POLICE RESPONSE MENTAL ILLNESS. Improving. Report from the March 2016 IACP Symposium

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1 Improvig POLICE RESPONSE to Persos Affected by MENTAL ILLNESS IACP s Oe Mid Campaig Crisis Itervetio Team (CIT) Respos Model Partership Focused MHFA for Public Safety De-escalatio Techiques Metal Health Crisis IACP s Oe Mid Campaig Cris Itervetio Team (CIT) Respose Model Partership Focuse MHFA for Public Safety De-escalatio Techiques Metal Healt Crisis IACP s Oe Mid Campaig Crisis Itervetio Team (CIT Respose Model Partership Focused MHFA for Public Safety De escalatio Techiques Metal Health Crisis IACP s Oe Mid Campaig Crisis Itervetio Team (CIT) Respose Model Partersh Focused MHFA for Public Safety De-escalatio Techiques Met Health Crisis IACP s Oe Mid Campaig Crisis Itervetio Team (CIT) Respose Model Partership Focused MHFA for Publ Safety De-escalatio Techiques Metal Health Crisis IACP Oe Mid Campaig Crisis Itervetio Team (CIT) Respos Model Partership Focused MHFA for Public Safety De-escalatio Techiques Metal Health Crisis IACP s Oe Mid Campaig Cris Itervetio Team (CIT) Respose Model Partership Focuse MHFA for Public Safety De-escalatio Techiques Metal Healt Crisis IACP s Oe Mid Campaig Crisis Itervetio Team (CIT Respose Model Partership Focused MHFA for Public Safety De escalatio Techiques Metal Health Crisis IACP s Oe Mid Campaig Crisis Itervetio Team (CIT) Respose Model Partersh Focused MHFA for Public Safety De-escalatio Techiques Met Report from the March 2016 IACP Symposium

2 e is d h ) - ip al ic s e is d h ) - ip al EXTENT OF THE ISSUE Law eforcemet agecies across the world are icreasigly required to respod to ad itervee o behalf of people who are affected by metal illess. There is compellig evidece to suggest that law eforcemet agecies eed to ehace their traiig o iteractios with persos affected by metal illess. Research coducted by the Washigto Post ad the Treatmet Advocacy Ceter (TAC) highlight how ofte the iteractios betwee persos affected by metal illess ad the police ca lead to ijury or fatality. I 2015, the Washigto Post oted that victims who were metally ill or experiecig a emotioal crisis accouted for oe-fourth of those killed i officer-ivolved shootigs. 1 The Treatmet Advocacy Ceter (TAC) foud that persos with severe metal illesses are 16 times more likely to be killed by police tha other civilias. 2 Accordig to the America Psychiatric Associatio (APA), i a large urba police departmet, 11 percet of officer-ivolved shootigs i a te-year period were idetified as suicide-by-cop. 3 Studies coducted i both Caada ad the Uited Kigdom suggest that police respose to persos affected by metal illess is ot a Uited States cetric issue. 1 Kimberly Kidy et al., A Year of Reckoig: Police Fatally Shoot Nearly 1,000, ivestigative/2015/12/26/a-year-of-reckoig-police-fatallyshoot-early Metally Ill Are 16 Times More Likely to Be Killed by Police, Sott.et (Sigs of the Times), article/ report-metally-ill-are-16-times-more-likely-tobe-killed-by-police. 3 Ibid. The APA discouted other studies reportig eve higher percetages. Promisig Programs ad Services The Crisis Itervetio Team (CIT) program is a collaborative iitiative betwee law eforcemet officers ad metal health experts to provide crisis itervetio for persos affected by metal illess ad focus o diversio ad treatmet over arrest ad icarceratio. Metal Health First Aid (MHFA) is a eight-hour course focused o metal illesses ad addictios as well as providig law eforcemet with effective respose optios i order to de-escalate icidets without compromisig safety. Smart is a private service that allows citizes to provide persoal details i a secure olie Safety Profile that is accessible to dispatchers. IMPROVING POLICE RESPONSE TO PERSONS AFFECTED BY MENTAL ILLNESS INTERNATIONAL ASSOCIATION OF CHIEFS OF POLICE

