120498Athabasca University Faculty of Business, Athabasca, Alberta, Canada.
Royal Roads University, Faculty of Leadership, Victoria, BC, Canada.
Healthc Manage Forum. 2021 Mar;34(2):93-99. doi: 10.1177/0840470420979635. Epub 2021 Jan 27.
A key theme of this article is the need to view the intersection of public safety and public health through a new lens to break down the traditional information silos of the many agencies that serve vulnerable populations and the impact of inadequate community-based mental health services that contribute to the increasing number of calls to police in responding to people in or approaching a mental health crisis. The manifestation of this crisis in the community is that the police are too often the first port in the storm. This article suggests the system is broken and needs fixing. Implementing a population health approach to identifying the high utilizers in the community and building a case for sustained funding, partnerships, resources, and accountability together with data sharing agreements, community partners and police collaboratively design and evaluate outcome approaches aimed at prevention and recovery to minimize contact with the police.
本文的一个重要主题是需要通过新的视角来看待公共安全和公共卫生的交叉点，打破为弱势群体服务的众多机构之间传统的信息孤岛，并解决导致越来越多的人拨打警察电话以应对处于或即将处于心理健康危机中的人群的社区基本心理健康服务不足的问题。这场危机在社区中的表现是，警察往往是首当其冲的。本文指出，该系统已经崩溃，需要进行修复。通过采用一种人口健康方法来确定社区中的高使用者，并为持续的资金、伙伴关系、资源和问责制建立案例，同时还需要共享数据协议，社区合作伙伴和警察共同设计和评估旨在预防和恢复的结果方法，以尽量减少与警察的接触。
