Comparing Success Measures, Facilitators, and Rates of Involuntary Psychiatric Examinations of Regional Crisis Service Models

Many law enforcement agencies operate crisis service models that utilize the expertise of mental health professionals in assisting law enforcement officers (LEOs) when interacting with people experiencing a mental health crisis. This study examines three agencies with two different types of established crisis service models in the same geographical area to answer three research questions: (1) Does the type of crisis service model affect facilitators of success for the model? (2) Does the type of crisis service model affect how practitioners personally measure the success of the model they use? (3) What patterns exist in involuntary psychiatric examination rates before and after the implementation of the crisis service models? Sixteen practitioners representing two crisis service models responded to a survey investigating the first two questions. Participants were recruited through email. The analysis used inferential and descriptive statistics to examine their responses. A before-and-after design using descriptive statistics of publicly available data about involuntary psychiatric examinations was employed to investigate the third research question. Results showed variation across the model participants’ choices of facilitators important for model success and metrics, but only differences between the responses from members of two models in choosing the facilitator of clear policies and procedures (e.g., clearly written protocols) and the metric of use of force were at statistically significant levels. The practitioners of the models are the experts. Understanding how they judge the success of their work and what facilitates that success is vital for allocating resources effectively and adjusting policies as needed. The study determined that involuntary psychiatric examinations decreased concurrently with the use of crisis service models, but it is not possible to establish causation. More investigation is needed.