Chicago Police Crisis Intervention Team NAMI of Greater Chicago NAMI of Greater Chicago.

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Chicago Police Chicago Police Crisis Intervention Team Crisis Intervention Team NAMI of Greater Chicago NAMI of Greater Chicago

Transcript of Chicago Police Crisis Intervention Team NAMI of Greater Chicago NAMI of Greater Chicago.

Page 1: Chicago Police Crisis Intervention Team NAMI of Greater Chicago NAMI of Greater Chicago.

Chicago Police Chicago Police Crisis Intervention TeamCrisis Intervention Team

NAMI of Greater ChicagoNAMI of Greater Chicago

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Chicago PoliceChicago PoliceCrisis Intervention TeamCrisis Intervention Team

Program goalsProgram goals

Enhance outcomesEnhance outcomes Officer safetyOfficer safety De-escalationDe-escalation DiversionDiversion Crisis preventionCrisis prevention

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Chicago PoliceChicago PoliceCrisis Intervention TeamCrisis Intervention Team

Program goalsProgram goals

Identify Mental Health callsIdentify Mental Health calls Quantify Mental Health callsQuantify Mental Health calls Identify best practice methodsIdentify best practice methods

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TrainingTraining

40 hour State Certification course40 hour State Certification course Voluntary Training ProgramVoluntary Training Program Mental Health Court TrainingMental Health Court Training Office of Emergency Communication call Office of Emergency Communication call

taker trainingtaker training Mental Health Service System TrainingMental Health Service System Training Focus groupsFocus groups

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TrainingTraining

History & Overview 1 hourHistory & Overview 1 hour Signs & Symptoms 4 hoursSigns & Symptoms 4 hours Risk Assessment/Intervention 4 hoursRisk Assessment/Intervention 4 hours Developmental Disabilities 2 hoursDevelopmental Disabilities 2 hours Child/adolescent Disorders 2 hoursChild/adolescent Disorders 2 hours Substance abuse/Co-occurring 2 hoursSubstance abuse/Co-occurring 2 hours Psychotropic medications 1 hourPsychotropic medications 1 hour Geriatric Disorders 1 hourGeriatric Disorders 1 hour Hearing Voices Exercise 1 hourHearing Voices Exercise 1 hour Legal Issues (Petition) 2 hoursLegal Issues (Petition) 2 hours Department Procedures 2 hoursDepartment Procedures 2 hours

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TrainingTraining

Consumer/Family Panel 3 hoursConsumer/Family Panel 3 hours Community Resource Panel 3 hoursCommunity Resource Panel 3 hours Mental Health Court Panel 1 hourMental Health Court Panel 1 hour CIT Role-play 8hoursCIT Role-play 8hours

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MeasurementsMeasurements

Effectiveness of training Effectiveness of training Amy Watson – University of Illinois – Amy Watson – University of Illinois –

Chicago (UIC)Chicago (UIC) Training content Training content Sue Pickett-Schenk – University of Illinois, Sue Pickett-Schenk – University of Illinois,

Chicago (UIC)Chicago (UIC) Efficacy of trainingEfficacy of training Carrie Steiner – Illinois School of Psychology Carrie Steiner – Illinois School of Psychology Impact – Impact – Chicago Police DepartmentChicago Police Department

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A rapidly diffusing interventionA rapidly diffusing intervention

Over 400 hundred “CIT” programs Over 400 hundred “CIT” programs (BJA, 2006)(BJA, 2006)

Identification of “Key Elements” Identification of “Key Elements” (CSG)(CSG)

Evidence (limited but mounting)Evidence (limited but mounting)• Reduced injuries Reduced injuries (Dupont & Cochran, 2000 )(Dupont & Cochran, 2000 )

• Reduced arrests (Reduced arrests (Steadman, et al 2000; Teller et al 2006)Steadman, et al 2000; Teller et al 2006)

• Increased transports to hospital (increase Increased transports to hospital (increase voluntary) (voluntary) (Teller et al 2006)Teller et al 2006)

• Increased perceptions of effectiveness Increased perceptions of effectiveness (Borum, et al (Borum, et al 1998)1998)

• Improved attitudes (Compton, et al 2006)Improved attitudes (Compton, et al 2006)

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MeasurementsMeasurements

Prior to training, most officers would Prior to training, most officers would elect to arrestelect to arrest

After training, most officers would After training, most officers would elect to divertelect to divert

The key to this turn-around lies in the The key to this turn-around lies in the trainingtraining

Trained CIT officers recognize the Trained CIT officers recognize the signs and symptoms of mental illnesssigns and symptoms of mental illness

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““CIT is more than just CIT is more than just training”training”

