1. Chicago Police Department University of Illinois at Chicago
Responding When Resources Contract: The Chicago Crisis Intervention Team Collaboration
Officer Kurt Gawrisch
Chicago Police Department
Amy Watson, PhD
University of Illinois at Chicago

2. Overview CIT in Chicago- Advanced CIT Contracting Resources
History and model
Findings to date
Advanced CIT
CIT-Youth
CIT-Veterans
Contracting Resources
The Chicago Crisis Intervention Collaboration
Identifying and addressing system gaps
Ongoing expansion of CIT capacity

3. CIT in Chicago
Training developed in collaboration with community providers & advocates & stakeholders
Began in 2 pilot districts in 2004-
30-40 officers/supervisors per district
Citywide (all 22 districts) implementation began 2006
To date, 1700 officers trained in basic CIT (~1,000 in districts currently)

4. Involving people in recovery in the training process: Collaboration with the Thresholds Theatre Arts Program& NAMI-GC

5. Findings to Date
Testing a systems level intervention to improve police response to persons with mental illness: CIT in Chicago
2008 NIMH funded Study of CIT in 4 Chicago police districts
CIT trained officers directed 18% more call subjects to MH services than non CIT peers
Linkage more likely in districts with more MH services
CIT officers used less force at higher levels of resistance
Current study examining CIT and MH service access in all 22 districts

6. Advanced CIT-Youth
In 2009, CPD and NAMI-GC collaborated to develop an advanced training course addressing mental illness among the youth population
In 2010, the Illinois Criminal Justice Information Authority (ICJIA) provided NAMI-GC with funding to implement the Crisis Intervention Team for Youth (CIT-Y) program within the Chicago Police Department (CPD). This was the FIRST CIT-Y program in the country
CIT-Y training goals
Advance officer knowledge of youth mental illness.
Decrease the likelihood that violent interactions will occur when law enforcement officers respond to crises involving youth with mental illnesses.
Reduce the number of mentally ill youth involved in the juvenile justice system.

7. Advanced CIT-Youth (CIT-Y)
Evaluation ongoing by ICJIA (R.Skorek)
Focus Groups and Surveys suggest-
Overall, participants were very satisfied with the CIT-Y training content and delivery.
Officers reported applying CIT-Y techniques in their work, particularly within schools and housing developments
Barriers to practicing CIT-Y identified

8. CIT-Y Case Management Program
Partnerships between NAMI-GC and local Social Work and Psychology programs
Outreach to youth and families referred by CIT-Y officers
Linkage and case management

9. Advanced CIT Veterans
In 2009, CPD collaborated with the Veteran’s Reintegration Initiative (VRI) in Illinois to develop an advance training addressing Veteran’s issues.
Illinois Department of Human Services
Illinois Department of Corrections
Cook County and Rock Island County Mental Health Courts and Probation
Community Mental Health Providers
Veteran’s Administration
Funded by grant awarded by the Substance Abuse & Mental Health Services Administration (SAMSHA) to the Illinois Department of Human Services which funded VRI.
Training Emphasis
Street level diversions
Recognition of signs and symptoms of disorders common to veterans
Information and transportation to mental health resources

10. Contracting Resources
Ongoing cuts to mental health service budgets-transition to fee for service billing and cuts to funds for persons not receiving Medicaid or other coverage
Closure of 6 o12 City of Chicago Mental Health clinics in 2011
Closure of Community Mental Health Council clinics serving the south side of the city
Growing need

11. Chicago drop off sites and MH providers

12. The Chicago Crisis Intervention Collaboration: CCIC
Initial Collaboration on BJA expansion grant
Expands and re-invigorates cross system partnerships and problem solving
Identification of gaps-effective linkage to services following CIT encounter

13. CCIC Pilot linkage project
Pilot two police districts; 19 and 24
Expand collaboration with Thresholds and IL Masonic Medical Center Emergency Room
3 of 4 police referrals (voluntary/involuntary) are not admitted to the inpatient psychiatric unit and release without linkage to treatment
Thresholds will provide direct service or will make referrals, regardless of the ability to pay
Designate a 24 hour Hotline number used by Illinois Masonic ER / CPD and voluntary consent form
Create Intake & Assessment Specialist (LCSW) responsible for linkage to community resources

14. Discussion & Questions

15. Thank you For more information-
Officer Kurt Gawrisch Chicago Police Department
Amy C Watson, PhD University of Illinois at Chicago