Abstract
Law enforcement officers are frequent first responders to people experiencing mental health or suicide crises. Yet, as communities consider expanding crisis response options, we know very little about the nature of these calls that could inform decision making about which crisis response is best suited for the situation. This study is an exploratory, descriptive assessment of contextual factors, both individual and situational, of mental health and suicide crisis calls. Our dataset includes 166 calls to 9-1-1 related to a mental health emergency or suicide crisis. The majority were calls related to suicide (125 calls, 75%), which included more contextual factors than mental health crisis calls. Most calls resulted in the subject being transferred to the local emergency department (60%) or were resolved on scene (12%). Police use of force was rare, and no arrests were reported. The implications of these findings for communities developing alternatives to law enforcement crisis response are discussed.
References
Bittner, E. (1967). Police discretion in emergency apprehension of mentally ill persons. Social Problems, 14(3), 278–292. https://doi.org/10.2307/799150.
Blais, E., Landry, M., Elazhary, N., Carrier, S., & Savard, A. (2022). Assessing the capability of a co-responding police-mental health program to connect emotionally disturbed people with community resources and decrease police use-of-force. Journal of Experimental Criminology, 18, 41–65. https://doi.org/10.1007/s11292-020-09434-x.
Bohrman, C., Wilson, A. B., Watson, A., & Draine, J. (2018). How police officers assess for mental illnesses. Victims & Offenders, 13(8), 1077–1092.
Bonfine, N., Wilson, A., & Munetz, M. (2019). Meeting the needs of justice-involved people with serious mental illness within community behavioral health systems. Psychiatric Services, 71(4), 355–363. https://doi.org/10.1176/appi.ps.201900453.
Canady, V. A. (2022). Oregon becomes first state to expand mobile crisis services via Medicaid. Mental Health Weekly, 32, 1–3. https://doi.org/10.1002/mhw.33369.
Charette, Y., Crocker, A. G., & Billette, L. (2011). The judicious judicial dispositions juggle: Characteristics of police interventions involving people with a mental illness. Canadian Journal of Psychiatry, 56(11), 1–9.
Charette, Y., Crocker, A. G., & Billette, I. (2014). Citizens with mental illness: Use of resources and outcomes. Psychiatric Services, 65(4), 511–516.
Compton, M. T., Bakeman, R., Broussard, B., Hankerson-Dyson, D., Husbands, L., Krishan, S., Stewart-Hutto, T., D’Orio, B. M., Olivia, J. R., Thompson, N. J., & Watson, A. C. (2014). The police-based crisis intervention team (CIT) model: I. Effects on officers’ knowledge, attitudes, and skills. Psychiatric Services, 65(4), 517–522. https://doi.org/10.1176/appi.ps.201300107.
Compton, M. T., Krishan, S., Broussard, B., Bakeman, R., Fleishcmann, M. H., Hankerson-Dyson, D., Husbands, L., Stewart, T., D’Orio, B., Del Pozo, D., & Watson, A. C. (2021). Using the theory of planned behavior to understand how crisis intervention team (CIT) training facilitates police officers’ mental health referrals. Community Mental Health Journal, 58(6), 1112–1120. https://doi.org/10.1007/s10597-021-00920-8.
Crime rate in Midwest city: murders, rapes, robberies, assaults, burglaries, thefts, auto thefts, arson, law enforcement employees, police officers, crime map (2023). City-data.com. Retrieved March 24, 2023 from https://www.city-data.com/crime.
Fiske, Z. R., Songer, D. M., & Schriver, J. L. (2021). A national survey of police mental health training. Journal of Police and Criminal Psychology, 36, 236–242. https://doi.org/10.1007/s11896-020-09402-1
Friedman, B. (2021). Disaggregating the police function. University of Pennsylvania Law Review, 169(4), 925999.
Fuller, D., Lamb, R., Biasotti, M., & Snook, J. (2015). Overlooked in the undercounted: The role of mental illness in fatal law enforcement encounters (pp. 1–27). Treatment Advocacy Center.
Gillooly, J. W. (2020). How 911 call-takers impact police encounters with the public: The case of the Henry Louis Gates Jr. arrest. Criminology & Public Policy, 19, 787–803. https://doi.org/10.1111/1745-9133.12508.
Hepburn, S. B., & Hogan, M. F. (2021). How communities must use 988 to improve care and correct crisis system disparities. Think Bigger Do Good Policy Series Editors Howard Goldman, M.D., Ph.D., and Constance Gartner, M.S.W Winter 2021. Psychiatry Online.
Irwin, A., & Pearl, B. (2020). The community responder model: How cities can send the right responder to every 911 call. Law Enforcement Action Partnership and The Center for American Progress 1–33. Retrieved February 10, 2023 from https://lawenforcementactionpartnership.org/alternatives911/.
Johnson, R. R. (2011). Suspect mental disorder and police use of force. Criminal Justice and Behavior, 38(2), 127145. https://doi.org/10.1177/0093854810388160.
Kane, E., Evans, E., & Shokraneh, F. (2018). Effectiveness of current policing-related mental health interventions: A systematic review. Criminal behaviour and mental health : CBMH, 28(2), 108–119. https://doi.org/10.1002/cbm.2058.
