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Journal Article

Citation

Watson AC, Compton MT. J. Am. Acad. Psychiatry Law 2019; ePub(ePub): ePub.

Affiliation

Dr. Watson is Professor at Jane Addams College of Social Work, University of Illinois at Chicago. Dr. Compton is Professor of Clinical Psychiatry, Columbia University College of Physicians and Surgeons. Dr. Watson serves on the Board of Directors of CIT International, a nonprofit organization. Dr. Compton previously served on the Board.

Copyright

(Copyright © 2019, American Academy of Psychiatry and the Law, Publisher American Academy of Psychiatry and the Law)

DOI

10.29158/JAAPL.003894-19

PMID

31676505

Abstract

Developed over 30 years ago, the Crisis Intervention Team model is arguably the most well-known approach to improve police response to individuals experiencing mental health crisis. In this article, we comment on Rogers and colleagues' review (in this issue) of the CIT research base and elaborate on the current state of the evidence. We argue that CIT can be considered evidence based for officer level outcomes and call level dispositions. We then discuss the challenges that currently make it difficult to draw conclusions related to arrest, use of force, and injury related outcomes. More research, including a randomized, controlled trial is clearly needed. But we caution against focusing narrowly on the training component of the model, as CIT is more than training. We encourage research that explores and tests the potential of CIT partnerships to develop effective strategies that improve the mental health system's ability to provide crisis response and thus reduce reliance on law enforcement to address this need.

© 2019 American Academy of Psychiatry and the Law.


Language: en

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