Enlisting Mental Health Workers, Not Cops, In Mobile Crisis Response

Rob Waters

June 01, 2021 |

Health Affairs |

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Over 3000 Words

Response Location: United States, Eugene, Oregon

The long-running CAHOOTS program, which replaces police with medics and social workers to respond to non-violent, non-criminal mental health crises, suicide threats, and problems stemming from homelessness, serves as a model for similar programs in the nationwide push to reimagine policing. CAHOOTS teams de-escalate crises at first simply because they are not armed police. They also take the time and have the training to calm situations and get people the help they need. Programs in Phoenix and Denver demonstrate how the idea plays out in larger cities.

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In San Francisco, Help Hits the Streets with a Crisis Response Team

Natalie Mead

May 21, 2021 |

What's Next Magazine |

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1500-3000 Words

Response Location: United States, San Francisco, California

Six San Francisco neighborhoods are now served by the city's Street Crisis Response Teams, which answer 911 calls for non-violent mental or behavioral health crises without police involvement. In its first two months in one neighborhood, the Tenderloin, the team handled 199 calls without any violent incidents or any need for police intervention. That led to the expansion to five more neighborhoods. The program is modeled on Eugene, Oregon's CAHOOTS project's street medics and counselors, but with an additional "peer specialist," someone with lived experience to counsel unhoused people on the streets.

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How Alameda County addresses mental-health crisis response

Stephen Baxter

May 20, 2021 |

Santa Cruz Local |

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1500-3000 Words

Response Location: United States, Oakland, California

Alameda and Santa Cruz counties have fielded their own mobile teams to respond to mental health crises as alternatives to police-only responses. Aimed at reducing conflicts with police, overuse of hospitals and jails, and involuntarily commitments for short-term emergency mental health care, the services' limited hours and resources mean that the police still handle the majority of such calls. Alameda's pilot, begun in July 2020, is able to provide help to about one-third of the four dozen monthly calls it gets. Santa Cruz's volume is higher. Impacts on involuntary commitments unclear.

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Possibilities of Progress: Integrating Crisis Care Infrastructure into the Philadelphia Police Force and the United States

Nana AmaAddo

May 15, 2021 |

FunTimes Magazine |

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1500-3000 Words

Response Location: United Kingdom

To increase the safety of people in mental health crisis, Philadelphia police train most officers in crisis intervention tactics and try to build better-informed responses into 911 operations. But problems persist. In the U.K., similar challenges – also disproportionately affecting Black people – have been addressed with a nationwide Crisis Team UK program. Calls for help can be answered by teams integrating multiple talents, from psychiatry to social work. Though progress has not been uniform nationwide, satisfaction and safety have improved, according to activists and a small survey.

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Philly Under Fire Episode 6: The Golden Hour

Jo Piazza

May 13, 2021 |

The Philadelphia Citizen |

Podcast |

Over 15 Minutes

Response Location: United States, Philadelphia, Pennsylvania

In Philadelphia, public agencies and funding serve homicide victims' families. But grassroots groups target the enormous gaps in services for the survivors of gun violence, people whose unaddressed needs – medical, financial, and especially emotional – can fuel cycles of retaliatory violence. Because trauma and anger increase the risks for future violence, groups like The ECO Foundation and Northwest Victim Services provide both immediate responses, starting bedside in hospitals, all the way to long-term care and counseling, plus preventive counseling and services to make for healthier communities.

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'We're dealing with victims': Ride-along offers glimpse at anguished work of crisis teams

Will Cleveland

May 11, 2021 |

Rochester Democrat and Chronicle |

Multi-Media |

1500-3000 Words

Response Location: United States, Rochester, New York

Rochester's Person In Crisis team, launched in response to the death of Daniel Prude in police custody during a mental health crisis, began a six-month pilot project in January. PIC uses a "co-response model" of crisis intervention, sending social workers alone or with police, as first responders or called in by police at a scene, to connect non-violent people with needed services. PIC teams work 24/7, replacing or supplementing police on calls where help, not arrest, will resolve the problem, and empathetic conversation can work better in places where distrust of the police runs high.

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Program in Oregon provides blueprint for San Diego mental health services

Jared Aarons

May 10, 2021 |

KGTV-TV |

Broadcast TV News |

3-5 Minutes

Response Location: United States, San Diego, California

As San Diego County ramps up its CAHOOTS copycat – a mental health crisis response that sends specialists other than police to non-violent calls, similar to the long-running exemplar in Eugene, Oregon – it's beginning to see positive results: 34 calls since January, with only one needing police. But it probably needs to change how people can ask for its help. The San Diego Mobile Crisis Response Team has a phone number separate from the 911 system. Eugene's police chief says calls to 911 in Eugene offer help from police, fire, or CAHOOTS, a persistent and explicit reminder to the public of the alternative.

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Failure to Thrive: NYC's $100 Million ‘Diversion Centers' for Mentally Ill Sit Empty or Barely Used

Greg B. Smith Reuven Blau

May 09, 2021 |

The City |

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1500-3000 Words

Response Location: United States, New York, New York

Despite committing hundreds of millions of dollars to programs that make New York City's emergency response to mental health crises less punitive, a pattern of over-promising and under-delivering, plus pandemic snarls, kept the programs from getting off to an effective start. Two "diversion centers" where police could bring people in crisis, as alternatives to jail or hospital emergency rooms, either sit empty or have served only a tiny number of people. A program to send counselors with police on calls never got off the ground. In its place is a non-policing team that is having trouble recruiting EMTs.

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Outreach officers treat homelessness as a symptom, not a crime

Stephanie Casanova

May 01, 2021 |

Arizona Daily Star |

Multi-Media |

1500-3000 Words

Response Location: United States, Tucson, Arizona

Tucson Police Department's Homeless Outreach Team operates on the premise that even though many want to see police excluded from any role in dealing with homelessness, residents still call 911 and demand a police response. So the team, working with the city's homeless services counselors, can usually turn such contacts into an offer of help. Its officers are trained more and have more time than patrol officers to talk to people and determine their needs. Tucson's unhoused population surged in 2020, and police helped hundreds get housed or get other services without resorting to arrests and jail.

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Police visit patients, offer rides to mental health treatment

Stephanie Casanova

April 30, 2021 |

Arizona Daily Star |

Multi-Media |

1500-3000 Words

Response Location: United States, Tucson, Arizona

When people refuse mental health care while under court orders to get treatment, Tucson police send a mental health support team to take the people to crisis observation clinics or hospitals. The teams have the training and extra time that regular patrol officers often lack, so that such calls can result in a peaceful transport to get the person help, rather than to jail or ending in violence. Having the police involved at all poses policy questions that agencies wrestle with. But thousands of people per year are getting transported to places providing care instead of punishment.

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