16.110 - Crisis Intervention

16.110 – Crisis Intervention

Effective Date: 10/01/20

The intent of this policy is to provide all officers with resources to deal with subjects who are in behavioral crisis.  This includes people exhibiting signs of mental illness, as well as people living with substance use disorder and those experiencing personal crises.

For the purposes of this policy, a behavioral health crisis is defined as an episode of mental and/or emotional distress in a person that is creating significant or repeated disturbances and is considered disruptive by the community, friends, family or the person themselves.

For further guidance, see 16.110-POL-3.2 (for CIT-Certified Officers), POL-5.1 (for non-CIT-Certified Officers), POL-5.2 (for Communications personnel), and POL-5.9 (for documentation).

The Seattle Police Department recognizes the need to bring community resources together for the purpose of safety and to assist and resolve behavioral crisis issues.  The Department further recognizes that many people suffer crises, and that only a small percentage have committed crimes or qualify for an involuntary evaluation.  Persons suffering crises will be treated with dignity and will be given access to the same law enforcement, government and community service provided to all members of the public.

Seattle Police officers are instructed to consider the crises that subjects may be experiencing during all encounters.  Officers must recognize that subjects may require law enforcement assistance and access to community mental health and substance abuse resources.  The ideal resolution for a crisis incident is that the subject is connected with resources that can provide long-term stabilizing support.

Officers are trusted to use their best judgment during behavioral crisis incidents, and the Department recognizes that individual officers will apply their unique set of education, training and experience when handling crisis intervention.  The Department acknowledges that officers are not mental health professionals.  Officers are not expected to diagnose a subject with a mental illness, nor are they expected to counsel a distraught subject into composure.  When officers need to engage with a subject in behavioral crisis, the Department’s expectation is that they will attempt to de-escalate the situation, when safe and feasible.  The purpose of de-escalation is to provide the opportunity to refer the subject to the appropriate services.  This expectation does not restrict an officer’s discretion to make an arrest when probable cause exists, nor are officers expected to attempt de-escalation when faced with an imminent safety risk that requires immediate response.  An officer’s use of de-escalation will be judged by the standard of objective reasonableness, from the perspective of a reasonable officer’s perceptions at the time of the incident.  

16.110-POL-1 Crisis Intervention Committee (CIC)

1. CIC is a Community and Regional Partnership

The purpose of the CIC is to build an effective regional crisis incident response built upon best practices, innovation and experience. The CIC works in cooperation with the Department to make sure that crisis intervention training and policies are consistent with legal standards, best practices and community expectations. The intent is to include representatives of entities that can assist the Department in achieving the purpose of the CIC. These entities will come from several categories: city and county government (including law enforcement agencies and line patrol officers), mental health professionals and advocates, academia, and others deemed appropriate.

2. CIC Works Collaboratively with the Department to Advise on Crisis Intervention Training and Policies

The CIC has five specific tasks:

- Evaluate SPD’s overall CIT program, study national models, and make recommendations on whether SPD should modify the structure and design of its crisis intervention program

- Develop a checklist of resources available to refer individuals in crisis

- Review and validate the Department’s CIT training

- Develop policy and procedures for the disposition or voluntary referral of individuals to jails, receiving facilities and local mental health and/or social service agencies that clearly describe the roles and responsibilities of those entities and of the SPD CIT-Certified officers in the process

- Enhance community connections with advocates and social service professionals, as well as provide for a seamless system of care for persons in crisis

16.110-POL-2 CIT Program

1. CIT Program is Responsible for Implementing and Sustaining Department’s Response to Subjects in Behavioral Crisis

The CIT (Crisis Intervention Team) program is responsible for working with community partners to establish and sustain the Department’s response to subjects in behavioral crisis.  This includes the Department’s response involving both CIT-Certified officers and officers who are not CIT-Certified, the Crisis Response Unit (CRU,) and the CIT Coordinator.

2. CIT Commander Oversees CIT Program

The CIT Program is aligned under the Collaborative Policing Bureau Chain of Command. Leadership, planning and problem solving skills are essential attributes for the CIT Commander. The CIT Commander supervises two sergeants: the CRU Sergeant and the CIT Coordinator.

