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LOCATIONHoursMobile/ORPeersSpaceCovid 19 - have services been restrictedCollab w/ policecollab w/ MH care inst.OtherFundingReach-outNotesWebsiteSelection Reflection Notes
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CAHOOTSEugene, Oregon 24/7Yes Staffed by White Bird Clinicnonogoes through 911mandatory treatment, but maintains value of "least intervention necessary"Model is medic paired with crisis counsellorfunded by city through eugene police department; White Bird Clinic is a Federally Qualified Health Center that receives funds from the HRSA Health Center Program Sharnelle? (have folks in contact with them)May not be able to reach directly but are offering access to resources around their funding, realtionship to 9-11, contract with the city etc. on their website. Responded to over 18 000 calls for service in 2019. Well-resourced and funded, offers community education courses and de-escalation training. Cons: not explicitly an alternative to law enforcement as police are sometimes called in addition to CAHOOTS, no peer involvement. https://whitebirdclinic.org/cahoots/Not necessarily base our model reccomendation on this for lack of peer and police relationships but the four decades of data and knowledge is something to draw on for sure, also in terms of how people can access via 9-1-1 is very mainstream accessible, something to think about - Sharnelle.
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The ClearinghouseUS, Nationalvariednoyesnono- funded through federal grants up to 2015. - operated through mental health partnerships b/t 2015 and 2018
- affiliated with the temple university collaborative on community inclusion since 2018. 		Sharnelle? (I don't need to be the one just trying to dump this out so when Monday comes I will have remembered to do something)Developed infrastructure for peer run warm lines (don't know very much about), they offer their resources for training and developing. Toolkits and webinars available on website - many on how to develop peer leadership and advocacy skills. https://www.mhselfhelp.org/
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Fireweed Collective (formerly Icarus Project)US, Nationaln/an/ayesnon/aPrevention focused, supporting folks to develop their own crisis intervention plans that suit their needs and desiresSharnelle?Work from a healing justice lens, have gathered resources around crisis intervention that focus on self determination, abolition lens of psychiatrict care ; formerly Icarus; against psychiatric medication. Offerings: support groups, webinars. Mutual aid. https://fireweedcollective.org/crisis-toolkit/The centring of healing justice as a framework and de-profesisonalizing mental health and abolishing pyschiatric systems really stands out to me in terms of developing community and relational responses, aligns with the work Chantel's family is doing re: Chantel's Tree I think - Sharnelle
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MH First, Anti Police Terror ProjectSacremento & OaklandFri & Sat 8pm - 8amYes - presently phone support only w/ COVIDYes?Yes - Friday and Sat eve 8pm-8am - phone support onlyNo - explicitly aimed at interrupting the need for law enforcementPrescriberGrant to start up, received money after some success from Citykarina?Only weekends (8pm - 8am), works w/ business. Abolitionist framework. Peer involvement. Addressing root causes: white supremacy, capitalism, colonialism.
https://www.antipoliceterrorproject.org/mental-health-first
Abolition in action approach really exciting to draw on, lots to learn in terms of sustaining and building out a model - Sharnelle. Agreed - supports the defund network demands toward abolition, not reform. Purpose is to eliminate need for police and decriminalize psychological crises while addressing root causes - Paisley
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Anti-Policing Health Workers CohortOaklandThe Oakland Power Projects (OPP) builds the capacity for Oakland residents to reject police and policing as the default response to harm and to highlight or create alternatives that actually work by identifying current harms, amplifying existing resources, and developing new practices that do not rely on policing solutions. Workshops offered on acute emergencies and mental health interventions. http://criticalresistance.org/chapters/cr-oakland/the-oakland-power-projects/echo above comment here, skill building focus - Sharnelle. Looks like a great resource - tools, tactics, philosophies, webinars, etc. to learn from. Great for education and advocacy. Doesn't appear to offer any direct services such as mobile crisis response or crisis lines - Paisley
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STAR ProgramDenver10-6pm weekdaysYesnononoYes, collaboration with Denver PD. Dispatched through 911. Paramedic and Social Worker dispatched thorugh 911 City and county of Denver. 1.4 million in 2021 (Source: https://wp-denverite.s3.amazonaws.com/wp-content/uploads/sites/4/2021/02/STAR_Pilot_6_Month_Evaluation_FINAL-REPORT.pdf)Sharnelle?Based on CAHOOTS model, been in operation under a yearhttps://mhcd.org/access-services/
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YouthlineTorontodaily eveningsxFraseris a peer based support program, not specifically crisis support, more connection to resources and supports before folks are in crisis, but is a peer run non-profit that builds skills in active listeningyouthline.ca
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BEAM (Black Emotional and Mental Health Collective)Culver City/LA, CaliforniaVarious groups & trainingsxxstill virtual during covidnounsure
collective of advocates, yoga teachers, artists, therapists, lawyers, religious leaders, teachers, psychologists and activists committed to the emotional/mental health and healing of Black communities.
Source not stated. Personal donations?Holds support groups for skill-building, Black masculinity, mental health workshops and tranings. Offers Peer Support Certificate. Emotinoal Intelligent Leadership & Social Justice.
