A protocol to reduce police wait times in the emergency department

Pizzingrilli, Barb; Hoffman, Ron; Hirdes, Daniel Pearson

doi:10.1177/0840470415581257

Cited by 8 publications

(7 citation statements)

References 14 publications

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“…The target audience for the CMH is also adults aged 18 years and older, including a broad range of service recipients. Although community mental health agencies are the typical service provider, it has been used in consultation liaison services for long-term care to deal with psychiatric and behavioral issues outside the usual scope of practice for clinicians in those settings as well as a Dutch study of homeless services recipients (162). The original version of the CMH released in 2007 was pilot tested in Ontario, Canada, New York State, Finland, Belgium, Chile and Hong Kong.…”

Section: Community Mental Healthmentioning

confidence: 99%

“…For this paper, 12,862 assessments from pilot studies are available for analyses. Because of constraints related to European data protection laws, it was not possible to complete pooled analyses with those data (162). The CMH includes 405 items dealing with comparable domains and look-back periods as used in the MH.…”

Section: Community Mental Healthmentioning

confidence: 99%

“…The interRAI Brief Mental Health Screener (BMHS) is a short screening tool intended to be used by non-mental health professionals who may be the first line of contact for persons with mental health needs (165). The initial target audience for the BMHS is police services (151) with the aim of facilitating improved communications among polices officers, emergency mental health services, and community mental health agencies (166). The BMHS is a 46-item subset of the ESP, but the training manual includes additional materials for training non-mental health staff in the use of appropriate terminology to describe the person's presenting symptoms.…”

Section: Police Emergency Medical Services and Other Non-mental Heamentioning

confidence: 99%

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The interRAI Suite of Mental Health Assessment Instruments: An Integrated System for the Continuum of Care

et al. 2020

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The lives of persons living with mental illness are affected by psychological, biological, social, economic, and environmental factors over the life course. It is therefore unlikely that simple preventive strategies, clinical treatments, therapeutic interventions, or policy options will succeed as singular solutions for the challenges of mental illness. Persons living with mental illness receive services and supports in multiple settings across the health care continuum that are often fragmented, uncoordinated, and inadequately responsive. Appropriate assessment is an important tool that health systems must deploy to respond to the strengths, preferences, and needs of persons with mental illness. However, standard approaches are often focused on measurement of psychiatric symptoms without taking a broader perspective to address issues like growth, development, and aging; physical health and disability; social relationships; economic resources; housing; substance use; involvement with criminal justice; stigma; and recovery. Using conglomerations of instruments to cover more domains is impractical, inconsistent, and incomplete while posing considerable assessment burden. interRAI mental health instruments were developed by a network of over 100 researchers, clinicians, and policy experts from over 35 nations. This includes assessment systems for adults in inpatient psychiatry, community mental health, emergency departments, mobile crisis teams, and long-term care settings, as well as a screening system for police officers. A similar set of instruments is available for child/youth mental health. The instruments form an integrated mental health information system because they share a common assessment language, conceptual basis, clinical emphasis, data collection

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Section: Community Mental Healthmentioning

confidence: 99%

Section: Community Mental Healthmentioning

confidence: 99%

Section: Police Emergency Medical Services and Other Non-mental Heamentioning

confidence: 99%

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The interRAI Suite of Mental Health Assessment Instruments: An Integrated System for the Continuum of Care

et al. 2020

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“…To date, only a handful of temporal studies exist in this domain with most publications focusing on the duration of calls-for-service and often within the context of some form of program evaluation (Heslin et al, 2017;Pizzingrilli, Hoffman, & Hirdes, 2015;Redondo & Currier, 2003;Szkopek-Szkopowski et al, 2013). In this paper, we contribute to the temporal study of police activity through an investigation of police calls for service that relate to the Mental Health Act (herein referred to as MHA) in British Columbia.…”

Section: Introductionmentioning

confidence: 99%

Policing and mental health: An investigation into police interactions with emotionally disturbed persons

Vaughan¹,

Andresen²,

Bent³

et al. 2022

Preprint

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The data used in the analysis are all police calls-for-service during 2006 for a mediumsized urban Canadian setting-the most recent and geographically-referenced data available. These calls are obtained from the Police Information Retrieval System, a police database used by the Royal Canadian Mounted Police containing information on all contact occurrences as well as the individuals involved in these events. All individual names were de-identified from these police records, and data have been aggregated to non-identifiable levels before being publicly released.

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“…For example, officers with the Vancouver Police Department wait an average of 1 hour and 11 minutes on calls related to a PMI and can wait up to five hours in some instances (Thompson, 2010). In another Canadian study, researchers found police officers waited an average of four hours in the emergency department on calls related to PMIs (Pizzingrilli et al, 2015). Because of these extensive wait times, some hospitals in Ontario have initiated inter-agency agreements with local police services in attempts to reduce wait-times associated with apprehended PMIs (PHSJCC, 2011).…”

Section: Mental Illness and The Criminal Justice Systemmentioning

confidence: 99%

A qualitative evaluation of a co-responding mobile crisis intervention team in a small Canadian police service

Thompson¹

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Mobile Crisis Intervention Teams (MCITs) are meant to assist the police in responding appropriately to calls involving persons in crisis with the goal of providing short-term crisis management, as well as open doors to available resources for long-term support. Many police agencies across North America have implemented a MCIT, however, evaluations of these programs are limited. This thesis presents a qualitative evaluation of the South Simcoe Police Services' (SSPS) Crisis Outreach and Support Team (COAST) located in Bradford, Ontario. The COAST is based on the MCIT model and builds on a partnership between SSPS and two mental health organizations within the community (Canadian Mental Health Association [CMHA] and York Support Service Network [YSSN]). The evaluation consisted of interviews with various stakeholder groups including COAST members, SSPS senior leaders and frontline officers, and senior leaders from YSSN and CMHA, Barrie. Throughout the interviews, it became clear that there was a great need for the COAST in South Simcoe due to the increasing number of crisis calls in which the police were required to respond. There was strong consensus among stakeholders that the COAST provides a better service than a conventional police response to those experiencing crises while also helping to bridge the gap between the police and mental health care providers who traditionally work in silos. Despite the perceived benefits of the COAST, the lack of resources was seen as a major challenge. That being said, the current findings still suggest that co-responding teams may improve the way the police respond to individuals in crisis.

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A protocol to reduce police wait times in the emergency department

Cited by 8 publications

References 14 publications

The interRAI Suite of Mental Health Assessment Instruments: An Integrated System for the Continuum of Care

The interRAI Suite of Mental Health Assessment Instruments: An Integrated System for the Continuum of Care

Policing and mental health: An investigation into police interactions with emotionally disturbed persons

A qualitative evaluation of a co-responding mobile crisis intervention team in a small Canadian police service

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