Schedule:
Friday, January 12, 2024: 3:45 PM-5:15 PM
Independence BR B, ML 4 (Marriott Marquis Washington DC)
Cluster:
Symposium Organizer:
Jordan Dyett, LSW, State University of New York at Albany
In recent years, there has been a growing movement across the United States to minimize the role of law enforcement in mental health crisis response. These programs, however, often are implemented without a rigorous evaluation framework that not only helps understand the program's effectiveness but also identifies the best strategies for program adaptation. This symposium will demonstrate the value of integrating a mixed-methods approach to building evidence for community-based innovative programs for mental health. In June 2021, the Albany County Crisis Officials Responding and Diverting (ACCORD) was launched in rural communities of Albany County, NY. The program aims are to decrease the presence of law enforcement at the scene of mental health crises while the ACCORD team addresses the immediate needs of individuals in crisis. The ACCORD team is a mental health provider (e.g., social worker) and emergency medical technician who responds to non-violent, non-life threatening 911 calls. This symposium will demonstrate how a convergent mixed methods design was applied by an interdisciplinary team of researchers with backgrounds in public health, social welfare, and criminal justice to evaluate the pilot ACCORD implementation. This formative evaluation focused on program feasibility, short-term outcomes, barriers, and facilitators to inform the county-wide program expansion. The first presentation will provide an overview of the program and evaluation framework, a summary of key program processes, and outcome evaluations, including the client characteristics, services provided, and hospitalization. The second presentation is a case study of one ‘program high utilizer’ (i.e., a client who received multiple crisis interventions from ACCORD) with multiple hospitalizations to identify gaps in the current program. The third presentation focuses on the role of law enforcement, from the 911 dispatching call triaging process to the presence in the scene of a crisis, and discusses recommendations to facilitate shifting of the role of first responder from law enforcement to trained professionals as the program intended to achieve. The final presentation will summarize the findings from semi-structured interviews completed with the program team members three months and one year after the program implementation, identify strengths and challenges with the program implementation, and discuss key recommendations for county-wide expansion or adaptation of a similar program in other communities. This symposium aims to demonstrate the crucial role that social workers can play in promoting collaboration with law enforcement, medical providers from different disciplines during the implementation of ACCORD, and lastly collaborating on an interdisciplinary research team utilizing a mixed-methods approach to promote an evidence-based alternative response to mental health crises.
* noted as presenting author
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