Saving lives one at a time!
For those of us
old enough to remember, in the old movies and sitcoms, a scene would play out
that would provoke laughter from the audience. When a character in the show
would begin to act in a strange way, an ambulance would soon arrive, with two
men in white coats carrying a straight-jacket. It was at this time that they
would take the poor soul to a happy place, also known as a mental hospital.
These spectacles brought a vast deal of amusement for those watching while at
the same time, exploiting a dangerous situation. Those types of settings played
out many times in old shows.
Additionally, as a
child, I recall my father driving by one of those mental hospitals between
Turney and Warner roads in Cleveland. It was named “The Northern Ohio Lunatic
Asylum” but was affectionately known as “Turney Tech”. This facility, long
since torn down, is now the site of condominiums.
All of that is
from a bygone era; we no longer have those health care workers arriving to help
people who are emotionally sick. They are now replaced by men and women
carrying guns and handcuffs and called police officers. This transition from
law enforcement officers to mental health workers did not go smoothly. There were
high incidents of police brutality allegations, numerous, violent
confrontations between these two groups, which included fatal shootings. For a long time, the mentally ill feared the police and the
police did not relish the encounters with someone in crises. Nor were the
police properly trained to understand mental illness, and they lacked the proper insight in how to
de-escalate someone in crisis.
Times have
changed, as a new, innovated form of training introduced called Crisis
Intervention Team training (CIT). This program developed in Memphis Tennessee
in the late 1980’s, stresses de-escalation, rather than standoffish encounters,
and more importantly, humanizes those afflicted.
Sergeant Robert
Brown, a twenty year veteran of the Lorain City Police department, was one of
the first officers in Lorain County to become part of the CIT program. In those
years, he has seen it all, hostage situations, suicide attempts, families in dangerous
situations and even the occasional success story. He can stand as an authority
on the positive attributes of this program and as a role model of this police
department.
In recent years,
he has witnessed an ever increasing reliance on law enforcement to help someone
in a psychotic mindset, and to get them to a safe environment for treatment. In
2012, this department received approximately 500 direct calls for assistance with
someone in a mental health crisis. This represents a 5 % increase over the number
in 2011.
An added burden
that Sergeant Brown pointed out is that many times the officers do not realize
that they are entering a crisis situation. Often, the calls may first appear as
a domestic situation, or truancy, or one of many other categories. People
calling in do not always say it is a potential suicide, or that their loved one
is mentally ill and off their medication. It is only when the police are on the
scene do they determine that they are facing a mental health situation. This sergeant
recalls one time answering a call, and when the suspect answered the door, he
was wielding an axe. Fortunately, he was able to subdue the man with a taser,
and no one was injured.
At first, Sergeant
Brown was skeptical about the benefits of CIT. Charlie Neff, the Director of
the board of mental health remembers that doubt well back in 2001. “Sergeant Brown was not initially convinced
that CIT would be all that helpful, but once he started through the training,
he quickly realized the programs benefit for the officers and for the
individuals they encounter.” Now he
and this entire department are strong supporters of this programs benefit. He
also indicated that these techniques has been valuable in hostage negotiations.
One added problem
exists, and that is the economic makeup of Lorain which brings additional
challenges and roadblocks. Financial deficiency is a “double edged” sword with
regards to the people in need of treatment. Poverty is both the result of
mental illness, and it also acts as a trigger for the disease. The city of
Lorain carries a poverty rate of over 17%, with is nearly doubled the national
average of 9%. This in itself creates a higher demand for police intervention
on many fronts.
For many years,
the police were identified as collateral contacts with the mentally ill, but it
is impressive that this department accepts that they are now the primary ones
to intervene. Unlike hospitals, like Mercy Hospital, they cannot answer a call
with the dispatcher telling the callers that they are diverting psych cases and
will not answer their pleas for help. It must be added that this department has
done an admirable job despite these added burdens.
In an interview last August, Sergeant Brown was asked what is the largest roadblock his
department faces as mental health workers? Without hesitation, he answered the
absence of treatment, namely, beds for those in need. He went on to explain
that, in the past, the city had two hospitals, but with the closing of St.
Joseph’s, Mercy Hospital is the only option available. It must be pointed out
that this facility has just over thirty beds available for mental health and
drug dependent patients combined. This represents far less than what is urgently
needed. He, like many people in the mental health sector are frustrated with
the “treat them and street them” disposition of the medical community.
If there is one
thing that he is grateful for, is that, in Lorain County, they have the NORD
center to help with long-term treatment. The center, funded mostly through the
Lorain County Board of Mental Health by
two property tax levies the citizens of Lorain County have passed, is a safety
net for people in dire need and has been utilized by the local police. This
center helps to offset, in a small way, the 13% decline in mental health
treatment beds statewide over the last seven years.
In spite of this
challenge, the Lorain police have done an excellent transition into being the
new mental health workers. Since 2002, they have had 36 officers go through
this unique and essential training. Though only 12 are on the road because of
promotions and turnover, this is still a significant percentage of their
department. The long term goal is to have 25% of the road officers certified in
CIT. In this era of tight budgets, that is an extraordinary intention that they
are committed to achieving.
It is clear that the
Lorain police have learned how to look past the internal disfigurement of
mental illness and see real human beings, not animals, or psychos. I have found
that many members of this department do their best to humanize sick people and
not demean them. Empathy is a term that is synonymous with CIT and this group
of men and women understand that definition
in its entirety.
So often, perception
is not always reality, and the Lorain City police are no exception. It is a department
that has been maligned many times in the local media. Over the last several
years, I have met many of these officers in different training programs and
found no evidence that they deserve the negative connotations associated with
them. All of whom that I have come in contact with have been officers like
Sergeant Brown; good, hardworking, and dedicated law enforcement officers, with
a strong desire to do their job well. More importantly, they prove that they
care about doing what is right in helping people. That is something that should
create a sense of pride to this entire community.
There is more than one way to skin a snake. It's great that the LPD is going to handle these situations differently. The public needs to give the police the facts with the 911 call. It is so irresponsible to not let them know. Perhaps patrolmen Kerstetter would be with us today.
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