The Day

Public safety response for better policing

- Jeanne Milstein is the New London director of Human Services. By JEANNE MILSTEIN

What if you or a loved one experience­s a mental health challenge that might normally involve a call to the New London police?

What if, instead of strictly a police response, your call was met with a different kind of interventi­on — involvemen­t of a skilled mental health navigator, a person who will be there in an ongoing, holistic way?

This could be the new reality if New London succeeds in expanding our highly successful opioid navigator model to meet new challenges.

A recently released report by the Public Safety Policy Review Committee recommende­d increased funding to the Department of Human Services and that the New London Police Department expand its Crisis Interventi­on Team Training program and Mobile Outreach, both operated by the state Department of Mental Health and Addiction Services.

CIT educates police about mental health issues and helps police on calls involving individual­s with a mental health condition. While much progress has been made over the past 20 years, the goal is for the entire New London police force to be able to identify individual­s with mental health concerns and partner with social services and mental health staff, using their resources and support. Mobile Outreach often provides psychiatri­c emergency response and obviates the necessity for a police response.

The report found that, without appropriat­e levels of funding for “mental health care, affordable, high-quality health care, accessible housing, healthy food options, good paying jobs, quality education options,” the police will continue to be thrust into a role of addressing various social issues they can never be properly equipped to address.

People with a mental health condition are not necessaril­y more likely to be violent or prone to criminal behavior. Yet, as many as 40% of police calls are for incidents related to mental health. When someone is experienci­ng a mental health crisis, not a crime, their family, neighbors or friends often call 911 for help.

These are special challenges to police officers. Police are often called upon to interact with individual­s who are showing behaviors that are a danger to themselves or the public. Yet the person in crisis is often unable to respond appropriat­ely to officer instructio­ns.

The New London Human Services Department has had success in building community response models that relieve some of the pressure on our police officers and

Fire Department emergency responders. We are well positioned to integrate and expand New London’s respected crisis interventi­on team, mobile mental health outreach team, and successful Navigator program, which were created to battle the opioid crisis and to respond to incidents involving people in mental health crisis.

The Navigator program can be expanded, modified and applied to the myriad other situations involving mental health and other social crises that should not primarily require a police response. The successful CARES (Coordinate­d Access, Resources, Engagement and Support) model that has been implemente­d in New London for those suffering from opioid use disorder can be replicated as an interventi­on for other individual­s who have frequent contact with law enforcemen­t due to mental health issues or diminished mental capacity.

The CARES model is administer­ed by the Alliance for Living in partnershi­p with Ledge Light Health District, the City of New London, and many community providers. Experience has shown that, following police interventi­on, a simple referral to treatment is often inadequate. Individual­s may have multiple (often interconne­cted) challenges that are not effectivel­y addressed by any one treatment modality. One of the most important aspects of the CARES model is that the navigators, who themselves have experience­d substance use disorder, develop a trusting, caring and consistent relationsh­ip with the individual­s they serve, helping them get the treatment they need. This trust and engagement is essential.

An expanded interventi­on program in other police matters should be modeled after the Navigator program to develop relationsh­ips of trust with individual­s identified by law enforcemen­t. A navigator would develop a personaliz­ed treatment plan that uses a person’s existing support system with additional focus on contributi­ng factors, such as inadequate health care and/or housing. Navigators will collaborat­e with existing Mobile Crisis services and other community-based programs and providers.

City funding would be required. While the navigators would be hired and supervised by a nonprofit agency, the city’s Department of Human Services budget would need to be increased, including to help coordinate the program with police and state and community providers.

The work of the Public Safety Policy Review Committee provides the framework upon which to build a new public safety response system and improve both our police response and the quality of life for everyone in our city.

Newspapers in English

Newspapers from United States