The CIT Commander examines, reviews, and makes recommendations to ensure the CIT program is implemented and sustained as a community program. The CIT Commander is the Department’s command-level representative on the Crisis Intervention Committee (CIC) and will ensure their input about the CIT program is addressed. The CIT Commander will meet with law enforcement leadership, review and make recommendations to Department CIT policy and procedures, and be responsible to develop and review CIT training. The CIT Commander will monitor and remain familiar with state commitment laws; transportation policies; and state, county, and local issues that may affect community crisis services. The CIT Commander will maintain familiarity with CIT grant requirements at the federal, state, and county level. The CIT Commander will assist with developing the data collecting program and will present the data outcome measures to Department leadership and the CIC. The CIT Commander will also oversee the internal and external methods of CIT-related communication.

3. CIT Coordinator is Responsible for Implementing and Sustaining CIT Program

The CIT Coordinator is responsible for the day-to-day operations of the CIT program. At the direction of the CIT Commander, the CIT Coordinator ensures that the CIT program is implemented and sustained as a community program. The CIT Coordinator serves as a community liaison and is the primary point of contact for the program, both for law enforcement and other community partnerships to the residents of Seattle.

At the direction of and in coordination with the CIT Commander, the CIT Coordinator will develop agendas for and participate in the CIC meetings. The CIT Coordinator will coordinate the CIT program’s response to feedback from patrol officers and community partners. Operational issues raised will be addressed through problem-solving efforts by the CIT Coordinator.  The CIT Coordinator will participate in developing and providing CIT training to sustain the CIT program at both the Department and state levels.

Officers may contact the CIT Coordinator at SPD_CIT_Coordinator@seattle.gov with any questions and/or feedback.

In their respective roles, the CIT Commander and the CIT Coordinator will work closely with patrol, detectives, the Professional Standards Section, the Education & Training Section, Command Staff, Crisis Intervention Committee, community partners, mental health providers and advocates, academia, WSCJTC, the courts, and others involved in providing crisis response. 

16.110-POL-3 CIT- Certified Officers

1. CIT- Certified Officers Undergo Specific Training

All SPD officers will receive 8 hours of crisis intervention training annually. To be considered “CIT- Certified,” officers are required to successfully pass a 40-hour initial comprehensive CIT training via WSCJTC and eight hours of annual CIT-specific in-service training thereafter.

2. CIT- Certified Officers Will Take the Lead, When Appropriate, In Interacting with Subjects in Behavioral Crisis

3. The Department Will Ensure That CIT- Certified Officers Are Available on All Shifts

16.110-POL-4 Crisis Response Unit (CRU)

1. CRU is a Unit of the Collaborative Policing Bureau

The Crisis Response Unit is distinct from officers who are CIT-Certified and assigned to other units (See 16.110-POL-3).

2. CRU has Two Areas of Focus: The Crisis Response Team (CRT) Responds to Incidents in the Field and the Crisis Follow-Up Team (CFT) has Follow-Up Responsibility for Incidents Involving Subjects in Crisis

CRT Units primarily respond to in-progress calls, when available, in an effort to support Patrol, and conduct outreach with identified individuals.  They also are available to respond, at the request of the incident commander, to critical incidents that involve subjects who are in extreme states of behavioral crisis.

CFT follows-up on cases involving behavioral crisis through intervention at the lowest-level, least-intrusive intercept point, in order to prevent and reduce harm.  CFT works to gain a subject’s behavioral self-control through engagement with treatment.

a. CFT Utilizes an Intercept Continuum

1. Harmless symptomatic behavior

- Non-criminal: Provide contact information for obtaining services/treatment

- Criminal:  Verbal warning

2. Indication of mental-health needs

- Non-criminal: Refer to appropriate service partner for outreach

- Criminal:  Document crime, warn

3. Indication of urgent mental-health needs

- Non-criminal: Contact subject’s case manager, CRT outreach, transport to voluntary services

- Criminal:  Document crime, warn

4. Imminent risk of serious harm to self, others or property

- Non-criminal: Emergent detention, involuntary transport to hospital

- Criminal:  Request charges through Mental Health Court or refer to CSC

5. Escalation of harmful symptomatic behavior

- Non-criminal: Coordinate with DCRs, commit for involuntary treatment

- Criminal:  Arrest and booking with referral to Mental Health Court

6. Escalated risk of serious harm to others, resistant to all other interventions

- Non-criminal: Coordinate with DCRs, commit for involuntary treatment

- Criminal:  Arrest and booking

b. CFT Utilizes a Descending Scale of Urgency When Prioritizing Cases

1. Imminent risk of serious harm

- Subject is out of custody or possible release following serious incident, danger to public or victims.

