Everyday police work during mental health encounters: A study of call resolutions in Chicago and their implications for diversion

Behav Sci Law. 2017 Sep;35(5-6):442-455. doi: 10.1002/bsl.2324. Epub 2017 Nov 20.

Abstract

In recent decades, there has been sustained focus on police responses to persons experiencing mental health crises. The Crisis Intervention Team (CIT) model has been a seminal effort to improve safety, reduce arrests and enhance the use of emergency psychiatric assessment. With CIT well established, new discussions have emerged around how to further enhance the police-public health interface, including diversion from hospital emergency departments. In this context, this article takes stock of current police practices, utilizing descriptive data on 428 mental health-related calls addressed by Chicago Police over 3 years triangulated with insights from 21 in-depth officer interviews. During these calls, hospital transports were conducted more often than arrests. Moreover, informal interventions - without any legal action or hospitalization - were used most often, speaking to the "gray zone" nature of mental health-related encounters. Taken together, the data reveal the need for non-crisis diversion options that address chronic vulnerabilities.

MeSH terms

  • Chicago
  • Crisis Intervention*
  • Humans
  • Law Enforcement*
  • Mental Disorders / psychology*
  • Mental Health
  • Models, Theoretical
  • Police*