Police-Encounters-With-People-In-Crisis
Police-Encounters-With-People-In-Crisis Police-Encounters-With-People-In-Crisis
3. Police College site visits 44. The Review team conducted one-day site visits to both the Toronto Police College in Etobicoke, Ontario and the Ontario Police College in Aylmer, Ontario. 45. At the Toronto Police College, the Review team was given a series of briefings regarding the training provided to police recruits, and regarding the in-service training provided annually to members of the TPS. The team viewed training videos dealing with police use of force and de-escalation in encounters with people in crisis, and viewed several real-life simulations of encounters with people in crisis and the debriefing exercises that followed. In addition, the Review team viewed the firearm requalification exercises required of TPS officers as part of their annual in-service training. 46. At the Ontario Police College, the Review team was given a series of briefings regarding the training provided to all new police recruits in the Province of Ontario on topics such as firearms, defensive tactics, communication and debriefing. The team also viewed videos showing filmed examples of the live simulation training that new recruits experience at the College as part of their initial training to become a police officer. 4. Communications Services site visit 47. The Review team visited the TPS Communications Services centre, where the Service’s 911 call takers and police dispatchers are located. The topics addressed during this site visit included the manner in which 911 calls involving people in crisis are triaged, the types of information provided to officers responding to a call involving a person in crisis, the resources and techniques available to a 911 call taker who is contacted by a person in crisis, the psychological effect of the job on 911 call takers and the mental health resources provided by the TPS, and the communication constraints that arise when there is a crisis that elicits multiple 911 calls, multiple officers dispatched to a scene, and significant radio traffic. 5. MCIT ride along 48. Four Review team members accompanied four different MCIT units during their daily shift on four separate occasions. As explained in Chapter 11 (MCIT and Other Models of Crisis Resolution), each MCIT unit consists of a uniformed police officer from the TPS and a mental health nurse from a local hospital. The two-person team travels in a marked TPS police car, and responds to police calls involving persons who are, or are believed to be, in crisis or suffering from a mental illness. On the occasions that a Review team member accompanied an MCIT unit, the Review team member was able to observe the daily routine of the MCIT in its interactions with members of the public who are the subject of MCIT calls, and discuss issues regarding the MCIT in real time with the MCIT members. 6. Mental health site visits 49. The Review team undertook two site visits to organizations that provide care and support for persons experiencing mental health issues. Police Encounters With People in Crisis |53
50. The first visit was to the psychiatric emergency department at the Centre for Addiction and Mental Health (CAMH) on College Street in Toronto. Dr. David Goldbloom, Senior Medical Advisor at CAMH (and the Chair of the Mental Health Commission of Canada), explained the functioning of the emergency department and described CAMH’s generally very positive experiences with TPS officers who attend at the emergency department with persons apprehended under the Ontario Mental Health Act. 51. The second visit was to Sanctuary, a centre that helps some of the City’s most vulnerable persons, including the homeless, addicts, prostitutes and others—many of whom experience mental health issues. At Sanctuary, the Review team met with a group of staff and clients at the centre, who had a discussion with the Review team about their first-hand experiences with the TPS. 7. Consultation with the Advisory Panel 52. At the outset of the Review I assembled a three-person multi-disciplinary Advisory Panel to assist the Review team. The distinguished members of the Advisory Panel were forensic psychiatrist Dr. John Bradford, criminal lawyer Paul Copeland, and Norman Inkster, former Commissioner of the Royal Canadian Mounted Police. 53. The Advisory Panel advised the Review team on a confidential basis regarding the scope and subject matter of the Review, participated in meetings and conference calls with the Review team, attended the roundtable discussion described below, and reviewed and commented on portions of the draft Report. 8. Roundtable discussion 54. The Review team held a half-day roundtable discussion on April 3, 2014 with representatives of various stakeholder groups, including persons with lived experience of mental illness, mental health professionals, civil liberties advocates, and members of the TPS. Advisory Panel members were also in attendance. 55. The purpose of the roundtable discussion was to allow the different stakeholders to engage with one another about the issues addressed by the Review, and to challenge one another’s ideas in a constructive manner designed to assist the Review team in assessing and reconciling some of the conflicting perspectives on these challenging issues. 56. The full list of invited participants at the roundtable discussion is as follows: Dr. John Bradford Pat Capponi Paul Copeland Dr. Dorothy Cotton Advisory Panel member and forensic psychiatrist Lead Facilitator, Voices from the Street Advisory Panel member and lawyer Professor of Psychology, Queen’s University Police Encounters With People in Crisis |54
- Page 6 and 7: EXECUTIVE SUMMARY
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50. The first visit was to the psychiatric emergency department at the Centre for<br />
Addiction and Mental Health (CAMH) on College Street in Toronto. Dr. David<br />
Goldbloom, Senior Medical Advisor at CAMH (and the Chair of the Mental Health<br />
Commission of Canada), explained the functioning of the emergency department and<br />
described CAMH’s generally very positive experiences with TPS officers who attend at<br />
the emergency department with persons apprehended under the Ontario Mental Health<br />
Act.<br />
51. The second visit was to Sanctuary, a centre that helps some of the City’s most<br />
vulnerable persons, including the homeless, addicts, prostitutes and others—many of<br />
whom experience mental health issues. At Sanctuary, the Review team met with a group<br />
of staff and clients at the centre, who had a discussion with the Review team about their<br />
first-hand experiences with the TPS.<br />
7. Consultation with the Advisory Panel<br />
52. At the outset of the Review I assembled a three-person multi-disciplinary<br />
Advisory Panel to assist the Review team. The distinguished members of the Advisory<br />
Panel were forensic psychiatrist Dr. John Bradford, criminal lawyer Paul Copeland, and<br />
Norman <strong>In</strong>kster, former Commissioner of the Royal Canadian Mounted <strong>Police</strong>.<br />
53. The Advisory Panel advised the Review team on a confidential basis regarding the<br />
scope and subject matter of the Review, participated in meetings and conference calls<br />
with the Review team, attended the roundtable discussion described below, and<br />
reviewed and commented on portions of the draft Report.<br />
8. Roundtable discussion<br />
54. The Review team held a half-day roundtable discussion on April 3, 2014 with<br />
representatives of various stakeholder groups, including persons with lived experience<br />
of mental illness, mental health professionals, civil liberties advocates, and members of<br />
the TPS. Advisory Panel members were also in attendance.<br />
55. The purpose of the roundtable discussion was to allow the different stakeholders<br />
to engage with one another about the issues addressed by the Review, and to challenge<br />
one another’s ideas in a constructive manner designed to assist the Review team in<br />
assessing and reconciling some of the conflicting perspectives on these challenging<br />
issues.<br />
56. The full list of invited participants at the roundtable discussion is as follows:<br />
Dr. John Bradford<br />
Pat Capponi<br />
Paul Copeland<br />
Dr. Dorothy Cotton<br />
Advisory Panel member and forensic<br />
psychiatrist<br />
Lead Facilitator, Voices from the Street<br />
Advisory Panel member and lawyer<br />
Professor of Psychology, Queen’s<br />
University<br />
<strong>Police</strong> <strong>Encounters</strong> <strong>With</strong> <strong>People</strong> in <strong>Crisis</strong> |54