Enlisting Mental Health Workers, Not Cops, In Mobile Crisis Response
1This article is part of a series on transforming health systems published with support from The Robert Wood Johnson Foundation. This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt, and build upon this work, for commercial use, provided the original work is properly cited. See https://creativecommons.org/licenses/by/4.0/. Rob Waters (robwaters2@gmail.com) is an independent writer in Oakland, California, who writes about health and science and has contributed to Kaiser Health News, STAT, Mother Jones, and Psychotherapy Networker, among other publications. Waters is also an editorial consultant for the Steinberg Institute, which advocates for mental health services, including mobile crisis response efforts.
The CAHOOTS program, a community initiative, has successfully reduced police calls and saved public funds. This successful model is now being considered for national expansion.
Area of Science:
- Public Health
- Criminology
- Social Policy
Background:
- The Community Assistance, Homeless Outreach, and More Than Emergency Services (CAHOOTS) program in Eugene, Oregon, has operated for over 30 years.
- CAHOOTS provides frontline crisis response, diverting non-violent calls from law enforcement.
- The program utilizes trained crisis workers, including medics and mental health professionals, to respond to a wide range of community needs.
Discussion:
- CAHOOTS demonstrates a cost-effective alternative to traditional policing for certain types of calls.
- The program's success is linked to its ability to address root causes of calls for service, such as mental health crises and homelessness.
- Reduced reliance on law enforcement for non-criminal issues can free up police resources for more serious incidents.
Key Insights:
- Significant reductions in police calls and associated costs have been documented.
- Improved community safety and well-being through specialized, non-police interventions.
- Positive impact on individuals experiencing crises by providing appropriate, de-escalated support.
Outlook:
- Potential for national replication of the CAHOOTS model to improve emergency response systems.
- Further research into the long-term economic and social benefits of community-led crisis response.
- Policy discussions are underway to explore broader implementation of such programs across the United States.
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