Mobile Crisis Intervention MCIT

Question 1

The Toronto Police Service (Service) is committed to ________the lives and well-being of people who may be experiencing mental health and/or substance use issues, while working towards the goal of zero deaths and ensuring the well-being, safety, rights, and dignity of individuals and communities.

Answer 1

preserving

Question 2

While it is not the role of police officers to
_________ or ___________ issues, it is their role to respond appropriately to the _________and ____________ they observe.

Answer 2

diagnose mental health

substance use

behaviours

circumstances

Question 3

The attendance of a Mobile Crisis Intervention Team (MCIT) at incidents involving a person experiencing a mental, emotional and/or substance use crisis, provides a skilled and compassionate response that may assist in diffusing and concluding the incident safely.

The MCIT can assist frontline officers by providing a prompt assessment, supportive counselling, as well as connect the person to the appropriate follow-up services.

Question 4

Supervisory Officer attendance mandatory for calls for service when there is information that a person in crisis is _________ or may be _________________

Answer 4

armed or may be armed with a weapon

Question 5

Supervisory Officer notification mandatory if detained at a ________facility for more than ______ hour

Answer 5

psychiatric facility

1 hour

Question 6

The MCIT program is a ___________partnership between participating hospitals and the Service bound through a Memorandum of Understanding.

The MCIT program partners a mental health nurse with a police officer with additional training in working with persons in crisis that will respond, or assist in the response to calls for service involving individuals experiencing a ________, _________, or _________ use crisis.

Answer 6

collaborative partnership

mental
emotional
substance

Question 7

The MCIT response will assist with:

Remember 4 points

______ the situation
attempting to _________ and _________ the crisis
providing supportive _________ as needed
connecting the individual to appropriate _______ _______

Answer 7

 assessing the situation
 attempting to stabilize and diffuse the crisis
 providing supportive counselling as needed
 connecting the individual to appropriate community services

Question 8

The MCIT program currently operates seven (7) days a week (0900hrs – 2300hrs) and is partnered with area hospitals having catchment areas within various divisions:

Answer 8

7 days a week

900 - 2300

Question 9

Catchment Areas

 D11/14/22 –
 D12/13/23/31 –
 D32/33 –
 D41/42/43 –
 D51/52 –
 D53/54/55 –

Note: The MCIT shall remain within their respective divisions/catchment areas when responding to calls for service as specified in the hospitals’ legal agreements with the Toronto Police Services Board.

Answer 9

11/14/22 - Unity Health Toronto - St Josephs

12/13/23/31 - Humber River

32/33 - North York General

41/42/43 - Scarborough Health Network

51/52 - Unity Health Toronto - St Michaels Hospital

53/54/55 - Michael Garron

Question 10

MCITs may act as a first or co-responder in certain circumstances, including but not limited to the following calls for service involving:

a person experiencing a mental, emotional, or substance use crisis

a person attempting/threatening suicide

a barricaded person, or other circumstances where it is known or thought to be caused by a mental, emotional or substance use crisis, in order to assess the person.

Question 11

MCITs may also provide _________and _________:

• to family members or support persons of an individual in crisis
• to assess a person who has been exposed to critical incident stress (e.g. witness death by suicide, witness)
• to attending police officers where MCIT expertise may be utilized
• to consult on missing persons with vulnerable attributes prior to being located

-to attend _______or ________ checks directly related to a person experiencing a _______, ________ and/or _________ use crisis from non-________ sources, including but not limited to the __________ __________ ____________ __________ (DMHLO), h_________, and MCIT C_____ m_________

-as directed by a ____________officer

Answer 11

assistance and support

to family members or support person

to assess a person who has been exposed to Critical incident stress

to attending police officers

to consult on missing person with vulnerable attributes prior to being located

safety or wellbeing checks
mental, emotional, substance use
non-dispatch
divisional mental health liaison officer, hospital, MCIT case managers

