How to Help a Loved One With Addiction in Miami: From First Conversation to Treatment
When someone you care about is drinking or using drugs in a way that worries you, it can be difficult to know what to do first.
Families often begin searching for treatment before the person with the substance problem is ready to make a decision. You may be trying to work out whether the situation is truly serious, whether withdrawal could be dangerous, how to start a conversation, what treatment exists in Miami-Dade County and what to do if the person refuses help.
You do not need to diagnose the person yourself. You also do not need to wait for a dramatic crisis or for somebody to reach an undefined “rock bottom” before seeking information.
The most useful first step is usually to separate three questions: Is anyone in immediate danger? What kind of professional assessment is needed? What action can realistically happen next?
This guide is written for parents, spouses, partners, adult children, siblings and close friends in Miami and South Florida who are trying to help without becoming the person’s doctor, therapist, police officer or treatment program.
You will learn how to recognize patterns that deserve professional assessment, when to call 911 or 988, how to respond when opioids or heavy alcohol use may be involved, how to start a constructive conversation, what to do if treatment is refused, how Miami-Dade assessment and treatment placement works, what the Florida Marchman Act can and cannot do, and when local or out-of-area treatment may reasonably be considered.
Consultant Psychiatrist specialising in substance misuse and addiction psychiatry
Review status: Pending clinical approvalThis article should not be described as medically reviewed until clinical approval has actually been completed.
Article Contents
When Does Substance Use Become More Than “Just a Phase”?
Families often notice change before they know exactly what it means. The person may be drinking more, becoming secretive, missing work, repeatedly promising to stop or spending more time obtaining, using or recovering from substances.
None of these observations allows a family member to diagnose a substance use disorder from home. Diagnosis requires appropriate clinical assessment. However, certain patterns are recognized in formal substance-use-disorder criteria and are reasonable reasons to seek professional advice.
Using More Than Intended
The person repeatedly uses for longer or in larger amounts than planned or struggles to follow limits they set for themselves.
Repeated Unsuccessful Efforts
They want to reduce or stop but repeatedly find that they cannot sustain the change.
Use Continues Despite Consequences
Substance use continues despite health, emotional, financial, legal, family or relationship problems associated with it.
Work, School or Home Suffers
Responsibilities are repeatedly missed, neglected or performed poorly because of substance use or recovery from it.
Conflict Keeps Repeating
Substance use continues even when it is repeatedly contributing to serious interpersonal problems.
Hazardous Situations
The person repeatedly uses in situations that create significant physical danger.
Other Parts of Life Shrink
Activities, relationships or responsibilities that once mattered may receive less attention as substance use becomes more central.
Increasing Amounts May Be Needed
For some substances, the person may need more to obtain the same effect. Tolerance alone does not automatically diagnose addiction.
Symptoms When Use Stops
Some substances can produce physical or psychological withdrawal. The type and medical risk vary considerably between substances.
The concern becomes stronger when changes repeatedly affect health, responsibilities, safety, relationships and the person’s ability to control their use. Families can describe what they have observed without trying to assign a diagnosis.
Start With Immediate Risk Before Discussing Rehab
If the person is medically unstable, the priority is not persuading them to attend a particular clinic. It is getting appropriate emergency care.
Immediate Medical Emergencies
Call 911 in the United States if you are concerned about situations such as:
- suspected overdose;
- unconsciousness or inability to wake the person;
- serious breathing difficulty;
- seizure;
- serious injury;
- severe confusion or acute medical instability;
- another situation in which life or physical safety may be in immediate danger.
Call or Text 988
The 988 Suicide & Crisis Lifeline provides immediate U.S. crisis support for suicidal thoughts, severe emotional distress, substance-use crisis and other behavioral-health emergencies.
If Opioids May Be Involved
Families should know how to recognize a possible opioid overdose and how to respond. This matters whether the substance is heroin, fentanyl, a prescription opioid or an unknown drug that may contain an opioid.
Possible Signs of Opioid Overdose
- the person cannot be awakened;
- breathing is slow, shallow or stopped;
- choking, gurgling or unusual snoring sounds occur in someone who cannot be awakened;
- skin, lips or nails become discolored;
- pupils may be very small and constricted.