2. Pattern of escalation

- Subject has been involved in a series of incidents indicating decompensation or decline in behavioral self-control, which constitutes an increased risk of serious harm to self or others.

3. High utilization of police resources

- Subject has made or been the reason for frequent, unfounded calls which unreasonably exploit patrol resources.

4. Request from officers or service provider

- A patrol officer or service provider requests CIT assistance for problem-solving.

3. When a Subject Attempts or Threatens Suicide, the CRU Sergeant is Responsible for Follow-Up to Ensure That the Subject is Directed to the Appropriate Resources, in Accordance with RCW 71.05.457

16.110-POL-5 Responding to Subjects in Behavioral Crisis

1. Upon Encountering a Subject in Any Type of Behavioral Crisis During Any Type of Incident (On-View or Dispatched), Officers Shall Make Reasonable Efforts to Request the Assistance of CIT-Certified Officers

Officers are reminded to assess situations and individuals where an Extreme Risk Protection Order (ERPO) might be applicable.

See 15.405 – Extreme Risk Protection Orders (ERPO)

2. Communications Shall Dispatch at Least One CIT-Certified Officer to Each Call That Appears to Involve a Subject in Behavioral Crisis

If circumstances dictate that there is not a CIT-Certified officer available to respond to a call that appears to involve a subject in behavioral crisis, non-CIT- Certified officers shall be dispatched to handle the call and a CIT-Certified officer shall respond as soon as possible.

- Calls that appear to involve a subject in behavioral crisis shall be dispatched in accordance with communications center protocol, even when a CIT-Certified Officer is not available.

CIT-Certified Officers will take the lead, when appropriate, in interacting with subjects in behavioral crisis.  If a Sergeant or above has assumed responsibility for the scene, he or she will seek the input of CIT-Certified Officers on strategies for resolving the crisis event when it is reasonable and practical to do so.

- CIT-Certified officers are not obligated to serve as the primary officer during incidents that involve a subject in behavioral crisis.  Unless a Sergeant or above approves another arrangement, the primary officer (as designated by dispatch / beat assignment) shall handle the necessary paperwork and provide Communications with the final call disposition.

a. Where feasible, a Sergeant and at Least Two Officers Shall Respond to High-Risk Suicide Calls

A high-risk suicide call is one where the likelihood of suicide is imminent, and the subject may be armed with a weapon or may be barricaded.

If, during the course of an incident, an officer determines that a subject meets the above criteria, he or she shall advise dispatch and request a sergeant and back-up if said personnel are not already en route.

3. Officers May Call Crisis Connections to Connect with the On-Duty Designated Crisis Responder (DCR) During any Incident Involving a Subject in Behavioral Crisis

Officers may call Crisis Connections for an on-site evaluation by the on-duty Designated Crisis Responder (DCR).

- When communicating with a DCR, the officer:

- Calls (206) 263-9202

- If the incident requires immediate action, Officers may take the subject into protective custody and arrange for a transport to the nearest appropriate hospital. See 16.110–PRO–1 Involuntary Behavioral Health Evaluation.

a. Officers Are Encouraged to Call Crisis Connections When Contacting Subjects Who Are in a Behavioral Crisis but Are Not Going to Be Referred for Involuntary Behavioral Health Evaluation or Criminal Charges

Crisis Connections is the resource through which officers can be referred to the available resources that are located throughout the region.

Crisis Connections can be reached at (206) 461-3210 ext. 1

See 16.110–PRO–5 Contacting Subjects Who are in a Behavioral Crisis but are Not Going to Be Referred for Involuntary Behavioral Health Evaluation or Criminal Charges.

