{"id":51878,"date":"2020-08-29T19:17:10","date_gmt":"2020-08-30T01:17:10","guid":{"rendered":"https:\/\/dh.durangoherald.com\/tj\/can-durango-make-alternative-policing-a-reality\/"},"modified":"2020-08-30T01:17:10","modified_gmt":"2020-08-30T01:17:10","slug":"can-durango-make-alternative-policing-a-reality","status":"publish","type":"post","link":"https:\/\/dh.durangoherald.com\/tj\/can-durango-make-alternative-policing-a-reality\/","title":{"rendered":"Can Durango make alternative policing a reality?"},"content":{"rendered":"\n<p><!-- gallery:47efd144-cac0-45ca-86e5-e5ab3f0601f9 --><\/p>\n<p>When police officers step out of their vehicles, they may be responding to a drug overdose, domestic violence or public intoxication. The action might be a crime, but what if its root cause is mental health related?<\/p>\n<p>The Durango Police Department wants to change its policing to better address the community\u2019s needs, particularly concerning behavioral health. It just needs to solve a logistical maze first.<\/p>\n<p>In early August, DPD <a href=\"https:\/\/durangoherald.com\/articles\/334994\">pitched a pilot program<\/a> for alternative policing to Durango City Council, centered on an innovative partnership with Axis Health System of Southwest Colorado. The goal is to reallocate community resources so, eventually, police can focus on crime prevention and crisis clinicians can address nonviolent or noncriminal incidents. But to get there, new partnerships, new funding and new teams need to become a reality.<\/p>\n<p>\u201cIf we can pull the experts in here and provide a higher level of care, maybe they\u2019re going to do a much better job than we can to actually help somebody in the long term,\u201d said Bob Brammer, Durango police chief.<\/p>\n<p>Police officers are often first responders for mental health crises, homelessness, medical calls and more \u2013 issues that are more in line with the work of mental health clinicians, social workers and emergency medical technicians.<\/p>\n<p>Mental health-related calls started going to police in the 1950s and 1960s, when inpatient facilities stopped being the go-to placement for people with mental health conditions.<\/p>\n<p>Since then, 10% to 20% of police interactions involve people with mental illness, according to a <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2655327\/\" target=\"_blank\" rel=\"noopener\">2008 academic article<\/a> in the <em>International Journal of Law and Psychiatry. <\/em>About 64% of inmates in local jails had mental health problems, according to a <a href=\"https:\/\/www.bjs.gov\/content\/pub\/pdf\/mhppji.pdf\" target=\"_blank\" rel=\"noopener\">2006 Bureau of Justice Statistics report<\/a>.<\/p>\n<p>But seeing police officers with guns, badges and uniforms might trigger the wrong response for a person in crisis, especially if he or she has had negative experiences with police in the past. People with mental illness end up entering the criminal justice system when they could have been helped by another type of resource.<\/p>\n<p>Resources are a big challenge for the understaffed police department, Brammer said. Responding to such a wide variety of calls requires more training and time for police departments.<\/p>\n<p>\u201cYou get the call, and you\u2019re trying to figure out how to provide the most appropriate help for someone,\u201d said Sgt. Tim Dixon with DPD.<\/p>\n<p>Maybe the person\u2019s greatest need is an overnight shelter, but that person cannot go to the shelter for one reason or another. Maybe that person is off his or her medication and needs to go to the hospital. Police are trying to find the best resource for that person, he said.<\/p>\n<p>\u201cSometimes, in reality, we get kind of stuck, and it\u2019s hard to figure out where to go to help the person,\u201d Dixon said. \u201cWe hope, through this program, we\u2019ll have a team that can deal with these situations and know the resources really well.\u201d<\/p>\n<p>The issue of alternative policing is also woven into the wave of protests calling for police reform, spurred by several deaths of Black Americans caused by police, Brammer said.<\/p>\n<p>Now, Durango is gaining momentum on its own program. It just needs to finalize a contract with Axis Health System, which provides mental health services in Southwest Colorado; get city approval and funding; design protocols; recruit staff members; and facilitate a culture shift.<\/p>\n<p>\u201cBecause of the events that are occurring right now, it\u2019s giving us the motivation and the incentive to push forward versus just asking the question,\u201d Brammer said.<\/p>\n<div class=\"naviga-element naviga-subheadline1\">The model<\/div>\n<p>Axis and DPD are in the beginning stages of creating a pilot program that would combine each agency\u2019s resources into a new, specialized team.<\/p>\n<p>\u201cBoth have to come together in certain circumstances to be the most effective response,\u201d said Shelly Burke, Axis CEO. \u201cWe aren\u2019t experts in law enforcement, and law enforcement is not experts in behavioral health or primary care, or even sometimes the resources that are available in our community.\u201d<\/p>\n<p>If City Council approves the project, the first stage of the pilot program would put health professionals and police officers in the same car to respond to specific incidents, such as mental health crises, welfare checks, homelessness and substance abuse.<\/p>\n<p>Health professionals would lead the response for noncriminal incidents, and police would be nearby to make the scene safe if necessary.<\/p>\n<p>Such a response would be different from the co-response that already happens between Axis and DPD. The <a href=\"https:\/\/www.axishealthsystem.org\/services\/crisis-care\" target=\"_blank\" rel=\"noopener\">Axis Crisis Care<\/a> team co-responds on-scene with law enforcement about once or twice a week. But when it does, team members are called off their regular crisis-intervention work. Most of their calls come from a 24\/7 hotline run by Axis.<\/p>\n<p>\u201cCo-responses allow for the needs of the individual to be met in a really unique way, where we can address both legal issues and behavioral health issues,\u201d said Molly Rodriguez, an Axis clinical manager who has worked in crisis care.