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Fla., Colo. cities see success with alternative 911 program

St. Petersburg and Denver officials see success in new responses to behavioral health calls

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By Carl Smith
Government Technology

ST. PETERSBURG, Fla. 鈥 Anthony Holloway started his law enforcement career back in 1985. Now the chief of police in St. Petersburg, Fla., he鈥檇 long since realized that many officers are sent to address problems that they weren鈥檛 trained to handle, but there was no other option. That is, until 2021. At the beginning of that year, the St. Petersburg City Council approved a pilot program allowing dispatchers to send social workers to respond to calls about emergencies such as mental health crises, complaints about the homeless population, truancy or suicide threats. The program, Community Assistance and Life Liaison (CALL), followed a model that has been in place in some communities for decades and has gained momentum in recent years.


Cape Fear Valley MIH collaborates with community organizations to enhance care for mental health and substance use challenges

The pilot was a success, and CALL has since become an essential and expanding resource for the department, funded by the City Council. The hours during which CALL responders (known as 鈥渘avigators鈥) can be dispatched have been expanded, now covering 6 a.m. to 2 a.m. The team has also added a juvenile specialist. The program has helped build trust as residents discover that an officer with a gun and a badge won鈥檛 come to their house every time there鈥檚 a crisis. It鈥檚 popular with police as well. 鈥淭hey don鈥檛 want to see this go away,鈥 Holloway says. 鈥淭hey鈥檙e not trained as well as the navigators in handling some of these situations.鈥 The idea of sending social workers and other specialists in response to emergency calls gained traction in the wake of the murder of George Floyd in 2020, but also became controversial as it was framed as an alternative or even a way to 鈥渄efund鈥 the police. In practice, however, it鈥檚 proved to be a useful addition to police response.


Taking the concept of the right care, to the right person at the right resource to a new level

An analysis of nearly 16 million calls to 911 by the Vera Institute, a social justice group, found that less than 3 percent involved a violent crime. A couple of years back, the Council of State Governments Justice Center published a toolkit for communities interested in creating programs like the one supporting Chief Holloway鈥檚 department. The following year, it established a national commission to build on this work and identify emerging best practices. Holloway was asked to be a member. The commission released a report about its work in May. 鈥淓verybody came to listen and learn and to come up with common goals,鈥 Holloway says. 鈥淵ou still need law enforcement out there to protect people,鈥 he says, 鈥渂ut you need people to help those going through a crisis who can do better than law enforcement.鈥

Getting the First Steps Right

Denver implemented a co-response program in 2016 in which licensed clinicians went out on calls with police officers. In 2020, it launched Support Team Assisted Response (STAR), a mobile crisis team that operates in partnership with the Denver Police Department. There were some advantages to the fact that the co-response program was in place for several years before STAR was launched, says Andrew Dameron, director of emergency communications for the city and county of Denver. Early on, police were concerned that they were going on calls with 鈥渟nowflakes鈥 who were going to get hurt or killed, who would need their protection. 鈥淲hat they found was that when these clinicians were taking the lead, oftentimes they got a much better outcome,鈥 Dameron says. 鈥淭hey began to understand the benefit of having that resource.鈥


An inside look at Guilford County鈥檚 award-winning program response to low-acuity and behavioral health calls

When STAR came, online 911 dispatchers needed to decide which calls would go to them, as the social workers would no longer be accompanied by law enforcement. Early on, there was only one STAR van, and no expectation that it could respond to every call that might be appropriate. As the program grew, so did the need to delineate the difference between a STAR call and a police call. The goal is to enshrine STAR as a fourth response option along with fire, police and EMS, says Dameron. For the most part, the lines between these are clear. Over time, dispatchers learned to sort out 鈥減olice call鈥 and 鈥淪TAR call鈥 nuances. This has been refined to include a 鈥淪TAR-only鈥 classification, meaning there aren鈥檛 extenuating circumstances that require police presence and the caller is willing to wait until social workers are available. Dameron and Holloway both recognize the value of sending responders who are plugged into local resources and know where to send someone who鈥檚 in crisis for help.

鈥淧articularly for a brand-new police officer, fresh out of the academy, the path of least resistance is to arrest that person and take them to jail,鈥 says Dameron. 鈥淭hat鈥檚 not unique to Denver 鈥 that鈥檚 how our criminal justice system has been built.鈥 Social workers are also in a better position to create a feedback loop that can help law enforcement and other local agencies identify where there are cracks or gaps in their systems.


A Crisis Car pilot program is pairing three disciplines: police, mental health and EMS to respond to behavioral emergencies

In Denver and St. Petersburg, the programs predated the protests that followed George Floyd鈥檚 death, as did those in other communities. To the extent that alternative response is becoming more common, it is pointing people to safety nets rather than fines and jails. 鈥淪ome of the services were already there, we just didn鈥檛 know how to connect people to the services,鈥 Holloway says. Tansy McNulty, founder of the nonprofit 1 Million Madly Motivated Moms, was also asked to be part the Council of State Governments commission. In December 2020, her group worked to create an online directory of community response teams. By 2021, they had identified 150. Today, The Right Response Directory includes contact information for more than 250 teams across the nation. The Denver and St. Petersburg programs are in the directory, but so are programs that aren鈥檛 integrated within police departments. McNulty鈥檚 intent is to inform community members of options other than calling the police. Directory users are advised to call 911 if a weapon is present or there is a threat of immediate harm.

Barriers and Agreement

The nonprofit Law Enforcement Action Partnership (LEAP), founded in 2002, is a coalition of police, prosecutors, judges and others in law enforcement advocating for changes to criminal justice and drug policy. In 2020, it published a report outlining the process of creating a community responder project in partnership with the Center for American Progress (CAP), a progressive think tank.

鈥淥nce we had the foundational report out there, we started working with cities and seeing some common barriers,鈥 says Amos Irwin, a program director at LEAP. Getting dispatching right was one of two 鈥渂ig鈥 barriers, he says. 鈥淭here鈥檚 a famous saying in dispatch centers,鈥 says Irwin. 鈥淚f you鈥檝e seen one 911 call center, you鈥檝e seen one call center, because they are all different.鈥 LEAP teamed with CAP and the New York University Policing Project for another report covering three common models for integrating non-police response programs in 911 dispatch systems. One major issue was concern that a community responder program could open up a city to new forms of liability. LEAP published its research regarding that question in May.


Many 911 call centers face challenges determining whether a response should involve law enforcement, EMS, or a more specialized response when available

鈥淚t鈥檚 pretty clear that even with the wide variety of state laws, there does not seem to be any evidence that these programs are going to increase a city鈥檚 liability risk,鈥 Irwin says. Actually, it could decrease risk because armed officers are not being sent to calls that don鈥檛 involve criminal activity. Irwin says that one of the satisfying things about working on community response is that, as Chief Holloway found, there鈥檚 agreement about its value. 鈥淵ou鈥檝e got 1 million motivated moms, you鈥檝e got police leaders, you鈥檝e got police unions weighing in and saying we don鈥檛 want to go to these 911 calls anymore,鈥 he says. 鈥淲e got excited about the potential because everyone鈥檚 not on the same side on many of the other issues we work on.鈥

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