In Denver, Unarmed Mental Health Workers Respond To Hundreds Of 911 Calls Instead Of Police

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.

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.

From North Carolina to California, states and cities are taking a new approach to fines and fees – people are having their charges dismissed, warrants for minor offenses cleared, and many municipalities are actually saving money by spending less on collections. With a system that was built because it provided cities and states with revenue, there has been a realization that it disproportionately targets communities of color and often keeps people stuck in cycles of debt. With this national awakening, resources and networks are being created so other places can implement the same change.

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.

The Violence Against Women Act was billed as a way to make a patriarchal society, and policing profession in particular, take domestic violence more seriously. It encouraged policies making arrest of alleged abusers mandatory, even to the point of punishing victims who refused to cooperate in prosecutions. This has backfired on many victims, especially women of color who distrust police and their punitive approaches to solving family problems. The law also prioritizes punitive approaches in its awarding of federal grants, thus denying victim aid to women who do not wish to cooperate with arrests.

Frustrated by a tight labor market, two locally owned Grand Rapids employers discovered the virtues – economic, not just moral – of hiring formerly incarcerated people, whose gratitude for an opportunity translated into excellent performance and less risk of adding to rapid turnover. The employers helped guarantee success by paying for support services that made post-prison transitions easier. The employers then talked hundreds of other local employers into doing the same. Besides providing a business advantage, the program changes lives and is evidently contributing to much lower rates of recidivism.

Advance Peace mentors young people at risk of committing or suffering gun violence, guiding them through a "life map" process to exit street life and set goals for a safer, healthier future. The program, which started in Richmond and has expanded to other cities in California and beyond, contributed to a 22% decrease in gun homicides and assaults in an 18-month period. The decrease was 39% in the first targeted neighborhood. Mentoring includes linking youth to cognitive behavioral therapy, jobs, and field trips to expand their experiences. When they meet certain goals, they get paid a "life map allowance."

CAHOOTS has become a national model because of its uncommon partnership with the Eugene Police Department. The police chief says CAHOOTS' unarmed first responders to mental health crises can de-escalate crises before crimes occur or someone gets hurt. That's the idea behind the decades-old agency that takes calls where police can sometimes cause worse outcomes. The crisis intervention workers and medics treat people on the scene or transport them to places where they can get the help they need. Police are available but rarely needed for safety on those calls.

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.

Violent clashes between farmers and cattle herders that have claimed thousands of lives have largely ceased in Otukpo, thanks to a peacekeeping process that resolves disputes and is based on a shared recognition of two groups' humanity. The process imposed rules in an otherwise unruly system in which Fulani herders' open-grazing cattle destroyed crops, leading to violence. Negotiated leases and dispute-resolution mechanisms, governed through monthly meetings, have resulted in only one death since 2018, while surrounding areas continue to suffer many casualties.