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Community crisis support service pilotToronto not in servicepilot project, planning phases only
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0800 Hey Bro hotlineNew Zealand24hrsnoyes0800 Hey BRO is a He Waka Tapu trademarked phone number for men to phone when they feel they are going to harm someone or whanāu member. This is a 24 hour, 7 days a week phone line with a dedicated team just a phone call away to listen and provide help.This model makes me think about the value of Warriors Against Violence in vancouver being folks who can offer some insight potentially - Sharnelle
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Trans LifelineUS & Canadain theory 24hrsnoyesAppears you do not always get through to someone; microgrants.Do not involve police. Trans Lifeline is a grassroots hotline and microgrants 501(c)(3) non-profit organization offering direct emotional and financial support to trans people in crisis – for the trans community, by the trans community.https://translifeline.org/about/
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Vera Institute: Behavioural Health Crisis AlternativesBrooklyn, New Yorkn/an/an/an/a - Research and evaluation onlyResearch and evaluation of current programs. Focus on reducing and/or eliminating police involvement. https://www.vera.org/behavioral-health-crisis-alternatives
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Website: Million experiments (NOT 9-1-1)WorldwideWebsite has links to alternative responses such as mobile crisis teams and also apps and other resourceshttps://millionexperiments.com/Not-9-1-1
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Crisis Response NetworkArizona24hrsyesPeer support warm linegoes through 911Triaging calls from 911 Dispatchers identify calls appropriate for a behavioral-health-only response and forward them to the Crisis Response Network (CRN).
https://crisis.solari-inc.org/get-help/all-services/ and Vera institute
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Crisis Response Unit & Peer Navigators (Familiar Faces program)
Olympia, Washington7am-9pmyesyes - sort of..."Familiar Faces" program uses "peer navigators" that collab w/ police on the street to build relationships w/ ppl who come in frequent contact w/ policenoYes. Uses police radios to identify and respond to calls. Funded by OPD. Calls dispatched through TCOMM 911Funded by contract by Olympia Police Department as an alternative-to-police response led by unarmed civilian behavioural health specialists The Crisis Response Unit (CRU) provides free, confidential, voluntary crisis response assistance. The CRU increases our ability to provide outreach services to those in crisis, identify each individual's circumstances and needs, and help identify individuals with chronic mental health disorders, substance abuse and co-occurring disorders. Vera institute case study of CRU: https://www.vera.org/behavioral-health-crisis-alternatives/cru-and-familiar-faces https://olympiawa.gov/city-services/police-department/Crisis-Response-Peer-Navigator.aspx
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Gerstein Crisis CentreToronto24hoursYes. Yes. YesNo. Non-coercive, non-medical care. Not connected to police or healthcare Various - Ministry of Health and Long Term Care grant, Trillium grant, Toronto Central LHIN grant, etc. DonationsFraserMobile crisis team, separate substance use and mental health teams, crisis beds, telephone crisis support. Support with criminal justice system. https://gersteincentre.org/Peers and not connected to police woohoo, curious about their psych, biomedical approach - Sharnelle. Pros: emphasizes user involvement and non-coercive care. Staff have lived experience. Offers crisis line, mobile outreach and crisis beds (useful to have all three) - Paisley
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Psychiatric Emergency Response Team (PAM) Psykiatrisk Akut Mobilitet https://millionexperiments.com/Psykiatrisk-Akut-MobilitetStockholm, Swedentwo cars running at 11 a.m to 9 p.m and 5 p.m. to 3 a.m. respectivelyyesnonoservices continueYes - collab w/ police, ambulance and rescue servicesYes - pre-hospital emergency psychiatry care sometimes leading to hospitalization1 paramedic and two psychiatric nurses. funded by city council. operated in collaboration by ambulance services and psychiatric hospitalhe business is run in close collaboration between Norra Stockholm's psychiatry and AISAB, the ambulance service in Greater StockholmProgram evaluation: https://www.tandfonline.com/doi/full/10.1080/00207411.2016.1264040
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Runaway HouseBerlin24/7 intake YesYes - residential bedsNo. No. Non compulsory, non coercive. For psychiatric survivors. Charitable organizationMM - will follow up(still exists according to website?) anti-psychiatry lens - for psychiatric survivors experiencing homelessness and mental health crises. May be explicitly against psychiatric medications...unsure about this. https://www.weglaufhaus.de/
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Crisis Intervention and Suicide Prevention Centre of BC BC24/7NoTrained volunteersyes - risk to self or others, abuse and/or neglect of vulnerable person can violate confidentiality/call policeVancouver FoundationMM - will follow upVolunteers may have to contact policehttps://crisiscentre.bc.ca/
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BWSS Crisis LineVancouverM-F 10 AM – 5 PM; SS 10 AM – 8 PMxCRISIS LINE 604-687-1867 Toll Free 1.855.687.1868MM - will follow up
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MTL respite beds
