Abstract
In 2014, the Washington State Criminal Justice Training Commission (WSCJTC) shifted from a paramilitary “warrior”-style training to a guardian model focused on community participation, social justice, procedural justice, and de-escalation and crisis intervention skills. The current study examines the effects of crisis intervention team (CIT) training components in the WSCJTC guardian curricula. A quasi-experimental pre-/post-survey design was employed comparing responses from a sample of 139 WSCJTC Basic Law Enforcement Academy (BLEA) recruits who completed BLEA in 2015 with two comparison groups—(1) 296 BLEA graduates who completed training prior to implementation of the guardian training who had no prior CIT training and (2) 851 BLEA graduates who completed training prior to implementation of the guardian training who had prior CIT training. Additionally, the study examined the effects of a WSCJTC’s 40-hour CIT training through a pre-/post-survey of 78 law enforcement personnel who completed the voluntary 40-hour CIT in-service training. Significant training effects were observed for the 8-hour and 40-hour CIT training programs. Results offer support for continued implementation of the 8-hour CIT training component in BLEA and the 40-hour CIT training. Implications for continued improvements to law enforcement training are discussed.
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Notes
The acronym “CIT” is used in the literature to refer to both crisis intervention team and crisis intervention training. The original CIT model was based on crisis intervention “teams.” However, in recent years, the CIT model has been implemented in law enforcement agencies to focus more broadly on crisis intervention training of all law enforcement personnel.
We use the term “individuals in behavioral crisis” throughout this paper, reflecting a broad view of individuals experiencing behavioral crisis resulting from conditions such as substance abuse and other conditions such as Alzheimer’s and dementia, in addition to mental illness.
The original Memphis Model focused on the voluntary nature of CIT training emphasizing that officers volunteer to complete the 40-hour training.
WSCJTC’s shift to a guardian paradigm began in January 2013, but was not complete until the Blue Courage© program was fully implemented into the curriculum in July 2014. Additional elements have been added and/or adapted since that time.
Diagnostics indicated that the pattern of correlations between CIT Support items was sufficient to yield reliable factors (KMO = .80, Bartlett’s Test = 3168.6, df = 15, p < .000). The results of a principal components analysis (PCA) suggested the presence of a single underlying factor, with the largest drop in eigenvalues between the first and second components to below 1.0. Cronbach’s alpha for the full scale was equal to .88, and specific item removal would yield no improvement in reliability.
Not all WSCJTC CIT training objectives were captured in the CIT scenarios included in the survey instrument. Items specific to fetal alcohol syndrome and bipolar disorder were not included due to concerns related to survey length
See Helfgott et al. (2018) for qualitative findings on staff response to the survey and their perspective on the guardian training shift at WSCJTC.
The authors acknowledge the potential for artificial upward pressure within the pre- survey responses, as the survey instrument was administered following strenuous physical exertion and the understanding that the cadet would be entering the academy.
The post survey was administered at a point where the recruits had completed all coursework and knew they would be graduating. Artificial upward pressure was also acknowledged for this point in survey administration, though it was deemed roughly equivalent to pre-survey effects.
Note: Although we were unable to match the data completely between pre and post BLEA and CIT due to sample attrition and incomplete identifying information, a majority of the data was able to be matched using slightly smaller samples (BLEA = 137, CIT = 73). No significant differences were observed between the original and paired samples with respect to age, race, gender, current rank, years in law enforcement, and education level.
Scenarios 4–6 were only administered to the 40-hour in-service CIT group in pre/post surveys.
Several law enforcement agencies, including the Seattle Police Department, have implemented data collection practices that capture detailed elements of police-citizen interactions in behavioral crisis incidents (See Helfgott et al. (2015) for a description of the Seattle Police Department’s CIT data collection plan). This data offers a rich source of information for detailed analysis of officer response to behavioral crisis incidents.
