Giving vulnerable residents help before mental health issues land them in jail

A strategy for stopping widespread depression in developing countries should be as obvious as one for combatting epidemics. A new strategy aims to downshift jobs to local workers to act as peer therapists.

Colombia has attempted to decrease murder and homicide rates by setting up curfews for teenagers, forcing bars to close earlier in the evening, and creating gun laws to prevent the carrying of weapons. As a result of this epidemiological, data-driven approach, along with other governmental factors, the homicide rate has decreased significantly in most of the cities in which it was implemented.

There is a mental-health capacity crisis gripping Washington state. The area’s response approach, crafted over two decades, centers on a set of intensive outpatient and early-intervention programs aimed at preventing hospitalizations.

The California prison system is overwhelmed after adopting tough-on-crime laws with no improvement. New York adopted more tolerant policies and has decreased the state's crime rate and its prison population.

In the past, Los Angeles was a dangerous city fraught with gang wars. Lately, though, LA has become a safer city due to six changes enforced by the police cracking down on public violence and gangs.

Different programs in various nations are training ordinary people and creating community groups to effectively satisfy the mental health needs of their communities. In many of these regions, "treatment gaps" – where there are little to no mental health treatment plans or resources – exist, but this new informal infrastructure helps to fill that.

Crimes against LGBT citizens have gone underreported in many U.S. cities. Washington DC’s Gay and Lesbian Liason Unit has employed and trained LGBT officers to represent community members that they protect and serve. After the establishment of the GLLU, the number of reported crimes has increased, demonstrating the comfort and trust that the community has with law enforcement.

In Houston, TX, many individuals with mental illnesses cycled in and out of emergency care while arrested or incarcerated. Houston’s police department has decreased the number of incarcerated who have mental illness by opening a division to mental health called the Chronic Consumer Stabilization Unit. Now Milwaukee seeks to replicate Houston’s results.

Milwaukee County’s mental health system put more resources in expensive emergency care rather than invest in programs that offer continual care. As a result, Milwaukee County identifies nine solutions from other cities that have had success in repairing mental health systems. Solutions include the ending of reliance on emergency care, expand community support programs, change laws, and supportive housing.

After a policeman shot and killed a teenage African American, a community in Cincinnati blamed law enforcement for racial profiling and riots expanded throughout the city. With the help of the Department of Justice as a mediator, Cincinnati made policy changes. The city now has an African American Police Association that brings police officers in communication with representatives of communities.