The Crisis Response and Intervention Training (CRIT) is a 40-hour training program designed to prepare police officers in their response to people experiencing crises related to behavioral health (BH) conditions and intellectual and developmental disabilities (IDD). This training is based upon the Memphis Model of Crisis Intervention Team (CIT) training and is designed to complement the development and delivery of crisis response programs planned by law enforcement agencies and BH/disability service providers in the community.

This 40-hour training program includes 21 modules of varying lengths and learning styles. These modules focus on topical areas such as BH and IDD, community engagement and resources, systems and research considerations, and scenario-based skills.

Following participation in the Crisis Response and Intervention Training (CRIT), officers will have a better understanding of the types of challenges that persons with BH conditions and IDD face, have knowledge of community resources that can aid in the diversion of individuals from the criminal justice system, and have skills to assist in the management of situations involving people experiencing BH and IDD-related crises.

The 40-hour training matrix can be found here.

CRIT Pilot Site Selection Announcement

Three agencies have been selected to participate as pilot sites for the Crisis Response and Intervention Training in 2021. Congratulations to Corvallis (OR) Police Department, Pittsburgh (PA) Bureau of Police, and Rapid City (SD) Police Department!

These agencies will receive intensive technical assistance, training, and companion resources from a national pool of subject matter experts to adopt and operationalize a crisis response program. Agencies will engage in comprehensive strategic planning – including program design, implementation, and partnership-building – and training to promote effective and safer responses to persons experiencing a crisis, or at risk of experiencing a crisis, related to behavioral health conditions (including mental health and substance use) and/or intellectual and developmental disabilities.

The following resources were developed through the Academic Training initiative and are designed to support law enforcement agencies and communities in the development, implementation, and evaluation of crisis response programs.

1. Written Products
   • BEST PRACTICE GUIDE - Responses to People with Behavioral Health Conditions and Developmental Disabilities: A Review of Research on First Responder Model 
     The Best Practice Guide reviews available research on the delivery and impact of police, behavioral health (BH), disability, and community responses to BH and intellectual and developmental disabilities (IDD) - related crisis incidents. The chapters of this guide present information on existing response models, identify evidence-informed and best practices, and outline key lessons for the development and delivery of crisis response programs designed after these models.
     Available Chapters
     • Crisis Intervention Teams (CIT)
     • Co-Responder Teams
     • Law Enforcement-Based Case Management Services
     • Law Enforcement Assisted Diversion (LEAD)
     • Mobile Crisis Teams
     • Crisis Resolution and Home Treatment Teams
     • EMS and Ambulance-Based Responses
2. Past Events
   • Crisis Response for Rural Communities: Using Technology and Peer Support to Meet People in Crisis, Where They Are - Presented September 16,2021 
     
     Webinar Description 
     Rural communities can face many challenges developing and delivering crisis response programs for people with behavioral health conditions and intellectual and developmental disabilities, including wide geographic areas to serve, limitations in options for local treatment and social services, and resource constraints related to funding and staffing. Across the United States, rural communities have adapted best practices in crisis response to overcome these challenges and address the need for services in their jurisdictions by having mental health providers meet people in crisis where they are, either in-person or through telehealth services. These programs can prevent the need for additional resources, such as police and emergency medical services, to respond to individuals in crisis and may enhance short- and long-term outcomes for these individuals.
     
     Presented by the U.S. Department of Justice, Bureau of Justice Assistance's Academic Training to inform Police Responses Initiative, this webinar featured two programs that have adapted crisis response for use in rural communities. Panelists presented the innovative approaches in crisis response implemented by their programs and discussed the challenges of ensuring the needs of individuals in crisis who live in rural communities are met. Additionally, the Academic Training team highlighted key resources to support rural communities developing and implementing crisis response in their jurisdiction. 
     
     Presentations
   1. Crisis Response for Rural Communities: "The GLMHC App" 
      Larry Smith, CPRSS; Chief Executive Officer 
      Grand Lake Mental Health Center, Inc.
      Josh Cantwell, LCSE; Chief Operating Officer 
      Grand Lake Mental Health Center, Inc.
   2. A Unique Partnership of People with Lived Experience, Law Enforcement, and Community Partners
      Kasey Moyer; Executive Director 
      Mental Health Association of Nebraska 
      Captain Mike Woolman 
      Lincoln (NE) Police Department 

      Webinar Video

      Webinar Slides

      Webinar Transcript

   • Transforming Dispatch and Crisis Response Services: Meeting Challenges with Innovation - Presented March 2, 2021
     
     Webinar Description
     Historically, law enforcement has been the default response to all 911 calls for service, including incidents involving individuals experiencing crises related to behavioral health conditions and intellectual and developmental disabilities. It has been observed that many of these incidents are service-based calls, where the presence of law enforcement may not be needed. In recent years, communities have increased efforts to reorganize their crisis response systems, training 911 call-takers and dispatchers to shift away from directing law enforcement as first responders to these calls. This webinar featured four programs that have leveraged the training, policies, and procedures of 911 call-takers and dispatch when restructuring their community’s response to crisis incidents. Panelists presented the innovative approaches in crisis response implemented by their programs and discussed the challenges of ensuring appropriate services are dispatched to crisis incidents to best meet the needs of individuals. 
     
