CRISIS INTERVENTION TEAM (CIT) PROGRAMS

1 A Publication of CIT InternationalAugust 2019 CRISIS INTERVENTION TEAM (CIT) PROGRAMS :A BEST PRACTICE GUIDE FOR TRANSFORMING COMMUNITY RESPONSES TO MENTAL HEALTH CRISESF oreword by Angela Kimball, Acting Chief Executive Officer, NAMI, the National Alliance on Mental Illness Preface by Major Sam Cochran (ret.) and Randolph Dupont, PhD, Co-Chairs, CIT InternationalA Publication of CIT InternationalAugust 2019 CRISIS INTERVENTION TEAM (CIT) PROGRAMS :A BEST PRACTICE GUIDE FOR TRANSFORMING COMMUNITY RESPONSES TO MENTAL HEALTH CRISESF oreword by Angela Kimball, Acting Chief Executive Officer, NAMI, the National Alliance on Mental Illness Preface by Major Sam Cochran (ret.) and Randolph Dupont, PhD, Co-Chairs, CIT InternationalCrisis INTERVENTION Team (CIT) PROGRAMS : A Best Practice Guide for Transforming Community Responses to Mental Health CrisesCopyright 2019 CIT InternationalAll rights reserved.

2 This manual and any portion thereof may not be reproduced or used in any way without appropriate citation. CIT International aspires to be a leader in promoting safe and humane responses to those experiencing a mental health CRISIS . Our mission is to promote community collaboration using the CRISIS INTERVENTION Team (CIT) program to assist people living with mental illness and/or addiction who are in International111 S. Highland Street, Box 71 Memphis, Tennessee 38111, Citation: Usher, L., Watson , Bruno, R., Andriukaitis, S., Kamin, D., Speed, C. & Taylor, S. (2019). CRISIS INTERVENTION Team (CIT) PROGRAMS : A Best Practice Guide for Transforming Community Responses to Mental Health Crises. Memphis: CIT International. Widespread CRISIS INTERVENTION strategies and techniques are critical to addressing rising rates of overdoses and suicides that continue to devastate families nationwide.

3 Now, more than ever, we have to break the all-too-common cycle of sending those with mental health and substance use disorders through the criminal justice system. This guidebook is an essential resource for communities to do their part. Patrick J. Kennedy, Former Representative and Founder of The Kennedy Forum, Rhode IslandCrisis INTERVENTION Team (CIT) PROGRAMS : A Best Practice Guide for Transforming Community Responses to Mental Health CrisesA Publication of CIT InternationalWith special thanks to our partners who have offered their endorsement of this work:vA Best Practice Guide for Transforming Community Responses to Mental Health Crises AUTHORSL aura Usher, MS, Independent Consultant, Washington, DC Amy Watson, PhD, Professor, Jane Addams College of Social Work, University of Illinois at Chicago, Chicago, Illinois and Treasurer, CIT International, 2017-presentRon Bruno, Executive Director, CIT Utah, Salt Lake city , Utah and 2nd Vice President and Founding Board Member, CIT International 2008-2014, 2016-present Suzanne Andriukaitis, MA, LCSW, Chicago, Illinois and Founding Board Member, CIT International, 2008-2017 Don Kamin, PhD, Director, Institute for Police, Mental Health and Community Collaboration, Rochester, New York and 1st Vice President, CIT International, 2015-presentCarol Speed.

4 Systems Integration Consultant for Criminal Justice and Behavioral Health, Athena, Oregon and Board Member, CIT International, 2019-presentDetective Sabrina Taylor, CRISIS INTERVENTION Team Training Coordinator, Phoenix Police Department, Phoenix, Arizona and Board Member, CIT International, 2018-presentviCrisis INTERVENTION Team (CIT) PROGRAMS CONTRIBUTING MEMBERS OF THE CIT INTERNATIONAL COMMUNITYThe authors wish to thank the following members of the CIT International Board of Directors, past and present. These experts and grassroots leaders in the CIT movement have generously shared their time and expertise to contribute to this effort. Captain Wade Borchers, Lenexa Police Department, Lenexa, Kansas and Board Member, CIT International, 2018-present Major Sam Cochran (ret.)

5 , Memphis, Tennessee, Co-Chair and Founding Board Member, CIT International, 2008-present Michael Compton, MD, Professor of Clinical Psychiatry, Columbia University, College of Physicians and Surgeons, New York, New York and Board Member, CIT International, 2012-2015 Randolph Dupont, PhD, Professor and Clinical Psychologist, University of Memphis, Department of Criminology and Criminal Justice, Memphis, Tennessee and Co-Chair and Founding Board Member, CIT International, 2008-present Officer Kurt Gawrisch, Chicago Police Department, Chicago, Illinois and Board Member, CIT International, 2016-present Major Darren Ivey, Kansas city Police Department, Kansas city , Missouri and Board Member, CIT International, 2017-present Habsi Kaba, MS, MFT, CMS, Director of CIT and Police Mental Health Collaboration, 11th Judicial Circuit Criminal Mental Health project , Miami, Florida and Board Member, CIT International, 2019-present Steve Miccio, CEO, People USA, Poughkeepsie, New York and Board Member, CIT International, 2017-present Mark Munetz, MD, The Margaret Clark Morgan Foundation Endowed Chair in Psychiatry, Northeast Ohio Medical University, Rootstown, Ohio and Founding Board Member, CIT International, 2008-2015 Dara N.

