Examining implementation of mobile, police-mental health crisis intervention teams in a large urban center

Abstract

Background: Mobile Crisis Intervention Teams (MCITs) have emerged as a police and mental health system co-response to assist police in responding to individuals experiencing mental health crises. There is a gap in knowledge regarding the critical program components that contribute to successful MCIT implementation.

Aims: This evaluation study aimed to understand processes of implementation of a multi-site MCIT program in a large urban center and to identify program strengths and challenges, as well as levels of satisfaction in service delivery.

Methods: Fifty-seven stakeholders participated in qualitative interviews and focus groups, including: MCIT consumers and staff, individuals from the health system, police services, and community organizations.

Results: Overall, program stakeholders perceived the MCIT program positively and viewed it as meeting its key goals. The implementation evaluation has highlighted the importance of respectful interaction with consumers, cross-sector training and collaboration, and ensuring clarity in program mandate and staff roles. These program components can continue to be built upon to improve MCIT service delivery.

Conclusions: Future studies should further evaluate the role of key strengths in MCIT program implementation as well as the impact of recommended improvements on program outcomes.

• Implementation evaluation
• mental health crisis
• mobile crisis intervention team
• police-mental health co-response model

Acknowledgements

We would like to thank all the study participants for their participation, and acknowledge the support of the program steering committee.

Declaration of interest

This study was funded by the Toronto Central Local Health Integration Network, Ontario Ministry of Health and Long-Term Care.