Sheriff provides info to those needing help for mental health

In Victoria, Texas, the police department and mental health officials are joining forces to better respond to community crisis situations. From certifying police officers as mental health officers to assessing whether people already in jail have mental illnesses, the city is already reporting success from the initiative.

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.

Oklahoma mental health and police agencies supply free tablets to police departments, enabling officers summoned to a mental health crisis to connect on the spot with a licensed mental health professional. The telehealth solution has virtually eliminated forced hospitalizations in Claremore, where officers use the tablets on multiple 911 calls daily. The tablet program, also used in Oklahoma City, serves as a temporary fix while state officials debate more permanent ways to limit potentially violent and unhelpful interactions between mentally ill people and police with little training in their care.

When Alexandria, Kentucky's police chief realized how many of his officers' calls were for mental health crises or minor interpersonal disputes, and then how many of these unresolved problems resulted in repeat 911 calls, he hired a social worker to follow up with people to offer health and social services after the police leave. Now the department's two staff social workers do that work, costing less than hiring more police and reducing repeat calls. Alexandria is a small town, but now its approach is being copied in nearby Louisville.

Two years after reorganizing a police gun-enforcement unit to focus it on an evidence-based approach to preventing retaliatory shootings, Portland city leaders abolished the unit in a round of police budget cuts and failed to reinvest that money in community-based alternatives that don't rely on the police. The result, criminologists say, is a worst-case scenario: a policing reform that creates a vacuum and could be to blame for an alarming spike in gun violence. The most effective solutions, they say, blend effective policing with proven community-based programs.

Alexandria, Kentucky's 17-officer police department avoided the expense of hiring more police officers by adding two social workers to assist police in responding to the types of calls that can often turn into repeat calls to 911. By working with people in domestic disturbances, mental health crises, or with substance abuse issues, the social workers connect families to services immediately, rather than awaiting a referral from the police after the crisis has passed. Repeat calls to 911 are down and the city saves up to $50,000 for each position where a social worker substitutes for a police hire.

The Adverse Childhood Experience Response Team sends family and crisis services advocates with police officers on home visits to offer families trauma-informed services after police have responded to an earlier emergency at the home. More than 1,200 children have been referred to services, an offer of help most families accept. Although the pandemic shutdown interrupted house calls, the model has spread to other New Hampshire communities. The ultimate effectiveness of the intervention may not be known for years, and only if researchers can follow up to learn if it may have prevented future incidents.

Montgomery County in Ohio cut overdose deaths nearly in half thanks to combined efforts from city officials, local organizations and community members. Among other tactics, the standout solutions was the partnership that formed between East End Community Services and the police department which aimed to "identify individuals in need of services and connect them to treatment."

Police actions at a crime scene often exacerbate the victim’s trauma and trigger a person with mental illness who is going through a crisis. The Trauma-Informed Response Team in Milwaukee, is part of a national trend to train police officers in crisis intervention so they can identify signs of mental illness, and efficiently and safely get someone in crisis into the care of a mental health professional.

LAPD's special team, the Mental Evaluation Unit, is teaming up police officers with mental health clinicians to better approach and address individuals suffering from a mental health crisis. Rather than sending them to jail - where resources are limited and a vicious cycle often results - the teams help ensure patients get the medical care they need, preventing brushes with the law and county millions of dollars and freed up thousands of hours of patrol time. Their model is being replicated nation-wide.