Latest / Millennial Mental Health Channel / Defund the Police! Or... support, retrain, reallocate.
Transcript
- 0:00I think you'll see a lot of issues that people have with like the streets
- 0:04and what they see out in like cities. I think a lot of those
- 0:07start to go away when those basically needs get met. This is Millennial Mental
- 0:13Health Channel. I'm doctor Justin Romano, a child adolescent psychiatry fellow, and
- 0:17I'm Medikoreo, a licensed clinical therapist. Our podcast is here because we want
- 0:21to start a much neater conversation about mental health. Our goal is to teach
- 0:24you as much as we can by sharing our own experiences and interviewing experts in
- 0:29the mental health field. We will discuss topics like mood disorders, psychotic disorders,
- 0:33substance use, personality disorders, and many more. Millennial Mental Health Channel
- 0:37buy Millennials for everyone. We hope you enjoy today's episode. MMHC is a
- 0:43production of Speaker from iHeartMedia, I HEARTMA Beyond Venue. Welcome back to Millennial
- 0:54Channel. It is nice to have you here. Pardon the terrible French accent,
- 1:00Eddie. I want to have an icebreaker, a classic icebreaker question.
- 1:04Okay, two truths in a lie? Okay, no, that's actually not
- 1:08a bad one. Yeah, let's actually do that. Get Okay, yeah,
- 1:12give me no, no, no, go back to your other one,
- 1:15because I'm terrible at that one. Okay, dinner with anyone in history
- 1:22or dead or alive. Who would you have dinner with? Oh god,
- 1:26I know that's a tough one. It no because yeah, because I'm gonna
- 1:29say, like something super lame, like a professional athlete or something that makes
- 1:34me seem like such a like loser. I don't care about sports. I
- 1:38don't know man uh Sebastian Janakowski or Canon uh for those of you don't know,
- 1:51the Raiders kicker. For years and years and years he was the first
- 1:53round draft pick. Yeah he was. Oh I forgot about that. Yeah,
- 1:59dude, Like but he was amazing for a long time. Yeah.
- 2:04Him and Shane Lecklaer. Okay, god, this is so bad. Okay,
- 2:08first thing that popped into my mind because I'm about to get his book
- 2:13and now I have to look it up to pronounce it correctly because he has
- 2:15a Greek last name. He's the author of The Silent Patient and then The
- 2:20Maidens. He just came out with a book called The Fury. It's another
- 2:23like thriller. So his name is Alex Mickuye Lighty's Miklights Yes to him because
- 2:30his first two books, the main character is a therapist and like those were
- 2:35like I think those it took a little bit, but those set me on
- 2:38the trajectory to get back into reading for fun. So let's do that.
- 2:40That'll be And his book, his News book, just came out yesterday and
- 2:45it should be getting delivered to my house in the next day or so,
- 2:49pending the ice situation. Shout out to my sister because she got it to
- 2:53me for my birthday. Nice. Yeah, Eddie. And the city of
- 2:57Portland has been in shutdown because it has been frosty. Frosty and not the
- 3:01snowman kind. It has just been frozen roads. You know, I've always
- 3:08the answer to my question has always been Jim Carrey, like I've always really
- 3:12wanted to have But you know, I was thinking about it and the I
- 3:15actually would really like to have dinner with my paternal grandfather, who I never
- 3:22got to meet because he passed away before I was born. But it sounds
- 3:25like we are similar in a lot of ways, and he sounds like he
- 3:29was an awesome dude, former teacher and principal. So yeah, I would
- 3:32say I would like to meet family that I've never gotten to meet before,
- 3:37or honestly, Sebastian Janakowski would be a good one for me too. Oh
- 3:45yeah, we better answer than me, all right. So today we are
- 3:49talking police, we are talking mental health issues. I'm sure a lot of
- 3:54you guys out there have heard about defund the police, and that was a
- 3:58pretty big movement. Honestly, there's been a lot of stories that have made
- 4:01us kind of mad of police hurting people with mental health and police potentially even
- 4:06killing people with mental health too. But I think it's really important to try
- 4:10and see both sides of this argument too and understand how difficult it is for
- 4:15police to deal with these situations. And so we understand that the police do
- 4:19have a hard job, but sometimes they are trained to jump to violence instead
- 4:24of the escalation tactics. And so we wanted to look at the evidence and