• supervisory officer

Question 12

MCITs shall not generally be utilized for the following:
 incidents ______involving a person in crisis
 ________ assessments where _________ charges will be laid
 to ______ a person ________ by the _______, or to ________a PRU officer at the hospital who has apprehended an individual

Answer 12

NOT used

• incidents not involving PIC
• clinical assessments where criminal charges will be laid
• to transport a person apprehended by PRU, or relieve

Question 13

MCIT Management

Although MCITs remain assigned to the Community Response Unit (CRU), they function as first or co-responders to calls for service with the Primary Response Unit (PRU). As a result, the on-duty PRU management team will be responsible to manage MCIT deployment to mental health related calls for service and be available to provide support and guidance when required. The nature of the PRU supervisor’s role profile places them in an ideal position to further ensure the MCIT mandate is carried out. PRU supervisors will be responsible for direct supervision of MCITs while they are on patrol, monitoring calls for service and attending where required.

Question 14

Police Officer Duties

• this procedure is an extension of the Person in Crisis procedure

When responding to a complaint of a person in crisis shall
 request notification and attendance of the MCIT, if available
 comply with Procedure 06-04
3. When attending an incident where the MCIT is on scene, shall provide support and assistance as required.

Question 15

MCIT Officer

When responding to an incident involving a person in crisis, shall
 prior to attending, conduct a threat assessment of the incident (based on available information) and overall safety of the MCIT to determine the involvement and level of the response
 request to obtain sufficient backup officers
 request the attendance of a supervisory officer when there is information that a person in crisis is armed or may be armed with a weapon

Question 16

request notification of the Specialized Emergency Response – Emergency Task Force (ETF), in accordance with Procedure 10–05, when:
‒ there is information that a person in crisis is armed or may be armed with a weapon
‒ background checks indicate that the person in crisis has a history of violence or use of weapons
‒ the incident involves a barricaded person
‒ the incident involves a person who by their position has placed themselves or others in immediate jeopardy (i.e. person located at height on a balcony, bridge, etc.)
 Note: It will be at the discretion of the Supervisory Officer – ETF as to whether they will attend.

Question 17

Supervisory Officer Duties

When supervising a division with an assigned MCIT on duty shall

 coordinate with supervisory officers from other divisions within the MCIT catchment area to manage resources and maximize MCIT availability for mental health related calls for service

 ensure the MCIT attend mental health related calls for service promptly, when available  ensure the MCIT are utilized in all circumstances where their expertise can assist in facilitating a peaceful resolution

6. Upon becoming aware that the MCIT is attending a call for service shall

 monitor the situation and attend when the risk for potential violence is or appears to be heightened

 ensure sufficient backup officers are attending

 ensure the ETF has been notified in accordance with Item 4 criteria, if applicable

Question 18

Officer in Charge

When managing a division with an assigned MCIT on duty shall ________and __________ with other divisions within the MCIT catchment area to ensure resources are managed to maximize MCIT availability for mental health related calls.

Upon becoming aware that a call for service is being attended to by the MCIT shall

monitor situation and ensure supervisory officer attendance, if required

ensure compliance with Procedure 06-04

Answer 18

monitor and coordainate

Question 19

Staff Sergeant – Community Response Unit

When managing the home units of an assigned MCIT, shall oversee the __________and ___________ of MCIT related activities and initiatives including attendance at meetings when required.

Shall __________ with all PRU supervisors when completing the officer’s annual evaluation.

Answer 19

oversee the coordination and supervision of MCIT related activities

• coordinate with PRU supervisors

Question 20

Supervisor Upon becoming aware that the MCIT is attending a call for service shall

• _________ the situation and _________ when the ___________for potential violence is or appears to be heightened
• ensure sufficient __________ officers are attending
• ensure the _________has been notified in accordance with Item 4 criteria, if applicable

Answer 20

monitor the situation, attend, risk

ensure sufficient backup

ensure ETF notified