     Presentations

   1. Training of CIT Dispatch Trainers
      Ruth H. Simera, Med, LSW; Executive Director
      Coordinating Centers of Excellence, Northeast Ohio Medical University

   2. Colorado Justice Mental Health Collaboration Program: Dispatch/Crisis Services Collaboration
      Peggy Heil, LCSW; Behavioral Health Specialist 
      Colorado Division of Criminal Justice 
      Abigail S. Tucker, PsyD 
      SHE Consulting, LLC

   3. Albuquerque Police Department's IDD Training for Telecommunicators
      Ben Melendrez, Detective
      Albuquerque (NM) Police Department

   4. Transitioning 911 Response: San Francisco's Street Crisis Response Team (SCRT) Pilot Program
      Robert Smuts, Deputy Director
      San Francisco Department of Emergency Management
      Simon Pang, Section Chief of Community Paramedicine 
      San Francisco Fire Department
      
      Webinar Video
      
      Webinar Slides
      
      Webinar Transcript
      
      911 Distressed Caller Diversion Program in Broome County, NY Fact Sheet

3. Law Enforcement Engagement with People with Behavioral Health Conditions and Developmental Disabilities Roundtable - Hosted August 18, 2020 - August 19, 2020 
   In August 2020, a multi-disciplinary group of individuals with subject matter expertise in police responses to people with behavioral health (BH) conditions and/or intellectual and developmental disabilities (IDD) convened virtually to participate in the Law Enforcement Engagement with People with Behavioral Health Conditions and Developmental Disabilities Stakeholder Roundtable. This roundtable was designed to inform the work of the Academic Training to Inform Police Responses by facilitating discussions related to: 

   1. Opportunities to advance the safety and effectiveness of police engagement with people with (BH) conditions and/or IDD,
   2. Best practices in current crisis response models and collaboration between police and service provider partners, and
   3. Existing and needed products and resources to support police agencies and their service provider partners in the delivery of effective responses. 
      
      The Stakeholder Roundtable hosted presentations on existing efforts in police responses to people with BH conditions and/or IDD. These presentations were designed to facilitate discussions of best practices in police and community responses, methods of police-BH and police-disability collaboration, and potential barriers to effective responses to people with BH conditions and/or IDD.
      
      The presenters included: 

      Presenter	Topic
      Dr. Rebecca Neusteter Director, University of Chicago Health Lab	Understanding Police Response through Examining 911 Call for Service Data
      Ariel Simms, Esq. Senior Program Manager & Attorney, The Arc of the United States	The Arc of the United States’ National Center on Criminal Justice and Disability Pathways to Justice® Initiative
      Assistant Chief Kevin Hall Tucson (AZ) Police Department	Tucson Police Department’s Mental Health Support Team (MHST)
      Peggy Heil Behavioral Health Specialist, Colorado Division of Criminal Justice	Integrated Dispatch and Crisis Service Response
      Assistant Chief Wendy Baimbridge Houston (TX) Police Department	Houston Police Department’s Mental Health Division
      Tim Black Director of Consulting, White Bird Clinic	Crisis Assistance Helping Out on the Streets (CAHOOTS; Eugene, OR)
      Chief Gina Hawkins Fayetteville (NC) Police Department	Fayetteville Police Department’s Crisis Intervention Team (CIT)
      Dr. Margie Balfour Chief of Quality and Clinical Innovation, Connections Health Solutions Associate Professor of Psychiatry; University of Arizona	Southern Arizona’s Crisis Response Center and Crisis System

      A full report of the Law Enforcement Engagement with People with Behavioral Health Conditions and Developmental Disabilities Stakeholder Roundtable can be found here. This report provides:

   • An account of the planning and delivery of the Roundtable, including the processes for participant selection and activities across the two-day meeting;
   • A description of the major themes of the discussions, polls, and survey responses generated by the Stakeholder Roundtable participants; and
   • Recommendations for future efforts to facilitate collaborative responses to people with BH issues and/or DD within communities.

Bureau of Justice Assistance's Police Mental Health Collaboration Toolkit
Bureau of Justice Assistance's Justice and Mental Health Collaboration (JMHCP) Program
Council of State Governments (CSG) Justice Center: Police Mental Health Collaborations
International Association of Chiefs of Police's (IACP) One Mind Campaign
National League of Cities (NLC): Addressing Mental Health, Substance Use, and Homelessness
Substance Abuse and Mental Health Services Administration's (SAMSHA's) GAINS (Gather, Assess, Integrate, Network, and Stimulate) Center
The Arc of the United States' Pathways to Justice