1. Association of Chief Police Officers (A.C.P.O.) North East Regional Mental Health Lead Deputy Chief Constable of Durham Police Michael Banks

2. Police are commonly a first point of contact for a person in a mental health crisis. Every year, 11,000 people are taken to a police station as a ‘place of safety’ under the Mental Health Act. Up to 15% of incidents dealt with by police are thought to have some kind of mental health dimension and this is on the increase. THE NATIONAL CHALLENGE

3. REGIONAL PICTURE 3 POLICE FORCES: Northumbria, Durham & Cleveland 2 MENTAL HEALTH NHS TRUSTS: - Tees Esk & Wear Valley (TEWV) - Northumberland, Tyne & Wear (NTW)

4. Directly to a police station? Under the age of 18 years? Directly to a health based Place of Safety? Under the age of 18 years? Cleveland810790 Durham211495 Northumbria904034 TOTAL11115319 SECTION 136 Detentions 1st April to 30 th September 2014

5. MENTAL HEALTH TRUSTS FIRE & RESCUE SERVICE VOLUNTARY SECTOR BRITISH TRANSPORT POLICE POLICE AMBULANCE SERVICE HEALTHWATCH HOSPITALS & HEALTH COMMITTEES POLICE & CRIME COMMISSIONERS CLINICAL COMMISSIONING GROUPS LOCAL AUTHORITES

6. SHARED CHALLENGES S136 Demand upon Police resources - Places of Safety, staffed for earliest care of patient Transport of patients, Parity of Esteem - Availability & Timeliness of Ambulance Service Early Interventions to prevent Crisis -YOUNG PEOPLE’s access to services and more pro-active support for ADULTS; earliest recognition of need Dual Diagnosis -Substance misuse; whose patient when and where?

7. WORK IN PROGRESS Tele-Triage Street Triage Early Alert Suicide Pilot Liaison & Diversion Services in Police Custody and some Courts CAMHS in Custody – Helping Young People Improving Police recording/data collection Training & awareness ongoing (M/Agency delivery)

8. TRULY INTEGRATED PARTNERSHIP WORKING BEYOND SIGNING DECLARATIONS AND ACTION PLANS. ACTUAL DELIVERY of SERVICES in ACCORDANCE WITH THE CONCORDAT and OUR COMMITMENT to PARITY OF ESTEEM for all PATIENT CARE through clear channels of ACCOUNTABILITY and LOCAL GOVERNANCE. DOING THE RIGHT THING!