Crisis Intervention Response Team  (CIRT) A Successful Partnership of Two Community Systems; The Houston Police Department...
Mission Statement <ul><li>To provide a more professional and </li></ul><ul><li>humane response to individuals in </li></ul...
Houston/Harris County Facts <ul><ul><li>4 million people in County </li></ul></ul><ul><ul><li>Approximately 700 square mil...
Historical Collaborations <ul><li>1986: Harris County Psychiatric Center opened (HCPC) </li></ul><ul><li>1991: Partnership...
Law Enforcement to PES <ul><li>On average, the PES treats 3,700 involuntary consumers brought in by law enforcement </li><...
Factors for the creation of CIRT <ul><li>Needs identified from the relationship between HPD/MCOT/PES </li></ul><ul><li>Inc...
Crisis Redesign Initiatives <ul><li>A planning committee with more than 100 participants from over 40 public, private, cri...
RESPONSE TEAM CRISIS INTERVENTION
CRISIS INTERVENTION RESPONSE TEAM <ul><li>Collaboration between MHMRA of Harris County and Houston Police Department </li>...
CIRT Implementation   <ul><li>Pilot Program:  May 2008 </li></ul><ul><li>Full Implementation:  (3 Units)  December 2008 </...
CIRT Staff Qualifications/Requirements <ul><li>Police Officers must have the 40 hour CIT training certification. </li></ul...
CIRT Program Responsibilities <ul><li>Responds in a watermarked police vehicle to the more serious CIT calls where they:  ...
CIRT Program Responsibilities, cont. <ul><li>Prisoner assessments at the city jails </li></ul><ul><li>Transportation of in...
Responsibilities of CIRT Clinicians <ul><li>Conduct mental health evaluations and assessments of consumers </li></ul><ul><...
Responsibilities of CIRT Officers <ul><li>Handle all prisoner control/safety issues </li></ul><ul><li>Provide safety for t...
CIRT Statistics Mar ’09-Mar’10 Activity TOTAL CALLS FROM HPD DISPATCH 4,005  SELF INITIATED INVESTIGATIONS 1,135  SWAT CAL...
Successes <ul><ul><li>Improved public safety </li></ul></ul><ul><ul><li>Improved relationship between the community, Houst...
Local Challenges <ul><ul><li>Jurisdiction limited to Houston City limits </li></ul></ul><ul><ul><li>Budget restraints that...
Awards and Media Recognition   <ul><li>Houston Press </li></ul><ul><li>Fox 26 News </li></ul><ul><li>Houston Chronicle </l...
Where do we go from here? <ul><li>Expanded the number of CIRT units – currently only 7 for a population of over 2.2 millio...
Where do we go from here? (cont.) <ul><li>Chronic Consumer Stabilization Initiative </li></ul><ul><li>Mental Health Courts...
Questions? ??? ??? ??? ??? ??? ???
STIGMA SUICIDE “ Suicide by Cop” HOPELESSNESS FEAR MISCONCEPTIONS CIRT   DECREASES HOMICIDES POLICE  ENCOUNTERS DOMESTIC V...
Contact Information <ul><li>Mental Health Unit Investigator/Officer – CCSI, CIRT </li></ul><ul><ul><li>Rebecca Skillern, L...
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A Successful Partnership of Two Community Systems; The Houston Police Department (HPD) and Mental Health and Mental Retardation Authority of Harris County (MHMRA)

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Presented by: Rebecca Skillern, LPC-S, Eric Chimney, Sr. Police Officer/CIRT Officer, and Michael Erickson, LPC

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A Successful Partnership of Two Community Systems; The Houston Police Department (HPD) and Mental Health and Mental Retardation Authority of Harris County (MHMRA)

  1. 1. Crisis Intervention Response Team (CIRT) A Successful Partnership of Two Community Systems; The Houston Police Department (HPD) and Mental Health and Mental Retardation Authority of Harris County (MHMRA)
  2. 2. Mission Statement <ul><li>To provide a more professional and </li></ul><ul><li>humane response to individuals in </li></ul><ul><li>serious mental health crises. </li></ul>
  3. 3. Houston/Harris County Facts <ul><ul><li>4 million people in County </li></ul></ul><ul><ul><li>Approximately 700 square miles </li></ul></ul><ul><ul><li>2.2 million people within the City of Houston </li></ul></ul><ul><ul><li>Estimated 540,000 have mental illness, 147,000 have Serious and Persistent Mental Illness </li></ul></ul><ul><ul><li>Over 20,000 times a year an HPD Officer is dispatched to a call involving a mentally ill person </li></ul></ul><ul><ul><li>Texas is 49 th per capita in funding for the mentally ill </li></ul></ul>
