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Police and Society
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12.4 Mental health crisis response and intervention

Citation:

Mental health crises pose unique challenges for law enforcement. Officers must balance public safety with compassionate care for individuals in distress. Crisis response models and specialized training equip police to handle these situations more effectively.

De-escalation techniques and trauma-informed approaches are crucial for positive outcomes. By partnering with mental health professionals and utilizing community-based support services, police can help divert people in crisis from the criminal justice system to appropriate treatment.

Crisis Response Models

Specialized Crisis Intervention Teams

  • Crisis Intervention Team (CIT) model integrates mental health professionals with law enforcement
  • CIT officers receive specialized training in mental health issues and de-escalation techniques
  • Co-responder models pair mental health clinicians with police officers during crisis calls
  • Psychiatric emergency response teams consist of mental health professionals who respond to crises
  • Mobile crisis units provide on-scene mental health assessments and interventions (often 24/7)

Implementation and Benefits of Crisis Response Models

  • CIT programs reduce arrests of individuals with mental illness and increase referrals to treatment
  • Co-responder models improve outcomes for both individuals in crisis and law enforcement
  • Psychiatric emergency response teams decrease unnecessary hospitalizations and arrests
  • Mobile crisis units provide rapid response and can prevent escalation of mental health crises

De-escalation and Intervention Techniques

Verbal and Non-Verbal De-escalation Strategies

  • De-escalation techniques focus on calming individuals and reducing tension in crisis situations
  • Active listening skills help officers understand the person's perspective and needs
  • Non-threatening body language conveys openness and reduces perceived aggression
  • Clear, concise communication helps individuals in crisis understand instructions and options
  • Offering choices empowers individuals and can lead to more cooperative outcomes

Mental Health and Trauma-Informed Approaches

  • Mental health first aid trains officers to recognize signs of mental illness and provide initial support
  • Trauma-informed policing acknowledges the impact of past trauma on current behavior
  • Officers learn to avoid re-traumatization and build trust with individuals in crisis
  • Suicide prevention strategies include recognizing warning signs and connecting individuals with resources
  • Crisis negotiation techniques apply to both mental health crises and hostage situations

Mental Health Services and Programs

  • Involuntary commitment allows for temporary detention of individuals who pose a danger to themselves or others
  • Legal criteria for involuntary commitment vary by jurisdiction but typically require imminent risk
  • Officers must understand local laws and procedures for initiating involuntary commitment
  • Balancing individual rights with public safety remains a challenge in involuntary commitment cases
  • Court-ordered treatment can be an alternative to involuntary hospitalization in some situations

Diversion Programs and Community-Based Support

  • Diversion programs redirect individuals with mental illness from the criminal justice system to treatment
  • Pre-arrest diversion allows officers to connect individuals with services instead of making an arrest
  • Post-arrest diversion programs provide alternatives to incarceration for eligible offenders
  • Mental health courts specialize in cases involving individuals with mental illness
  • Community-based support services (housing assistance, job training) complement diversion efforts
  • Collaboration between law enforcement, mental health providers, and community organizations enhances program effectiveness