Co-responding police-mental health programmes: Service user experiences and outcomes in a large urban centre.

Abstract:

:As police officers are often the first responders to mental health crises, a number of approaches have emerged to support skilled police crisis responses. One such approach is the police-mental health co-responding team model, whereby mental health nurses and police officers jointly respond to mental health crises in the community. In the present mixed-method study, we evaluated outcomes of co-responding team interactions at a large Canadian urban centre by analysing administrative data for 2743 such interactions, and where comparison data were available, compared them to 16 226 police-only team responses. To understand service user experiences, we recruited 15 service users for in-depth qualitative interviews, and completed inductive thematic analysis. Co-responding team interactions had low rates of injury and arrest, and compared to police-only teams, co-responding teams had higher overall rates of escorts to hospital, but lower rates of involuntary escorts. Co-responding teams also spent less time on hospital handovers than police-only teams. Service users valued responders with mental health knowledge and verbal de-escalation skills, as well as a compassionate, empowering, and non-criminalizing approach. Current findings suggest that co-responding teams could be a useful component of existing crisis-response systems.

journal_name

Int J Ment Health Nurs

authors

Lamanna D,Shapiro GK,Kirst M,Matheson FI,Nakhost A,Stergiopoulos V

doi

10.1111/inm.12384

subject

Has Abstract

pub_date

2018-04-01 00:00:00

pages

891-900

issue

2

eissn

1445-8330

issn

1447-0349

journal_volume

27

pub_type

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