Naloxone Can Reverse an Opioid Overdose
CDC advises giving naloxone if opioid overdose is suspected, calling 911, trying to keep the person awake and breathing, placing them on their side to reduce choking risk and staying with them until emergency help arrives.
Naloxone is available over the counter in the United States. Family members can carry it even if the person they are worried about has not agreed to treatment.
Families should also understand that opioid tolerance can fall after a period of abstinence. Returning to a previously tolerated dose after loss of tolerance can increase overdose risk.
Naltrexone is an opioid antagonist. In someone who remains physiologically dependent on opioids, starting naltrexone too early can precipitate significant withdrawal. The timing must be assessed clinically.
If Alcohol Is Involved
A common family instinct is to say, “Just stop drinking today.” That may be appropriate for someone without physical dependence, but it is not always medically safe for someone who has been drinking heavily and chronically.
Alcohol withdrawal can include tremor, sweating, insomnia, anxiety, nausea and increased heart rate. In more severe cases, seizures and delirium tremens can occur.
Do Not Create a Home Detox Regimen From an Online Article
If physical alcohol dependence may be present, obtain appropriate medical advice. Families should not select sedatives, create dosing schedules or attempt to judge severe-withdrawal risk without qualified clinical assessment.
Some people can undergo withdrawal management in an outpatient setting. Others require medically supervised or inpatient care. The appropriate setting depends on individual risk rather than a generic number of drinks.
How to Talk to Someone About Addiction
The first conversation does not need to produce an admission, a diagnosis and a treatment booking all at once.
Choose a time when the person is reasonably sober, safe and able to participate. Focus on specific observations rather than labels such as “addict,” “alcoholic,” “selfish” or “out of control.”
Use your own words. A memorized script can sound artificial if it does not reflect the relationship.
“You missed work twice this week and I found you unconscious on the couch” gives the person something concrete to respond to. “You are ruining everybody’s life” usually starts a different conversation.
What Usually Makes Conversations Worse?
Shaming
Humiliation may increase defensiveness and can make it harder for the person to talk honestly about use.
Arguing During Intoxication
Serious treatment discussions are unlikely to be productive when the person is highly intoxicated or medically unstable.
Empty Threats
Do not repeatedly announce consequences that nobody intends to follow through on.
Long Lectures
A twenty-minute speech may feel satisfying to the speaker but often leaves little room for an actual conversation.
Diagnosing Them Yourself
Describe what you see and let qualified professionals assess the clinical picture.
Trying to Win
The objective is not to prove who is right. It is to move closer to safety, assessment and realistic treatment decisions.
What If They Admit There Is a Problem?
A moment of willingness can be important. Do not overwhelm the person with twenty treatment websites and five family debates. Move toward a professional conversation while motivation is present.
Do not delay urgent care while trying to assemble perfect records. The checklist is most useful when the person is medically stable and treatment planning is underway.
What If They Refuse Treatment?
Ambivalence is common. A person may recognize some consequences while still feeling strongly attached to alcohol or drugs. They may fear withdrawal, dislike the idea of rehab, worry about work, believe treatment will not help or simply not see the situation the same way the family does.
A competent adult’s refusal does not automatically give relatives authority to force treatment.
Families can still take useful actions. They can learn overdose response, keep naloxone where relevant, stop providing money that directly supports substance use, seek their own counseling, clarify household boundaries and keep treatment information available if willingness changes.
It is possible to say, “I love you and I will help you access treatment” while also saying, “I cannot keep giving you money when I believe it is being used for drugs.” Support and boundaries can exist together.
Florida Involuntary Assessment and Treatment: The Marchman Act
Information current as of September 17, 2026.
Florida’s substance-use law, commonly associated with the Marchman Act, provides legal processes for involuntary assessment and treatment in defined circumstances. It is not a general power allowing a family to place any adult into rehab simply because the family believes treatment would be beneficial.
Under current Florida Statutes, involuntary-admission criteria include a good-faith reason to believe the person is substance-use impaired and has lost the power of self-control regarding substance use, together with additional statutory conditions involving impaired judgment about treatment need or a real and present risk of substantial harm.
The law also states that mere refusal to receive treatment does not by itself prove that a person lacks judgment regarding the need for services.
For an adult, current law permits an involuntary-treatment petition to be filed by a spouse or legal guardian, any relative, a service provider or an adult with direct personal knowledge of the person’s substance-use impairment and prior course of assessment and treatment.
