Skip to main content

Advertisement

Log in

Outcomes of Police Contacts with Persons with Mental Illness: The impact of CIT

  • Original Paper
  • Published:
Administration and Policy in Mental Health and Mental Health Services Research Aims and scope Submit manuscript

Abstract

The Crisis intervention team model (CIT) is possibly the most well known and widely adopted model to improve police response to persons with mental illness. A primary goal of CIT programs is to divert individuals with mental illness from the criminal justice system to mental health services. In this paper we examine the effectiveness of fielding CIT trained and supported officers for influencing call outcomes using data from patrol officers (n = 112) in four Chicago Police districts. Results from regression analysis indicate that CIT certified officers directed a greater proportion of persons with mental illness to mental health services than their Non-CIT certified peers. CIT did not have an immediate effect on arrest. Moderator analysis indicates that CIT had its biggest effect on increasing direction to services and decreasing "contact only" among officers who have a positive view of mental health services and who know a person with mental illness in their personal life. Additional moderators of the CIT effect on call outcomes include level of resistance and the presence of a weapon. Findings from this study have important implications for policy, practice and future research.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  • Aiken, L. S., & West, S. G. (1991). Multiple regressions: Testing and interpreting interactions. Thousand Oaks, CA: Sage.

    Google Scholar 

  • Alpert, G. P., Dunham, J. M., & McDonald, R. G. (2004). Police Suspicion and discretionary decision making during citizen stops. Criminology, 43(2), 407–434.

    Article  Google Scholar 

  • Arikan, K., & Urysal, O. (1999). Emotional reactions to the mentally ill are positively influenced by personal acquaintance. Israel Journal of Psychiatry and Related Sciences, 36(2), 100–104.

    CAS  PubMed  Google Scholar 

  • Bittner, E. (1967). The police on skid-row: A study of peace keeping. American Sociological Review, 32, 699–715.

    Article  Google Scholar 

  • Borum, R., Deane, M., Steadman, H., & Morrissey, J. (1998). Police perspectives on responding to mentally ill people in crisis: Perceptions of program effectiveness. Behavioral Sciences & The Law, 16, 393–405.

    Article  CAS  Google Scholar 

  • Bursik, R. J., & Grasmick, H. G. (1993). Neighborhoods and crime: The dimensions of effective community control. New York: Lexington.

    Google Scholar 

  • Chicago Department of Public Health. (2006). Profile of Chicago’s Mental Health System 2003. Retrieved on October 17, 2007. http://www.cchsd.org/reports.html.

  • Chicago Police Department. (2003). Use of force model. GO-02-08-01A.

  • Chicago Police Department. (2008). Annual report 2007: A year in review. Retrieved on October 10, 2008. www.CityofChicago.org/Police.

  • Ciokajlo, M., & Washburn, G. (2006). High-rise fall spurs call for law: Police would need special approval before releasing anyone who might be mentally ill. Chicagotribune.com. Retrieved on May 28, 2009 from www.chicagotribune.com/news/local/chicago/chi-0609130306sep14,0,2315518.story.

  • Cohen, J., & Cohen, P. (1975). Applied multiple regression/correlation analysis for the behavioral sciences. Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Compton, M. T., Bahora, M. A., Watson, A. C., & Oliva, J. (2008). Comprehensive review of extant research on crisis intervention team (CIT) programs. Journal of the American Academy of Psychiatry and the Law, 36(1), 47–55.

    PubMed  Google Scholar 

  • Corrigan, P. W., Green, A., Lundin, R., Kubiak, M. A., & Penn, D. L. (2001). Familiarity with and social distance from people with serious mental illness. Psychiatric Services, 52, 953–958.

    Article  CAS  PubMed  Google Scholar 

  • Corrigan, P. W., Markowitz, F., Watson, A., Rowan, D., & Kubiak, M. A. (2003). An attribution model of public discrimination towards persons with mental illness. Journal of Health and Social Behavior, 44, 162–179.

    Article  PubMed  Google Scholar 

  • Deane, M. W., Steadman, H. J., Borum, R., Veysey, B., & Morrissey, J. (1999). Emerging partnerships between mental health and law enforcement. Psychiatric Services, 50(1), 99–101.

    CAS  PubMed  Google Scholar 

  • Ditton, P. (1999). Mental health and treatment for inmates and probationers. Washington, DC: Bureau of Justice Statistics.

    Google Scholar 

  • Dupont, R., & Cochran, S. (2000). Police response to mental health emergencies: Barriers to change. Journal of the American Academy of Psychiatry and Law, 28, 338–344.

    CAS  Google Scholar 

  • Engel, R., & Silver, E. (2001). Policing mentally disordered suspects: A reexamination of the criminalization hypothesis. Criminology, 39(2), 225–252.

    Article  Google Scholar 

  • Finn, M., & Stalans, L. (2002). Police handling of the mentally ill in domestic violence situations. Criminal Justice and Behavior, 29(3), 278–307.

    Article  Google Scholar 

  • Fisher, W., Silver, E., & Wolff, N. (2006). Beyond criminalization: Toward a criminologically informed framework for mental health policy and services research. Administrative & Policy in Mental Health and Mental Health Services Research, 33, 544–557.

    Article  Google Scholar 

  • Green, T. (1997). Police as frontline mental health workers: The decision to arrest or refer to mental health agencies. International Journal of Law and Psychiatry, 20(4), 469–486.

