Police and the mentally ill: LAPD praised as a model for nation

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.

Across the country, hospitals are embracing intensive intervention programs to help victims of violence — including those who have criminal histories — after they have been brought in for treatment of injuries. Such programs can help prevent retaliation, reduce the chance a patient will be violently injured again, and put people on track for success.

The Centre for the Prevention of Radicalization Leading to Violence in Quebec has expanded rapidly, becoming a model for programs around the world. What sets it apart from projects in Europe and the United States is that it confronts extremism of all stripes — not just Islamist — and focuses on behavior that signals the risk of violence, not just radical ideas, only involving law enforcement as a last resort.

In Colorado, four communities are piloting a program that offers low-level drug or prostitution offenders an alternative to prison. This program, known as Law Enforcement Assisted Diversion, matches the offender with a case manager who in turn connects them with treatment and training resources.

Since Camden began addressing its high homicide rate in 2012 with closer collaboration with the community and stricter rules on the use of force, both murders and complaints about police have fallen dramatically. As part of what is considered some of the most extensive police reforms in the country, the city put more police on the streets. That had both good outcomes (interactions outside of crises) and bad (a troubling increase in low-level arrests). But, when many cities’ police-brutality protests in 2020 turned violent, Camden’s did not.

The Law Enforcement Assisted Diversion (LEAD) program in Alamosa, Colorado, gives police officers the option of sending people to substance abuse treatment rather than straight into the criminal justice system. Used in non-violent cases, the diversion program is based on a harm-reduction model that uses a health-care approach rather than a punitive approach to address the underlying issues when a crime is committed. Some police officers object to the program's mission, but proponents say that forcing compliance would be counterproductive.

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.

As an alternative to traditional courts, community courts provide resources to those experiencing homelessness. Fines and jail time are often the punishment in traditional courts for those charged with trespassing or loitering, but community courts provide services that help people find housing, jobs, health care, and even offer mobile showers, food stamp assistance, and mental health care. While the long-term data are lacking and don't offer a clear picture of recidivism rates, community courts do provide a better quality of life for those living on the streets.

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.