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Bear Clan PatrolWinnipegEvery day, various, latest North end 6-12am Fridays & SaturdaysYESyes - volunteer runyes (bear clan den in inner-city)NoNodrop-in nightly (some afternoon) community patrol. https://bearclanpatrol.org/The concept behind the Bear Clan Patrol, is community people working with the community to provide personal security in the inner city in a non-threatening, non-violent, non-judgmental and supportive way. Based off of traditional healing practices of Indigenous peoples to restore harmony and balance in communities. Responding to the need to provide security to the Aboriginal community. I know VAPC is basing their sweetgrass patrol off this, but no idea how that is being experienced by community and with VAPC running connected to VPD - Sharnelle
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Street Team Outreach Mobile (STORM)OttawaWed, Thu, Fri 5-12am; Sat, Sun, Mon 5:30-11:30pmyesFor women who are street involved or at risk of becoming homeless. Connected to Indigenous women's support centre, provides other cultural, emotional and social services as well. STORM outreach team provides crisis intervention, referrals, harm reduction supplies, transportation to medical facilities, detox centres, etc. Information on cultural programs and health issues such as HIV/AIDS. https://www.minlodge.com/stormAppreciate that is is led by Indigenous women and informed by traditional cultural and healing practices. Useful to draw on these examples to think about how we can take a decolonized approach in doing this work so that we do not reproduce harm. PM
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SMART van - Surrey Mobile Assault Response Team vanSurreyGenerally, appears no. For women who have been assaulted who cannot go to policeFor women who have been sexually assaulted. First aid in the van and transportation to medical facilities. https://surreywomenscentre.ca/services/emergency-van
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MAP van Vancouver 1-6pm and 11pm-5am dailyYesYesCity of Vancouver, Province of BC, Government of Canada’s Emergency Community Support Fund, donorsBy women for women, often involved in sex work. The van provides emotional support and a break, sometimes even just a coffee. Partnership with PACE society
https://wish-vancouver.net/program/mobile-access-project-map-van/
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Access & Accessment Centre - VCHVancouver24hr, but Car 87 who they would send out operates 8-8 & involves policeno, but Car 87, which they are connected to isnoYes, hospital & outpatientCovid protocol, visits limited YesyesNot a helpful service, often quite the opposite. One can just show up to space though.VCH
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Similar to MAP van or SAFE on Kingsway Vancouver
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Centre de CriseMontreal24/7yesyesif deemed sectionableif deemed sectionableHotline, OR team (24/7), 7 day and 30 day housinghttp://centredecrise.com/nos-services/#equipe-mobile
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Mental Health Ambulance (Repeat - I think this is referring to same service above - see PAM - Sweden)StockholmyesAll calls go to 'alarm center', police may also be dispatchedunclear, can possibly transportemergency response therapy room https://www.pri.org/stories/2020-09-10/stockholms-mental-health-ambulance-could-help-rethink-policing-us acute psychosis, delusional behavior with agitation as well as serious suicidal behavior.
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Crisis Resolution & Home Treament TeamsUK24/7yesunclearyes, receives referrals from mh teams, GPspsychiatrist, social workers, MH RNs, support workersOutreach from crisis team staff. Not sure if this is an immediate response service - it appears not to be as they accept referrals from GP and community mental health teams. folks can self-refer "if you're already been referred and have their contact details". https://www.mind.org.uk/information-support/guides-to-support-and-services/crisis-services/crisis-teams-crhts/
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Peer Support & Mobile Crisis Outreach PilotMontana, USUnclearYesYesyes (for groups & 1-to-1s)was a pilot, possibly endedunclearunclear, can possibly transportoffers follow-up, weekly clinical supervision for peersMontana Mental Health Trust via Health and Human Serviceshttps://www.nasmhpd.org/sites/default/files/Peers%20as%20Crisis%20Service%20Providers_SAMSHA_6.10.15.pdfLike that it includes follow up with those who have accessed services. Peer-driven support and website provides rationale for this (reduced agitation, reduced trauma, increased trust, etc.). PM
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Project LETS (Community Peer Mental Health Advocate (C-PMHA) program model.
Providence, Rhode Island
Crisis line hours are Mon-Fri 12pm-12am; Sat & Sun 10am-1amadvocates, yesyesyes (for groups & 1-to-1s)unclearunclearpeer advocates (are the outreach?), peer counsellors, crisis line, https://projectlets.org/contactSeems very peer centred, even in regards to how they structure their work, lots of resources - Sharnelle
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Addiction Mobile Response Team
Haldimand & Norfolk, Ontario
12hrs/day, 7 days, 365yesyesunclearunclearPeer support workers, addiction counsellors, NPCommunity Addiction and MH Services of Haldimand & NorfolkAimed at people with substance use issues and addictions. Connection to supports and services. https://www.camhs.ca/programs/addiction-mobile-response-team/
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 Various - Crisis Response Models Overview (City of Toronto doc)
Toronto (but Canada & INtl)
mainlyyesvarious ones doincludes funding sources for somehttps://www.toronto.ca/legdocs/mmis/2021/ex/bgrd/backgroundfile-160023.pdf
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Healing and Justice CentreMiami, USyesunknownunknownMobile crisis response + violence intervention, Stop the bleed (gunhot wound first aid), Mentorship, Trauma recovery + survivor supporthttps://www.healingandjustice.com/
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