Native & Strong Lifeline
Dial 988 + 4
The Native & Strong Lifeline is a crisis call center operated entirely by Native staff and is available 24/7 in Washington
State. To connect with the Native & Strong Lifeline from a Washington State area code, dial 988 and press “4”.
The Native crisis counselor who answers will help with mental health crises in an empathetic and culturally connected way.
The Native & Strong Lifeline currently employs 16 Indigenous counselors from all over the United States. In addition to the training all 988 crisis counselors receive, Native & Strong counselors are trained in cultural competency, traditional forms of healing, and Native slang and language. Counselors use cultural activities, traditional medicines, and connections with elders and Native healers as a part of self-care planning with callers, in addition to clinical and community resources.
Although Native & Strong is only available in Washington State, this crisis call center can serve as a model for Tribes
that want to open their own crisis call centers nationwide.
To learn more about how Native & Strong was created, visit