Thus, we need to model and measure Thus, we need to model and measure the other elements & outcomesthe other elements & outcomes

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Officer Characteristics

CIT Training

Organizational factors

Saturation

Champion

Treatment LinkagesAvailability

Perception of police officer

Officer and Encounter Outcomes

Skills with PSMI

Use of Force

Violence by PSMI

Injuries

Arrests

Linkage to treatment as disposition

Interaction of CIT and Mental Health Treatment linkages

Community Characteristics

Model of CIT Effectiveness (Watson, Morabito, Draine& Ottati)

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Studying CIT in Studying CIT in ChicagoChicago…….and beyond…….and beyond

Evaluate effectiveness of CIT in ChicagoEvaluate effectiveness of CIT in Chicago Test strategies for measuring key variables Test strategies for measuring key variables

and outcomesand outcomes Provide groundwork for multi-site study of Provide groundwork for multi-site study of

CIT in several citiesCIT in several cities

*work supported by *work supported by NIMH R34 MH081558 NIMH R34 MH081558

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PartnershipsPartnerships

NAMI of Greater ChicagoNAMI of Greater Chicago Illinois Law Enforcement Training and Standards BoardIllinois Law Enforcement Training and Standards Board Illinois Office of Mental HealthIllinois Office of Mental Health Cook County Circuit CourtCook County Circuit Court Mental Health Service SystemMental Health Service System Office of Emergency Management and CommunicationsOffice of Emergency Management and Communications University of Illinois at ChicagoUniversity of Illinois at Chicago Illinois College of PsychologyIllinois College of Psychology

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The Pilot ProgramThe Pilot Program

77thth District (Englewood) 23 District (Englewood) 23rdrd District (Town District (Town Hall)Hall)

40 officers and supervisors per District40 officers and supervisors per District 1 Sgt, 2 police officers per team1 Sgt, 2 police officers per team Measurement instrumentsMeasurement instruments

FOR MORE INFO...Lt. Jeff Murphy, CIT Coordinator – Lt. Jeff Murphy, CIT Coordinator – [email protected]@chicagopolice.org

Sgt. Bill Lange, CIT Team Manager – Sgt. Bill Lange, CIT Team Manager – [email protected]@chicagopolice.org

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Mental Heath CourtMental Heath Court

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Since 1990’s Over 130 Courts Since 1990’s Over 130 Courts Nationally Have Been DevelopedNationally Have Been Developed

Most are adult criminal courtsMost are adult criminal courts Have a separate docket dedicated to Have a separate docket dedicated to

persons with mental illnessespersons with mental illnesses Divert criminal defendants from jail into Divert criminal defendants from jail into

treatment programstreatment programs Some courts monitor the defendants Some courts monitor the defendants

during treatment and have the ability to during treatment and have the ability to impose criminal sanctions for failure to impose criminal sanctions for failure to complycomply

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The Cook County Model The Cook County Model

Target population:Target population:• All voluntary admission to programAll voluntary admission to program• Works exclusively with MI felony offendersWorks exclusively with MI felony offenders• 24 month probation24 month probation• Four phases of treatment Four phases of treatment • State of Illinois Division of Mental Health open casesState of Illinois Division of Mental Health open cases• Generally non-violent, non-sex offendersGenerally non-violent, non-sex offenders• Economically disadvantagedEconomically disadvantaged• Co-occurring substance use disorderCo-occurring substance use disorder

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Unique Program FeaturesUnique Program Features

Primary Focus: Primary Focus: Community Case ManagementCommunity Case Management Crisis Intervention Team (CIT) – Chicago Police Crisis Intervention Team (CIT) – Chicago Police

DepartmentDepartment Clinical Emphasis-Multidisciplinary Team Clinical Emphasis-Multidisciplinary Team Sanctions-based system that keeps the Sanctions-based system that keeps the

mentally ill offender (MIO) out of jail/prison mentally ill offender (MIO) out of jail/prison and in community servicesand in community services

Open state mental health cases: services are Open state mental health cases: services are paid through Medicaidpaid through Medicaid

Focus on high-risk clients: felony probationers Focus on high-risk clients: felony probationers

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The Process as of NowThe Process as of Now(What we are finding reality to be)(What we are finding reality to be)

The program individuals have:The program individuals have:• Much more extensive criminal backgroundsMuch more extensive criminal backgrounds

(compared to a 7 year review of Cook (compared to a 7 year review of Cook County drug court participants)County drug court participants)

• Much more extensive psychiatric histories Much more extensive psychiatric histories (including major Axis II Personality (including major Axis II Personality Disorders)Disorders)

