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Ontario Provincial Police Mental Health Strategy: Our People, Our Communies Ontario Provincial Police Police provinciale de l’Ontario

Ontario Provincial Police Mental Health Strategy · 2020-02-07 · The OPP regularly shares best practiceswith other police services, mental health service providers, community stakeholders

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Page 1: Ontario Provincial Police Mental Health Strategy · 2020-02-07 · The OPP regularly shares best practiceswith other police services, mental health service providers, community stakeholders

Ontario Provincial Police Mental Health Strategy: Our People, Our Communities

Ontario Provincial PolicePolice provinciale de l’Ontario

Page 2: Ontario Provincial Police Mental Health Strategy · 2020-02-07 · The OPP regularly shares best practiceswith other police services, mental health service providers, community stakeholders

The OPP Mental Health Strategy: Our People, Our Communities addresses an important need - to improve responses to the mental health needs of our members and the individuals they serve. The strategy is the result of extensive research along with community and stakeholder consultation and focuses on improving outcomes for people with mental health issues whether they are members of the OPP or members of our communities.

By its design and purposes, the OPP Mental Health Strategy: Our People, Our Communities is geared to supporting early intervention. It also embeds the OPP’s strong commitment to continuous improvement in our planning and operations. Through the establishment of research baselines and on-going evaluation, our approaches will remain evidence-based.

No single strategy can guide an organization to completely eliminate mental health issues when they occur within our workforce or within Ontario’s communities. What it can do, however, is ensure that we have strong supports and resources in place for OPP members - active and retired, uniform, civilian and auxiliary - and their families, to access when the need arises. It can also ensure that OPP members are equipped with the appropriate education, training, programs and protocols to most effectively respond to people with mental health issues or those experiencing a mental health crisis.

About the Strategy

The graphic developed for the OPP Mental Health Strategy: Our People, Our Communities represents the integrated approach within the strategy, using five elements to illustrate that in any given year, one in five people in Canada will experience a mental health problem or illness. It also visually represents that mental health can be understood as a part of a continuum, fluctuating and changing throughout our life, much as our physical health does.

About the Graphic

©Queen’s Printer for Ontario, November 2015

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1Ontario Provincial Police Mental Health Strategy:Our People, Our Communities

2 Commissioner’s Message 3 Shared Values 4 Introduction 4 One in Five 5 OurCommitment,OurGoalandPrioritiesforAction 6 Governance 6 DefinitionsandLanguage 7 Supporting Our People: Healthy Workforce 8 SupportingOurPeople:PrioritiesforAction 11 Supporting Our Communities: Police Interactions with People with Mental Health Issues12 SupportingOurCommunities:PrioritiesforAction 14 Conclusion15 Acknowledgements

Table of Contents

Our Vision

Our Mission

SafeCommunities…ASecureOntario

Committedtopublicsafety,deliveringproactiveand innovativepolicinginpartnershipwithourcommunities

Ontario Provincial Police (OPP) Mental Health Strategy:Our People, Our Communities

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2Ontario Provincial Police Mental Health Strategy:Our People, Our Communities

Commissioner’s Message

Howdoyoubestsupportaworkforceinahighriskprofessionlikepolicing?Howdoweencourageourpeopletobe,andremain,resilient?Whatsystemsneedtobeinplacetosupportmembers-activeandretired,andtheirfamilies?

Howcanweimproveoutcomeswhenpoliceinteractwithpeoplewithmentalhealthissues?Whatevidence-basedapproachesshouldtheOPPusetoachieveconsistencyyetprovideflexibilityforlocalsituations?Andfinally:Howcanwehelpreducethestigmaassociatedwithmentalhealth?Stigmaisacommondenominatorandremainsapowerfulbarriertopositiveactionandoutcomes.

ThesearejustsomeofthequestionsaddressedintheOPP Mental Health Strategy: Our People, Our Communities. At the root of it all is a fundamental principle; inorderforourmemberstobeinthebestpossiblepositiontodeliverservicestoourcommunities,healthandwellnessforourpeoplemustbeapriority.

