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Author: Jason Cherkis
Author: Cherkis
Issue: 2008/04/04
Issue Volume: 28

Dropping Out When it comes to dealing with the mentally ill, the police need schooling.

image: Mental Map: Philip Eure from the Office of Police Complaints wants cops to get in a Memphis state of mind.

Mental Map: Philip Eure from the Office of Police Complaints wants cops to get in a Memphis state of mind.
(Darrow Montgomery)

The mother kept telling the police she was mentally ill.

It was late morning on May 20, 2006. Officers had stopped the woman’s son along the 1400 block of Half Street SW. When she came around the corner, she claims she saw one of the officers choking him. She tried to get the officer to stop.

She then became the officers’ focus. According to her written account to the city’s Office of Police Complaints (OPC), she was slammed to the pavement and knocked unconscious. When she came to, she was handcuffed and placed under arrest for assault.

She just needed her medication, she pleaded to the officers. “They told me I was not telling the truth and to shut up,” she wrote.

The police ignored her. They transferred her to a district station and placed her in a cell. But the woman kept at it: “I continue to tell them that I need my mental health medication they continue to laugh at me.”

She then walked to the cell’s commode. “I began to put my head in the toilet,” she wrote, “and try to committ sucide.”

The woman’s anguished complaint eventually was dismissed after she stopped cooperating with OPC investigators. But it is not unlike the complaints of other mentally ill residents who’ve had encounters with the D.C. police department—both as victims and alleged perpetrators of crimes. Files at the police complaint office turn up accounts of cops behaving with alleged indifference and occasional cruelty.

• A homeless man wrote that after being assaulted on June 19, 2002, while waiting for a bus, police officers on the scene made fun of his appearance, called him a “white motherfucker,” asked if he was mentally ill, and refused to arrest his assailant. The OPC report goes on to say that another officer eventually arrested his attacker, who was later convicted.

• In spring 2006, a man had come to believe intruders were lurking in his Massachusetts Avenue NW apartment building. He barricaded his front door with two-by-fours. Since he didn’t have a phone to alert the authorities, he set off his smoke detector to ward off the would-be troublemakers. After the fire department showed up, he dismantled his fortress and apologized. He wrote OPC that a cop forced him to the ground, cuffed him, and kneed him in the back before taking him for a mental evaluation. He wrote that he was not allowed to put on shoes and a shirt.

• On June 19, 2007, while walking by the small park at 14th and Girard Streets NW, a woman was accosted by a knife-wielding female. According to her OPC account, she ran to an officer posted nearby. The cop asked her if she was on any medication. “I told him yes,” the woman wrote. “I was bi-polar, I took medication, then he said the whole altercation was my fault because I was bi-polar. He asked me if I had missed a dose.”

It’s hard to say how often D.C. police officers mistreat mentally ill residents—the police complaints office does not keep statistics on this type of case. Anecdotage is all there is, and there’s enough of it to put OPC on a mission to change the rules of engagement. “What I know is based on reviewing the complaints and the narratives,” says OPC Executive Director Philip Eure. “You have a variety of reactions to people who are mentally ill. There are some officers who have the natural empathy.…

And you have other officers [who] because of a lack of good training don’t know how to respond. Some officers make fun of these people, laugh at them, mock them. Much of that is based on ignorance.”

In September 2006, Eure and his agency recommended wholesale changes in a lengthy report to then Mayor Anthony A. Williams and then Police Chief Charles H. Ramsey. The report advocated using Memphis as a model for the District.

In the late ’80s, the Memphis Police Department developed a way of dealing with mentally ill residents with its Crisis Intervention Team (CIT) model. In addition to training the rank-and-file cops, the department selected officers to undergo an additional 40-hour training session. These officers became mental health crisis specialists operating much like a SWAT or vice squad.

Instead of diffusing a hostage situation or nabbing corner dealers, CIT cops specialize in taking care of the bipolar teenager in the midst of a manic episode. When such a call comes in, at least one CIT officer is dispatched to head up the case. With trained personnel on the scene, the outcome is less often a night in jail followed by arraignment and more often a call to a social worker or psychiatrist.

“We have a duty to be able to bring people into services without the unnecessary placing of some type of criminal charge,” says Maj. Sam Cochran of the Memphis department.

As word spread that the cops weren’t just out to hassle the mentally ill, calls for service spiked. In 1988, CIT officers fielded 3,000 calls, according to Cochran. They now receive 12,000 calls per year.