• Few, if any, community resources with Few, if any, community resources with adequate funding to service the level of adequate funding to service the level of care neededcare needed

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Criminal Justice History of Program Criminal Justice History of Program Participants at Admission Participants at Admission

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Average TotalA rrests

Average FelonyArrests

Average TotalC onvic tions

Average FelonyC onvic tions

AveragePr ison/P robation

M a les

F em a les

To ta l

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Criminal Activity Criminal Activity Pre- and Post-AdmissionPre- and Post-Admission

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A ve rag e arre s ts 1ye ar p rio r toad m is s io n

A ve rag ec o nvic tio ns 1 ye arp rio r to ad m is s io n

A ve rag e arre s ts 1ye ar af te rad m is s io n

A ve rag ec o nvic tio ns 1 ye ar

af te r ad m is s io n

M ales

F em a les

To ta l

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In Custody Days and CostsIn Custody Days and Costs

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2 0

4 0

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1 0 0

1 2 0

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A ve rag e d aysc us to d y ye arp rio r to ad m

A ve rag e d aysc us to d y ye ar

af te r ad m

$ 0

$ 1 ,0 0 0

$ 2 ,0 0 0

$ 3 ,0 0 0

$ 4 ,0 0 0

$ 5 ,0 0 0

$ 6 ,0 0 0

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A ve rag e jailc o s ts ye ar

p rio r to ad m

A ve rag e jailc o s ts ye araf te r ad m

Average Days in Custody Average Jail Costs

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Increase Public SafetyIncrease Public Safety

For all 139 participants: For all 139 participants:

75% reduction in arrests75% reduction in arrests 78% no felony arrests78% no felony arrests 91% no felony conviction91% no felony conviction Average days in custody went from Average days in custody went from 112 to 11.5 following a new arrest 112 to 11.5 following a new arrest (annualized)(annualized)

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GraduatesGraduates

For the first two graduating classes: For the first two graduating classes:

100% no felony arrests100% no felony arrests 100% no drug crime arrests100% no drug crime arrests 93% decrease in total convictions93% decrease in total convictions Average time in custody fell from 74 Average time in custody fell from 74 days to 3 hours (per year)days to 3 hours (per year) Related costs from $9,559 to $14Related costs from $9,559 to $14

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What we have learned about What we have learned about recoveryrecovery

Recovery takes Recovery takes timetime

It is not linearIt is not linear 11stst 3-6 months 3-6 months

crucialcrucial People who do well People who do well

seem to turn a seem to turn a corner at around corner at around 12-15 months12-15 months

The 24 month The 24 month probation time probation time frame is short for frame is short for probationers to probationers to accomplish all we accomplish all we want them to want them to

CJS has made CJS has made significant significant adjustments (also adjustments (also from the drug court from the drug court model)model)

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How does the Mental Health How does the Mental Health Court Team evaluate Court Team evaluate

probationers’ progress?probationers’ progress?

New arrestsNew arrests Drug test resultsDrug test results Compliance with probation conditions, Compliance with probation conditions,

including engagement in treatmentincluding engagement in treatment Progress toward work and/or schoolProgress toward work and/or school Attaining stable housingAttaining stable housing

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What does CIT have to What does CIT have to do with all of this?do with all of this?

CIT officers are the “muscle” for the CIT officers are the “muscle” for the mental health court judgesmental health court judges

CIT officers strive to serve MH Court CIT officers strive to serve MH Court warrants within 48 hours of issuancewarrants within 48 hours of issuance

CIT officers appear in MH Court to CIT officers appear in MH Court to testify after warrant has been servedtestify after warrant has been served

CIT officers call this “ongoing diversion”CIT officers call this “ongoing diversion”

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New InitiativesNew Initiatives

HBT/SWAT HBT/SWAT School Patrol/SVU Officer trainingSchool Patrol/SVU Officer training Advanced CIT TrainingAdvanced CIT Training

AutismAutism

SuicideSuicide

Mental Health Court Warrant Mental Health Court Warrant ProceduresProcedures

Veteran PTSD/TBI/Justice InvolvedVeteran PTSD/TBI/Justice Involved

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Chicago Police Chicago Police DepartmentDepartment

Crisis Intervention Crisis Intervention TeamTeam

Lt. Jeff Murphy - CIT Coordinator Lt. Jeff Murphy - CIT Coordinator Education and Training DivisionEducation and Training Division

[email protected]@chicagopolice.org

Suzanne M. Andriukaitis, M.A., LCSWSuzanne M. Andriukaitis, M.A., LCSWExecutive DirectorExecutive Director

NAMI Greater ChicagoNAMI Greater ChicagoEmail: Email: [email protected]@aol.com