Evidenceshowsthatputtingresources intoearly intervention is thepreferredandmosteffectiveapproach.Whileresourcesarenecessary,understandingisevenmoreimportant. So it is no coincidence that “building awareness, reducing stigma andprovidingmembertrainingandresources”areimportantprioritiesintheOPP Mental Health Strategy: Our People, Our Communities.

TheOPP regularly shares best practiceswith other police services,mental healthservice providers, community stakeholders and the general public as part of itscommitmenttocontinuousimprovement.Sincecollaborativeapproachesinpolicingservicedeliveryarefundamentaltoimplementationofthestrategy,itmakessensetosharethisworkasbroadlyaspossible.Collaboratingwithexternalpartnersandfosteringinternalpartnershipsformthebasisforanintegratedmodelofpractice.

As Commissioner, I am encouraged that progress on the strategy is already wellunderway,withmanyelementsinvariousstagesofimplementation.ThecreationoftheOPPWellnessUnitin2014includingtheexpansionofresourcesandprogramstosupportOPPmembers,retireesandtheirfamilies,alongwithextensivecommunityandstakeholderconsultationtobuildtheoperationalandcommunityfocusofthestrategy,areimportantmilestones.

As the strategy unfolds and implementation continues, theOPP looks forward tosupportingbothourpeopleandourcommunities.

J.V.N. (Vince) HawkesCommissioner

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3Ontario Provincial Police Mental Health Strategy:Our People, Our Communities

Shared ValuesBuildingawarenessReducingstigma

ProvidingmembertrainingandresourcesFostering internal partnerships

CollaboratingwithexternalpartnersEvaluatingimpacts

Supportingourmembersandourcommunities

Supporting Our Communities:

PoliceInteractions withPeoplewith

Mental Health Issues

Mental Health Strategy:OurPeople,OurCommunities

Supporting Our People:

HealthyWorkforce

Ontario Provincial Police Mental Health Strategy: Our People, Our Communities

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4Ontario Provincial Police Mental Health Strategy:Our People, Our Communities

Introduction

The Ontario Provincial Police (OPP) is committed to improving its response tothe mental health needs of its members and the individuals they serve, in ourcommunities. TheOPP recognizes the importance of these issues and is taking acomprehensive and integrated approach in the OPP Mental Health Strategy: Our People, Our Communities.

This important strategy contains two distinct but linked components -Supporting Our People: Healthy Workforce and Supporting Our Communities: Police Interactions with People with Mental Health Issues. Theysharecommonvaluesandconcernsandmanyofthepriorityactivitiesofeachcomplementtheother.

The OPP Mental Health Strategy: Our People, Our Communities recognizestheneedtosupportOPPmemberswiththenecessaryresourcesandeducationsotheycan: enjoy the best possible physical, mental and spiritual health and well-being;achieve work/life balance; and serve to their full capacity.1 It also recognizesthe importance of supporting these same members with the resources and education necessary to enhance police interactions with people with mental healthissues.

TheaimistoensuretheOPP’sresponsetomentalhealthisconsistentandefficient,mitigating risk and victimization by improving outcomes for our people and ourcommunities.Byusingacollaborativeservice-deliveryapproach,weaimtoconnectindividualsmoreeffectivelywiththeservicesandsupportstheyneed.

It’sasimpleequation.Bytakingcareofthehealthandwell-beingofourmembers- active and retired, uniform, civilian and auxiliary - and their families, we canimproveandenhanceourcommitmenttopublicsafetyandindividualswithmental healthissues.

Aboveall, theOPP Mental Health Strategy: Our People, Our Communities isaboutimprovedoutcomesforpeoplewhethertheyaremembersoftheOPPormembersof ourcommunities.

One in Five:

AccordingtotheMentalHealthCommissionofCanada,inanygivenyear,oneinfivepeopleinCanadaexperiencesamentalhealthproblemorillness.Itisclearthatthisisaveryimportantissue,foreveryone.

