A Tale of Two Cities: Cops and Co-Responders CIT international Conference 2017 Ft. Lauderdale, Florida

Overview of Olathe, KS PD Population of 136,000 Suburban community in Johnson County Covers 61 square miles Responds to 40,000 CFS annually Completes approximately 20,000 reports 211 employees – 182 officers and 29 civilians Patrol Division is the largest with 75-80 officers RM/RQ

Overview of Kansas City, KS PD Population of 150,000 + Urban community in the heart of Kansas City Metro located in Wyandotte County Covers 129 square miles Responds to 141,000 CFS annually Completes approximately 20,000 reports 369 sworn personnel and 75 civilians Patrol Division is the largest with 134 officers RQ/RQ

Crime Statistics 2016 RQ/RM

CIT in Kansas Close to 1130 law enforcement officers, first responders and care providers have been trained throughout the state First council was in Johnson County with the first training in 2005 (Kansas Law Enforcement CIT Council) There are now Councils in Leavenworth Co, Wyandotte Co, Douglas Co, Saline Co and Shawnee Co RM/RM

CIT in Olathe, KS CIT program started in 2009 Initially trained 20% of officers in patrol division 33% of patrol officers are currently trained We are working on training all sworn personnel in Mental Health First Aid All recruits will be trained in MHFA at the Academy starting in August 2017 CIT Unit formed in 2015, includes 11 officers, a Sgt, a Capt and Co-responders RM/RQ

CIT in Kansas City, KS CIT started in Kansas City, Kansas in 2012 Initially, we trained the officers who volunteered for the program, typically around 25% In 2015, after several national incidents in which individuals suffering from a mental crisis were killed by police, the KCKPD decided to switch to a mandatory model of CIT training Currently 70% of KCKPD sworn personnel are CIT trained, as well as dispatch center personnel KCKPD has instituted Mental Health First Aid training for Police Recruits After 12-18 months as an officer they are then sent to CIT training RQ/RM

How Olathe PD did business before CIT If the citizen was not going to cause on-going issues we would HBO using any means to appease such as magic spray, carry ghosts outside, check for snakes in furniture, etc. No report taken. If the person was going to cause repeat CFS or be a danger to anyone, try to find PC for any in custody arrest and take them to jail. The mental health component not documented or addressed No HBO/no arrest, call JCMHC Crisis Line for phone assessment and transport to nearest ER for a face to face assessment RM/RQ

How KCK PD did business before CIT Respond to the call. If a crime was committed, make the arrest and book the person. In law enforcement this has become a national issue as the jail systems have become the community’s largest mental health facility. This holds true in Kansas City, Kansas. If a person was in a mental crisis the officer would play along to try and satisfy the person in hopes of moving to the next call. Examples Using their portable radio as a detector for aliens, bad guys, spying devices, etc Saying they spoke to the person that the citizens saw as a hallucination RQ/MR

What about the Mental Health Centers? Lack of understanding about police procedure and priorities Unrealistic expectations of officer response Miscommunication due to use of different lingo Fear of involving police in mental health crises Lack of collaboration between agencies Resulting in frustration, tension and lack of trust between law enforcement and mental health MR/KR

The Role of Community Mental Health Centers in Kansas Serves as the local mental health authority coordinating the delivery of publicly funded outpatient and community-based mental health services Serves as the communities “safety net” for mental health needs by providing services to all SPMI individuals needing services, regardless of their ability to pay, as mandated by the State Serves as the “gatekeeper” to the State hospital by assessing each individual prior to admission in an attempt to utilize community options whenever possible to provide the least restrictive environment to meet the individual’s needs KR/KR

Problem to Solve How can we prevent those whose primary issue is mental illness from entering the criminal justice system? In 2010 applied for the Criminal Justice and Mental Health Collaboration Program Grant Funded through the Bureau of Justice Assistance Grant was awarded in October 2010 Olathe PD was chosen for the project First Co-Responder in Kansas was hired in July 2011 KR/MR

