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Marvin Ross

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Your Police Officer is not Your Therapist

Posted: 05/03/2012 2:43 pm

To a large extent, spending money on more training for how police can best deal with people with mental illnesses is a total waste.

The U.S.-based Treatment Advocacy Center has it right when they say, "Police Training Yes, but Treatment Definitely." I am referring to the recent announcement by the the Minister of Community Safety and Correctional Services, Madeleine Meilleur, that the Ontario Government will review how the police respond to the mentally ill.

This latest concern about an age-old problem has resulted from a number of fatal shootings involving the police and people with mental illness in Toronto. The usual response in the past has been to convene a Coroner's Inquest into these incidents. After months and sometimes years, the inquests all come up with a list of recommendations which are mostly ignored.

But, contained in the Globe and Mail report on this latest move by Ontario may be the reason these altercations between police and mentally ill people happen in the first place. The Globe stated

"the closing of beds and the move away from institutionalized mental-health care in Canada has put the responsibility of responding to people in crisis more and more in the hands of the police, who have limited access to health-care experts in these crucial moments."

We do not provide treatment for people, but allow them to wander the streets in varying stages of psychosis. If these poor souls were allowed to be treated, the incidents with the police would be reduced. In fact, Minister Meilleur should take a look at the Ontario Select Committee Report on Mental Health and Addictions released in 2010. Recommendation 21 (p.31) states that a further task force should be set up to look at improving the legislation with respect to involuntary treatment. That task force was to report back to the legislature within one year of adoption the entire report.

That was 2010 and this is 2012. We're all waiting.

The police are not mental health professionals and they should not be expected to spend as much time as they do dealing with sick people. In fact, the Vancouver Police Department issued a report in 2008 called, "Lost in Transition: How a Lack of Capacity in the Mental Health System is Failing Vancouver's Mentally Ill and Draining Police Resources." On page 9, the report states that during a sample period, 31 per cent of police calls involved at least one mentally ill person.

In a study done for the London, Ontario Police Department, it was found that between 1998 and 2001, contact with people who suffered mental illness cost the city between $1.5 and $2.4 million.

The Globe article also quoted psychologist, Dorothy Cotton, who is or was a member of a group called Psychiatrists in Blue, part of the Canadian National Committee for Police/Mental Health Liaison. I mentioned this group in my own book on schizophrenia. The primary goal of the organization is to try to ensure that individuals with mental illness are not criminalized.

In the U.S., this concept was expressed very eloquently by Seminole Florida County sheriff, Donald S. Eslinger who said that "sheriffs are not medical professionals," and yet his officers are called on more and more to deal with dangerous situations involving those with serious untreated mental illness.

Our police should not be put into this role and the role would be considerably lessened if we provided proper treatment and resources to those who are ill.

My comment to the concerned cabinet minister in Ontario is to put the money to be used for this study into resources, and to resurrect the task force recommended to look into the laws on involuntary treatment.

 
 
 

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To a large extent, spending money on more training for how police can best deal with people with mental illnesses is a total waste. The U.S.-based Treatment Advocacy Center has it right when they sa...
To a large extent, spending money on more training for how police can best deal with people with mental illnesses is a total waste. The U.S.-based Treatment Advocacy Center has it right when they sa...
 
 
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HUFFPOST SUPER USER
rotary
canucklehead
02:25 PM on 05/04/2012
A lack of mental health education for officers will result in more mentally ill individuals being placed in cells vs hospital ERs for psych assessments and treatment. Let's not forget that provincial mental health acts give police the authority to bring in suspected mentally ill people for mandatory mental evaluations. Why on earth would you advocate police have LESS knowledge to help them do that in order to provide safety to the public and to the individual? The move away from institutionalized care does place more burden on police, which only supports the argument that they need the training.
HUFFPOST SUPER USER
June Conway Beeby
01:34 PM on 05/04/2012
It is not unkindness that causes the difficulties among the mentally ill in crisis and the police, it is the forced pairing of them, when the mentally ill need the health system, with psychatric hospitals to care for them and not the justice system. The difference in the two kinds of systems are obvious.

I hope police do not become whipping boys for the abysmal inadequacies of our current mental illness system.
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sgillhoolley
Occupy the discussion.
08:40 AM on 05/04/2012
In my opinion the nature of a law enforcement job implies certain things. One is that the officer has special powers/authority that other people do not, and cannot, have. For this reason, and because they work so closely with the public, it is essential that they are trained to deal with any substantial group that they are likely to encounter. That would include; gangbangers, the mentally disturbed, the truly insane, violent people, dangerous looking non-violent people, people of different races, visitors from other lands who may not speak the language, important wealthy people who have connections, people with diplomatic immunity....and they have to be trained to deal with each and every one appropriately. Can you imagine someone with diplomatic immunity being shot by a policeman who had not been trained on how to deal with them? It would be unfair to both the officer and the diplomat.
07:33 PM on 05/03/2012
Our family made one of the 31% of police calls in Vancouver that deal with a mental illness.

We hadn't reacted fast enough with a medication increase for our increasingly unstable daughter and she had disappeared. The police who came to our home surprised me with their basic kindness. One reassured us that in situations like ours the people usually turn up quickly. He was right and our daughter, plunging into psychosis, had known enough to get herself to the emergency room of Vancouver General Hospital's ER. When she phoned us, the hospital had decided she didn't require admission and were preparing to release her; she wanted us to talk to them. We did, and with the aid of her helpful psychiatrist, she received the hospitalization she needed in order to be safe.

Ironically, in all the interactions with hospital staff during this chaotic time, I never found the same level of basic human kindness that the Vancouver Police brought into our home during a desperate evening.
07:05 PM on 05/03/2012
Having worked in hospitals and knowing the streets a bit, I could not disagree more.
You talk as if hospitals and other medical establishments are equipped to deal with mentally disturbed and unpredictable people, they are not, they will call in the cops. and the streets are full of mentally disturbed people living on drugs and desperation.
The more that cops are sophisticated and knowledgeable about mental problems; the more tactics they have to cool down situations, the fewer corpses and convicts we will have in our society.
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sgillhoolley
Occupy the discussion.
08:41 AM on 05/04/2012
It is disturbing to hear that hospitals are not trained to deal with medical issues (of which mental illness is one). We need to improve training.
05:35 PM on 05/03/2012
Ifit is indeed true that approximately a third of Police calls do involve at least one person with a mental disability, then it does in fact represent a significant proportion of Police work. Sure, maybe the root causes of SOME of these time consuming calls would be avoidable if only there were adequate resources to help the mentally ill, but I cannot believe that a well funded system would reduce those numbers to insignificance. SO, if mentally ill people are going to absorb so much Police effort irrespective of any other policy alternatives, would it not be responsible to train Police to effectively perform their jobs, and fulfil their mandate To serve and Protect. Please do not forget that the Police will almost always be the first contact between the State and dangerous or violently ill people, irrespective of whether there is a robust mental health system in place