Getting help with drink, drugs or your mental health in Tennessee
Whether it is drinking, drugs, gambling, eating or just not coping — and whether it is you or someone you care about — there is help in Tennessee and you can get it today. You do not need a diagnosis, you do not need to have hit any kind of bottom, and you do not need to have decided anything. Wanting to talk to someone is enough of a reason to pick up the phone.
If you would rather type than talk, text 988, or HOME to 741741. And there is one thing worth doing before you ever need it: find out which number your own college answers at 2am, and whether you have to press anything to reach a person. Section 01 has all fourteen.
You do not have to be in crisis to use this page
Most people who end up getting help did not start with an emergency. They started with a quiet worry — that they were drinking more than their friends, that they could not get through a week without it, that the panic was getting worse, that a friend was frightening them. All of those are good enough reasons to talk to someone. Nothing on this page asks you to label yourself.
Here is what is below, so you can go straight to the bit you need. At your college is the counselling your own institution offers, what it costs, and the number that is actually answered at 2am. Call tonight is everything open to you whatever college you are at. Paying for it is what to do if you have no insurance or no money.
If you are worried about someone else, you are in the right place too. Section 03 is what the law protects you for if you ring 911 for a friend. Section 05 is how to get naloxone free and have it before you need it. Section 04 explains what happens if someone is held, which is worth knowing calmly rather than in the moment.
And if what is stopping you is who might be told — your parents, your college, your course — that is a fair thing to worry about and the last section answers it honestly.
Find help at your college
Every college below offers counselling, and at most of them it is free. Find yours, and you will get the number to ring, what it costs, who answers after hours, and what it offers specifically for drink and drugs. Tap any name to open it. If your college is not listed, the next section covers help that is open to everyone in Tennessee whatever you are studying and wherever you are.
Find your college on the map
Tap your college and its card opens right there with the number to ring and what its counselling service offers. You can press the number to dial it straight away. Tap another college to switch, or the × to close. The shaded areas are the eleven counties that contain an institution covered here. Where campuses sit close together the marker is nudged clear and a thin line points back to the true location. Every institution is also listed underneath, and those names link to the full entry.
- 1University of Tennessee, Knoxville
Knoxville, Knox County - 3Middle Tennessee State University
Murfreesboro, Rutherford County - 4University of Memphis
Memphis - 5East Tennessee State University
Johnson City, Washington County - 6Tennessee Technological University
Cookeville, Putnam County - 7Austin Peay State University
Clarksville, Montgomery County - 8Tennessee State University
Nashville - 9University of Tennessee at Chattanooga
Chattanooga, Hamilton County - 13University of Tennessee at Martin
Martin, Weakley County
- 2Vanderbilt University
Nashville - 10Belmont University
Nashville - 11Rhodes College
Memphis - 12Sewanee: The University of the South
Sewanee, Franklin County - 14Union University
Jackson, Madison County
Marker positions are indicative and show the main campus only; several of these institutions run additional campuses elsewhere in Tennessee, and the counselling arrangements can differ between them. The four Nashville institutions and the two in Memphis sit close together, so their markers are pushed apart to stay readable. Tennessee is a wide, shallow state, which is why the map sits in the middle of the frame with space above and below for the cards. County boundaries are from the U.S. Census Bureau cartographic boundary files.
Compare colleges side by side
If you want the short version before you open anything, this is it. Pay closest attention to the after-hours column — that is the one worth sorting out before a bad night rather than during one, because at several of these colleges the number you ring at 2am reaches campus police rather than a counsellor.
| Your college | What it costs | After hours | Out of state | Substance use | Medical amnesty |
|---|---|---|---|---|---|
| UT Knoxville Knoxville, Knox County | Free, your fee covers it | Same number, ask who answers | Ring and ask before you go | Six meetings, room 201 | Both of you are covered |
| Vanderbilt Nashville | Covered by your student fee | Press 1 after hours | In state, options given | Ring for meeting times | Both of you, law named |
| MTSU Murfreesboro, Rutherford County | Free; $10 if you no-show | No campus line, use 988 | Ring and ask before you go | Referral only, REDLINE helps | Yes, and the law helps |
| Memphis Memphis | Free at 6+ credit hours | Dial 2, any hour | Ring and ask before you go | BASICS, $35, two sessions | Ask for it in writing |
| ETSU Johnson City, Washington County | Price not published, ask | Press 2, any hour | Ring and ask before you go | Referred out, use REDLINE | Ask for it in writing |
| Tennessee Tech Cookeville, Putnam County | Free for enrolled students | One number, any hour | Ring and ask before you go | Centre exists, use the form | Ask for it in writing |
| Austin Peay Clarksville, Montgomery County | Price not published, ask | Police answer, keep 988 | Ring and ask before you go | No service, use REDLINE | None, the law still helps |
| Tennessee State Nashville | Free, 12 sessions a year | TimelyCare or mobile crisis | TN only for telehealth | None, use the REDLINE | None, the law still helps |
| UT Chattanooga Chattanooga, Hamilton County | Free; psychiatry costs, ask | One number, a counsellor | Two answers, ring and ask | Recovery lounge + BASICS | Both of you, law named |
| Belmont Nashville | Free, all clinical services | TimelyCare, 988 or security | TimelyCare, all 50 states | Wednesdays 6pm, ask where | Ask for it in writing |
| Rhodes Memphis | Free in term, fee in summer | Any hour, a real clinician | Two answers, ring and ask | Referral + state scheme | Both of you are covered |
| Sewanee Sewanee, Franklin County | Free; $25 if you no-show | Crisis line, check the hour | Ring and ask before you go | Screener only, use REDLINE | Good Samaritan policy |
| UT Martin Martin, Weakley County | Price not published, ask | One number, keep 988 too | Ring and ask before you go | None, use the REDLINE | Ask for it in writing |
| Union Jackson, Madison County | Free; 4 BetterHelp sessions | No clinician, ring Pathways | In Tennessee, ring and ask | None, use the REDLINE | None, the law still helps |
Three things worth knowing before you ring your college
Find out who actually answers, and save a backup. At several colleges here the out-of-hours number reaches campus police or an answering service rather than a counsellor, and some do not say which. That is not a reason not to ring — it is a reason to have a second number. 988 is free and answered around the clock, and the TN REDLINE on 800-889-9789 is free and confidential for drink and drugs.
Ask two questions in the first minute: “am I speaking to a counsellor or to security?” and “is this confidential?” A Title IX or conduct office is not a confidential service in the way a counsellor is, and students routinely assume otherwise. The last section sets out who can be told what.
If you called 911 for someone, state law protects you — and your college has its own policy on top. The two are separate things and both can apply. Section 03 covers the law; the entries above say what each college publishes.
University of Tennessee, KnoxvillePublic · Knoxville, Knox CountyFree, your fee covers itSame number, ask who answersRing and ask before you goSix meetings, room 201Both of you are covered
Ring this at any hour — the daytime number is also the night one, and an on-call mental health professional answers
Rocky Top Recovery, if you want to ask about the six weekly meetings before you go to one
Wherever you are: 988 then press 0 for a crisis, 800-889-9789 for drink, drugs or gambling — both free, both 24 hours.
Free at the point of use — nothing to pay and no insurance to hand over. UTK puts it plainly: “There are no out-of-pocket costs or insurance costs for counseling services… The Student Program and Services Fee funds our services.” You do not need a minimum number of credit hours, and no charge for a missed appointment is published — it is still worth ringing to cancel so somebody else can have the slot. How much you get is described rather than counted: single-session and short-term work, and the centre says it “cannot offer long-term therapy services”. Ask at your first appointment what that means for you and what happens afterwards. Section 06 covers paying for care off campus.
Ring 865-974-2196 at any hour. It is the ordinary daytime number and it doubles as the night one: “After hours, you can call our number to speak with a mental health professional with our on-call service.” The number is 865-974-2196. No press step is published, so listen through whatever menu you get rather than guessing. Who answers is not named, so ask in the first minute whether you are speaking to a counsellor. They can talk things through but cannot book your follow-up, so ring again in the morning. UTK prints a second emergency line elsewhere, 865-974-HELP (4357) — save both, and 988 as well.
UTK does not say whether it can see you from outside Tennessee, so ring and ask before you travel. Nothing on the home page, the booking page, the services page or the crisis page sets a licensure rule either way, and no out-of-state teletherapy service is named. Put the question to 865-974-2196 before a semester away or before you count on an appointment from another state, rather than finding out in the week you need one. If the answer is no, section 02 lists help that is open to you wherever you are sitting, and 988 works from any phone in the country.
Six meetings a week, every one with a day, a time and a room, and you can simply turn up. Rocky Top Recovery runs all of them in Student Health Center Room 201: Mondays 5–6pm, Tuesdays 1–2pm, Wednesdays 5–6pm, Thursdays 10–11am, Fridays 4:30–5:30pm and 6–7:30pm. Walking into a first meeting is a hard door; knowing the room number in advance helps. If you would rather ask something before you go, ring 865-974-5725. There is also a one-hour Recovery Ally Training if you want to be useful to somebody else. For drink or drugs at any hour, the TN REDLINE is 800-889-9789.
Call for help and you are protected — and so is the person you called about. UTK’s wording: “Amnesty means no formal disciplinary action is taken when a good Samaritan (1) contacts appropriate resources to report and request assistance and (2) demonstrates cooperation and care by remaining with the impaired student.” It covers drink and drugs, it covers both of you, and no limit on how many times you can use it is published. So stay with them and say what was taken. The policy does not mention the state statute, which changes nothing for you: a conduct policy is not the criminal law, and Tennessee law protects the caller separately. Make the call.
UTK publishes nowhere on campus to get naloxone, so sort a kit out yourself now rather than on the night. There is no counter, no cabinet and no residence-hall kit on any of its pages. Tennessee makes the alternative free and simple: your Regional Overdose Prevention Specialist hands out naloxone and training at no cost, every county is covered, and the state publishes names and direct numbers. Narcan also sits on pharmacy shelves over the counter, no prescription and no conversation needed. Section 05 has both routes. Narcan training has run at UTK as a one-off event with Metro Drug Coalition, so ask Student Health when the next one is.
Worth knowing about UT Knoxville
- Two emergency numbers are in circulation and neither page explains which is which. The counselling pages give 865-974-2196 for after hours; the Wellness page gives 865-974-HELP (4357). Save both and try the counselling one first.
- No press step or menu is published for either line, so if you reach a keypad at 2am, listen all the way through the options before choosing one.
- All six Rocky Top Recovery meetings are in Student Health Center Room 201 — Mondays 5–6pm, Tuesdays 1–2pm, Wednesdays 5–6pm, Thursdays 10–11am, Fridays 4:30–5:30pm and 6–7:30pm. You do not need to contact anybody first.
Vanderbilt UniversityPrivate · NashvilleCovered by your student feePress 1 after hoursIn state, options givenRing for meeting timesBoth of you, law named
Ring this and press 1 — nights, weekends and holidays — for an on-call behavioural health provider
Vanderbilt Recovery Support, to ask what meetings and coaching are running this week
Wherever you are: 988 then press 0 for a crisis, 800-889-9789 for drink, drugs or gambling — both free, both 24 hours.
You have already paid for this in your fees, so there is nothing to hand over at the door. Eligibility runs to students “who are charged and have paid the required fees” — the Student Support Fee for undergraduates, the Student Health Fee for graduate and professional students, mandatory and non-waivable. No missed-appointment charge is published, though ring to cancel so somebody else can have the slot. Therapy is described as “time-limited and goal-orientated” with no number attached, so ask at your first appointment how many sessions you have. One hard date to know: if you stop being enrolled, transitional care lasts no more than 21 days.
Ring 615-322-2571 and press 1. That covers nights, weekends and holidays, and it reaches “a behavioral health on-call provider”. The number is 615-322-2571. Vanderbilt writes the press step three slightly different ways across its pages; it is 1 in every one of them. The call goes through an answering service Vanderbilt does not name, so ask in the first minute whether you are speaking to a clinician. If you need somewhere to go rather than someone to talk to, Vanderbilt names its Psychiatric Hospital and the Vanderbilt Health emergency room. 988 and “Text VANDY to 741741” are published too, and both work.
Vanderbilt is clearer about this than almost anyone, so you can plan around it. For therapy and psychiatry you “must be physically located in the state of Tennessee”, because its clinicians have to “remain compliant with state licensure requirements”. Unusually, it also says what you get instead: referral to local or telehealth services where you are, plus Vanderbilt Telehealth, the counselling centre, social work and Project Safe for online learners. Ring 615-322-2571 before a semester away and ask them to set that referral up in advance. Section 02 lists help that is open to you wherever you are sitting.
There is a real recovery programme here, but no meeting you can simply turn up to — so ring first. Vanderbilt Recovery Support is “a collegiate recovery program… for students who are concerned about their alcohol or other drug misuse and those actively in recovery”, with two named staff and a direct line on 615-343-4740. It runs “recovery meetings and individual coaching appointments”, and the days and rooms go to an events page rather than being printed, so ring and ask what is on this week. Asking is a small thing, and it is all that stands between you and the room. TN REDLINE: 800-889-9789.
