In emergencies, police are usually the first on the scene, but they often aren’t prepared for mental health crises. Recent reports have called for a change, suggesting that mental health professionals, not police, should lead these responses.
Some states, like South Australia, are trying a new approach. They are using a “co-responder” model. This means mental health specialists go alongside police during these incidents. It’s a step toward improving how we handle such delicate situations.
The Current Landscape
Currently, laws allow police to use “reasonable force” to take people with mental health issues to hospitals. Unfortunately, this often just means a trip to an already overwhelmed emergency room, where wait times can be long and the care inadequate.
In fact, studies show only about 23% of those taken to hospitals by police for mental health crises end up needing admission. The rest are left without the help they really need.
In New South Wales, police respond to mental health calls every nine minutes. In Victoria, it’s every ten minutes. This constant demand strains police resources and shows a growing need for change.
The Impact of Police Involvement
The presence of police can escalate tense situations. Many officers lack proper training in mental health, which can lead to further complications. Research has found that about one in ten people using mental health services has had prior interactions with law enforcement.
These encounters can be harmful. Those experiencing mental health challenges are often more likely to become involved in incidents of police force. Sadly, this can lead to criminal charges rather than the support they truly need.
What People Want
In interviews with 20 individuals who had police involvement during mental health crises, many shared their traumatic experiences. They reported feeling more harm than help from police interventions, including unnecessary use of force like pepper spray and handcuffs.
Many expressed a desire for ambulance-led responses instead of police involvement. They want connections to community-based services that offer genuine support, such as mental health peer support and housing assistance.
Understanding Co-Responder Programs
Co-responder programs aim to calm mental health crises and reduce trips to emergency departments by involving mental health clinicians alongside police. Research shows these programs can be more effective than traditional methods.
For instance, a study of a co-response program in Victoria found quicker and higher-quality responses than when police acted alone. Similar programs in the U.S. and Canada demonstrate that health workers can often manage mental health crises without police involvement, helping to reduce arrests and prevent further complications.
The Resource Challenge
Despite their potential, co-responder programs often face resource shortages. They might not be available outside business hours or in all regions. Evaluations of these programs are also limited, making it hard to gauge their long-term effectiveness.
Australia’s mental health sector is struggling, with significant labor shortages making it difficult to implement successful programs on a broader scale.
A recent report from the Royal Commission into Victoria’s Mental Health System recommended that paramedics respond to mental health crises instead of police. However, progress on this recommendation has been slow.
People with lived experience of mental health issues want more than just a change in who responds to these crises. They need a system that offers timely, compassionate, and non-coercive support.
*Name has been changed to protect identity.
If this article raises any concerns for you or someone you know, please reach out to resources like Lifeline at 13 11 14.