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Chicago Police Crisis Intervention Team. NAMI of Greater Chicago. Chicago Police Crisis Intervention Team Program goals. Enhance outcomes Officer safety De-escalation Diversion Crisis prevention. Chicago Police Crisis Intervention Team Program goals. Identify Mental Health calls

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chicago police crisis intervention team program goals
Chicago PoliceCrisis Intervention TeamProgram goals
  • Enhance outcomes
  • Officer safety
  • De-escalation
  • Diversion
  • Crisis prevention
chicago police crisis intervention team program goals3
Chicago PoliceCrisis Intervention TeamProgram goals
  • Identify Mental Health calls
  • Quantify Mental Health calls
  • Identify best practice methods
training
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
training5
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
training6
Training
  • Consumer/Family Panel 3 hours
  • Community Resource Panel 3 hours
  • Mental Health Court Panel 1 hour
  • CIT Role-play 8hours
measurements
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
a rapidly diffusing intervention
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)
measurements9
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
cit is more than just training
“CIT is more than just training”

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

slide11

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)

studying cit in chicago and beyond
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
partnerships
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

the pilot program
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

since 1990 s over 130 courts nationally have been developed
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
the cook county model
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
unique program features
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
the process as of now what we are finding reality to be
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
in custody days and costs
In Custody Days and Costs

Average Jail Costs

Average Days in Custody

increase public safety

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)

graduates

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

what we have learned about recovery
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
how does the mental health court team evaluate probationers progress
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
what does cit have to do with all of this
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”
new initiatives
New Initiatives
  • HBT/SWAT
  • School Patrol/SVU Officer training
  • Advanced CIT Training

Autism

Suicide

Mental Health Court Warrant Procedures

Veteran PTSD/TBI/Justice Involved

chicago police department crisis intervention team

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