4. Officers May Refer Eligible Subjects with Mental Illness and/or Substance Use Disorders to the Crisis Solutions Center (CSC) or Crisis Diversion Facility (CDF)

See 16.110–PRO–4 Referring a Subject to CSC/CDF.  Voluntary referrals may take place:

- As part of an officer’s community caretaking function, or

- During a Terry stop, or

- When an officer has probable cause to believe that an individual has committed a misdemeanor, gross misdemeanor or VUCSA possession (3 grams or less) offense.

a. Certain Subjects are not Eligible for CSC/CDF Referral

All jail diversion referrals require additional screening. Individuals are not eligible for a jail diversion to the CDF when a standard WACIC check returns as:

- Having a conviction history (as defined in RCW 9.94A.030) within the past 10 years of a violent felony offense, or sexual offense, or

- Being identified as a level 2 or 3 sexual offender.

b. Officers Shall Notify Potential Crime Victim(s) of the Diversion Option

Officers shall consider any strong opposition presented by the potential crime victim(s) when determining whether to make the referral.  This does not negate officer discretion.

c. Officers Shall Inform Subjects that Referral is Voluntary

5. Officers May Facilitate Voluntary Behavioral Health Hospitalizations

Officers shall document officer-facilitated voluntary behavioral health hospitalizations. See 16.110–TSK–1 Voluntary Behavioral Health Hospitalizations.

6. Officers May Facilitate Involuntary Behavioral Health Evaluations

See 16.110– PRO–2 Referring a Subject for an Involuntary Behavioral Health Evaluation.

7. Officers Shall Complete the Emergent Evaluation Card When Referring a Subject in Behavioral Crisis to a Hospital, Whether for Voluntary or Involuntary Evaluation

8. Officers May Take a Subject into Custody Based on a Written or Verbal Order from a DCR

When feasible, sergeants respond to screen DCR requests and consider if:

- The subject is likely to resist custody,

- The subject is barricaded,

- The subject has a history of violence or weapons, or

- Forced entry is necessary

See 16.110–PRO–3 Taking a Subject into Custody by Order or Verbal/Written Request of a DCR.

*NOTE – A court order for detention or verbal order from a DCR does not grant legal authority to enter a constitutionally protected area.  An order may add to the overall exigency of a incident, but should not be used as the only motivator to force entry into a protected area.

9. Officers Shall Document All Contacts With Subjects Who are in Any Type of Behavioral Crisis

Officers will complete a Behavioral Crisis Report for all Crisis related incidents. Some examples include: Hospitalizations initiated by Patrol (voluntary and involuntary), when facilitating a detention for the DCR’s, interactions with persons in crisis when their behavior is deemed “baseline”, and when the subject attempts or threatens suicide. These reports are routed to CRU.

Screenshot with red arrow pointing to Mark43 Behavioral Crisis report button.

Officers should list “Crisis” in the Report Description block and then select “Crisis Report” in the Supplement Type block.

Screenshot with red arrow pointing to Mark43 "Report Description" field with "Crisis" filled in.

For behavioral crisis calls or contacts that involve any additional issues (such as a Crime, CBO, Arrest, Jail Diversion Option, Use of Force, Specific request for follow up, etc), officers will document the contact by using the appropriate Report (Arrest, Offense, etc) in conjunction with a Behavioral Crisis Report; and any other applicable documentation. These reports should be routed to the appropriate follow-up unit.

a. Officers Shall Use the Behavioral Crisis Report for Every Incident Involving a Person in Behavioral Crisis

Officers must complete the Behavioral Crisis Report as thoroughly as possible.  Only fields that do not apply to the specific incident may be left blank.

- Officers shall select at least one (1) of each ‘Behavior’ and ‘Nature’ (and as many that apply) when utilizing the “Exhibiting Behavior & Nature of Crisis” section of the report.

Screenshot with red arrow pointing to Mark43 "Exhibiting Behavior and Nature of Crisis" dropdown menu.

b. Officers Shall Document All Suicide Attempts or Threats on a Behavioral Crisis Report routed to the CRU, in Accordance with RCW 71.05.457

Officers shall document all suicide attempts or threats, regardless of how vague they are, on a Behavioral Crisis Report listing “Crisis” in the Report Description block, and selecting “Crisis Report” in the Supplemental Type block. This will ensure that CRU can follow-up on the incident.

Officer must select “Behavior – Suicide Threat / Attempt” from the drop-down list in the “Exhibiting Behavior & Nature of Crisis” field of the report to ensure accuracy.