- 4:29see if there's a better way to police what other people are doing, and
- 4:32give you a little bit of the history and background of this issue. At
- 4:36any story time, have you had any run ins with the police, and
- 4:41if so, how were you treated. Most of my interactions have been like
- 4:46fine, like nothing like out of the ordinar area, but the one that
- 4:48does come up and one that actually my dad brought up when I was home
- 4:51for Christmas, because one time we were driving up from the B area up
- 4:57to Oregon to visit schools and he got pulled over. He was probably speeding,
- 5:01so that was his problem for his fault, but got pulled over in
- 5:05like northern California, like not a lot of people that look like me or
- 5:12my dad. And when we're getting pulled over, like the guy was talking
- 5:15to my dad blah blah blah, and my Dad's like, oh, yeah,
- 5:17it's a rental car and all this. At some point the guy like
- 5:21looks at my Dad's like ID and was like, oh, this guy doesn't
- 5:27look like you. And my Dad's like what the fuck, Like it's my
- 5:30idea, And he started like questioning him, like, oh, where do
- 5:32you live where? My Dad's like reciting everything and at one point asked my
- 5:36dad if he had like a nose job. It was just like being like
- 5:39an ass about it too, was like really like, h just being a
- 5:44douche and yeah, like basically like mistreating my dad in front of me while
- 5:48I'm like seventeen eighteen not really knowing what to do of just like harassing him,
- 5:53of like saying he doesn't believe that that was him in the license.
- 5:57And then I think ultimately what happened was when he wrote the ticket, he
- 6:00made my dad give him fingerprints to basically say like, Okay, if we
- 6:04send this ticket to the person you claim you are and the real person gets
- 6:10the ticket is like, that's not me, then we at least have the
- 6:12fingerprints to be like, oh that they can like prove that it's not them.
- 6:15What. Yeah, that's I've never heard of anything like that. That's
- 6:20wild. Yeah, me either. So it's like that's really the one that
- 6:27like sticks out. Like all the other times have been fine. I've gotten
- 6:30my fair share of tickets, but like, yeah, that was really one
- 6:32that stood out. And I remember one time I was in I got called
- 6:38for jury duty and I made it to like the top whatever we have to
- 6:41like answer questions, and I remember talking about that, and part of me
- 6:45thinks that sharing that story got me disqualified from being on the jury. But
- 6:49it's the truth. So the truth shall set you free and get you out
- 6:54of jury duty. Yes, sir, what about you? Most of my
- 6:59interactions with the police, I haven't been that great either. Mostly they've been
- 7:01pretty rude and unfair to me. So I've got a little bit of a
- 7:04bias against the police. I will have to admit. One time I got
- 7:09a speeding ticket. I was going eighty three in a seventy five. I
- 7:13was in the interstate and the cop was like, caught you going ninety three,
- 7:16and I was like, I was going eighty three. I'll admit to
- 7:18that. And he's like whatever, and handed me a ticket. And I'm
- 7:20like, dude, unbelievable that he can just lie and make up whatever he
- 7:25wants and give me a ticket. And of course, like I wasn't going
- 7:29to come back to I was in the middle of nowhere, Colorado. I
- 7:31was like, I was driving through going back home. It's like, I'm
- 7:34not coming back and going to court in this potunk little town. So and
- 7:38of course, on the I paid the ticket and said by paying this,
- 7:42you admit that you were at fault and you did everything. I was like,
- 7:44oh, come on, Like I just hate that. And then once
- 7:49when I was living in Seattle and medical school, my buddies and I were
- 7:54playing video games, were playing Diablo three, excellent game, and we heard
- 7:58a bank bank bank on the front door, and it was the cops and
- 8:01they're like, we're looking for someone in your apartment complex, like can we
- 8:05can we search your place? And we're like sure, we're just chilling there
- 8:09playing video games. They pulled their guns and swept our place and we were
- 8:13like, what the hell's going on? They came back to us, they
- 8:18had a sit on the couch, three dudes on one couch, just sitting
- 8:20there like terrified, like what is happening? And they're like, we saw
- 8:24someone in your window and we're like, we're just playing video games, Like
- 8:28I don't know like what you saw, but it was just us in here.
