A Co-Responder Model for Policing Mental Health Problems at Crime Hot Spots: Findings from a Pilot Project – 2018

The police often come into contact with people suffering from mental health and substance abuse problems and there is evidence to suggest that these individuals are concentrated in small geographic units. The purpose of the current research is to present a proactive co-responder approach that addresses mental health problems concentrated

0 comments

A Crisis in Search of Data: The Revolving Door of Serious Mental Illness in Super Utilization – 2017-04

Individuals with the serious mental illness are well known to be grossly overrepresented in the nation’s criminal justice and social safety-net systems. Making up barely 3% of the adult population, those with diagnoses of schizophrenia or severe bipolar disorder account for far greater proportions of the people served by law

0 comments

Emergency service experiences of adults with autism spectrum disorder without intellectual disability – 2018

This study aimed to describe patterns of emergency department use and police interactions, as well as satisfaction with emergency services of 40 adults with autism spectrum disorder without intellectual disability over 12–18 months. Approximately 42.5% of the sample reported visiting the emergency department and 32.5% reported interactions with police during the

0 comments

Evaluating psychiatric readmissions in the emergency department of a large public hospital – 2018

Introduction: Hospital emergency departments (EDs) around the country are being challenged by an ever-increasing volume of patients seeking psychiatric services. This manuscript describes a study performed to identify internal and external factors contributing to repeated psychiatric patient admissions to the hospital main ED. Methods: Data from ED visits of patients

0 comments

First Presentation with Psychotic Symptoms to the Emergency Department [2017]

Background Mental health conditions account for 52.8 million (4.9–6.3%) emergency department (ED) visits in the United States. Psychotic conditions are responsible for approximately 10% of all mental health presentations. Objective We aimed to determine the underlying etiology and characteristics of patients presenting to the ED with a first episode of

0 comments

How do ED patients with criminal justice contact compare with other ED users? A retrospective analysis of ED visits in California [2018]

Objective To assess the patterns of emergency department (ED) utilisation among those with and without criminal justice contact in California in 2014, comparing variation in ED use, visit frequency, diagnoses and insurance coverage. Design Retrospective, cross-sectional study. Setting Analyses included ED visits to all licensed hospitals in California using statewide

0 comments

Intensive home treatment for patients in acute psychiatric crisis situations: a multicentre randomized controlled trial – 2018

Background Hospitalization is a common method to intensify care for patients experiencing a psychiatric crisis. A short-term, specialised, out-patient crisis intervention by a Crisis Resolution Team (CRT) in the Netherlands, called Intensive Home Treatment (IHT), is a viable intervention which may help reduce hospital admission days. However, research on the

0 comments

Involuntary psychiatric admissions have increased significantly in Ontario: study – News Release – Institute for Clinical Evaluative Sciences – 2018-02-22

Involuntary psychiatric hospital admissions have increased steadily from 70.7 per cent of all psychiatric admissions in 2009 to 77.1 per cent in 2013. In a new study from the Institute for Clinical Evaluative Sciences (ICES) and the Centre for Addiction and Mental Health (CAMH), researchers found nearly three-quarters of all

0 comments

Length of Involuntary Hospitalization Related to the Referring Physician’s Psychiatric Emergency Experience – 2018-03

Although involuntary commitment (IC) is a serious intervention in psychiatry and must always be regarded as an emergency measure, the knowledge about influencing factors is limited. Aims were to test the hypothesis that duration of involuntary hospitalization and associated parameters differ for IC’s mandated by physicians with or with less

0 comments

Mental health crisis resolution teams and crisis care systems in England: a national survey – 2018

Aims and method A national survey investigated the implementation of mental health crisis resolution teams (CRTs) in England. CRTs were mapped and team managers completed an online survey. Results Ninety-five per cent of mapped CRTs (n = 233) completed the survey. Few CRTs adhered fully to national policy guidelines. CRT

0 comments

Mobile Crisis Intervention Team (MCIT) – Development and Evaluation of Toronto’s Co-Responding Police Mental Health Service Team – 2015-11-17

The Mobile Crisis Intervention Team (MCIT) is a co-responding police-mental health program. This presentation will share the process of coordinating MCIT’s across hospital, LHIN, and justice/healthcare boundaries. The results of a mixed-method outcome evaluation will be presented, focusing on clients’ experiences with both MCIT and police-only response teams. Mobile Crisis Intervention Team

0 comments

Mobile Crisis Rapid Response Team (Hamilton)

This presentation will focus on the development and outcomes of a new first responder model that pairs police officers and mental health crisis workers for 911 response in Hamilton, ON. A description of how the MCRRT evolved from a strong historical partnership between Hamilton Police Services (HPS) and St. Joseph’s

0 comments

National implementation of a mental health service model: A survey of Crisis Resolution Teams in England – 2017-01

In response to pressures on mental health inpatient beds and a perceived ‘crisis in acute care’, Crisis Resolution Teams (CRTs), acute home treatment services, were implemented nationally in England following the NHS Plan in the year 2000: an unprecedentedly prescriptive policy mandate for three new types of functional community mental

0 comments

Prevalence and predictors of involuntary psychiatric hospital admissions in Ontario, Canada: a population-based linked administrative database study – 2018

Background Involuntary admissions to psychiatric hospitals are common; however, research examining the trends in prevalence over time and predictors is limited. Aims To examine trends in prevalence and risk factors for involuntary admissions in Ontario, Canada. Method We conducted an analysis of all mental health bed admissions from 2009 to

0 comments

Report says B.C.’s Mental Health Act needs overhaul – 2017-12-22

British Columbia is considered the most regressive jurisdiction in Canada for mental health detention and involuntary psychiatric treatment, with many practices violating individual human rights, according to a report released by the Community Legal Assistance Society of B.C. “B.C. has fallen far behind other Canadian jurisdictions on numerous measures. The

0 comments

Service Models for Urgent and Emergency Psychiatric Care: An Overview – 2018

There is variation in the way mental health services respond to urgent and emergency presentations, with few evidence-based models reported in the literature, and no agreed on best practice models. To inform the development of urgent and emergency psychiatric care models, a literature review was performed. The review sought to

0 comments

Specialized Crisis Team – Psychiatric Assistance at Police Incidents – 2016-11-16

The Waterloo Regional Police Service, Canadian Mental Health Association and the Local Health Integration Network (LHIN) have been involved in a partnership since February of 2013 to deliver enhanced mental health crisis services directly to those in need. Police officers attending mental health incidents can ask for a psychiatric nurse to attend with

0 comments

Specialized Police-Based Mental Health Crisis Response: The First 10 Years of Colorado’s Crisis Intervention Team Implementation – 2018

Objective: This study examined the implementation of crisis intervention teams by law enforcement agencies in Colorado. Methods: Rates of Special Weapons and Tactics (SWAT) use, arrests, use of force, and injuries were assessed during 6,353 incidents involving individuals experiencing a mental health crisis. Relationships among original complaint, psychiatric illness, substance

0 comments

Specialized Response to Crisis – Toronto Police Service – 2018-01-10

It’s not often a near-stranger offers you a hug for the work you do while you’re in line at the supermarket. Mental-health nurse Shelagh Scanga, who partners with police constables as part of the Mobile Crisis Intervention Team (MCIT), had just that experience while off-duty. “I was in the grocery

0 comments

Strategies to Implement Effective Police-ED Protocols

Police officers, by virtue of their role as emergency responders, are often the first to arrive on the scene of a mental health crisis, and they often accompany individuals to the emergency room. Police officers and emergency department (ED) staff can offer unique insight about how to make the ED

0 comments