■作者研究了使用共同响应程序是否降低了非自愿承诺检查的可能性,因为警察在最初事件发生后1年与经历心理健康危机的年轻人相遇。
■使用准实验设计,作者比较了206起涉及共同应对计划的事件和327起不涉及该计划的事件.倾向得分匹配用于在人口统计学和事件特征上平衡组。因变量包括事件的处置(降级或非自愿承诺检查),这些年轻人是否在初次干预后的1年内经历了后来的非自愿承诺检查,以及后续检查的时间。使用倾向得分加权二元逻辑回归和事件发生时间分析。
■共同响应程序与警官发起的非自愿承诺检查的可能性显着降低有关,并且在1年内进行非自愿承诺检查的可能性较低。导致警察和精神卫生专业人员共同反应的事件中有80%被降级,允许年轻人留在社区中并制定安全计划,而只有警察回应的事件中有17%以危机升级告终。
■这些发现为警察在遇到精神健康危机的儿童和青少年时提供的共同应对方案的实施提供了进一步的支持。
UNASSIGNED: The authors examined whether use of a co-responder program reduced the likelihood of an involuntary commitment examination as the disposition of a police encounter with youths experiencing a mental health crisis and 1 year after the initial incident.
UNASSIGNED: Using a quasi-experimental design, the authors compared 206 incidents that involved the co-response program with 327 incidents that did not involve the program. Propensity score matching was used to balance groups on demographic and incident characteristics. The dependent variables included the disposition of the incident (deescalation or involuntary commitment examination), whether the youths experienced a later involuntary commitment examination within 1 year of the initial intervention, and time to the subsequent examination. Propensity score-weighted binary logistic regression and time-to-event analysis were used.
UNASSIGNED: The co-responder program was associated with a significantly lower likelihood of police officer-initiated involuntary commitment examinations and a lower likelihood of an involuntary commitment examination within 1 year. Eighty percent of the incidents that resulted in a co-response involving a police officer and a mental health professional were deescalated, allowing the youth to remain in the community with a safety plan, whereas 17% of incidents with a police-only response ended with crisis deescalation.
UNASSIGNED: These findings provide further support for the implementation of co-responder options that are available to police officers during encounters with children and adolescents experiencing a mental health crisis.