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Responding When Resources Contract: The Chicago Crisis Intervention Team Collaboration

Responding When Resources Contract: The Chicago Crisis Intervention Team Collaboration. Officer Kurt Gawrisch Chicago Police Department Amy Watson, PhD University of Illinois at Chicago. Overview. CIT in Chicago- History and model Findings to date Advanced CIT CIT-Youth CIT-Veterans

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Responding When Resources Contract: The Chicago Crisis Intervention Team Collaboration

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  1. Responding When Resources Contract: The Chicago Crisis Intervention Team Collaboration Officer Kurt Gawrisch Chicago Police Department Amy Watson, PhD University of Illinois at Chicago

  2. Overview • CIT in Chicago- • History and model • Findings to date • Advanced CIT • CIT-Youth • CIT-Veterans • Contracting Resources • The Chicago Crisis Intervention Collaboration • Identifying and addressing system gaps • Ongoing expansion of CIT capacity

  3. CIT in Chicago • Training developed in collaboration with community providers & advocates & stakeholders • Began in 2 pilot districts in 2004- • 30-40 officers/supervisors per district • Citywide (all 22 districts) implementation began 2006 • To date, 1700 officers trained in basic CIT (~1,000 in districts currently)

  4. Involving people in recovery in the training process: Collaboration with the Thresholds Theatre Arts Program& NAMI-GC

  5. Findings to Date Testing a systems level intervention to improve police response to persons with mental illness: CIT in Chicago • 2008 NIMH funded Study of CIT in 4 Chicago police districts • CIT trained officers directed 18% more call subjects to MH services than non CIT peers • Linkage more likely in districts with more MH services • CIT officers used less force at higher levels of resistance • Current study examining CIT and MH service access in all 22 districts

  6. Advanced CIT-Youth • In 2009, CPD and NAMI-GC collaborated to develop an advanced training course addressing mental illness among the youth population • In 2010, the Illinois Criminal Justice Information Authority (ICJIA) provided NAMI-GC with funding to implement the Crisis Intervention Team for Youth (CIT-Y) program within the Chicago Police Department (CPD). This was the FIRST CIT-Y program in the country • CIT-Y training goals • Advance officer knowledge of youth mental illness. • Decrease the likelihood that violent interactions will occur when law enforcement officers respond to crises involving youth with mental illnesses. • Reduce the number of mentally ill youth involved in the juvenile justice system.

  7. Advanced CIT-Youth (CIT-Y) Evaluation ongoing by ICJIA (R.Skorek) • Focus Groups and Surveys suggest- • Overall, participants were very satisfied with the CIT-Y training content and delivery. • Officers reported applying CIT-Y techniques in their work, particularly within schools and housing developments • Barriers to practicing CIT-Y identified

  8. CIT-Y Case Management Program • Partnerships between NAMI-GC and local Social Work and Psychology programs • Outreach to youth and families referred by CIT-Y officers • Linkage and case management

  9. Advanced CIT Veterans • In 2009, CPD collaborated with the Veteran’s Reintegration Initiative (VRI) in Illinois to develop an advance training addressing Veteran’s issues. • Illinois Department of Human Services • Illinois Department of Corrections • Cook County and Rock Island County Mental Health Courts and Probation • Community Mental Health Providers • Veteran’s Administration • Funded by grant awarded by the Substance Abuse & Mental Health Services Administration (SAMSHA) to the Illinois Department of Human Services which funded VRI. • Training Emphasis • Street level diversions • Recognition of signs and symptoms of disorders common to veterans • Information and transportation to mental health resources

  10. Contracting Resources • Ongoing cuts to mental health service budgets-transition to fee for service billing and cuts to funds for persons not receiving Medicaid or other coverage • Closure of 6 o12 City of Chicago Mental Health clinics in 2011 • Closure of Community Mental Health Council clinics serving the south side of the city • Growing need

  11. Chicago drop off sites and MH providers

  12. The Chicago Crisis Intervention Collaboration: CCIC • Initial Collaboration on BJA expansion grant • Expands and re-invigorates cross system partnerships and problem solving • Identification of gaps-effective linkage to services following CIT encounter

  13. CCIC Pilot linkage project • Pilot two police districts; 19 and 24 • Expand collaboration with Thresholds and IL Masonic Medical Center Emergency Room • 3 of 4 police referrals (voluntary/involuntary) are not admitted to the inpatient psychiatric unit and release without linkage to treatment • Thresholds will provide direct service or will make referrals, regardless of the ability to pay • Designate a 24 hour Hotline number used by Illinois Masonic ER / CPD and voluntary consent form • Create Intake & Assessment Specialist (LCSW) responsible for linkage to community resources

  14. Discussion & Questions

  15. Thank you • For more information- Officer Kurt Gawrisch Chicago Police Department312-745-5745 kurt.gawrisch@chicagopolice.org Amy C Watson, PhD University of Illinois at Chicago312 996-0039acwatson@uic.edu

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