The model has spread to police departments across the country. Thirty jurisdictions in Georgia, for instance, are adopting the approach. Seattle began its version of the CIT program in 1998.

Sgt. L.J. Eddy, who heads up the Seattle Police Department program, says the CIT method just blows away departmentwide training efforts. “It’s just not as effective,” she says. “If you have an officer who’s just not good in dealing with mentally ill people, if that officer ends up on a call with someone and they kind of don’t want to bother, they don’t. If that officer has the option of calling a CIT officer, I think that’s better all around.”

Despite the push from Eure, D.C. has stuck to its train-all approach on the theory that any officer should be able to handle a radio run for a mentally ill resident.

Yet the preparedness of D.C. officers for such encounters remains in question. At a hearing before the D.C. Council’s Judiciary Committee in late February, Eure described the department’s training as “limited and inadequate.” In a subsequent letter to the committee’s chair, At-Large Councilmember Phil Mendelson, he wrote that the department last provided mental-health-related training in 2005, which consisted merely of a four-to-eight-hour session. “This training falls well short of the mental health training that would be required under any model,” Eure argued.

Commander Brian Jordan, the department’s point person on the issue, says he’s seen no significant use-of-force problems. Of the other misconduct complaints, he says: “These are the types of things that you will always have....You

are always going to have indifference among officers.”

Jordan could not exactly state how much time the rank and file spend on mental-health-related training. Nor could he say what officers are actually taught. “I don’t have the curriculum in front of me,” he said. “Not all [of it] is mental health training. Some of it is about force investigation, some of it’s verbal judo.”

Few officers seem to have a black belt in the subject. “We don’t have any special training,” explains Lt. Peter Larsen of the 7th District. “I guess they go over some things. I’m not sure how much specific training they get. [It’s] not every year.”

Whatever training that has taken place, Jordan says, came from the city’s Department of Mental Health (DMH). Stephen T. Baron, DMH’s director, assesses the police training this way: “For a couple years there it was pretty good mental health training, and it kind of dropped. We’re picking it up now. There’s a goal to have the first training in June.”

DMH logged 3,462 mental evaluations at its psychiatric facility on the grounds of D.C. General for the last fiscal year. From October through January, 1,123 residents have been referred for an evaluation. Seventy-five percent of those cases came from law enforcement agencies.

By mid-summer, Baron hopes to have established a mobile crisis response team that would assist on police calls. The team, comprised of a pair of mental-health professionals, would be available 16 hours per day. Baron says two-thirds of the needed $2.1 million has been identified for the program.

Baron says he believes in the CIT model. The mobile crisis teams could be a valuable tool for the police.“I like the model that also has a more prominent role for mental health professionals....We need to work closely with the police department. We need to build up a level of trust.”

Comments

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  • Harold A. Maio Apr. 02, 2008
    10:48 pm

    When it comes to dealing with "the" mentally ill, the police need schooling.

    I am not sure what you mean by "the" mentally ill, but if you perceive of us as a stereotype, why expect more of police officers?

    "The" mentally ill is no more accurate than "the" Jews. It is a metaphor of convenience to editors and others, devoid of fact, the foundation of journalism.

    There is a somber reality behind the convenient phrase, however. Far too many people who cannot obtain mental health services commit minor crimes for which, there being no present alternative, they are jailed. And far too many people who cannot obtain mental health services die, on the streets, the victims of crimes, drugs and serious physical health concerns, also untreated. In previous years they would have died unnoticed behind the thick walls of mental institutions. In fact, more than twice as many people died in mental institutions in this country than in all the wars we ever fought, up to and including the Gulf War:

    In the 14-year period between 1950 and 1963, more American deaths occurred in state and county mental institutions than in all of the nation's armed conflicts beginning with the Revolutionary War and ending with the Persian Gulf War.

    Between 1965 and 1990, the total number of mental-hospital inpatient deaths exceeded the number of battle deaths in the same wars by 70 percent.

