Mental Health Book Flashcards
What are the three categories of crisis response?
- Police based response models
- Co-response models.
- Community based alternative models.
What are the key issues for a police-based response?
- availability of alternative resources
- complexity of program structure
- Cost (may cost less )
- Training (making sure training is robust if only the officers are responding)
What are some impacts from co-response models?
- 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
What are the key issues for a co-response model?
- availability of co-response teams
- cost (cost assessment )
- flexibility (field wide range of crisis calls)
- Potential for genuine collaboration
In general about how many calls for service can be diverted to a community based response program?
1/3
Who typically runs community-based response programs?
Local government agencies or nonprofit organizations
What are the key issues for communities concerning a community based response?
- 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)
What are the key issues for communities considering a hybrid program?
Thorough planning (delivered program development process, and clear vision of goals and outcomes)
setting community expectations
Finding funding solutions
What are the action step to build a crisis response program?
- Start planning, don’t wait for a crisis.
- Review current response procedures, and assess needs.
- Research options for response programs.
- Identify in assemble community stakeholders.
- Create a common vision and structure.
- draft a response program and implement a pilot.
- Train all agency personnel who interact with the public on how to respond to persons in crisis.
- Conduct ongoing evaluation and improvement.
What are the challenges, police face and responding to MBH related calls?
Growing demand for mental health services
Risk of violence and encounters with people in crisis
Worsening pressure on police resources
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?
1-10%
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
21% of fatal shootings of someone facing a mental health crisis
What is a crisis response program?
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
T/ F people with MBH disorders are arrested and incarcerated at disproportionately high rates
T
What is the foundation for all crisis response strategy?
Effective training for officers
What are some examples of training for police officers?
- 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.)
Critical decision-making model:
Goal: Sanctity of human life
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
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
Small communities,, often lack services ,funding, or call volume to justified developing call response or community base response programs
What are the most common outcomes for co-response models?
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
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
T.
Non-police personnel respond to crisis calls on their own so police may be called if the situation takes some more threatening turn
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
T
The Denver star program reduce public disorder offenses by 34%, but had no measurable impact on violent crime
Some research attribute part of the drop of public disorder offenses to a reduction in number of recorded offenses
