Psychiatric disposition of patients brought in by crisis intervention team police officers.
BACKGROUND
As part of an effort to improve police interactions with mentally ill citizens, and improve mental health care delivery to subjects in acute distress, the University of Louisville, in conjunction with the Louisville Metro Police, established the crisis intervention team (CIT). CIT is composed of uniformed officers who receive extensive training in crisis intervention and psychiatric issues and who are preferentially called to investigate police calls that may involve a mentally ill individual.


METHODS
In an effort to determine the characteristics of the individuals brought to the emergency psychiatric service (EPS) by CIT officers, a comparative (CIT vs. mental inquest warrant [MIW, a citizen-initiated court order to bring someone for psychiatric evaluation because of concerns regarding dangerousness] vs non-CIT/non-MIW), descriptive evaluation was performed.


RESULTS
With the exception of a higher rate of schizophrenic subjects brought in by CIT (43.0% vs. 22.1%, non-CIT, P = .002), the demographics, diagnosis, and disposition of CIT-referred subjects were not different in any way from non-CIT patients. Subjects referred on MIWs were more likely to be admitted to a psychiatric hospital than non-MIW patients (71.6% vs. 34.8%, P < .0001), but CIT-referred hospitalization rates were not different from hospitalization rates of self-referred subjects (20.7% vs. 33.3%, ns).


CONCLUSIONS
CIT officers appear to do a good job at identifying patients in need of psychiatric care.
Strauss
Gordon
G
Department of Psychiatry and Behavioral Sciences, University of Louisville School of Medicine, Louisville, Kenfucky, USA.
Glenn
Mark
M
Reddi
Padma
P
Afaq
Irfan
I
Podolskaya
Anna
A
Rybakova
Tatyana
T
Saeed
Osman
O
Shah
Vital
V
Singh
Baljit
B
Skinner
Andrew
A
El-Mallakh
Rif S
RS
D003134:Commitment of Persons with Psychiatric Disorders / Q000331:legislation & jurisprudence; D015897:Comorbidity; D003419:Crisis Intervention; D003617:Dangerous Behavior; D017831:Diagnosis, Dual (Psychiatry); D004637:Emergency Services, Psychiatric / Q000706:statistics & numerical data; D006778:Hospitals, Psychiatric / Q000706:statistics & numerical data; D006801:Humans; D020380:Needs Assessment / Q000706:statistics & numerical data; D017063:Outcome Assessment, Health Care / Q000706:statistics & numerical data; D010343:Patient Admission / Q000706:statistics & numerical data; D010348:Patient Care Team; D016495:Police; D011446:Prospective Studies; D012017:Referral and Consultation / Q000706:statistics & numerical data; D012559:Schizophrenia / Q000175:diagnosis / Q000453:epidemiology / Q000534:rehabilitation*; D019966:Substance-Related Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000534:rehabilitation; D013714:Tennessee; D016312:Treatment Refusal / Q000706:statistics & numerical data