In times of mental health crisis, calling 911 can be a crucial step towards getting help. However, many people are unsure of what exactly happens when they make that call. This article aims to demystify the process, from the moment the call is placed to the various possible outcomes and follow – up care. Understanding this can empower individuals, families, and communities to make informed decisions during mental health emergencies.
The Initial Call
When You Dial 911: When you call 911 for a mental health issue, the first thing you’ll encounter is the emergency dispatcher. These highly trained professionals are responsible for quickly assessing the situation. They will ask a series of questions to determine the nature and severity of the mental health crisis. Questions may include the age and gender of the person in distress, their current behavior (such as whether they are violent, suicidal, or having hallucinations), and any known medical or mental health history.
The Importance of Clear Communication: It’s essential to communicate clearly with the dispatcher. Provide as much detailed information as possible. If the person in crisis has a history of a specific mental illness, like schizophrenia or bipolar disorder, mention it. If there are any weapons present or if the person has made threats, this information is crucial. The dispatcher will use this information to prioritize the response and ensure the safety of everyone involved. For example, if you report that the person is suicidal and has access to medications, the dispatcher may send a response team more quickly.
Location and Access Information: You’ll also need to provide the exact location of the person in crisis. If it’s in a home, give the address and any details about how to access the building, such as if there are locked doors or specific entry points. If it’s in a public place, be as specific as possible about the location within that area. This information allows the emergency responders to reach the scene as efficiently as possible.
Types of Responses Dispatched
Police Response: In many cases, when 911 is called for a mental health emergency, the police are dispatched. This is because they are often the first responders available 24/7. Police officers are trained to handle various emergency situations, including those involving mental health. However, the level of mental health training among police officers can vary. Some departments have specialized Crisis Intervention Team (CIT) officers who have received additional training in de – escalating mental health crises and working with individuals in distress.
EMS (Emergency Medical Services) Response: Along with the police, EMS may also be dispatched. EMS personnel are trained to provide medical care. In a mental health emergency, they can assess the physical health of the person in crisis, as there may be underlying medical issues contributing to the mental state. For example, a person with abnormal behavior could be having a reaction to a medication or have an undiagnosed medical condition like a thyroid problem that’s affecting their mental health. EMS can also provide immediate medical treatment if needed, such as administering oxygen or treating injuries if the person has harmed themselves.
Mobile Crisis Teams: In some areas, there are mobile crisis teams available. These teams usually consist of mental health professionals, such as psychiatrists, psychologists, social workers, or psychiatric nurses. They are specifically trained to handle mental health crises in the field. Mobile crisis teams can provide on – the – spot assessments, offer counseling, and make recommendations for further treatment. Their presence can be especially helpful in de – escalating situations without the need for more invasive measures like hospitalization.
On – Scene Arrival and Assessment
Initial Approach and Safety: When the police arrive at the scene, their first priority is to ensure the safety of everyone present. They will assess the situation for any immediate threats. If the person in crisis is violent or has a weapon, they will take appropriate measures to secure the area. This may involve establishing a perimeter and using specialized tactics to disarm or restrain the individual if necessary. However, the goal is always to resolve the situation with the least amount of force possible, especially in mental health – related incidents.
De – escalation Techniques: CIT – trained officers or those with mental health training will attempt to de – escalate the situation. They may use calm and respectful communication, giving the person in crisis space and listening to their concerns. For example, if a person is agitated and shouting, the officer might speak in a soothing tone, ask the person to take deep breaths, and try to understand what’s causing their distress. They will avoid confrontational language or actions that could further agitate the individual.
EMS Assessment
Medical Evaluation: EMS personnel will conduct a medical evaluation of the person in crisis. They will check vital signs, such as heart rate, blood pressure, and breathing rate. They may also look for signs of physical injury, drug use, or other medical conditions. This medical assessment is important as it can rule out or identify any medical issues that could be contributing to the mental health emergency. For example, if a person has a high fever and is behaving erratically, it could be due to an infection that’s affecting their mental state.
Communication with the Patient: EMS providers will try to communicate with the patient to gather more information. They may ask about the patient’s symptoms, how they’re feeling, and any medications they’re taking. This communication can be challenging, especially if the patient is confused or uncooperative. However, EMS professionals are trained to handle these situations and will use gentle and understanding approaches to get the necessary information.
Collaboration with Other Responders: EMS will work closely with the police and any other responders on the scene. They will share their medical findings with the team, which can influence the decision – making process. For example, if EMS determines that the patient has a medical condition that requires immediate transport to a hospital, this information will be relayed to the police and other responders to coordinate the next steps.
Conclusion
Calling 911 for a mental health crisis sets in motion a series of events that involve multiple responders, complex decision – making, and various possible outcomes. Understanding what happens during this process can help individuals, families, and communities better navigate mental health emergencies. From the initial call to the long – term support available in the community, each step plays a crucial role in ensuring the well – being of those in crisis. By working together, emergency services, mental health professionals, family, friends, and the community can provide the necessary care and support to help individuals recover from mental health crises and build a more resilient mental health system.
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