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Texas's Lifeline for Those in Crisis: Why the 988 Hotline is Straining, and What it Means for You

Source: Politics – Houston Public Media8 min read

Key Takeaways

  • The 988 Lifeline, created by bipartisan federal legislation, was designed as a national crisis intervention system.
  • The Trump administration's executive action unilaterally removed the dedicated 'Option 3' for LGBTQ+ youth, rerouting calls to general counselors.
  • This policy change disproportionately impacts LGBTQ+ youth, a high-risk group for suicide, by reducing access to specialized, culturally competent care.
  • Expiring federal grants and a lack of state funding for Texas's 988 Trust Fund create financial instability, threatening the hotline's ability to meet growing demand.
  • Texas lawmakers established a 988 Trust Fund but have not allocated state dollars, rejecting a proposed telecommunications fee to ensure sustainable funding.
Picture this: you're in a tough spot, maybe feeling overwhelmed, and you know there’s a number you can call for help. That's 988, the national Suicide and Crisis Lifeline. It’s designed to be there for everyone, 24/7. But here in Texas, this vital service is facing some serious challenges, and it's something we all need to understand. For folks like Julia Hewitt, who's dedicated her life to suicide prevention and has an LGBTQ+ child, these issues hit close to home. She works with the American Foundation for Suicide Prevention and Vibrant Emotional Health, which oversees the crisis line in our state. She’s seen the good this system does, but now she’s watching it wobble, especially after some big changes came down from the federal government. See, the 988 Lifeline itself came from a truly bipartisan effort. President Trump signed it into law during his first term, creating a network of local crisis centers across the country. The idea was simple: one easy number for anyone struggling with mental health, suicide, or substance use. Originally, when you called 988, you’d hear a few options. There were specific pathways for veterans, Spanish speakers, and, importantly, LGBTQ+ youth. These 'Press 3' options connected callers to specially trained counselors who often had personal experiences that helped them connect with callers on a deeper level. These were safe spaces, designed to make people feel heard and understood during an emergency. That kind of tailored support can truly save a life. Then, last summer, things changed. The Trump administration announced they were getting rid of that specific LGBTQ+ youth option. Their reasoning? It was supposedly too expensive. Now, only veterans and Spanish speakers get those tailored choices. Imagine being a young person, already feeling isolated, and losing that specific pathway to someone who truly 'gets' it. It’s a real blow. Think about the impact. Since 988 launched in 2022, nearly 1.3 million contacts came from LGBTQ+ individuals nationally. That's a huge group of people who are now missing a direct route to specialized care. And who's supposed to pick up that slack? Texas's crisis care centers, which are already struggling with a $7 million funding gap. They're already operating on thin ice. Calls to the 988 line here in Texas have been steadily climbing. In December 2023, there were almost 15,000 calls. A year later, it was over 18,900. By December 2025, that number jumped to over 25,500. This isn't just a slight increase; it's a growing demand. And now, without Option 3, those calls that would have gone to specialized networks are just adding to the general workload of these already swamped centers. We don't even have clear data on how many calls were going to those LGBTQ+ specific subnetworks in Texas, which makes planning for this gap even harder. Mental health experts are sounding the alarm. Veterans and LGBTQ+ youth face a much higher risk of suicide than the general population. Removing specialized services for just one of these high-risk groups makes you wonder about the actual motivations behind the decision. As Jaymes Black, CEO of the Trevor Project (which helped create Option 3), put it, the program had huge bipartisan support because everyone agrees every young life is worth saving. To take away a specific pathway, he says, sends a message that some lives might not be as important. This all comes at a tough time, too. Some of the federal money that helps keep the hotline running is about to expire. Budget freezes and cuts are already causing headaches for the local crisis centers that form the backbone of the 988 system. It's a perfect storm of problems. Christine Busse, a policy fellow with the Texas branch of the National Alliance on Mental Illness, puts it simply: Texas's 988 system is facing a ton of challenges. Without more investment, she says, it's going to be really tough to meet the current demand, let alone handle all the calls that used to go through those specialized services. For many LGBTQ+ youth, that 'Option 3' wasn't just a number; it was a safe haven. It connected them with counselors who really understood their specific struggles – things like bullying, relationship issues, substance abuse, and suicidal thoughts. Busse mentioned that this hotline handled up to 70,000 contacts each month nationally. Losing that focused support is a big deal, especially when these young people are four times more likely to attempt suicide than their peers. Sure, other organizations like The Trevor Project still offer specialized services. But the power of 988 was its simplicity – three numbers, easy to remember, direct access to help when you're in crisis. Now, without that option, LGBTQ+ youth are routed to general dispatchers. These dispatchers are trained, absolutely, but they might not have the specific training or lived experience to truly make someone from this community feel safe and understood during an emergency. Busse explained it well: you can still reach a trained counselor through 988, but the loss of Option 3 means losing a service built specifically for a higher-risk group. It’s not just about getting *a* counselor; it’s about getting the *right* counselor for specific, often complex, needs. Some states are stepping up. California, for example, is bringing in experts from The Trevor Project to train their operators to fill this gap. But here in Texas, our lawmakers haven't put any extra resources towards this. Mark Henson, from The Trevor Project, says it plain: LGBTQ+ young people need more help, not less, to stop suicide. Hewitt believes local operators will eventually get the training they need. But her point is, why do they have to? A whole network was already set up for this. Now, that means extra training, which translates to more time, more experience, more people, and more hours – all on systems that are already spread thin. Another point Busse made is that Option 3 used to route calls *out* of the main 988 system to those specialized organizations. With it gone, those calls now stay within the general system, piling more work onto everyone else. The monthly call data clearly shows this system was already stretched *before* these changes. So, what about the money to keep all this going? The Texas 988 system gets about $19 million from two federal grants. One of them, the '988 State and Territory Improvement Award,' is set to expire in September. Nobody knows if Congress will extend it or if the current administration will find new ways to fund it. This terminal uncertainty is incredibly frustrating for everyone involved, from the people answering the calls to the clients seeking help. This isn't just about 988. Local crisis care centers, which often partner with or run these call centers, are seeing their funding bounce around like a political football. One day, wide-ranging budget cuts are announced, causing panic across the mental health world. The next, after a national outcry, the decision is reversed. This kind of back-and-forth makes it impossible to plan, to hire, or to truly build a stable system. The 988 system wasn’t ever meant to rely on federal money forever. Texas lawmakers have tried to build a safety net. State Sen. José Menéndez, for example, pushed for House Bill 5342 last year, which created the 988 Trust Fund. They also called for a study on how to fund it sustainably, maybe even through a state telecommunications fee, similar to how 911 is funded. But guess what? That idea for a fee was quickly shot down, and no state money has actually been put into that trust fund. Menéndez is worried. If there's no state money, he says, 988 will have to depend on charity and fundraising. They've already started asking for donations because some of those federal funds are running out this year. This is a public service that’s literally about saving lives, and its future could depend on individual Texans opening their wallets. Busse from NAMI sums it up perfectly: that uncertainty is exactly why lawmakers need to act. The system exists; it's built. What we need is a real commitment to fund it. Without dedicated funding – like that telecommunications fee – Texans are at risk of facing mental health crises without the support system that took years to build. It’s a legal and moral question: are we truly committed to ensuring everyone has access to a lifeline when they need it most? If you or someone you know needs help, you can call or text 988. For specific LGBTQ+ youth support, The Trevor Project offers a 24/7 toll-free line at 866-488-7386. For trans peer support, call Trans Lifeline at 877-565-8860.