- 8:31They like, don't happen lie to us, and it was just like
- 8:33we're not and so and then they just left, like no apology, no
- 8:39thanks for your help, just left. And then the next day we left
- 8:43our apartment, there was blood everywhere. So there was just like blood smeared
- 8:46all over the walls, all over the pavement, and so we never really
- 8:50got the full story, but apparently someone like broke a window or tried to
- 8:54get into the apartment complex and was bleeding and just yeah, I felt free
- 8:58to smear their blod all over the place. So they were trying to keep
- 9:01people safe, but they were also being douches about it, so you know,
- 9:03it's kind of a kind of a plus minus. Yeah, And I
- 9:07always think about that that. Yeah, police have always been generally kind of
- 9:11rude to me. And I'm white, and studies show that typically white people
- 9:15get treated by police better than people of color. So I'm like, if
- 9:18they're treating me like garbage, what are they treating everyone else like? Spoiler
- 9:22not well? So well, just I know you you did a lot of
- 9:31deep dive in and got a lot of historical information for us, and a
- 9:35lot of it was new for me, and like it helped like connect some
- 9:39dots. So give us, give us the stuff, give us the info,
- 9:41and and let's let's let's share some history and some information with the listeners.
- 9:46Yeah, you want to put on a cheesy English accent and talk about
- 9:50history minutes. There's something very important to you, something called de institutionalization.
- 9:58This is something that is actually super were important to both politics and mental health
- 10:03in this country. And I thought it was fascinating that I had never heard
- 10:07about this until I got into the world of mental health and psychiatry. I
- 10:11feel like everyone should know that this happened in our history. But the government
- 10:16used to fund mental health asylums and sanitariums. This was a really common practice
- 10:20and mostly it was like federal government giving money for these facilities, and you
- 10:24see him in movies. We don't really have many left. This is where
- 10:30people who were mentally ill would go to get their needs met or get medicine
- 10:33if they needed it, have a place to live. But asylums weren't perfect.
- 10:37There's lots of stories of people being abused, not having their rights,
- 10:41so it's not a great system, but it at least gave people a place
- 10:45to go and gave people a place to go get help. Then in the
- 10:48nineteen sixties, the US started to get rid of asylums for primarily three reasons.
- 10:54They wanted to reintegrate people with society. This was kind of along the
- 10:58lines of the civil rights movement. They wanted that everyone was supposed to be
- 11:01equal and in the same playing field. Reason number two is that antipsychotic medications
- 11:07were starting to come out and seem to be effective, so they thought,
- 11:11Okay, they don't need to be in an asylum, maybe we can treat
- 11:13them at home in their community. And then number three, of course,
- 11:16has everything in this country. To save money, they closed a lot of
- 11:20these asylums to it's for the cash baby, because asylums were expensive and the
- 11:26severely mentally ill weren't necessarily rolling in the dough. So essentially, the government
- 11:31started shutting down the asylums and said that it was going to put money into
- 11:35community mental health problems to catch all the people falling out of the asylums,
- 11:39and that did not happen. They did not fund the community mental health system
- 11:45properly, and it led to people with severe mental illness being kicked out onto
- 11:48the streets, out of the asylums, having nowhere really to go, and
- 11:52having to figure it out on their own, which also led to a massive
- 11:56increase in homelessness. What happened, Who's opposed to help or who was supposed
- 12:01to I guess take over for the job that the asylums did. You might
- 12:05have been able to piece it together based off of what we said the episode
- 12:09is about. But the criminal justice system, and as we've seen over the
- 12:11I think especially this is like anecdotal, but let's like just say the last
- 12:16like seven eight years has just been amplified because of things like social media and
- 12:22being able to have our news like at our fingertips. A lot of this
- 12:24has been amplified and seeing like this is not okay that it's been like this
- 12:28for the last sixty plus years. After like asylum started to close down in
- 12:33America, the correction system has become the largest provider of mental health services.
- 12:37I know for me, when I worked at the juvenile department, when we
- 12:41would have teams go to like the higher like basically to correction, so they'd
- 12:45go to teenage or young adult jail. A lot of the time. Thankfully
- 12:48they were able to get into like programs or get treatment. But that's not
- 12:52always the best, Like, it's not always the best for it to be
- 12:56mixed right, to be integrated into, Like I'm locked up and I'm in
- 12:58treatment. It might be better if I was in treatment and like living somewhere
- 13:03else but still getting help and support. I also think of like when I
- 13:07worked, it was like a six or seven month period. I worked in
- 13:09an adult residential the in between for people either going to prison or returning from
- 13:16prison and then reintegrating back into the community. And I was there for a
- 13:22while working as like I was the community correction specialist. It really was.
