Summit Addresses Mental Health Crisis and Suicide Rates in Guam

Guam is grappling with a significant mental health crisis, as highlighted during the Guam Homeless Coalition’s 4th Housing and Homelessness Summit held at the University of Guam. Since the introduction of the 988 Lifeline in 2022, the island has recorded over 30,000 crisis interactions. This statistic underscores a troubling reality: one in every five residents will experience a mental health crisis during their lifetime. Jesse Libby, project coordinator for the 988 Lifeline for Guam, pointed out that the island has alarmingly high suicide rates, particularly affecting the local community.

The summit, themed “Navigating homelessness and services amid shifting policy currents,” focused on the urgent need for improved mental health services and support systems for those facing homelessness. Libby emphasized that, despite the evident demand for assistance, resources remain critically limited. “It’s hard to refer someone who needs a bed to go where there are no more beds left at shelters,” he stated.

Connecting Mental Health and Homelessness

A significant portion of the calls to the 988 Lifeline comes from the homeless population, highlighting the intersection of mental health crises and homelessness on the island. Mark Torre Jr., supervisor of the Mobile Crisis Response Team (MCRT) under the Guam Behavioral Health and Wellness Center, noted that the team is working to reduce reliance on police during these crises. Traditionally, individuals in distress would call 911, but Torre advocates for the 988 option. “The MCRT can provide mental health specialists rather than law enforcement, preventing arrests that cycle individuals through the judiciary and correctional systems,” he explained.

Despite handling a staggering number of calls, the MCRT’s operational hours have shifted from 24/7 to 7 a.m. to 11:30 p.m. daily, as of September 1, 2025. Torre stated that this change reflects demand patterns, noting that most crises occur during regular working hours. He assured that should community needs escalate, the service could revert to round-the-clock availability. Currently, the MCRT operates with two eight-hour shifts and deploys two to four team members per shift, successfully stabilizing 75% of those in crisis without further involving other agencies.

The data collected indicates that 62% of MCRT cases are related to mental health crises, with 34% involving suicidal or homicidal thoughts. Key contributing factors include non-compliance with medications, which accounts for 30% of cases. Notably, over half of the interventions, 51%, were stabilized at the callers’ homes, preserving family units during challenging times.

Addressing Service Gaps and Future Initiatives

Dr. Carla T. Haddock from the Guam Behavioral Health and Wellness Center highlighted critical gaps in available services, particularly the absence of dementia care facilities on the island. This deficiency affects individuals with Alzheimer’s and similar conditions, which can often mirror mental health disorders. “That is really, truly a gap in service on this island,” she remarked.

Haddock also discussed the processes surrounding voluntary and involuntary admissions for individuals experiencing mental health crises. She mentioned a recent legislative proposal, Bill 219-38, introduced by Senator Shelly Calvo, aimed at modifying and expanding Assisted Outpatient Treatment requirements. This bill could enhance the support framework for those in need.

Alyssa Roberto, project director for Guam Systems of Care, emphasized the importance of meeting individuals where they are. Her organization provides constant support, operating 24/7 with multiple shifts and intake workers available during business hours. Importantly, this initiative includes assistance with transportation, ensuring that those in need can access necessary services.

As Guam continues to confront significant mental health challenges and high suicide rates, the discussions and initiatives stemming from the recent summit highlight a collective commitment to improving conditions for vulnerable populations. The ongoing collaboration between mental health services, local organizations, and governmental support will be crucial in navigating these pressing issues effectively.