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system can manage mental health crises in the community<br />

effectively without help from the other. 39<br />

48. To illustrate the significance of police interactions with people in crisis to the<br />

overall mandate of the Service, as set out in Chapter 3 (Context), in 2013 TPS officers<br />

were dispatched to 20,550 calls for service involving an “emotionally disturbed person,”<br />

8,384 of which resulted in an apprehension under the Mental Health Act. These<br />

numbers are roughly consistent from year to year, and are also likely understated,<br />

because not every call involving a person in crisis is classified as an “EDP call” for two<br />

reasons: first, it can be difficult to tell at the outset whether a person is in crisis in some<br />

situations; and second, calls are classified by type when they reach the 911 call-takers at<br />

TPS Communications Services, an early stage at which it is often not known whether the<br />

call involves a person in crisis. Still, using only the “EDP” number, more than one in<br />

every 50 calls to which a TPS officer is dispatched involves a person in crisis, and<br />

approximately one in every 100calls to which an officer is dispatched will result in that<br />

officer temporarily suspending a person’s liberty under the Mental Health Act.<br />

49. <strong>Police</strong> are a significant presence in the lives of people with mental illness. A study<br />

by the Mental Health Commission of Canada estimates that, as a general rule of thumb,<br />

two out of every five people with mental illness have been arrested in their lifetime,<br />

three in every ten people with mental illness have had the police involved in their “care<br />

pathway,” and one in seven referrals to emergency psychiatric inpatient services<br />

involves the police. 40 Though these statistics are not specific to Toronto, they are<br />

nonetheless useful in understanding the role of the police in the community of people<br />

with mental illness.<br />

50. <strong>In</strong> light of these facts, it is clear that calls involving people in crisis are a core part<br />

of policing.<br />

51. When people fall through the gaps in the mental health system, they may be<br />

caught by the criminal justice system, which is not a desirable outcome from a human<br />

rights perspective. As a society, by choosing not to provide adequate care for mental<br />

illness, we risk criminalizing mental illness. The Toronto <strong>Police</strong> Service has established<br />

several initiatives to ameliorate this concern, in order to divert people in crisis who<br />

come into contact with the police away from the criminal justice system and back<br />

toward treatment, where possible.<br />

2. Mental health and the TPS business plan<br />

52. The TPS has explicitly recognized that serving people in crisis is an important<br />

aspect of fulfilling its mandate. Acting on a recommendation from the Toronto <strong>Police</strong><br />

Service Board (TPSB) Mental Health Sub-Committee, the TPS annual business plan now<br />

39<br />

City of Toronto Mobile <strong>Crisis</strong> Team Coordination Steering Committee, MCIT Program Coordination in the City of Toronto<br />

(Toronto, ON: Toronto Central Local Health <strong>In</strong>tegration Network, 2013) at 8 [City of Toronto, MCIT Coordination].<br />

40<br />

J. Brink, et al., A Study of How <strong>People</strong> with Mental Illness Perceive and <strong>In</strong>teract with the <strong>Police</strong> (Calgary, AB: Mental Health<br />

Commission of Canada, 2011) at 29, online: [Brink, Mental Illness].<br />

<strong>Police</strong> <strong>Encounters</strong> <strong>With</strong> <strong>People</strong> in <strong>Crisis</strong> |94

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