Proceedings are judicial. Current Florida law provides the respondent a right to counsel, and petitions are generally filed with the clerk of court in the county where the person is located.
A court cannot simply assume what level of treatment the person needs. Current law generally requires clinical assessment before involuntary treatment is ordered, unless the person is present and expressly waives the assessment. If the statutory conditions are proved, a court may order involuntary treatment, subject to the requirements and limits of Chapter 397.
The Marchman Act Does Not Guarantee Recovery
A court process may create access to assessment or treatment when statutory criteria are met. It cannot guarantee motivation, long-term engagement or recovery after the order ends.
This section is general information, not individualized legal advice. Families considering a petition should use current Florida court and statutory information and, where necessary, obtain qualified Florida legal advice.
How Addiction Assessment Works in Miami-Dade County
Miami-Dade County has an official local pathway for adults seeking substance-use assessment and treatment placement.
The county’s Rehabilitative Services Division identifies its Central Intake Unit as the entry point for adults seeking evaluation, referral and substance-use treatment placement. The county states that individuals are evaluated to determine an appropriate level of care and placement in outpatient or inpatient treatment.
Central Intake Unit
Address: 3140 NW 76th Street, Miami, FL 33147
Phone: 305-694-2766
Phone and location verified against Miami-Dade County’s current service page on September 17, 2026.
The county’s current treatment system includes assessment, residential and outpatient care, medical and psychiatric services, individual and group counseling, medication-assisted treatment, case management, relapse and overdose prevention and continued-care planning.
Not everybody who needs help requires residential rehab. ASAM’s treatment framework uses multidimensional assessment to match needs, risks, strengths and recovery supports to an appropriate level of care.
Understanding the Main Treatment Options
Detox / Withdrawal Management
Focuses on safe stabilization when reducing or stopping a substance creates clinically significant withdrawal risk.
Residential Care
The patient lives within a structured treatment environment rather than returning home after each treatment day.
PHP
Partial hospitalization generally offers substantial structured daytime care without an overnight residential stay.
IOP
Intensive outpatient treatment provides frequent structured care while the person continues living outside the program.
Standard Outpatient Care
Counseling, medical follow-up and recovery services are delivered through scheduled appointments while the patient lives at home.
Medication Treatment
Evidence-based medications can be important for opioid and alcohol use disorders when clinically appropriate.
Therapy & Counseling
Behavioral treatment addresses coping, relationships, triggers, thinking patterns, mental health and practical recovery skills.
Peer Support & Aftercare
Recovery support continues after the first treatment phase and can include counseling, medication follow-up, peer support and local care.
Florida DCF currently licenses multiple substance-use service categories, including detoxification, intensive inpatient, intensive outpatient, opioid medication-assisted treatment, outpatient, residential and aftercare services.
How Families Should Compare Treatment Providers
Do not compare treatment only by photographs, location or price. Ask what the provider actually does.
| Question | Why It Matters | Family Check |
|---|---|---|
| Who provides medical oversight? | Withdrawal, medications and co-occurring medical conditions may require qualified medical care. | ✓? |
| How is the initial assessment performed? | Treatment intensity should follow assessment rather than a predetermined package. | ✓? |
| Can the program manage withdrawal? | Not every facility provides medically supervised withdrawal management. | ✓? |
| Which medications are offered or supported? | Medication may be important for opioid or alcohol use disorders. | ✓? |
| Are psychiatric services available? | Mental-health conditions may need coordinated treatment. | ✓? |
| What evidence supports the treatment? | Ask for substance-specific evidence rather than broad promises. | ✓? |
| How can family be involved? | Family support can matter, but patient consent, privacy and appropriate boundaries also matter. | ✓? |
| What aftercare is included? | Treatment should consider what happens after discharge. | ✓? |
| What happens during an emergency? | Families should understand the facility’s medical and psychiatric emergency capability. | ✓? |
| Is the service appropriately licensed? | Florida regulates specific substance-use treatment components. | ✓? |
| What is the complete cost? | Ask about medications, accommodation, tests, professional fees and aftercare rather than only the headline price. | ✓? |
| What happens when treatment ends? | A discharge date should not be the first time anybody discusses the return-home plan. | ✓? |
This is a comparison framework, not a scoring system in which the highest number automatically identifies the best provider.
