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Chicago Police Crisis Intervention Team
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Chicago Police Crisis Intervention Team

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  1. Chicago Police Crisis Intervention Team NAMI of Greater Chicago

  2. Chicago PoliceCrisis Intervention TeamProgram goals • Enhance outcomes • Officer safety • De-escalation • Diversion • Crisis prevention

  3. Chicago PoliceCrisis Intervention TeamProgram goals • Identify Mental Health calls • Quantify Mental Health calls • Identify best practice methods

  4. Training • 40 hour State Certification course • Voluntary Training Program • Mental Health Court Training • Office of Emergency Communication call taker training • Mental Health Service System Training • Focus groups

  5. Training • History & Overview 1 hour • Signs & Symptoms 4 hours • Risk Assessment/Intervention 4 hours • Developmental Disabilities 2 hours • Child/adolescent Disorders 2 hours • Substance abuse/Co-occurring 2 hours • Psychotropic medications 1 hour • Geriatric Disorders 1 hour • Hearing Voices Exercise 1 hour • Legal Issues (Petition) 2 hours • Department Procedures 2 hours

  6. Training • Consumer/Family Panel 3 hours • Community Resource Panel 3 hours • Mental Health Court Panel 1 hour • CIT Role-play 8hours

  7. Measurements • Effectiveness of training Amy Watson – University of Illinois – Chicago (UIC) • Training content Sue Pickett-Schenk – University of Illinois, Chicago (UIC) • Efficacy of training Carrie Steiner – Illinois School of Psychology • Impact – Chicago Police Department

  8. A rapidly diffusing intervention • Over 400 hundred “CIT” programs (BJA, 2006) • Identification of “Key Elements” (CSG) • Evidence (limited but mounting) • Reduced injuries (Dupont & Cochran, 2000 ) • Reduced arrests (Steadman, et al 2000; Teller et al 2006) • Increased transports to hospital (increase voluntary) (Teller et al 2006) • Increased perceptions of effectiveness (Borum, et al 1998) • Improved attitudes (Compton, et al 2006)

  9. Measurements • Prior to training, most officers would elect to arrest • After training, most officers would elect to divert • The key to this turn-around lies in the training • Trained CIT officers recognize the signs and symptoms of mental illness

  10. “CIT is more than just training” Thus, we need to model and measure the other elements & outcomes

  11. Officer Characteristics CIT Training Treatment Linkages Availability 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 Organizational factors Saturation Champion Community Characteristics Model of CIT Effectiveness (Watson, Morabito, Draine& Ottati)

  12. Studying CIT in Chicago…….and beyond • Evaluate effectiveness of CIT in Chicago • Test strategies for measuring key variables and outcomes • Provide groundwork for multi-site study of CIT in several cities • *work supported by NIMH R34 MH081558

  13. Partnerships • NAMI of Greater Chicago • Illinois Law Enforcement Training and Standards Board • Illinois Office of Mental Health • Cook County Circuit Court • Mental Health Service System • Office of Emergency Management and Communications • University of Illinois at Chicago • Illinois College of Psychology “

  14. The Pilot Program • 7th District (Englewood) 23rd District (Town Hall) • 40 officers and supervisors per District • 1 Sgt, 2 police officers per team • Measurement instruments FOR MORE INFO... Lt. Jeff Murphy, CIT Coordinator – jeffry.murphy@chicagopolice.org Sgt. Bill Lange, CIT Team Manager – william.lange@chicagopolice.org

  15. Mental Heath Court

  16. Since 1990’s Over 130 Courts Nationally Have Been Developed • Most are adult criminal courts • Have a separate docket dedicated to persons with mental illnesses • Divert criminal defendants from jail into treatment programs • Some courts monitor the defendants during treatment and have the ability to impose criminal sanctions for failure to comply

  17. The Cook County Model • Target population: • All voluntary admission to program • Works exclusively with MI felony offenders • 24 month probation • Four phases of treatment • State of Illinois Division of Mental Health open cases • Generally non-violent, non-sex offenders • Economically disadvantaged • Co-occurring substance use disorder

  18. Unique Program Features • Primary Focus: Community Case Management • Crisis Intervention Team (CIT) – Chicago Police Department • Clinical Emphasis-Multidisciplinary Team • Sanctions-based system that keeps the mentally ill offender (MIO) out of jail/prison and in community services • Open state mental health cases: services are paid through Medicaid • Focus on high-risk clients: felony probationers

  19. The Process as of Now(What we are finding reality to be) • The program individuals have: • Much more extensive criminal backgrounds(compared to a 7 year review of Cook County drug court participants) • Much more extensive psychiatric histories (including major Axis II Personality Disorders) • Few, if any, community resources with adequate funding to service the level of care needed

  20. Criminal Justice History of Program Participants at Admission

  21. Criminal Activity Pre- and Post-Admission

  22. In Custody Days and Costs Average Jail Costs Average Days in Custody

  23. Increase Public Safety For all 139 participants: 75% reduction in arrests 78% no felony arrests 91% no felony conviction Average days in custody went from 112 to 11.5 following a new arrest (annualized)

  24. Graduates For the first two graduating classes: 100% no felony arrests 100% no drug crime arrests 93% decrease in total convictions Average time in custody fell from 74 days to 3 hours (per year) Related costs from $9,559 to $14

  25. Recovery takes time It is not linear 1st 3-6 months crucial People who do well seem to turn a corner at around 12-15 months The 24 month probation time frame is short for probationers to accomplish all we want them to CJS has made significant adjustments (also from the drug court model) What we have learned about recovery

  26. How does the Mental Health Court Team evaluate probationers’ progress? • New arrests • Drug test results • Compliance with probation conditions, including engagement in treatment • Progress toward work and/or school • Attaining stable housing

  27. What does CIT have to do with all of this? • CIT officers are the “muscle” for the mental health court judges • CIT officers strive to serve MH Court warrants within 48 hours of issuance • CIT officers appear in MH Court to testify after warrant has been served • CIT officers call this “ongoing diversion”

  28. New Initiatives • HBT/SWAT • School Patrol/SVU Officer training • Advanced CIT Training Autism Suicide Mental Health Court Warrant Procedures Veteran PTSD/TBI/Justice Involved

  29. Chicago Police DepartmentCrisis Intervention Team Lt. Jeff Murphy - CIT Coordinator Education and Training Division jeffry.murphy@chicagopolice.org Suzanne M. Andriukaitis, M.A., LCSWExecutive DirectorNAMI Greater Chicago Email: namigc@aol.com