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      Working 
          Together -- How? 
        There are a variety of ways in which the 
          police and the mental health system can work together to manage first 
          response situations—those situations in which the police are called 
          to deal with an incident involving a person who appears to be mentally 
          ill. Some case are clear cut—the person in question has committed 
          a significant offence, or the person making the call knows what the 
          disposition of the case should be and merely needs your assistance to 
          make it happen. But often, it is not clear what the most desirable outcome 
          is and the frontline officer could use some assistance in making an 
          appropriate decision. How can the police and the mental health system 
          work together? There are several models that have been employed. There 
          is no evidence at this point that any one model works better than any 
          other model. A variety of factors come into play—the size of the 
          police service, the available mental health resources, the geographical 
          area served, the previous training of officers, existing internal expertise, 
          police service and mental health services commitment of time and money 
          to this issue, the relative size of the problem, pre-existing hospital/police 
          relationships…. 
        There is no clear right answer. But there 
          are options--options which can be used alone or in combination: 
         
          
            - Comprehensive advanced response model–in which 
              all police officers receive training related to working with individuals 
              with mental illness. Thus there are no singular experts but all 
              members have an increased level of knowledge and understanding and 
              are expected to be able to handle most situations 
 
             
            -  Mental health professionals co-response model, in 
              which case mental health professionals from another agency with 
              whom the police would have some kind of working agreement would 
              respond to a police call at the request of the police, generally 
              after the police have responded and assessed the situation (although 
              some agencies co-respond immediately) (ex: Montreal)
 
             
            -  Mobile crisis team co-response models— models 
              in which the police and the mental health workers are co-employed, 
              sometimes by having mental health workers employed by police services 
              and sometimes by having police officers seconded to community mental 
              health agencies (ex: Toronto, Vancouver, Hamilton, Ottawa)
 
             
            -  Crisis intervention team (CIT) –in which specially 
              trained officers respond to problematic situations. These officers 
              are assigned to other duties (such as traffic patrol) from which 
              they may be pulled as needed (the “Memphis Model”)
 
             
            -  Telephone consultation models--probably most effective 
              in remote and rural areas where mental health resources are not 
              readily available. Police have a toll free number to a mental health 
              unit or hospital psychiatry floor which is staffed 24/7 and whom 
              they may call whenever there is an incident to get advice and direction 
              (ex: remote areas of British Columbia)
 
             
            -  The “cross your fingers” method—in 
              which mental health staff and police officers simply rely on the 
              system to work and hope someone will be around/agreeable when a 
              problem comes up. It works amazing well at times and in some places! 
              (lots of places!!)
 
           
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