Co-responding Police-Mental Health Programs: A Review
Abstract
Co-responding police-mental health programs are increasingly used to respond to 'Emotionally Disturbed Persons' in the community; however, there is limited understanding of program effectiveness and the mechanisms that promote program success. The academic and gray literature on co-responding police-mental health programs was reviewed. This review synthesized evidence of outcomes along seven dimensions, and the available evidence was further reviewed to identify potential mechanisms of program success. Co-responding police-mental health programs were found to have strong linkages with community services and reduce pressure on the justice system, but there is limited evidence on other impacts. The relevance of these findings for practitioners and the major challenges of this program model are discussed, and future research directions are identified.
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The empirical literature suggests that CIT and co-response program innovations have beneficial effects by reducing arrests and detention rates, but evidence is mixed on whether these programs are cost-effective.
“In general, this empirical literature suggests that these program innovations have beneficial effects by reducing arrests and detention rates, but evidence is mixed on whether these programs are cost-effective.”
From A community response approach to mental health and substance abuse crises reduced crime (2022) · cites this paper as [20]
There is not currently credible, causal evidence on the effects of initiatives to improve police training and cooperation with health professionals or community response models.
“Although each of these programmatic models is grounded in a sensible theory of change, there is not currently credible, causal evidence on their effects (5, 7, 20, 24–26, 28).”
From A community response approach to mental health and substance abuse crises reduced crime (2022) · cites this paper as [20]
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A community response approach to mental health and substance abuse crises reduced crime
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- Authors
- Shapiro, G. K., Cusi, A., Kirst, M., O’Campo, P., Nakhost, A., & Stergiopoulos, V.
- Affiliations
- St. Michael's Hospital (CA)
- Corresponding author
- Shapiro, G. K.
- Venue
- Administration and Policy in Mental Health and Mental Health Services Research
- Published
- 2014-09-20
- Volume
- 42
- Issue
- 5
- Pages
- 606-620
- ISSN
- 0894-587X (ISSN-L)
- 1573-3289
- OpenAlex
- W2016097816
- Cited by
- 181
- References
- 47
- Citations by year
- 2026: 26 · 2025: 34 · 2024: 21 · 2023: 18 · 2022: 19 · 2021: 20 · 2020: 8 · 2019: 11 · 2018: 8 · 2017: 4 · 2016: 8 · 2015: 3
- FWCI
- 8.14
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Administration and Policy in Mental Health and Mental Health Services Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Political Science and International Relations › Policing Practices and Perceptions
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- community mental health services, program effectiveness
- MeSH terms
- Ambulances, Community Mental Health Services, Community-Institutional Relations, Crisis Intervention, Emergency Services, Psychiatric, Health Services Research, Humans, Program Evaluation, Police
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