3 CHANGES AND CHALLENGES Recet Chages Affectig Metal Health Services Bi-partisa crimial justice reform programs, such as the Fial Report of the Presidet s Task Force o 21st Cetury Policig, provide a cotemporary framework for discussio about improvig law eforcemet services. The widespread use of social media, ad i particular each departmet s ability to respod effectively through their ow social media platforms creates a opportuity for the public to more fully uderstad each icidet i questio. Sythetic drug distributio ad abuse has icreased i recet years, to which persos affected by metal illess may be particularly vulerable. Chages i isurace laws provide more access to health isurace, icludig metal health ad substace use disorder treatmet, to those who previously did ot qualify. Challeges to Improvig Law Eforcemet Respose The creatio ad maiteace of strog parterships with metal health advocacy orgaizatios, hospitals, jails, schools, churches, legislatures, ad govermet. The eed for wider implemetatio of a respose model that meets the eeds of police agecies i their idividual commuities. Whe state ad local laws/policies eed to be ameded, such chages require actio by legislators, admiistrative bodies, ad policy makers. Platforms to Address These Challeges Effective parterships are the key platform to facilitatig chage i the way law eforcemet respods to persos affected by metal illess. Police traiig is a critical veue for chage. Deliverig effective traiig is a challege, particularly for smaller agecies that lack the ecessary resources or persoel; however, providig cosistet traiig is importat. Smartphoe applicatios (apps) ca be ideal opportuities to provide police officers with easy access to iformatio about local service programs ad providers, diversio opportuities, ad traiig tools. The IACP s Oe Mid Campaig is a platform from which to lauch ehaced law eforcemet services to persos affected by metal illess. IMPROVING POLICE RESPONSE TO PERSONS AFFECTED BY MENTAL ILLNESS

4 THE ONE MIND CAMPAIGN The Oe Mid Campaig seeks to esure successful iteractios betwee police officers ad persos affected by metal illess. To joi the campaig, law eforcemet agecies commit to implemetig four promisig practices over a moth timeframe. Agecies demostratig a serious commitmet to implemetig all four required strategies i a timely fashio will become publicly recogized members of IACP s Oe Mid Campaig. Four Required Practices: 1. ESTABLISH a clearly defied ad sustaiable relatioship with at least oe commuity metal health orgaizatio. This partership will serve to istitutioalize effective collaboratio betwee the police agecy ad the metal health commuity. Where appropriate, a Memoradum of Uderstadig ca be crafted. 2. DEVELOP ad implemet a writte policy addressig law eforcemet respose to persos affected by metal illess. A writte policy esures that the departmet is takig a holistic approach ad settig miimum stadards for ecessary traiig, officer respose, ad evaluatio of outcomes. 3. DEMONSTRATE that 100 percet of swor officers (ad selected o-swor staff, such as dispatchers) are traied ad certified i MHFA. Officers who have take this eight hour course are able to employ a variety of de-escalatio ad commuicatio techiques to reduce the likelihood of a ufavorable outcome. 4. DEMONSTRATE that a miimum of 20 percet of all swor officers (ad selected o-swor staff, such as dispatchers) are traied ad certified i CIT. This comprehesive course uses a team approach, which coects officers with metal health professioals durig a law eforcemet respose. Beyod the four campaig strategies, there are multiple approaches that hold promise as well. These actio items are promoted by the campaig as optioal, but worthy of serious cosideratio: Provide metal health traiig i academies ad routiely implemet updated traiig i departmet roll calls. Parter with a state associatio of chiefs or sheriffs to adopt a statewide model. Effectively utilize techology to ehace awareess of commuity metal health services. Take a leadership role with City/Couty/State govermet i supportig the establishmet of a metal health court. Implemet routie diversity ad cultural awareess traiigs, focused o where culture or laguage barriers make effective respose more difficult. Cosider the beefit of erollig i the Steppig Up Iitiative, which was iitiated i May 2015 by The Coucil of State Govermets Justice Ceter, The Natioal Associatio of Couties, ad The America Psychiatric Associatio Foudatio. How to Joi the Oe Mid Campaig: Take the pledge today! Joi your colleagues i ehacig your commuity by reducig ijuries, savig lives, ad stregtheig commuity-police relatios. Visit to take the pledge ad for further iformatio. INTERNATIONAL ASSOCIATION OF CHIEFS OF POLICE

5 RESOURCES The Oe Mid Campaig IACP Model Policy Respodig to Persos Affected by Metal Illess or i Crisis MHFA Metal Health First Aid CIT Crisis Itervetio Team Iteratioal Iteratioal Associatio of Chiefs of Police 44 Caal Ceter Plaza, Suite 200 Alexadria, VA fax