Call for help — and Vanderbilt tells you the law is on your side too. A student seeking medical attention “for intoxication or overdose may be eligible for immunity for the use or underage possession of alcohol or other drugs”, and “immunity extends to individuals seeking help for another student”. It cites T.C.A. § 63-1-156 by section, which almost no college does. Two conditions: the emergency has to be how staff found out, and you engage in good faith afterwards. It does not wipe out responsibility if you supplied what was taken. Ring anyway — state law protects the caller whatever the conduct process decides.
Vanderbilt publishes no way for a student to get naloxone, so get a kit of your own — it is free and takes one phone call. Nothing appears in the alcohol and controlled-substances policy, on the recovery pages or at the wellbeing centre. Your Regional Overdose Prevention Specialist in Davidson County gives out naloxone and training for nothing, and the state publishes their name, direct number and email. Narcan is also sold over the counter with no prescription and no conversation at all. Section 05 sets out both. Vanderbilt tells you the law protects you for calling; this is the other half of being ready.
Worth knowing about Vanderbilt
- The press step is written three ways across Vanderbilt pages — “press #1” and “Press 1”. It is the same instruction: press 1.
- Therapy is called “time-limited” with no number published, so ask at the first appointment how many sessions you have and what happens when they run out.
- If you stop being enrolled, transitional care runs for no more than 21 days. Use that fortnight to get a referral in place rather than after it expires.
- Vanderbilt names somewhere to go as well as someone to ring: the Vanderbilt Psychiatric Hospital and the Vanderbilt Health emergency room.
Middle Tennessee State UniversityPublic · Murfreesboro, Rutherford CountyFree; $10 if you no-showNo campus line, use 988Ring and ask before you goReferral only, REDLINE helpsYes, and the law helps
Mobile Crisis, any hour — they will come out to you, and MTSU has no after-hours line of its own
Counseling Services, weekdays 8–4:30, to book or to cancel
Wherever you are: 988 then press 0 for a crisis, 800-889-9789 for drink, drugs or gambling — both free, both 24 hours.
Sessions themselves have no published price. What costs money is not turning up. MTSU is blunt: “a $10 missed appointment fee will be charged to your student account”, avoidable by cancelling “at least 12 hours before… or as soon as you are able in case of an emergency”. So ring 615-898-2670 the moment you know, because the charge is about the empty slot, not about you. You get “approximately six weekly sessions, each lasting 50 minutes”. MTSU also says what it does not do: no long-term therapy, no ADHD evaluations, no couples or family work, no ESA letters. Section 06 covers care off campus.
MTSU tells you straight that it has nobody of its own to ring at night: “MTSU Counseling Services does not provide after hours on-call.” That is honest, and it means you should put these in your phone now rather than during a bad night. 988 is free and answered around the clock. Mobile Crisis on 1-800-704-2651 will come out to you. University Police are on 615-898-2424, 911 brings an ambulance, and the emergency room is at St Thomas Rutherford. None of them needs a press step. For drink or drugs, the TN REDLINE is 800-889-9789.
Nothing is published about being seen from outside Tennessee, so ring and ask. The counselling home page, the services page and both crisis pages set no licensure rule either way, and no out-of-state teletherapy service is named. If you study remotely, or you are heading home for a semester, ring 615-898-2670 and ask whether they can see you where you will be before you count on an appointment. If they cannot, section 02 lists help that is open to you wherever you are sitting, and 988 works from any phone in the country.
There is no substance-use service of MTSU’s own, and the route in is in person. The university says students “can reach out to campus staff or visit Counseling Services, located in Keathley University Center, room 326-S”. Ring 615-898-2670 first so you are not walking in cold. If you want to know where you stand before speaking to anybody, Alcohol e-Check Up to Go is an online screener you can do on your own, privately. For anything more, the TN REDLINE on 800-889-9789 is free, confidential and answered at any hour, and will find you a meeting or an assessment near Murfreesboro.
If you call for help, MTSU does not put you through the conduct process for it. A student under the influence “should not be reluctant to seek assistance in the event of a health or safety emergency for fear of being sanctioned”, and the protection reaches witnesses as well as the person who needs help, for drink and for drugs, with no limit on uses. Read one line and then read past it: the policy says it “does not grant amnesty for criminal, civil, or legal consequences”. That is about what MTSU can promise, not about what the law does. Tennessee law protects the caller from arrest and charge separately, so make the call.
MTSU does give out free overdose response kits — but the only way to ask is by email, so send it today and order a kit meanwhile. Health Promotion advertises “Free Condoms, HIV Testing, and Overdose Response Kits”, with the request going to one named member of staff; no counter, opening hours or residence-hall cabinet is published. In the meantime the state route is quicker: the Regional Overdose Prevention Specialist for Rutherford County supplies naloxone and training free, with a direct number published, and Narcan is on pharmacy shelves over the counter. Section 05 has both.
Worth knowing about MTSU
- If you land on MTSU’s crisis-services page, ignore the “Suicide Hotline at 1-800-273-8255” printed on it — that number is retired. Dial 988, which is on the same page and works.
- MTSU has two crisis pages and they do not say the same thing. The useful one is the page that tells you there is no after-hours on-call, so you are not sitting up waiting for a call back that is not coming.
- The counselling office is Keathley University Center, room 326-S, and the number for booking and cancelling is 615-898-2670. Cancelling 12 hours ahead is what avoids the $10.
University of MemphisPublic · MemphisFree at 6+ credit hoursDial 2, any hourRing and ask before you goBASICS, $35, two sessionsAsk for it in writing
Ring this and dial 2 for the Tiger Care Line crisis counsellor, at any hour
Campus Police, if somebody is in immediate danger
Wherever you are: 988 then press 0 for a crisis, 800-889-9789 for drink, drugs or gambling — both free, both 24 hours.
Counselling itself is free or close to it; testing is where money appears, and those prices are published. “Psychodiagnostic/Personality assessments are $150 and ADHD/Learning Disorder testing are between $400–$500”, and $750 if you are not a student. You get six individual or couples sessions per academic semester. Two rules to plan around. You must be enrolled in at least 6 credit hours in autumn or spring, so if you are part-time, ring and ask what you can still use. And turn up on time: 20 minutes late and you are turned away, 15 at the health centre. Section 06 covers paying for care off campus.
Ring 901-678-2068 and dial 2. That is the “Tiger Care Line” crisis counsellor, and it is the clearest night-time instruction of any college on this page — one number, one keystroke, printed the same way on two Memphis pages. The number is 901-678-2068, and it is worth saving now while things are calm. Memphis does not say whether the person answering is its own staff or contracted, so ask in the first minute whether you are speaking to a counsellor. If somebody is in immediate danger, campus police are on 901-678-4357. 988 is free and answered around the clock.
Nothing is published about being seen from outside Tennessee, so ask before you rely on it. The counselling pages, the appointments page and the health-and-counselling FAQ set no location rule, and although a telehealth waiting-room link is published, no state list comes with it. Ring 901-678-2068 and ask directly whether they can see you where you will be. Ask about summer in the same call, since eligibility is written around autumn and spring. If the answer is no, section 02 lists help open to you wherever you are sitting, and 988 works from any phone.
BASICS is the one thing here you can book and know the price of: two 50-minute sessions for $35, “a prevention program for college students who are at risk for alcohol-related problems”, built around reducing harm rather than telling you to stop. If you would rather start privately, there is an anonymous misuse screener, and a low-cost drug and alcohol telehealth clinic runs from the Psychology Building — ring and ask what a session costs there. A “Students for Recovery and Sobriety Coalition” exists, reachable through the student engagement platform; no day or room is published, so message them and ask. TN REDLINE: 800-889-9789.
Memphis has an amnesty policy, and it is worth asking for it in writing before you need it. The alcohol page says “The Student Handbook: Code of Student Rights and Responsibilities outline our campus amnesty policy on addressing emergency situations related to substance use”, and the Code lists “Amnesty for Good Samaritans and those seeking emergency aid” at page 34. The operative wording would not open, so ask the Dean of Students for it, and ask whether it covers the caller as well as the person helped. None of that changes tonight: Tennessee law protects the person who rings for help. Call.
Memphis is one of very few colleges in the state that actually stocks naloxone. “Naloxone emergency kits are available in designated areas of the Student Health Center and Counseling Center”, each holding intranasal naloxone, protective equipment and step-by-step instructions. Training runs as a standing service — “naloxone education and training opportunities throughout the academic year” — rather than a one-off event. What is not published is whether you can take a kit without speaking to anybody, so ring ahead and ask which counter to go to. For a kit of your own with no conversation at all, section 05 has the free state routes.
Worth knowing about Memphis
- The credit-hour rule is the thing most likely to catch you out: counselling asks for at least 6 credit hours in autumn or spring, and the emergency-contacts page never mentions it. If you are part-time, ring and ask what you can still use.
- Money to plan for: $150 for a psychodiagnostic or personality assessment, $400–$500 for ADHD or learning-disorder testing, $35 for the two BASICS sessions.
- Turn up on time or you lose the appointment — 20 minutes late at counselling, 15 at the health centre.
- Naloxone kits sit in designated areas of the Student Health Center and Counseling Center. Ring first and ask exactly which counter, so you are not wandering a building.
East Tennessee State UniversityPublic · Johnson City, Washington CountyPrice not published, askPress 2, any hourRing and ask before you goReferred out, use REDLINEAsk for it in writing
BucsPress2 — ring and press 2, any hour of any day, free and confidential
Counseling Center office, weekdays 8–4:30 — for booking, not for a crisis
Wherever you are: 988 then press 0 for a crisis, 800-889-9789 for drink, drugs or gambling — both free, both 24 hours.
ETSU does not publish what an ordinary counselling appointment costs, so ask when you ring. Neither the Counseling Center home page nor its FAQ says free, charged or covered by a fee, and the question is much easier answered before a first appointment than after one — ring 423-439-3333. What is published as free is the crisis line, BucsPress2, and two digital tools, Togetherall and Welltrack Boost, both of which you can use tonight for nothing. No missed-appointment charge and no minimum credit hours appear anywhere. The model is “brief, solution-focused therapy”, so ask what that means in sessions.
Save 423-439-4841 and press 2. That is BucsPress2, free, confidential and answered “24/7/365” by “well-being and clinical professionals contracted by the Counseling Center” — so a real clinician, even though ETSU does not name the company. The number is 423-439-4841, and there is a text line on 855-708-2490. This is not the office number: do not ring 423-439-3333 in a crisis, and ETSU says plainly not to email or leave a voicemail either. Three regional hospitals are named if you need somewhere to go, and 988 works from any phone.
Nothing is published about being seen from outside Tennessee, so ring and ask before you count on it. The home page, the FAQ, the emergencies page and the BucsPress2 page set no licensure rule, and no out-of-state teletherapy service is named. Put the question to 423-439-3333 before a semester away. Two things do travel with you whatever the answer: Togetherall and Welltrack Boost are online and free to ETSU students, and 988 is answered around the clock from any phone. Section 02 lists more help that is open to you wherever you are sitting.
ETSU says honestly that this is not what its counselling service does, which is worth knowing before you book rather than after. If substance use is “the primary focus of care” you will be referred elsewhere rather than seen in the brief model. So go straight to the route that helps: the TN REDLINE on 800-889-9789 is free, confidential and answered around the clock, and will find you a meeting, an assessment or a service in the Tri-Cities. Ask them about collegiate recovery near Johnson City if you want other students around you. Section 02 has more.
We could not find a medical amnesty or Good Samaritan provision on any ETSU page a student can read. The alcohol policy page would not show its text, and a site search for “amnesty” returned only Title IX material. ETSU may well have one, so ask the Dean of Students for it in writing, and ask whether it protects the caller as well as the person who needs help. Do not wait for that answer tonight, though. Tennessee law protects anyone who in good faith seeks medical help for an overdose from arrest, charge and prosecution. If someone is in trouble, ring.
There is no naloxone published anywhere on ETSU’s student pages, and the training that turns up in search results is from 2019 — so get your own kit. In Tennessee that is free. The Regional Overdose Prevention Specialist covering Washington County gives out naloxone and trains you to use it at no cost, and the state publishes their name and a direct number. Narcan is also on pharmacy shelves over the counter, with no prescription and no conversation required. Section 05 has both routes, and keeping a box where you live costs you nothing.
Worth knowing about ETSU
- If you use Crisis Text Line, the short code on ETSU’s emergencies page is a digit short. Text HOME to 741741 — six digits.
- On that same page the Veterans Crisis Line is given as 1-800-273-8255. That routing is retired: dial 988, then press 1.
- The crisis number is not the office number. BucsPress2 is 423-439-4841, press 2; the office is 423-439-3333. ETSU’s own guidance is “During a crisis, DO NOT contact the Counseling Center office by email or leave a phone message.”
- Togetherall and Welltrack Boost are free to ETSU students and work from anywhere, so they are something to hold on to at 3am while you wait for the morning.
