Community Mental Health Journal

, Volume 41, Issue 2, pp 223–228

Psychiatric Disposition of Patients Brought in by Crisis Intervention Team Police Officers

Authors

  • Gordon Strauss
    • Department of Psychiatry and Behavioral SciencesUniversity of Louisville School of Medicine
  • Mark Glenn
    • Department of Psychiatry and Behavioral SciencesUniversity of Louisville School of Medicine
  • Padma Reddi
    • Department of Psychiatry and Behavioral SciencesUniversity of Louisville School of Medicine
  • Irfan Afaq
    • Department of Psychiatry and Behavioral SciencesUniversity of Louisville School of Medicine
  • Anna Podolskaya
    • Department of Psychiatry and Behavioral SciencesUniversity of Louisville School of Medicine
  • Tatyana Rybakova
    • Department of Psychiatry and Behavioral SciencesUniversity of Louisville School of Medicine
  • Osman Saeed
    • Department of Psychiatry and Behavioral SciencesUniversity of Louisville School of Medicine
  • Vital Shah
    • Department of Psychiatry and Behavioral SciencesUniversity of Louisville School of Medicine
  • Baljit Singh
    • Department of Psychiatry and Behavioral SciencesUniversity of Louisville School of Medicine
  • Andrew Skinner
    • Department of Psychiatry and Behavioral SciencesUniversity of Louisville School of Medicine
    • Department of Psychiatry and Behavioral SciencesUniversity of Louisville School of Medicine
Article

DOI: 10.1007/s10597-005-2658-5

Cite this article as:
Strauss, G., Glenn, M., Reddi, P. et al. Community Ment Health J (2005) 41: 223. doi:10.1007/s10597-005-2658-5

Abstract

Background: As part of an effort to improve police interactions with mentally ill citizens, and improve mental health care delivery to subjects in acute distress, the University of Louisville, in conjunction with the Louisville Metro Police, established the crisis intervention team (CIT). CIT is composed of uniformed officers who receive extensive training in crisis intervention and psychiatric issues and who are preferentially called to investigate police calls that may involve a mentally ill individual. Methods: In an effort to determine the characteristics of the individuals brought to the emergency psychiatric service (EPS) by CIT officers, a comparative (CIT vs. mental inquest warrant [MIW, a citizen-initiated court order to bring someone for psychiatric evaluation because of concerns regarding dangerousness] vs non-CIT/non-MIW), descriptive evaluation was performed. Results: With the exception of a higher rate of schizophrenic subjects brought in by CIT (43.0% vs. 22.1, non-CIT, P=.002), the demographics, diagnosis, and disposition of CIT-referred subjects were not different in any way from non-CIT patients. Subjects referred on MIWs were more likely to be admitted to a psychiatric hospital than non-MIW patients (71.6 vs. 34.8, P <.0001), but CIT-referred hospitalization rates were not different from hospitalization rates of self-referred subjects (20.7 vs. 33.3, ns). Conclusions: CIT officers appear to do a good job at identifying patients in need of psychiatric care.

Keywords

crisis intervention team (CIT) emergency psychiatry police

Copyright information

© Springer 2005