response in rural areas

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Elise Green MSW, Short Term Crisis Clinician, Research Fund Planner
8/10/2010 3:50pm

How can law enforcement agencies in rural areas better improve their response to people with mental illnesses?

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Louise Pyers advocate/ trainer/ mental health professional
8/10/2010 6:42pm

Sometimes it requires some creativity to implement CIT in rural areas. Many rural areas may be under the auspices of different law enforcement agencies. In Connecticut, some of our rural areas have towns with small police departments while neighboring areas may be under the jurisdiction of the State Police.
The local mental health authority can partner with several agencies at a time in rural areas. It may be more difficult to identify drop off centers in large rural areas, but the local mental health authority overseeing those areas can partner with police to create a response that helps the person with mental illness receive the services they need. It may require bringing a person to a hospital and notifying the mental health authority to follow up so the person doesn’t fall through the cracks of our fractured mental health system. In most cases a simple call to the local mental health authority can set the wheels in motion to provide immediate and long term services to the person without hospitalization.
CIT officers can also be trained on a regional basis along with the mental health partners they will be working with. This helps to initiate networking and relationship building. Because many of our departments are small, we train on a regional basis quite often. It also sets up opportunities for police departments to work together to help each other out in a “mutual aid” framework.
The beauty of CIT is that the core elements of the program can be implemented in a variety of settings with patience and creativity. They key is to bring all of your stakeholders to the table to come up with a plan that works.

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Jan Morris Court Administrator
8/12/2010 2:10pm

I think the key is mutual aid and collaboration. A jurisdiction must inventory and assess its current resources, then decide how service delivery can be optimized given those resources. Each agency must research available delivery models to find one that meets the needs of that jurisdiction. Then, through formal (MOU, MOA) or informal (use your professional contacts to arrange a telephone call/courtesy visit to the program agency) channels, the program agency can provide seed materials/protocols/training at no cost to the new agency. In my experience with different topics, other agencies have been more than willing to share their information. No need to re-invent the wheel, and given the limited (and shrinking) financial resources in today’s economy, this is both practical and cost-effective. This process also may provide the basis for a more comprehensive “fix” that can be identified, planned and developed while seeking additional funding.

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Bob Bennett
4/2/2011 2:09am

You may want to contact the Inyo County (California)Board of Mental Health on this subject. While it was about 15 years ago when I served as a member of that group, there was a pretty good process in place. Basically anyone suspected of having mental health problems which was cause for arrest, as well as anyone under the influence of drugs or alcohol was taken to the hospital. The decision as to file charges was typically put off until the next day. While this policy was put in place due to police arresting (and not handling very nicely) someone who turned out to be the major employer of the next county, police and MH were working well together. CIT is also a good option.

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Judie Chitwood
11/8/2011 5:01pm

I am a doctoral student looking for an assessment tool, survey, or questionnaire to send to 23 rural counties in Wyoming to collect information on how law enforcement is training and responding to the mentally ill. Any guidance? Thanks.

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Jennie Simpson Policy Analyst
CSG Justice Center
11/17/2011 4:09pm

I would recommend that you speak with Dr. Mark Munetz, Mr. Mike Woody and/or Dr. Amy Watson. They are all experts on law enforcement responses to individuals with mental illnesses (specifically CIT) and would be able to provide you with some suggestions.

Dr. Munetz is the Clinical Director at the Ohio Criminal Justice Coordinating Center of Excellence (CJ/CCoE). The center is funded by the Ohio Department of Mental Health to promote CIT programs throughout the state. Dr. Munetz would particularly be helpful around issues on rural areas and law enforcement agencies. His publicly available email is mmunetz@neomed.edu.

Mr. Mike Woody is President of CIT International and the former Director of Training for the Akron Police Department. He is one of foremost law enforcement experts on CIT. His email, also publicly available, is michael.s.woody@earthlink.net.

Dr. Amy Watson is Associate Professor with the Jane Adams College of Social Work, University of Illinois-Chicago. She has conducted extensive research on CIT, particularly with the Chicago Police Department. Her university email is acwatson@uic.edu.

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