Responding to people under pressure under the big sky. 

How to recognize warning signs of those in distress and figure out a course of action:

responding to people under presssure under the big sky 

If you would like to order FREE hard copies of this publication please visit MSU Extension's store here.   The information in this publication is available online here, or as a pdf to view here.  



  •  (1-800-327-6243)
  • *As of April 2021, hotline hours will be Monday through Friday, 6am- 7pm Pacific Standard Time.
  • If you want to connect with a hotline staff outside of hotline hours, please fill out a form here

Suicide Prevention and Crisis Support Resources 

Suicide Prevention Lifeline 

This is a crisis hotline that can help with many issues, not just suicide. For example, anyone who feels sad, hopeless, or suicidal; family and friends who are concerned about a loved one; or anyone interested in mental health treatment referrals can call the Lifeline. Callers are connected with a professional nearby who will talk with them about what they are feeling or concerns for other family and friends. Call the toll-free Lifeline, 24 hours/day, 7 days/week.

  • 1-800-273-TALK (8255) 
  • 888-628-9454 (Spanish)
  • 800-799-4889 (TTY)

Crisis Text Line

Available 24/7, 365 days a year, this organization helps people with mental health challenges by connecting callers with trained crisis volunteers who will provide confidential advice, support, and referrals if needed.

  • Text “MT” 741741 

Lifeline Crisis Chat

Visit this website to chat online with crisis centers around the United States.

National Alliance on Mental Illness (NAMI) Helpline 

  • 1-800-950-NAMI (6864)  or Text “NAMI” to 741741 

PTSD and Crisis Support for Veterens

  • PTSD and Crisis 24/7, anonymous, confidential call line: 1-800-273-8255 then Press "1" if you are a Veteran
  • Crisis chat is a free, anonymous, confidential resource that’s available to any Service member, including members of the National Guard and Reserve, and any Veteran, even if you’re not registered with VA or enrolled in VA health care. This chat is available at

The Trevor Project

Trained counselors available 24/7 to support youth who are in crisis, feeling suicidal, or in need of a safe and judgment free place to talk. Specializing in supporting the LGBTQI+ community.

NAMI Stop Suicide: Save A Life

NAMI: Navigating a Mental Health Crisis

Western Montana Mental Health Center

Offering online/phone therapy from the comfort of your home: call 406-556-6500 to schedule 


Find Providers and Services for Mental Health and/or Substance Abuse

Frontier Care/Beyond the Weather

Offerering free counseling access for Montana Ag producers.  Call 406-200-8471, press 7 to learn more.  Visit their website and schedule an appointment here.

Montana Mental Healthcare Provider Directory

Search for Mental Health Care Providers in Montana at their website

Substance Abuse and Mental Health Services Administration’s (SAMHSA) Disaster Distress Helpline

SAMHSA’s Disaster Distress Helpline provides 24/7, 365-day-a-year crisis counseling and support to people experiencing emotional distress related to natural or human-caused disasters.

The National Council for Behavioral Health

Search for organizations that are committed to providing mental health services to anyone in the community who needs it regardless of their ability to pay.

Substance Abuse and Mental Health Services Administration

SAMHSA provides information on mental health services and treatment centers through an online service locator. You can search by your location, whether or not they provide services for youth, payment options (private insurance, cash, or something else), languages spoken, etc.

Montana Substance Use Disorder Providers Locator

Substance Abuse and Mental Health Services Administration (SAMHSA)—Behavioral Health Treatment Services Locator

Substance Abuse Assistance

Personal Finance for People in Recovery

  • Interactive Google Map with over 14,000 substance abuse treatment centers, leveraging data
  • Expert interview with Stephen Schrader on how to deal with finances while in recovery
  • Actionable advice on how to pay for treatment and financial recovery afterwards

Quit Lines

Tobacco Quit Line

Montana Quit Line or 1-800-QUIT-NOW (784-8669) 

American Indian Commercial Tobacco Quit Line or 1-855-372-0037 

1-800-QUIT-NOW (784-8669), request the American Indian Commercial Tobacco Program  

Pregnant Women and New Moms Quit Line 

1-800-QUIT-NOW (784-8669), be sure to identity yourself as a pregnant women 

My Life, My Quit: Youth Quit Program or Call or text: 1-855-891-9989 

Poison Help Center 

  • 1-800-222-1222  

Physical and/or Mental Abuse

Report Dependent or Elder Abuse 

  • 1-844-277-9300 
  • Arthritis Foundation Helpline1-844-571-HELP (4357) 

Domestic Abuse Hotline 

  • 1-800-799-7233 

Domestic Abuse Apps 

  • One Love 
  • Sojourner Peace 
  • Aspire News 

Free Online Farm Stress Education Opportunities