Tennessee Technological UniversityPublic · Cookeville, Putnam CountyFree for enrolled studentsOne number, any hourRing and ask before you goCentre exists, use the formAsk for it in writing
Eagle Eye Crisis Hotline — ring this at any hour, free and confidential
Center for Counseling, weekdays 8–4:30, to book
Wherever you are: 988 then press 0 for a crisis, 800-889-9789 for drink, drugs or gambling — both free, both 24 hours.
Free, and said without qualification: “Services offered by the Center for Counseling and Mental Health Wellness are free for enrolled students of TN Tech and are confidential.” No missed-appointment charge and no minimum credit hours. You also get a real number to plan around, which is rare: “Eligible students are allotted 12 sessions per academic year starting with the Fall Semester” — and emergencies, consultations, your intake appointment and group counselling are all excluded from that count, so they do not eat into it. If you think you will need more, ask at the first appointment what happens next.
Ring 855-206-8997 at any hour. That is the Eagle Eye Crisis Hotline, free and confidential, and it is the one to save: 855-206-8997. One Tennessee Tech page offers it “or” the office number, and at 2am the office is shut, so use the 855. Who answers is not published, so ask in the first minute whether you are speaking to a counsellor. In the daytime there is a walk-in centre at 1200 S. Willow Ave, and Cookeville Regional emergency room is named if you need somewhere to go. 988 is free and answered around the clock.
Nothing is published about being seen from outside Tennessee, so ring and ask before a semester away. No licensure rule appears on the index, about, contact or crisis pages, and no out-of-state service is named. An older page still advertises Zoom appointments; do not plan around it without checking with 931-372-3331 first. Two things work from anywhere whatever they say: the Eagle Eye hotline on 855-206-8997 and 988. Section 02 lists more help that is open to you wherever you are sitting.
There is more here than at most colleges, and the way in is an enquiry form rather than turning up. The Center for Addiction Prevention & Support has its own number, email and address, and works with students and 18–29-year-olds across Putnam County. It runs the Eagle Recovery Community, which “holds weekly peer support meetings”; the day and room are not printed, so send the form or ring and ask what is on this week. “Opioid Overdose Reversal Training” and “Recovery Ally Training” are offered the same way. For something answered tonight, the TN REDLINE is 800-889-9789.
Tennessee Tech’s handbook points at TTU Policy 172 on alcohol and drugs, and that policy would not open, so ask for it in writing. Put the request to the Dean of Students, and ask specifically whether calling for help protects both you and the person you called about. Meanwhile, what you do tonight does not depend on the answer. Tennessee law protects anyone who in good faith seeks medical help for an overdose from arrest, charge and prosecution, it covers the person overdosing as well as the caller, and since July 2025 it covers alcohol too. If someone is in trouble, ring 911 and stay with them.
Tennessee Tech teaches “Opioid Overdose Reversal Training” but does not publish anywhere to get naloxone — so do the training if you can, and get the kit elsewhere. Elsewhere is straightforward and free: the Regional Overdose Prevention Specialist for the Upper Cumberland hands out naloxone and training at no cost, with a name and direct number published by the state, and Narcan is sold over the counter in pharmacies with no prescription. Section 05 has both. Ask the Center for Addiction Prevention & Support whether they can put a kit in your hand when you enquire.
Worth knowing about Tennessee Tech
- Both of the counselling service’s main pages still print the old Lifeline number alongside 988 — “1-800-273-8255” on one, “1-800-273-TALK” on the other. Those are retired. Dial 988.
- Crisis Text Line is published as “Text ‘TN’ to 741741”. The short code is right; the keyword the service currently uses is HOME, so text that.
- Your 12 sessions a year do not include emergencies, consultations, intake or group counselling, so use those freely without worrying about the count.
- The walk-in centre is at 1200 S. Willow Ave in the daytime; the number that works at night is 855-206-8997, not the office line.
Austin Peay State UniversityPublic · Clarksville, Montgomery CountyPrice not published, askPolice answer, keep 988Ring and ask before you goNo service, use REDLINENone, the law still helps
APSU Police — the published after-hours route, so expect an officer rather than a counsellor
Student Counseling Services, weekdays 8–4:30, to book
Wherever you are: 988 then press 0 for a crisis, 800-889-9789 for drink, drugs or gambling — both free, both 24 hours.
Austin Peay does not publish a price, a free statement or a fee mechanism for counselling anywhere, so ask when you ring. Nothing appears on the landing page, the services pages, the individual counselling page or the health index. That is not a reason to stay away; it is a reason to ask two things on 931-221-6162: what a session costs, and whether anything is billed to insurance. You need to be currently enrolled and nothing more — no minimum credit hours, and no missed-appointment charge is published. The offer is “short term confidential counseling” with no number, so ask that too.
Be ready for this one: out of hours, the number Austin Peay publishes reaches the police, not a counsellor. Its words are “After hours emergencies or holidays: Call APSU Police at 931-221-7786 or dial 911 for the Clarksville Police Department.” If an officer is what the situation needs, ring it. If you would rather talk to a counsellor without police involved, 988 is free, confidential and answered around the clock, and Austin Peay also publishes the Mobile Crisis Unit and Crisis Text Line. For drink or drugs, the TN REDLINE is 800-889-9789. Save at least one of those alongside the campus number.
Nothing is published about being seen from outside Tennessee, so ring and ask before you rely on an appointment. No Austin Peay page sets a location rule. TalkCampus is named as an online service with no state rule attached — and it is peer support rather than therapy, so do not treat it as a substitute for a clinician. Put the question to 931-221-6162 before a semester away. Section 02 lists help that is open to you wherever you are sitting, and 988 works from any phone in the country.
Austin Peay publishes policies about drink and drugs rather than a service for them, so the useful route is off campus. One thing from its own pages is worth having: information from people who “voluntarily avail themselves of alcohol or other drug counseling… will be confidential. It will NOT be used against the individual seeking assistance.” Asking for help does not put you into the conduct process. For actual help, the TN REDLINE on 800-889-9789 is free, confidential and answered at any hour, and will find you a meeting or an assessment near Clarksville. Section 02 has more.
Austin Peay publishes no medical amnesty or Good Samaritan provision — so lean on the thing it cannot take away, which is the law. The Policy on Substance Abuse, the Code of Student Conduct, its offences section and the Alcohol & Other Drug Philosophy contain no such clause. But T.C.A. § 63-1-156 protects anyone who in good faith seeks medical help for an overdose from arrest, charge and prosecution, it protects the person overdosing too, and since July 2025 it covers alcohol. So if a friend is in trouble, ring 911 and stay with them. Ask the Dean of Students for the conduct position in writing afterwards.
Nothing about naloxone appears on any Austin Peay page — no supply, no cost, no training — so plan to get a kit yourself, which in Tennessee costs nothing. The Regional Overdose Prevention Specialist for Montgomery County gives out naloxone and free training, and the state publishes their name, direct number and email. Narcan is also sold over the counter in pharmacies with no prescription and no conversation, and on TennCare it is up to two products a month for a $5 copay at most. Section 05 sets all of that out. Keep one where you live.
Worth knowing about Austin Peay
- If you are weighing up whether to call for an intoxicated friend, call. Austin Peay’s out-of-hours contact is the police and it publishes no amnesty policy — but state law protects you anyway, and it protects the person you called about too.
- TalkCampus is “an online peer to peer mental health and wellbeing support network”. It is peer support rather than clinical care and no hours are published — useful at 3am, but not a replacement for the numbers above.
- Counselling opening hours are not on the landing page, only on a sub-page. They are weekdays 8–4:30, and the number to book is 931-221-6162.
Tennessee State UniversityPublic · NashvilleFree, 12 sessions a yearTimelyCare or mobile crisisTN only for telehealthNone, use the REDLINENone, the law still helps
Davidson County Mobile Crisis — they will come out to you, at any hour
University Counseling Center, weekdays, to book or to ask a question
Wherever you are: 988 then press 0 for a crisis, 800-889-9789 for drink, drugs or gambling — both free, both 24 hours.
Free: “There are no out-of-pocket fees to utilize UCC services”. TimelyCare, the round-the-clock service TSU buys in for you, is “free to all Tennessee State University students” as well. You get “up to 12 sessions of individual counseling per academic year”, usually every other week — that figure appears on one page only, so confirm it at your first appointment. The penalty for missing appointments is not money but your place: “if you no-show or cancel three or more appointments, you may be removed from your counselor’s caseload”. Ring 615-963-5611 and cancel early and you keep the slot.
There is no TSU clinician on call, so pick your route now rather than at 3am. TimelyCare is the one TSU pays for — “24/7, on-demand access to a mental health professional”, free to you, and you register with your student email, which is much easier done in daylight. If you would rather speak to someone local, Davidson County Mobile Crisis is 615-726-0125 and they will come out. 988 is free and answered around the clock. Campus police are published too, if somebody is in immediate danger. TSU pages differ on which to use, so save all three.
TSU is explicit about this, which helps you plan: “Telehealth services are available for actively enrolled TSU students residing in the state of Tennessee”. So if you are physically outside Tennessee, the university’s own telehealth is not open to you. TimelyCare is the obvious alternative and TSU does not say whether it works out of state, so ask that directly when you register, or ring 615-963-5611 and ask. Section 02 lists help that is open to you wherever you are sitting, and 988 works from any phone in the country.
TSU publishes no substance-use service of its own, so use the state line — it is better than most campus offers anyway. The TN REDLINE on 800-889-9789 is free, confidential and answered at any hour, and it will find you a meeting, an assessment or a treatment place in Nashville, which has more of all three than anywhere else in Tennessee. If you would rather start by talking it over with a counsellor, TimelyCare is free to you and available the same night. Nobody there needs a diagnosis or a decision from you first. Section 02 has more.
The handbook at TSU’s live address contains no medical amnesty or Good Samaritan provision — it sets out escalating sanctions for drug misuse and stops there. Ask the Dean of Students for the current position in writing, and ask whether calling for help protects you as well as the person you called about. But do not let that silence change what you do tonight. Tennessee law protects anyone who in good faith seeks medical help for an overdose from arrest, charge and prosecution, it covers the person overdosing as well as the caller, and since July 2025 it covers alcohol too. If someone is in trouble, ring 911.
No TSU page publishes naloxone — no kit, no counter, no training — so get your own, which in Tennessee is free and quick. The Regional Overdose Prevention Specialist covering Davidson County gives out naloxone and training at no cost, and the state runs a county search tool with names and direct numbers. Nashville also has syringe services programmes that distribute it free, and Narcan is sold over the counter in any pharmacy without a prescription. Section 05 has all three routes. Keep a box where you live rather than in a bag you might not have with you.
Worth knowing about Tennessee State
- If you use Crisis Text Line, the TSU resources page prints the short code a digit short. It is 741741 — the same page gets it right further down.
- Ignore the old hotline numbers on that page — an out-of-date Hopeline number and a national addiction line that no longer operates. 988 is on the same page and works, and the TN REDLINE is 800-889-9789.
- The crisis numbers on the counselling home page sit inside an image, so you cannot tap or copy them. Type 615-963-5611 into your phone now, and Mobile Crisis on 615-726-0125 with it.
- The FAQ tells students in crisis to contact “the University’s emergency services or the national crisis hotline” without printing either. The national one is 988.
University of Tennessee at ChattanoogaPublic · Chattanooga, Hamilton CountyFree; psychiatry costs, askOne number, a counsellorTwo answers, ring and askRecovery lounge + BASICSBoth of you, law named
UTC Care Line, 423-425-CARE — an on-call counsellor answers, not a switchboard
Counseling Center, weekdays 8–5, to book or to cancel
Wherever you are: 988 then press 0 for a crisis, 800-889-9789 for drink, drugs or gambling — both free, both 24 hours.
Counselling costs nothing: “There is no cost to receiving counseling services.” Psychiatry is different — “There are fees associated with appointments for the Psychiatric Nurse Practitioner”, and the amount is not published, so ask what it is before you book that one. No session cap is published at all; the model is “brief, solution-focused therapeutic interventions”, so ask at the first appointment what that means for you. The no-show rule bites harder than a fee: three no-shows in a semester and you are “ineligible to continue counseling for the current semester”. Ring 423-425-4438 to cancel, however late, and you keep your place.
One number, and UTC tells you who picks it up, which is rare. Ring 423-425-2273 — 423-425-CARE — and “you can reach the on-call counselor”. Not a switchboard, not an app. One UTC page calls it an evenings-and-weekends line and another calls it a 24/7 resource, so try it whenever you need it; if the office is open, 423-425-4438 reaches it directly. 988 is free and answered around the clock as a backup. UTC also names an on-campus clinical partner if you need longer-term care than the brief model gives.
UTC’s own pages do not agree, so ring and ask rather than guessing. The Counseling Center landing page offers in-person appointments and telehealth “for students located in Tennessee”; the services page offers counselling “in person or virtually” with no location rule at all. No out-of-state alternative is named. Put the question to 423-425-4438 before a semester away or before you count on an appointment from another state. Section 02 lists help open to you wherever you are sitting, and 988 works from any phone in the country.
