Session 1 of Rising Practices & Policies Revisited - 988 Turns One! How Did it Go and How Can it Grow?

MONDAY, MAY 8, 2023

Main Session: 3:00 - 4:15 p.m. PT
Optional Discussion: 4:15 - 4:45 p.m. PT
[Find your local time zone here]

Session 1 of 4 in the "Rising Practices & Policies Revisited" 2023 Learning Series (view series page for full details)


Join us for a panel discussion on how school and mental health leaders from our region have implemented 988 - the National Suicide Prevention Hotline that launched in July of 2022. The expansion of the current National Suicide Prevention Lifeline program to effectively triage, respond, and stabilize individuals experiencing a mental health crisis required significant workforce reorientation, expansion, and training. This session invites regional 988 implementers to share opportunities and challenges during this transition, and what we’ve learned about its implementation in the past year.


In this session, we explore the following questions and more:

  • How has the launch of 988 gone and how has it served the communities in our region? What are some promising and cautionary elements of this rising practice?
  • What could be considered some of the workforce successes in the transition from the Suicide Prevention Lifeline model to the 988 model?
  • How might we continue engaging meaningful partnerships in the expansion of 988?
  • What challenges are we seeing at the workforce level, and what training, resources, or other support could help resolve these challenges?
  • What might be some rising practices, policies, and successful strategies for 988 adoption and integration?



Select comments and quotes participants shared during last year’s 2022 session:

“It is critical to note that crisis is defined by the individual and that 988 is geared towards suicide and behavioral health crisis.”

“Themes I’m hearing: partnerships, shared language, links, contacts. Areas of consideration. I’m hearing: how to ensure the integration and implementation of 988 is developmentally responsive, culturally responsive, and linguistically responsive.”

“Peers are a critical component of the crisis response system.”





CJ LoiselleCJ Loiselle

CJ Loiselle serves as the Crisis Administrator for the Division of Grants Administration within the Arizona Health Care Cost Containment System (AHCCCS). CJ has held several positions within AHCCCS since 2016 including Bureau Chief for the Office of Human Rights, Advocacy Administrator, and Quality Management Manager prior to her transition to the Crisis Administrator in November of 2021. As the Crisis Administrator, CJ is responsible for the oversight of all crisis related initiatives and service provision across the state of Arizona. The Arizona Crisis system is managed through the state’s Medicaid agency and accessible to all Arizonans. The Arizona Crisis system includes 24/7 crisis hotline services, mobile crisis teams, and crisis stabilization facilities. CJ has worked in the behavioral health and intellectual/developmental disability public health care systems in Arizona and Nevada for over 16 years. Prior to her work at AHCCCS, CJ worked as a provider and assisted in the development of specialized programs integrating behavioral health with home and community-based services for members with co-occurring SMI/IDD and SMI/SUD in both the adult and child systems.



David LopezDavid Lopez

David Eric Lopez is a program manager with Kings View’s Central Valley Suicide Prevention Hotline. In 2015, he received a master’s in counseling psychology (Marriage and Family Therapy). His clinical experience includes working in an inpatient crisis stabilization unit, a therapist for foster youth, and as a crisis co-responder as field clinician responding with law enforcement to mental health crisis calls. Additionally, serves on the Fresno County’s Suicide Prevention Collaborative, steering committee.

He is currently a doctoral candidate in Clinical Psychology (PsyD) completing his dissertation on suicidal ideation and attempts in individual’s who experience traumatic brain injury. Additional research interest includes furthering the mind body approach to treat mental illnesses and sports psychology.



Kelly Marschall photoKelly Marschall, MSW

Kelly is President of Social Entrepreneurs (SEI) and has over 30 years of experience working in and assisting nonprofit organizations. She has planned, administered and provided direct services at both a local and state level and also has provided regulatory oversight and planning for the State of Nevada. Kelly is a gifted facilitator and community planner, and as such, has worked with over 20 county commissions, multiple state agencies, and several national initiatives. She is an experienced capacity builder, having provided technical assistance, training and implementation support to both state and local public agencies. Kelly is an experienced project manager with a history of success managing numerous complex projects. She is a skilled grant writer, securing federal, state and local funding for clients. Kelly was key in establishing SEI’s consulting practice and has led SEI since 2010, providing leadership for the organization while offering high quality services to numerous organizations and agencies throughout the western United States. Kelly earned a master’s degree in social work, with high honors, from the University of Nevada, Reno and received a bachelor’s degree in psychology from Pennsylvania State University. Kelly is also a graduate of the Certificate of Wholebeing Positive Psychology (CIPP). She graduated with tools, practices, and research to support an increased capacity for health, strengthened resilience, deeper mindfulness, and greater levels of overall well-being.



Margie Balfour HeadshotMargie Balfour, MD, PhD

Dr. Margie Balfour is a psychiatrist and national leader in crisis care, quality improvement, and law enforcement responses to behavioral health emergencies. She is Chief of Quality & Clinical Innovation at Connections Health Solutions and an Associate Professor of Psychiatry at the University of Arizona. Dr. Balfour was named Doctor of the Year by the National Council for Behavioral Health for her leadership at the Crisis Response Center in Tucson, Arizona, and CIT International Practitioner of the Year for her work to help law enforcement better serve people with mental health and substance use needs. She co-authored the landmark report Roadmap to the Ideal Crisis System: Essential Elements, Measurable Standards, and Best Practices, and her pioneering work on defining crisis outcome measures has been adopted as a national standard. Dr. Balfour is a Distinguished Fellow of the American Psychiatric Association and serves on the APA Council on Quality of Care, the boards of the American Association for Community Psychiatry and American Association for Emergency Psychiatry, and numerous expert panels for SAMHSA, the DOJ, and others. A native of Monroe, Louisiana, Dr. Balfour received a BA in Biology at Johns Hopkins University and then her MD and PhD in Neuroscience from the University of Cincinnati. She completed residency and fellowship in Community Psychiatry at the University of Texas Southwestern Medical Center in Dallas.



Main Session Moderator

Danielle Raghib, PPSC, LCSW, Center for Applied Research Solutions Technical Assistance Specialist

Miranda March, PhD, PS MHTTC Co-Director



Session Debrief Facilitator

Danielle Raghib, PPSC, LCSW, Center for Applied Research Solutions Technical Assistance Specialist

Miranda March, PhD, PS MHTTC Co-Director



Priming Materials



Starts: May 8, 2023 3:00 pm
Ends: May 8, 2023 4:15 pm
Registration Deadline
May 8, 2023
Event Type
Webinar/Virtual Training
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