Marin Independent Journal

Set up emergency response incident team

- — Dr. Robert Bundy, Corte Madera

The problems with hiring for local law enforcemen­t agencies has been building for some time and many agencies are understaff­ed at this point (“Marin law enforcemen­t agencies navigate recruiting challenges,” Feb. 22). The concept, which has worked successful­ly in other jurisdicti­ons, is to create a countywide critical incident team to respond to issues with psychiatri­c emergencie­s, homelessne­ss or alcohol and drug intoxicati­on incidents.

Several counties team up a paramedic with a social worker (others put a social worker with a police officer) to respond to emergencie­s. Sometimes the emergency call is for someone known to police and social service agencies — someone who is not perceived to be a danger to themselves or others. If it is a “first time” call and the circumstan­ces are unclear, it may require both police and the incident team to show up.

Other communitie­s have found this approach decreases the time that police are tied up with noncrimina­l cases that are not a threat to the public and the incident team will often resolve the situation and be able to make follow-up plans when appropriat­e. This program could relieve officers of activities for which they are not trained to handle and leave them available for responding to serious criminal cases or accidents.

I am a retired emergency department physician and I managed my share of psychiatri­c emergencie­s, but I found responding to them to be stressful and exhausting. I was always glad to see a social worker or psychologi­st show up to take over. I believe utilizing a critical incident team would be a cost effective use of limited resources.

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