<\/p>\n<p>In the second stage of the program, teams of health professionals would respond to calls on their own, and police could be called in if needed.<\/p>\n<p>The program would be based on existing models, like \u201cCrisis Assistance Helping Out On The Streets,\u201d from Eugene, Oregon, and Denver\u2019s \u201cSupport Team Assisted Response,\u201d created in 2019.<\/p>\n<p>While Durango is the only city initiating a pilot program, Mancos and Cortez are also interested in partnering with Axis on alternative policing, Burke said.<\/p>\n<p>\u201cYou can\u2019t expect one system to have all the training and expertise to be able to respond when people are vulnerable and in crisis,\u201d she said. \u201cThat\u2019s what these programs are really designed to try and accommodate.\u201d<\/p>\n<div class=\"naviga-element naviga-subheadline1\">Devil\u2019s in the details<\/div>\n<p>The alternative policing pilot program is in its earliest stages, and both Axis and Durango police will need to tackle logistical challenges to make it happen.<\/p>\n<p>\u201cIt\u2019s not taking what we\u2019re doing and trying to modify it,\u201d Burke said. \u201cThis is adding something new and different.\u201d<\/p>\n<p>First, Durango and Axis need to finalize the details of the project and propose a contract to City Council. Axis would need to have a vehicle with computers and radios. The partners would need to design the program and create new internal protocols based on the department\u2019s key challenges, peak response times and types of calls. Axis and DPD would have to work with dispatch centers to change how 911 calls are screened.<\/p>\n<p>\u201cThe greatest obstacle we\u2019re going to have to overcome is funding. Funding is what makes the program happen,\u201d Brammer said.<\/p>\n<p>If the city partners with Axis, the health agency will have to recruit and hire staff members with the right skill set and motivation to do the job.<\/p>\n<p>Team members would need different training. Rodriguez said under the pilot program, the crisis clinician would need to be trained in law enforcement protocols, like tactical and safety training, so they aren\u2019t placing officers at risk.<\/p>\n<p>\u201cThis work really isn\u2019t for every social worker. It\u2019s not for every therapist, and it might not be for every officer,\u201d Rodriguez said. \u201cWe\u2019re going to have to work really hard to make sure we\u2019re putting people where they can be most effective.\u201d<\/p>\n<p>Most similar pilot programs have been done in more urban areas. Rural partnerships are relatively untested. Burke said Durango could build on that history if the city\u2019s program can gain traction.<\/p>\n<p>\u201cOur community is different. We\u2019re geographically isolated. We have fewer resources,\u201d she said. \u201cWe always have to be more creative than the average person in a city.\u201d<\/p>\n<div class=\"naviga-element naviga-subheadline1\">The right time?<\/div>\n<p>For decades, communities have known they needed better systems for responding to nonviolent incidents, particularly when it comes to mental health.<\/p>\n<p>\u201cThere\u2019s a piece of this puzzle that\u2019s missing, and that\u2019s health care, social safety net and resource connection,\u201d Burke said.<\/p>\n<p>Burke and Brammer said despite years of slow action, this moment is the right time for investing in alternative policing.<\/p>\n<p>The coronavirus pandemic has increased instances of substance abuse and depression. Suicide and overdose rates have increased, Brammer said. Social unrest has increased the city\u2019s incentive to act.<\/p>\n<p>The chaos of the coronavirus pandemic has made it clear that 911 response can\u2019t cover everything that is coming through the call system, Burke said. People see the need for a change. Law enforcement agencies are trying similar programs and seeing success. With recognition and demonstrated success, Burke believes the funding will follow.<\/p>\n<p>\u201cThis is a process to get people connected quicker to resources that can make a difference, but it\u2019s not a magic wand that\u2019s going to solve all of the challenges,\u201d she said. \u201cIt\u2019s one more piece of the puzzle for a healthier more vibrant community.\u201d<\/p>\n<p><em class=\"mwc_shirttail\"><a href=\"mailto:smullane@durangoherald.com\">smullane@durangoherald.com<\/a><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>enforcement explores logistics of working with mental health providers<\/p>\n","protected":false},"author":1,"featured_media":51879,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[],"tags":[1065,13,28,445,51],"naviga_topic":[],"class_list":["post-51878","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","tag-durango-police-department","tag-frontpage-lead","tag-headlines","tag-newsletter-lead","tag-police"],"acf":[],"author_name":"dh_admin","_links":{"self":[{"href":"https:\/\/dh.durangoherald.com\/tj\/wp-json\/wp\/v2\/posts\/51878","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dh.durangoherald.com\/tj\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dh.durangoherald.com\/tj\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dh.durangoherald.com\/tj\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dh.durangoherald.com\/tj\/wp-json\/wp\/v2\/comments?post=51878"}],"version-history":[{"count":0,"href":"https:\/\/dh.durangoherald.com\/tj\/wp-json\/wp\/v2\/posts\/51878\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dh.durangoherald.com\/tj\/wp-json\/wp\/v2\/media\/51879"}],"wp:attachment":[{"href":"https:\/\/dh.durangoherald.com\/tj\/wp-json\/wp\/v2\/media?parent=51878"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dh.durangoherald.com\/tj\/wp-json\/wp\/v2\/categories?post=51878"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dh.durangoherald.com\/tj\/wp-json\/wp\/v2\/tags?post=51878"},{"taxonomy":"naviga_topic","embeddable":true,"href":"https:\/\/dh.durangoherald.com\/tj\/wp-json\/wp\/v2\/naviga_topic?post=51878"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}