This is the strongest substance-use offer of any college on this page, and there is a room you can sit in. Mocs Recovery is “an all-pathways community providing support to students in recovery from substance use, process addictions, and co-occurring behavioral health issues”, with an office, two phone numbers and a recovery lounge. Peer support meetings run “when classes are in session” and the weekly schedule goes to the programme’s Instagram rather than the website, so message them or walk in and ask what meets this week. Motivational Interviewing (BASICS) is available one to one if a group is too much to start with.
Call for help: UTC protects both of you, and it tells you the law does too. Section 17 of the Student Code of Conduct, “Amnesty for Good Samaritans and Impaired Students”, covers emergencies involving “alcohol or drugs” and protects the caller as well as the impaired student. It names T.C.A. § 63-1-156 for immunity from drug charges and T.C.A. § 63-6-218 for giving someone naloxone. The conditions are published honestly: stay with the person, give accurate information, and know that repeated or serious violations are not covered and that it does not apply once police have arrived on their own. So ring early. Section 03 has the law.
Naloxone is already on campus, and you have probably walked past it: “Where there is an AED, there is now a ONEbox” — in residence halls, the University Center, recreation facilities, the library and academic buildings, beside the defibrillators. The training is inside the box: “When they open that ONEbox, a video kicks off that walks people through the process of administering naloxone in real time”, so you do not need a course first. Work out where the nearest one to your room is tonight. If you would rather keep a kit of your own, section 05 has the free state routes.
Worth knowing about UT Chattanooga
- The counselling resources page does not print 988 anywhere. It is free and answered around the clock — save it alongside the Care Line.
- Ask what psychiatry costs before you book it. UTC says there are fees for the Psychiatric Nurse Practitioner and does not publish the amount.
- Three no-shows in a semester ends your counselling for that semester. Cancelling, even late, is always better than not turning up.
- Naloxone is wherever a defibrillator is — residence halls, the University Center, the library, recreation facilities and academic buildings — and the instructions play from inside the box.
Belmont UniversityPrivate · NashvilleFree, all clinical servicesTimelyCare, 988 or securityTimelyCare, all 50 statesWednesdays 6pm, ask whereAsk for it in writing
Campus Security, answered at any hour — Belmont says its staff are trained in mental health crisis response
Counseling Services, weekdays 8–4:30, and walk-in urgent hours 9–3
Wherever you are: 988 then press 0 for a crisis, 800-889-9789 for drink, drugs or gambling — both free, both 24 hours.
Free, and simply put: “All clinical services are free of charge”, with walk-in urgent hours 9am to 3pm on weekdays if you do not want to wait for an appointment. No missed-appointment charge and no credit-hour test is published. On how much you get, Belmont says there is no explicit session limit but describes a “short-term and goal-oriented model”, and refers out anyone needing to be seen “more than once a week”, so ask at your first appointment what that means for you. TimelyCare, the round-the-clock service Belmont buys in, does have a hard limit: 12 visits. Section 06 covers care off campus.
There is no Belmont counsellor on call, so the clinical route at 2am is TimelyCare. It is “Free 24/7 Mental Health Care provided by licensed clinicians”, with on-demand support reached “within 3–7 minutes” — register now with your student email so you are not doing that at 3am. Belmont also says to “Call 988 or text 741741”, both free and answered around the clock. On campus, Campus Security on 615-460-6911 answers at any hour, and Belmont says its staff “receive mental health crisis response training”. Eight numbers are published in no order; those three are the ones to keep.
This is the clearest out-of-state answer here: TimelyCare “covers you in all 50 states”, free to Belmont students, so you can be seen wherever you are sitting. Two things to check. The vendor’s own detail page does not repeat that 50-state line, so confirm it when you register. And Belmont publishes no location rule for its own clinicians — services are “offered both virtually and in person” and nothing more — so if you want the campus service rather than the vendor, ring 615-460-6856 and ask. Section 02 has more that is open to you anywhere.
There is a group with a day and a time, which is more than most manage: Recovery Rising, Wednesdays 6–7pm, for students working to “maintain sobriety while navigating the challenges of college life”. The room is not published, so ring 615-460-6856 and ask where it meets — a first meeting is a hard enough door without hunting for the right one. For treatment itself, Belmont refers students with “significant drug and/or alcohol problems” to community providers, and Nashville has plenty. The TN REDLINE on 800-889-9789 is free, answered at any hour, and will find them for you.
We could not find a medical amnesty or Good Samaritan policy on any live Belmont page, so ask for it in writing. The Substance Free Policy page is a single sentence pointing at the Bruin Guide, and the accountability FAQ contains no such clause. Ask Student Accountability whether it protects the caller as well as the person who needs help. Do not wait for that answer if somebody is in trouble tonight. Tennessee law protects anyone who in good faith seeks medical help for an overdose from arrest, charge and prosecution, it covers both of you, and since July 2025 it covers alcohol as well. Ring 911.
Belmont publishes no naloxone for students — not on its health pages and, surprisingly, not through its College of Pharmacy or the campus pharmacy. That counter is still worth asking at, because Narcan is sold over the counter anywhere without a prescription. Free is easier: the Regional Overdose Prevention Specialist for Davidson County gives naloxone and training away at no cost, and Nashville’s syringe services programmes distribute it free too. Section 05 has the names and numbers. Whichever route you take, keep the box where you live rather than in a bag.
Worth knowing about Belmont
- If you are a veteran, ignore the “1-800-273-8255 and press 1” printed on Belmont’s crisis page — that routing is retired. Dial 988, then press 1. The same page gets 988 right for everything else.
- The FAQ says there is no session limit, the landing page refers out anyone needing more than one appointment a week, and TimelyCare caps at 12 visits. Ask at your first appointment which applies to you.
- Walk-in urgent hours at Counseling Services are 9am to 3pm on weekdays — no appointment needed.
- Recovery Rising meets Wednesdays 6–7pm; the room is not published, so ring 615-460-6856 before you set out.
Rhodes CollegePrivate · MemphisFree in term, fee in summerAny hour, a real clinicianTwo answers, ring and askReferral + state schemeBoth of you are covered
Ring at any hour — master’s-level mental health professionals answer, and Rhodes names the company
Student Counseling Center, weekdays, to book
Wherever you are: 988 then press 0 for a crisis, 800-889-9789 for drink, drugs or gambling — both free, both 24 hours.
Free during term: “There is no charge for counseling sessions during the fall and spring semesters.” Summer is different — sessions then carry “a fee per session” and the amount is not published, so ask before you book one. No missed-appointment charge. On campus you get “Short-term Individual Counseling (Approximately 3 to 6 sessions)”. The round-the-clock service has its own separate allowances, which do not come out of those: 12 virtual therapy sessions a year, 6 psychiatry sessions a year and an hour a month of peer support. Section 06 covers care off campus.
Ring 1-855-850-4301 at any hour — “Call for support 24/7/365” — and you will reach a master’s-level mental health professional. Rhodes names the company that answers, which most colleges do not, so you know in advance it is a clinician rather than a switchboard. The number is 1-855-850-4301, and it is the one for nights, weekends and holidays. If somebody is in immediate danger, Campus Safety, 911 and the nearest emergency room are published. Rhodes also prints the TN REDLINE on its counselling page, 800-889-9789, free and confidential for drink and drugs.
Two Rhodes pages say different things, so ring and ask which applies to you. The about page says teletherapy is for students who are “in-state”; the landing page advertises 12 virtual therapy sessions a year and the 24/7/365 line with no location caveat at all. Put it to 901-843-3128 before a semester away, and ask specifically whether the 855 line works from another state. Section 02 lists help that is open to you wherever you are sitting, and 988 works from any phone in the country.
Rhodes refers treatment out, and it points you at something most colleges never mention. Detox and residential care are named as the referral triggers. What is unusual is that Rhodes names Tennessee’s statewide Collegiate Recovery Initiative on a student-facing page, along with recovery ally training and peer recovery specialist certification for 18–30-year-olds — worth asking about if you want people your own age around you. There is no meeting with a published day or room, and the office takes email rather than calls, so write and ask what is running. For tonight, the TN REDLINE is 800-889-9789.
Call for help — Rhodes protects you and the person you called about. “Amnesty under this policy, when granted, excuses a Student, RSO, or AG from College sanctions under the Standards of Conduct”, covering “alcohol, drug, physical, and emotional distress related emergencies”. Repeat use is limited. Rhodes is also honest that campus amnesty “has no bearing on actions taken by any law enforcement agency” — true, and exactly why section 03 matters: a separate Tennessee statute protects the person who rings from arrest, charge and prosecution. So you are covered twice, by the college for conduct and by the state for the law.
Rhodes offers recovery ally training through the state but publishes no naloxone to go with it, so get a kit yourself. Nothing appears on the drug policy page, and no counter or cost is given. In Shelby County the Regional Overdose Prevention Specialist supplies naloxone and training free, Memphis has syringe services programmes that distribute it at no cost, and Narcan is on pharmacy shelves over the counter with no prescription needed. Section 05 has the routes. If you do the ally training, ask the trainer on the day whether they can put a kit in your hand.
Worth knowing about Rhodes
- Rhodes’ alcohol policy points students to the amnesty policy and the drug policy does not mention it — but the amnesty itself covers “alcohol, drug, physical, and emotional distress related emergencies”, so it applies either way.
- Rhodes publishes what its psychiatry will not prescribe — ADHD stimulants and benzodiazepines — which almost nobody does, and which saves you a wasted appointment if that is what you need.
- The round-the-clock service has allowances that do not touch your campus sessions: 12 virtual therapy sessions a year and 6 psychiatry sessions.
- The recovery office takes email rather than calls, so write rather than waiting for a phone to be answered.
Sewanee: The University of the SouthPrivate · Sewanee, Franklin CountyFree; $25 if you no-showCrisis line, check the hourRing and ask before you goScreener only, use REDLINEGood Samaritan policy
CAPS crisis line — an emergency crisis counsellor answers; check the hours note below
CAPS, weekdays 8–4:30 and closed 12–1, to book or to cancel
Wherever you are: 988 then press 0 for a crisis, 800-889-9789 for drink, drugs or gambling — both free, both 24 hours.
CAPS services are free: “All CAPS services are free for actively enrolled Sewanee students.” The one charge is for not turning up — the FAQ publishes “$25.00 for a missed CAPS appointment”, the only cash no-show fee on this page. So ring 931-598-1325 and cancel the moment you know, even at short notice; the charge is about the empty hour, not about you. There is no session limit: “Although we don’t impose a session limit, students are often able to meet their counseling goals within 4 or 5 sessions”, every other week, 45–50 minutes.
Ring 931-598-1700 and you reach “an emergency crisis counselor” — but check the clock first, because Sewanee describes that line two ways. CAPS calls it “the CAPS 24-Hour Crisis Line”; Risk Management gives it as 5pm–8am on weekdays, weekends and holidays. The number is 931-598-1700. Try it whenever you need it, and if it is a weekday afternoon and nobody answers, ring CAPS on 931-598-1325 instead. 988 is free and answered around the clock either way. In office hours the published route is to come to the Wellness Center and fill in an assessment form.
Nothing is published about being seen from outside Tennessee, and CAPS does not say whether it offers teletherapy at all. Most students here live on campus, so it may never come up — but if you are on a leave of absence, away for a term or studying abroad, ring 931-598-1325 and ask what you can use from where you will be, before you need it. Section 02 lists help that is open to you wherever you are sitting, and 988 works from any phone in the country.
What Sewanee publishes is a way to check where you stand, rather than a service. ScreenU is “a free and anonymous screening tool to assess substance use” for alcohol, cannabis and prescription drugs, alongside AlcoholEdu. Anonymous is the point — nobody has to know you looked. Beyond that, no clinician, group or phone number for drink and drugs is published on campus, so for real help use the TN REDLINE on 800-889-9789: free, confidential, answered at any hour, and it will find you a meeting or an assessment within reach of Franklin County. Section 02 has more.
Sewanee has a proper Good Samaritan Policy, so calling for help is the right move. “Amnesty will be granted to students and recognized student organizations or groups who proactively seek assistance”. It names the two halves separately — Individual Amnesty for the person who needs help and Reporter Amnesty for the person who calls — and covers “alcohol and/or other drugs”, though not distribution. The conditions: report it, stay with them, cooperate, follow up afterwards. Repeat reporters may lose eligibility. And whatever the college decides, Tennessee law protects the caller from arrest and charge separately. Make the call.
Nothing about naloxone is published on any Sewanee page, which is a gap worth closing yourself. It costs nothing: the Regional Overdose Prevention Specialist covering Franklin County supplies naloxone and training free, with a name and a direct number published by the state, and Narcan is sold over the counter in pharmacies without a prescription. Section 05 has both. On a campus this remote, having a box in your room is the difference between waiting for an ambulance and being able to do something while it comes — and the Good Samaritan policy plainly expects drug emergencies to happen.