Does the Treatment Have to Be in Miami?
No. But treatment outside Miami is not automatically better either.
Stay Close to Immediate Medical Support
Local care may be necessary or preferable during medically significant withdrawal, medical instability, psychiatric crisis, need for hospital treatment or when continuity with existing local clinicians is important.
A Different Environment May Suit Some Patients
Clinically stable patients may consider specialist treatment, privacy, temporary distance from established substance-use routines or a focused treatment period outside their usual environment.
A previous unsuccessful local treatment experience may also prompt someone to compare other approaches. The same is true in reverse: somebody who previously traveled for care may decide that strong local continuity is now more useful.
Considering Nassau From Miami
DeBinge is transparent about its location: DeBinge is not a Miami treatment facility. Treatment takes place in Sandyport, Nassau, The Bahamas.
A family or patient in Florida can begin with consultation before travel. The clinical team can discuss current substance use, medications, relevant medical history, previous treatment and whether the proposed pathway may be suitable.
Travel should happen only after appropriate assessment and planning. A short flight from Miami does not make medically significant withdrawal safe.
For clinically suitable patients, sustained-release naltrexone may form one part of a broader treatment plan. Naltrexone is not appropriate for everybody, and its role differs according to the substance involved.
For opioid use disorder, a patient who remains physically dependent on opioids requires appropriate preparation before naltrexone because premature administration can precipitate withdrawal. For alcohol use disorder, naltrexone does not treat acute alcohol withdrawal.
Naltrexone Is a Medication, but Formulations Are Not Interchangeable
Oral and extended-release injectable naltrexone are established U.S. formulations. Long-acting implant formulations are separate products with formulation-specific evidence and regulatory status and are not FDA-approved formulations in the United States. DeBinge implant treatment takes place in The Bahamas.
Medication also does not replace counseling. Relationships, coping, habits, work, family stress and the conditions surrounding previous substance use still require continuing recovery work.
Families who want to understand addiction treatment in Nassau for Miami residents can review the full Miami pathway before deciding whether it is appropriate to proceed.
What Information Should the Family Have Ready?
You may not know every answer. That is normal. The purpose of the checklist is to prevent important information from being forgotten during a stressful call or assessment.
Bring What You Know. Do Not Guess What You Do Not Know.
What Does Your Loved One Need Right Now?
This educational decision pathway does not diagnose addiction, withdrawal severity or legal eligibility for involuntary treatment.
Answer What You Can Based on What You Actually Know
Helping Without Becoming the Treatment Team
Help With Access
Offer transport, help make calls, gather medical information or sit with the person during a consultation if they want you there.
Learn Emergency Response
Know when to call 911. Keep naloxone and understand how to use it when opioid-overdose risk exists.
Support Treatment Attendance
Help with practical barriers such as childcare or transportation when this is realistic and agreed.
Let Clinicians Make Clinical Decisions
Families should provide useful information, but medication selection, withdrawal management and treatment placement belong with appropriately qualified professionals.
Keep Your Own Life Functioning
Family members may need their own counseling, peer support, sleep, work and relationships. Helping someone does not require making their addiction the family’s only activity.
Boundaries vs Punishment
A boundary describes what you will or will not do. Punishment is designed primarily to make the other person suffer or comply.
Clear and Enforceable
“I will help pay the treatment provider directly, but I will not give you cash.”
“You cannot drive my children while intoxicated.”
“If violence occurs in my home, I will call for help.”
Often Escalates Conflict
Humiliation, destroying possessions, making threats nobody intends to keep or trying to control every movement can turn the family relationship into continuous conflict without treating the substance-use disorder.
A boundary should be connected to safety, finances, housing, children or the family member’s own well-being rather than used as a disguised attempt to practice medicine.
What Happens After Treatment?
Families often devote enormous energy to getting someone into treatment and much less attention to what happens afterward.
Discharge is a transition, not proof that the problem can never return.
Counseling
Continue work on coping, behavior, relationships, triggers and mental health.
Medication
Continue or review appropriate medication according to the individual treatment plan.
Relationships
Trust may need to rebuild through repeated behavior rather than promises.
Employment
Work can provide structure, but appointments and recovery needs must still fit into the schedule.
Routine
Sleep, meals, activity and responsibilities can reduce long periods of unstructured time.
Recovery Support
Professional, peer and family support can all have different roles.