- 13:26It was I would walk down the halls into the dorms and the pods and
- 13:30just checking on everybody, making sure they're okay, take them off for their
- 13:33break, all that stuff. I was just making sure they're falling rules and
- 13:37same thing. Like a lot of them had treatment while they were in there.
- 13:41I feel like that said it, and I liked a little bit more
- 13:43because at least like the way that it was structured was if you had a
- 13:46job, if you had things to do, you were able to leave,
- 13:50you needed permission beforehand, but you're still able to engage in those like community
- 13:52things. So I felt like that combination was a little better with like you're
- 13:56living in the community to get to engage in the community and you get treatment,
- 14:00whereas if you're in prison and you're getting treatment, just something about that
- 14:03feels ichy, don't I don't have a good way for it. It just
- 14:07feels it feels like are you really getting the most out of it? If
- 14:11like you're learning all these things, you're you're getting help, and then you're
- 14:15thrown back into a cell or large chunk of your day. And I had
- 14:20a couple of friends who would moonlight at the adult prison in Omaha, and
- 14:24they didn't have access to the same resources. You know, they didn't have
- 14:26all the different types of therapies. The medicines that they were able to use
- 14:31were limited to. So using the corrections is the primary way of treating people's
- 14:35mental health in this country may not be the best way to go about it.
- 14:37Spoiler again, continuing on with with history and staffs and facts. It's
- 14:46estimated that about sixteen percent of the prison population has a severe and persons to
- 14:52the mental illness. The American Medical Association estimates that about four hundred thousand people
- 14:56with severe mental illness are behind bars in the US. I think of like
- 15:01trauma. That's the big thing that popped up. Traumatic experience, as we've
- 15:05talked about for a long time. It does not always lead to like mental
- 15:09health issues, but it's like kind of a precursor to a lot of people
- 15:15who are diagnosed with severe and persistent mental illness have some type of traumatic experience.
- 15:20So I think it makes sense that so many people in sixteen percent is
- 15:24a lot Like if you think about like the rates of depression or anxiety,
- 15:28like it's not that high, but sixteen percent is huge of the population.
- 15:31That's a lot. In the clinic that I did in Omaha, we saw
- 15:35a lot of people with SPMI, severe and persistent mental illness that's bipolar schizophrenias,
- 15:41SKISO effective disorder, all that stuff, and so many of them had
- 15:43had episodes of being homeless. And so many people told me like, oh,
- 15:48yeah, I was given tickets for disturbing the peace, for drug and
- 15:52alcohol related charges, for trespassing, because I mean they had nowhere to go,
- 15:56and so they were trying to find places to go. All these little
- 16:00things would add up and almost every single homeless person would end up in prison
- 16:03at some point, especially the ones with the mental health issues too. So,
- 16:08man, the homeless problem is multifactorial. There's multiple things going on that's
- 16:12contributing to it. But I think a big reason why it is such a
- 16:15huge problem, and in the United States it's a really big problem, is
- 16:19because the severely mentally ill are not supported in this country. They do not
- 16:23have the resources, they do not have a place to go. And that's
- 16:26why a lot of the people that you see that are homeless on the streets
- 16:30are talking to themselves, are having auditory hallucinations because yeah, they just they
- 16:34don't have the support we've talked about, like when people have like a psychotic
- 16:38episode or they're having schizophrenia, whatever it is, we've talked about how much
- 16:42correct medication and support, it doesn't make it go away, but it makes
- 16:47it manageable to where you can live a life and you can live a I'm
- 16:51not even to say normal, you can live a regular, standard life.
- 16:55But you don't give people these opportunities. And I guess, like you said,
- 16:57it's multi fact, multi fact, Like we can complain about this and
- 17:00that, but there's also there's gonna be something else for like what about this?
- 17:04There's no correct answer. I'll set myself before you just keep rambling.