Worth knowing about Sewanee
- If you land on Sewanee’s mental health emergency-procedures page, do not use the number on it. It prints “1.800.273.TALK (8255)”, which is retired, and it does not print 988 anywhere. Dial 988.
- The crisis line is called a 24-hour line on one Sewanee page and given as 5pm–8am on another. Try it at any hour, and keep 988 for the gap.
- In office hours the way in is in person: come to the Wellness Center and fill out an assessment form. If that feels like too much on the day, ring 931-598-1325 first.
- Cancelling late costs nothing; not turning up is $25.
University of Tennessee at MartinPublic · Martin, Weakley CountyPrice not published, askOne number, keep 988 tooRing and ask before you goNone, use the REDLINEAsk for it in writing
SHCS Mental Health Crisis Help Line — the number UT Martin publishes for after hours
Student Health & Counseling, to book an appointment in the daytime
Wherever you are: 988 then press 0 for a crisis, 800-889-9789 for drink, drugs or gambling — both free, both 24 hours.
UT Martin does not publish what counselling costs, so ask in your first call. Neither the landing page nor the Policies page says free, charged, or covered by a student health fee. No missed-appointment charge appears, and no minimum credit hours. There is no session limit published either — not a number, not even a “short-term” description. None of that is a reason to hold back; it is a list of three questions to put to 731-881-7750 before your first appointment: what it costs, how many sessions you get, and how often you will be seen. Section 06 covers care off campus.
The published route is “For after-hours emergencies: Call the SHCS Mental Health Crisis Help Line” on 731-881-7743. UT Martin does not say who picks that up — a counsellor on call, an answering service or a message — so ask in the first minute whether you are speaking to a counsellor, and do not rely on it alone. Save 988 beside it: free, confidential, answered around the clock by a trained person, from any phone in the country. For drink or drugs, the TN REDLINE is 800-889-9789. Note the crisis number is not the booking number.
Nothing is published about being seen from outside Tennessee, and nothing says whether teletherapy is offered at all. That matters here, because UT Martin runs substantial online programmes. So if you study remotely, ring 731-881-7750 and ask directly what you can use from where you live, before you count on anything. If the answer is nothing, section 02 lists help that is open to you wherever you are sitting, 988 works from any phone, and the TN REDLINE on 800-889-9789 covers drink and drugs statewide.
UT Martin publishes no substance-use service, so use the state line — it is a better route than most campus offers anyway. Substance use is not among the counselling services listed, and the health and policies pages do not mention alcohol or drug support, assessment or recovery. The TN REDLINE on 800-889-9789 is free, confidential and answered at any hour, and will find you a meeting, an assessment or a treatment place near Martin and Weakley County. Ask them about Tennessee’s collegiate recovery network too, if you would rather be among other students. Section 02 has more.
We could not verify whether UT Martin has a medical amnesty policy, so ask the Dean of Students for it in writing. The conduct, disciplinary and handbook pages would not open to checking, and the one that did load, on sanctions, contains no amnesty provision. Ask whether it protects the caller as well as the person who needs help. What is certain is the part that matters at 3am: Tennessee law protects anyone who in good faith seeks medical help for an overdose from arrest, charge and prosecution, and since July 2025 that includes alcohol. If somebody is in trouble, ring 911 and stay with them.
No UT Martin page we could read publishes naloxone — no supply, no cost, no training — so get a kit yourself; in Tennessee it is free. The Regional Overdose Prevention Specialist covering Weakley County gives out naloxone and training at no cost, and the state publishes a county search tool with names and direct numbers. Narcan is also sold over the counter in pharmacies without a prescription, and on TennCare it is up to two products a month for a $5 copay at most. Section 05 sets the routes out. Keep it where you sleep.
Worth knowing about UT Martin
- The crisis number is not on the page called “Contact and Hours Information”. That page gives the booking number, a fax and an email, and suggests ringing the office in the day. Put 731-881-7743 in your phone now so you are not hunting for it at 2am.
- Counselling warns, correctly, that “Email cannot be considered confidential”, so do not use email for anything urgent or private. Ring instead.
- Three things to ask in your first call, because UT Martin does not publish them: what it costs, how many sessions you get, and who answers the crisis line after five.
Union UniversityPrivate · Jackson, Madison CountyFree; 4 BetterHelp sessionsNo clinician, ring PathwaysIn Tennessee, ring and askNone, use the REDLINENone, the law still helps
24-hour residence director — the campus contact, answered at any hour
Pathways 24-Hour Crisis Line — a clinical crisis service, any hour, free
Wherever you are: 988 then press 0 for a crisis, 800-889-9789 for drink, drugs or gambling — both free, both 24 hours.
On campus it is free: “There is no cost for these services”, and spiritual direction is free too. Appointments run “typically… once every other week” with no numeric limit published. The catch is the online option, so read this bit twice. BetterHelp is free “for one month”, “up to 4 sessions in that month” — and you have to enter payment details upfront. After that month it becomes an ordinary paid subscription unless you cancel, and Union does not publish what it then costs. Put a reminder in your phone for the day before the month ends. Section 06 covers paying for care.
There is no Union clinician on call, so know which number does what before you need it. For a clinical conversation at any hour, ring the Pathways 24-Hour Crisis Line on 800-372-0693, or 988; both are free. On campus a 24-hour residence director answers 731-298-7768 and 24-hour security is available — they can reach you quickly, which matters, but they are residential and safety staff rather than counsellors. 911 and the local emergency room are published for anything immediate. BetterHelp is scheduled therapy, not crisis cover, so do not wait on it tonight.
Union’s counselling is for “students who are in the state of Tennessee”, in person, by phone and by video. For students away from the main campus the named alternative is BetterHelp, offered “across all campuses” and to online-only students — but the other campuses named are also in Tennessee, and whether either route reaches you physically outside the state is not published. So ring the counselling office and ask directly before you rely on it. Section 02 lists help that is open to you wherever you are sitting, and 988 works from any phone in the country.
Union publishes no substance-use service, so the route that will help you is off campus. Substance use appears as something counselling may see, and the formal document is a Student Alcohol and Drug Testing Policy rather than a description of care. Counselling here is explicitly faith-based — “counseling from a Christian perspective” — which some students want and some do not. Either way, the TN REDLINE on 800-889-9789 is free, confidential and answered at any hour, and will find you a meeting, an assessment or a treatment place near Jackson. Section 02 has more.
Union publishes no individual amnesty, so the thing that protects you here is the law — and it does. The handbook prohibits alcohol “on or off campus” with no age exemption, and what stands in for amnesty protects the organisation rather than you: calling for help “will mitigate the judicial consequences against the organization” at an event it hosts. Set that aside. Tennessee law protects the person who calls for help from arrest, charge and prosecution whatever your handbook says, and it protects the person overdosing too. If somebody is in trouble, ring 911 and stay with them.
Naloxone is not mentioned in Union’s Campus Life Handbook or anywhere else on its site, so this one is on you — and it is easy. The Regional Overdose Prevention Specialist covering Madison County gives out naloxone and training free, and the state publishes their name and a direct number. Narcan is also sold over the counter in pharmacies with no prescription and no conversation. Section 05 has both routes. Keep a box where you sleep. Given how nervous Union’s own rules can make students about asking for help, having the antidote to hand matters more here, not less.
Worth knowing about Union
- Do not go to the page called “Emergency & After-Hour Care” for numbers — it lists campus locations and the switchboard and nothing else. The after-hours numbers are on the Counseling Services page: 731-298-7768 for the residence director and 800-372-0693 for Pathways.
- If you are weighing up whether to call for a friend, call. Union bans alcohol on and off campus and publishes no individual amnesty, so it is not the college that protects you — the state statute is, and it covers you both.
- Union does publish a named regional clinical crisis line, Pathways on 800-372-0693, which several much larger universities do not. It is the one to ring when you want a clinician rather than security.
- Two counselling numbers are published for a two-person service with no guidance on which to use. Try either, and leave your name and a number they can call back.
Who to call tonight, wherever you are
Everything in this section is open to any student in Tennessee — whatever you are studying, wherever you live, and whoever is paying your fees. It is free, it is confidential, and you do not need a diagnosis, a referral or an explanation you have worked out yet. You can ring for yourself, or for somebody you are frightened for. Nearly everything in Tennessee starts with one number, and there is one small trick to it.
Right now, anything, 24 hours
988, then press 0Call or text, free and confidential, 24 hours a day, every day of the year. Ring for yourself, or for somebody you are worried about.
Press 0 is the part people miss. It puts you through to a crisis counsellor “based locally in Tennessee” rather than the national queue — and it is the same call that gets a crisis team out to you.
Drink, drugs or gambling
800-889-9789The Tennessee REDLINE is free and confidential and answers 24/7/365. Call or text — texting is often easier if you would rather not say it out loud.
It covers gambling too. Tennessee has no separate gambling helpline. The people who answer do not do the counselling themselves; what they do is find you somebody who does, which is exactly what you want at 2am.
A team that can come to you
Tennessee funds mobile crisis teams across the whole state, 24/7/365, for adults and separately for under-18s. They come to you in person or see you by video, help settle things, and follow up afterwards.
There is one way in, and it is 988, then press 0. No local crisis numbers are published, so there is nothing else to save in your phone. How to ask for a team is just below.
A crisis team can come to you, wherever you areFree, at any hour, at home or anywhere else. One call to 988 and press 0 sets it going — here is what to say.
You do not always have to get yourself somewhere. If you cannot travel, or the person you are worried about will not, a crisis team can come to where you are instead. Tennessee runs these teams statewide, round the clock, every day of the year, and it costs nothing to ask.
How to ask for one
- 1Call or text 988 and press 0. That is the only way in, and it works anywhere in Tennessee.
- 2Say where you are and what is happening. If you are ringing about somebody else, say so — there are separate teams for adults and for under-18s.
- 3Ask for mobile crisis if you want someone to come out, and say why the phone is not enough. The counsellor decides what happens next, so tell them what you need.
What to expect
Somebody trained will talk to you, or to the person you are calling about, work out what is happening and help decide what comes next. Most calls are settled on the phone — the state publishes 67% — and that is often the right answer rather than a second best. Nobody publishes how quickly a team arrives, so if things get worse while you are waiting, ring 911.
The call is free. Whether a visit, a walk-in assessment or a stabilisation stay costs anything is not published, so ask while you are on the phone — it is a fair question and they are used to it. Section 06 covers what to do if you are uninsured.
One number worth not mixing up
800-560-5767 is the state department helpline, and it runs weekdays 8am to 4:30pm Central. It is for advocacy and for help getting into a service — the department describes it as being for people who need assistance “outside emergency situations”. It gets reprinted as a 24-hour crisis line, so if you find it on a poster tonight, ring 988 and press 0 instead.
Lines worth knowing, and the hours they are open
Put one or two of these in your phone now, while nothing is wrong. The hours are the ones each service publishes itself, so you know what you are getting at 4am — and a few of them close in the evening or at the weekend, so the last column tells you where to go instead.