6 Rampersad, PhD, LPC, NCC, First Responder and Forensic Psychologist, BluePaz, LLC, Phoenix, Arizona and Board Member, CIT International, 2017-present Michele Saunders, LCSW, Chair, Florida CIT Coalition, Orlando, Florida and Founding Board Member, CIT International, 2008-2017viiA Best Practice Guide for Transforming Community Responses to Mental Health Crises Pat Strode, CIT Advocate Coordinator, Georgia Public Safety Training Center, Atlanta, Georgia and Secretary, CIT International, 2014-present Thomas von Hemert, CIT Coordinator, Thomas Jefferson Area CIT, Charlottesville, Virginia and President, CIT International, 2015-present Sgt. John Wallschlaeger (ret.), Appleton, Wisconsin and Board Member, CIT International, 2017-present Lt. Michael Woody (ret.), Ohio CIT Coordinator, Akron, Ohio and Founding Board Member and President, CIT International, 2008-2017viiiCrisis INTERVENTION Team (CIT) PROGRAMS SPECIAL THANKSCIT International thanks the following partners for the feedback they provided on drafts of this guide and their invaluable input during the development process.

7 Dan Abreu, MS, CRC, LMHC, Senior project Associate, Policy Research Associates, Inc., Delmar, New York Amelia Allen, MA, project Assistant, Policy Research Associates, Inc., Delmar, New York Chief Louis Dekmar, LaGrange Police Department, LaGrange, Georgia Bryan Gibb, Director of Public Education, National Council for Behavioral Health, Washington, DC Larke Huang, PhD, Director, Office of Behavioral Health Equity, Substance Abuse and Mental Health Services Administration, Rockville, Maryland Terence Lynn, Deputy Division Director, Law Enforcement, Council of State Governments Justice Center, New York, New York Deborah Meader, Policy Advisor, Bureau of Justice Assistance, Department of Justice, Washington, DC Chanson Noether, MA, Vice President and Program Area Director for Criminal Justice, Policy Research Associates, Inc.

8 , Delmar, New York Kimberly O Connor, Assistant Vice President, Mental Health First Aid, National Council for Behavioral Health, Washington, DC Travis Parker, MS, LIMHP, CPC, Program Area Director, Policy Research Associates, Inc., Delmar, New York Colette Scott, MEd, Training Program Manager, Policy Research Associates, Inc., Delmar, New York Shannon Scully, Senior Manager, Criminal Justice Policy, National Alliance on Mental Illness, Arlington, VirginiaixA Best Practice Guide for Transforming Community Responses to Mental Health Crises ACKNOWLEDGMENTSThis guide would not have been possible without the contributions of many local and state leaders, colleagues, and national experts who provided input and support. CIT International wishes to acknowledge the contributions of the following individuals: Kathy Barnum, President, NAMI Southeast Indiana, Lawrenceburg, Indiana Colonel Vincent Beasley, Memphis Police Department, Memphis, Tennessee Bill Carruthers, Certified Peer Specialist, CEO of Recovery on Fire and Board Member, NAMI Georgia, Savannah, Georgia Leon Evans, Co-Founder, BHealthle, LLC, San Antonio, Texas Kate Farinholt, Executive Director, NAMI Maryland, Columbia, Maryland Neal Haight, Deputy Director, Emergency Services, Broome County, Binghamton, New York Lt.

9 Michael Hatch (ret.), CRISIS INTERVENTION Team Coordinator, Mental Health Association of the Southern Tier, Binghamton, NY Kimmie Jordan, CPRP, LADAC, LMFT, Executive Director, Psychosocial Rehabilitation Association of New Mexico, Alamogordo, New Mexico Jamie Kach, LCPC, Manager, CRISIS Services, Behavioral Health, Advocate Aurora Health, Chicago, Illinois Patrick J. Kennedy, Former Representative and Founder of the Kennedy Forum, Rhode Island Officer James Lash, Memphis Police Department, Memphis, Tennessee Judge Steve Leifman, 11th Judicial Circuit of Florida, Miami, Florida Eddie Markul, MD, EMS Medical Director, Chicago EMS, Advocate Illinois Masonic Medical Center, Chicago, Illinois Dustin McKee, Director of Policy, NAMI Ohio, Columbus, Ohio Ridg Medford, Center of Excellence Coordinator, Oregon Center on Behavioral Health and Justice Integration, Ontario, Oregon Laverne Miller, JD, Peer Workforce Consortium Director, New York city Department of Health and Mental Hygiene, New York, New YorkxCrisis INTERVENTION Team (CIT) PROGRAMS Captain Stacey L.

10 Owens, Greenville city Police Department, Greenville, South Carolina Sgt. Paul, CIT Coordinator, Plano Police Department, Plano, Texas Chief Brian Peete, Alamogordo Police Department, Alamogordo, New Mexico Louise Pyers, MS, BCETS, Executive Director, Connecticut Alliance to Benefit Law Enforcement, Newington, Connecticut Marsha Rodgers, Executive Director, NAMI North Texas, Dallas, Texas Cindy Schwartz, MS, MBA, project Director, jail diversion Program, 11th Judicial Criminal Mental Health project , Miami, Florida Ruth Simera, MEd, LSW, Director of Criminal Justice Coordinating Center of Excellence, Northeast Ohio Medical University, Rootstown, Ohio Justin Volpe, Certified Recovery Peer Specialist, 11th Judicial Criminal Mental Health project jail diversion Program, Miami, Florida Leslie Weisman, LCSW.