Crisis Services

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

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

Background Police mental health street triage is an increasingly common intervention when dealing with police incidents in which there is a suspected mental health component. We conducted a systematic review of street triage interventions with three aims. First, to identify papers reporting on models of co-response police mental health street

CLINICIAN’S CAPSULE What is known about the topic? Little is available in Canadian literature regarding emergency department (ED) use by mental health patients. What did this study ask? Is the number of mental health visits to the ED increasing? Are there differences in ED length of stay between mental health

Nursing students, regardless of setting, require skills in working with people with mental health issues. One way to provide students with learning opportunities within the context of limited undergraduate mental health content and lack of mental health placements is through employment as assistants in nursing (AIN). The purpose of the

The Crisis Intervention Team (CIT) model is an established training program used to improve police response to encounters involving persons with mental illness (PwMI). Diversion of PwMI from the criminal justice system to appropriate treatment providers in the community is one of the primary goals of CIT. The present study

Objective: The aim of this study was to assess the outcomes for people following intervention by a police–mental health co-responder team. Method: Individuals seen by the co-responder team were followed for 2 weeks to monitor subsequent emergency department presentations and inpatient admissions. Results: Of the 122 people who had direct contact

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

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

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

Grading the States: An Analysis of U.S. Psychiatric Treatment Laws examines the laws that provide for involuntary treatment for psychiatric illness in each state. To do so, we asked a crucial question: Does the state law allow an individual in need of involuntary evaluation or treatment to receive timely care,

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

Objective The present study describes patients with acute behavioural disturbance presenting to the ED, the impact they have on the department and any complications that occur. Methods We performed a prospective observational study of adult patients (>17 years old) requiring parenteral sedation for acute behavioural disturbance over a 13 month period. Demographic

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

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

When I learned how to assess for suicide in graduate school, I was taught to add “go to the nearest ER or call 911” to any safety plan for a client who was not in imminent danger of self-harm but was still struggling. I thought little of it at the

This article evaluates a community-based, peer support program in which police officers and mental health workers collaboratively address citizens’ mental health needs following encounters with law enforcement. We analyzed data 12, 24, and 36 months after a police-abated mental health crisis for 775 individuals, some of whom were referred to

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

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

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

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

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

Background Although mental health disorders (MHDs) affect as many as 1 in 4 adults in the U.S., the national trends in emergency department (ED) use for adults who have MHD comorbidities are unknown. Objective To evaluate the role of mental health disorder co-morbidities for adults who use the ED and

New Zealand police report a high level of involvement with people in mental health crisis, something that has been reported in the international literature in recent decades. Involvement of police represents a coercive pathway to care and is likely to be associated with use of force. The aim of this

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