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Published Online:https://doi.org/10.1176/ps.24.2.94

A 24-hour telephone crisis service in a city of about 35,000 people is operated during the workday by trained secretarial staff members at a mental health center and the rest of the time by trained volunteers at their homes. The authors discuss the special problems of establishing and operating a telephone service in a nonmetropolitan area, including a lower volume of calls than an urban service would receive, less sophisticated telephone routing equipment, and greater need for confidentiality.

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