Communitysafetyandwell-beingiseveryone’sresponsibility.

1Spiritualityisdefinedindividually,butcanbebroadlyunderstoodas“relatingtooraffectingthehumanspiritorsoulasopposedtomaterialorphysicalthings”(OxfordDictionary,October2,2015).

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5Ontario Provincial Police Mental Health Strategy:Our People, Our Communities

Ontario Provincial Police Mental Health Strategy: Our People, Our Communities

Supporting Our People:PrioritiesforAction

• Expandmentalhealtheducationandtraining•Reducestigmaandbuildawareness• Expandprogramsandresourcesforallmembers• IncreasecapacityandstandardizationintheCriticalIncidentStressResponse/PeerSupportProgram(CISR/PS)

•Developstronginternalandexternalcommunications• Increasepartnershipswithinternalandexternalagencies• Improveoverallwell-beingofmembers/retirees/families• Implementcontinualprogramevaluation

Supporting Our Communities: PrioritiesforAction

• Provide leadership at all levels• Improvedatacollection• Conductongoingprogramevaluation• Supportdevelopmentoftransferofcareprotocols• Increaseearlyreferralstomentalhealthservices• Enhancetrainingforfrontlineresponders• Facilitatedevelopmentofpolice/mentalhealthcollaborativeresponsemodels

Our Commitment

Our Goal

TheOPPiscommittedtoimprovingitsresponsetothementalhealthneedsofitsmembersandtheindividualstheyserve,inourcommunities.

TheoverarchingaimoftheOPP Mental Health Strategy: Our People, Our Communities isimprovedoutcomesforpeoplewithmentalhealthissueswhethertheyaremembersoftheOPPormembersofourcommunities.

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6Ontario Provincial Police Mental Health Strategy:Our People, Our Communities

Ontario Provincial Police Mental Health Strategy: Our People, Our Communities

Definitions and Language

Mentalhealthissuesarecomplex.TheOPP’s Mental Health Strategy: Our People, Our Communities recognizes thatpeople’s mental health can be understood as a part of acontinuum, fluctuating and changing throughout our life,muchasourphysicalhealthdoes.

The criminal justice system uses the Criminal Code ofCanada term “mental disorder” as a broad term whichencompasses, among others, mental illness, developmental disability, addictions, concurrent disorders (mental illnessanda substanceuseproblem) anddual diagnosis (mentalillnessanddevelopmentaldelay),acquiredbraininjuriesandseriousbehaviouralandangermanagementissues(Ministry

ofHealthandLong-TermCare,AProgramFramework for:MentalHealthDiversion/Court Support Services, February2006).Thelessclinicalterm“mentalhealthissues”andmorefamiliarterm“mentalillness”havebeenusedthroughoutthisstrategytocreateanaccessible,plainlanguagedocument.

Operational stress injuries (OSI) can be defined andunderstood in a variety of ways. The termOSI is used todescribeabroadrangeofissuesresultinginanypersistentpsychologicaldifficultythatpolicepersonnelexperienceasa resultofoperationalduties includingbutnot limited to:depression, anxiety, addictions and post-traumatic stressdisorder(PTSD).

Governance

The governance approach to the OPP Mental Health Strategy: Our People, Our Communities is integrated and tieredtoencourageandsupportcoordination,collaborationand improved outcomes. An overall Mental HealthGovernance Committee is providing oversight, leadershipanddirectionontheimplementationandongoingdeliveryofthestrategy’sprioritiesforaction.

Inaddition,thecommitteeisregularlyscheduledtoconnectwiththechairsoftheHealthyWorkforce(Our People) and Community Mental Health (Our Communities) AdvisoryCommittees to share information and discuss issues ofmutual concern. Ensuring accountability, the OPPMentalHealth Governance Committee also reports on a regularbasistotheCommissioneroftheOPP.

