Artwork stating 'Education Destroys Barriers', 'We Demand Treatment', and 'I Need A Chance'

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  • 'Life After The Gunshot' Documents The Impact Of Hospital Interventions After Gun Injury, Trauma

    A college professor and a former stabbing victim counsel young men in the hospital soon after they are shot or stabbed. These interventions, based on trust and shared experiences, are meant to prevent repeat injuries, which are common for people with traumatic experiences. Of 116 men they've counseled, one was later murdered, one was rehospitalized, and all the rest have found safety and some measure of success in reorienting their lives -- a far better rate than was the norm at that hospital before the program started. Their work is the subject of a new documentary series, "Life After The Gunshot."

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  • A teen's death by suicide with her father's gun divides a small Missouri town

    Seven teen suicides in one county over a two-year span prompted residents whose lives were touched by suicide to form DeFeet, an educational and advocacy group devoted to the message that suicide is preventable. Thanks in part to its trainings, public speakers, support groups, public education campaigns, and advocacy for gun safety, local schools now screen all students for suicide risk starting in middle school. A local health clinic now screens all patients and credits DeFeet, named for its annual 5K memorial walk, with creating "an environment where we are not as afraid to talk about suicide."

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  • There's a new approach to police response to mental health emergencies. Taking the police out of it

    San Francisco's Street Crisis Response Team replaces or aids police officers in responding to calls about people in nonviolent behavioral health crises. A collaboration of the city's fire and health departments, the program puts three-person teams – social workers, paramedics, and peer counselors – on patrol to respond to calls or to look for people in crisis. The $4 million pilot project has taken 800 calls in its first four months, connecting people to the care they need without the violence that can occur when police are first responders. The city hopes to expand its hours to 24/7 soon.

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  • Police are often first responders to mental health crises, but tragedies are prompting change

    Chicago's debate over which responses to mental health crises will avoid needless police shootings and other tragedies led city council members to the CAHOOTS model. The Eugene, Ore., program sends two unarmed first responders to provide links to needed services without bringing people to jail or a hospital. This diverts about 20% of 911 calls away from police, saving the city millions and improving outcomes for people in need. A much larger city has different needs. Chicago police have crisis intervention team training. A small co-responder team of mental health professionals will be added at first.

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  • How a Colorado town is untangling behavioral health care from the criminal justice system

    Acting on a recognition that police and the criminal justice system are too involved in responses to mental health and substance abuse crises, UCHealth formed mental health response teams that partner with Fort Collins police on such calls. In about 80% of calls the teams handled, no arrests were made while people received treatment or were referred to needed services. This program plus one that diverts certain criminal cases into treatment, which can result in dismissal of charges, have built-in drawbacks but have begun de-emphasizing criminal-justice remedies when people need other help.

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  • A month into pilot program, Portland Street Response Team brings hope to the streets

    In its first month of operation, Portland Street Response Team began intervening with people on the streets who are experiencing substance abuse or mental health problems. The program, modeled on Eugene, Oregon's CAHOOTS program, provides counseling and paramedic services on 911 calls that once were handled only by police or fire officials. The pilot program is limited to one neighborhood and daytime hours, but will expand if results continue to show positive impacts. The target neighborhood was chosen for its cultural diversity and large numbers of people experiencing homelessness.

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  • ‘Meeting people where they're at': How mobile crisis-response teams work

    Thunder Bay police formed IMPACT (Integrated Mobile Police Assessment Crisis Team), pairing crisis responders with mental health expertise with police officers to respond 24/7 to people experiencing mental health crises. Instead of defaulting to police responses, which risk the use of force and often land people in custody or a hospital, the teams often are able to get people connected to needed social and health services. So far the team has managed to divert about 40 percent of calls to helping services.

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  • A California town was promised police reform – then police got involved

    A series of killings by the police sparked a community-led movement urging greater accountability and better training. The campaign bore fruit when the Chico mayor formed a committee to examine use of force policies. While police-reform advocates got appointed to the committee, the panel was dominated by the police and their political allies. Use of force policies never got examined. The city, in fact, ended up giving the police more resources and power. One policing critic concludes from this episode that professionalizing the police without scrutinizing their mission is bound to fail.

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  • Social Workers Instead of Police? Denver's 911 Experiment Is a Promising Start

    Four years after pairing social workers with police officers on certain nonemergency calls, Denver's STAR program began dispatching a mental-health clinician and paramedic as sole first responders when health and social services are needed rather than arrests, jail, and the risk of police violence. The program in its first six months, though limited by geography and hours, handled 748 calls without any police involvement. Police, in fact, are relaying many of the calls that STAR takes. STAR teaches other large cities useful lessons, but it's only as good as the local mental-health infrastructure.

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  • With gun suicides on the rise, a rare hotline staffed by St. Louis teens saves lives

    Kids Under Twenty One has taken phone calls from thousands of St. Louis-area youth to its 24/7 crisis hotline and has educated many more students at 60 schools in four counties. Teens staff the hotline, a rarity. KUTO counters the myth that talking about teens' suicide risks encouraging suicides. Instead, education about mental health care and gun safety promotes intervention during critical moments and reduces the stigma associated with seeking help. Missouri's teen suicide rate is among the highest in the country, but the St. Louis area, where KUTO has worked for 20 years, is among the state's lowest.

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