SAN ANTONIO – Recently, a mental health emergency in San Antonio escalated dramatically, resulting in multiple police officers being shot. The incident took place last week in Stone Oak, where seven officers sustained injuries during a confrontation.

According to SAPD Chief William McManus, the situation began with a report of a possible suicide involving a firearm. “When that happens, we often see it turn into an intense mental health call,” he explained during a community meeting.
The incident on January 22 unfolded at Sonterra Heights apartments. The suspect, Brandon Poulos, barricaded himself inside an apartment and was eventually shot and killed by the SWAT team after several hours of standoff.
This incident raises important questions: How do mental health emergencies get classified? And how are they handled? Doug Beach, executive director of the National Alliance on Mental Illness in Greater San Antonio, noted that an escalated call usually involves a person threatening harm to themselves or others.
“Dispatchers look for clear signs of danger and whether weapons are involved,” Beach stated.
Ernest Stevens, an expert from the Council State Governments Justice Center, explained there are different levels of mental health calls:
- Routine mental health calls
- Mental health disturbance calls
- Escalated mental health calls
“Escalated calls often require a more robust response. It’s not safe for civilians to be involved in these situations,” Stevens said. He emphasized that officers must quickly assess how to approach the scene, especially if they face immediate danger.
Stevens added that the nature of each call can change the police response. After the shooting in Stone Oak, SAPD will review the incident to learn and improve future responses.
“It’s crucial not to let one bad experience create stigma around mental health crisis management,” he remarked. “We can learn from this and continue to provide valuable services to the community.”
For those in need of help, Beach pointed to several resources available in San Antonio and Bexar County:
- 911: For immediate danger or suicidal thoughts.
- 988: A helpline for general mental health support.
- NAMI Warm Line: Call (210)-939-9999 for guidance without immediate danger. Available from 8 a.m. to 11 p.m. daily.
Stevens highlighted the importance of understanding feelings of hopelessness, which often correlate with suicidal thoughts. “It’s essential for law enforcement and the community to work together to find the best ways to de-escalate these situations and connect individuals to the help they need,” he said.
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