850.25, Police Response to Mental Health Facilities
- DIR 612.00, Radio Use
- DIR 720.00, SERT and CNT Use
- DIR 850.20, Mental Health Crisis Response
- DIR 1010.20, Physical Force
- DIR 1051.00, Electronic Control Weapon System
- Multnomah County Mental Health and Addiction Services Protocols
- Residential mental health facility: Includes secured residential treatment facility, residential treatment facility/home, adult foster home/care facility, supported housing or hospitals/clinics that provide supervision and housing for people diagnosed with a mental illness.
1. It is the responsibility of the mental health facility and emergency care hospital administrators to maintain order within their respective facilities and provide for the safety and security of patients and staff members. Residential mental health facilities should direct routine and urgent calls to the facility administrator or the Multnomah County Call Center. This includes consultation on reoccurring events or situations, requests for Project Respond, and patient transports to the hospital.
2. Bureau members may be called to assist facility administrators and staff in restoring order within the facility or to respond to a serious crime in progress.
1. Member-Supervisor Coordinated Response Required:
1.1. Members may not enter a secure mental health facility or residential mental health facility without notifying their supervisor of the request and coordinating a proper response together.
1.2. Supervisors will ensure response to emergencies (Priority 1-3) at secure residential mental health treatment facilities will include a supervisor and a minimum of four (4) officers, one of which is an Enhanced Crisis Intervention Team (ECIT) Officer, if available.
1.3. Lower priority calls at secure residential mental health treatment facilities will be dispatched to the district officer, will include an ECIT officer, if available, and require supervisor notification.
1.4. Response to any priority calls at non-secure residential mental health treatment facilities require two (2) officers, include an ECIT officer, if available, and require supervisor notification.
1.5. The following are some tactical options for members, together with their supervisors, to consider before entry into a secure mental health facility:
1.5.1. Evaluate the nature of the situation and necessity for police intervention, preferably through telephone conversation with the requesting facility over entry into the facility, considering the severity of the threat and options to resolve it.
1.5.2. When time allows, have responding members stage and wait for the arrival of all necessary personnel and resources.
1.5.3. Request a staff member to meet police outside the facility to provide information on the facility layout, the location of the person who requires police response, location of other patients, visitor/ staff, and any other information about the incident and persons involved that would aid police in planning their response.
1.5.4. If police intervention is warranted, develop a tactical plan taking advantage of the most effective control options that may safely resolve the incident.
1.5.5. Specific tactical considerations will vary depending upon the incident. Incidents may require supervisor involvement and a clear understanding among officers of the manner by which control will attempt to be gained.
1.5.6. Assess the need for SERT/CNT consultation or activation if the person is barricaded and intervention is needed, or there is potential for a hostage situation.
1.5.7. If the primary goal is to gain control of the person and the person is sufficiently isolated or contained within the facility, rendering the person safe from harming themselves or others, officers may consider disengaging to reevaluate the tactical plan.
2. Special Unit Responsibilities:
2.1. The Behavioral Health Unit (BHU) will:
2.1.1. Gather secure residential mental health facility floor plans and provide electronic copies to precinct commanders and SERT for appropriate distribution on an annual basis.
2.1.2. Regularly review the Multnomah County mental health facilities list to ensure the accuracy of mental health facility hazard flags.
2.1.3. Submit reports through records to update residential mental health facility hazard flags and appropriate police response requirements.
2.1.4. Follow up on concerns regarding police response to residential mental health facilities. As appropriate, BHU will meet with facility management representatives to review expectations of facility management and requests for police assistance in emergencies and facility emergency policies for dealing with combative or uncooperative patients.
- Originating Directive Effective: 06/07/06
- First Revision Effective: 07/08/14
- Next Review Date: 01/08/15
- Review By: Behavioral Health Unit