- 17:07But yeah, like if basic needs given to people, I think you'll see
- 17:12a lot of issues that people have with like the streets and what they see
- 17:17out in like cities. I think a lot of those start to go away
- 17:19when those basically needs get met. So cops have to deal with this,
- 17:25and oftentimes cops are the ones interacting with the people on the streets, the
- 17:30people with mental health crises, and sometimes these people are treated like criminals because
- 17:34that's what the cops are used to treating people like. And sometimes people with
- 17:38SPMI, severe persistent meal illness can have can act strangely or behave strangely and
- 17:45unpredictable ways, which makes cops really nervous and uneasy. And unfortunately, there
- 17:49are lots of stories about people who are psychotic and the police try and help
- 17:55and then they get really really paranoid. They might grab a knife or a
- 17:59weapon, and the cops have to react to protect themselves. It's just it's
- 18:03just a terrible system where the people who need the help are getting hurt by
- 18:08the people who are supposed to be helping, and then the people who are
- 18:11supposed to be helping can also be hurt by the people they're supposed to be
- 18:14helping too, So it's just, yeah, it's a bad cycle. And
- 18:17it just seems that cops and emergency rooms and hospitals and even Eddie and I
- 18:22were talking before the show, libraries have to deal with a lot of the
- 18:26failures of society to take care of the people that need the most support.
- 18:30A lot of things end up falling on the public entities. So when we
- 18:34talked earlier, we were talking about like libraries, Like I started going to
- 18:38the library more frequently over the last year, and I noticed there's a lot
- 18:41of home homeless people who are houseless people who will go to the library to
- 18:45access certain things. And it makes sense. I mean, the library is
- 18:48open from ten o'clock to whatever time at night. It's a place you can
- 18:52go. You're outside, you're not outside anymore, you're away from the elements.
- 18:56You can use the internet, you can there's like limit entertainment in the
- 19:00library if you're if you read and do you know what I mean? Like
- 19:03it just it gives you a place where you don't have to be sitting outside
- 19:07out in the difference, especially like now whereas really snowy right now here and
- 19:11really cold in the Poorland metro area. You can avoid places like that,
- 19:15Like why why wouldn't someone take advantage of that? Why wouldn't they go and
- 19:18use those resources. The unfortunate part is that because of the way a society
- 19:23is structured like that falls onto public entities instead of like places that can actually
- 19:29offer up treatment and help. How do we get that? I don't know,
- 19:33that's where I'm That's where I'm lost. But maybe defund the police.
- 19:37So that's that's kind of the argument, is that shifting the money from policing
- 19:41people to supporting other people might be the answer. So we want to talk
- 19:47a little bit about that today. And yeah, we want to shift the
- 19:51conversation because defund the police got a lot of negative vitriol and there was turned
- 19:56into kind of a negative thing and a political tool. But our ultimate goal
- 20:00is to try and see if we can talk about evidence based ways to have
- 20:04mental health be better treated by society, be better treated by police, and
- 20:08maybe even better crisis response teams too. We found an article from the Associated
- 20:23Press which we will put in the show notes. Fourteen out of the twenty
- 20:27largest cities in the United States now have teams that they call civilian alternative or
- 20:33non police response teams. And this article actually mentions a young man named Christian
- 20:40Glass who was in Colorado who's having a mental health crisis. And on top
- 20:44of having a mental health crisis, he got his car stuck in the snow.
- 20:48He called police for help, and the officers responded, and then they
- 20:52had bodycam footage of this and it showed that the young man thought that the
- 20:56police were in quote, supernatural beings that were after him. And so this
- 21:02sounds to me like he was having a psychotic break or having at least psychotic
- 21:06symptoms, so he wouldn't get out of the car, so the police eventually
- 21:10broke in his window and then ended up shooting him to death after he grabbed
- 21:15a small knife to defend himself, so he called them to help him get
- 21:18out of the snow and end up him dying getting shot to death, which
- 21:22is a tragedy. What a horrible thing to happen. Yeah, just an
- 21:27idea of some of the stories that can happen to people who call for help
- 21:33and in tragedy. A lot of things we talk about in life have some
- 21:37type of like spectrum of like what is one side thinking? And this is
- 21:41like when I'm talking about this, I'm not even talking about maybe maybe it's
- 21:45a little bit political, But when we talk about like the idea of like
- 21:47defunding the police, I've heard a lot of different sides of it. If
- 21:51you just look at the part of defunding the police, I feel like on
- 21:53one side is like, yeah, you know, defund to like use money
- 21:57and other space for other types of support and help for the public. And
- 22:03then there's like other side of it who are like completely like no, we
- 22:07don't need police at all, and like completely wipe out the police, And
- 22:11I feel like I don't have numbers or stuff off at the top of my
- 22:14head, but I feel like any extreme is going to be difficult to like
