Canadian National Committee for Police/Mental Health Liaison

Working Together -- How?

There are a variety of ways in which the police and the mental health system can work together to manage first response situations—those situations in which the police are called to deal with an incident involving a person who appears to be mentally ill. Some case are clear cut—the person in question has committed a significant offence, or the person making the call knows what the disposition of the case should be and merely needs your assistance to make it happen. But often, it is not clear what the most desirable outcome is and the frontline officer could use some assistance in making an appropriate decision. How can the police and the mental health system work together? There are several models that have been employed. There is no evidence at this point that any one model works better than any other model. A variety of factors come into play—the size of the police service, the available mental health resources, the geographical area served, the previous training of officers, existing internal expertise, police service and mental health services commitment of time and money to this issue, the relative size of the problem, pre-existing hospital/police relationships….

There is no clear right answer. But there are options--options which can be used alone or in combination:

  • Comprehensive advanced response model–in which all police officers receive training related to working with individuals with mental illness. Thus there are no singular experts but all members have an increased level of knowledge and understanding and are expected to be able to handle most situations
  • Mental health professionals co-response model, in which case mental health professionals from another agency with whom the police would have some kind of working agreement would respond to a police call at the request of the police, generally after the police have responded and assessed the situation (although some agencies co-respond immediately) (ex: Montreal)
  • Mobile crisis team co-response models— models in which the police and the mental health workers are co-employed, sometimes by having mental health workers employed by police services and sometimes by having police officers seconded to community mental health agencies (ex: Toronto, Vancouver, Hamilton, Ottawa)
  • Crisis intervention team (CIT) –in which specially trained officers respond to problematic situations. These officers are assigned to other duties (such as traffic patrol) from which they may be pulled as needed (the “Memphis Model”)
  • Telephone consultation models--probably most effective in remote and rural areas where mental health resources are not readily available. Police have a toll free number to a mental health unit or hospital psychiatry floor which is staffed 24/7 and whom they may call whenever there is an incident to get advice and direction (ex: remote areas of British Columbia)
  • The “cross your fingers” method—in which mental health staff and police officers simply rely on the system to work and hope someone will be around/agreeable when a problem comes up. It works amazing well at times and in some places! (lots of places!!)