Respite From the Storm

In the wake of high-profile shootings, proposals such as banning assault weapons gain momentum. But there are solutions few national politicians are looking at that take a very different tack.

Assertive community treatment teams working through outreach-centered programs in Maricopa County have become an industry standard for treating those with persistent and severe mental illnesses who have recently been incarcerated. They provide a long-term approach, aiming to halt a cycle of incarceration and hospitalization by focusing on underlying issues such as what caused the police interaction and incarceration.

For many youth in India, illegal drugs are readily available, but rehab is socially stigmatized, government resources and information for narcotics are sparse, and there are few options for a user looking to get clean. A group of people in recovery in Sikkim has formed a football team as a means to recover, finding social support and exercise that is proven to aid in sustainable rehabilitation from drug use.

Peer to peer programs have existed since the 1980s. These programs pair up a person with mental health illness, with one another. The concept, is relatively new in the prison systems, and is gaining traction in states like Pennsylvania.

Non-violent offenders arrested during mental health episodes in Davidson County are sent to Mental Health Court rather than criminal court. Through this court, they are connected to safety net services such as housing, medication assistance, and therapy.

Kansas City is trying to prevent people who have mental health or substance abuse disorders, from committing crimes. In order to do that, the city created a police crisis intervention team. They help people access treatment through the Kansas City Assessment and Triage Center, or other treatment centers. “Everything we do here is to really bridge them into whatever that long-term need is.” It’s too early to tell if the method is working, but police officers, judges, and addicts, argue it is. “It's amazing. It puts a smile on my face every day, and I have got a future coming.”

In several small rural towns in Texas, mental health professionals from Texas Tech are offering telemedicine counseling to make up for a lack of counselors available in local middle and high schools. The Governor's office has now asked the successful school districts to develop a training program for teachers in other Texas districts in order to scale the model.

The New Leaf project ran a controlled trial to test the power of direct cash transfers with people experiencing homelessness. Fifty people were given a one-time cash payment of $7,500, which roughly equaled the sum of government income assistance spread out across the year. The impact was measured over 12 months and found that people in the cash group moved into stable housing faster, spent fewer days homeless, and saved more money. The organization found the lump sum, rather than monthly increments, allowed people to make decisions about how they could move their lives forward aimed at stabilization.

Wichita secured $850,376 of federal grant money through the CARES Act, which it is distributing to homeless shelters and other organizations that work with people experiencing homelessness to slow the spread of COVID-19. Local providers connect with each other to share their best practices for stopping the virus, including taking temperatures, mandatory hand-washing, and mask wearing, and making sure that beds meet social distancing guidelines. None of their clients in homeless shelters have tested positive so far.

Although Eugene, Oregon's long-running, successful CAHOOTS program serves as one model for the new Portland Street Response, a more relevant model can be found in Denver's STAR program. Like CAHOOTS, STAR responds to mental-health and other crisis calls with medics and counselors rather than police officers. But Denver's size, demographics, and homelessness make it much more analogous to Portland. In STAR's first six months, it handled nearly 750 calls without a single arrest. Both STAR and PSR are starting small, so more resources are needed if the pilot projects succeed.