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7Ontario Provincial Police Mental Health Strategy:Our People, Our Communities

AccordingtotheMentalHealthCommissionofCanada,theimpactofmentalhealthproblemsanddisordersisespeciallyfeltinworkplacesandamongworking-agedpeople.3Specifically:

• Peopleintheirearlyandprimeworkingyearsareamongthehardesthitbymentalhealthproblemsandillnesses.• Approximately21.4percentof theworkingpopulation inCanadacurrentlyexperiencesmentalhealthproblemsand

illnesses,whichcanaffecttheirproductivity.• Mentalhealthproblemsandillnessesaccountforapproximately30percentofshortandlong-termdisabilityclaimsand

areratedasoneofthetopthreedriversofsuchclaimsbymorethan80percentofCanadianemployers.

Whileitisgenerallyrecognizedthathealthpromotion,illnessprevention,anti-stigmainitiatives,managementtrainingandemployeeassistanceprogramsallcontributetohealthyworkplaces,moreworkremainstobedone.

Following thereleaseof theOntarioOmbudsman’s2012report In the Line of Duty,whichaddressedoperational stressinjuries (OSI) affecting theOPP and police in Ontario, theOPP formed aWorking Group. The organization engaged inextensiveresearchandbroadconsultationsandtookaction-allfocusedtowardthegoalofbettersupportingourmembers,activeandretired,uniform,civilianandauxiliary,andtheirfamilies.

In2014,theOPPmade“HealthyWorkforce”oneofitstopfivestrategicprioritiesand,inOctoberofthesameyear,createdaWellnessUnitdedicatedtocultivatingandsustainingasupportiveworkculture.

TheprioritiesforactionarticulatedinSupporting Our People: Healthy WorkforcearecomplementarytothoseinSupporting Our Communities: Police Interactions with People with Mental Health Issues.Theseprioritiesarealldesignedtosupportasharedgoal:toimproveoutcomesforpeoplewithmentalhealthissueswhethertheyaremembersoftheOPPormembersofourcommunities.

SupportingOurPeople: Healthy Workforce

Mental health is more than the absence of mental disorders.” 2

2 WorldHealthOrganization(2001),Strengtheningourresponse,Factsheet,No.220.3 MentalHealthCommissionofCanada(2010),MakingtheCaseforInvestinginMentalHealthinCanada.

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8Ontario Provincial Police Mental Health Strategy:Our People, Our Communities

4TheinternalOPPSafeguardProgramisdesignedtomonitorthepsychologicalwellnessofmembersinunitsdeemedtobehigh-riskbasedonthenatureoftheworkperformed.Theprogramincludesapre-screeningprocessforpotentialcandidatesandcontinualassessmentofmembers.Resultsfromthepsychologicalwell-beingbaselinewillhelptoinformenhancementofthisprogram.5ApsychometristisanindividualwithaMasterofArtsorSciencedegreeinpsychologywhocanconductpsychologicaltestingandsometherapyprogramsunderthesupervisionofapsychologist.

Expand mental health education and training

TheOPP’sprogramsarefoundedonsoundresearch,broadconsultationandbestpractices.Theyarecomprehensive,containingbothproactiveandreactiveelementsandarestructuredontheRECOGNIZE–EDUCATE–SUPPORTmodel.

The OPP is expanding its mental health education and training with the delivery of Road to Mental Readiness (R2MR), an evidence-based mental health training and education program developed by the Department of National Defence Canadian Forces to increase mental health literacy and enhance resilience. The OPP Critical Incident Stress Response/Peer Support Teams are also fully engaged in supporting education and training efforts.

Reduce stigma and build awareness

TheOPPiscommittedtosupportingitsworkforceandmaintaininghealthyworkplaces.Ourorganizationrecognizesthatanymember-civilian,uniformorauxiliary,activeorretired-maybecome,ormayhavebeeninvolvedincriticalincidents.Aswell,membersandtheirfamiliesfaceotherstressesatwork,andathome.Thereishelpavailable.TheOPPhasvariousinternalandexternalprogramsandresourcesthatmembersandtheirfamiliescanaccess.