Trigger Planning
Identify people, places, emotions and routines that may be associated with previous use.
Overdose Prevention
Where opioids are relevant, reduced tolerance, naloxone access and emergency planning remain important.
If treatment occurs in Nassau, return-home planning should consider the patient’s real Miami environment rather than assuming that being away from familiar routines permanently changes them.
Where Families Can Turn for Local Help
Resource details and phone numbers below were verified on September 17, 2026. Recheck contact information before publication if the article is updated later.
These referral resources do not replace emergency services. Call 911 for immediate medical or physical danger. Call or text 988 for suicide or severe behavioral-health crisis support.
Family Addiction Help FAQs
How do I know if my loved one has an addiction?
You cannot reliably diagnose a substance use disorder from one behavior. Repeated loss of control, unsuccessful attempts to stop, continued use despite harm, problems with work or relationships, risky use and substance use becoming increasingly central are reasons to seek professional assessment.
Can I make someone go to rehab in Florida?
A family cannot simply order any competent adult into rehab. Florida law contains specific processes for involuntary assessment or treatment when statutory criteria are met. Those processes involve legal and clinical requirements.
What is the Marchman Act?
The term commonly refers to Florida’s statutory framework under Chapter 397 for substance-use services, including defined involuntary assessment and treatment processes. It does not mean every person who refuses rehab qualifies for involuntary treatment.
Should they detox at home?
Do not assume home detox is safe. Withdrawal risk varies by substance, level of dependence, medical history and previous complications. Heavy dependent alcohol use in particular can produce medically dangerous withdrawal in some people.
What if they use fentanyl or heroin?
Keep naloxone available, learn overdose signs and seek evidence-based opioid-use-disorder treatment. If overdose is suspected, give naloxone if available and call 911.
Where can I get naloxone?
Naloxone is available over the counter in the United States, and local overdose-prevention programs may also distribute it. Pharmacies can provide information about the products they stock.
What if they drink every day?
Daily drinking alone does not tell you exactly how dangerous withdrawal would be, but possible physical dependence should be taken seriously. Seek medical assessment rather than abruptly creating a home detox plan.
Does insurance pay for addiction treatment?
Coverage depends on the insurance plan, provider network, service and authorization requirements. Marketplace health plans cover mental-health and substance-use-disorder services as essential health benefits, but specific covered services and patient costs vary by plan.
Is outpatient treatment enough?
It can be for some people. Others need more structure, withdrawal management or residential care. Treatment placement should follow assessment rather than assuming outpatient care is always too little or residential care is always better.
Does everyone need residential rehab?
No. Some patients can be treated safely and effectively while living at home. Others may require residential care because of clinical, psychiatric, social or environmental needs.
Should we send them away from Miami?
Not automatically. Some people benefit from local continuity and family involvement. Others may consider specialist care or temporary distance from their normal environment once they are medically safe to travel. Neither setting is universally superior.
Is DeBinge located in Miami?
No. DeBinge treatment takes place in Sandyport, Nassau, The Bahamas. Consultation and assessment can begin while the family and patient are still in Florida.
Why would someone travel from Miami to Nassau?
Some people seek specialist treatment, privacy or temporary separation from routines associated with substance use while remaining geographically close to South Florida. Travel itself does not treat addiction.
Do U.S. citizens need a passport to travel to The Bahamas?
U.S. citizens traveling by air to The Bahamas are generally required to present a valid U.S. passport and proof of anticipated departure. Entry requirements should always be rechecked before travel.
Can someone travel while withdrawing?
Do not assume travel is safe during withdrawal. Medically significant alcohol withdrawal can become dangerous, and opioid-dependent patients require appropriate preparation before antagonist treatment such as naltrexone. Local stabilization may need to come first.
What treatment happens in Nassau?
The precise plan depends on clinical assessment. For suitable DeBinge patients, treatment may include medical preparation, sustained-release naltrexone as one component of care, counseling and recovery planning.
What happens after they return to Miami?
Recovery planning may include counseling, local healthcare, medication follow-up where appropriate, family support, healthier routines, trigger planning and a clear response if substance use resumes.
Does naltrexone work for everyone?
No. Suitability depends on the substance involved, physical dependence, current medications, medical history, treatment goals and other individual factors.
Does medication replace counseling?