  4. 4. Historical Collaborations <ul><li>1986: Harris County Psychiatric Center opened (HCPC) </li></ul><ul><li>1991: Partnership between MHMRA and HPD began to streamline the procedures in obtaining a mental health warrant </li></ul><ul><li>1999: HPD CIT piloted </li></ul><ul><li>1999: Psychiatric Emergency Services program opened </li></ul><ul><li>Between 1999-2004 the County approved funding for all the major components of a comprehensive psychiatric emergency program </li></ul>
  5. 5. Law Enforcement to PES <ul><li>On average, the PES treats 3,700 involuntary consumers brought in by law enforcement </li></ul><ul><li>On average, 30-35% of total admissions to the unit are brought by law enforcement. </li></ul><ul><li>Approximately 65% were treated and did not require inpatient hospitalization </li></ul><ul><li>Law enforcement takes another 5% from the PES to jail after a brief psychiatric evaluation. </li></ul>
  6. 6. Factors for the creation of CIRT <ul><li>Needs identified from the relationship between HPD/MCOT/PES </li></ul><ul><li>Increase in police calls involving individuals with mental illness resulting in: </li></ul><ul><ul><li>Fatal shootings </li></ul></ul><ul><ul><li>Mentally ill persons being jailed for petty crimes that result from their mental illness (e.g., criminal trespass, public intoxication) </li></ul></ul><ul><li>Increase in demand for limited supply of mental health services </li></ul>
  7. 7. Crisis Redesign Initiatives <ul><li>A planning committee with more than 100 participants from over 40 public, private, criminal justice, and advocacy organizations </li></ul><ul><li>Identified major components of an ideal Crisis Response System for Harris County </li></ul><ul><li>Proposed 19 possible projects, of which 9 projects were ultimately approved. </li></ul><ul><li>CIRT was one of the 9 approved projects. </li></ul><ul><ul><li>MHMRA & HARRIS COUNTY COMMISSIONER’S COURT FUNDS: </li></ul></ul><ul><ul><ul><ul><li>$500,000 on CIRT </li></ul></ul></ul></ul><ul><ul><ul><ul><li>$9,000,000 on the NPC </li></ul></ul></ul></ul><ul><ul><ul><ul><li>$6,000,000 on MCOT </li></ul></ul></ul></ul>
  8. 8. RESPONSE TEAM CRISIS INTERVENTION
  9. 9. CRISIS INTERVENTION RESPONSE TEAM <ul><li>Collaboration between MHMRA of Harris County and Houston Police Department </li></ul><ul><li>Partners a Crisis Intervention Team (CIT) trained officer with a licensed mental health clinician from MHMRA. </li></ul><ul><li>CIRT evolved from a successful, mutually beneficial relationship between MHMRA Crisis Programs and the Houston Police Department’s Mental Health Unit </li></ul><ul><li>The CIRT program augments HPD’s Crisis Intervention Team (CIT) program </li></ul>
  10. 10. CIRT Implementation <ul><li>Pilot Program: May 2008 </li></ul><ul><li>Full Implementation: (3 Units) December 2008 </li></ul><ul><li>Team Expansion: (+2 Units) April 2009 </li></ul><ul><li>Team Expansion: (+2 Units) February 2010 </li></ul>Current total 7 Units
  11. 11. CIRT Staff Qualifications/Requirements <ul><li>Police Officers must have the 40 hour CIT training certification. </li></ul><ul><li>Police Officers must have a minimum of three years experience working as a Police Officer </li></ul><ul><li>Master’s Level Clinicians are licensed by the state and must have a minimum of five years mental health crisis service experience </li></ul><ul><li>Both clinicians and police officers receive ongoing specialized training </li></ul>
  12. 12. CIRT Program Responsibilities <ul><li>Responds in a watermarked police vehicle to the more serious CIT calls where they: </li></ul><ul><ul><li>Conduct on-scene mental health assessments </li></ul></ul><ul><ul><li>Assess for suicide/lethality risk </li></ul></ul><ul><ul><li>Access & provide MHMRA mental health treatment history </li></ul></ul><ul><ul><li>Link and coordinate with appropriate community resources </li></ul></ul><ul><ul><li>Facilitate engagement in ongoing mental health services </li></ul></ul><ul><ul><li>Provide crisis intervention and resolution on-scene </li></ul></ul>
  13. 13. CIRT Program Responsibilities, cont. <ul><li>Prisoner assessments at the city jails </li></ul><ul><li>Transportation of involuntary consumers from local MHMRA clinics to emergency psychiatric facilities </li></ul><ul><li>Respond to all SWAT calls as a resource for the on-scene commander </li></ul><ul><li>Provide overnight mental health assessments for walk-ins to county psychiatric hospital </li></ul>
