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

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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

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A systematic review of co-responder models of police mental health ‘street’ triage [2018]

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

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Analysis of emergency department length of stay for mental health visits: A case study of a Canadian academic hospital [2018]

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

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Assistants in nursing working with mental health consumers in the emergency department [2018]

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

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Crisis intervention team training: when police encounter persons with mental illness [2018]

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

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Do police–mental health co-responder programmes reduce emergency department presentations or simply delay the inevitable? [2018]

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

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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

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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

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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

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Grading the States: An Analysis of Involuntary Psychiatric Treatment Laws [2018]

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,

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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

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Impact of acutely behavioural disturbed patients in the emergency department: A prospective observational study [2018]

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

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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

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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

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Is 911 a Safe Option for a Mental Health Crisis? – Psychology Today – 2018-07-12

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

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Keeping It REAL: Assisting Individuals After a Police-Abated Mental Health Crisis [2018]

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

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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

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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

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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

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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

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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

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National Trends in Emergency Department Visits by Adults With Mental Health Disorders [2016]

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

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Police and mental health responses to mental health crisis in the Waikato region of New Zealand [2018]

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

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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

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