Modeling Officer-Level Effects of Crisis Intervention Team (CIT) Training

模拟危机干预团队 (CIT) 培训的官员级效果

• 批准号: 7581935
• 负责人: MICHAEL T COMPTON
• 金额: $ 77.21万
• 依托单位: EMORY UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-30 至 2011-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7581935
• 关键词: Accounting; Address; Advocate; Attitude; Behavior; Behavior Control; Behavioral; Cities; Collaborations; Communities; County; Criminal Justice; Crisis Intervention; Data; Data Analyses; Data Collection; Databases; Development; Device or Instrument Development; Distal; Effectiveness; Environment; Exploratory Behavior; Family member; Future; Health; Health Professional; Health Services Accessibility; Hour; Human Resources; Imprisonment; Individual; Intention; Jail; Knowledge; Law Enforcement; Law Enforcement Officers; Lead; Life; Literature; Measures; Medical; Mental Health; Mental Health Services; Mental disorders; Methodology; Minor; Modeling; Monitor; Municipalities; Outcome; Patients; Planning Theory; Police; Police officer; Preparation; Property; Psychiatric Emergency Services; Psychometrics; Public Health; Qualifying; Recovery; Reporting; Research; Research Personnel; Resources; Self Efficacy; Services; Staging; Stigmata; Surveys; System; Testing; Training; Utility Theories; Validity and Reliability; Work; cost; design; improved; innovation; instrument; novel; programs; psychosocial; public health relevance; response; severe mental illness; skills; social stigma; sound

DESCRIPTION (provided by applicant): In Crisis Intervention Team (CIT) training, police officers participate in 40 hours of specialized training provided by local mental health professionals, family members/advocates, and mental health consumer groups. Upon completion of the training, these officers serve as specialized first-line responders for calls involving people with serious mental illnesses (SMI). The CIT model also supports partnerships between psychiatric emergency services and police departments, increasing the likelihood that people in psychiatric crisis will be taken to medical facilities rather than jails. The proposed study was developed in response to a prominent dearth of research on CIT, even though it is being implemented widely in numerous municipalities across the U.S. This research, which will build on the PI's ongoing CIT research, will examine the ways in which CIT training may ultimately lead to improved patient- and system-level outcomes by addressing the crucial issue of officer-level outcomes of CIT. This research will be a first step toward understanding how this collaborative model works and will set the stage for research that could have major implications for people with SMI who often interact with law enforcement/criminal justice systems. This project will compare CIT and non-CIT officers and test two complementary models of effects of CIT-the Theory of Planned Behavior (TPB) and the novel Model of Officer-Level Effects of CIT (MOLEC). The specific aims of the research are: Aim 1: To design, adapt, and study the psychometric properties (i.e., reliability, validity) of a number of measures developed specifically for use with police officers; Aim 2: To evaluate the utility of the TPB, the exploratory MOLEC model, and a combined model, in explaining intentions to facilitate mental health referrals and de-escalation skills of 250 CIT vs. 250 non-CIT officers; and Aim 3: To examine the effectiveness of the CIT program in facilitating actual mental health referrals by comparing reports of encounters with individuals with suspected SMI and appropriateness of referrals in CIT vs. non-CIT officers over 6 weeks. Months 1-6 will be dedicated to careful instrument development/adaptation, engagement of police departments, preparation for recruitment and data collection, and testing of instrument reliability/validity. Months 7-30 will include in-depth cross-sectional and 6- week longitudinal data collection, database development, and data entry. Months 31-36 will involve data analysis and dissemination of findings to various relevant audiences. Ultimately, this research may elucidate how the mental health and law enforcement communities can collaborate to improve the health of individuals living with SMI by reducing criminalization and enhancing access to mental health services. PUBLIC HEALTH RELEVANCE: The public health importance of the proposed research is substantial given the nationwide problem of criminalization of mental illnesses resulting in incarceration of people with serious mental illnesses for minor infractions, which delays or precludes the provision of recovery-oriented mental health services. By studying officer-level effects of Crisis Intervention Team (CIT) training, collaborations between law enforcement and mental health can be enhanced and people with serious mental illnesses may be able to lead safer, healthier lives supported by mental health treatment services rather than being entangled in the criminal justice system.

描述（由申请人提供）：在危机干预小组（CIT）培训中，警官参加由当地心理健康专业人员，家庭成员/倡导者和心理健康消费者团体提供的40小时专门培训。在完成培训后，这些警官将担任涉及严重精神疾病患者的电话的专门第一线应答者。CIT模式还支持精神病紧急服务和警察部门之间的伙伴关系，增加了精神病危机中的人被带到医疗设施而不是监狱的可能性。拟议的研究是针对CIT研究的突出缺乏而开发的，尽管它正在美国许多城市广泛实施。这项研究将建立在PI正在进行的CIT研究的基础上，将研究CIT培训最终可能通过解决CIT官员级别结果的关键问题来改善患者和系统级别结果的方式。这项研究将是了解这种合作模式如何运作的第一步，并将为研究奠定基础，这些研究可能对经常与执法/刑事司法系统互动的重度精神障碍患者产生重大影响。本研究将比较CIT和非CIT人员，并测试两个互补的CIT效果模型-计划行为理论（TPB）和新的CIT员工水平效果模型（MOLEC）。本研究的具体目的是：目的1：设计、调整和研究心理测量特性（即，目的2：评估TPB、探索性MOLEC模型和综合模型在解释250名CIT人员与250名非CIT人员促进精神健康转介和降级技能的意图方面的效用;以及目的3：检查CIT程序的有效性，在促进实际的精神健康转介，通过比较报告的遭遇与个人可疑的SMI和适当的转介在CIT与非CIT人员超过6周。第1-6个月将专门用于仔细的工具开发/调整、警察部门的参与、征聘和数据收集的准备以及工具可靠性/有效性的测试。第7-30个月将包括深入的横断面和6周的纵向数据收集、数据库开发和数据输入。第31至36个月将进行数据分析，并向各相关受众传播调查结果。最终，这项研究可能会阐明精神卫生和执法社区如何合作，通过减少刑事定罪和增加获得精神卫生服务的机会，改善患有重度精神分裂症的个人的健康。公共卫生相关性：鉴于全国范围内存在将精神疾病定为刑事犯罪的问题，导致严重精神疾病患者因轻微违法行为而被监禁，这延误或阻碍了以康复为导向的精神卫生服务的提供，拟议的研究对公共卫生的重要性是巨大的。通过研究危机干预小组（CIT）培训的官员层面的影响，可以加强执法和心理健康之间的合作，患有严重精神疾病的人可以在心理健康治疗服务的支持下过上更安全，更健康的生活，而不是被卷入刑事司法系统。