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Police Crisis Intervention Teams: Understanding Implementation Variations and Officer-Level Impacts

  • William V. PelfreyJrEmail author
  • Ania Young
Article

Abstract

Many police agencies utilize the Crisis Intervention Team (CIT) approach to facilitate effective responses when officers are called to address persons experiencing a mental health crisis. CIT training is predicated on verbal de-escalation tactics and includes situational assessment procedures, understanding the role and elements of the mental health system, and connections to mental health resources. The CIT approach, often called the Memphis Model, is generally recognized as beneficial for the community, persons with mental health issues, and the agency. The officer-level impacts of assignment to a CIT position have not been thoroughly explored. Additionally, differences in implementation of the original CIT model, resulting from community variations, have not been studied. The extant research employs several data collection modalities: surveys of CIT coordinators, interviews with leading CIT researchers, and interviews/focus groups with law enforcement personnel, to expand understanding of CIT efficacy, variations, and impact. Findings point to agency policy issues regarding the use and possible expansion of CIT teams.

Keywords

Police Crisis intervention team CIT Mental crisis 

Notes

Funding

No funding was received in support of any element of this research.

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

This study was approved by the Institutional Review Board of an R1—Research University (Highest Research Activity) as ranked by the Carnegie Classification of Institutions of Higher Education.

Informed Consent

Study participants provided informed consent as required by the University Institutional Review Board.