Awareness and education are keys to changing attitudes. Supporting Our People: Healthy Workforce focuses organizational efforts and resources on the goal of reducing the stigma associated with mental health issues and shifting our concentration to supporting health and well-being and improving health outcomes overall.

Expand programs and resources for all members

TheOPPistakingacomprehensiveandevidence-basedapproachtotheexpansionofitsprogramsandresourcesforallmembers.TheseincludeWellnessChecks,Post-CriticalIncidentChecks,apsychologicalhealthandwell-beingresearchbaselineandtheexpansionoftheinternalOPPSafeguardprogram.4AdditionallytheOPPhaspsychometristservicesinplacetocoordinateandadministerpsychologicalassessments.5

Wellness Checks and utilizing a Patient Health Questionnaire (a screening and diagnostic tool for mental health disorders)will help OPP members identify issues of concern. In addition, the Wellness Check will also be used following critical incidents to measure psychological impact and to provide appropriate support and/or intervention.

SupportingOurPeople: Priorities for Action

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9Ontario Provincial Police Mental Health Strategy:Our People, Our Communities

6TheEmployeeandFamilyAssistanceProgram(EFAP)isafree,confidential,employer-sponsoredservice.Servicesavailableincludecounselling,programsforhelpwithcommonlifechallengesandresourcestomembers,retireesandtheirfamilies.7Acriticalincidentisanysituationfacedbyindividualswhichcausesthemtoexperienceunusuallystrongemotionalreactionsandhasthepotentialtointerferewiththeirabilitytofunctionatthetimeoftheincidentorlater.

Increase capacity and standardization in the Critical Incident Stress Response/Peer Support Program (CISR/PS)

TheOPPprovidesinternalsupporttomembersthroughtheCISR/PSTeams.Theseteamsaretrainedinindividual/group crisis intervention and suicide intervention and can respond immediately to a critical incident as well asindividualrequestsforsupport.7InadditiontobuildingcapacitywithintheCISR/PSProgramwiththeintroductionofpermanentdedicatedpositions,theprogramhascontinuedtogrowandevolve.Thishasincludedtheintroductionofpart-time/volunteermembersatallranklevels,includingcivilianmembers.

CISR/PS Teams are available in every OPP region. The use of a dedicated part-time/volunteer network has been and will continue to be a priority for the CISR/PS Program. This ensures diversity and allows for true peer involvement by representatives from across the province.

Otherprogramsinclude:employeeandfamilysupports,fitnessandlifestylesupports,fitness/wellnessliaisons,PhysiologicalHealthSciencescoordination,provisionofresourcestoallmembersthroughouttheprovincebytheOPP’sEricSilkLibrary,ManagingforaHealthyWorkplaceWorkshops,Lunch & Learnpresentations,theOPPChaplains’Program,supporttoHumanResourceProgramAdvisorsonmattersofoperationalstressinjuriesandcomplexmentalhealthcases,OccupationalHealthandSafetysupportandvariouslocalandregionalinitiativesthroughouttheprovince.TheEmployee&FamilyAssistanceProgram,anearly intervention tool for short-termservices, is available toallmembersandaugmentedbyOPP-specificresources.6

The OPP is supporting the identification of trends, gaps and issues related to wellness and developing proactive approaches to coordinate programs related to OSI and other mental health issues.

Every wellness initiative the OPP undertakes helps improvemember well-being and contributes to a supportive workenvironment,whichisaprotectivefactoragainstsuicide.

Wheremembersareincrisisandcontemplatingsuicide,theOPPprovidessupportusingsuicideinterventionprinciples.TheOPP’sCriticalIncidentStressResponse/PeerSupportProgram(CISR/PS)Teamshaveaprotocoltoassistwhentheyencounterapeer,familymemberorretireewhoisindistress.AllTeamMembersreceivespecificsuicideinterventiontrainingtoguidethemwhensupportingmembersincrisis.

The OPP continues to take a holistic approach to all issues related to health and well-being and will address this very complicated issue in the development and maintenance of its mental health programs.

