1 / 21

Today’s Session

Partnerships between mental health organizations and ‘psychiatrists in blue’: A view from up high and on the ground PSR Canada Conference September 22, 2010 Janet Durbin PhD Diana McDonnell. Today’s Session.

cecily
Download Presentation

Today’s Session

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Partnerships between mental health organizations and ‘psychiatrists in blue’: A view from up high and on the ground PSR Canada Conference September 22, 2010 Janet Durbin PhD Diana McDonnell

  2. Today’s Session • Describe provincial study of police service involvement with persons with mental health concerns, and related practices • Describe collaboration in SE Ontario between mental health organizations and police • Discussion

  3. Impact Study - Context • Significant increase in funding to CMH services 2005-2007 • Increase capacity in community mental health service sector & reduce regional variation • Divert individuals with mental health concerns from more restrictive settings – hospital & corrections • Improve function of systems of care • Suite of studies funded to evaluate impact (Dr. P. Goering)

  4. Impact Study Mandate • Describe Ontario experience on these issues • Three components • Population ED use for mental health – 2003 to 2007 • Crisis program survey – capacity, linkages to support diversion • Police services survey – contacts, diversion practices

  5. Why Police Services Survey • Police increasingly the informal ‘first responders’ of our mental health system • Persons with SMI accounted for 3% of police-citizen contacts, London, ON (Crocker, 2009) • Mental health a contributing factor in 31% of police-attended calls – Vancouver (Wilson-Bates, 2008) • Best practices emerging • Ontario - practice uptake, little data available for understanding Ontario experience • No central database for monitoring police contacts with persons with MH concerns

  6. Police services survey • What is the volume of police-citizen encounters that involve mental illness, and has it changed over the study period? (‘burden’)? • What is extent of practice implementation to manage police-citizen encounters, and change over the study period? • Do burden and practice implementation differ between forces serving larger and smaller population areas?

  7. Police services survey process • Survey development • Literature review • Feedback from mental health/police service stakeholders • Data collection • October 2008 – February 2009 • Web-based survey • Municipal police forces - 2 stage via chief, appointed individual • OPP - central response via research and policy section

  8. Police servicessurvey responses *no First Nations

  9. Police Services Survey Section 1 - Indicator data • Report service contacts • that involve EDPs • that involve suicide • that involve MHAs • Annual volumes from 2003 to 2007 (5 years)

  10. Police service survey 2008: Number of municipal forces able to report data Total forces in sample=37

  11. Volumes - Police contacts with persons with mental illness 2007

  12. Rates of police-citizen contacts 2003-2007 *Municipal forces n=25

  13. Police-citizen contacts for large area (n=14) and small area (n=23) services *Municipal forces n=25

  14. Police services practices to support diversion - training

  15. Police services practices to support diversion – on-site response

  16. Police services practices to support diversion – agreements for post contact transfer of care

  17. Compared to 3 years ago services estimate that …

  18. Police services survey results • Many services have practices in place to support diversion • Current # services providing diversion practices doubled since 2005 • Perception increased collaboration and support from MH services • However: • Large area forces more active than small area forces • Actual use of some practices low – potential reasons?? • Police-citizen contacts for mental health concerns are substantial and increased over the study period • Lack data for ongoing monitoring and improvement

  19. Limitations • Administrative data – quality, variation in recognition and reporting • Aggregate not encounter – cannot link practice with management/outcome • Lack outcome data • Generalizability of perceptions/estimates – small sample (n=37)

  20. Impact Study Team • Core team • J.Durbin, E. Lin, N. Zaslavska • Advisory • T. Aubry, B. Kirsh, L. George, M. Quigley, J. Zosky, P. Reaume-Zimmer, J. Mills, D. Doherty, M. Fata • Results • Special issue of Canadian Journal of Community Mental Health

  21. THANK YOU! Janet_Durbin@CAMH.net Elizabeth_Lin@CAMH.net Natalia_Zaslavska@CAMH.net www.ehealthontario.ca

More Related