Examining implementation of mobile, police-mental health crisis intervention teams in a large urban center

Kirst, Maritt; Pridham, Katherine Francombe; Narrandes, Renira; Matheson, Flora I.; Young, Linda M.; Niedra, Kristina; Stergiopoulos, Vicky

doi:10.3109/09638237.2015.1036970

Cited by 51 publications

(49 citation statements)

References 13 publications

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“…Consistent with the broader crisis‐response literature, service users identified several factors that contributed to a positive experience, including responders’ de‐escalation skills, knowledge of mental health challenges and available resources, and an empowering and compassionate approach (Kirst et al . ; Livingston et al . ; Winness et al .…”

Section: Discussionmentioning

confidence: 99%

“…Experiences with co‐responding programmes and police‐only teams have been explored separately in past studies (Kirst et al . ; Watson et al . ), whereas the current study facilitates broader insights through a qualitative sample comprised primarily of individuals who have experienced both models of crisis response.…”

Section: Methodsmentioning

confidence: 99%

“…A recent implementation evaluation of Toronto's MCIT completed by Kirst et al . () informed improvements to service delivery and guided MCIT coverage across the city.…”

Section: Programme Descriptionmentioning

confidence: 99%

“…Occasionally, MCIT respond directly to calls heard over the police radio system. A recent implementation evaluation of Toronto's MCIT completed by Kirst et al (2015) informed improvements to service delivery and guided MCIT coverage across the city.…”

Section: Programme Descriptionmentioning

confidence: 99%

“…An unpublished report identified more rapid handovers in the emergency department (ED); however, in the absence of methodological information, it is difficult to draw firm conclusions from this work (Baess 2005). In addition to these outcomes, numerous studies have found that service users feel respected and supported by coresponding teams (Forchuk et al 2010;Kirst et al 2015;Kisely et al 2010;Ligon & Thyer 2000), resulting in positive care experiences.…”

Section: Introductionmentioning

confidence: 99%

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Co‐responding police–mental health programmes: Service user experiences and outcomes in a large urban centre

Lamanna

Shapiro

Kirst

et al. 2017

Int J Mental Health Nurs

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As police officers are often the first responders to mental health crises, a number of approaches have emerged to support skilled police crisis responses. One such approach is the police-mental health co-responding team model, whereby mental health nurses and police officers jointly respond to mental health crises in the community. In the present mixed-method study, we evaluated outcomes of co-responding team interactions at a large Canadian urban centre by analysing administrative data for 2743 such interactions, and where comparison data were available, compared them to 16 226 police-only team responses. To understand service user experiences, we recruited 15 service users for in-depth qualitative interviews, and completed inductive thematic analysis. Co-responding team interactions had low rates of injury and arrest, and compared to police-only teams, co-responding teams had higher overall rates of escorts to hospital, but lower rates of involuntary escorts. Co-responding teams also spent less time on hospital handovers than police-only teams. Service users valued responders with mental health knowledge and verbal de-escalation skills, as well as a compassionate, empowering, and non-criminalizing approach. Current findings suggest that co-responding teams could be a useful component of existing crisis-response systems.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

“…A recent implementation evaluation of Toronto's MCIT completed by Kirst et al . () informed improvements to service delivery and guided MCIT coverage across the city.…”

Section: Programme Descriptionmentioning

confidence: 99%

Section: Programme Descriptionmentioning

confidence: 99%