Behavioral Crisis Reports are located here in Mark43:

Screenshot with red arrow pointing to Mark43 Behavioral Crisis report button.

The Report Description field is located here:

Screenshot with red arrow pointing to Mark43 "Report Description" field with "Crisis" filled in.

The Supplement Type field is located here:

Screenshot with red arrow pointing to Mark43 "Supplement Type" dropdown menu.

The Exhibiting Behavior & Nature of Crisis field is located here:

Screenshot with red arrow pointing to Mark43 "Exhibiting Behavior and Nature of Crisis" dropdown menu.

10. There Are Five Options for Resolving Behavioral Crisis-Related Misdemeanor Crimes

- Investigate and release with routing to CRU for follow-up

- Referral to the Crisis Solutions Center (See policy statement 4 and 16.110-PRO-4 Referring a Subject to CSC/CDF)

- Investigate and release with a request for charges through Seattle Municipal Mental Health Court (MHC)

- Jail booking with MHC flag

- Investigate and detain for a behavioral health evaluation, with a request for charges through Seattle Municipal Mental Health Court (MHC)

11. When an Officer has Made the Decision to Book a Felony Suspect into Jail, the Suspect Shall Not Be Diverted for a Behavioral Health Evaluation

Exceptions must be screened by the CRU sergeant.

If the jail refuses to accept a suspect due to a behavioral crisis, officers shall have the suspect sent to the hospital.Document the reason given for rejection and the name of jail personnel denying booking.

See Manual Section 11.025 – Jail Booking Declines

12. CRU Triages Cases for Follow-Up

See 16.110-POL-4.2.b.

13. SPD Collects and Analyzes Data

The Department’s intent with collecting data is two-fold:

- To collect data based on the capabilities of existing and future software, and

- To evaluate the overall CIT program

a. There Are Five Components That Are Analyzed to Answer Key Questions

Communication procedures

- Ensure that communications procedures are effective in appropriately identifying people in behavioral crisis.

CIT-Certified officers

- Ensure that CIT-Certified officers are effective in responding to incidents involving people in behavioral crisis.

Crisis Response Unit

- Ensure that the CRU is effective in terms of improving efficiency of police response to and the resolution of incidents involving people in behavioral crisis.

- Subjects are being appropriately referred to services

- Call volume and patrol workload identified and measures toward reduction implemented

CIT curriculum

- Ensure that the CIT curriculum is delivering in terms of its intended goals and learning outcomes.

SPD culture

- Determine how each aspect of the CIT program is viewed within the SPD culture.

- Training

- Response

- Follow-up

16.110–PRO–1 Referring a Subject for an Involuntary Behavioral Health Evaluation

Officer

1. Determines that the subject may be eligible for evaluation

2. Determines (with or without the assistance of a DCR) that the subject meets the involuntary behavioral health evaluation criteria, per RCW 71.05.153(2): Emergent Detention of Persons with Mental Disorders

3. Screens the incident with a sergeant, either at the scene or telephonically

Sergeant

4. Reviews the incident and advises the officer whether to order the evaluation

Officer

5. Takes the subject into protective custody

6. Arranges for the subject to be transported via ambulance or patrol car to the closest appropriate hospital

7. Completes the Emergent Evaluation Card

8. Provides the Emergent Evaluation Card to the ambulance driver or hospital social worker

9. Completes a Behavioral Crisis Report only; if no additional issues (see 16.110-POL-5.9)

Screenshot with red circle showing Mark43 Behavioral Crisis report list option.

a. Lists “Crisis”in the Report Description block of the Behavioral Crisis Card; in addition to any offenses that were committed in the Report as applicable

b. Selects “Crisis Report” in the Supplement Type block:

c. Selects “Hospital – Emergent Detention” in the “Crisis Dispositions” field:

Screenshot with red arrow pointing to Mark43 "Crisis Disposition" dropdown menu.

d. Adds Subject information

Screenshot with red arrow pointing to Mark43 "Subject" button.

e. Selects “TREATMENT DETAILS” under EVENT SPECIFIC INFO of the Subject card

Screenshot with red arrow pointing to Mark43 "Treatment Details" button.

f. Selects the appropriate details from “Medical Treatment” and “Medical Facility” drop-down lists

Screenshot showing dropdown menus for "Medical Treatment" and "Medical Facility", and check box for "Transported".

