1. Mental Health Crisis Team
Presented by : Jennifer Marshall, RSW
& Sgt. Kevin foley

2. Mental Health Crisis Team Overview
Consists of:
24-7 Mental Health Crisis Line
- Province Wide - Includes Gambling Line
-Voluntary , 365 Days a year
- Confidential
- No Referral Required
Mobile Crisis Response Team
- 9 am to 11pm Every Day, responds to mental health crisis in community

3. What is Mental Health Crisis?
“A mental health crisis can occur when a person’s usual coping strategies are overwhelmed, causing an intense emotional or behavioral reaction. Anyone can experience a mental health crisis; however individuals with mental illnesses are more prone to have these experiences- often with greater intensity”
Schizophrenia Society of Ontario

4. Our mental health can be affected by
Relationships with Family or Friends
Addiction Issues
Financial Difficulties
School or Work Stress
Grief or Loss
Abuse or Traumatic Events
Illness
Lack of Access to Treatments
Stress

5. Mobile Crisis Response Team
Started in 2010 on a part time basis (4 evenings per week – Wed-Sat)
Expanded in 2014 to 11am-11pm/ 7 days per week
Consists of professional crisis intervenors trained to assist people experiencing crisis
Can occur in home or community
Consists of RN, LPN & RSW

6. Mobile Crisis Response Team
Functions include:
-Assessment and Planning
-Crisis Support and Brief Counselling
-Environmental Interventions and Crisis Stabilization
-Review/Follow-up/Referral
-Monitoring and Evaluation
-Information, Advocacy and Consultation/Collaboration

7. Mobile Crisis Response Team
Target Populations for Intervention:
- People at risk of being detained under MHCTA
-People who are acutely ill and are unable or unwilling to use alternate emergency services
-People who are identified as frequent users of emergency mental health services
-People who experience crisis and/or life stressors that impacts their ability to cope

8. Mobile Crisis Response Team
Mobile Crisis will develop an intervention plan which takes into account the consumer’s immediate needs, strengths, and social support system.
Mobile Crisis will establish face-to-face contact as soon as possible. Services will be provided in the consumer's place of choice wherever possible.

9. Mobile Crisis Response Team
Mobile Crisis will provide short-term crisis support and counselling, risk assessment, de- escalation and safety planning.
Where possible, attempts will be made to de- escalate or resolve the crisis within one visit. Linking people to other supports and health care may need to be done the day following the visit.

10. 4 Expected Outcomes of Mobile Crisis
Reduce inpatient admissions and hospital emergency visits for people in crisis
Rapid stabilization and return to pre-crisis functioning
Establish linkages with community supports
Decrease police involvement in mental health emergencies

11. Mobile Crisis will extend to:
Holyrood
Bay Bulls
Portugal Cove
Torbay

12. 24/7 Crisis Line
In 2016 there were 12,864 calls to the crisis line (91 Gambling)
In 2017 there were 15,364 calls to the crisis line (103 Gambling)

13. Should the caller be disconnected , trace will go back to your line.
Call Trace
If the call did not originate from the callers line, but was instead transferred from another service, it is very difficult to trace.
If transferring a person to the crisis line, please stay on line to provide persons name/contact info
Should the caller be disconnected , trace will go back to your line.

14. Mobile Crisis Response Team
In 2016 there were 896 visits. 508 were with RNC
In 2017 there were 777 visits. 445 were with RNC
MCRT often works with RNC in community to respond to people in crisis

15. Last year there were 1900 work hours spent by police officers waiting in PAU with clients detained under MHCTA

16. A 2005 study by researchers at Northwestern University found that more than one-fourth of people with severe mental illnesses are the victims of violent crime each year. People with mental illness were 23 times more likely to be raped, 15 times more likely to be assaulted, eight times more likely to be robbed and were the victims of theft 140 times more often than those in the general population. Slayings committed by people who may suffer from mental illnesses certainly grab our attention. But a study published in The Lancet British medical journal said that people who experience mental illness are six times more likely to be murdered than are people in the general population.

17. Memphis Model
In March 2017, The all party Committee on Mental Health & Addictions released their report “Towards Recovery” and endorsed the collaborative approach of police and health in implementing this new model throughout the Province.

18. What is the Memphis Model?
Collaborative approach where police & mental health professionals work together
Includes a specialized mental health crisis intervention training course (CIT) for patrol officers – 40 hrs

19. What is the Memphis Model?
The first CIT was established in Memphis in 1988 after a tragic shooting by a police officer of a man with a serious mental illness. Memphis introduced the first CIT as a vital component to the community’s demand for safer first responder crisis services.
The Memphis crisis intervention team is an innovative police based first responder program that has become nationally known as the “Memphis Model”. This program provides law enforcement based crisis intervention training for helping individuals with mental illness.
Voluntary and based in the patrol division of the police departments.
The CIT concept is in place in Vancouver, Hamilton, Ottawa, Chatham-Kent and Halifax.

20. Key Components of Memphis Model:
Community collaboration between mental health providers, law enforcement and family & consumer advocates.
40 hour training program for officers that includes basic information about mental illness, how to recognize mental illness & information about the mental health system. Officers learn first hand from consumers about their experiences and engage in verbal de-escalation role plays.
Consumer involvement

21. One gauge of the importance of this training is a recent statistic from a CMHA study that indicates 30 per cent of individuals in a mental health crisis access treatment for the first time through the police.
-RCMP in Burnaby BC – Crisis Intervention Team (CIT)

22. Memphis Model: Two types
Co-Response Model
CIT Police Response

23. Mobile Crisis Teams partnered with Police CIT trained law enforcement
A combination of both these models provides the most comprehensive service for building capacity for a community response to mental illness (Study in Blue and Grey –BC CMHA- 2003)
Mobile Crisis Teams partnered with Police
Plus
CIT trained law enforcement
Equals
Improved Responses and Outcomes to People with Mental Illness in the Community

24. Goals:
To provide patrol officers with the skills and tools necessary to respond to mental health calls and to de-escalate crisis
To provide ongoing training to patrol and first responders
To establish partnerships with mental health services providers and consumers
To reduce the likelihood of physical confrontations/use of force and enhance patient care
To provide community based mental health assessment and intervention in clients own environment, at the time of the crisis, where the crisis is happening
To prevent unnecessary presentations to hospital and/or detentions

25. Co-response model
Two teams: one mental health clinician and one CIT trained RNC 9am-11pm daily
CIT course completed
Plain clothed
Unmarked vehicles
Ongoing training to be provided to patrol
This model can be implemented and modified to meet the needs of various communities/resources available (urban vs rural)
Future plans to implement locally and throughout the Province

26. Mental Health Crisis Line Toll Free Gambling Addiction Help Line HELP (4357)

27. QUESTIONS???