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Mobile Crisis Rapid Response Team A 911 Police/Mental Health Response

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Presentation on theme: "Mobile Crisis Rapid Response Team A 911 Police/Mental Health Response"— Presentation transcript:

1 Mobile Crisis Rapid Response Team A 911 Police/Mental Health Response
A/Sgt. Steven Holmes, Hamilton Police Service Sarah Burtenshaw, Hamilton Mobile Crisis Rapid Response Team Deb McGrath, Manager COAST Hamilton Terry McGurk, LHIN 4 Lead for MCRRT Sgt. Dave Tutte, Halton Regional Police Service

2 Crisis Intervention Team Training
CRISIS RESPONSE UNIT COAST Crisis Outreach and Support Team MCRRT Mobile Crisis Rapid Response Team SNP Social Navigator Program Crisis Intervention Team Training

3 Zachary Antidormi Mary Popovich
When she died on October 23, 1992 at the age of 65, open sores covered her legs, and a hacking cough were symptoms of pneumonia, emphysema and bronchitis. Her death was a wake-up call to the community around lack of supports for homeless single women. Zachary Antidormi Mary Popovich

4 Crisis Outreach and Support Team COAST (1997)
Community-based mental health team responding to people in crisis 4 plain-clothed officers respond to calls in the community with Mental Health Clinicians (Social Workers, Nurses and OTs) Unmarked police car to reduce stigma Referrals from people in crisis, family members, community agencies Housed in an office off site from the police station COAST officers report to the station daily Police reports are sent to the officer to review for followup

5 COAST Process Call to COAST Mobile Visit Telephone Support 911 Call

6 COAST Benefits Divert people from the ER and 911 to community supports
Provides follow-up to police reports Reduced stigma Office is located in the community 2015/2016: 3,392 mobile assessments 13,981 telephone calls 738 taken to the ER 1:5 (80%) diverted from the ER

7 Crisis Intervention Team (2006)
40-hour mental health training program 2 sessions a year – 20 courses in Hamilton 332 officers trained to date (Goal: 100% of HPS) CIT officers provide relief for COAST and MCRRT Replicated in Halton, Niagara, Brantford, Norfolk police services

8 Social Navigator Program (2011)
Assist people with addiction and mental health issues who do not have the capacity to navigate the system alone Paramedic, Police Officer and Case Manager Goal: reduce reliance on judicial and health care systems while navigating clients towards the appropriate agency

9

10 The Solution: Transfer of Care Process
Protocol developed by committee of representatives from Hamilton Police Services and St. Joseph’s Healthcare Hamilton Protocol allows police to leave a PIC if considered to be a low risk Ongoing monitoring and support of this process

11 Mean Wait Time: 122 min ↓ to 63 min 90th Percentile: 240 min ↓ to 140 min

12 2013 Problem: Uniformed officers continued to take a large number of PICs to hospital Solution: Place a MHW in a cruiser to provide a 911 mental health response = Mobile Crisis Rapid Response Team

13 Mobile Crisis Rapid Response Team
Mental health worker paired with a police officer responding to 911 mental health calls

14 Mobile Crisis Rapid Response Team (MCRRT)
2015: 2 teams daily 4 officers/4 MHWs 10:00 – 22:00 hours 13:00 – 01:00 hours daily MHW rides with a uniformed officer in a patrol car responding to 911 mental health related calls

15 Benefits of MCRRT Bring expertise of the MHW to the PIC within minutes
Divert from the ER to the appropriate resources Redirect police back to other police work On-road resource to police Increased use of COAST service in the future before the individual goes into crisis Police Satisfaction Survey: extremely satisfied with MCRRT Replicated in Niagara, Halton, Brantford, Norfolk, Haldimand

16 Training Officers are CIT trained
MHWs have advanced practice and work in COAST for up to 6 months 4-day training for MHW and police to provide a singular knowledge base Included a Defensive Techniques day provided by Hamilton Police Service Training Branch

17 Tuesday April 7th, 2015 Wednesday April 8th, 2015 Thursday April 9th, 2015 Friday April 10th, 2015 08:00 – 08:30 Welcome Chief DeCaire Dr. Higgins, St. Joseph's Hospital 08:30 – 09:30 Development of MCRRT History of COAST, CIT and MCRRT How MCRRT works 9:30 – 10:30 Dr. Lori Triano- Antidormi 11:00 – 12:00 Privacy Presentation 08:00 – 12:00 Defensive Training 08:00 – 09:00 Overview of Psychiatric Disorders 09:00 – 09:45 Overview of Medications: 10:00 – 11:15 Risk Assessment 11:15 – 12:00 ER and Psychiatric Emergency Services 08:00 – 11:00 Administrative issues: Scheduling Policies and Procedures Deployment Strategy for MCRRT Documentation: MCRRT assessments Sharing of information Niche Development of log templates with measurable outcome measures 13:00 – 15:00 Overview of Mental Health Act and Related Issues 15:00 – 16:00 Mental Health Court Support Services 13:00 – 16:00 Suicide Intervention: 14:00 – 17:00 CPR Vicarious Trauma Susan Double, HPS Barrett Centre (Crisis Beds)

18 Typical Calls MCRRT Attends
Suicide attempts Person in Crisis Neighbour Troubles Family Troubles Used as a resource for Negotiations Respond to emergency responders COAST provides secondary followup

19 Statistics April – December 2015
3,759 PIC calls in Hamilton 57% responded to by MCRRT (2,160) MCRRT Uniformed Patrol Officers Section 17 Apprehension 19% = 413 75% = 1629 Average Wait Time in ER 60 minutes (1 officer) 80 minutes (2 officers) Hours in ER 413 hours  4,344 hours

20 MCRRT Supervision MCRRT team is based in the police station in office with Police Sergeant COAST Manager →Senior MHW Team attends daily huddle/report at COAST office for 15 minutes Each team submits a log to supervisors at end of shift LHIN Lead – ensures all MCRRTs in the region remain consistent Regular meetings held within each police service and Regional Meetings held quarterly

21 Barrett Centre For Crisis Support MCRRT/SNP Crisis Bed
10 bed centre for individuals experiencing a mental health crisis 24/7 crisis line, face-to- face counselling and 3 – 5 day stay Proceeds of Crime funds one bed for MCRRT/SNP to access

22 Mobile Crisis Rapid Response Team Benefits and Efficacy
Coordinated response to people in crisis Redirect PICs away from criminal justice system to appropriate community resources Significant reduction in use of the Emergency Department

23 Questions and Comments
A/Sgt. Steve Holmes, Community Response Unit, Hamilton Police Service Sarah Burtenshaw, Senior Mental Health Worker – MCRRT Deb McGrath, Manager – COAST Hamilton Terry McGurk, MCRRT LHIN 4 Lead Sgt. Dave Tutte Regional Community Mobilization Bureau, Halton Regional Police Service


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