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The purpose of this paper is to evaluate a police department's Post-Crisis Assistance Program (PCAP) for consumers who experienced a police-abated mental health crisis. The authors analyzed three questions: First, does PCAP reduce a consumer's future mental health calls for service (CFS)? Second, does PCAP reduce a consumer's odds of being arrested? Third, does PCAP reduce the odds of a consumer being taken into emergency protective custody (EPC)?

The authors use propensity score matching to analyze data from a sample of individuals (n=739) who experienced a police-abated mental health crisis.

The authors find that PCAP consumers generated fewer mental health CFS, were less likely to be arrested, and were less likely to be taken into EPC than non-PCAP consumers six months following a police-abated mental health crisis.

The research only examined outcomes six months after a mental health crisis. The authors encourage future research to examine whether the benefits of PCAP persist over longer periods of time.

The study demonstrates that partnerships between police departments and local mental health groups can help police officers better serve citizens with mental health conditions.

To the knowledge, this is the first study to evaluate the impact of a PCAP for citizens experiencing police-abated mental health crises.

The use of accessible, portable, mental health crisis information in people with intellectual disabilities has not been previously reported. The purpose of this paper is to explore whether crisis information could be modified to be made accessible and meaningful for people with intellectual disabilities.

Personalized information to help in a mental health crisis was recorded on folded A4 sized sheets that could be carried in a conveniently sized wallet.

Three quarters of the participants carried their crisis information wallets on a daily basis for six months before evaluation. They and their carers expressed positive feedback about them carrying the crisis information. No one carrying the information actually experienced a mental health crisis in the six months follow up period so their usefulness in such crises could not be evaluated. However, they were unexpectedly used in other non‐mental health settings and reported to have been helpful.

The sample size in this was small but the findings suggested that the carrying of crisis information might be a helpful measure for some people with intellectual disabilities. A further, larger scale trial is warranted.

The purpose of this paper is to present the findings of a discussion between people who use crisis services and academics about the development of a mental health digital technology app.

The approach is underpinned by participatory methods that centralise the voice of lived experience in the development or delivery of mental health responses.

The people who contributed to the conversation identified that the app may reflect a recovery approach to mental health whilst also supporting self-management. The app design was a central repository with links to other apps for self-monitoring or interventions.

The app was designed with people with lived experience with an explicit aim to understand what people with lived experience would want from a mental health digital technology.

This study aims to identify the major job stressors that can affect employees’ mental health in the Lebanese commercial banks during the economic turmoil. This study also aims to identify the effects of the mental problems on the employees in addition to the role of human resources in promoting and preventing mental well-being at the workplace.

The authors interviewed 28 bank employees and the semi-structured interviews last for around 50 min, starting by asking the employees a general question about the concept of mental health disorder. The authors used a purposive sampling in which the population sample is selected based on purpose and the characteristics of a specific category of individuals. Moreover, a thematic analysis is used to analyze the data.

The findings of this study indicate that most of the employees were suffering from many work-related stressors that have negatively affected their mental well-being. The stress and pressures have significantly increased during the economic crisis. However, most of the interviewees were not or rarely supported by their human resources department and their administration to help them get adapted for such a crisis or for the changes at the workplace.

Mental health disorders are present in the daily normal life and in the workplace as well. The banking industry is not an exceptional one.

Data shows that there is an increasing number of young people in the UK needing access to mental health services, including crisis teams. This need has been exacerbated by the current global pandemic. There is mixed evidence for the effectiveness of crisis teams in improving adult functioning, and none, to the authors’ knowledge, that empirically examines the functioning of young people following intervention from child and adolescent mental health services (CAMHS) crisis teams in the UK. Therefore, the purpose of this paper is to use CAMHS Crisis Team data, from an NHS trust that supports 1.4 million people in the North East of England, to examine a young person's functioning following a crisis.

This service evaluation compared functioning, as measured by the Outcome Rating Scale (ORS), pre- and post-treatment for young people accessing the CAMHS Crisis Team between December 2018 and December 2019.

There were 109 participants included in the analysis. ORS scores were significantly higher at the end of treatment (t(108) = −4.2046, p < 0.001) with a small effect size (d = −0.36). Sixteen (15%) patients exhibited significant and reliable change (i.e. functioning improved). A further four (4%) patients exhibited no change (i.e. functioning did not deteriorate despite being in crisis). No patients significantly deteriorated in functioning after accessing the crisis service.

Despite a possibly overly conservative analysis, 15% of patients not only significantly improved functioning but were able to return to a “healthy” level of functioning after a mental health crisis following intervention from a CAMHS Crisis Team. Intervention(s) from a CAMHS Crisis Team are also stabilising as some young people’s functioning did not deteriorate following a mental health crisis. However, improvements also need to be made to increase the number of patients whose functioning did not significantly improve following intervention from a CAMHS Crisis Team.

This paper evaluates a young person’s functioning following a mental health crisis and intervention from a CAMHS Crisis Team in the North East of England.

This study aims to evaluate a training in mental health crisis support for non-mental health professionals who work in urgent care settings. The training consists of an e-learning module, a one-day face-to-face (F2F) interactive study day and simulation training.

