Communication Access Crisis Support Global
Accessible crisis communication

Communication Access Crisis Support – Global

A gentle support page for people who may need crisis help in a different communication format — including text, chat, writing things down, AAC, visuals, Easy Read, plain language, support people, relay services, or extra processing time.

If there is immediate danger

If you or someone else is in immediate danger, at risk of serious harm, medically unsafe, or unable to stay safe, contact local emergency services now.

  • New Zealand: 111
  • Australia: 000
  • United States / Canada: 911
  • UK: 999 or 112
  • Europe: 112

Gentle reminder

Needing a different way to communicate does not make your crisis less real. Text, AAC, writing, gestures, visuals, support people, or delayed responses are valid ways to ask for help.

Quick pathways

Choose the option that best fits what is happening right now.

I need help without a phone call

Use text, chat, webchat, email, written notes, or ask someone trusted to help communicate.

Open text/chat support

I need support adapted to disability or access needs

Use accessibility-specific support if standard crisis support is too fast, too verbal, too loud, or not accessible.

Open accessibility support

I am overwhelmed, shut down, or cannot explain

Use neurodivergent crisis pathways for shutdown, meltdown, sensory overload, burnout, or communication loss.

Open ND crisis support

Communication access needs during crisis

In crisis, people may lose speech, struggle to process questions, need extra time, become overwhelmed by noise, or find phone calls impossible. Support should adapt to the person, not force the person to communicate in one narrow way.

Text is valid

Typing, texting, chat, or written notes can be easier than speaking.

AAC is valid

Communication devices, picture boards, symbols, and gestures should be respected.

Silence is not refusal

Someone may be processing, frozen, shut down, or unable to speak.

Time helps

Extra processing time can reduce panic and improve understanding.

Communication tools that may help

These tools can help someone communicate needs more safely during distress, overload, shutdown, or crisis.

Tool or method How it can help Example use
Text or webchat Allows support without needing a phone call. “I need help but cannot talk out loud.”
AAC device or app Supports people who use typed, symbol, or device-based communication. Use prepared crisis buttons or typed messages.
Written note Can explain needs quickly when speech is hard. “Please speak slowly. I need time.”
Support person Can help explain needs, advocate, or stay nearby. “This person helps me communicate.”
Plain language Reduces confusion and processing load. Use short steps and one question at a time.
Visual choices Can help when verbal answers are too hard. Pointing to “yes”, “no”, “pain”, “safe”, or “need quiet”.

Helpful reminder

If you use AAC, communication cards, written notes, or a support person, it can help to keep a short crisis message saved somewhere easy to find.

Communication access by country / region

Some crisis services offer text, chat, relay, webchat, or other non-phone options. Availability can change, so always check the official service page for the most current details.

New Zealand

In an emergency, call 111. For mental health support, 1737 can be called or texted within New Zealand, which may help when speaking out loud feels too hard.

Australia

In an emergency, call 000. Some Australian crisis and support services offer phone, text, or online chat options depending on the service.

United States

In an emergency, call 911. The 988 Lifeline offers call, text, chat, and access options for Deaf and Hard-of-Hearing people.

Canada

In an emergency, call 911. Some Canadian crisis pathways may include phone, text, or chat options depending on the service and region.

United Kingdom

In an emergency, call 999 or 112. Some UK support services offer text, webchat, or non-phone pathways for people who cannot call.

Ireland

In an emergency, call 112 or 999. Some Irish crisis services may offer text or online support options for people who find phone calls difficult.

Europe

In many European countries, 112 is the emergency number. Check your country’s local crisis services for chat, text, relay, or accessible communication options.

International / worldwide

If you are outside these countries, use the location hub to look for local text, chat, phone, or accessible support options.

Open location hub

If phone support is not accessible

Look for text, chat, relay, webchat, email, interpreter, Easy Read, or support-person options. If you are in immediate danger and cannot speak, use the safest emergency contact method available.

Simple crisis scripts

You can copy, save, print, or adapt these scripts for yourself or someone you support.

If you cannot speak

“I need help. I cannot speak clearly right now. Please let me type, write, point, or use AAC.”

If phone calls are not possible

“I need crisis support, but I cannot use a phone call. Please give me text, chat, email, or written options.”

If you need processing time

“Please ask one question at a time. I need extra time to answer.”

If you need a support person

“This person helps me communicate. Please include them unless I say otherwise.”

For family, carers, support people, and professionals

Communication access can make crisis support safer, calmer, and more respectful. It can also reduce fear, shutdown, escalation, and misunderstanding.

What helps

  • Ask how the person communicates best.
  • Offer text, writing, AAC, visuals, or gestures.
  • Use one question at a time.
  • Give extra processing time.

What to avoid

  • Do not demand eye contact.
  • Do not assume silence means refusal.
  • Do not talk over the person.
  • Do not remove AAC or communication tools.

When urgent help is needed

If someone cannot stay safe, may harm themselves or someone else, is medically unsafe, or is in immediate danger, use emergency or crisis support immediately.

Where to go next

This page connects into the wider Aspie Answers crisis support structure.

Non-Speaking / Low-Speaking Crisis Support

For people who may use AAC, typing, symbols, gestures, or support people.

Open non-speaking support

Shutdown & Meltdown Crisis Support

For crisis moments involving loss of speech, overwhelm, panic, shutdown, or meltdown.

Open shutdown/meltdown support

Text / Chat Crisis Support

For non-phone support pathways and lower-pressure ways to reach out.

Open text/chat support

Accessibility-Specific Crisis Support

For crisis support adapted around disability, sensory, communication, and access needs.

Open accessibility support

Support & Directories Hub

For ongoing support, organisations, services, groups, and non-urgent contacts.

Open support directories