Mental Health Book

Question 1

What are the three categories of crisis response?

Answer 1

1. Police based response models
2. Co-response models.
3. Community based alternative models.

Question 2

What are the key issues for a police-based response?

Answer 2

• availability of alternative resources
• complexity of program structure
• Cost (may cost less )
• Training (making sure training is robust if only the officers are responding)

Question 3

What are some impacts from co-response models?

Answer 3

• likely to result in referrals to case, managers, outpatient treatment, centers, and mental health organizations
  -Associated with fewer arrests, which means less pressure on the courts and correction system
  -A better understanding of MBH conditions, reduces stigma about them, and gives officers increased confidence in handling them

Question 4

What are the key issues for a co-response model?

Answer 4

• availability of co-response teams
• cost (cost assessment )
• flexibility (field wide range of crisis calls)
• Potential for genuine collaboration

Question 5

In general about how many calls for service can be diverted to a community based response program?

Answer 5

1/3

Question 6

Who typically runs community-based response programs?

Answer 6

Local government agencies or nonprofit organizations

Question 7

What are the key issues for communities concerning a community based response?

Answer 7

• need and resources
  (if sufficient partners do not exist in the community or resist working with police community-based response may not be feasible)
• Communication
  (good communication between partners needs to be established and maintained)

Question 8

What are the key issues for communities considering a hybrid program?

Answer 8

Thorough planning (delivered program development process, and clear vision of goals and outcomes)

setting community expectations

Finding funding solutions

Question 9

What are the action step to build a crisis response program?

Answer 9

1. Start planning, don’t wait for a crisis.
2. Review current response procedures, and assess needs.
3. Research options for response programs.
4. Identify in assemble community stakeholders.
5. Create a common vision and structure.
6. draft a response program and implement a pilot.
7. Train all agency personnel who interact with the public on how to respond to persons in crisis.
8. Conduct ongoing evaluation and improvement.

Question 10

What are the challenges, police face and responding to MBH related calls?

Answer 10

Growing demand for mental health services

Risk of violence and encounters with people in crisis

Worsening pressure on police resources

Question 11

Because the demand for mental health and behavioral health treatment services has outpaced the availability of treatment providers, police, involvement, and MBH has a grown. What’s the percentage of calls for service involving mental health or substance used in crisis?

Answer 11

1-10%

Question 12

TF/ research shows that most people with disorders are not more likely to be violent than other people, but during an acute crisis, so may act erratically or resist the police contact increasing the risk that an officer may resort to force to encounter a perceived danger

Answer 12

21% of fatal shootings of someone facing a mental health crisis

Question 13

What is a crisis response program?

Answer 13

Any program, collaboration, or system designed to provide services to people experiencing MBH related crisis, including problems related to substance use, housing instability, and mental disorders

Question 14

T/ F people with MBH disorders are arrested and incarcerated at disproportionately high rates

Answer 14

T

Question 15

What is the foundation for all crisis response strategy?

Answer 15

Effective training for officers

Question 16

What are some examples of training for police officers?

Answer 16

• mental Health first aid for public safety:
  Popular , inexpensive , general overview , basic strategies
• Crisis intervention team (CIT)
  Range conditions and teams to enhance empathy and improve their skills, managing crisis safely. Requires collaboration.
• integrating, communications, assessment, and tactics (ICAT)
  Integrates communications and operational safety tactics. (Because of the fact in crisis situations officers often revert to basic tactics training.)

Question 17

Critical decision-making model:
Goal: Sanctity of human life

Answer 17

Continuum:

Collect information
Assess situation, threats, and risk
Consider police powers and agency policy
Identify options and best course of action
Act, review and reassess

Question 18

T/F agencies with fewer than 50 sworn officers are more likely to rely on police base response than some form of co-response or community-based response

Answer 18

Small communities,, often lack services ,funding, or call volume to justified developing call response or community base response programs

Question 19

What are the most common outcomes for co-response models?

Answer 19

On-site resolution or referral to other social service agencies.

May also provide better connection to longer-term care and support services

Police response is likelier to result, transportation to a hospital, detox unit unit or psychiatric hold facility

Question 20

TF : in the community-based responder model high-risk calls will still be directed to police, but may or may not include correspondence from the community based program

Answer 20

T.

Non-police personnel respond to crisis calls on their own so police may be called if the situation takes some more threatening turn

Question 21

T/F community-based response programs provided and option for family members and others who are concerned about how a person who is struggling, but are hesitant to contact police or unsure how to get help

Answer 21

T

Question 22

The Denver star program reduce public disorder offenses by 34%, but had no measurable impact on violent crime

Answer 22

Some research attribute part of the drop of public disorder offenses to a reduction in number of recorded offenses