This multi-methods study collected data pre and post training and at three to six months post training. Validated questionnaires, rating scales and open-ended questions were used to measure self-efficacy in health-care skills, attitudes towards mental illness and knowledge and confidence in working in mental health. A subsample of participants was interviewed post training about how they had used the knowledge and skills learned.

A total of 706 staff completed the e-learning, 88 attended the F2F training and 203 attended simulation training. Overall satisfaction with the training was high, with F2F and simulation training preferred. Statistically significant improvements in self-efficacy for health-care skills, positive attitudes towards mental illness, and mental health-related knowledge and confidence were found post training. Qualitative analyses of interview and survey data indicated that participants had translated learning to practice through improved attitudes and behavioural changes when working with patients experiencing a mental health crisis.

This training improved mental health-related knowledge, confidence and self-efficacy and reduced mental health-related stigma in professionals who provide urgent care to people in mental health crisis. Participants reported changes to their practice following training; this is important as care has been inadequate for this group. Workforce planners and leaders should consider implementing this or similar training widely.

The purpose of this paper is to focus on how mental health professionals involved in the therapeutic treatment of children in public mental health facilities in Greece experience and talk about the impact of the socioeconomic crises on the psychotherapeutic process.

In all, 21 semi-structured interviews were conducted and phenomenologically informed thematic analysis was used in analysing the data.

The results coalesced into two all-encompassing thematic structures articulating the following: first, the socioeconomic crises have permeated society and therapeutic praxis like a torrential and chronic rain storm. This has resulted in a deluge in demand for therapeutic services within the public mental health sector; second, mental health professionals describe their positioning and work as “a constant tug-of-war” where they are inundated and often overwhelmed with work, find themselves identifying with service users and taking on several roles simultaneously, and being challenged to find solutions often in dire and complex situations. They describe how creativity and flexibility are in demand in their day-to-day interactions and if they are to intervene in place of a health and welfare system that is faltering. Doing therapeutic work under such circumstances appears to be both emotionally onerous and stimulating with regard to conceptualising new ways of intervening in such complex psychosocial situations.

The study is limited in that only mental health professionals presented their experiences and service users were not included. The findings do highlight how severe austerity policies impact mental health services and peoples’ lives.

The study has implications for policy regarding the provision and organisation of mental health services in contexts where crises and economic turmoil prevail.

The results associate severe austerity with major changes in family and community life.

The paper provides insights and implications on how mental health services are impacted by socioeconomic conditions.

A strong body of research has established the concentration of crime in a small number of street segments or “hot spots” throughout urban cities, but the spatial distribution of mental health-related calls for services is less well known. The extent to which these calls are concentrated on a small number of street segments, similar to traditional crime calls for service is understudied. The purpose of this paper is to examine the concentration of mental health calls and the spatial distribution of street segments with mental health calls to provide directions for law enforcement and place-based policing.

Using call for service data from a large city on the East coast, the current study examines whether mental health calls for service are concentrated on street segments, and tests spatial dispersion to whether these “mental health hot spots” are spread throughout the city or clustered in space. Finally, the authors explore the relationship between mental health calls and violent and drug calls by calculating the correlation and using a spatial point pattern test to determine if mental health calls are spatially similar to violent and drug calls.

The authors found that mental health calls are concentrated on street segments; specifically 22.4 percent of calls are located on 0.5 percent of city street segments. Additionally, these street segments are fairly dispersed throughout the city. When comparing the spatial similarity of mental health calls to violent and drug calls, they are highly correlated suggesting a relationship between the calls types, but the location of mental health calls appears to be different from violet and drug calls.

Very few studies have examined the location of mental health calls and whether they are concentrated in small areas similar to crime, but such research can provide police officers new approaches to working with people with mental health problems. The police are the primary emergency response for calls involving someone with a mental illness or experiencing a mental health crisis and the authors provide suggestions for policing that draw from strategies used in hot spot policing and mental health responses, like CIT, to address challenges of modern policing and working with people with mental health problems.

Emergency services face increasing frontline pressure to support those experiencing mental health crises. Calls have been made for police and ambulance staff to receive training on mental health interventions, prevention of risk and inter-professional collaboration. Mental health simulation training, a powerful educational technique that replicates clinical crises for immersive and reflective training, can be used to develop competencies in emergency staff. This study aims to evaluate the effectiveness of mental health simulation training for police and ambulance staff.

In total, 199 participants from the London Metropolitan Police Service and London Ambulance Service attended a one-day simulation training course designed to promote effective and professional responses to mental health crises. Participants took part in one of six simulated scenarios involving mental health crisis before completing structured debriefs with expert facilitators. Participants’ self-efficacy and attitudes towards mental illness were measured quantitatively using pre- and post-course questionnaires while participants’ perceived influence on clinical practice was measured qualitatively using post-course open-text surveys.

Statistically significant improvements in self-efficacy and attitudes towards mental illness were found. Thematic analyses of open-text surveys found key themes including improved procedural knowledge, self-efficacy, person-centred care and inter-professional collaboration.

This study demonstrates that mental health simulation is an effective training technique that improves self-efficacy, attitudes and inter-professional collaboration in police and ambulance staff working with people with mental health needs. This technique has potential to improve community-based responses to mental health crises.