Giving vulnerable residents help before mental health issues land them in jail

One-third to half of those killed by police are disabled, a recent report says. “Our problem isn’t with police,” one mental health advocate says, but both sides say officers need more training.

Assertive community treatment teams working through outreach-centered programs in Maricopa County have become an industry standard for treating those with persistent and severe mental illnesses who have recently been incarcerated. They provide a long-term approach, aiming to halt a cycle of incarceration and hospitalization by focusing on underlying issues such as what caused the police interaction and incarceration.

Across the country, hospitals are embracing intensive intervention programs to help victims of violence — including those who have criminal histories — after they have been brought in for treatment of injuries. Such programs can help prevent retaliation, reduce the chance a patient will be violently injured again, and put people on track for success.

Firefighters working the frontlines of California fires now have emotional supports at their base camps to help them process the toll of their work. Supports include chaplains, peer-to-peer interaction, and therapy dogs.

Connecting LGTBQ+ teens with peers and adults for support can help reduce depression and the risk of suicide. Organizations like the Four Corners Rainbow Youth Center in Durango, Colorado, and the Gender and Sexuality Resource Center at Fort Lewis College provide safe spaces where youth feel welcome and supported by a network of peers and adults. The centers also act as social spaces where youth, parents, and their communities can come together.

In several small rural towns in Texas, mental health professionals from Texas Tech are offering telemedicine counseling to make up for a lack of counselors available in local middle and high schools. The Governor's office has now asked the successful school districts to develop a training program for teachers in other Texas districts in order to scale the model.

Based out of the city of Addis Ababa in Ethiopia, a live radio show is tackling the stigma around mental health care by combining their platform with those in the mental health care field. Not only does the radio show discuss psychological issues on air, but it also offers free and reduced-cost mental health services to those that serve as guests on the show.

More than 2,700 police departments in the U.S. have crisis intervention teams aimed at responding to mental health crises with fewer arrests and less violence, but the death of Daniel Prude in Rochester police custody offers clear lessons in the shortcomings and misuse of the CIT model. A lack of adequate mental health services across the country, coupled with superficial training of the police, too often means a police response to a crisis will not de-escalate the situation or lead to meaningful help for the person in crisis. A recent study found CITs have not shown they will lower violence.

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.

To enhance rural access to healthcare in Nigeria, the Parkers Mobile Clinic partners with local volunteers, healthcare professionals, educators, and community development advocates to identify and remedy unique healthcare gaps. Outreach programs are then designed to provide localized mental health support, nutritional counseling, and other reproductive health services.