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Point of Contact Point of Entry

Point of Contact Point of Entry. (If you don’t want “em” there….. Don’t put “em” there!) Dr. Barry Perrou Criminalization of Mental Illness USC Spring Symposium April 2013. Key Solutions. Law Enforcement is the Social Gate Key per The “key” to keeping them in ( Folger Adam )

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Point of Contact Point of Entry

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  1. Point of ContactPoint of Entry (If you don’t want “em” there….. Don’t put “em” there!) Dr. Barry Perrou Criminalization of Mental Illness USC Spring Symposium April 2013

  2. Key Solutions • Law Enforcement is the Social Gate Keyper • The “key” to keeping them in (Folger Adam) • The “key” to putting them in (Peerless)

  3. Police Calls for Service Involving Mental Illness Reg Pop Calls M/I Calls Per day Per hour Min’s B/T LA 3.8M 850K 68K 186 8 8 Min CO 9.8M 2.2 M 175K 480 20 3 Min CA 35M 7.8 M 626K 1716 72 50 Sec US 288M 64.4M 5.15 M 14,120 588 6 Sec Lt Paul Geggie LAPD @ 2003

  4. Impact on Law EnforcementOption I (Hospitalization) • Typical M.H. Call for L.E. • Min. 4 hours (10-97 to 10-98) (Copo-Babble)…….Without Complications • Add on Times • L.E. does not have the ability to hospitalize at a “Private Hospital” • L.E.does not deal with Medical Insurance or 3rd party payer systems • Medical Clearance often required before Psych. Dept. of same hospital will accept patient • Over crowded Psych. ER’s • Use of Force • Possible medical treatment for Deputy / Patient • Field Supervisor summoned to scene or hospital (mandatory With or W/O injuries) • Interview and photos of injuries • Coordination?? B/T free standing Psych. Hospitals and Medical Facilities can be time consuming • Who is handling the “Crime in Progress Calls” in our neighborhoods? • This is an “Unfunded Mandate” for Police Budgets

  5. Impact on Law EnforcementOption II (Arrest) • Arrest Process (Approx. 2-hrs) vs (4+hrs Hosp) • Over-crowded Jails • Over-crowded Jail Mental Health / Forensic Units • Over-crowded Court system • Almost anyone can be arrested • Stress and Aggravation can cause arrestable behavior • L.E. can be part of the solution or part of the problem for the patient The choice of options sometimes can be based on supply and demandand the systems of care in place to provide service to our communities. Subsequently, the decision gets pushed back to the streets and the discretionary powers of the officer “Point of Contact, Point of Entry”

  6. Recommendations to Prevent Patients from Becoming Inmates • Law Enforcement Training • Increase training for persons with disabilities from 8 hrs to 20 hrs. (to include stigma) • Emphasis on the “Critical 2 minutes” (Point of Contact) • Develop multi-disciplinary field response teams (Cops and Clinicians) to include 40 hrs, 4-Pts, 8 hrs Locked Facilities • MET • SMART • HOPE • This concept has proven very effective in role-modeling, helping, non-threatening behavior for uniform field patrol officers at the point of contact. • These existing programs are fully capable for assisting the Assisted Outpatient Treatment (AOT) laws • Develop uniform agency procedures for the collaborative handling of patients • L. E. System • M. H. System • Hospital System • Jail Diversion Program (Treatment options before Sentencing)

  7. Final Thoughts • First Sworn L. E. Woman to lose her life in the line of duty in the U.S • EOW March 20, 1919 • Deputy Emma Benson (Los Angele County Sheriff Department) • Traffic Accident while transporting a psychiatric patient to Metro. • Mental Health Unit (Psych Detail) • Late 40’s / 50’s • Enola Gray • Pavlovian Principle of pairing task and reward – Handcuffing • Our role as seniored officers – challenge our instutitional culture; lead by example

  8. Final Thoughts • Nice to Know / Need to Know (Training) • ABA Criminal Justice Mental Health Standards; 1984 • Common Sense • DMH-PD (830 P.C. – 5150 WIC) • Fire Dept. Greater Responsibility • MET Outcomes: 45% Private Hospital, 50% County Hospital, 5% other (Arrested, Referrals) • MET Teams (Ambulette- EMT Deputies, M.H. Clinician/Nurses) • Pre-3 Strikes Program preventing arrest for minor crimes • L.E. - Psych - “Them”

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