Public Safety
Police and Clinician Co-Responder Program logic model
Calls involving a mental health crisis account for about 1 in 12 police dispatches in the city. Most end in an ED drop-off or an arrest for a low-level offense, tying up officers for hours and leaving people without follow-up care.
Inputs
- 4 licensed mental health clinicians embedded with patrol and the 911 center
- Co-responder training for 60 officers in crisis intervention
- Memorandum of understanding with the county mobile crisis team and the crisis stabilization unit
- CAD call codes and a shared data dashboard
Activities
- Pair clinicians with officers on mental health calls during peak hours
- Embed a clinician in the 911 center to triage and divert calls to the 988 crisis line
- Transport people to the crisis stabilization unit instead of the ED or jail when safe
- Make follow-up contact within 72 hours of every encounter
Outputs
- 2,300 co-responder calls handled each year
- 620 calls diverted from patrol to the 988 crisis line or mobile crisis
- 60 officers complete 40-hour crisis intervention training
- 1,800 follow-up contacts made within 72 hours
Short-term outcomes
- Officer time on scene for mental health calls falls by 30%
- Fewer use-of-force incidents on mental health calls
Intermediate outcomes
- Arrests on co-responder calls fall by 40% compared with baseline
- ED drop-offs from police transport fall by 35%
Long-term impact
- Fewer repeat crisis calls from the same individuals
- Lower jail and ED costs for the city and county
Indicators and data sources
| Indicator | Source | Frequency |
|---|---|---|
| Call disposition (arrest, ED transport, crisis unit, resolved on scene) | Computer-aided dispatch (CAD) and records management system | Monthly |
| Repeat calls for service per individual | CAD data matched by the program analyst | Quarterly |
| Follow-up engagement in behavioral health care | Clinician case management system | Monthly |
| Jail bookings tied to mental health calls | County jail booking data | Quarterly |
Assumptions
- The crisis stabilization unit has open capacity when officers arrive
- Clinician vacancies are filled within 60 days
Programs this model suits
- BJA Connect and Protect: Law Enforcement Behavioral Health Responses
- State 988 and mobile crisis funds, including Medicaid mobile crisis billing
- County behavioral health and opioid settlement funds
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