850.25 POLICE RESPONSE TO MENTAL HEALTH FACILITIES
DIR 720.00 SERT and CNT Use
DIR 850.20 Mental Health Crisis Response
DIR 1010.20 Physical Force
Multnomah County Mental Health and Addiction Services Protocols
- 1. STATEMENT OF PURPOSE
1.1. The purpose of this policy is to establish procedural guidelines for response to residential mental health facilities within the City of Portland. Residential mental health treatment facilities span the spectrum from minimal supervision to fully secure and supervised facilities.
- 2. DIRECTIVE SPECIFIC DEFINITIONS
2.1. “Residential mental health facility” can include 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.
- 3. POLICY
3.1. Bureau members will provide services consistent with the mission and values of the organization. It is the responsibility of mental health facility and emergency care hospital administrators to maintain order within the facility and provide for the safety and security of patients and staff members.
3.2. Bureau members may be called to assist facility staff and administrators in restoring order within the facility or to respond to a serious crime in progress.
3.3. 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.
- 4. BEHAVIORAL HEALTH UNIT (BHU) RESPSONIBILITIES
4.1. Follow up on concerns regarding police response to residential mental health facilities. As appropriate, 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.
4.2. Gather secure residential mental health facility floor plans and provide copies to precinct commanders for appropriate distribution.
4.3. Regularly review the Multnomah County mental health facilities list to ensure the accuracy of mental health facility hazard flags.
4.4. Submit reports through records to update residential mental health facility hazard flags and appropriate police response requirements.
4 BUREAU SUPERVISOR RESPONSIBILITIES
5.1 Supervisors will ensure response to emergencies (Priority 1-3) at secured residential mental health facilities will include a supervisor and a minimum of four officers, to include an Enhanced Crisis Intervention Team (ECIT) Officer, if available. Lower priority calls at secured residential mental health facilities will be dispatched to the district officer and include an ECIT officer, if available. Response to calls at non-secure residential mental health facilities will include an ECIT officer, if available, and supervisor notification.
5.2 The following are tactical options for supervisors to consider before entry into a secure mental health facility:
5.2.1 When time allows have responding officers stage and wait for the arrival of all necessary personnel and resources.
5.2.2 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.
5.2.3 Evaluate the necessity for police intervention, considering the severity of the threat and options to resolve it.
5.2.4 Assess the need for SERT activation if the person is barricaded and intervention is needed, or there is potential for a hostage situation.
5.2.5 If police intervention is warranted, develop a tactical plan taking advantage of the most effective control options that may safely resolve the incident.
5.2.6 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.
5.2.7 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.
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