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

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

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

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