New York's Mental Health Response Pilot Program More Responsive, Less Likely To End In Hospitalization Than Sending Out Cops

from the conclusions-that-should-have-been-obvious-from-the-outset dept

Earlier this year, the city of New York announced plans to send mental health professionals out to deal with mental health issues, rather than the standard-issue cops-and-EMS response teams. It's an idea that's gained recent popularity, given the difficulty law enforcement officers seem to have when dealing with things they're not specifically trained to handle. And by "difficulty," I mean a lot of people who need professional help were instead being "treated" with force deployment, arrests, and the far-more-than-occasional killing.

It's an idea so simple and intuitive it's a wonder it's taken this long to be experimented with in a small number of cities. The success stories seen elsewhere indicate this is something worth trying, if for no other reason than to free up limited law enforcement resources to handle the sort of thing law enforcement officers are trained to handle.

The results [PDF] are back on the trial run of New York City's "B-HEARD" (Behavioral Health Emergency Assistance Response Division) and they're similarly encouraging. (via Insider)

It was a limited deployment, but a successful one.

Under the pilot, teams operate seven days a week, 16 hours a day in Zone 7, which includes East Harlem and parts of Central and North Harlem in the 25, 28, and 32 police precincts. In 2020, there were approximately 8,400 mental health 911 calls in Zone 7, the highest volume of any dispatch zone in the city. During the 16 hours a day when B-HEARD teams were operational from June 6 – July 7, 2021, there were approximately 16 mental health 911 calls each day in Zone 7.

B-HEARD doesn't handle calls that involve weapons or "immediate risk of violence," but the team still handled 25% of all mental health emergency calls. The number would likely have been higher with more coverage, as police were routed to some calls when B-HEARD members were unavailable or in the midst of handling a call.

Despite these limitations, the B-HEARD team provided more help to more people than the traditional police response would have.

In 95% of cases, people received assistance from B-HEARD teams, higher than 82% for traditional (NYPD/EMS) 911 response.

So, greater responsiveness. And rather than simply turf mental health calls to the nearest hospital, B-HEARD teams were able to provide on-site help. The traditional (police-EMS) response resulted in 82% of calls ending with a ride to the hospital. With B-HEARD, the number dropped to 50%. One-quarter of all calls handled by B-HEARD were taken care of on-site, including de-escalation and referrals to counseling or other care options. Another 20% of cases resulted in B-HEARD transporting persons to community-based care locations.

And the police are more apt to call in B-HEARD than the other way around, suggesting officers are happy to utilize mental health care professionals if they're available.

NYPD has requested onsite assistance from B-HEARD 14 times.

B-HEARD teams have requested onsite assistance from NYPD 7 times.

There's no reason this shouldn't continue to work. And it should scale easily. Should. A lot depends on talking entities like the NYPD into diverting some of their (outsized) budgets towards hiring team members and funding their continued existence. If officers on patrol are utilizing the new teams, they obviously see the value of having mental health professionals on call. And if the beat officers can see the benefits, hopefully the brass isn't so disconnected from day-to-day operations that it would stand in the way of helping both the officers they oversee and the people who are paying the NYPD to keep them safe.

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Filed Under: b-heard, mental health, ny, nyc, nypd, police


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  • icon
    Coffee U (profile), 28 Jul 2021 @ 2:03pm

    Awesome!

    I'm going to be forwarding this to my local representation. The main problem I see locally, is that the police union is Ontario wide. This is huge and has immense bargaining power. Even if the Region was able to handle 20-50% of the cops' traditional work with various (scaled up) social sevices; the cities/municipalities would essentially be unable to downsize the police force to meet their actual needs.

    reply to this | link to this | view in chronology ]

  • icon
    That One Guy (profile), 28 Jul 2021 @ 3:14pm

    Use the right tool for the job

    It really shouldn't have taken this long for cities to start realizing that maybe tasking a group who's default response to problems is violence might not be a good match for addressing mental health issues but better late then never I suppose, hopefully the fact that the programs are showing themselves to be marked improvements over the current system of 'sent the police out for everything' will lead more cities and towns to follow suit.

    reply to this | link to this | view in chronology ]

  • identicon
    Pixelation, 28 Jul 2021 @ 3:22pm

    Long overdue

    Besides not being mental health professionals, police tend to seem scary to people and that's not a great recipe when someone is in mental distress.

    reply to this | link to this | view in chronology ]

  • identicon
    Anonymous Coward, 28 Jul 2021 @ 3:31pm

    Cops certainly have no issue with psychologists or other nental/behavioral experts when it comes to negotiations or getting inside some criminal's head.

    reply to this | link to this | view in chronology ]

  • identicon
    Anonymous Coward, 28 Jul 2021 @ 4:05pm

    I saw some real geniuses over at The Gateway Pundit who were against this because they don't understand how mental health professionals would be able to deescalate situations without guns. It reminds me of an old documentary where a US cop (IIRC from LAPD) went to a Nordic country and he spent the majority of time being shocked and confused how undercover officers doing drug enforcement could perform their duties without a gun.

    Not entirely related, but In Rise of the Warrior cop they discussed a DC police chief in the 60s who they ran out of town because he said "drug dealers are in the business of selling drugs, not calling police". This truthfulness was just too much for them to handle. And a short time later the Kerner Commission's report came out and everyone just ignored that too.

    reply to this | link to this | view in chronology ]

  • icon
    That Anonymous Coward (profile), 28 Jul 2021 @ 7:58pm

    But we've always done it this way, so the best idea is to just give them bigger guns & larger armored vehicles, eventually the mentally ill will just stop being mentally ill & we can all be safe.

    Insert the Patriot Act and hundreds of others failed policies that no one manages to find the will to stop even in the face of them being ludicrous & harmful.

    reply to this | link to this | view in chronology ]

  • identicon
    Peter, 29 Jul 2021 @ 3:11am

    Truly remarkable

    The most interesting takeaway is that not a single BHEARD response required an assault, arrest or a beatdown because they "feared for their safety".

    reply to this | link to this | view in chronology ]


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