Browsing by Subject "Crisis intervention"
Now showing 1 - 3 of 3
Results Per Page
Sort Options
Item The effectiveness of the mobile crisis outreach model(2015-08) Casey, Kathleen Ann; Springer, David W.; Pomeroy, Elizabeth; Streeter, Cal; Holleran, Lori; Wilson, BillSince the deinstitutionalization in the 1950s of thousands of individuals with severe mental illness who were released from psychiatric hospitals without adequate support, communities have struggled to provide crisis interventions for people who would otherwise end up in emergency departments, jails, and hospitals. Mobile crisis outreach teams began to emerge in the early 1970s as one solution to the need for stabilizing consumers in the community. Despite their proliferation over the past 30 to 40 years, there is a paucity of program evaluations or sound empirical investigations supporting their effectiveness (Murphy, Irving, Adams, & Driver, 2012). The purpose of this study was to determine the effectiveness of the mobile crisis outreach team model in reducing placement in more costly and restrictive settings and in linking individuals to more appropriate mental health services. The specific aim of this study was to evaluate the relative effectiveness of three independent variables, which are distinct crisis intervention methods on a number of dependent variables related to community-based behavioral health utilization and post intervention emergency department utilization, inpatient psychiatric hospitalization, and crisis residential stays. Results were mixed with respect to crisis interventions’ statistically significant effect on decreasing post intervention ED visits, psychiatric hospitalizations, and crisis residential stays. The interventions were not significantly different from each other. Following the interventions, approximately 70% of participants were linked to community-based behavioral health services although results suggest that other factors such as a diagnosis of schizophrenia and older age are most predictive of service linkage. Future research is needed to distinguish the impact of the mobile aspect of crisis interventions.Item Formulating a Police Response to Suicidal People(Law Enforcement Management Institute of Texas (LEMIT), 2017) Bundick, RobertPolice respond on a regular basis to calls dealing with suicidal subjects. For responding officers, this call type is often a high stress incident and often has little information that can help with a definite solution. The importance of this paper is to help inform responding officers, supervisors, and administrators of issues to consider in the planning phase when dealing with a suicidal subject inside their own residence with no other people in danger. This information gathering process is important to the call and plays a part in a decision making process. Constitutional issues surround entering a private residence without consent or a warrant for a person who has not committed a criminal offense. Law enforcement has numerous case law protections and exceptions to help with the protection of life when a person is inside their own residence, such as exigent circumstances. Other issues to consider are state created danger and the United States Supreme Court case Castle Rock v. Gonzales, which states police have no duty to protect (“Police Don’t Have Duty,” 2005). The Public-Duty Doctrine gives police immunity as a governmental agency, stating that duty to protect is owed to the public as a whole over any one individual (USLegal.com, n.d.). The public expects police to respond and take action in every situation. Police should take informed, thought-out action based on known information utilizing every resource available. There is no specified wait time before taking the correct actions even if the actions taken are physical in nature.Item Mental Health Issues Facing Law Enforcement(Law Enforcement Management Institute of Texas (LEMIT), 2017) Cotten, ArthurMuch of the research refers to mentally ill persons as consumers, so that is what they will be referred to as in this paper. Currently, many law enforcement agencies use crisis intervention teams to respond to calls for service involving consumers. Kerle (2015) stated that crisis intervention teams are a valuable tool for helping move consumers away from the criminal justice system and delivering them to mental health workers. Kerle (2015) expressed that the goal of their program was to teach law enforcement officers methods designed to reduce use of force when dealing with mentally ill persons. Crisis intervention teams have now spread across the country. These teams have been the way police have adjusted to dealing with consumers since the deinstitutionalizing of mental illness. Police across the United States are typically the first called to deal with mental health issues when things get out of control. Crisis intervention teams are a good resource, but, at times, their response to a scene may be delayed. To combat this delay and provide help to those consumers in need, police officers must be trained to handle situations involving consumers. To accomplish this goal, each officer should be trained in the same manner, thus ensuring that any call for service involving mentally ill persons will have people respond with proper training. Each officer should be required to attend a mandatory 40-hour mental health course during their academy training.