Department of Psychiatry and Behavioral Neuroscience, University of Chicago, 5841 S Maryland Ave, Chicago, IL, 60637, USA.
Urban Health Lab, University of Chicago, Chicago, USA.
Community Ment Health J. 2023 Jan;59(1):77-84. doi: 10.1007/s10597-022-00990-2. Epub 2022 Jun 25.
Improving interactions between first responders and individuals experiencing behavioral crisis is a critical public health challenge. To gain insight into these interactions, key informant qualitative interviews were conducted with 25 Chicago stakeholders. Stakeholders included directors and staff of community organizations and shelters that frequently engage first responders. Interviews included granular depictions related to the expectations and outcomes of 911 behavioral crisis calls, and noted areas requiring improved response. Stakeholders called 911 an average of 2 to 3 times per month, most often for assistance related to involuntary hospitalization. Engagements with first responders included unnecessary escalation or coercive tactics, or conversely, refusal of service. While stakeholders lauded the value of police trained through the city's Crisis Intervention Team program, they emphasized the need for additional response strategies that reduce the role of armed police, and underscored the need for broader social and behavioral health services for individuals at-risk of such crises.
改善急救人员与经历行为危机的个人之间的互动是一项至关重要的公共卫生挑战。为了深入了解这些互动，对 25 名芝加哥利益攸关方进行了重点知情人定性访谈。利益攸关方包括经常与急救人员接触的社区组织和避难所的主任和工作人员。访谈包括与 911 行为危机呼叫的期望和结果相关的详细描述，并指出需要改进响应的领域。利益攸关方每月平均拨打 911 电话 2 到 3 次，大多数是为了与非自愿住院治疗相关的援助。与急救人员的接触包括不必要的升级或胁迫策略，或者相反，拒绝服务。虽然利益攸关方称赞了通过该市危机干预小组计划培训的警察的价值，但他们强调需要更多的响应策略来减少武装警察的作用，并强调需要为有此类危机风险的个人提供更广泛的社会和行为健康服务。
