1. REFERRAL BY POLICE TO MENTAL HEALTH SERVICES
1.1 Police may request the assistance of MHS in situations where there are indicators that a person is suffering from a mental dysfunction, and this is affecting the person's ability to function in the community to such an extent that police intervention is required.
Appendix A: Indicators of a Person Possibly Suffering from a Mental Dysfunction
1.2 Police shall contact MHS in situations where one or more of the following apply:
(i) where a person is known to suffer from a mental dysfunction and is at risk of harm to themselves and others; or
(ii) is a person who is not known to suffer from a mental dysfunction but:
(a) has a history of, or presents a current threat of deliberate self harm;
(b) is behaving in an overtly unusual way; or
(c) is displaying severe mismanagement of personal affairs as a consequence of their mental state.
1.3 Urgent Referrals to Mental Health Services
Urgent referrals are those which police believe require the immediate attention of MHS, where the person appears to be suffering from a mental dysfunction and requires urgent care.
This includes situations where persons are suicidal and/or threatening other persons or property.
1.4 Referral by the police may be made directly to the Mental Health Triage Service (MHTS)
Telephone number 1800 629 354
6205 1065
or through The Canberra Hospital switchboard
Telephone Number 6244 2222
When making any such referral, as much information as possible should be gained. The following details, if available should be communicated to the MHTS to allow them to plan their response.
(i) Name
(ii) Date of birth
(iii) Address
(iv) Brief description of the subject person
(v) Current location of person
(vi) Presenting problem
(vii) Behaviour of person
(viii) Other services and persons involved
(ix) Presence or availability of family members or other support persons
(x) Evidence of firearms, other dangerous weapons or drugs
(xi) A Doctor or Mental Health Worker whom she/he has seen
...
1.5. Mental Health Service Response To Referrals
The initial response by MHTS will be to obtain as much information as possible from police to determine the most appropriate mental health service response.
If initial contact is between AFP-Operations Monitoring and Intelligence Support (OMIS) and MHTS, arrangements for communication with the police member at the scene will be made.
In situations where MHTS decide that a mental health service response is not appropriate, MHTS will provide information to assist police to identify the appropriate service, or will provide general advice. This would include referrals to Adult Community Health Teams, alcohol and drug services and disability services.
...
2. REFERRAL BY MENTAL HEALTH SERVICES TO POLICE
2.1 Urgent Referrals to Police
Urgent situations are those where MHS believe that police attendance is required immediately and include episodes in the community, health centres, the Psychiatric Unit and MHS hostels where it is believed a person's behaviour could lead to harm or injury and assistance in containing the behaviour or transport to hospital is necessary.
The process for urgent referrals to police by MHS is as follows:
(i) contact Police Communications direct on 11444 (or 000 if the matter is immediately life-threatening);
(ii) inform the operator that urgent assistance is required - provide full details of situation;
(iii) provide full details of current problem including the presence of weapons/alcohol/drugs etc, or a known history;
(iv) provide all available details concerning the person subject to the attention which would enable police to more accurately determine the nature of the situation including the presence of any other person/s;
(v) provide any other available background information which may assist police to make decisions on how to best manage the situation; and
(vi) when a Mental Health Tribunal Apprehension Order is issued, police will contact the Mental Health Triage Service. Where ever possible a CATS [Crisis Assessment and Treatment Services]/Regional Team worker will attend.
Police will determine the urgency of the request and will determine an appropriate response. Police will determine an ETA based on their operational commitments and priorities which will be communicated to the MHS making the request.
2.2 Responsibilities Where Police Have Been Called for Urgent Assistance
Where police assistance has been sought because of physical danger to the person or to others, police will take responsibility for ensuring physical safety of all people at the scene. Police shall make decisions about timing and the degree of force to be used and the deployment of police and MHS while the situation is secured. Prior to any action and unless inappropriate because of extremely urgent situations, police will consult with MHS for advice on the situation and the likely responses and behaviour which will affect the police action taken.
...
3. JOINT MANAGEMENT OF INCIDENTS
...
3.1 Emergency Detention Pursuant to the Mental Health (Treatment and Care) Act 1994
Appendix B: Section 37 Mental Health (Treatment and Care) Act 1994
Section 37 Mental Health (Treatment and Care) Act 1994 prescribes the legislative authority for a police officer, doctor or mental health officer to take a person suffering from a mental dysfunction to an approved health facility where it is believed on reasonable grounds that:
(a) a person is suffering from a mental dysfunction (as defined in appendix A) and, as a consequence requires immediate treatment or care;
(b) the person has refused to receive that treatment and care; and
(c) detention is necessary for the person's own health or safety or for the protection of members of the public.
The doctor or mental health officer should also consider S37(2)(d) which requires that;
(d) Adequate treatment or care cannot be provided in a less restrictive environment.
Section 37(3)(a) provides for a police officer, doctor or mental health officer to use such force and assistance as necessary and reasonable to apprehend the person in order to convey him/her to the facility.
Section 37(3)(b) provides that if there are reasonable grounds for believing that the person is at certain premises, a police officer, doctor or mental health officer may enter those premises using such force and with such assistance as is necessary and reasonable.
In cases where police exercise the emergency provisions of the Act, it is desirable for the CATS to be present to assist in the management of the situation. It is recognised that time and resource constraints may limit this assistance.
...
3.2 High Risk situations Involving the Police Negotiation Team
In high-risk situations, the Police Negotiation Team (PNT), Special Operations Team (SOT) or the CMO [Commonwealth Medical Officer] may be utilised. CATS may be requested to assist in providing qualified opinion in relation to the situation.
In such situations, police will provide as much information as possible at the time of the referral. In addition to an overview of the situation, the following matters shall be addressed by police when making the request for CATS assistance;
(i) the procedure for gaining access to the incident scene;
(ii) the police officer in charge at the scene to whom they are to report; and
(iii) the role they are expected to perform.
If the PNT are at the scene, they shall be responsible for decisions concerning the management of the incident.
...
3.3. Training
MHS and Adult Teams, CATS and Child and Adolescent Mental Health Service are available to have input into AFP training on mental health issues. The role of AFP officers will be included in MHS training orientation programs. CATS and AFP are to have a joint training workshop to review how the management of people suffering from a mental dysfunction was undertaken by both services.
3.4 AFP/Mental Health Services Liaison Officers
To facilitate ease of contact, AFP - ACT Policing shall appoint a Mental Health Liaison Officer at each patrol and within the Police Negotiation Team.
Appendix D: AFP Mental Health Liaison Officers
Contact with Mental Health Services shall be through MHTS.
APPENDIX A
INDICATORS FOR CONSULTATION WITH MENTAL HEALTH SERVICES
The following indicators are to be used as a guide, rather than to confirm the presence of mental illness. If the situation you are confronted by included one or more of these indicators, it would be useful to consult with the Psychiatric Service for advice on options available to manage the situation.
DOES THE PERSON EXHIBIT ANY OF THE FOLLOWING?