Showing posts with label crisis intervention. Show all posts
Showing posts with label crisis intervention. Show all posts

Wednesday, July 31, 2024

APA Denounces Police Killing of Sonya Massey

In a statement issued today, APA denounced the July 7 police shooting of Sonya Massey by former sheriff’s deputy Sean Grayson in Springfield, Illinois, calling it “a disturbing and horrifying tragedy that should never have happened.”

APA said that when visiting the home of anyone reported to have mental illness or substance use disorders, law enforcement should be prepared to respond with care and empathy, not violence and harm.

“Law enforcement officers should be trained to recognize mental health and substance use concerns, so that they can safely deescalate situations, prevent uses of physical force wherever possible, and perform equitably, safely, and successfully under stress. When police are called, those who have asked for help should not have to worry about becoming victims of violence.”

The statement cited an April 2024 study from the Johns Hopkins University Center for Gun Violence Solutions and Vanderbilt University that found that 67% of all shootings by police involving someone having a behavioral health episode were fatal. By comparison, the study found all shootings by police nationwide had a 55% fatality rate.

“Furthermore, the injustice of Ms. Massey’s killing lays bare the ways in which racial inequities can play out in our communities. More specifically, the Black community should not have to fear interactions with organizations that are charged with keeping us all safe, nor should anyone else,” APA wrote—adding that the timing of Sonya Massey’s killing during Bebe Moore Campbell National Minority Mental Health Awareness Month was a reminder that APA’s work to educate people about the mental health needs of communities of color is far from over.

“APA urges law enforcement organizations to ensure that they prepare their workforce with both training in dealing with mental health issues and anti-bias training. We urge those who are feeling overwhelmed by her death to reach out for help.”

For related information, see “APA Position Statement on Police Interactions With Persons With Mental Illness” and the APA blog post “The Impact of Trauma – Even from a Distance.”




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Friday, August 27, 2021

People Experiencing Mental Crisis Less Likely to Face Arrest When Police Pair With MH Professionals

Individuals experiencing a mental health crisis were less likely to be arrested following a 911 call if a police officer and mental health professional responded to the call together compared with if the police responded alone, according to a report published Thursday in Psychiatric Services in Advance.

Katie Bailey, M.P.A., and Bradley Ray, Ph.D., of Wayne State University in Michigan and colleagues analyzed data collected as part of a co-response team (CRT) pilot in an Indianapolis Metropolitan Police Department from August 1 through December 31, 2017. The team—involving a police officer trained in crisis intervention, a master’s-level mental health professional, and a local EMS paramedic—responded when 911 calls involved a person with suspected mental health or substance use issues, including suicidal ideation; indicated a need for an officer trained in crisis intervention; and/or involved a person who frequently used emergency services.

The researchers compared the outcomes of people who received CRT responses to 911 calls with people who received treatment-as-usual responses to 911 calls (calls received by separate Indianapolis police districts). The authors examined two immediate outcomes following the CRT or treatment-as-usual response: jail booking (within 24 hours of the 911 call) and emergency detention (involuntary admittance to a hospital). They also compared the groups’ subsequent EMS contacts and jail bookings six months and 12 months after the 911 call.

Individuals in the CRT group were 52% less likely than those in the treatment-as-usual group to be booked into jail within 24 hours of the call. However, those in the CRT group were 71% to 85% more likely to have had subsequent encounters with EMS at 6- and 12-month follow-up.

“[T]he mechanism through which Indianapolis’s CRT response resulted in higher rates of subsequent EMS contact … is difficult to identify,” the researchers wrote. “Perhaps EMS involvement in the Indianapolis CRT resulted in individuals’ perceiving EMS as an effective means of managing a crisis and thus increased utilization of subsequent services.”

Both groups had a similar likelihood of emergency detention at the time of the call and a similar likelihood of being booked into jail at six and 12 months.

“Our findings suggest CRTs may reduce short-term incarceration risk but may not have a positive impact on long-term outcomes,” the researchers added. “Future research should consider the extent to which CRT and follow-up services improve engagement with stabilizing treatment services, which may reduce the likelihood of future crises.”

For related information, see the Psychiatric News article “Psychiatrists Can Help Train Police in Crisis Response.”

(Image: iStock/Chalabala)


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