Crisis Text Line is better suited for immediate crisis intervention and 24/7 support, while NAMI Helpline is a valuable resource for information, emotional support, and connection to local resources during its operating hours. If you need immediate help, Crisis Text Line is the better choice. If you need information and support, NAMI Helpline is a good option.
| Attribute | Crisis Text Line | NAMI (National Alliance on Mental Illness) Helpline |
|---|---|---|
| 24/7 Availability | Yes | No, available Monday through Friday, from 10 a.m. to 10 p.m. ET. |
| Service Cost (Free vs. Paid) | Free for the texter. Standard text message rates may apply depending on the carrier. | Free |
| Types of Support Offered | Emotional support, crisis intervention, and information for anxiety, depression, self-harm, stress, suicide, abuse, bullying, and more. | Offers emotional support, information on mental health conditions, treatment options, and recovery strategies. Provides referrals to NAMI programs, support groups, education, community support services, and other organizations. Does not provide mental health counseling, advice, personal advocacy, or referrals to individual mental health providers or lawyers. |
| Response Time | Usually within minutes, but may take longer during high-traffic times. | Approximately 3-5 business days for general inquiry emails (NAMI Spokane). |
| Confidentiality Policies | Confidential, but information may be shared for safety or legal reasons. Precautions are taken to protect personal information. | Confidential service. NAMI Greater Cleveland is committed to protecting your privacy and ensuring the confidentiality of all individuals who contact their Helpline or use their text messaging services. |
| Languages Supported | English and Spanish | English, Spanish, and other languages. NAMI New York City can speak to you over the phone in English, Spanish, Chinese, and 180 other languages. NAMI NJ HelpLine can speak to you over the phone in English, Spanish, Mandarin, Cantonese, and many South Asian languages. |
| Training of Support Staff/Volunteers | Trained volunteers undergo a multi-stage application process, background check, and a 34-hour virtual, interactive, self-paced training program. | Helpline staff and volunteers are experienced and well-trained. They often have lived experience with mental health conditions or caregiving. Training covers NAMI's history, programs, mental health conditions, communication skills, and risk management. |
| Accessibility for Individuals with Disabilities | Web Chat is offered as an additional line of communication. | Provides options for deaf and hard of hearing individuals. |
| Geographic Coverage | Available nationwide in the United States and Puerto Rico. Also available in Canada, the UK, and Ireland. | Nationwide service. |
| Follow-up Support | Optional survey after the conversation. | NAMI Greater Cleveland sends follow-up messages, including links to resources, treatment options, and post-call surveys. |
| Connection to Local Resources | Referrals to further help and local resources are provided. | Can connect individuals with local NAMI affiliates, support groups, and community resources. |
| Crisis Intervention Capabilities | Dedicated to preventing suicide. Aims to move people from a hot moment to a cool calm. Active rescue is initiated if a texter is at imminent risk. | Not a crisis line. For crisis support, individuals are directed to 988 or 911. |