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：
8737314
负责人：
MICHAEL T COMPTON
金额：
$ 33.43万
依托单位：
FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH
依托单位国家：
美国
项目类别：
财政年份：
2014
资助国家：
美国
起止时间：
2014-01-29 至 2016-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8737314
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）：精神健康和刑事司法系统之间的广泛分歧导致许多患有严重精神疾病的人在精神健康治疗更合适的时候被逮捕和监禁。对此类个人的“刑事定罪”是美国各地广泛记录的问题。正如顺序拦截模型所示，刑事司法系统内防止不必要的逮捕和监禁的最有效干预点是警官和个人之间的初次接触患有严重的精神疾病，这是参与刑事司法的第一步。该 R34 项目旨在对新的警察-心理健康联动系统进行试验，并测试其可行性和最终用户的可接受性。我们的新联动系统将包括三个步骤。首先，一些患有严重精神疾病且有刑事司法参与史的个人将给予特别同意，允许简要披露其精神健康状况，并将其作为国家刑事司法信息系统登记的一部分。其次，当工作人员在一次遭遇中作为例行背景调查的一部分运行登记参与者的姓名或标识符时，工作人员将收到一条电子消息，表明该人有特殊的心理健康考虑，并拨打 1-800 号码以获取更多信息这将连接到我们的联动专家。最后，联动专家是经过认证的心理健康提供者，他将通过与警官一起思考观察到的行为和潜在的解决方案来协助警官。我们预计，在某些情况下，逮捕不是强制性的，警官会选择转介或送往精神卫生服务机构由于我们直接、低成本的系统提供的信息而进行逮捕。三个总体目标将指导这一试点干预项目。在目标 A 中，我们将实施警察与心理健康联系系统的示范，以便通过与三个关键合作伙伴、佐治亚州调查局（负责维持佐治亚州刑事案件）的合作，实施程序并制定协议手册（用于更大规模的研究）。司法数据库/信息系统）、萨凡纳-查塔姆大都会警察局和当地社区心理健康机构 Gateway 行为健康服务。在目标 B 中，我们将通过与患者、巡逻人员、警察部门领导和心理健康服务项目经理进行的焦点小组讨论，评估所有主要利益相关者群体对可接受性的看法。在目标 C 中，我们将论证可行性并估计效应大小和其他参数，为更大规模的研究做好准备。可行性将在 200 名患有严重精神疾病和有刑事司法历史的参与者中进行检验。他们在一年的干预期间被捕的人数将与前一年进行比较，我们将评估导致逮捕的电话数量与心理健康服务联系的数量。为了研究联动系统如何运作及其影响决策的方式，我们还将对使用该系统的官员以及接听电话的联动专家进行单独访谈。