Can We Fix Mental Health Crisis Response in the Hudson Valley?

One-third to half of those killed by police are disabled, a recent report says. “Our problem isn’t with police,” one mental health advocate says, but both sides say officers need more training.

In a rapidly gentrifying Mexico City neighborhood, two artists refurbished an icon and set up an altar for Santa Mari La Juaricua, a saint to protect residents from eviction. The saint raises awareness and acts as a reminder about housing issues and the icon has been taken up by the residents and has been used in processions and protests.

The Women’s Collective is a nonprofit that works with more than 10,000 subsistence farmers in the Indian state of Tamil Nadu to promote food security using millets, a crop resilient to drought and climate change. For Pavitra, one of those farmers, she began cultivating the ancient grains in 2015 and now has more than enough food to feed her family year-round. However, there’s a lack of public investment in millet production and machinery. And there’s no unified effort to create demand for millets: Some state governments lead the charge and in other states, it’s led by grassroots organizations.

More than 2,700 police departments in the U.S. have crisis intervention teams aimed at responding to mental health crises with fewer arrests and less violence, but the death of Daniel Prude in Rochester police custody offers clear lessons in the shortcomings and misuse of the CIT model. A lack of adequate mental health services across the country, coupled with superficial training of the police, too often means a police response to a crisis will not de-escalate the situation or lead to meaningful help for the person in crisis. A recent study found CITs have not shown they will lower violence.

Crime-tracking mobile apps give millions of Brazilians crowdsourced data on urban violence, alerting people to dangerous places and filling gaps in government data on shootings, robberies, and other risks. But apps such as Fogo Cruzado (“Crossfire”) and Onde Tem Tiroteio (“Where There's a Shooting”) offer statistically crude glimpses of crime, distorted by media and racial biases that one expert blames for myths about the risks people actually face.

Thunder Bay police formed IMPACT (Integrated Mobile Police Assessment Crisis Team), pairing crisis responders with mental health expertise with police officers to respond 24/7 to people experiencing mental health crises. Instead of defaulting to police responses, which risk the use of force and often land people in custody or a hospital, the teams often are able to get people connected to needed social and health services. So far the team has managed to divert about 40 percent of calls to helping services.

A New York-based nonprofit called Students for a Free Tibet is training Tibetans in "how to stage nonviolent protests." This effort, in conjunction with other Tibetan NGOs, has helped activists in Dharamsala, India to become "more organized, media savvy and technologically sophisticated," which in turn has increased the number of people who have come together to participate in the nonviolent protests.

Teams of Community Direct Distributors (CDD) are leading drug distribution campaigns to prevent and eliminate neglected tropical diseases in hard-to-reach, rural areas. These CDDs are members of the community they serve and are trained to educate the locals on disease prevention and administer the drugs themselves. With the CDDs’ help, several states have already eliminated some diseases and greatly reduced the spread of others.

The Diné Naazbaa Partnership (DNP) serves Navajo Nation veterans, connecting them with food, medication, transportation and other necessities, as they’re more likely to be unemployed and far less likely to use or apply for VA services. The DNP has connected with about 1,228 of the 14,700 veterans on the Navajo Nation and has partnered with 370 groups to fund projects that provide housing improvements and emergency financial aid to veterans.

Birth in Color's doulas are filling the maternity care gap as rural labor and delivery rooms close, disproportionately impacting people of color. Doulas provide physical, emotional and informational support before, during and after childbirth, and advocate on the mother’s behalf. Doula care leads to improved birth outcomes and lower rates of C-sections, and in April 2022 doula services were added under the state’s Medicaid program.