    Inpatient deaths topped out at 1,103,000 during this 25-year period, compared with 650,563 recorded deaths in battles. (Forgotten Dead of St. Elizabeths Magazine article by Kelly Patricia O'Meara; Insight on the News, Vol. 17, Aug. 6, 2001)

    Harold A. Maio

    Advisory Board

    American Journal of Psychiatric Rehabilitation

    Board Member

    Partners in Crisis

    Former Consulting Editor

    Psychiatric Rehabilitation Journal

    Boston University

    Language Consultant

    UPENN Collaborative on Community Integration

    of Individuals with Psychiatric Disabilities

    Home:

    8955 Forest St

    Ft Myers FL 33907

    239-275-5798

    khmaio@earthlink.net

  • Is it surprising that the police deal badly with mentally ill people. The DC police (and many others as well) deal with people in general badly.

    It's fine to interact with any few policemen/women at a party, but every time I have an actual need for the police - it seems that I'm a bother:

    Garage broken into & don't see it for a few days: Don't bother calling

    Bike stolen: Don't bother reporting it

    Car radio stolen & 5 police cars on the street for another call that they figured out did not need more than two cops: We can call the unit that deals with that, and we can't make any estimate of when they will show up.

    Generically, the police have a crapload to deal with - and treat the public like a nuisance. The woman on June 19 at 14th & Gerard is a perfect example: "I was attacked" Police response: "is there any way I can get out of dealing with it?"

    at this point, I think everyone should have a weapon, as the wild west had to be better than this.

  • It appears DC cops need to be schooled on how to treat people in genera. My wife was a victim of verbal abuse and unprofessional behavior by an officer. He, not only, conducted himself in a hostile manner: he was more patient with the driver who caused the accident than he was with my wife. He collected himself when his sargent cme on the scene. He then wrote the report with multiple inaccuracies, to the point where he gave the driver, not my wife, a parking ticket instead a moving violation ticket. Needless to say, my wife filed a complaint and the investigator and his supervisor, a women, were equally insidious as to how the investigation was handled. The supervisor was very harrassing towards my wife after my wife told her countles times that she just had surgery. The notes the investigator took were completely inaccurate. Based on the supervisor's attitude, she was more concerned about protecting the officer in question that resolving the matter. She was vompletetly insensitive to the fact that my wife had just had surgery. Thanks to Chief Lanier the report was corrected immediately and we recieved an amended report. However, the officer in question still remains on the loose. Oh by the way the Officer is black, the other driver is white and the accident ocurred on Military Road NW in upper Ward 3.

  • DC cops are dicks, indeed. A few years ago, a cop lit me up in a circle. Instead of pulling over IN the circle (how dumb would that be?) I put on my blinker, moved over and turned onto P street.

    It was clear I was doing this so that he could stop me safely. As I was pulling up slowly and coming to a stop, I barely had a chance to take my foot off the break before the assho- I mean COP started screaming on his PA system for me to, "DRIVER! STOP THE CAR! STOP THE CAR!" and then "DRIVER! TAKE YOUR FOOT OFF THE BREAK! TAKE YOUR FOOT OFF THE BREAK!!"

    I was like, WHAT THE FUCK? So I pulled my handbrake up and then this freak of nature (white) runs up to my window and asks, "DO YOU READ. WRITE. AND UNDERSTAND ENGLISH?"

    I looked up baffled that his question wasn't, "Do you know why I stopped you?" Then I went to answer, "Yes". But before I could, he blurted it out again. I took a breath and went to say, "Yes". But again, a third time: "Do YOU. SPEAK. WRITE. AND UNDERSTAND ENGLISH?"

    Eventually I got my answer out. Inside I was half laughing, half apalled by his lack of professional behavior. I explained that in all my driving training/lifetime I've learned that you should pull over keeping the safety of the officer in mind, too. Of course, because he's combative by nature, he said that I ran the yellow/red that I was a danger to all so next time pull over right away when an officer is behind you. This is not true of course. If you feel suspicious, you are allowed to pull into a safe area for your own sake, as long as it's clear you're doing so and not running away.

    And if I were a danger, he would not have run up to my window and started yelling in my face. He'd have walked safely up to my window and peered around from a safe angle. I grew up an air force brat, served in the army and have had extensive training along side police officers. He was not so concerned about safety himself.

    Anyway, he stormed off back to his cruiser to write me up. While waiting, I gathered my thoughts and had a couple things to say to him. But this time, the "good cop" came to my window (black) and politely gave me my ticket.

    What a putz. Luckily for society, he's probably dead of an aneurysm by now.

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Author: Jason Cherkis
Author: Cherkis
Issue: 2008/04/04
Issue Volume: 28
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