Vermont State Police try sending mental health workers out with troopers. Is it working?

Northern Maine is home to some of America's poorest - but it ranks high on national measures of health. Hospital programs visit more patients in their homes where they can be more comfortable and receive everything they need, which in turn reduces medical costs.

The Office of Neighborhood Safety in Richmond, CA took a radical new approach to urban violence by creating mechanisms to financially stabilize perpetrators of violent acts in crime-ridden neighborhoods - essentially paying people not to kill. They have been dramatically successful at weening violent criminals off the destructive behavior by using a comprehensive approach that includes using solid data, employing mentors with similar backgrounds to the criminals, and monetary incentives.

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.

Across New Hampshire, youth are leading the fight against substance abuse. Programs like Dover’s Youth-to-Youth, Stand Up Sachems, Youth Leadership Through Adventure, and the Making it Happen Coalition, are all youth-led, adult-supported initiatives that are empowering young adults to create and disseminate substance abuse awareness and prevention campaigns. Fundamental to each of these efforts effective communication and creating a sense of community as key to prevention.

Based out of the city of Addis Ababa in Ethiopia, a live radio show is tackling the stigma around mental health care by combining their platform with those in the mental health care field. Not only does the radio show discuss psychological issues on air, but it also offers free and reduced-cost mental health services to those that serve as guests on the show.

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.

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.

CAHOOTS has become a national model because of its uncommon partnership with the Eugene Police Department. The police chief says CAHOOTS' unarmed first responders to mental health crises can de-escalate crises before crimes occur or someone gets hurt. That's the idea behind the decades-old agency that takes calls where police can sometimes cause worse outcomes. The crisis intervention workers and medics treat people on the scene or transport them to places where they can get the help they need. Police are available but rarely needed for safety on those calls.

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.