| What for | Line, and the hours it publishes | What to know |
|---|---|---|
| Any crisis, Tennessee | 988 Suicide & Crisis Lifeline 988 24/7/365 | Call, text or chat, free. Press 0 for a counsellor in Tennessee. Nationally, press 1 for veterans and press 2 for Spanish. There is no press 3. |
| Drink, drugs and gambling | Tennessee REDLINE 800-889-9789 24/7/365 | Call or text. Free and confidential, and it covers problem gambling as well as drink and drugs. They find you the service rather than counselling you themselves. |
| Navigating services, not a crisis | TDMHSAS Helpline 800-560-5767 Mon–Fri, 8am–4:30pm CT | Not a crisis line. Ring it on a weekday when you cannot get into a service and need someone on your side. Also 615-532-6700, or email the Office of Consumer Affairs. At night, 988 and press 0. |
| Free naloxone and training | Regional Overdose Prevention Specialists 615-840-0382 Hours not published | The statewide contact. Quicker: use the county locator for your own specialist’s direct number and email. Section 05. |
| Gambling treatment, Tennessee | The Gambling Clinic 833-842-8600 Hours not published | State-funded, by telehealth or in person in Memphis, Nashville and Johnson City. The state says gambling help in Tennessee “is free”. |
| Gambling, national | National Problem Gambling Helpline 1-800-697-3738 24/7/365 | 1-800-MY-RESET, the branded number since 29 January 2026. If you have 1-800-522-4700 or 1-800-GAMBLER written down, both still work. |
| Eating disorders | National Alliance for Eating Disorders 866-662-1235 Mon–Fri, 9am–7pm ET | Answered by “licensed therapists specialized in eating disorders”, free. On most of Tennessee’s clock that is 8am–6pm, so ring before six. |
| Eating disorders | ANAD 1-888-375-7767 Mon–Fri, 9am–9pm CT | Published in Central time, which is most of Tennessee’s own clock, so no converting. Trained volunteers rather than clinicians, and open later in the evening than the line above. |
| LGBTQ+ | The Trevor Project 1-866-488-7386 24/7, 365 days | Also text START to 678-678, or chat. “Confidential and 100% free.” TTY 1-866-803-3699. Come here rather than dialling 988 and pressing 3 — that option ended in July 2025. |
| Trans peer support | Trans Lifeline 877-565-8860 Mon–Fri, 12pm–8pm CT | “A trans/nonbinary peer operator.” In the east of the state that is 1pm–9pm Eastern. It closes in the evening and at weekends — The Trevor Project above is open then. |
| Veterans | Veterans Crisis Line 988 24/7, 365 days | Dial 988 then press 1, or text 838255. “You don’t have to be enrolled in VA benefits or health care to connect.” |
| Domestic violence, Tennessee | TN Statewide Domestic Violence Hotline 1-800-356-6767 24 hours | From the Tennessee Coalition to End Domestic & Sexual Violence: “completely free, confidential, and safe”. |
| Sexual assault, Tennessee | TN Statewide Sexual Assault Hotline 1-866-811-7473 24 hours | A statewide line you can ring at any hour, and the Coalition’s locator will find you a local centre for an advocate in the daytime. |
| Sexual assault, national | RAINN 800-656-4673 24/7 | 800-656-HOPE, or chat. Free and confidential, English and Spanish, “trained support specialists”. |
| Domestic violence, national | National Domestic Violence Hotline 1-800-799-7233 24/7/365 | Text START to 88788, or chat. If live advocates are unavailable the chat may be answered by an AI, so ring if you want a person. |
| Treatment referral, national | SAMHSA National Helpline 1-800-662-4357 24/7/365 | “A free, confidential, 24/7, 365-day-a-year treatment referral and information service.” Ring it to find treatment, not for crisis support. |
| Any crisis, by text | Crisis Text Line Text HOME to 741741 24/7 | Free, and “a live volunteer Crisis Counselor” answers. The keyword is HOME and the number is six digits — if you have five written down, the message will not arrive. |
If you are holding an old number, dial these insteadThree corrections worth thirty seconds of your time before you need them.
Old posters, old handbooks and old student handouts are still in circulation. If you have any of these written down, here is what to use.
- ✓ Got 1-800-273-8255? It was replaced by 988 in 2022. Dial 988 instead, and press 0 for a counsellor in Tennessee.
- ✗ Told to call 988 and press 3 for LGBTQ+ support? That option ended on 17 July 2025. Ring The Trevor Project instead on 1-866-488-7386, 24 hours, or text START to 678-678.
- ✗ Texting a crisis line? The keyword is HOME and the number is 741741 — six digits. If you have 74174 written down, that is five, and the message goes nowhere.
Places you can walk in to, with no appointmentEleven counties have one, open at any hour. Ring 988 and press 0 and they will tell you where to go.
You can turn up. Tennessee has eleven walk-in crisis centres for adults, offering face-to-face evaluation 24/7/365, and eleven crisis stabilisation units where the average stay is three days. No appointment, no referral, no explanation prepared in advance.
These are the counties carrying both, and the cities they cover — which is most of the places students on this page live.
| County | The city it covers |
|---|---|
| Shelby | Memphis |
| Davidson | Nashville |
| Hamilton | Chattanooga |
| Knox | Knoxville |
| Rutherford | Murfreesboro |
| Montgomery | Clarksville |
| Washington | Johnson City |
| Madison | Jackson |
| Putnam | Cookeville |
| Hamblen and Henry | Both carry a walk-in centre and a stabilisation unit as well. |
Getting the address is one phone call
The state publishes which counties have a centre but not the street addresses. So ring 988 and press 0, say which county you are in, and ask where the walk-in centre is. They will tell you, and that is exactly what the line is there for.
For the morning after
If what you need is ongoing care rather than tonight, the Behavioral Health Safety Net publishes a provider contact list covering all 95 counties, with direct numbers for fifteen community mental health providers — several of them the same organisations that run the crisis teams. These are ordinary intake numbers and some are weekday offices, so use them to get into treatment, and use 988 and press 0 tonight. Section 06 explains who qualifies, and it is more generous than people expect.
If you call 911 for someone
The law is on your side here, and it is worth knowing how far it goes before the night you need it. Tennessee’s Good Samaritan law is T.C.A. § 63-1-156, and since 1 July 2025 it covers alcohol as well as drugs. It protects the person who rings and the person who is overdosing, it asks very little of you in return, and it reaches the arrest itself rather than some argument in court months later. Here is what it does.
What changed on 1 July 2025
It now covers alcohol, not just drugs.
Public Chapter 231 widened the law from a “drug violation” to a “drug or alcohol violation” — thirteen offences in all.
On the list now: under-21 possession and consumption of alcohol, under-21 possession of beer, under-21 purchase and false ID, giving alcohol to a minor, and public intoxication. So a 911 call about alcohol poisoning is covered. Before July 2025, none of it was.
What it protects you from
Arrest, charge and prosecution — all three. The words are “shall not be arrested, charged, or prosecuted”.
That is not a defence you have to raise in court later. It reaches the arrest itself, and for the person who rings it is written in mandatory terms.
It also covers breaching a protective or restraining order, and breaching a condition of pretrial release, probation or parole, where that happened because you were getting help.
Who is protected
You, if you ring. Anyone who “in good faith seeks medical assistance” for somebody who is overdosing, or who you believe is. No limit on how many times.
And the person overdosing — including when somebody else made the call. The law reaches a person who “is the subject of a request for medical assistance”, which is what covers an unconscious friend whose room-mate dialled 911.
What the law asks of you — which is very littleNo duty to stay, no duty to give your name, no limit on how many times you ring.
Almost every condition students believe attaches to this law is not in it. Here is the whole list, in both directions, so you are not guessing with the phone in your hand.
- ✓ You do not have to stay at the scene. There is no such requirement anywhere in the section, and it is the one people most often invent.
- ✓ You do not have to give your name, and you do not have to cooperate with the officers who arrive.
- ✓ There is no first-to-report rule. Nothing limits the protection to whoever called first.
- ✓ A previous conviction does not disqualify you from the caller protection.
- ✓ You do not have to be right. “Overdose” is defined to include what “a reasonable person would believe” to be one, so acting on a genuine fear is enough.
- ✓ Almost anything useful you do counts as seeking help. Calling 911 or helping somebody else call, contacting the police or a poison control centre, or giving care while you wait for help to arrive — the statute names all of them.
- ✗ There are two real conditions. You must act in good faith, and the evidence must have resulted from seeking medical assistance — the immunity does not cover things the police would have found anyway.
- ✗ And one rule that applies to the person overdosing, never to the caller. If you are the one who overdoses, immunity is guaranteed the first time. After that it “may be applied… at the discretion of the responding law enforcement officer or the district attorney general’s office”. If you are the one ringing, this does not touch you.
What it does not stretch to, and the one thing to expect at the scene
It covers those thirteen offences and no more. Simple possession, paraphernalia, and the underage, public-intoxication and alcoholic-beverage offences are in. Manufacture, delivery, sale and possession with intent are not, and the statute leaves any other offence, and any lawful seizure of evidence, where it was.
If you work in a bar, the alcohol part does not cover you on shift. Since 2025, Title 57 licensees and their employees cannot claim it for the alcohol offences. It makes no difference to a student who is not working.
An officer can still detain you while they work out what happened. The immunity is applied at the scene by the officer rather than later by a judge, and the law keeps their power to detain somebody during an investigation. Being detained is not being charged. Ring anyway — that is the whole point of this section.
And if it turns out you are not covered, helping still counts for something. Giving first aid “may be used as a mitigating factor in a criminal prosecution for which immunity… is not provided”.
Your college’s own policy is a separate thing from the lawCampus amnesty covers your college’s disciplinary process. The state law above covers the police, whatever your handbook says.
A campus amnesty is a promise your college makes about its own disciplinary process. It is a separate thing from the law. § 63-1-156 stops you being arrested or charged; a campus policy stops your college putting you through conduct proceedings for the drink or the drugs when you rang for help. One does not depend on the other, and state law protects you whatever your college does or does not publish.
No Tennessee law requires a college to grant amnesty, so each institution writes its own and they differ. Some of the colleges on this page publish one and some do not — your college’s entry in Section 01 says which, and what it covers. Worth two minutes now rather than at 2am.
Reading your handbook without being frightened by it
If it says the college “does not grant amnesty for criminal, civil, or legal consequences”, read that narrowly. A university is telling you what it can and cannot do for you. It is not telling you the law does nothing. One handbook on this page puts the same point the right way round: campus amnesty “has no bearing on actions taken by any law enforcement agency”. Both sentences describe the same split. Your college handles your discipline; § 63-1-156 handles the police.
Some policies ask you to stay, to cooperate, or to have a conversation with a counsellor afterwards. That is your college asking, not the law — and a follow-up session is usually the whole of it.
If you are weighing it up with the phone in your hand, ring. A conduct process is something you come back from. And if you would rather your college was not involved at all, 911 and the numbers in Section 02 do not report to your dean.
Being held for treatment, and what happens next
This part is here for two people. If you are frightened that this might happen to you, you should know what has to be true before anybody can hold you, how long it can last, and what you can ask for from the first hour. If you are worried about a friend, you need the same things, plus the questions worth asking on their behalf. Tennessee calls it emergency involuntary admission. The test is narrower than most people fear, and the rights attached to it are better than most people expect. Calmly, and in full, here it is.
What has to be true before anybody can hold youAll four things at once, and the word is imminent. Being held is not being arrested.
The statute is written as “IF AND ONLY IF… THEN”, which is unusual, and it means what it looks like. All four of these have to be true at the same time:
- 1A mental illness or serious emotional disturbance is present.
- 2The person poses an “imminent substantial likelihood of serious harm” because of it. Note imminent — the emergency test is stricter than the general definition of serious harm elsewhere in the same law.
- 3They need care, training or treatment because of the illness.
- 4All less drastic alternatives are unsuitable to meet their needs.
“Substantial likelihood of serious harm” has its own definition: threatened or attempted suicide or serious self-harm, threatened or attempted homicide or other violent behaviour, placing others in reasonable fear of violence and serious physical harm, or being “unable to avoid severe impairment or injury from specific risks” — and a substantial likelihood that the harm happens without involuntary treatment.
Three more things worth knowing
This is not a route for drink or drugs on their own. It runs on mental illness or serious emotional disturbance. Tennessee handles substance use elsewhere, and this page does not cover that part of the law.
Being held is not being arrested, and a jail cell is not a lawful place to keep you. The law says so in terms: detention is “not to be at jail or other criminal custodial facility unless defendant under arrest for crime”. If you are held under this part and you are not under arrest, say so.
Four kinds of people can start it without a warrant — any officer authorised to make arrests in Tennessee, a licensed physician, an authorised psychologist, or a professional designated by the Commissioner. The officer’s threshold is only that they “has reason to believe”. The certificate of need that follows has to be written by a physician, psychologist or designated professional and must set out the facts it relies on — which is a fair thing to ask to see.
The clocks, and the right to a lawyer
The first clock is five days, and for most people it is the only one that matters. It runs from the date of the order and it excludes Saturdays, Sundays and holidays, so over a long weekend it is materially longer than five days. What comes after it is a probable cause hearing, and then, if the court makes the findings, up to fifteen more days. None of it happens automatically — each step is a separate decision, and there are several ways out before the hearing.
| What | How long | Where it comes from |
|---|---|---|
| Emergency hold pending a probable cause hearing | Not more than five days from the date of the order, excluding Saturdays, Sundays and holidays — so in practice it can run past a week | § 33-6-413 |
| Hold where no judge is available | 24 hours | § 33-6-414 |
| Appointment of a lawyer | Not later than two days after the original detention, or three days before the hearing, whichever is earlier | § 33-6-419 |
| Commitment after the probable cause hearing | Not more than fifteen days after the hearing, unless a judicial commitment complaint is filed within those fifteen days | § 33-6-422 |
- ✓ A lawyer is not something you have to pay for or argue about. “If the defendant does not employ an attorney, the court shall appoint an attorney” — not may. Your lawyer cannot also be your guardian ad litem.
- ✓ You have to be told the time and place of the hearing and your rights — including the right to counsel, the right to waive the hearing, and the right to confront and cross-examine witnesses.
- ✓ Treatment must not be given in a way that stops you taking part in your own hearing. There is a section that says so, and you can hold them to it.
- ✓ There are exits before the hearing — release or transfer beforehand, release if the court does not make the findings, and release if the facility’s chief officer decides the certificates of need are not supported by the facts.
- ✗ The notice will also mention firearms. It has to set out firearm-purchase prohibitions, handgun-carry-permit restrictions and the rights of appeal against them. It surprises people, so it is better to know it is coming.
What to do if it is happening to you, or to a friendAsk which section you are held under, say you want a lawyer, and count in working days.
- ✓ Ask which section you are being held under. An emergency admission, a 24-hour hold because no judge was available, and a commitment after a hearing are three different things on three different clocks. The answer tells you what happens next and when.
