title: Examining implementation of mobile, police-mental health crisis intervention teams in a large urban center.
abstract: BACKGROUND
  Mobile Crisis Intervention Teams (MCITs) have emerged as a police and mental health system co-response to assist police in responding to individuals experiencing mental health crises. There is a gap in knowledge regarding the critical program components that contribute to successful MCIT implementation.
  
  
  OBJECTIVE
  This evaluation study aimed to understand processes of implementation of a multi-site MCIT program in a large urban center and to identify program strengths and challenges, as well as levels of satisfaction in service delivery.
  
  
  METHODS
  Fifty-seven stakeholders participated in qualitative interviews and focus groups, including: MCIT consumers and staff, individuals from the health system, police services, and community organizations.
  
  
  RESULTS
  Overall, program stakeholders perceived the MCIT program positively and viewed it as meeting its key goals. The implementation evaluation has highlighted the importance of respectful interaction with consumers, cross-sector training and collaboration, and ensuring clarity in program mandate and staff roles. These program components can continue to be built upon to improve MCIT service delivery.
  
  
  CONCLUSIONS
  Future studies should further evaluate the role of key strengths in MCIT program implementation as well as the impact of recommended improvements on program outcomes.
authors.affiliation: a Centre for Research on Inner City Health, St. Michael's Hospital , Toronto , Canada .|b Dalla Lana School of Public Health, University of Toronto , Toronto , Canada .|c Toronto Central Community Care Access Centre , Toronto , Canada .
authors.forename: Maritt
authors.initials: M
authors.lastname: Kirst
authors.affiliation: a Centre for Research on Inner City Health, St. Michael's Hospital , Toronto , Canada .
authors.forename: Katherine
authors.initials: K
authors.lastname: Francombe Pridham
authors.affiliation: b Dalla Lana School of Public Health, University of Toronto , Toronto , Canada .
authors.forename: Renira
authors.initials: R
authors.lastname: Narrandes
authors.affiliation: a Centre for Research on Inner City Health, St. Michael's Hospital , Toronto , Canada .|b Dalla Lana School of Public Health, University of Toronto , Toronto , Canada .
authors.forename: Flora
authors.initials: F
authors.lastname: Matheson
authors.affiliation: d Toronto East General Hospital , Toronto , Canada , and.
authors.forename: Linda
authors.initials: L
authors.lastname: Young
authors.affiliation: d Toronto East General Hospital , Toronto , Canada , and.
authors.forename: Kristina
authors.initials: K
authors.lastname: Niedra
authors.affiliation: a Centre for Research on Inner City Health, St. Michael's Hospital , Toronto , Canada .|e Department of Psychiatry , University of Toronto , Toronto , Canada.
authors.forename: Vicky
authors.initials: V
authors.lastname: Stergiopoulos
mesh_terms: D000328:Adult; D003299:Cooperative Behavior; D003419:Crisis Intervention / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D008952:Mobile Health Units / Q000458:organization & administration*; D016495:Police; D019037:Urban Health Services / Q000458:organization & administration*
keywords: Implementation evaluation; mental health crisis; mobile crisis intervention team; police-mental health co-response model