References

  1. Bahora M, Hanafi S, Chien VH, Compton MT (2008) Preliminary evidence of effects of Crisis Intervention Team training on self-efficacy and social distance. Admin Pol Ment Health 35:159–167CrossRefGoogle Scholar
  2. Bittner E (1970) The functions of police in modern society. National Institute of mental Health, Washington DCGoogle Scholar
  3. Borum R, Deane-Williams M, Steadman HJ, Morrissey J (1998) Police perspectives on responding to mentally ill people in crisis: perceptions of program effectiveness. Behav Sci Law 16:393–405CrossRefGoogle Scholar
  4. Bower DL, Petit WG (2001) The Albuquerque police department’s crisis intervention team: a report card. FBI Law Enforcement Bulletin 70:1–6Google Scholar
  5. Bureau of Justice Statistics. 2006. Special Report on Mental Health Problems of Prison Inmates and Jail Inmates. Retrieved from http://www.bjs.gov/content/pub/pdf/mhppji.pdf
  6. Compton MT, Bahora M, Watson AC, Oliva JR (2008) A comprehensive review of extant research on Crisis Intervention Team (CIT) programs. J Ame Acade Psychiatry Law 36:47–55Google Scholar
  7. Compton MT, Bakeman R, Broussard B, Hankerson- Dyson D, Husbands L, Krishan S, Stewert-Hutto T, D’Orio B, Oliva JR, Thompson NJ, Watson AC (2017) The police- based crisis intervention team (CIT) model: I. Effects on officers’ knowledge, attitudes, and skills. Psychiatr Serv 65(4):517–522CrossRefGoogle Scholar
  8. Compton MT, Bakeman B, Hankerson- Dyson D, Husbands L, Krishan S, Stewart-Hutto T, D’Orio BM, Oliva JR, Thompson NJ, Watson AC (2014) The police-based crisis intervention team (CIT) model: II. Effects on level of force and resolution, referral, and arrest. Psychiatr Serv 65(4):523–529CrossRefGoogle Scholar
  9. Compton MT, Broussard B, Hankerson-Dyson D, Krishan S, Stewart-Hutto T, Oliva JR, Watson AC (2011a) Do empathy and psychological mindedness affect police officers’ decision to enter crisis intervention team training? Psychiatr Serv 62:632–638CrossRefGoogle Scholar
  10. Compton MG, Demir Nubert BN, Broussard B, McGriff JA, Morgan R, Oliva JR (2011b) Use of force preferences and perceived effectiveness of actions among Crisis Intervention Team (CIT) police officers and non-CIT officers in an escalating psychiatric crisis involving subject with schizophrenia. Schizophr Bull 37(4):737–745 Retrieved from http://shizophreniabulletin.oxfordjournals.org CrossRefGoogle Scholar
  11. Compton MG, Esterberg ML, McGee R, Kotwicki RJ, Oliva JR (2006) Brief reports:Crisis intervention team training: changes in knowledge, attitudes, and stigma related to schizophrenia. Psychiatr Serv 57(8):1199–1202CrossRefGoogle Scholar
  12. Cooper VG, McLearen AM, Zapf PG (2004) Dispositional decisions with the mentally ill: police perceptions and characteristics. Police Quarterly 7:295–310CrossRefGoogle Scholar
  13. Council of State Governments (2010). Improving responses to people with mental illness; Tailoring law enforcement initiatives to individual jurisdictions. Retrieved from http://www.nami.org/Template.cfm?Section=Issue_Spotlights&template=/ContentManagement/ContentDisplay.cfm&ContentID=101337. Accessed 14 June 2015
  14. Dayley E (2016) Reducing the use of force: de-escalation training for police officers (Unpublished Dissertation). Naval Postgraduate School, Monterey, CAGoogle Scholar
  15. DeGarmo MJ (2012) The diffusion of innovation among United States policing jurisdictions:a cautionary tale for theorists and researchers. Int J Crim Just 7(1):450–465Google Scholar
  16. Dupont R, Cochran S (2000) Police response to mental health emergencies—Barriers to change. J Am Acad Psychiatry Law 28:338–344PubMedGoogle Scholar
  17. Fyfe J (2000) Policing the emotionally disturbed. J Am Psychiatry Law 28:31–347Google Scholar
  18. Green TM (1997) Police as frontline mental health workers; the decision to arrest or refer to mental health. Int J Law Psychiatry 20:469–486CrossRefGoogle Scholar
  19. Johnson JP (2015). Law enforcement innovation and diffusion: a network analysis of police accreditation. CUNY Academic Works. Retrieved from http://academicworks.cuny.edu/gc_etds/991
  20. Kaminski RJ, Di’Giovanni C, Downs R (2004) The use of force between police and persons with impaired judgement. Police Quarterly 7:311–338CrossRefGoogle Scholar
  21. Kempf M (2008). Mental illness and the criminal justice system in Indiana. The National Alliance on Mental Illness (NAMI) IndianaGoogle Scholar
  22. Laberge D, Morin D (1995) The overuse of criminal justice dispositions: failure of diversionary policies in the management of mental health problems. Int J Law Psychiatry: International Journal of Law and Psychiatry 18(4):389–414CrossRefGoogle Scholar
  23. Memphis Police Department. (2018). Crisis intervention team overview. Retrieved from: https://memphistn.gov/government/police_department/crisis_intervention_team. Accessed October 2018
  24. Morabito M, Kerr A, Watson A, Draine J, Ottati V, Angell B (2012) Crisis intervention teams and people with mental illness: exploring the factors that influence the use of force. Crime Delinq 58(1):57–77CrossRefGoogle Scholar
  25. Morabito MS, Socia KM (2015) Is dangerousness a myth? Injuries and police encounters with people with mental illnesses. Criminol Public Policy 14(2):253–276CrossRefGoogle Scholar
  26. Oliva JR, Compton MT (2008) A statewide Crisis Intervention Team (CIT) initiative:evolution of the Georgia CIT program. J Am Acad Psychiatry Law 36:38–46PubMedGoogle Scholar
  27. Reuland M (2004) A guide to implementing police based diversion programs for people with mental illness. Technical Assistance and Foreign Policy Anal Center for Jail Diversion, Delmar, NYCrossRefGoogle Scholar
  28. Reuland M, Schwarzfelt, Draper (2009) Law enforcement responses to people with mental illness: a guide to research-informed policy and practice. Council of State Government Justice Center, New YorkGoogle Scholar
  29. Richter MY (2007) Community treatment and police. In: Jurkonin TJ, Hoover LT, Sergevnin VA (eds) Improving police response to persons with mental illness: a progressive approach. Charles C Thomas, Springfield, Illinois, pp 24–38Google Scholar
  30. Rogers E (2003) Diffusion of innovations, 5th edn. The Free Press, New YorkGoogle Scholar
  31. Ruiz J, Miller C (2004) An exploratory study of Pennsylvania police officers’ perceptions of dangerousness and their ability to manage persons with mental illness. Police Q 7:359–371CrossRefGoogle Scholar
  32. Steadman HJ, Naples M (2005) Assessing the effectiveness of jail diversion programs for persons with serious mental illness and co-occurring substance use disorders. Behav Sci Law 23(2):163–170CrossRefGoogle Scholar
  33. Taheri SA (2016) Do crisis intervention teams reduce arrests and improve officer safety? A systematic review and meta-analysis. Crim Justice Policy Rev 1:76–96CrossRefGoogle Scholar
  34. Teplin LA (1984) Criminalizing mental disorder: the comparative arrest rate of the mentally ill. Am Psychol 39:794CrossRefGoogle Scholar
  35. Tucker AS, Van Hasselt VB, Russell SA (2008) Law enforcement response to the mentally ill: an evaluative review. Brief Treat Crisis Interv 8:236–250CrossRefGoogle Scholar
  36. U.S. Census Bureau (2010) Census Urban and Rural Classification and Urban Area Criteria. Retrieved from https://www.census.gov/geo/reference/ua/urban-rural-2010.html. Accessed 14 June 2015
  37. Watson AC, Compton MT, Draine JN (2017) The crisis intervention team (CIT) model: an evidence-based policing practice? Behav Sci Law 35(5–6):461–441Google Scholar
  38. Watson AC, Morabito S, Draine J, Ottati V (2008) Improving police response to persons with mental illness: a multi-level conceptualization of CIT. Int J Law Psychiatry 31:359–368CrossRefGoogle Scholar
  39. Wells W, Schafer JA (2005) Officer perceptions of police responses to persons with a mental illness. Policing: An International Journal of Police Strategies and Management 29:578–601CrossRefGoogle Scholar
  40. Wolff N (1998) Interactions between mental health and law enforcement systems:problems and prospects for cooperation. J Health Polit Policy Law 23:74–174CrossRefGoogle Scholar
  41. Yin R (2017) Case study research and applications: design and methods. Sage Publishing, Los AngelesGoogle Scholar

Copyright information

© Society for Police and Criminal Psychology 2019

Authors and Affiliations

  1. 1.Criminal Justice and Homeland Security/Emergency Preparedness, Wilder School of Government and Public AffairsVirginia Commonwealth UniversityRichmondUSA
  2. 2.Department of Educational Theory and PracticeMontana State University at BillingsBillingsUSA

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