Krider, A., Huerter, R., Gaherty, K., & Moore, A. (2020). Responding to individuals in behavioral health crisis via co-responder models: The roles of cities, counties, law enforcement and providers. Policy Research Inc and National League of Cities. https://www.prainc.com/wpcontent/uploads/2020/03/RespondingtoBHCrisisviaCRModels.pdf?mc_cid=5c2bd29211&mc_eid=17858 527a
Lum, C., Koper, C. S., Stoltz, M., Goodier, M., Johnson, W., Prince, H., & Wu, X. (2020). Constrained gatekeepers of the criminal justice footprint: A systematic social observation study of 9-1-1 calltakers and dispatchers. Justice Quarterly, 37(7), 1176–1198. https://doi.org/10.1080/07418825.2020.1834604.
McNulty, E. W. (1994). Generating common sense knowledge among police officers. Symbolic Interactionism, 17(3), 281–294. https://www.jstor.org/stable/10.1525/si.1994.17.3.281.
Murray, C. H., Contreras, J. L., Kelly, C. H., Padgett, D. K., & Pollack, H. A. (2023). Behavioral Crisis and First Response: Qualitative interviews with Chicago Stakeholders. Community Mental Health Journal, 59, 7784. https://doi.org/10.1007/s10597-022-00990-2.
Neusteter, S. R., O’Toole, M., Khogali, M., Rad, A., Wunschel, F., Scaffidi, S., Sinkewicz, M., … Pineda, H. (2020). Understanding police enforcement: A multicity 911 analysis. Brooklyn, NY: Vera Institute of Justice. Available at https://www.vera.org/downloads/publications/understanding-police-enforcement-911-analysis.pdf.
PEW Charitable Trusts (2021). New research suggests 911 call centers lack resources to handle behavioral health crises. Research Brief from Mental Health and Justice Partnerships Project. https://www.pewtrusts.org//media/assets/2021/11/911-call-centers-lack-resources-to-handle-behavioral-health-crises.pdf.
Ramasamy, R. S., Thompson, A., & Simmons, S. (2023). Responding to acute mental health crises in black youth: Is it safe to call 911? Community Mental Health Journal, 59, 1–8. https://doi.org/10.1007/s10597-022.
Ramchand, R., Jaycox, L., Ebener, P., Gilbert, M. L., Barnes-Proby, D., & Goutam, P. (2017). Characteristics and proximal outcomes of calls made to suicide crisis hotlines in California. Crisis, 38(1), 26–35. https://doi.org/10.1027/0227-5910/a000401.
Shore, K., & Lavoie, J. A. (2019). Exploring mental health-related calls for police service: A canadian study of police officers as ‘frontline mental health workers’. Policing: A Journal of Policy and Practice, 13(2), 157–171. https://doi.org/10.1093/police/pay017.
Skeem, J., & Bibeau, L. (2008). How does violence potential relate to crisis intervention team responses to emergencies? Psychiatric Services, 59(2), 201–204. https://doi.org/10.1176/appi.ps.59.2.201.
Stroshine, M. S., & Brandl, S. G. (2020). The use, effectiveness, and hazards associated with police use of force: The unique case of weaponless physical force. Police Practice and Research, 21(6), 591–608. https://doi.org/10.1080/15614263.2019.1582342.
Taheri, S. A. (2016). Do crisis intervention teams reduce arrests and improve officer safety? A systematic review and meta-analysis. Criminal Justice Policy Review, 27(1), 76–96. https://doi.org/10.1177/0887403414556289.
The Washington Post (2023). Fatal force. Police shootings database. Retrieved March 24, 2023 from https://www.washingtonpost.com/graphics/investigations/police-shootings-database/.
Tyuse, S. W. (2020). Crisis intervention team (CIT) programs and suicide. Journal of Psychosocial Rehabilitation and Mental Health, 7, 221–229. https://doi.org/10.1007/s40737-020-00186-5.
United States Census Bureau (2021). Midwest county, state. QuickFacts. Retrieved March 24, 2023 from https://www.census.gov/quickfacts.
Van Lier, P. (2022). Creating a care response model in Cleveland for those in crisis. Research Brief. Policy Matters Ohio.https://www.policymattersohio.org/research-policy/quality-ohio/justice-reform/creating-a-careesponse-model-in-cleveland-for-those-in-crisis.
Watson, A. C., Owens, L. K., Wood, J., & Compton, M. T. (2021). The impact of crisis intervention team response dispatch coding, and Location on the outcomes of police encounters with individuals with mental illnesses in Chicago. Policing, 15(3), 1948–1962. https://doi.org/10.1093/police/paab010.
Wood, J. D., Watson, A. C., & Barber, C. (2021). What can we expect of police in the face of deficient mental health systems? Qualitative insights from Chicago police officers. Journal of Psychiatric and Mental Health Nursing, 28(1), 28–42. https://doi.org/10.1111/jpm.12691.
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Wood, L.L., Barrenger, S. & Bonfine, N. Contextual Factors of Mental Health Crisis Calls to Law Enforcement: A Brief Report. Community Ment Health J 60, 403–409 (2024). https://doi.org/10.1007/s10597-023-01185-z
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DOI: https://doi.org/10.1007/s10597-023-01185-z