Whom Do Mobile Crisis Services Serve?

Gillig, Paulette Marie; Dumaine, Marian; Hillard, James R.

doi:10.1176/ps.41.7.804

Cited by 13 publications

(17 citation statements)

References 4 publications

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“…Similarly, mental health professionals who are working as members of psychiatric emergency teams without police support may feel ill equipped to handle such individuals in the field (37)(38)(39). Thus it has become increasingly apparent in recent years that when persons with mental illness in the community are in crisis, neither the police nor the emergency mental health system alone can serve them effectively and that it is essential for the two systems to work closely together (3).…”

Section: Coordination Of Police and Mental Health Professionalsmentioning

confidence: 99%

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The Police and Mental Health

Lamb¹,

Weinberger²,

DeCuir³

2002

379

245

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With deinstitutionalization and the influx into the community of persons with severe mental illness, the police have become frontline professionals who manage these persons when they are in crisis. This article examines and comments on the issues raised by this phenomenon as it affects both the law enforcement and mental health systems. Two common-law principles provide the rationale for the police to take responsibility for persons with mental illness: their power and authority to protect the safety and welfare of the community, and their parens patriae obligations to protect individuals with disabilities. The police often fulfill the role of gatekeeper in deciding whether a person with mental illness who has come to their attention should enter the mental health system or the criminal justice system. Criminalization may result if this role is not performed appropriately. The authors describe a variety of mobile crisis teams composed of police, mental health professionals, or both. The need for police officers to have training in recognizing mental illness and knowing how to access mental health resources is emphasized. Collaboration between the law enforcement and mental health systems is crucial, and the very different areas of expertise of each should be recognized and should not be confused.

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Section: Coordination Of Police and Mental Health Professionalsmentioning

confidence: 99%

“…Such information may in- (38,46). In at least one program (37), this information as well as photographs of the individual are added to the police database and downloaded daily to laptop computers that are taken into the field by the mobile crisis team.…”

Section: Mobile Crisis Teamsmentioning

confidence: 99%

The Police and Mental Health

Lamb¹,

Weinberger²,

DeCuir³

2002

379

245

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“…Other studies have also found differences between those who use mobile crisis or hospital-based emergency rooms (Chiu & Primeau, 1991;Gillig et al, 1990;West, Litwok, Oberlander, & Martin, 1980;Winogrond & Mirassou, 1983). After matching, our study sample consisted of younger clients and fewer certified SMD consumers than all users of the mobile crisis services.…”

Section: Clientsmentioning

confidence: 98%

The Impact of Mobile Crisis Services on the Use of Community-Based Mental Health Services

Dyches

Biegel

Johnsen

et al. 2002

Research on Social Work Practice

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Objective: To examine the impact of community-based mobile crisis services on postcrisis community-based mental health service use and user characteristics related to likelihood of postcrisis service use. Method: Differences in use of postcrisis mental health services and timing between a community-based intervention cohort and a matched hospital-based cohort were assessed using a Cox proportional hazards model. Results: A mobile crisis intervention consumer was 17% more likely to receive community-based mental health services within 90 days after the crisis event. Controlling for prior service use, mobile crisis intervention consumers with no prior mental health service use were 48% more likely to receive community-based mental health services within 90 days after the crisis event than a consumer from the hospital-based intervention cohort. Consumers more likely to use postcrisis services were African American, homeless, experiencing acute problems, previous mental health service users, and severely mentally disabled. Conclusions: Implications for social work practice are discussed.In reviewing the need for and role of psychiatric emergency services, Mollenhauer and Kaminsky (1996) stress the importance of these services being intimately connected to the rest of the community mental health 731

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“…A mobile outreach approach is more effective than outpatient or inpatient management in crises that involve family dynamics (Bishop and McNally, 19931, in crises in which preserving the patient's sense of autonomy is a major factor, such as with the elderly (Gillig, Dumaine, and Hillard, 1990), or when hospitalization exacerbates symptom, as with paranoid patients (Soreff, 1983).…”

mentioning

confidence: 99%

“…An insight gained from a systems approach to crises is that often the intervention must focus on the individual or agency that identifies the problem rather than the identified patient. In fact, mobile outreach services may receive most of their referrals from persons other than the patient (Gillig, Dumaine, and Hillard, 1990). As Benglesdorf and Alden (1987) illustrate, in a telephone referral about another person, it is the caller-not the patient-who cannot cope with the situation at hand.…”

mentioning

confidence: 99%

The spectrum of mobile outreach and its role in the emergency service

Gillig

1995

New Directions for Mental Health Services

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In managed care systems, mobile outreach teams can provide a link between general medical services and mental health care by performing diagnostic evaluations and triage.One component of the psychiatric emergency service (PES) in many communities is the mobile outreach service. The focus of a mobile service can range from very acute situations such as police emergencies, to very routine care such as mobile clinics. A mobile outreach team is best thought of as a component of emergency services because such a team deals with crises, does diagnostic evaluations, and assists with triage.

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Whom Do Mobile Crisis Services Serve?

Cited by 13 publications

References 4 publications

The Police and Mental Health

The Police and Mental Health

The Impact of Mobile Crisis Services on the Use of Community-Based Mental Health Services

The spectrum of mobile outreach and its role in the emergency service

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