Crisis Intervention Team (CIT) Expansion in Missouri - What Local Communities Can Do

1. Crisis Intervention Team (CIT) Expansion in Missouri - What Local Communities Can Do Chief W. Graham Burnley Nevada, Missouri Police Department, Coordinator, Vernon County CIT Program Prepared By: Richard Stevenson Director of Special Projects, Alliance on Mental Illness-NAMI St. Louis

2. Presentation Outline: • Why CIT? • What is it? • Background • CIT Goals • Components • Outcomes • How can I help establish CIT in my community?

3. Why CIT? • Severe Mental Illness • 3% of adult population • 135,000 Missouri Adults • 10% of children/adolescents • 150,000 Missouri Youths

4. Why CIT? • Symptoms: • Thought Disorders: • psychosis: hallucinations and delusions • attention deficiency, hyper-activity. • Mood Disorders: • anxiety, mania, agitation, and deep depression.

5. Why CIT? • Symptoms: • Acute phase, untreated: • Threat of harm to self or others. • Police intervention

6. Presentation Outline: • Why CIT? • What is it? • Background • CIT Goals • Components • Outcomes • How can I help establish CIT in my community?

7. What is CIT? • A program that: • Recruits • Trains & • Supports… law enforcement first responders to intervene effectively in situations involving individuals experiencing a psychiatric crisis.

8. What is CIT? • A program that recruits… • Not for all law enforcement Officers • Objective: • Train enough officers to have 24/7 coverage of CIT trained officers.

9. What is CIT? • A program that trains… • 40-hour training course. • 8-hour CIT in-service education sessions (general). • 24-hour CIT in-service education course – YOUTHS

10. What is CIT? • A program that supports… • Coordinating Councils • Collaborations of • Law enforcement • Mental health providers • Mental health advocates • Emergency services • Mental health / drug courts

11. What is CIT? • Goals: …law enforcement first responders intervene effectively in situations involving individuals experiencing a psychiatric crisis. • No one injured • Treatment, not jail • Quick transfer of custody to psychiatric care

12. What is CIT? • Components (not just training): • Letters of intent • General Orders, internal CIT policies • Coordinating Council • Training • Intervention • CIT Reports • Assessment

13. What is CIT? • Marketable to Law Enforcement; attendance 2003-2008, St. Louis area: • ‘03 – 55 • ‘04 – 175 • ‘05 – 255 • ‘06 – 284 • ‘07 – 362 • ‘08 – 383 • ‘09 – 360 • ‘10 – 370

14. What is CIT? • Marketable: In St. Louis, 65 law enforcement agencies from 5 counties participate in CIT; trained 2,244 officers. 45 CIT Partners: • Mental Health Providers • …Advocates • Emergency Departments • Courts – mental health, drug.

15. Outcomes: 65% of interventions are in response to individuals with known mental illness. What is CIT?

16. Outcomes: 61% of interventions were to individuals known to have been prescribed psychotropic medications. What is CIT?

17. Outcomes – Compliance to medications: - 9% known compliant; - 48% known non-compliant. What is CIT?

18. Outcomes – Disposition of Incident: 89% of interventions result in transport to a treatment facility. What is CIT?

19. What is CIT? • Conclusions: • In demand by law enforcement • Appreciated by mental health community • Responding to true psychiatric crises: • Treatment non-compliance • Suicide • Injuries infrequent during intervention • Transports to hospitals the norm

20. Presentation Outline: • Why CIT? • What is it? • Background • CIT Goals • Components • Outcomes • How can I help establish CIT in my community?

21. How to establish CIT? • First: Contact a representative of the Missouri CIT Council

22. How to establish CIT? • Missouri CIT Council: Collaboration of existing CIT Programs in Missouri – • St. Louis Area • Mid Missouri • Kansas City Area (Mid-America CIT):

23. How to establish CIT? • Missouri CIT Council: Purpose: • Generate financial resources to benefit CIT statewide • Assist local communities to establish new “Memphis Model” CIT Programs throughout Missouri

24. How to establish CIT? • Missouri CIT Council: • DMH Grant from the US Department of Justice, Bureau of Justice Assistance. • 2 year • $200,000 • Statewide expansion.

25. How to establish CIT? • Local Community Development: • Sheriff • Chiefs of Police • Advocacy community • Provider community

26. How to establish CIT? • Meeting with local law enforcement command staff: • MoCIT Council • Law enforcement • Mental health • Local advocates

27. How to establish CIT? • Establish a local Coordinating Council: • Leadership from local law enforcement command staff • Support from local advocates, providers • Law enforcement academy

28. How to establish CIT? • Establish committees of your Coordinating Council: • Training • Policies / procedures • Executive

29. How to establish CIT? • Schedule regular meetings of your Local Coordinating Council • Set date / location for your first Memphis Model 40-hour CIT Training Course

30. How to establish CIT? • Send law enforcement representatives of council to CIT Training Course in existing Program. • MoCIT Council may be able to pay some/all expense • Prerequesite: Letter of Intent

31. How to establish CIT? • Have local coordinating council join the MoCIT Council • Keep MoCIT Council involved throughout

32. Presentation Outline: • Why CIT? • What is it? • Background • CIT Goals • Components • Outcomes • How can I help establish CIT in my community?

33. Questions 33

34. Thank you!

35. Contact Information • Chief W. Graham Burnley Nevada, Missouri Police Department Coordinator, Vernon County CIT Program 417/ 448-5100 gburnley@nevadamo.org • Richard Stevenson – Missouri CIT Director of Special Projects Alliance on Mental Illness-NAMI St. Louis 314/ 966-4688 rstevenson827@sbcglobal.net