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Post-Intervention Follow-up with Consumers & Families -Reducing CIT Recidivism
Post-Intervention Follow-up with Consumers & Families -Reducing CIT Recidivism
Post-Intervention Follow-up with Consumers & Families -Reducing CIT Recidivism
Post-Intervention Follow-up with Consumers & Families -Reducing CIT Recidivism
Post-Intervention Follow-up with Consumers & Families -Reducing CIT Recidivism
Post-Intervention Follow-up with Consumers & Families -Reducing CIT Recidivism
Post-Intervention Follow-up with Consumers & Families -Reducing CIT Recidivism
Post-Intervention Follow-up with Consumers & Families -Reducing CIT Recidivism
Post-Intervention Follow-up with Consumers & Families -Reducing CIT Recidivism
Post-Intervention Follow-up with Consumers & Families -Reducing CIT Recidivism
Post-Intervention Follow-up with Consumers & Families -Reducing CIT Recidivism
Post-Intervention Follow-up with Consumers & Families -Reducing CIT Recidivism
Post-Intervention Follow-up with Consumers & Families -Reducing CIT Recidivism
Post-Intervention Follow-up with Consumers & Families -Reducing CIT Recidivism
Post-Intervention Follow-up with Consumers & Families -Reducing CIT Recidivism
Post-Intervention Follow-up with Consumers & Families -Reducing CIT Recidivism
Post-Intervention Follow-up with Consumers & Families -Reducing CIT Recidivism
Post-Intervention Follow-up with Consumers & Families -Reducing CIT Recidivism
Post-Intervention Follow-up with Consumers & Families -Reducing CIT Recidivism
Post-Intervention Follow-up with Consumers & Families -Reducing CIT Recidivism
Post-Intervention Follow-up with Consumers & Families -Reducing CIT Recidivism
Post-Intervention Follow-up with Consumers & Families -Reducing CIT Recidivism
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Post-Intervention Follow-up with Consumers & Families -Reducing CIT Recidivism

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Presented by: Sergeant Barry Armfield …

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

Published in: Health & Medicine
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  • 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
  • 2. Presentation Objectives:
    • Background – CIT St. Louis Area.
    • Obstacles to Success.
    • Response to Obstacles.
    • Conclusions.
  • 3. CIT Program Outcomes Nationwide
    • Access to services –
    • an important intended outcome
    • of CIT Programs nationwide!
  • 4. Background – St. Louis Area CIT
    • History
    • Structure (council)
    • Activities
      • Trainings
        • Basic 40-hour Course
        • 8-hour In-service Education Programs
        • Youth CIT Program
      • Interventions
      • Reporting
  • 5. Background – St. Louis Area CIT
    • 5 Counties
    • 72 Law Enforcement Jurisdictions
    • 38 Participating Organizations
      • Hospitals
      • State Mental Health Department (DMH)
      • Community MH Centers
      • Advocacy Organizations
      • Courts
    • CIT Reports
  • 6. Outcomes – CIT Interventions: History of Mental Illness
    • 65% of interventions are in response to individuals with known mental illness.
  • 7. Outcomes – CIT Interventions: Psychotropic Medications
    • 61% of interventions were to individuals known to have been prescribed psychotropic medications .
  • 8. Outcomes – CIT Calls: Compliance to Medication
    • 9% known compliant;
    • 48% known non-compliant.
  • 9. Outcomes – CIT Calls: Treatment, Not Jail
    • 89% of interventions result in transport to a treatment facility.
  • 10. 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”).
  • 11. Lessons Learned
    • To put CIT “out of business”,
    • we must include in our programs
    • strategies to gain access
    • to ongoing inpatient and
    • community-based mental health
    • and substance abuse services!
  • 12. Obstacles to Services –
    • Personal:
      • Diminished self-insight
      • Medications side-effects
      • Stigma
      • Non-compliance to treatment
      • Psychosis
      • Mental Health Crisis
  • 13. Obstacles to Services –
    • Systemic:
      • Misunderstandings by/about…
        • Law enforcement
        • Families
        • Providers
  • 14. Obstacles to Services –
    • Systemic
      • Hospitals
      • Law enforcement – attitude vs. illness
      • Awareness of resources
      • Family ignorance on police response
      • Provider ignorance on police response
  • 15. Response to Obstacles –
    • Communication, Council
    • Three Case Studies
      • A hospital discharge
      • An intervention with injuries
      • A tazing
  • 16. Access to Services –
    • … requires CIT Reports
    • Services to families
      • NAMI
        • Support & education
        • Navigating the mental health care treatment system
  • 17. 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
  • 18. Conclusions
    • CIT can be the vehicle
    • to reduce police response to mental health crisis
    • through referrals to services
    • of participating agencies.
  • 19. 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.
  • 20.
    • Questions
  • 21.
    • Thank you!
  • 22. Contact Information
    • Sgt. Barry Armfield
    • St. Louis County Police Department,
    • Coordinator, St. Louis Area CIT Program
    • 314/ 628-550
    • [email_address]
    • Richard Stevenson
    • Director of Special Projects
    • Alliance on Mental Illness-NAMI St. Louis
    • 314/ 966-4688
    • [email_address]

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