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Rodgers M, Thomas S, Dalton J, et al. Police-related triage interventions for mental health-related incidents: a rapid evidence synthesis. Southampton (UK): NIHR Journals Library; 2019 May. (Health Services and Delivery Research, No. 7.20.)

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Police-related triage interventions for mental health-related incidents: a rapid evidence synthesis.

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Appendix 9List of primary qualitative studies excluded from evidence synthesis

First author, year of publicationStudy objectivePopulationInterventionComparators (when applicable)Outcomes reported
Australia
Boscarato, 201484To explore consumer experience of crisis response serviceConsumers of combined police and mental health servicesPolice Crisis Assessment and Treatment teamsNoneConsumer experiences and opinions of the service(s)
Evangelista, 201685How consumers experience PACERConsumersA-PACERNoneOutcomes of contact with A-PACER, consumer experiences
aHerrington, 201486The impact of police training in mental healthPolice officersMental health intervention training (similar system to CIT in USA)Neighbouring sites to intervention areasInteractions between police officers and people with mental ill health
aHollander, 201287How crisis mental health clinicians and police officers experience the service interface to identify perceived challenges to collaboration and possible solutionsPolice and mental health service staffMobile psychiatric crisis assessment and treatment teams (work independently of police but responsive to police requests for shared management of people with mental ill health)NoneFrequency of contact, confidence in decision-making, experience of interface, knowledge and ability
aLee, 201588To evaluate an Australian, joint, police–mental health mobile response unit that aimed to improve the delivery of a community-based crisis responseStaff at Crisis and Intervention Treatment Centre and police officersA-PACERNoneReasons for and outcomes of following A-PACER referral, Police and Clinical Early Response clinician feedback
McKenna, 201589To describe the perceptions of major stakeholders on the ability of the N-PACER model to reduce behavioural escalation and improve the service utilisation by people in a mental health crisisConsumer advisors as the voice of consumers, carer advisors as the voice of carers, mental health staff, emergency department staff, police officers and ambulance officersN-PACERPolice-only teamsChallenge of PACER compared with police-only teams, collaboration, improvements to a person’s pathway, ways to improve PACER
Canada
Kirst, 201590To understand processes of implementation of a multisite mobile CIT programme in a large urban centre, to identify programme strengths and challenges and to identify levels of satisfaction in service deliveryStakeholders within the health system and at the community, managerial, team and consumer levelsMobile CITNoneProgramme satisfaction, programme strengths, challenges in implementation/service delivery
aKisely, 201091To examine the impact of an integrated mobile crisis team formed in partnership between mental health services, municipal police and emergency health servicesService recipients, family, front-line workers and referral sourcesIntegrated mobile crisis teamNo serviceNumber of calls, number of visits, acceptability, availability and satisfaction with service
aLamanna, 201778Service user experiences of co-responding police and mental health programmesService usersMobile CIT (police and MHPs)Police-only teamsResponse times, rates of service user injury, emergency department handover times, service user experiences
aSilverstone, 201392Evaluating the training of police officers who may interact with people with a psychiatric disorderPolice officersTraining police officers to interact with people with psychiatric disordersNoneBenefits and acceptance of training, satisfaction
Denmark
Sestoft, 201493Concept, process, practice and experience of the collaborative model known as PSP teamsUnclearCollaboration between police department, social services and psychiatric/mental health servicesNoneImplementation, practice, process issues
USA
Canada, 201094To evaluate CITPolice officersCITNoneApplication of CIT skills and knowledge, diversion from arrest to mental health services, responses to calls, perceived impediments to implementation
Canada, 201295To assess differences between CIT-trained officers and non-CIT-trained officersPolice officersCIT-trained officersNon-CIT-trained officersAssessment, response tactics, disposition
aCompton, 201796Stakeholders’ views on the accessibility of a prebooking jail diversion programme (CIT)Patients, police officers (CIT-trained and non-CIT-trained), mental health administratorsPrebooking jail diversion (police and mental health linkage system)NoneExpectations about acceptability, concerns about system
Doulas, 201497A description of current programmesAnyone involved in the programming of CIT for juvenilesJ-CITNoneProgramme features and philosophy, programme jurisdiction, origins of J-CIT; training focus and topics, client characteristics, mechanisms of intervening in crisis situations, role of family participation services, obstacles to programme implementation, programme evaluation and future goals
Hanafi, 200898How does CIT training affect police officers’ interactions with individuals with mental ill health in their daily work?Police officersCITNoneKnowledge and awareness of mental ill health, ability to recognise and respond, stereotyping and stigmatisation, empathy, patience, arrests and redirection
Hannig, 201563To determine the success of the Chicago Police Department’s CIT training and curriculumPolice officersCITNoneOfficer views on individual aspects of training, such as different mental illnesses, risk assessment, legal issues
aKalinich, 201065To explore the role of MHPs partnered with the CIT programmeMHPs from CIT schemesCITNonePerceptions and experiences
aKubiak, 201782Presents the countywide implementation of CIT, prevalence of officer interaction with persons with mental health issues and CIT training outcomesPolice officersCITNoneKnowledge and skills from training, officer opinions of psychiatric treatment, officer perceptions of mental ill health
McGriff, 201099To understand the application of CIT in an airport setting and to elicit suggestions for improvements to the CIT programme from the perspective of police officers stationed in an airportPolice officersCIT at an international airportNoneMotivation for participation in CIT, perceived benefits of training, special issues relevant to an airport setting, areas for improvement specifically in an airport setting
aPrince, 201269The impact of CIT training on police officersPolice officersCIT trainingNoneDispositions, policies and protocol, professional awareness, skill set, training
Skubby, 2013100To better understand the challenges of CIT programmesLaw enforcement officers, community MHPs, system administrators, consumer advocatesCITNoneBarriers to implementation, overcoming barriers to implementation, effects of implementation
aStewart, 200972A study of a police intervention in mental health crisisPolice officersCITNoneImplementation and management of the programme (qualitative data), number of calls received, response time, length of call, frequency of police intervention, perception of mental ill health, incident characteristics (quantitative outcomes)
aTully, 2015101To examine officer perception of preparedness after receiving CIT trainingPolice officersCIT trainingNonePerceptions of preparedness
Watson, 2008102To explore experiences of people with mental ill health and their encounters with police officersService usersCITNoneNature of police encounters, vulnerability and negative expectations of police, evaluation of police encounters, advice for police officers

A-PACER, Alfred Police and Clinical Early Response; J-CIT, Crisis Intervention Teams for juveniles; N-PACER, Police and Clinical Early Response Unit, Northern Police Unit; PSP, police, social services and psychiatric/mental health.

a

Multiple methods study (e.g. may include literature review or qualitative evidence).

Copyright © Queen’s Printer and Controller of HMSO 2019. This work was produced by Rodgers et al. under the terms of a commissioning contract issued by the Secretary of State for Health and Social Care. This issue may be freely reproduced for the purposes of private research and study and extracts (or indeed, the full report) may be included in professional journals provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising. Applications for commercial reproduction should be addressed to: NIHR Journals Library, National Institute for Health Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK.
Bookshelf ID: NBK541860

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