06-13 Mobile Crisis Intervention Team (MCIT)

Question 1

Rationale
The Toronto Police Service (Service) is committed to preserving the lives and well-being of people who may be experiencing mental health and/or substance use issues, while working towards the goal of ——-deaths and ensuring the well-being, safety, rights, and dignity of individuals and communities. While it is not the role of police officers to diagnose mental health or substance use issues, it is their role to respond appropriately to the behaviours and circumstances they observe. In every encounter, the Service is committed to taking all reasonable steps to assess, de-escalate and safely resolve the situation.

Answer 1

zero

Question 2

Rationale

The attendance of a ——— (MCIT) at incidents involving a person experiencing a mental, emotional and/or substance use crisis, provides a skilled and ——-response that may assist in diffusing and concluding the incident ——–. The MCIT can assist frontline officers by providing a prompt assessment, supportive
counselling, as well as connect the person to the appropriate ——-services.

Answer 2

Mobile Crisis Intervention Team
compassionate
safely
follow-up

Question 3

Supervision

 Supervisory Officer —–mandatory for calls for service when there is information that a person in crisis is
armed or may be armed with a weapon
 Supervisory Officer notification mandatory if detained at a psychiatric facility for more than one (1) hour

Answer 3

attendance

Question 4

Procedure
The MCIT program is a collaborative 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 mental, emotional or substance use crisis.
The MCIT response will assist with:
 assessing the situation
 attempting to stabilize and —– the crisis
 providing ——-counselling as needed
 ——the individual to appropriate community services

Answer 4

diffuse
supportive
connecting

Question 5

The MCIT program currently operates ——-days a week (——– to ——) and is partnered with area hospitals
having ——– areas within in the following divisions:
SUN MHS
 D11/14/22 – Unity Health Toronto - St Joseph’s Health Centre
 D12/13/23/31 – Humber River Hospital
 D32/33 – North York General Hospital
 D41/42/43 – Scarborough Health Network
 D51/52 – Unity Health Toronto - St. Michael’s Hospital
 D53/54/55 – Michael Garron Hospital
 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 ——-.

Answer 5

seven (7)
0900hrs – 2300hrs
catchment
Toronto Police Services Board

Question 6

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 ——–
 a ————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.
 Note: The MCIT officer shall conduct a threat ——-prior to attending the call; where a person in crisis is found to pose a risk or threat to the attending MCIT nurse, the MCIT officer
shall direct the nurse not to actively engage in the incident until it is determined to be —– by the attending the attending MCIT officer

Answer 6

suicide
barricaded
assessment
safe

Question 7

 A threat assessment of the incident (based on available information) and overall safety of the MCIT shall determine the involvement and level of the MCIT response. The Specialized
Emergency Response – Emergency Task Force (ETF) shall be notified 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 ——of violence or use of weapons; the incident involves a —— person; and/or the incident involves a person who by their position has
placed themselves or others in ——-jeopardy (i.e. person located at height on a balcony, bridge, etc.)

Answer 7

history
barricaded
immediate

Question 8

MCITs may also provide assistance and support:

 to —— members or support persons of an individual in crisis
 to assess a person who has been exposed to ——incident stress (e.g. ——-death by suicide, witness)
 to attending police officers where MCIT expertise may be utilized
 to consult on missing persons with ——– attributes prior to being located
 to attend safety or —–checks directly related to a person experiencing a mental, emotional and/or substance use crisis from ——— sources, including but not limited to the Divisional Mental Health Liaison Officer (DMHLO), hospitals, and MCIT Case managers
 as directed by a supervisory officer

Answer 8

family
critical
witness
vulnerable
wellness
non-dispatch

Question 9

MCITs shall not generally be utilized for the following:
 incidents not involving a person in crisis
 clinical assessments where ——charges will be laid
 to —–a person apprehended by the PRU, or to ——a PRU officer at the hospital who has apprehended an individual
 Note: The MCIT may —- ahead to a hospital to assist for a smooth transition of care.

Answer 9

criminal
transport
relieve
call

Question 10

MCIT Management

Although MCITs remain assigned to the ——(CRU), they function as first or co-responders to calls for service with the Primary Response Unit (PRU). As a result, the —– PRU management team will be responsible to manage MCIT ——-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
——is carried out. PRU supervisors will be responsible for ——supervision of MCITs while they are on patrol,
———–calls for service and attending where required

Answer 10

Community Response Unit
on-duty
deployment
mandate
direct
monitoring

Question 11

Police Officer

1. As this Procedure is an extension of Procedure 06-04, members shall first comply with the direction contained therein
   and then follow the additional incident-specific direction contained in this Procedure.
2. 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 ——— and assistance as required.

Answer 11

support

Question 12

MCIT Officer

4. When responding to an incident involving a person in crisis, shall
    prior to attending, conduct a threat —–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 ——-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
    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 ———- Officer – ETF as to whether they will attend.  comply with Procedure 06-04

Answer 12

assessment
backup
Supervisory

Question 13

Supervisory Officer

5. When supervising a division with an assigned MCIT on duty shall
    coordinate with ——– officers from other divisions within the MCIT catchment area to manage resources and ——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 ——-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 ——-
    ensure sufficient backup officers are attending
    ensure the ETF has been notified in accordance with Item 4 criteria, if applicable
7. When attending a call for service with a MCIT response shall
    ensure compliance with Procedure 06-04
    ensure compliance with Procedure 08-04, if the call for service involves a traumatic critical incident

Answer 13

supervisory
maximize
expertise
heightened

Question 14

Officer in Charge

8. When managing a division with an assigned MCIT on duty shall monitor and coordinate with other divisions within the
   MCIT catchment area to ensure resources are managed to maximize MCIT availability for mental health related calls.
9. Upon becoming aware that a call for service is being attended to by the MCIT shall
    ——–situation and ensure supervisory officer attendance, if required
    ensure compliance with Procedure 06-04

Answer 14

monitor

Question 15

Staff Sergeant – Community Response Unit
10.When managing the home units of an assigned MCIT, shall oversee the coordination and supervision of MCIT related
activities and initiatives including attendance at meetings when required.
11.Shall coordinate with all PRU ——–when completing the officer’s annual ———

Answer 15

supervisors
evaluation

Question 16

Traumatic Critical Incident means any incident during which a member experiences, witnesses, or is confronted with
serious injury, death, or mass casualties; any incident in which the member’s life has been imperilled or threatened; or
any situation which is recognized at the time to have the potential to significantly interfere immediately or at a later time
with a member’s ability to function professionally or personally

Answer 16

should already know this

Question 17

Vulnerable Person means a person who by nature of an emotional, medical, psychological or other physical condition
may exhibit ——- of behaviour that pose an ——- risk of danger to themselves or others, who may require assistance from emergency services

Answer 17

patterns
increased