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Policing, Mental Health and Restraint Reduction

Policing, Mental Health and Restraint Reduction. Inspector Michael Brown Author – MentalHealthCop blog mentalhealthcop.wordpress.com. Policing and Mental Health. Estimates: 20% or more of all police demand Amongst the most sensitive Amongst the most controversial

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Policing, Mental Health and Restraint Reduction

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  1. Policing, Mental Healthand Restraint Reduction Inspector Michael Brown Author – MentalHealthCop blog mentalhealthcop.wordpress.com

  2. Policing and Mental Health • Estimates: 20% or more of all police demand • Amongst the most sensitive • Amongst the most controversial • Responding to vulnerable people with complex, often unmet needs. • Reputational impact from the use of force. • Deaths in custody or following contact.

  3. Workshop Outline • Police responses to mental health emergencies • Police responses to criminal suspects who are in mental distress.

  4. Mental Health Emergencies • 22,500 uses of s136 Mental Health Act 1983 • Rising thresholds to access secondary care? • Non-integrated urgent mental health care? • Identifying clinically relevant pathways – • Triage / Assessment / Care.

  5. Restraint • Restraint prevention >>> De-escalation! • Restraint reduction. • Safer restraint. • Recognising clinical implications of restraint.

  6. Mental Health Emergencies • What are the relevant clinical considerations for the police officers in this incident? • After each feed, you get 30 seconds in your group to make a decision. • Answers must be limited to just five words!

  7. Scenario 1 – feed one • You are with another officer, called to the High Street: • “999 call, my son is in the road, shouting at traffic and he’s punched the window of a bus.” • En route: caller is the mother, worried about his mental health and he’s taken drugs today.

  8. Scenario 1 – feed two • You arrive to find traffic moving slowly, a man is in the road, shouting at the traffic. • He has a hand injury, bleeding injuries around his knuckles. • He sees the police arrive and shouts, “I’ll tell you now, come near me and you’ll die.” • Assessment / Decision – what do you do?

  9. Scenario 1 – first decision ?

  10. Scenario 1 – feed three • Communication has failed, he remains in the road. • Cars are sounding their horns, some are slowly manoeuvring around him. • PNC checks reveals he is ‘known’: markers for violence, drugs, and mental health. • Assessment / decision – what do you do?

  11. Scenario 1 – second decision ?

  12. Scenario 1 – feed four • You decide to detain / arrest the man – • He resists violently, punching your colleague to the face, seriously hurting him. • Other officers arrive, he is restrained and handcuffed to the rear. • Assessment / decision – where are you going?

  13. Scenario 1 – third decision ?

  14. Scenario 1 – feed five • Ongoing restraint remains necessary, as he is attempting to bang his head on the floor. • Accident & Emergency? • Mental Health Place of Safety? • Police station? • Anywhere else temporarily willing to receive the person.

  15. Scenario 1 – fourth decision ?!

  16. mentalhealthcop.wordpress.comtwitter – twitter.com/mentalhealthcopfacebook – facebook.com/mentalhealthcop

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