No. Medication can address important biological aspects of opioid or alcohol use disorders, but it does not automatically change coping, relationships, routines, mental health or environmental triggers.
What should I do if they relapse?
Check safety first. If opioids are involved, remember overdose risk may be higher after reduced tolerance. Contact the treatment team promptly and reassess what needs to change rather than treating the episode as proof that treatment is pointless.
Should I give them money for treatment?
If you want to help financially, paying a legitimate treatment or healthcare provider directly may be safer than giving unrestricted cash when you believe money is contributing to ongoing substance use.
Can family members contact DeBinge before the patient agrees?
A family member can seek general information about the program and what an assessment may involve. The patient’s own clinical assessment and consent remain important when treatment is voluntary.
Choose the Next Action Based on What Is Happening Today
Use Emergency Care
Call 911 for suspected overdose, serious breathing difficulty, unconsciousness, seizure or another immediate medical emergency. Call or text 988 for suicide or severe behavioral-health crisis support.
Use Local Treatment Access
Miami-Dade Central Intake, Thriving Mind or another appropriate licensed treatment provider can help assess needs and discuss treatment options.
Discuss Treatment Before Travel
If the person is medically stable and the family is considering DeBinge, begin with consultation and clinical information rather than booking travel first.
Learn How the Miami-to-Nassau Treatment Pathway Works
Review how consultation begins from Florida, what needs to happen before travel, how Nassau treatment may fit into the wider recovery plan and what happens after the patient returns to Miami.
View Treatment in Nassau for Miami Residents →Official Medical, Legal and South Florida Resources
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Miami-Dade County — Substance Abuse Treatment Programs
Official information on Central Intake, assessment, treatment placement, residential treatment, outpatient services and continued care.
Open Miami-Dade Resource → -
Florida Department of Children and Families — Substance Use Disorder Licensing
Official Florida information on licensed treatment components including detoxification, inpatient, IOP, outpatient, residential, medication-assisted treatment and aftercare.
Open Florida DCF → -
Florida Legislature — Chapter 397, Substance Abuse Services
Current Florida statutory source for involuntary assessment and treatment criteria, petitions, legal rights and court procedures.
Review Florida Statutes → -
American Society of Addiction Medicine — The ASAM Criteria
Clinical framework for multidimensional addiction assessment and selecting an appropriate level of care.
Read ASAM Criteria → -
CDC — Naloxone and Opioid Overdose Response
Official guidance on recognizing possible opioid overdose, giving naloxone, calling 911 and staying with the person.
Read CDC Guidance → -
NIAAA — Alcohol Use Disorder and Withdrawal
Clinical information on alcohol withdrawal, including potentially serious complications such as seizures and delirium tremens.
Read NIAAA Guidance → -
FDA — Naltrexone / Vivitrol Safety Information
Regulatory information concerning opioid dependence, precipitated withdrawal and approved extended-release injectable naltrexone.
Search FDA Drug Information → -
Thriving Mind South Florida
Regional behavioral-health network serving Miami-Dade and Monroe counties, including substance-use services and crisis pathways.
View South Florida Services → -
211 Miami
24/7 information and referral service for health and human services in Miami-Dade and Monroe counties.
Open 211 Miami → -
SAMHSA — FindTreatment.gov
Federal treatment locator for mental-health and substance-use services across the United States.
Find Treatment → -
HealthCare.gov — Mental Health and Substance-Use Coverage
Federal information on substance-use-disorder coverage within Marketplace health plans.
Review Coverage Information → -
U.S. Department of State — The Bahamas Travel Information
Current official passport, entry and travel information for U.S. citizens considering travel to The Bahamas.
Review Bahamas Travel Information →
Consultant Psychiatrist specialising in substance misuse and addiction psychiatry
Review status: Pending clinical approvalThis article provides general educational information and does not diagnose a substance use disorder, determine withdrawal severity, prescribe medication or provide individualized legal advice. Treatment decisions should follow appropriate clinical assessment. Marchman Act questions should be checked against current Florida law and, when necessary, discussed with a qualified Florida attorney or appropriate court resource.
Suspected overdose, unconsciousness, serious breathing difficulty, seizures, severe confusion, serious injury or another immediate medical emergency requires urgent help. In the United States call 911. For an immediate suicide or severe behavioral-health crisis, call or text 988.