References
Adelman, J. (2003). Study in blue and grey, Police interventions with people with mental illness: a review of challenges and responses. Retrieved from http://www.cmha.bc.ca/files/policereport.pdf
Bahora M, Hanafi S, Chien VH, Compton MT (2008) Preliminary evidence of effects of crisis intervention team training on self-efficacy and social distance. Adm Policy Ment Health Ment Health Serv Res 35(3):159–167. https://doi.org/10.1007/s10488-007-0153-8
Balko R (2013) Rise of the warrior cop: the militarization of America's police forces. Public Affairs, New York
Broussard B, Krishan S, Hankerson-Dyson D, Husbands L, Stewart-Hutto T, Compton M.T. (2011). Development and initial reliability and validity of four self-report measures used in research on interactions between police officers and individuals with mental illnesses. Psychiatr Res 189(3):458–462. https://doi.org/10.1016/j.psychres.2011.06.017
Buchanan L, Bui Q, Patel JK (2020) Black lives matter may be the largest movement in U.S. History The New York Times Retrieved from https://www.nytimes.com/interactive/2020/07/03/us/george-floyd-protests-crowd-size.html
Canada KE, Angell B, Watson AC (2010) Crisis intervention teams in Chicago: successes on the ground. Journal of Police Crisis Negotiations 10(1–2):86–100. https://doi.org/10.1080/15332581003792070
Clear TR, Hamilton JR Jr, Cadora E (2010) Community Justice. Routledge, Abingdon
Compton MT, Chien VH (2008) Factors related to knowledge retention after crisis intervention team training for police officers. Psychiatr Serv 59(9):1049–1051. https://doi.org/10.1176/ps.2008.59.9.1049
Compton MT, Esterberg ML, McGee R, Kotwicki RJ, Oliva JR (2006) Crisis intervention team training: changes in knowledge, attitudes, and stigma related to schizophrenia. Psychiatr Serv 57(8):1199–1202. https://doi.org/10.1176/appi.ps.57.8.1199
Compton MT, Bahora M, Watson A, Oliva J (2008) A comprehensive review of extant research on crisis intervention team (CIT) programs. Journal of the American Academy of Psychiatry and Law 36:47–55
Compton MT, Demir Neubert BN, Broussard B, McGriff JA, Morgan R, Oliva JR (2009) Use of force preferences and perceived effectiveness of actions among crisis intervention team (CIT) police officers and non-CIT officers in an escalating psychiatric crisis involving a subject with schizophrenia. Schizophr Bull 37(4):737–745. https://doi.org/10.1093/schbul/sbp146
Compton MT, Broussard B, Hankerson-Dyson D, Krishan S, Stewart T, Oliva JR, Watson A (2010) System- and policy-level challenges to full implementation of the crisis intervention team (CIT) model. The Journal of Crisis Negotiation 10(1–2):72–85. https://doi.org/10.1080/15332581003757347
Compton MT, Demir NBN, Broussard B, McGriff JA, Morgan R, Oliva JR (2011) Use of force preferences and perceived effectiveness of actions among crisis intervention team (CIT) police officers and non-CIT officers in an escalating psychiatric crisis involving a subject with schizophrenia. Schizophr Bull 37:737–745. https://doi.org/10.1093/schbul/sbp146
Compton MT, Bakeman R, Broussard B, Hankerson-Dyson D, Husbands L, Krishan S, Stewart-Hutto T, D’Orio BM, Oliva JR, Thompson NJ, Watson A (2014a) The police-based crisis intervention team (CIT) model: I. effects on officers’ knowledge, attitudes, and skills. Psychiatr Serv 65(4):517–522. https://doi.org/10.1176/appi.ps.201300107
Compton MT, Bakeman R, Broussard B, Hankerson-Dyson D, Husbands L, Krishan S, Watson AC (2014b) The police-based crisis intervention team (CIT) model: II. Effects on level of force and resolution, referral, and arrest. Psychiatr Serv 65(4):523–529. https://doi.org/10.1176/appi.ps.201300108
Cordner, G. (2006). People with mental illness: problem-oriented guides for police (Problem-Specific Guides Series, 40). Washington, DC: U.S. Department of Justice, Office of COP Services
Deane MW, Steadman HJ, Borum R, Veysey BM, Morrissey J (1999) Emerging partnerships between mental health and law enforcement. Psychiatr Serv 50:99–101. https://doi.org/10.1176/ps.50.1.99
