For some while, it has been suggested that the police service need to define what they mean by an incident being â€˜mental health relatedâ€™. You know those claims youâ€™ve heard may times about how X percent of police demand or police time is connected to mental health related jobs? â€¦ well, itâ€™s always been true that weâ€™ve never been entirely consistent or sure of what weâ€™re counting.
When I first ventured the 20% figure on this BLOG many years ago, I knew what I was counting: Iâ€™d been keeping tallies as a response inspector of things going on whilst I was at work and would often take a snapshot of â€“
I was very clear that I was looking at policeÂ demand, not police time.
As the service became more interested in making similar claims, forces applied different terminology and definitions. One force said that something was a mental health incident if the officers or anyone else identifies any element of the job involves someone with mental health problems. Some forces gave percentage figures involving how much â€˜demandâ€™ was MH related, others said they thought a percentage of their â€˜timeâ€™ was spent â€“ youâ€™ll notice those are two very different things!
Compare these two jobs â€“
Two pieces of demand: vastly different amounts of time spent. Imagine if the shed burglary victim had mild depression, was cared for by their GP, with a low dosage of a common antidepressant and their depression was in no way, shape or form, the causal factor in the offence and nothing prevents them reporting their crime or even giving a statement.
Imagine the murder suspect was seriously mentally ill â€“ sectioned shortly after arrest, interviewed and charged with the offence much later and then, at trial, pleaded guilty to manslaughter on the grounds of diminished responsibility.
Are both incidents â€˜mental health relatedâ€™; or just the second of the two? Â Iâ€™d say just the second â€“ the first incident is not about someoneâ€™s mental health in the way that a crisis incident is, and it doesnâ€™t affect how the police responded to it. Â Their mental health condition is incidental. Â But to use the forceâ€™s definition, above â€“ does anyone in this incident identify as having a mental health condition? Â Yes, but itâ€™s a non-serious condition that isnâ€™t relevant to the incident or its handling.
This post is part-consultation: I have to come up with a definition of a â€˜mental health relatedâ€™ police incident, for adoption by the police service as a whole and one which could be used the HMIC, the College of Policing and others to influence how policing and mental health is looked at, defined and delivered. We have undertaken some preliminary work with some forces who have already started looking at this, taken some feedback from outside the police and now have a draft definition on which we need opinions to see if it survives contact.
This effort is to make sure that we donâ€™t over-medicalise responses, that we can gather data more consistently and then have a better understanding of how mental health conditions influence behaviours and needs that may require a police response. We donâ€™t want to over-medicalise our response to people; we donâ€™t want to over-criminalise vulnerable people either. It is argued that if we get this right, weâ€™ll avoid both. So the definition below arises from some limited early discussion with some inside and outside the service who have had to think about this already where Iâ€™ve taken all their ideas with some of my own and slammed them together. To that extent, if Iâ€™ve ruined anyone elseâ€™s good ideas, Iâ€™m very sorry â€“ my jobs is to reconcile the various competing interests in to something we can all live with.
Here goes! â€”
Mental Health Incident Definition â€”
â€œA policing incident is â€˜mental health relatedâ€™ if the primary purpose of any response is â€“
â€“ A concern for the safety or welfare of someone, connected to a mental health condition*;
â€“ Any disability hate crime where someone has been victimised because of their mental health condition;
â€“ Any other kind of policing incident, including crime, where officers are responding to something which requires a reasonable or legal adjustment to be made in their handling of it because of someoneâ€™s mental health condition.
* Someone will be regarded as having a â€˜mental health conditionâ€™ if the officers involved have any reason to think this may be the case or where this has been suggested in good faith by anyone else.â€
Your thoughts on this are welcome.
Feedback in comments below, via Twitter (@mentalhealthcop) or on email to â€“
Winner of the Presidentâ€™s Medal from
the Royal College of Psychiatrists.
Winner of the Mind Digital Media Award.