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Cairns Mental Health Co-Responder Project: Essential elements and challenges to programme implementation.

Jan Robertson1, Michelle S Fitts2,3, Joe Petrucci4

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International Journal of Mental Health Nursing
|December 17, 2019
PubMed
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Mental health co-responder models pair police with clinicians to improve crisis response. Key elements for success include team characteristics, strong leadership support, and collaborative governance for sustainability.

Keywords:
co-responder modellaw enforcementmental healthpolice and mental health

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Area of Science:

  • Mental Health Services Research
  • Criminal Justice Interventions
  • Public Health Policy

Background:

  • Co-responder models are increasingly used for police callouts involving mental health crises.
  • These models pair police officers with mental health clinicians for specialized responses.
  • Limited understanding exists regarding essential implementation elements for these models.

Purpose of the Study:

  • To identify essential elements for implementing the Mental Health Co-Responder Project in Cairns, Australia.
  • To explore challenges encountered during the project's implementation.
  • To inform future co-responder model development and sustainability.

Main Methods:

  • The study utilized thematic analysis of semi-structured interviews.
  • 39 participants, including first responders and community service providers, were interviewed.
  • Interviews focused on knowledge and experience with the Cairns co-responder model.

Main Results:

  • Essential elements for successful implementation included co-responder team characteristics, senior leadership support, collaborative governance, and co-location within a mental health setting.
  • Key challenges identified were client confidentiality concerns, lack of an evaluation plan, and inadequate project resourcing.
  • Effective governance and adequate resourcing are crucial for model sustainability.

Conclusions:

  • The Mental Health Co-Responder Project in Cairns identified critical success factors.
  • Addressing challenges related to confidentiality, evaluation, and resources is vital.
  • Strong inter-agency governance and resourcing are imperative for long-term sustainability of co-responder models.