Expand programs and resources for all members (continued)

SupportingOurPeople: Priorities for Action

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10Ontario Provincial Police Mental Health Strategy:Our People, Our Communities

Develop strong internal and external communications

Itiswellrecognizedthatconversationsareneededtobuildawarenessaboutmentalhealthissues.

TheOPPiscommittedtousingawidevarietyofinternalandexternalcommunications,includingsocialmediaandtheweb,toreducestigmaandencourageopencommunication.TheOPPalsoprovidesmultipleaccesspointstorelevantresources,programsandsupports.

Increase partnerships with internal and external agencies

PartnershipsareessentialtoensurethattheprogramsandservicesavailablewithintheOPPmeettheneedsoftheworkplace,andarebasedoncurrentbestpractices. The OPP continues to consult with other police agencies and stakeholders to research best practices regardingmental, physical and spiritual health andwell-being. This includes participating in existing committees, workinggroups,forumsandconferencestomaintainawarenessaboutworkplacewellnessinitiatives.

The OPP is establishing a Provincial Healthy Workforce Advisory Committee to include representation from various levels of the OPP to provide support and promote wellness initiatives across the province.

Improve overall well-being of members/retirees/families

Supporting Our People: Healthy Workforce recognizesthatOPPmembersneedthenecessaryresourcesandeducationsotheycan:enjoythebestpossiblephysical,mentalandspiritualhealthandwell-being;achievework/lifebalance;andservetotheirfullcapacity.

Coreprotectivefactorsformentalhealthincludeasenseofbelongingandthepresenceofasocialnetwork.Establishingacultureofbelongingsupportsthestrategicpriorityof“cultivatingandsustainingahealthyworkforce”fortheOPP.

The OPP will continue to encourage a supportive work culture which includes positive relationships between peers, supervisors, managers, retirees, families and the community. Everyone has a role to play.

Implement continual program evaluation

InorderfortheOPP’swellnessprogramsandresourcestomeettheneedsofmembers,retireesandtheirfamilies,programevaluation is critical. An evidence-based approach supports theOPP’s overall commitment to decision-makingbasedonanalytics.

The use of the psychological health and well-being research baseline will help to measure the effectiveness of SupportingOurPeople:HealthyWorkforce. The OPP will continue to report on trends and data related to programs and resources.

SupportingOurPeople: Priorities for Action

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11Ontario Provincial Police Mental Health Strategy:Our People, Our Communities

Policeareoftencalledasfirstresponderstonon-criminalsocialdisordersituationswhicharisebecauseofunderlyingmentalhealthissues.InCanadaandmanyWesterncountries,policeinteractionswithpeoplewhoareexperiencingmentalhealthissuesappeartobeincreasing.Since2007,theOPPhasseenasteadygrowthincallsforservicerelatedtomentalhealth:8,682in2007to12,337in2013(42percentincrease)witharesultingincreaseintotalofficerhoursspentrespondingtotheseoccurrencesby65percent.9

Policeinteractionswithpersonswithmentalhealthissuescontinuetobeatopicofsomeconcernforthepolice,thepublicandthemedia.Theseinteractionshavebeenthesubjectofrecentinquestsandinquiriesintothepolice-involveddeathsof individualswithmentalhealth issues. Thechallenges forall involvedhavealso received intensediscussionat recentmeetingsoftheOntarioAssociationofChiefsofPolice(OACP)andCanadianAssociationofChiefsofPolice(CACP).

Thediscussions,inquestsandinquiriesprimarilyfocusontheneedto:

• Collectaccuratedataonpoliceinteractionswithpeoplewithmentalhealthissues• Increaseofficertraining• Createpolicyandprotocolsrelatingtocrisisinterventiontoaddresstheissuesoftransferofcareandtransportationof

peoplewithmentalhealthissues• Developcollaborativepolice/communitymentalhealthresponsemodels

Inorder toaddress theseconcerns, theOPPestablishedaworkinggroup in Juneof2014 toprepareacomprehensive, evidence-basedmentalhealthstrategygoverningpoliceinteractionswithpeoplewithmentalhealthissues.