    Article  CAS  PubMed  Google Scholar 

  • Kaminski, R., DiGiovanni, C., & Downs, R. (2004). The use of force between the police and persons with impaired judgment. Police Quarterly, 7(3), 311–338.

    Article  Google Scholar 

  • Kane, R. (2002). The social ecology of police misconduct. Criminology, 40, 857–897.

    Article  Google Scholar 

  • Klinger, D. (1994). Demeanor or crime? Why ‘hostile’ citizens are more likely to be arrested. Criminology, 32, 475–493.

    Article  Google Scholar 

  • Klinger, D. (1997). Negotiating order in patrol work: An ecological theory of police response to deviance. Criminology, 35(2), 277–306.

    Article  Google Scholar 

  • Klinkenberg, W. D., & Caslyn, R. J. (1999). Predictors of receiving aftercare 1, 3, and 18 months after a psychiatric emergency room visit. Psychiatric Quarterly, 70, 39–51.

    Article  CAS  PubMed  Google Scholar 

  • Morabito, M. S. (2007). Horizons of context: Understanding the police decision to arrest people with mental illness. Psychiatric Services, 58, 1582–1587.

    Article  PubMed  Google Scholar 

  • National Council of State Governments. (2002). Criminal justice mental health consensus project. From http://consensusproject.org/.

  • Novak, K., & Engel, R. (2005). Disentangling the influence of suspects’ demeanor and mental disorder on arrest. Policing, 28, 493–512.

    Google Scholar 

  • Phelan, J. C., & Link, B. G. (2004). Fear of people with mental illnesses: The role of personal and impersonal contact and exposure to threat or harm. Journal of Health and Social Behavior, 45, 68–80.

    Article  PubMed  Google Scholar 

  • Rueland, M. (2004). A guide to implementing police-based diversion programs for people with mental illness. Delmar, NY: Technical Assistance and Policy Analysis Center for Jail Diversion.

    Google Scholar 

  • Steadman, H., Deane, M., Borum, R., & Morrissey, J. (2000). Comparing outcomes of major models of police responses to mental health emergencies. Psychiatric Services, 51(5), 645–649.

    Article  CAS  PubMed  Google Scholar 

  • Steadman, H. J., Deane, M. W., Morrissey, J. P., et al. (1999). Assessing the effectiveness of jail diversion programs: The SAMHSA jail diversion knowledge development and application initiative. Psychiatric Services, 50, 1620–1623.

    CAS  PubMed  Google Scholar 

  • Steadman, H. J., Stainbrook, K. A., Griffin, P., Draine, J., Dupont, R., & Horey, K. (2001). A specialized crisis response site as a core element of police-based diversion programs. Psychiatric Services, 52, 219–222.

    Article  CAS  PubMed  Google Scholar 

  • Strauss, G., Glenn, M., Reddi, P., Afaq, I., Podolskaya, A., Rybakova, T., et al. (2005). Psychiatric disposition of patients brought in by crisis intervention team police officers. Community Mental Health Journal, 41(2), 223–228.

    Article  PubMed  Google Scholar 

  • Teller, J., Munetz, M., Gil, K., & Ritter, C. (2006). Crisis intervention team training for police officers responding to mental disturbance calls. Psychiatric Services, 57(2), 232–237.

    Article  PubMed  Google Scholar 

  • Teplin, L. (1984). Criminalizing mental disorder: The comparative arrest rate of the mentally ill. American Psychologist, 39(7), 794–803.

    Article  CAS  PubMed  Google Scholar 

  • Teplin, L. A. (1990). The prevalence of severe mental disorder among urban male detainees: Comparison with the epidemiologic catchment area program. American Journal of Public Health, 80(6), 663–669.

    Article  CAS  PubMed  Google Scholar 

  • Teplin, L., & Pruett, N. (1992). Police as streetcorner psychiatrist: Managing the mentally ill. International Journal of Law and Psychiatry, 15, 139–156.

    Article  CAS  PubMed  Google Scholar 

  • U.S. Census Bureau. (2001). Census 2000 Summary File 3 (SF 3)—Sample data.

  • Van Maanen, J. (1978). The asshole. In P. K. Manning & J. Van Maanen (Eds.), Policing: A view from the street (pp. 221–238). Santa Monica, CA: Goodyear Publishing.

    Google Scholar 

  • Velez, M. (2001). The role of public social control in urban neighborhoods: A multi-level analysis of victimization risk. Criminology, 39, 837–864.

    Article  Google Scholar 

  • Watson, A. C., Morabito, M. S., Draine, J., & Ottati, V. (2008). Improving police response to persons with mental illness: A multi-level conceptualization of CIT. International Journal of Law and Psychiatry, 31, 359–368.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Amy C. Watson.

Additional information

This data was provided by and belongs to the Chicago Police Department. Any further use of this data must be approved by the Chicago Police Department. Points of view or opinions contained within this document are those of the author and do not necessarily represent the official position or policies of the Chicago Police Department. Work supported by NIMH R34 MH081558. The contents are solely the responsibility of the authors and do not necessarily represent the official views of NIH.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Watson, A.C., Ottati, V.C., Morabito, M. et al. Outcomes of Police Contacts with Persons with Mental Illness: The impact of CIT. Adm Policy Ment Health 37, 302–317 (2010). https://doi.org/10.1007/s10488-009-0236-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10488-009-0236-9

Keywords

Navigation