Ramasamy Ravi S, Thompson Alysha, Simmons Shannon
Division of Child and Adolescent Psychiatry, Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA.
Psychiatry and Behavioral Medicine Unit, Seattle Children's Hospital, 4800 Sand Point Way NE, Seattle, WA, 98105, USA.
Community Ment Health J. 2023 Jan;59(1):1-8. doi: 10.1007/s10597-022-00980-4. Epub 2022 May 27.
Mental health professionals routinely advise the public to call 911 in case of an acute mental health crisis to access emergent care and ensure safety. Although there is no national database collection process, available data shows that individuals experiencing an acute mental health crisis and Black youth are both at a significantly elevated risk of being harmed or killed by law enforcement during any encounter. This brief analytic essay explores whether advising the public to call 911 is truly the best practice recommendation for Black youth in a mental health crisis. An alternative to the traditional law enforcement response is a mobile unarmed crisis response program. The authors describe successful existing programs and advocate for more widespread adoption of such teams, which likely would provide safer, cost-effective, evidence-based alternatives during acute mental health crises.
心理健康专业人员经常建议公众在遇到急性心理健康危机时拨打911，以获得紧急护理并确保安全。尽管没有全国性的数据库收集程序，但现有数据显示，经历急性心理健康危机的个人和黑人青年在任何遭遇中被执法人员伤害或杀害的风险都显著升高。这篇简短的分析性文章探讨了建议公众拨打911是否真的是处于心理健康危机中的黑人青年的最佳实践建议。传统执法应对方式的替代方案是一个无武装的移动危机应对项目。作者描述了现有的成功项目，并倡导更广泛地采用这样的团队，这可能会在急性心理健康危机期间提供更安全、更具成本效益、基于证据的替代方案。
