1 Post-Intervention Follow-up with Consumers & Families - Reducing CIT Recidivism Sergeant Barry Armfield St. Louis County Police Department, Coordinator, St. Louis Area CIT Program Richard Stevenson Director of Special Projects, Alliance on Mental Illness-NAMI St. Louis
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Post-Intervention Follow-up with Consumers & Families -Reducing CIT Recidivism
Presented by: Sergeant Barry Armfield St. Louis County Police Department, Coordinator, St. Louis Area CIT Program
Richard Stevenson Director of Special Projects, Alliance on Mental Illness-NAMI St. Louis
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Post-Intervention Follow-up with Consumers & Families - Reducing CIT Recidivism
Sergeant Barry Armfield St. Louis County Police Department, Coordinator, St. Louis Area CIT Program
Richard Stevenson Director of Special Projects, Alliance on Mental Illness-NAMI St. Louis
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Presentation Objectives:
Background – CIT St. Louis Area. Obstacles to Success. Response to Obstacles. Conclusions.
61% of interventions were to individuals known to have been prescribed psychotropic medications.
yes61%
no or unknown
39%
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Outcomes – CIT Calls: Compliance to Medication
9% known compliant;
48% known non-compliant.
yes9%
no48%
unknown43%
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Outcomes – CIT Calls: Treatment, Not Jail
89% of interventions result in transport to a treatment facility.
yes, 89%
no, 11%
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Lessons Learned
CIT Interventions – High percentage are to individuals who: – Have a severe mental illness – Are “frequent flyers” of police departments.– NOT currently linked to public sector services,
though they qualify.– Are the most difficult to treat.
CIT Clients who are willing to accept treatment are usually able to access treatment, eventually (not “frequent flyers”).
Systemic– Hospitals – Law enforcement – attitude vs. illness– Awareness of resources– Family ignorance on police response– Provider ignorance on police response
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Response to Obstacles –
Communication, Council Three Case Studies
– A hospital discharge– An intervention with injuries – A tazing
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Access to Services –
…requires CIT Reports Services to families
– NAMI Support & education Navigating the mental health care treatment system
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Access to Services –
…requires CIT Reports Services to consumers
– Behavioral Health Response– Community Mental Health Centers
Community Alternatives Assertive Community Treatment (ACT)
– Life Crisis Services (suicide intervention)– CHADS (crisis involving youth)– Veterans Administration– Courts – Mental Health / Drug
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Conclusions
CIT can be the vehicle
to reduce police response to mental health crisis
through referrals to services
of participating agencies.
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Conclusions
Law enforcement is doing its job:– Good interventions.– Effective transports to treatment services.
Mental health must do its job:– Receive people into treatment– Keep them in treatment.
We must all work together.
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Questions
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Thank you!
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Contact Information
Sgt. Barry ArmfieldSt. Louis County Police Department, Coordinator, St. Louis Area CIT Program314/ [email protected]
Richard Stevenson Director of Special ProjectsAlliance on Mental Illness-NAMI St. Louis314/ [email protected]