Mental Health Co-Responders Bridge the gap between mental health and law enforcement Assist law enforcement with difficult mental health related calls Help prevent a situation from escalating into a crime and a citizen going to jail, when what they need is mental health treatment Identify and assist individuals and families that are in need of mental health services in the community Address suicide prevention MR/KR

CIT/Co-Responder Program Goals Reduce repeated calls for service to same individuals (20% decrease) Increase officer safety (CIT Training and info provided by CR) Reduce defensive actions toward citizens that exhibit mental health symptoms Reduce time officers spend in ER Enhance the level and availability of services provided in each community Provide the right intervention at the right time KR/MR

Co-Responder on the scene Provides mobile, community-based crisis intervention services to divert from unnecessary emergency room visits and jail bookings by providing crisis intervention and assessment in the least restrictive setting and in the least intensive manner Conducting a mental status exam Assessing the factors of a crisis; including psychiatric, substance use, social, familial, legal/court related and environmental factors Considering safety concerns and medication compliance Assessing behavior, current functioning at home, school and in the community Identification of professional and natural supports, strengths and coping skills MR/KR

Co-Responder will also… Link citizens/families with appropriate community resources Coordinate an intake for services with the MHC if needed Notify the treatment team for those who are current clients Conduct follow up/outreach with citizens/families following a police contact for mental health reasons with differences in Olathe and KCK protocols KR/KR

Olathe, KS Co-Responder Activity July 2011 – June 2017 Total Calls: 2148 KR/MR

Kansas City, KS Co-Responder Activity MR/KR

Olathe PD Outcomes KR/ALL

Benefits not reflected in the data Citizens gain Knowledge of resources available A point of contact for questions and concerns Increased trust in the MHC and law enforcement Community gains Decreased use of hospital ER for MH reasons Increased access for citizens with MH concerns Diversions from jail Law Enforcement Increased education/training about MH Increased awareness of resources available Improved collaborative responses to citizens in crisis Mental Health Center Increased awareness of how to interact with LEO Realistic expectations of collaborative efforts with LEO Increased ability to identify and intervene with citizens in need of MH services ALL/RQ

CIT Cops and Co-Responders Working Together Making our community better! Reduction of repeat Calls For Service Decreased response time for district units Freeing up manpower by providing a solution Connecting individuals to resources and services and having agencies follow up with these individuals Promoting officer and community safety utilizing collaboration, communication, and de-escalation skills Strengthening community trust and collaboration Growing and highlighting community partnerships through safe resolutions for all parties involved RQ/KR

Officer Response to Co-Responder Assistance for Olathe PD KR/MR

Officer Response to Co-Responder Assistance for KCK PD MR/RM

Looking to the future in Olathe Second part-time Co-Responder started July 17 Further increase Outreach efforts Expand CIT Unit to include more patrol officers Full time CIT officers paired with Co-Responders RM/RM

Words of wisdom “The Mental Health Co-Responder program has had a game changing impact on the quality of outcomes for those in crisis. The value added by co- responders is measurable and in many cases life changing.” Olathe Chief of Police, Steven Menke RM/RQ

Looking to the future in KCK Will have a full-time CIT officer August 2017 Hopes of adding a second co-responder Have our entire department CIT trained RQ/RQ

Words of wisdom "The CIT program is important to our Department’s community policing and de-escalation philosophy. We want to help our citizens get connected to the social services they need to live as normal of a life as possible. This helps reduce calls for service and keeps the entire community safe. It is hard to believe it has taken so long for a program like CIT to really gain momentum because it just makes sense. I never thought that the PD would have a mental health professional on staff, but we do and it is helping us.” KCK Chief of Police, Terry Zeigler RQ

Questions Ask anything and everything…. Just don’t expect us to have all the answers

Contact Information Major Rance Quinn, KCK PD 913-573-6192 Officer Rob McKeirnan, Olathe PD 913-971-6950 Mandy Rosenbaum, Wyandot Center 913-288-4230 Kimberly Rowlands, Johnson County Mental Health 913-927-7225 Kimberly Rowlands, Johnson County Mental Health