The Tennessee Department of Mental Health and Substance Abuse Services (TDMHSAS) is the state agency that plans, funds, and oversees public mental health and substance use disorder services across Tennessee. Its mission is to create collaborative pathways to resiliency, recovery, and independence for Tennesseans living with mental illness and substance use disorders. The department operates crisis services, treatment referral lines, and prevention programs, and it sets clinical guidelines and rules for behavioral health providers.
What the Department Does
TDMHSAS administers the public behavioral health system in Tennessee. It sets policy, distributes state and federal funds, licenses facilities, and monitors service quality. The department does not typically provide direct clinical care but contracts with community mental health centers, nonprofit organizations, and private providers. Key functions include:
- Operating the statewide crisis line and mobile crisis services.
- Managing the Tennessee REDLINE, a 24/7 information and referral line for addiction and mental health.
- Developing clinical guidelines, such as statewide buprenorphine treatment protocols for opioid use disorder.
- Overseeing prevention, early intervention, and recovery support programs.
- Enforcing department rules and regulations for behavioral health services.
Key Services and Programs
TDMHSAS supports a full continuum of care, from crisis intervention to long-term recovery. The following are core services available to Tennesseans:
Crisis Services
Tennessee offers a 24/7 statewide crisis line. Anyone experiencing a mental health emergency can call or text 988 and press 0 to speak with a trained counselor. The department also funds mobile crisis teams that can respond in person, walk-in crisis centers, and crisis stabilization units for short-term care. These services are designed to provide immediate support and prevent hospitalization when possible.
Tennessee REDLINE
The Tennessee REDLINE (1-800-889-9789) is a toll-free, 24/7 information and referral line for alcohol, drug, problem gambling, and other addiction concerns. Callers receive up-to-date information and at least three referral options when possible. The REDLINE staff do not provide therapy or counseling but connect individuals to appropriate assessment and treatment services. The line also offers referrals for co-occurring mental health and substance use disorders.
Buprenorphine Treatment Guidelines
In response to the opioid crisis, Tennessee enacted legislation and developed statewide buprenorphine treatment guidelines. These guidelines aim to standardize the use of buprenorphine for opioid use disorder, ensuring safe and effective prescribing practices. The initiative reflects the department's role in shaping clinical policy and improving access to medication-assisted treatment.
Mental Health Services for Adults
TDMHSAS funds a range of adult mental health services, including outpatient therapy, psychiatric medication management, case management, and supported employment. Services are delivered through community mental health centers and other contracted providers. Eligibility and availability vary by county and funding. Individuals can contact the department or their local mental health center for specific information.
How to Access Services
Access to TDMHSAS-funded services typically begins with a phone call or visit to a local provider. The department's website (tn.gov/behavioral-health) offers a directory of services and contact information. For immediate help:
- Mental health crisis: Call or text 988 and press 0.
- Substance use or gambling referral: Call the Tennessee REDLINE at 1-800-889-9789.
- General information: Contact the department at [email protected] or visit the website.
Many services require an assessment to determine eligibility. Some programs may have waiting lists or income-based fees. The department also provides information on rules and regulations for providers and consumers.
Local Resources and Partnerships
TDMHSAS collaborates with local health departments and community organizations. For example, the Metro Public Health Department in Nashville offers free mental health counseling and substance use assessments at several locations. These services are available by appointment and do not require insurance. The Nashville health department also provides referrals to the Tennessee REDLINE and other state resources.
Additionally, the department partners with the Substance Abuse and Mental Health Services Administration (SAMHSA) and other federal agencies to fund disaster distress helplines and specialized programs. Veterans can access the Veterans Crisis Line by calling 988 and pressing 1.
Rules and Regulations
TDMHSAS establishes rules that govern licensed behavioral health facilities and services. These rules cover licensing standards, patient rights, clinical practices, and reporting requirements. Providers and consumers can review current rules on the department's website. The department also issues guidance on emerging issues, such as telehealth and medication-assisted treatment.
When to Seek Immediate Help
If you or someone you know is in immediate danger of self-harm or harming others, call 911 or go to the nearest emergency room. For mental health crises that are not life-threatening, call or text 988. The Tennessee REDLINE is appropriate for substance use or gambling concerns that require referral but are not emergencies. Do not delay seeking help if symptoms are severe or worsening.
This information is general and not a substitute for professional medical advice. Individual circumstances vary, and treatment decisions should be made with a qualified healthcare provider.
Sources
- Development and Implementation of Tennessee ... - PMC
- Behavioral Health and Wellness Services ...
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