Abstract

This exploratory study examined the impact of the Crisis Intervention Team (CIT) model on criminal/legal encounters and mental health treatment engagement for individuals who have repeated encounters with law enforcement (n = 53), comparing individuals with serious mental illness (SMI)-only to those with a co-occurring disorder. Law enforcement call reports, jail stays, and mental health treatment data were collected over three years from one Midwestern county where CIT was implemented. Cox regression hazard ratio results indicated the time to first mental health encounter after the implementation of CIT was quicker for those who were identified as having a co-occurring disorder. The next step in jail diversion involves training law enforcement on the identification and diversion of individuals with mental illness and co-occurring substance use disorder, along with creating more integrated systems of treatment.

摘要

这项探索性研究研究了危机干预团队（CIT）模式对反复遇到执法人员的犯罪/法律遭遇和心理健康治疗参与的影响（n = 53），将仅患有严重精神疾病（SMI）的患者与同时发生的疾病进行比较。在过去三年中，从实施CIT的中西部一个县收集了执法电话报告，监禁和心理健康治疗数据。Cox回归风险比结果表明，对于那些被确定为患有并发性疾病的人，实施CIT后达到第一次精神健康的时间更快。监狱改道的下一步包括对执法人员进行培训，以识别和转移患有精神疾病和共生物质使用障碍的人，以及建立更综合的治疗系统。