Followingextensiveresearchandconsultation,theprioritiesforactionarticulatedinSupporting Our Communities: Police Interactions with People with Mental Health IssuesarecomplementarytothoseinSupporting Our People: Healthy Workforce. Theseprioritiesarealldesignedtosupportasharedgoal:toimproveoutcomesforpeoplewithmentalhealthissueswhethertheyaremembersoftheOPPormembersofourcommunities.

…Every door will be the right door to get people to the care they need.” 8

8Ontario’sComprehensiveMentalHealthandAddictionsStrategy:OpenMinds,HealthyMinds,2011,p.18.9DataSource:DataextractedfromBICubeonSaturday,November23,2013.

Supporting Our Communities:PoliceInteractionswithPeoplewithMentalHealthIssues

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12Ontario Provincial Police Mental Health Strategy:Our People, Our Communities

10UndertheMental Health Act,ScheduleOneliststhefacilitiesthatcanholdmentalhealthpatientsagainsttheirwill.

Provide leadership at all levels

StrongleadershipisrequiredatalllevelsoftheOPPtoensuresuccessfulimplementationofthestrategy.Researchandconsultationalsoconfirmedtheneedtoinvolvementalhealthserviceproviders;mentalhealthconsumersandpeoplewithlivedexperience,intheoversightandongoingdevelopmentofthestrategy.

Mental health champions at the provincial, regional and detachment levels of the OPP have been assigned the role and responsibilities of mental health coordinators.

The OPP is establishing a Community Mental Health Advisory Committee including representation from mental service providers, consumers and people with lived experience, to provide input and guidance on issues relating to police response to mental health-related occurrences.

Improve data collection / conduct ongoing program evaluation

Accuratedataisrequiredtogenerateanaccuratepicture,identifygapsinresponse,understandbusinessimplications,setbaselinemeasures,supportongoingperformancemeasurementandevaluationandrationalizeanyrequestsforincreasedexpendituresorresources.

The OPP has introduced the interRAI Brief Mental Health Screener (BMHS) © a standardized, science-based mental health screening form into its operations. The BMHS helps officers clearly articulate their observations to local hospital Emergency Room staff. It is also a powerful mental health data collection tool for the OPP.

Performance measures have been established and the OPP is committed to continuous evaluation of its progress in improving police interactions with people with mental health issues.

Support development of transfer of care protocols

OPP frontline officers often spend significant amounts of time in hospital emergency roomswithmental healthpatientswaitingtobeassesseduntiltransferofcarecanbeassumedbythehealthfacility.Theseextendeddelaysaggravatethestigmaassociatedwithmentalhealthissues.Theyalsoabsorbsignificantpoliceresourcesthatcouldbedevotedelsewhere.

TheOPPalsoexperiencessignificantpressurefromlocalhealthfacilitiestoprovidesecuritytomentalhealthpatientsaswellastransportationofpeoplefromlocalhealthfacilitiestothenearestScheduleOnepsychiatricfacility.10

Mental health consumers certainly have the right to safe transportation that minimizes interference with theirrights,dignityandself-respect.Thisrightmustbebalancedwiththeneedforsafetyofallinvolved.Consistentpolicy and protocols are required to address the issues of transfer of care and transportation of people with mental healthissues.

SupportingOurCommunities: Priorities for Action

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13Ontario Provincial Police Mental Health Strategy:Our People, Our Communities

Increase early referrals to mental health services

Byengagingourcommunitypartners inthelocalresponsetopeoplewithmentalhealthissuesandbyincreasingreferrals tomental health partners, the OPP can begin to reduce the number of calls related tomental healthit receives, reduce thetime spenton individualmental health calls and improve theoverall service response toindividualsinthecommunitywithmentalhealthissues.

The OPP will promote and participate in establishing local mental health planning committees. In addition, OPP mental health champions will build awareness and connections with local mental health service providers, to enable early referrals and use of services.