- ✓ Say that you want a lawyer, out loud, early, and ask for it to be written down. The duty to appoint one is mandatory and time-limited — two days from the original detention, or three days before the hearing, whichever comes first.
- ✓ Count in working days. The five-day clock leaves out Saturdays, Sundays and holidays. Over a long weekend that is longer than it sounds, and it is the thing people miscalculate.
- ✓ Voluntary is different, and usually better. None of this applies if you go in voluntarily. If you are weighing it up, ring 988 and press 0 first and ask what a voluntary route looks like where you are.
- ✗ One newer rule, if a criminal charge is already in the picture. Since 2024 somebody charged with a felony or a Class A misdemeanour and found incompetent to stand trial because of mental illness is presumed to meet the emergency standard, rebuttable only by clear and convincing evidence that they pose no imminent substantial likelihood of serious harm. It does not touch an ordinary student crisis.
How to get naloxone free in Tennessee
Naloxone reverses an opioid overdose. It is the nasal spray many people know as Narcan, anyone can carry it and anyone can give it — no prescription, no training, no registration — and you cannot get into trouble for having it or for using it on somebody. Tennessee runs a county-by-county network whose whole job is to hand it out free, with the training thrown in. Here is how to get a kit.
The best route: your regional overdose prevention specialist
The state funds 20 specialists across 13 regional divisions, covering all 95 counties, as “points of contact for free training and education” and for “overdose prevention through the distribution of naloxone”.
The naloxone is free and so is the training. You do not need a prescription, an appointment or a reason.
There is a county search tool that gives you your own specialist by name, with a direct phone number and an email address, plus a printable map. Many of them are in recovery themselves or are certified peer recovery specialists, so it is an easy conversation to start.
Over the counter, no prescription, no conversation
Naloxone nasal spray has been sold over the counter in the United States since 2023 — Narcan 4mg and RiVive 3mg. You can buy it off a shelf like paracetamol, and nobody asks you anything.
Pharmacies can also supply it without a prescription under a collaborative practice agreement, and county health departments hand it out — ring first, because stock there is limited.
On TennCare: up to two naloxone products a month with a maximum $5 copay. CoverRx and private insurance may cover it too.
Syringe services programmes
The Department of Health publishes a directory by county with addresses, opening hours and phone numbers, so you can see what is near you before you travel.
They hand out “free sterile needles, syringes, and other injection equipment”, take used ones back, run HIV and hepatitis testing with a route into treatment — and they “distribute naloxone at no cost”.
Keep the card they give you, in your wallet. The “written verification” that your equipment came from a programme is what protects you from a paraphernalia charge. Without it, that protection does not apply.
You cannot get in trouble for carrying it or using itA good-faith belief and reasonable care is the whole test. Anyone may carry it and anyone may give it.
This is the sentence to remember if you hesitate with the spray in your hand. Tennessee’s naloxone law, T.C.A. § 63-1-152, lets you give it to somebody if you have “a good faith belief” that they are overdosing and you exercise “reasonable care”. That is the whole test.
- ✓ No training, no registration, no prescription for the person administering it.
- ✓ Civil immunity if you act in good faith — for you, for whoever gave you the kit, and for the practitioner behind it, short of gross negligence or wilful misconduct. An ordinary bystander is covered.
- ✓ Fentanyl test strips are legal in Tennessee, permanently. The expiry date once set for 1 July 2025 was deleted on 3 April 2025, so any page telling you the exemption is about to lapse is out of date.
- ✗ The strips exemption is written around detecting a synthetic opioid, so xylazine strips and general drug-checking equipment sit outside it, and it falls away if the strips are tied to a dealing offence.
- ✗ Two different laws, and you want both. § 63-1-152 is civil immunity for giving naloxone; § 63-1-156 is what stops you being arrested for the drugs in the room. Section 03 is the one to read before you ring.
Where to get it on campus — and what to do if your college has nothingA few colleges publish a real route. Everywhere else, your regional specialist supplies it free.
Some colleges keep naloxone where you can get at it, and some do not. Your college’s entry in Section 01 says what yours publishes. If it says nothing, do not spend the evening hunting — go straight to your regional overdose prevention specialist in the cards above. That route covers every county in Tennessee, it is free, and your institution is not involved in it at all.
What a good campus route looks like
UT Chattanooga — in the same cabinets as the defibrillators
ONEbox units sit with the defibrillators in residence halls, the University Center, recreation facilities, the library and academic buildings.
The training is inside the box. Opening it starts a video that walks you through administering the naloxone, so there is nothing to learn in advance and nobody to ask first.
The University of Memphis — ask at the counter
Kits are kept “in designated areas of the Student Health Center and Counseling Center”, each with intranasal naloxone, protective equipment and instructions.
MTSU — send an email first
Free overdose response kits are published as an email address for one named member of staff, with no location and no hours. So send the email in the next quiet week, not on the night you need it.
In Nashville there are also free vending machines. Metro Public Health publishes them at named Davidson County locations — a service station on Brick Church Pike and the Tennessee Justice Center on Lafayette Street — and says “it is free to dispense naloxone, which comes in a two-dose pack with instructions”. You can also collect it at any Metro Public Health clinic.
There is no statewide vending programme and no mail-order route in Tennessee, so outside Nashville the answer is your regional specialist — free, in every county, and usually the same week you ask.
Cannabis and hemp products in Tennessee, because the rules keep changingMarijuana is illegal here, simple possession is on the Good Samaritan list, and the hemp rules moved in January 2026.
- ✗ Marijuana remains illegal in Tennessee. There is no adult-use programme and no medical cannabis programme. Simple possession or casual exchange is a Class A misdemeanour by default, and distributing up to half an ounce is an offence in its own right.
- ✓ But simple possession is on the § 63-1-156 immunity list, so it is one of the offences you are protected from when you ring for help. Section 03 has the rest.
- ✗ Hemp-derived THC products moved under the Alcoholic Beverage Commission on 1 January 2026 under Public Chapter 526. Products at or below 0.3% total THC are legal subject to licensing, THCA now counts towards that cap — which takes most high-THCA hemp flower out of compliance — THCp and synthetic cannabinoids are banned outright, and there is a 21+ age restriction.
- ✗ The dates here have moved more than once, and may move again. Check the Alcoholic Beverage Commission’s own site rather than trusting any page, including this one, on the detail.
Paying for treatment when you have no insurance
Not being able to pay is not a reason to go without help, and you do not have to sort the money out before you ask for the help. One thing is worth knowing early, because it saves you weeks: Tennessee did not expand Medicaid, so if you are over 18, not pregnant, not a parent and not disabled, there is probably no TennCare category you fit — whatever your income. What Tennessee does have is a programme built for exactly that gap, the Behavioral Health Safety Net, and it covers all 95 counties. Alongside it there is a health centre that has to see you whether or not you can pay, state-funded treatment for drink and drugs reached through the REDLINE, and the federal marketplace if your income is high enough to qualify for help with a premium. Start with whichever one fits, and ring the numbers in section 02 in the meantime — they are free and they do not ask about insurance.
TennCare, the gap, and the programme built for it
Start with the Behavioral Health Safety Net. In the state’s own words it “provides essential outpatient mental health services to uninsured Tennessee Adults & Children who meet program eligibility criteria through a network of 15 BHSN Community Mental Health Providers”, covering all 95 counties. Being ineligible for TennCare is part of what qualifies you, which is the whole point of it: it is aimed at the people the Medicaid categories miss.
How to get in: the state publishes a provider contact list with direct phone numbers for all fifteen providers and the counties each one covers. Find the provider for your county and ring it. These are ordinary intake numbers, not crisis lines, so use them in the working day — and if tonight is the problem, ring 988 and press 0 first.
Who qualifies, and what you get
Who qualifies: 18 or over; “a resident of Tennessee, with no minimum timeframe required”; household income at or below 138% of the federal poverty level; no private insurance, or insurance without mental health cover, or mental health benefits already exhausted; a qualifying diagnosis; and ineligible for TennCare.
What it covers, in the state’s words: “assessment and evaluation, individual, family, and group therapy, psychiatric medication management, labs related to medication management, and pharmacy assistance and coordination” — and possibly peer support, psychosocial rehabilitation and transportation.
Ask what it will cost you while you are on the phone. The adult programme does not cover prescriptions directly; what it does is help you get medication “at a reduced price or at no cost through manufacturer sponsored or other pharmacy assistance programs”. It is a fair question and they are used to being asked it.
If you want to check TennCare first, and where the income line fallsThe categories TennCare publishes, the $15,960 figure for a household of one, and the residency rule that lets a brand-new student use the safety net straight away.
What TennCare covers, and who it leaves out
TennCare’s published categories are children under 21, people who are pregnant, parents or caretakers of a minor child, people needing treatment for breast or cervical cancer, people receiving SSI, certain long-standing SSI-and-Social-Security recipients, people in nursing homes or receiving long-term care, former foster youth under 26, and Medicare cost-sharing categories.
There is no general category for adults under 65 without dependent children or a disability. If that is you, do not wait on a TennCare decision before you ring anybody — use the safety net above, or a health centre, and do it this week.
Where the income line falls
TennCare’s own published figure for 100% of the federal poverty level, for a household of one, is $15,960 a year. Marketplace savings run from 100% to 400% of that level. HealthCare.gov describes the band underneath in terms: “If your state hasn’t expanded Medicaid, your income is below the federal poverty level, and you don’t qualify for Medicaid under your state’s current rules, you won’t qualify for either health insurance savings program.”
So: below about $15,960 a year there is neither a TennCare route nor a marketplace subsidy, and at or above it marketplace savings open up. If you are anywhere near that line, apply to the marketplace anyway and let them work it out — the decision is theirs to make, not yours. And if you are under it, the safety net above is the programme designed for precisely where you are standing.
One residency rule worth knowing if you have just arrived. The Behavioral Health Safety Net asks only that you are “a resident of Tennessee, with no minimum timeframe required”. CoverRx, the state prescription assistance programme, wants six months of Tennessee residency on otherwise similar income and uninsured tests. A student who moved here in August can use the first and not yet the second.
The other routes, in the order worth trying
- 1Your campus counselling service. At nine of the fourteen colleges on this page it is published as free. Check your row, and ask two questions when you book: what it costs, and whether there is a session cap — five of the fourteen publish one and it can be as low as six a semester. One college charges $25 for a missed appointment, so cancel if you cannot make it.
- 2A federally qualified health centre. This is the strongest entitlement you have and it does not depend on Tennessee having expanded anything: “No patient shall be denied service due to an individual’s inability to pay”. Full discount at or below 100% of the poverty level, sliding discounts from 100% to 200%, and at or below 100% a health centre may charge only a fee that is “nominal from the perspective of the patient”. Tennessee has more than 200 health centre sites across 71 counties, so there is likely one near your campus.
- 3The Behavioral Health Safety Net above, if you are uninsured, under 138% of the poverty level and ineligible for TennCare.
- 4State-funded substance use treatment. Tennessee funds treatment for people who “are indigent and [have] no other financial means of getting help”, are not eligible for TennCare or other insurance, and are within 138% of the federal poverty guidelines — prioritised to those with “the greatest needs and the least ability to pay”. The way in is the REDLINE, 800-889-9789 — free, confidential, call or text, 24 hours. Ask them what it will cost while you have them on the phone.
- 5The marketplace, if your income is at or above 100% of the poverty level. 1-800-318-2596, staffed 24 hours except holidays. Open enrolment for 2027 coverage starts 1 November. Confirm the closing date on HealthCare.gov rather than trusting any page, including this one — it is the one detail here that is worth thirty seconds of checking.
Two more things about money that catch students outThe federal work requirement that starts in January 2027 and probably does not reach you, and the student health insurance waiver deadline that costs real money if you miss it.
The federal work requirement starting 1 January 2027
If you are enrolled at least half-time, or you are in treatment, you are covered either way. From 1 January 2027 states have to apply a community engagement requirement to “non-pregnant adults between the ages of 19 and 64… eligible for or enrolled in the Medicaid adult group”. Tennessee has no Medicaid adult group — that is the expansion group, and Tennessee did not expand — so it probably does not reach you at all. Two details worth holding on to regardless: enrolling in education at least half-time is a qualifying activity, and being in “a drug or alcohol rehabilitation or treatment program” is an outright exemption. This is a thing to be aware of rather than a thing to be frightened of.
Student health insurance: your college decides, so check yours
There is no Tennessee-wide rule requiring students to carry cover. It is set institution by institution, and the difference is real money: the UT Health Science Center requires it as “a condition of enrollment” and will auto-enrol you and charge you if you neither waive nor enrol, and Vanderbilt auto-enrols most students with a waiver option. Find your own college’s waiver deadline and deal with it before it passes, not after — missing it usually means being billed for the plan for the year.
If you are going to waive onto another plan, ring that plan first and ask what it covers for mental health and for substance use treatment, and whether there is a session limit. Ask before the deadline rather than after it.
