post-intervention follow-up with consumers & families -reducing cit recidivism
DESCRIPTION
Presented by: Sergeant Barry Armfield St. Louis County Police Department, Coordinator, St. Louis Area CIT Program Richard Stevenson Director of Special Projects, Alliance on Mental Illness-NAMI St. LouisTRANSCRIPT
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Post-Intervention Follow-up with Consumers & Families - Reducing CIT Recidivism
Sergeant Barry Armfield St. Louis County Police Department, Coordinator, St. Louis Area CIT Program
Richard Stevenson Director of Special Projects, Alliance on Mental Illness-NAMI St. Louis
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Presentation Objectives:
Background – CIT St. Louis Area. Obstacles to Success. Response to Obstacles. Conclusions.
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CIT Program Outcomes Nationwide
Access to services –
an important intended outcome
of CIT Programs nationwide!
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Background – St. Louis Area CIT
History Structure (council) Activities
– Trainings Basic 40-hour Course 8-hour In-service Education Programs Youth CIT Program
– Interventions– Reporting
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Background – St. Louis Area CIT
5 Counties 72 Law Enforcement Jurisdictions 38 Participating Organizations
– Hospitals– State Mental Health Department (DMH)– Community MH Centers– Advocacy Organizations– Courts
CIT Reports
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Outcomes – CIT Interventions: History of Mental Illness
65% of interventions are in response to individuals with known mental illness. yes
65%
no or unknown35%
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Outcomes – CIT Interventions: Psychotropic Medications
61% of interventions were to individuals known to have been prescribed psychotropic medications.
yes61%
no or unknown
39%
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Outcomes – CIT Calls: Compliance to Medication
9% known compliant;
48% known non-compliant.
yes9%
no48%
unknown43%
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Outcomes – CIT Calls: Treatment, Not Jail
89% of interventions result in transport to a treatment facility.
yes, 89%
no, 11%
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Lessons Learned
CIT Interventions – High percentage are to individuals who: – Have a severe mental illness – Are “frequent flyers” of police departments.– NOT currently linked to public sector services,
though they qualify.– Are the most difficult to treat.
CIT Clients who are willing to accept treatment are usually able to access treatment, eventually (not “frequent flyers”).
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Lessons Learned
To put CIT “out of business”,
we must include in our programs
strategies to gain access
to ongoing inpatient and
community-based mental health
and substance abuse services!
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Obstacles to Services –
Personal:– Diminished self-insight– Medications side-effects– Stigma
Non-compliance to treatment
Psychosis
Mental Health Crisis
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Obstacles to Services –
Systemic:– Misunderstandings by/about…
Law enforcement Families Providers
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Obstacles to Services –
Systemic– Hospitals – Law enforcement – attitude vs. illness– Awareness of resources– Family ignorance on police response– Provider ignorance on police response
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Response to Obstacles –
Communication, Council Three Case Studies
– A hospital discharge– An intervention with injuries – A tazing
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Access to Services –
…requires CIT Reports Services to families
– NAMI Support & education Navigating the mental health care treatment system
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Access to Services –
…requires CIT Reports Services to consumers
– Behavioral Health Response– Community Mental Health Centers
Community Alternatives Assertive Community Treatment (ACT)
– Life Crisis Services (suicide intervention)– CHADS (crisis involving youth)– Veterans Administration– Courts – Mental Health / Drug
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Conclusions
CIT can be the vehicle
to reduce police response to mental health crisis
through referrals to services
of participating agencies.
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Conclusions
Law enforcement is doing its job:– Good interventions.– Effective transports to treatment services.
Mental health must do its job:– Receive people into treatment– Keep them in treatment.
We must all work together.
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Questions
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Thank you!
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Contact Information
Sgt. Barry ArmfieldSt. Louis County Police Department, Coordinator, St. Louis Area CIT Program314/ [email protected]
Richard Stevenson Director of Special ProjectsAlliance on Mental Illness-NAMI St. Louis314/ [email protected]