A Novel Police-Mental Health Linkage System to Promote Pre-Booking Jail Diversion

新型警察心理健康联动系统，促进预约监狱转移

基本信息

批准号：
8584088
负责人：
MICHAEL T COMPTON
金额：
$ 9.96万
依托单位：
GEORGE WASHINGTON UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2013
资助国家：
美国
起止时间：
2013-09-19 至 2014-01-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8584088
关键词：
Access to Information Address Administrator Behavior Books Caring Cities Collaborations Communication Communities Consent County Crime Criminal Justice Crisis Intervention Data Databases Decision Making Disclosure Disease Effectiveness Electronics Enrollment Focus Groups Future Goals Grant Health Personnel Health Services Health Status Health system Hour Housing Human Imprisonment Individual Information Centers Information Systems Intercept Intervention Interview Investigation Jail Lead Light Manuals Medical Mental Health Mental Health Services Minor Modeling Names Notification Output Participant Patients Perception Persons Police Police officer Preparation Prisons Procedures Professional Role Protocols documentation Public Health Recording of previous events Recovery Registries Research Resolution Resources Running Sample Size Sampling Services Site Specialist Study models System Telephone Testing Thinking Training Translating Violence Work base behavioral health cost design disability effectiveness trial evidence base improved innovation interest laptop metropolitan novel prevent primary outcome programs public health relevance secondary outcome severe mental illness

项目摘要

DESCRIPTION (provided by applicant): The widespread division between mental health and criminal justice systems leads to many persons with serious mental illnesses being arrested and incarcerated when mental health treatment would be more appropriate. The "criminalization" of such individuals is an extensively documented problem across the U.S. As illustrated by the Sequential Intercept Model, the most effective point of intervention within the criminal justice system to prevent unnecessary arrest and incarceration is the initial encounter between an officer and a person with a serious mental illness, which is the first step in criminal justice involvement. This R34 project seeks to implement a trial of a new police-mental health linkage system and to test its feasibility and acceptability among end-users. Our new linkage system will consist of three steps. First, some individuals who have a serious mental illness and a history of criminal justice involvement will give special consent to allow a brief disclosure of their mental health status to be included as part of a registry in the state's criminal justice information system. Second, when an officer runs an enrolled participant's name or identifiers as part of a routine background check during an encounter, the officer will receive an electronic message that the person has special mental health considerations, and to call a 1-800 number for more information that will connect to our Linkage Specialist. Lastly, the Linkage Specialist, who will b a certified mental health provider, will assist the officer by thinking through observed behaviors and potential resolutions with the officer. We expect that in some cases where an arrest is not obligatory, the officer will then choose to refer to or transport to mental health services instead of making an arrest because of the information provided by our straight-forward, low- cost system. Three overarching aims will guide this pilot intervention project. In Aim A, we will implement a demonstration of the police-mental health linkage system in order to operationalize procedures and develop the protocol manual (for a larger study) through collaboration with three key partners, the Georgia Bureau of Investigation (which maintains Georgia's criminal justice database/information system), the Savannah- Chatham Metropolitan Police Department, and the local community mental health agency, Gateway Behavioral Health Services. In Aim B, we will assess all key stakeholder groups' perceptions of acceptability through focus groups conducted with patients, patrol officers, police department leaders, and mental health services program managers. In Aim C, we will demonstrate feasibility and estimate effect size and other parameters to prepare for a larger-scale study. Feasibility will be examined among 200 participants with a serious mental illness and a criminal justice history. Their number of arrests during the 1-year intervention will be compared to the prior year, and we will assess the how many calls result in arrest versus mental health service linkage. To examine how the linkage system worked and the ways it impacts decision-making, we will also conduct individual interviews with officers who make use of the system, and the Linkage Specialists who take their calls.

描述（由申请人提供）：心理健康与刑事司法系统之间的广泛分裂导致许多患有严重精神疾病的人在精神健康治疗更合适时被捕和监禁。此类人的“犯罪”是整个美国的广泛记录的问题，如顺序拦截模型所示，这是刑事司法系统内最有效的干预点，以防止不必要的逮捕和监禁，这是一名官员与患有严重精神疾病的人之间的初步相遇，这是刑事司法涉及的第一步。该R34项目旨在实施新的警察健康联系系统的试验，并测试其最终用户的可行性和可接受性。我们的新链接系统将包括三个步骤。首先，一些患有严重精神疾病和刑事司法参与史的人将特别同意，允许将其心理健康状况简要介绍为该州刑事司法信息系统的注册中心的一部分。其次，当官员在遭遇期间作为常规背景调查的一部分运行注册参与者的姓名或标识符时，该官员将收到一条电子信息，该信息将其具有特殊的心理健康考虑，并致电1-800号码以获取更多信息，以联系我们的链接专家。最后，连接专家（将成为认证的心理健康提供者）将通过观察到的行为和潜在的决议来协助该官员。我们希望在某些情况下，如果逮捕没有强制性，那么官员将选择参考或运输到心理健康服务由于我们直率，低成本系统提供的信息而被捕。三个总体目标将指导该试点干预项目。 In Aim A, we will implement a demonstration of the police-mental health linkage system in order to operationalize procedures and develop the protocol manual (for a larger study) through collaboration with three key partners, the Georgia Bureau of Investigation (which maintains Georgia's criminal justice database/information system), the Savannah- Chatham Metropolitan Police Department, and the local community mental health agency, Gateway Behavioral Health Services.在AIM B中，我们将通过与患者，巡逻人员，警察局领导者和心理健康服务计划经理进行的焦点小组来评估所有主要利益相关者团体对可接受性的看法。在AIM C中，我们将展示可行性和估计效果大小和其他参数，以准备大规模研究。在200名患有严重精神疾病和刑事司法史的参与者中将检查可行性。他们在1年干预期间的逮捕数量将与上一年进行比较，我们将评估导致逮捕与精神卫生服务联系的多少电话。为了研究链接系统的工作方式及其影响决策的方式，我们还将与使用该系统的官员以及接听电话的连锁专家进行个人访谈。