are capable.
  • Call ahead to the emergency room, if possible, so they’re ready to help right when you arrive.
  • Request help from family, friends, neighbors, people from your place of worship or people from your local support group.

De-escalate the situation.

  • Stay calm.
  • Speak slowly, confidently and gently — never raise your voice.
  • Listen — and show them you’re listening — and provide positive support and reassurance.
  • Ask simple questions and repeat them if necessary.
  • Let them know of your support: “I’m here. I care. I want to help. How can I help you?”
  • Never threaten to call 911 unless you intend to, and only call 911 if they or someone else is in immediate danger.


  • The individual undergoing the crisis is likely frightened by their feelings.
  • Do not take their actions or words personally. Be strong and provide the positive support they need.
  • The individual’s suspiciousness or distorted thoughts can cause them to fear and distrust you and/or others.
  • Sometimes a break from the conversation is best as you wait for help. Your presence can often be enough.