Enhance training on mental health

TheOPPiscommittedtoprovidingmentalhealthtrainingforallitsmembers.MentalhealthtrainingthroughtheOur People and Our CommunitiescomponentsoftheOPP Mental Health Strategywillcomplementtheother.Topicsincludede-escalationtechniques,anti-stigmastrategiesandawarenessofbasicmentalhealthdisorders,amongothers.

The OPP is working with mental health experts and people with lived experience to enhance and develop mental health training that will be delivered through a variety of methods.

Facilitate development of police/mental health collaborative response models

Finite resources, combinedwith theneed for a supportive responsemodel that helps to “decriminalize”mentalillness,ispromptinginnovativeservicedeliverymodelsandsolutions.Aneffectiveresponsetothoseexperiencingamentalhealthcrisisincludesmulti-agencycooperationandcollaboration.

The OPP is establishing local mental health planning committees. Through these committees, detachment members will work with local community partners to develop, implement and oversee local collaborative response models of service delivery.

The OPP is working with local hospitals to implement a standard Police-Emergency Department Protocol to address the issues relating to transportation and transfer of care.

In addition, the OPP continues to work with the Ministry of Community Safety and Correctional Services and the Ministry of Health and Long-term Care on issues related to transfer of care, hospital security and patient transport. We are committed to raising concerns and sharing the identified barriers to service with our government partners.

Support development of transfer of care protocols (continued)

SupportingOurCommunities: Priorities for Action

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14Ontario Provincial Police Mental Health Strategy:Our People, Our Communities

Conclusion

TheOPPistakinganintegratedandcoordinatedapproachtoimprovingourresponsetomentalhealthissuesbothforourpeopleandourcommunities.

Werecognizethatitwilltaketimeandefforttoaddressthestigmaassociatedwithmentalhealthissuesandoperationalstressinjuries(OSI).Educatingandsupportingourmembersarefundamentalrequirementstoencouragechange.Sustainedeffortwillbeneededtoensuremeaningfulprogramsthatsupportwellnessatwork.Whileoursuccessasanorganizationdoesdependonprogramsandservices;evenmoreimportant is our culture. It is critical thatwework together to achieve improvedoveralloutcomes.

Finite resources, combinedwith theaimto“decriminalize”mentalhealth, requirethe development of innovative service-delivery models and solutions within ourcommunities.

Themost positive responses to those experiencing amental health crisis include multi-agency cooperation and collaboration. Ensuring cooperation across health,welfare,communitysupportandemergencyservicesandtheprovisionofprofessional,timelyandsaferesponsesisnotthesoleresponsibilityofpolice;however,thepolicecanplayanimportantroleinthecommunityresponse.

TheOPP iscommittedto improving itsresponsetothementalhealthneedsof itsmembers and the individuals they serve. The OPP Mental Health Strategy: Our People, Our Communities providesdirectionandprioritiesforactiontothatend.Ourcommitmenttocontinuousimprovementwillensurethatevaluationofsupportsandprogramsareusedtoassessservicedeliveryandmeasureoverallsuccess.

Itisthroughanintegratedandcoordinatedeffortthatthesharedvaluesof:buildingawareness, reducing stigma, providing member training and resources, fosteringinternalpartnerships, collaboratingwithexternalpartners,evaluating impactsandsupportingourmembersandourcommunitieswillbeputintopractice.

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15Ontario Provincial Police Mental Health Strategy:Our People, Our Communities

Acknowledgements

The OPP gratefully acknowledges the contributions andassistance of community partners, mental health serviceproviders, stakeholders, academic and professionalpartners, police partners, people with lived experienceand all others who have provided encouragement andinput during the research and consultationphases of the OPP Mental Health Strategy: Our People, Our Communities.

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For more information and resources

FormoreinformationabouttheOPP Mental Health Strategy: Our People, Our Communities gotoopp.caorcontacttheOPPCommunitySafetyServicesand/ortheOPPWellnessUnit,CareerDevelopmentBureau.

Ontario Provincial Police 777MemorialAvenue,Orillia,Ontario,L3V7V31-888-310-1122 | www.opp.ca