Demir B, Broussard B, Goulding SM, Compton MT (2009) Beliefs about causes of schizophrenia among police officers before and after crisis intervention team training. Community Ment Health J 45(5):385–392. https://doi.org/10.1007/s10597-009-9194-7
Douglas AV, Lurigio AJ (2014) Juvenile crisis intervention teams (CITs): a qualitative description of current programmes. Police Journal: Theory, Research, Practice, and Principles 87(2):114–125. https://doi.org/10.1350/pojo.2014.87.2.534
Dupont, R., Cochran, S., & Pillsbury, S. (2007) Crisis intervention team core elements. Unpublished report. Department of Criminology and Criminal Justice, Memphis, TN: University of Memphis School of Urban Affairs and Public Policy
Ellis HA (2014) Effects of a crisis intervention team (CIT) training program upon police officers before and after crisis intervention team training. Arch Psychiatr Nurs 28(1):10–16. https://doi.org/10.1016/j.apnu.2013.10.003
Flynn D, van Schaik P, van Wersch A (2004) A comparison of multi-item Likert and visual analogue scales for the assessment of transactionally defined coping function. Eur J Psychol Assess 20(1):49–58. https://doi.org/10.1027/1015-5759.20.1.49
Forman J (2004) Community policing and youth as assets. The Journal of Criminal Law and Criminology 95(1):1–48
Franz S, Borum R (2011) Crisis intervention teams may prevent arrests of people with mental illnesses. Police Practice & Research 12:265–272. https://doi.org/10.1080/15614263.2010.497664
Fuller, D.A., Lamb, H.R., Biasotti, M., & Snook, J. (2015). Overlooked in the undercounted: the role of mental illness in fatal law enforcement encounters. Treatment advocacy center. Retrieved from https://www.treatmentadvocacycenter.org/storage/documents/overlooked-in-the-undercounted.pdf
Funke F (2008) Interval-level measurement with visual analogue scales in Internet-based research: VAS Generator. Behav Res Methods 40(3):699–704. https://doi.org/10.3758/brm.40.3.699
Green TM (1997) Police as frontline mental health workers: the decision to arrest or refer to mental health agencies. Int J Law Psychiatry 20:469–486. https://doi.org/10.1016/s0160-2527(97)00011-3
Guyatt GH, Townsend M, Berman LB, Keller JL (1987) A comparison of Likert and visual analogue scales for measuring change in function. J Chronic Dis 40(12):1129–1133. https://doi.org/10.1016/0021-9681(87)90080-4
Hafner MR (2003) Changing organizational culture to adapt to a community policing philosophy. FBI Law. Enforcement Bulletin 72:6–11
Hatfield RE (2014) Training law enforcement in mental health: a broad-based model. https://bja.ojp.gov/sites/g/files/xyckuh186/files/media/document/Training%20Law%20Enforcement%20in%20Mental%20Health_%20A%20Broad-Based%20Model.pdf. Marshall Digital Scholar
Helfgott JB, Hickman MJ, Labossiere AP (2016) A descriptive evaluation of the Seattle Police Department's crisis response team officer/mental health professional partnership pilot program. Int J Law Psychiatr 44:109–122. https://doi.org/10.1016/j.ijlp.2015.08.038
Helfgott JB, Hickman MJ, Malterud EM (2017) The effect of guardian-focused training for law enforcement officers – phase 2 longitudinal continuation. Retrieved from https://www.seattleu.edu/media/college-of-arts-and-sciences/departments/criminaljustice/documents/Helfgott-et-al-2017_WSCJTC-Effectof-Guardian-Focused-Training_FINAL-REPORT.pdf
Helfgott JB, Parkin WS, Fisher C (2019a) Crisis-flagged misdemeanors in Seattle: arrests, referrals, charges, and case dispositions. Criminology, Criminal Justice, Law & Society 20(2):59–85
Helfgott JB. Hickman MJ (2019b) The effect of guardian-focused training for law enforcement officers – Phase 3 Longitudinal Continuation. Retrieved from https://www.seattleu.edu/media/college-of-arts-and-sciences/departments/criminaljustice/crimeandjusticeresearchcenter/documents/Helfgott-and-Hickman-2019_Longitudinal-Continuation-The-Effect-of-Guardian-Focused-Training-for-LE.pdf