g. Describes the circumstances of the incident and the disposition of the subject

h. Includes witness information

Sergeant

10. Applies investigative unit label for routing

11. Approves Report

Data Center

12. If the hospital requests a copy of the Report, faxes the report to the hospital

16.110–PRO–2 Taking a Subject into Custody by Order or Verbal/Written Request of a Designated Crisis Responder (DCR)

Communications Section

1. Receives request from a DCR for officers to assist with field evaluation, an emergent detention, or service of a court order

2. Obtains the full name, date of birth, and location of the subject being taken into custody

3. Runs the subject’s name and determines if any officer safety hazards apply

4. Advises the nearest patrol sector sergeant of the DCR request and any officer safety information regarding the name or address of the subject

Sergeant

5. Determines appropriate Department response

5a. Approves patrol response

Communications Section

6. Dispatches two officers and when feasible, the approving sergeant to the call

6a. Dispatches at least one CIT-Certified officer, if one is available

Sergeant

7.Verifies the DCR court order, or verbal/written DCR request to take the subject into custody

8. Screens the incident before taking the subject into custody or entering if:

- The subject is likely to resist custody,

- The subject is barricaded,

- The subject has a history of violence or weapons, or

- Forced entry is necessary

9. If necessary, consults with the CRU sergeant or a CIT-Certified sergeant via Communications

Officer

10. Arranges for the subject to be transported via ambulance or patrol car to the closest appropriate hospital, or the hospital requested by the DCR

11. Completes a Behavioral Crisis Report only; if no additional issues (see 16.110-POL-5.9)

Screenshot with red circle showing Mark43 Behavioral Crisis report list option.

11a. Lists “Crisis”in the Report Description block of the Behavioral Crisis Card

11b. Selects “Crisis Report” in the Supplement Type block

11c. Selects “DCR Assist” in the Crisis Dispositions block:

Screenshot with red arrow pointing to Mark43 "Crisis Disposition" dropdown menu.

11d. Adds Subject information

Screenshot with red arrow pointing to Mark43 "Subject" button.

11e. Selects “TREATMENT DETAILS” under EVENT SPECIFIC INFO of the Subject card

Screenshot with red arrow pointing to Mark43 "Treatment Details" button.

11f. Selects the appropriate details from “Medical Treatment” and “Medical Facility” drop-down lists

Screenshot showing dropdown menus for "Medical Treatment" and "Medical Facility", and check box for "Transported".

11g. Describes the circumstances of the incident and the disposition of the subject

11h. Includes DCR’s under witness information

Sergeant

12. Applies investigative unit label for routing

13. Approves Report

Data Center

14. If the DCR requests a copy of the Report, faxes the report to the DCR

 

16.110–PRO–3 Referring a Subject to CSC/CDF

Officer

1. Conducts a complete investigation

a. Checks subject’s name through WACIC for excluding factors:

- Having a conviction history (as defined in RCW 9.94A.030) within the past 10 years of a violent felony offense, or sexual offense, or

- Being identified as a level 2 or 3 sexual offender.

b. Assesses subject’s imminent danger of serious harm to self, others, or property; or grave disability

c. Identifies elements of crime, if any

2. Determines that the subject is appropriate for CSC/CDF referral (See 16.110-POL-5.4a)

3. Notifies potential crime victim(s) of the diversion option

a. Considers any objection to diversion

4. Asks the subject if he or she is interested in being referred to CSC/CDF

a. Emphasizes that referral is voluntary

b. If the subject does not want to be referred and arrest is possible, considers making the arrest

5. Screens incident with sergeant (either in-person or telephonically, unless this Manual requires an in-person screening, i.e.:

- The subject was handcuffed

- The subject was placed under arrest

- The officer will be transporting the subject to CSC/CDF

- There was a use of reportable force

- The officer is unsure as to if the subject meets the intake criteria

- The officer will be diverting the subject to CSC/CDF instead of KCJ

6. Advises Communications to contact the CSC, or contacts the CSC via phone (206) 682-2371 to screen for availability

7. Arranges for transport to CSC, either in a patrol car or the Mobile Crisis Team (MCT) vehicle

- If the subject is being referred to CSC/CDF instead of jail, it is preferable, but not necessary, for an officer to make the transport

8. Completes a Report including an Arrest Report and a Behavioral Crisis Card

Screenshot with red circle showing Mark43 Behavioral Crisis report list option.