  14. 14. Responsibilities of CIRT Clinicians <ul><li>Conduct mental health evaluations and assessments of consumers </li></ul><ul><li>Assist in determining a clinically appropriate disposition for consumer </li></ul><ul><li>Provide on-scene trauma support for survivors </li></ul><ul><li>Provide community resources to families and consumers </li></ul>
  15. 15. Responsibilities of CIRT Officers <ul><li>Handle all prisoner control/safety issues </li></ul><ul><li>Provide safety for the clinician, consumer and community </li></ul><ul><li>Address issues involving criminal charges </li></ul><ul><li>File Emergency Detention Orders </li></ul><ul><li>Assist in determining the appropriate disposition supporting consumers’ needs and safety </li></ul>
  16. 16. CIRT Statistics Mar ’09-Mar’10 Activity TOTAL CALLS FROM HPD DISPATCH 4,005 SELF INITIATED INVESTIGATIONS 1,135 SWAT CALLS 31 E.D.O. 1,154 ARRESTS 67 COMPLETED REFERRALS 139 REFERRAL FOLLOW UPS 263
  17. 17. Successes <ul><ul><li>Improved public safety </li></ul></ul><ul><ul><li>Improved relationship between the community, Houston police department and MHMRA </li></ul></ul><ul><ul><li>Improved public perception of police interactions with individuals with mental illness and their families </li></ul></ul><ul><ul><li>Individuals with mental illness are directed into appropriate mental health treatment </li></ul></ul><ul><ul><li>Increase in consumers being diverted from jail into appropriate mental health services </li></ul></ul><ul><ul><li>Expedited admission process to mental health unit in jail when incarceration is necessary </li></ul></ul>
  18. 18. Local Challenges <ul><ul><li>Jurisdiction limited to Houston City limits </li></ul></ul><ul><ul><li>Budget restraints that restrict the number of CIRT units available in the City of Houston </li></ul></ul><ul><ul><li>Shortage of inpatient psychiatric beds </li></ul></ul><ul><ul><li>Overwhelmed clinics </li></ul></ul><ul><ul><li>Lack of safe, adequate housing options </li></ul></ul><ul><ul><li>Inability to oversee linkage of services for those patients non-adherent to treatment </li></ul></ul>
  19. 19. Awards and Media Recognition <ul><li>Houston Press </li></ul><ul><li>Fox 26 News </li></ul><ul><li>Houston Chronicle </li></ul><ul><li>National Public Radio </li></ul><ul><li>Al Jazeera English </li></ul><ul><li>Chief of Police Unit Citation-HPD </li></ul><ul><li>National Behavioral Health/CIT Awards:2008 </li></ul><ul><ul><li>CIT Officer of The Year </li></ul></ul><ul><ul><li>Behavioral Health Employee of The Year </li></ul></ul><ul><li>Houston Police Department Awards Ceremony:2009 </li></ul><ul><ul><li>CIRT Lieutenant -Mid Manager of the Year </li></ul></ul><ul><ul><li>CIRT Officer- CIT Officer of the Year </li></ul></ul><ul><li>Houston Police Department Awards Ceremony:2010 </li></ul><ul><ul><li>CIRT Officer- CIT Officer of the Year </li></ul></ul>
  20. 20. Where do we go from here? <ul><li>Expanded the number of CIRT units – currently only 7 for a population of over 2.2 million </li></ul><ul><li>Expand the collaboration to include the Harris County Sherriff’s Department to extend CIRT coverage throughout Harris County </li></ul><ul><li>Continue to educate the community </li></ul><ul><li>Continue to learn from experiences and refine service delivery in daily operations as well as improve community relations and perceptions </li></ul>
  21. 21. Where do we go from here? (cont.) <ul><li>Chronic Consumer Stabilization Initiative </li></ul><ul><li>Mental Health Courts </li></ul><ul><li>Continue to seek more comprehensive collaborations between service providers (e.g., V.A./State Hospitals) </li></ul>
  22. 22. Questions? ??? ??? ??? ??? ??? ???
  23. 23. STIGMA SUICIDE “ Suicide by Cop” HOPELESSNESS FEAR MISCONCEPTIONS CIRT DECREASES HOMICIDES POLICE ENCOUNTERS DOMESTIC VIOLENCE UNNECESSARY JAILINGS
  24. 24. Contact Information <ul><li>Mental Health Unit Investigator/Officer – CCSI, CIRT </li></ul><ul><ul><li>Rebecca Skillern, LPC-S </li></ul></ul><ul><ul><li>[email_address] </li></ul></ul><ul><li>Mental Health Unit - Police Officer – CIRT </li></ul><ul><ul><li>Eric Chimney, Sr. Police Officer/CIRT Officer </li></ul></ul><ul><ul><li>[email_address] </li></ul></ul><ul><li>Mental Health Mental Retardation Authority of Harris County </li></ul><ul><ul><li>Michael Erickson, LPC </li></ul></ul><ul><ul><li>[email_address] </li></ul></ul>

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