Helfgott JB, Atherley L, Pollock J, Vinson J, Strah B, Neidhart E, Conn-Johnson C, Hickman M, Wood N (2015) Evaluation of the Washington State Criminal Justice Training Commission’s “Warriors to Guardians” Cultural Shift and Crisis Intervention (CIT) Training – phase 1 pilot study. Retrieved https://www.seattleu.edu/media/college-of-arts-and-sciences/departments/criminaljustice/documents/Helfgott-et-al_WSCJTC-Evaluation_FINALREPORT_WEB.docx8789.pdf
Helfgott JB, Strah BM, Pollock J, Atherley LT, Vinson J (2018) A qualitative approach to understanding guardian models of policing. Journal of Qualitative Criminal Justice and Criminology 6(1):93–120
Hopes, V. (2011). Abbotsford police mark one year since mental health unit began. Abbotsford News. Retrieved on March 05, 2012 from http://www.abbynews.com/news/134457953.html
King S (2011) The impact of crisis intervention team training on law enforcement officers: an evaluation of self-efficacy and attitudes toward people with mental illness. Auburn University Electronic Theses and Dissertations. https://etd.auburn.edu/handle/10415/2580
Kraska PB (2007) Militarization and policing—its relevance to 21st century police. Policing 1(4):501–513. https://doi.org/10.1093/police/pam065
Kraska PB, Kappeler VE (1997) Militarizing American police: the rise and normalization of paramilitary units. Soc Probl 44(1):1–18 https://www.jstor.org/stable/3096870
Lamb HR, Weinberger LE, Gross BH (2004) Mentally ill persons in the criminal justice system: some perspectives. Crim Justice Policy Rev 11:312–328. https://doi.org/10.1023/b:psaq.0000019753.63627.2c
Levin, S. (2020). Movement to defund police gains 'unprecedented' support across US. The Guardian. Retrieved from https://www.theguardian.com/us-news/2020/jun/04/defund-the-police-us-george-floyd-budgets
Livingston JD (2016) Contact between police and people with mental disorders: a review of rates. Psychiatr Serv 67(8):850–857. https://doi.org/10.1176/appi.ps.201500312
Lurigio AJ (2000) Persons with serious mental illness in the criminal justice system: background, prevalence, and principles of care. Crim Justice Policy Rev 11:312–328. https://doi.org/10.1177/0887403400011004003
Lurigio AJ, Smith A, Harris A (2008) The challenge of responding to people with mental illness: police officer training and special programmes. Police Journal 81:295–322. https://doi.org/10.1350/pojo.2008.81.4.431
Marso, A. (2016). Washington State takes lead on police mental health training. Kansas Health Institute. Retrieved from https://www.khi.org/news/article/washington-state-takes-lead-on-police-mental-health-training
Morabito MS, Savage J, Sneider L, Wallace K (2018) Police response to people with mental illnesses in a major U.S. city: the Boston experience with the co-responder model. Vict Offenders 13(8):1093–1105. https://doi.org/10.1080/15564886.2018.1514340
Neidhart E (2013) Crisis intervention and police interactions with individuals with mental illness. In: Helfgott JB (ed) Criminal Psychology, vol 3. Santa Barbara, Praeger/ABC/CLIO, pp 139–168
Nolan BAD, Blandford A, Kirin D (2012) Evaluation of Allegheny County’s crisis intervention team training program. Pittsburgh, PA: Allegheny County Department of Human Services. Retrieved from https://www.alleghenycountyanalytics.us/wp-content/uploads/2015/12/Evaluation-of-Allegheny-County%E2%80%99s-Crisis-Intervention-Team-Training-Program.pdf
Parent R (2007) Crisis intervention: the police response to vulnerable individuals. Police Journal 80:109–116. https://doi.org/10.1350/pojo.2007.80.2.109
Perez A, Leifman S, Estrada A (2003) Reversing the criminalization of mental illness. Crime Delinq 49:62–78. https://doi.org/10.1177/0011128702239236
President’s Task Force on 21st Century Policing (2015) Final report of the President’s Task Force on 21st Century Policing. Office of Community Oriented Policing Services, Washington, DC
Rahr, S. & Rice, S.K. (2015). From warriors to guardians: recommitting American police culture to democratic ideals. New Perspectives in Policing Bulletin. Washington, D.C.: U.S. Department of Justice, National Institute of Justice, NCJ 248654. Retrieved from https://www.ncjrs.gov/pdffiles1/nij/248654.pdf
