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Police aren't the best option for handling mental health crises. Here's what we can try instead

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Though the phrasing of “defund the police” has proven to be more than a little divisive among Democrats and progressives, many of us do agree with core sentiments in the movement. Even simply reforming police departments could make a huge difference in quality of life, public health, and community dynamics in this nation. One of those ideas, for example, involves decreasing (or abolishing) the involvement of armed law enforcement officers when it comes to helping people who may be experiencing a mental health crisis. This could involve having a social worker or mental health expert on the scene instead, for instance, or even the presence of a police officer who isn’t armed. For people of color, this difference could literally be lifesaving.

As reported by Michigan Radio, an exciting proposal related to mental health and policing is in the works. Milton Dohoney, who serves as the Interim City Manager for Ann Arbor, Michigan, recently shared that even folks in the police department have acknowledged that mental health crises (in addition to other scenarios, like issues between neighbors and folks who are inebriated) don’t require an armed officer on the scene. And to state the obvious, if a weapon isn’t present, it can’t be used, which could again be literally life or death for anyone, but especially for Black Americans.

According to Michigan Radio, Dohoney recently said the next steps include figuring out both what the city can afford to do and what is realistic for a “third party” to manage in response to these sorts of calls. This could look like equipping people with an emergency phone number to call other than 911, for example, that would connect folks to an entirely different group of people. Giving more money to a program run by the county sheriff that works in community mental health could be an option, as well as involving the fire department.

The next step is for the city council, plus residents, to discuss options in-depth, including if the city will use any federal money to start the hypothetical new program. This money could come from the American Rescue Plan, for example, though Dohoney stressed this wouldn’t be a long-term solution.

In the big picture, other cities are slowly but surely taking steps to remove police from community interventions, especially when it comes to mental health. Eugene, Oregon, for example, operates the CAHOOTS (Crisis Assistance Helping Out On The Streets) mobile program as an alternative model to involving police. The idea is that mental health workers respond to noncriminal emergencies, which the program says not only decreases issues with police but saves money overall.

The CAHOOTS program also points out that this gives the police department more time to solve actual crimes. This is no small factor, either; as NPR reported back in 2020, for example, nonviolent mental health crisis situations (like requests for a wellness check) can make up about 25% of the calls that come into the police. The Washington Post reports that CAHOOTS receives about four calls per day to aid a person who may be suicidal.

Similar to CAHOOTS, Denver, Colorado, had a STAR (Support Team Assisted Response) pilot program as an alternative to 911 for mental health. STAR focuses on trauma-informed responses to behavioral and mental health crises, as well as to poverty, substance abuse, and homelessness. Like CAHOOTS, it’s a mobile response effort. In this case, calls go into 911 and a mental health professional is paired up with an EMT or paramedic to assess the situation. The program also handles issues like trespassing.

In San Francisco, efforts to reform police departments have resulted in a shift away from police responding to folks who are experiencing mental health, substance abuse, or behavioral crises. Instead, the city is sending unarmed mental health workers, EMTs, peer support counselors, and paramedics from the fire department. There's a special emphasis on sending people who can relate to the lived experience of the person in need as well; for example, sending a peer counselor in recovery to aid someone who is living with substance abuse.
 
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