University of Queensland, Health LinQ, Brisbane, Australia.
Can J Psychiatry. 2010 Oct;55(10):662-8. doi: 10.1177/070674371005501005.
Police are often the front-line response to people experiencing mental health crises. This study examined the impact of an integrated mobile crisis team formed in partnership between mental health services, municipal police, and emergency health services. The service offered short-term crisis management, with mobile interventions being attended by a plainclothes police officer and a mental health professional.
We used a mixed-methods design encompassing: a controlled before-and-after quantitative comparison of the intervention area with a control area without access to such a service, for 1 year before and 2 years after program implementation; and qualitative assessments of the views of service recipients, families, police officers, and health staff at baseline and 2 years afterward.
The integrated service resulted in increased use by people in crisis, families, and service partners (for example, from 464 to 1666 service recipients per year). Despite increased service use, time spent on-scene and call-to-door time were reduced. At year 2, the time spent on-scene by police (136 minutes) was significantly lower than in the control area (165 minutes) (Student t test = 3.4, df = 1649, P < 0.001). After adjusting for confounders, people seen by the integrated team (n = 295) showed greater engagement than control subjects as measured by outpatient contacts (b = 1.3, chi square = 92.7, df = 1, P < 0.001). The service data findings were supported by the qualitative results of focus groups and interviews.
Partnerships between the police department and mental health system can improve collaboration, efficiency, and the treatment of people with mental illness.
警察通常是应对精神健康危机人群的一线响应者。本研究考察了由精神卫生服务机构、市警察和紧急卫生服务部门合作组建的综合移动危机小组的影响。该服务提供短期危机管理，由便衣警察和精神卫生专业人员进行现场干预。
我们采用混合方法设计，包括：在项目实施前 1 年和后 2 年，对干预区域和无此类服务的对照区域进行为期 1 年的对照前后定量比较；以及对服务对象、家属、警察和卫生工作人员的看法进行定性评估，分别在基线和 2 年后进行。
综合服务导致危机中的人们、家属和服务伙伴的使用增加（例如，每年服务对象从 464 人增加到 1666 人）。尽管服务使用增加，但现场时间和呼叫到门时间减少。在第 2 年，警察的现场时间（136 分钟）显著低于对照区（165 分钟）（学生 t 检验= 3.4，df = 1649，P < 0.001）。在调整混杂因素后，与对照组相比，接受综合团队服务的人（n = 295）表现出更高的门诊接触度（b = 1.3，卡方= 92.7，df = 1，P < 0.001）。焦点小组和访谈的定性结果支持了服务数据的发现。
警察部门和精神卫生系统之间的伙伴关系可以改善协作、效率和对精神疾病患者的治疗。