- Documents the incident, including witnesses and victims

- Describes elements of crime, if applicable

- Confirms that no disqualifying criteria exist

- On the Behavioral Crisis Card, Selects “CSC/CDF (Crisis Solutions Center/ Crisis Diversion Facility) and Arrested” from the “Crisis Disposition” box

Screenshot with red circle around Mark43 "Crisis Disposition" dropdown menu options, "Arrested" and "CSC/CDF".

- On the Arrest Card, Selects “CSC/CDF (Crisis Solutions Center/ Crisis Diversion Facility) under the Arrest Type

Screenshot with red circle showing Mark43 "Arrest Type" list options.

9. Lists "Crisis," in the incident block

Sergeant

10. Applies inviestigative unit label to route the Report

11. Approves Report

16.110–PRO-4 Contacting Subjects Who are in a Behavioral Crisis but Who Do Not Qualify to be Referred to the Crisis Solutions Center, Referred for Involuntary Behavioral Health Evaluation, or Booked for Criminal Charges

When contacting subjects who are in a behavioral crisis but who do not qualify to be referred for an involuntary evaluation or criminal charges:

Officer

1. Contacts the Crisis Connections Supervisor at (206) 461-3210 ext. 1

2. Obtains case management history, as applicable

3. Obtains contact information for the case manager, as applicable

4. Contacts the case manager (or after-hours staff) to advise of police contact, if feasible

5. Completes a Behavioral Crisis Report, routed to CRU.  (All behavioral crisis contacts, must be documented consistent with 16.110-POL-5.9).

Screenshot with red circle showing Mark43 Behavioral Crisis report list option.

6. Lists “Crisis”in the Report Description block of the Behavioral Crisis Card

6a. Selects “Crisis Report” in the Supplement Type block

Sergeant

7. Applies Investigative Unit Label for routing

8. Approves Report

CRU Sergeant

9. If the subject threatened suicide, even flippantly, follows-up to ensure that he or she is directed to the appropriate resources.

16.110–TSK–1 Voluntary Behavioral Health Hospitalization

When facilitating a voluntary behavioral health hospitalization, the officer:

1. Receives request from a subject for voluntary behavioral health hospitalization

2. Arranges for the subject to be transported via ambulance to the closest appropriate hospital

3. Completes the Emergent Evaluation Card; checking the “Voluntary Evaluation” box

4. Provides the Emergent Evaluation Card to the ambulance driver

5. Completes a Behavioral Crisis Report

Screenshot with red circle showing Mark43 Behavioral Crisis report list option.

a. Lists “Crisis,” in the Report Description block.

If any criteria for an Emergent Detention are present, the incident should be documented as an Involuntary Hospitalization (see 16.110-Pro-1).

The subject’s willingness to receive hospital services is not what makes the encounter voluntary.

b. Selects “Crisis Report” in the Supplement Type block:

c. Selects “Hospital – Voluntary” in the “Crisis Dispositions” field:

Screenshot with red arrow pointing to Mark43 "Crisis Disposition" dropdown menu.

d. Adds Subject information

Screenshot with red arrow pointing to Mark43 "Subject" button.

e. Selects “TREATMENT DETAILS” under EVENT SPECIFIC INFO of the Subject card

Screenshot with red arrow pointing to Mark43 "Treatment Details" button.

f. Selects the appropriate details from “Medical Treatment” and “Medical Facility” drop-down lists

Screenshot showing dropdown menus for "Medical Treatment" and "Medical Facility", and check box for "Transported".

g. Describes the circumstances of the incident and the disposition of the subject

16.110-TSK-2 Requesting AMR for Transportation

When requesting AMR for transportation to a local hospital, the officer:

1. Requests the AMR transport through either the zone dispatcher or the Data Channel

2. When making the request, discloses the nature (crisis or behaviorally out of control subject) of the incident as well as the desired transportation destination

3. If applicable, reports if the person to be transported is wheelchair bound.

a. If the person to be transported is bound by a wheelchair, reports if it is a folding chair or electric.

See Manual Section 11.020 – Tranportation of Detainees