Reuland, M. M., & Schwarzfeld, M. (2008). Improving responses to people with mental illnesses: strategies for effective law enforcement training. Justice Center, the Council of State Governments
Reuland M, Schwarzfeld M, Draper L (2009) Law enforcement responses to people with mental illnesses: a guide to research-informed policy and practice. Council of State Governments Justice Center, New York
Reuland M, Draper L, Norton B (2010) Improving responses to people with mental illnesses: tailoring law enforcement initiatives to individual jurisdictions. Council of State Governments Justice Center, New York
Ritter C, Teller JL, Munetz MR, Bonfine N (2010) Crisis intervention team (CIT) training: selection effects and long-term changes in perceptions of mental illness and community preparedness. Journal of Police Crisis Negotiations 10(1–2):133–152. https://doi.org/10.1080/15332581003756992
Salter M (2014) Toys for the boys? Drones, pleasure and popular culture in the militarisation of policing. Crit Criminol 22(2):163–177. https://doi.org/10.1007/s10612-013-9213-4
Seattle Police Department (October, 2018) Crisis Intervention Program Report. Retrieved from https://www.seattle.gov/Documents/Departments/Police/Publications/Crisis-Intervention-Outcome-Report-101818.pdf114-124
Silverstone PH, Krameddine Y, DeMarco D, Hassel R (2013) A novel approach to training police officers to interact with individuals who may have a psychiatric disorder. Am Acad Psychiatry Law 41(3):344–355. https://doi.org/10.3389/fpsyt.2013.00009
Steadman HJ, Deane MW, Borum R, Morrissey J (2000) Comparing outcomes of major models of police responses to mental health emergencies. Psychiatr Serv 51:645–649. https://doi.org/10.1176/appi.ps.51.5.645
Teller JL, Munetz MR, Gil KM, Ritter C (2006) Crisis intervention team training for police officers responding to mental disturbance calls. Psychiatr Serv 57(2):232–237. https://doi.org/10.1176/appi.ps.57.2.232
Van den Brink RHS, Broer J, Tholen AJ, Winthorst WH, Visser E, Wiersman D (2012) Role of the police in linking individuals experiencing mental health crises with mental health services. BMC Psychiatry 12:171–177. https://doi.org/10.1186/1471-244X-12-171
Vickers, B. (2000). Memphis, Tennessee’s Police Department’s Crisis Intervention Team. Bulletin from the Field, Practitioner Perspectives. Bureau of Justice Assistance. Retrieved from: http://ojp.usdoj.gov/BJA
Wells W, Schafer JA (2006) Officer perceptions of police responses to persons with a mental illness. Policing: An International Journal of Police Strategies & Management 29(4):578–601
Wilson-Bates F (2008) Policing ‘Vancouver’s mental health crisis’: a critical discourse analysis. In: Lost in transition: how a lack of capacity in the mental health system is failing Vancouver’s mentally ill and draining police resources. Vancouver Police Department, Vancouver. https://doi.org/10.1080/09581596.2015.1007923
Wood JD, Watson AC (2017) Improving police interventions during mental health-related encounters: past, present and future. Polic Soc 27(3):289–299. https://doi.org/10.1080/10439463.2016.1219734
Acknowledgments
Thanks to Washington State Criminal Justice Training Commission Executive Director Sue Rahr and her staff, to the law enforcement personnel who participated in this study, and to members of the research team on the pilot evaluation of the WSCJTC Guardian Basic Law Enforcement Academy Training, Joycelyn Pollock, John Vinson, and Matthew Hickman, and research assistants Chelsea Conn-Johnson and Natasha Wood.
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This study was funded by the Washington State Criminal Justice Training Commission.
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Helfgott, J.B., Strah, B.M., Atherley, L. et al. Evaluation of CIT Components of Guardian Law Enforcement Training. J Police Crim Psych 36, 403–422 (2021). https://doi.org/10.1007/s11896-020-09405-y
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DOI: https://doi.org/10.1007/s11896-020-09405-y