Gambling, eating, and other kinds of help
If you have got this far and thought this is not really about me, stay a minute. Not everything that gets out of hand is drink or drugs, and the people on these lines are used to being the first person somebody has told. Gambling, eating, being LGBTQ+ and not safe, being a veteran, being hurt by someone at home — all of it belongs here, and you do not need a diagnosis or a reason that sounds serious enough. In Tennessee one number covers drink, drugs and gambling: the REDLINE on 800-889-9789, free and confidential, call or text, at any hour of any day. Everything else is below, with the hours each line publishes.
Gambling
Ring or text the Tennessee REDLINE on 800-889-9789. It is free and confidential, answers 24 hours a day, every day of the year, and it covers “alcohol, drug, problem gambling, and other addictions” — Tennessee has no separate gambling helpline because this one does the job. The state’s own summary of the help it funds: “There is help available for all ages, and it is free.” You do not have to have lost a particular amount, and you do not have to be ready to stop.
Treatment in Tennessee, and the national number that also worksA state-funded clinic in Memphis, Nashville and Johnson City — and 1-800-MY-RESET if you would rather ring a national line.
If it has got to the phone in your pocket at two in the morning, you are not the first. Tennessee has legal online sports betting and no in-person casinos, which means the whole market is in your hand with no closing time. The REDLINE covers it, and most people do not know that.
Treatment in Tennessee
The Gambling Clinic is 833-842-8600 — state-funded, by telehealth or in person in Memphis, Nashville and Johnson City, which is next door to UT Knoxville’s, Memphis’s and ETSU’s students. Hours are not published, so try it in the working day and leave a message if nobody picks up. For anything at night, the REDLINE is the number.
The national line, if you would rather not ring the state one
The National Problem Gambling Helpline is 1-800-MY-RESET (1-800-697-3738) — call, text or chat, 24/7/365, and “no payment or insurance information is required”. If you have 1-800-522-4700 or 1-800-GAMBLER written down, keep them: both still work. For getting into Tennessee treatment, the REDLINE is still the quicker route.
Eating disorders
Two lines answer and both are free. 866-662-1235 is the National Alliance for Eating Disorders, answered by “licensed therapists specialized in eating disorders”, free and confidential, Monday to Friday 9am to 7pm Eastern — which is 8am to 6pm for most of Tennessee. 1-888-375-7767 is ANAD, Monday to Friday 9am to 9pm Central, staffed by trained volunteers who will return a message left outside those hours.
You do not have to be underweight, diagnosed, or certain that it counts. If food is taking up more of your head than it should, that is reason enough to ring.
Which one to ring, the time zones, and what to do when both are shutANAD is open latest. Out of hours, 988 and press 0, or text HOME to 741741. And if you have an old NEDA number, it no longer reaches a helpline.
Which one to ring, and when
Tennessee straddles two time zones, so check the clock against the line. ANAD publishes its hours in Central, which is Nashville, Memphis, Clarksville, Murfreesboro, Cookeville, Jackson and Martin. The Alliance publishes in Eastern, which is Knoxville, Johnson City and Chattanooga. If you are in the east of the state, the Alliance closes at 7pm on your own clock; if you are in the middle or the west, it closes at 6pm on yours.
ANAD is the one open latest in the evening. If you ring outside its hours, leave a message — trained volunteers return them.
If nobody answers, ring these instead
Neither line is a 24-hour line and neither is a crisis line. Out of hours, ring 988 and press 0 for a crisis counsellor in Tennessee, or text HOME to 741741. Both are free and both are staffed at any hour.
If you have an old NEDA helpline number written down, or you find one on a poster, use one of the two numbers above instead. The National Eating Disorders Association no longer runs a phone helpline — its Get Help page offers a screening tool, a treatment search, low-cost support options and guidance on raising concerns, and no phone number, text line or chatbot.
On campus, this is a referral question. Ask your counselling centre who they refer eating disorders to, and ask before you are in crisis rather than during one. It is a two-minute question in an ordinary appointment.
LGBTQ+
Start with The Trevor Project: 1-866-488-7386, or text START to 678-678, or chat on its site. It is “24/7, 365 days a year”, answered by “trained crisis counselors” experienced with LGBTQ+ issues, and “confidential and 100% free”. TTY is 1-866-803-3699. You do not have to be in crisis and you do not have to be out to anybody. Tennessee runs no state LGBTQ+ line, so this is the one to put in your phone.
Trans Lifeline is 877-565-8860, answered by “a trans/nonbinary peer operator”. It is open Monday to Friday, 12pm to 8pm Central, or 1pm to 9pm Eastern — the operator publishes the hours in your own time zone. It is not round the clock, whatever else you may have read, so if it does not ring, Trevor is open and so is 988 and press 0.
If you have been told to dial 988 and press 3, that option ended on 17 July 2025. The menu now runs press 1 for veterans and press 2 for Spanish. 988 itself still works — in Tennessee, press 0.
Student veterans
The Veterans Crisis Line is 988 and then press 1. Text 838255, or chat on its site. 24 hours, 365 days, free and confidential.
You do not have to be enrolled in anything
“You don’t have to be enrolled in VA benefits or health care to connect.”
That is the line’s own wording, published twice on its own page, and it is the thing student veterans most often get wrong. If you have been telling yourself the number is for somebody else, it is not.
For benefits rather than crisis: the Tennessee Department of Veterans Services is 615-741-2345, which does benefits counselling, claims assistance and education support. Hours are not published, so ring in the working day. And for families: Coaching Into Care, 888-923-7458, is a VA programme for relatives trying to get a veteran into care — so you can ring it about somebody else.
If you are holding an older number, dial 988 and press 1 instead. A couple of Tennessee campus pages still print “1-800-273-8255 (Press 1)”, and the retired 855-CRISIS-1 still appears on a state veterans page. Neither is the current route. For a Tennessee crisis counsellor at any hour, 988 and press 0.
Domestic and sexual violence
Tennessee publishes two statewide 24-hour lines, which is more than many states manage. For domestic violence, 1-800-356-6767. For sexual assault, 1-866-811-7473. Both come from the Tennessee Coalition to End Domestic & Sexual Violence, whose own words are “Support is available 24/7… It is completely free, confidential, and safe.” You can ring about last night, last term or years ago, and you can ring about somebody else. If one of them does not connect, use the national lines below.
National, at any hour: the National Domestic Violence Hotline on 1-800-799-7233, or text START to 88788, or chat — and if you want a person rather than a chatbot, ring, because when live advocates are unavailable the chat may be answered by an AI. For sexual assault, RAINN on 800-656-4673 or chat, 24/7, free and confidential, in English and Spanish.
More numbers, and what to ask before you tell anyone on campusStrongHearts, loveisrespect and the Deaf Hotline — plus the difference between a confidential resource and a reporting one, which is worth knowing before you start talking.
Three more numbers on the national page
StrongHearts Native Helpline 844-762-8483 · loveisrespect, for dating abuse, 866-331-9474 · Deaf Hotline video phone 855-812-1001. And the Tennessee Coalition runs a local service locator, so if what you want is an advocate near you in the daytime rather than a line tonight, that is where to find one.
If you are deciding who on campus to tell
A Title IX office starts a process. That can be exactly what you want — it is the route to accommodations, no-contact orders and an investigation — but it is a reporting office, not a confidential ear, and telling it is a step with its own momentum.
The hotlines above are confidential, and you can use one first. Talk it through, take your time, and go to Title IX afterwards if you decide to. You can do both. Some campuses publish their own service too — Austin Peay a sexual assault centre hotline, Memphis a rape crisis centre, Vanderbilt its Project Safe — so check your row as well.
Whoever you speak to on campus, ask in the first minute: are you a confidential resource or a reporting one? Section 08 covers who can be told what.
Who will find out if you ask for help
This is the question that stops people ringing, so here is a straight answer to it. If you are 18 or over, the decision about who gets told is mostly yours, and the ordinary answer is that nobody is told. Where that is not the answer — if you are under 18, if there is a conduct charge, or if you are on a parent’s insurance — it is much better to know in advance than to find out afterwards. None of what follows is a reason not to ask for help. It is a reason to ask one or two questions first.
Who can find out, situation by situation
Find the row that matches you. If you are under 18, Tennessee’s rules are more generous than people assume at 16 and less straightforward than people assume about drugs, so those rows are worth reading properly.
| Your situation | What to expect | What to ask, and what to do |
|---|---|---|
| You are 18 or over and you see a campus counsellor | Nobody is told | Counselling records on a student aged 18 or over sit outside “education records” under federal law, so the route a parent would use to see your file does not reach them. Confidentiality breaks for imminent danger, abuse of a minor, or a court order. Ask in the first session what would make them break it — a good service will tell you plainly. |
| You are under 21 and facing an alcohol or drug conduct charge | Possibly — through the conduct file, not your therapy notes | Federal law lets an institution tell parents about an alcohol or drug violation by a student under 21, and Tennessee has its own statute on parental notification that Austin Peay’s substance policy cites by section. That works on the conduct file, not the therapy file: the two offices do not share one. Seeing a counsellor does not feed the conduct process. If you are facing a charge, ask the conduct office directly whether your parents will be contacted, and ask before the meeting rather than after it. |
| You are 16 or over and want outpatient mental health care | Not necessarily — at 16 you have adult rights | Tennessee gives a child of 16 or over with a serious emotional disturbance or mental illness the same rights as an adult over outpatient and inpatient treatment, medication and confidential information, and an outpatient provider “may provide treatment and rehabilitation without obtaining the consent of the child’s parent”. Below 16 this does not apply, so if you are 15, ask the service how consent works for you before you start. |
| You are 16 or 17 and worried about your parents being told | Two real limits, and one of them is mandatory | A parent may access the minor’s prescription records unless the professional believes disclosure would endanger the minor’s safety. And the professional must report suicidal ideation to a parent or guardian where they reasonably determine the minor has “the apparent ability to attempt suicide and is likely to attempt suicide”. That duty is mandatory, not discretionary. Expect it, and tell someone anyway — a hard conversation at home is survivable. |
| You are under 18 and want substance use treatment | The doctor decides — and that is not the same as confidentiality | Tennessee’s provision says “Physicians may treat juvenile drug abusers without prior parental consent” and that the physician “may use the physician’s own discretion in determining whether to notify the juvenile’s parents”. Three things follow. There is no age floor defined; it covers drugs only and never mentions alcohol; and it lets the physician treat you, it does not promise you confidentiality. So ask the clinician what their own policy on telling your parents is, before you start. |
| You use your parents’ insurance | Often, indirectly | The explanation of benefits goes to the policyholder. It does not say what you discussed, but it shows a claim from a provider. Ask whether the service is covered by your fees instead — at nine of the fourteen colleges on this page campus counselling is published as free — or use one of the routes in section 06 that does not bill an insurer at all. |
Three things worth knowing before you start talking
The counselling centre and the conduct office are not the same place and do not share a file. A campus counsellor is generally bound by clinical confidentiality. A conduct officer is not, and a Title IX office is a reporting office, not a confidential one — students routinely assume otherwise.
Ask who answers your college’s after-hours number. At several of the colleges here it is campus police, a residence director or an answering service rather than a counsellor. That is not a reason not to ring — it is a reason to know, and to have 988 and press 0 saved as well.
Email is not confidential, and two colleges here say so on their own pages. If you are writing something you would not want read, ring instead.
And if you are at Austin Peay, hold them to this one. Its own policy says “All information provided by people who voluntarily avail themselves of alcohol or other drug counseling or rehabilitation services will be confidential. It will NOT be used against the individual seeking assistance.”
Ask these two questions in the first minute, of anyone on campus
“Are you a confidential resource, or a reporting one?” Ask it of a counsellor, an adviser, a residence tutor, a Title IX officer, a conduct officer — anyone, before you start talking. Nobody will mind being asked, and the answer decides what happens next.
“What would make you break it?” Every service has limits, and a good one will tell you exactly what they are before you say anything you would rather they did not have to act on. Asking these two questions is not being difficult. It is how you stay in control of your own information — and knowing the answer is what lets most people say the thing they came to say.
Before you dial, and a few dates worth knowing
Numbers move and hours change. Where you can, ring ahead or check the service’s own page before you travel — and if you find something here that is out of date, tell us and we will put it right. A student telling us a number has changed saves the next person a bad evening.
Dates that could affect you. Marketplace open enrolment for 2027 coverage starts 1 November, and the closing date is worth confirming on HealthCare.gov — see section 06. The federal work requirement begins on 1 January 2027, and being enrolled at least half-time or being in treatment protects you. The hemp rules in section 05 have had their effective dates moved more than once and are under litigation, so check before you rely on them. And campus after-hours arrangements change over the summer — that is the least stable thing on this page, so re-check your college’s number each September.
This page is information, not advice. It is not medical advice and it is not legal advice, and reading it does not create any professional relationship. Statutes are amended and courts interpret them. If you are facing a charge, talk to a lawyer — your university may have a free student legal services office, and it is worth finding out before you need it. If you are unwell, talk to a clinician. If someone is in immediate danger, ring 911.
Compiled September 2026.