Access to mental health crisis care is limited, particularly at night. Where people do not have access to appropriate emergency healthcare, the police have become the de facto - "first aid response to mental distress". Many of the people that come into contact with the police in this way are already known to the health services - as many as two-thirds of those. detained by the police under s. 136 of the Mental Health Act are already in receipt of mental health care. And yet the police are not confident they are qualified or the right people to be dealing with such situations. This inquiry is largely focused on what happens in those situations when the police are called to someone in crisis. People who experience mental illness, like everyone else, can come into contact with the police for a wide variety of reasons, the common ones being they might be suspected of having committed a crime, they might have been the victim of a crime, they might be reported as missing, or they might experience a mental health crisis, where they may be so ill that their safety, or the safety of others, could be at risk. One in four people will suffer from mental health illness at some point, and their illness brings with it a vulnerability that makes it likely they will come into contact with the police. This vulnerability is particularly relevant in a mental health crisis, and when they do so, it should be considered primarily as a health matter, so they can seek and receive support from a mental health team, or if they call 999 to ask for help, the first responders should be health professionals. Unfortunately, mental health services are not always available. Mental health services have deteriorated over many years and under successive governments. There is evidence that some people, particularly from black and ethnic minority communities, are reluctant to engage with mental health services if they have previously had a poor experience. This can lead to treatment being avoided or delayed, and people seeking help only when it reaches crisis point..

This brief addresses the question of the various ways in which mental health-related issues have become police responsibility. It provides a detailed understanding of the myriad of ways in which police are often called upon to be the primary responder to mental health-related issues, well beyond the standard media images of individuals in extreme crisis. Drawing upon the results of two separate ethnographies of police practices in Canada, this volume examines how public policing has become entangled in cases of persons with mental illness (PMI). It examines two aspects of the police role and mandate that brings police officers into contact with individuals dealing with mental health disorders: public safety, and crime prevention and response. It explores police perceptions towards the roles they play in the lives of PMI, and police demands in these types of calls for service that have transformed aspects of public policing. Appropriate for policing researchers, law enforcement and public policymakers, this book presents the argument that tackling this matter requires knowledge of police involvement in situations with PMI, as well as a set of evidence-based policy options that will not generate additional resource or other strains.

The Ghostbusters refrain "Who you gonna call?" typically connotes a lighthearted response to an unusual problem, but in the context of a human being suffering a mental health crisis, the refrain is anything but lighthearted. In an ideal world, "who you gonna call" would be a trained mental health professional. In the real world, the cry for help is usually received by the police. Police respond because there is no one else to assist. Police officers rank mental health crisis situations as far more stressful than crimes in progress. A person, suffering from mental illness is, by definition, not fully rational. Although they are likewise not fully irrational, behavior is unpredictable, and unpredictable behavior for the police is potentially dangerous behavior. As a consequence, outcomes of engagement between law enforcement and mental health consumers are too often tragic. No organization is more concerned about inadequate response than the police themselves. Improving Police Response to Mental Illness provides best practices guidance. A national pool of experts provide both insight and recommendations, ranging from the conceptual, Atypical Situations-Atypical Responses, to the pragmatic, Law Enforcement Training Models. Written specifically for the book, each chapter addresses a given critical component, including social policy, police response alternatives, training, legal constraints, and cooperative agreements with mental health service providers. This is an indispensable volume on the subject of police and mental health and is designed for police practitioners, mental health professionals, and scholars of social policy.

This book explores the relationship between policing and mental health. Police services around the world are innovating at pace in order to develop solutions to the problems presented, and popular models are being shared internationally. Nevertheless, disparities and perceptions of unfairness remain commonplace. Innovations remain poorly funded and largely unproven. Drawing together the insights of eminent academics in the UK, the US, Australia and South Africa, the edited collection evaluates the condition of mental health and policing as an interlocked policy area, uncovering and addressing a number of key issues which are shaping police responses to mental health. Due to a relative lack of academic texts pertaining to developments in England and Wales, the volume contains a distinct section on relevant policies and practices. It also includes sections on US and Australian approaches, focusing on Crisis Intervention Teams (CITs), Mental Health Intervention Teams (MHITs), stressors and innovations from Boston in the US to Queensland in Australia. Written in a clear and direct style, this book will appeal to students and scholars in policing, criminology, sociology, mental health, cultural studies, social theory and those interested in learning about the condition and trajectory of police responses to mental health.

Many of our children live in communities where violence, fear, and despair are commonplace. This book describes how one city developed a collaborative effort between law-enforcement and mental health professionals in order to help these children and their families. The Child Development-Community Policing Program in New Haven, Connecticut, was initiated in 1991 to deal more effectively with children who are victims or perpetrators of violence. Police officers, preparing for the new responsibilities of community-based policing, have become familiar with an array of strategies for preventing and responding to community violence. Mental health professionals have learned firsthand about the texture and trauma of the lives of children at risk. Police and mental health professionals working together have been able to mobilize treatment services more quickly and effectively and to assure that treatment plans are carried out. This manual provides a model, case studies, and guidelines for training the participants, operating a consultation service, and evaluating the program on an ongoing basis, all of which will be useful for other communities seeking to implement a similar project.

In countries with democratic traditions, police interactions with the mentally ill are usually guided by legislative mandates giving police discretion and possibly resulting in referrals for assistance and treatment. But all too frequently, the outcome of these interactions is far less therapeutic and leads to a cycle of arrests and ultimately incarceration. Stemming from an initiative in Memphis, Tennessee two decades ago, police departments in many parts of the world have set up specific programs with crisis intervention teams to facilitate police contact with the mentally ill. Policing and the Mentally Ill: International Perspectives examines how these types of programs have fared in jurisdictions across the world. The book begins with developments in North America and Europe—traditionally the locus of much of the innovation and change in policing and related areas. It demonstrates how a number of jurisdictions in Europe have only recently begun to recognize therapeutic intervention with the mentally ill as a priority issue, and still frequently suffer from a lack of significant resources. The largest section of the book focuses on Australia, where local law enforcement agencies have displayed a remarkable enthusiasm for and commitment to change in their management of interactions with citizens with mental illness. Finally, the book examines the particular challenges of providing humane and effective policing for persons with mental illnesses in parts of the developing world. These challenges often involve dealing with entrenched cultural beliefs and practices based on superstition, fear, and prejudice regarding persons thought to be mentally ill. Interactions between police and persons with mental illnesses comprise an important and sensitive aspect of everyday policing. The 16 chapters in this book offer a wide range of cross-cultural perspectives on this essential aspect of policing, enabling police practitioners to develop a best practices approach to managing their interactions with this vulnerable segment of the community.

Police Response to Mental Health Calls for Service: Gatekeepers and Street Corner Psychiatrists focuses on closing the gap in literature surrounding police responses to mental health calls for service, with an emphasis on the effect of training and relationships with mental health agencies, in order to better understand the interaction between police officers and individuals with mental health diagnoses. Kayla G. Jachimowski and Jonathon A. Cooper pay close attention to Crisis Intervention Training (CIT) and its impact on how police officers would respond to these calls for service, also examining how the relationships between police, the community, and mental health service providers impact police response. Jachimowski and Cooper argue for the importance of police training about mental health disorders and explore the likelihood of diverting individuals with mental illness from the criminal justice system. Scholars of criminology, sociology, and psychology will find this book particularly useful.