- 22:18achieve, and I feel like it ultimately because of the way that society is
- 22:22structured, and because of the way that like police and the criminal justice system
- 22:26and all that is like integrated into our society, Like it's hard to come
- 22:30up with a plan of just like right now, starting tomorrow, no longer
- 22:34will there be a police enforcement. Most likely the correct answer, or the
- 22:40answer that positively impacts the most people is probably somewhere in the middle, probably
- 22:45somewhere that takes into account all all perspectives on it. I think you're absolutely
- 22:51right. It can't be a black and white thing, and just completely getting
- 22:55rid of police altogether is probably not going to work either that As of twenty
- 23:00twenty three, governments were funding one hundred and twenty three million dollars towards these
- 23:06non police response teams. One of the biggest ones was the Star program in
- 23:10Denver, Colorado. Another big one was the be Heard program in New York
- 23:14City. So these programs, or at least the one in Denver, sends
- 23:17unarmed support workers to mental health crises, to offer support resources, de escalation,
- 23:22and even sometimes food. In the Denver one I was reading about,
- 23:26they're like, we bring cheese its because it helps people calm down. Offering
- 23:30food is just a good way to connect and communicate with people. So Stanford
- 23:36was actually studying Denver Star program and it showed that crime rates actually dropped thirty
- 23:41four percent where this program was operating. And they think it's because people weren't
- 23:47being taken to jail, people weren't getting arrested as much by the police when
- 23:51calling for help. They were given resources to help them get out of certain
- 23:55cycles, help them not reoffend. So there are good things that may come
- 24:00out of these programs. So similarly, Portland has was called the Portland Street
- 24:04Response, same thing I started, and I believe twenty twenty one, so
- 24:08we're going into like the third year of it being around. And I know
- 24:12when the pilot program came out, relatively speaking, it was pretty small.
- 24:17I think their hours were pretty small. They I don't even know if they
- 24:19were working seven days a week. But now I think they're starting to hopefully
- 24:22expand to be like a twenty four to seven thing. To be available.
- 24:26And then the interesting thing with Portland Street Response is that they partnered with the
- 24:32Portland Fire Department. And this is something I just learned today getting ready for
- 24:36that episode. I assumed that it was like with you know, the county
- 24:40sheriffs with the police department, but they partnered with the fire department. So
- 24:44what Portland State Portland State University studying how the first couple of years have gone.
- 24:48What they found is that an estimated ninety seven percent of Portland street response
- 24:52calls would have traditionally been required a police response. So they were able to
- 24:57take those calls that they were getting basically all of them except three to three
- 25:02or all of them was a three percent before would have sent out to a
- 25:06police officer, but now they didn't have to do that. So in total,
- 25:08Portland a Street response reduced Portland police officers annual call load by almost four
- 25:12percent, which I think is probably a pretty big number. More specifically,
- 25:17the numbers show a nineteen percent drop in police needing to respond to nine to
- 25:21one one calls characterizes either welfare checks or unwanted person situations where callers we're concerned
- 25:26about someone else, about their well being or about wanting someone removed from the
- 25:32area. So basically like anything that was welfare or this person maybe on the
- 25:37street is talking to themselves or acting what someone would classify as erradic. Instead
- 25:42of a police officer having to come, they send out Portland Street Response with
- 25:45the Fire Department and they're able to handle it, which I think is good
- 25:48and it's positive. Like you were mentioned with the cheez its, they also
- 25:52mentioned of just being able to provide like food resources. I think in one
- 25:56of them I read two articles and one of the articles, I think it
- 25:59even said like four percent of the people that they talked to they were able
- 26:03to actually help with permanent housing, whereas the others they were able to help
- 26:06with other like resources and maybe not permanent, but they're able to help with
- 26:10something. Portland Street Response work also lessened the burden on local hospitals. So
- 26:15in the year period that they looked at, only two point five percent of
- 26:19all Portland Street Response calls ended with a client needed needing to be taken to
- 26:23the emergency department. WHOA, so some good numbers and I want to throw
- 26:29this out there, Yeah, huge deal because we talked off the recording right
- 26:32before, where like emergency department is like, well, I guess you know,
- 26:37if you're hungry, all right, let's take you to the point.
- 26:38Let's take it to the emergency department, like get your sandwich, get your
- 26:41gator, or whatever it is. And it's not always the best use of
- 26:45an emergency department, like people need help, people need medical support, and
- 26:52if one of the beds or things are being used by someone who could probably
- 26:55be better served somewhere else, that overall, that's the better way to go
- 27:00about it. So one of the things that I thought was interesting in what
- 27:03I read was that the first year that Portland Street Response was out and was
- 27:07the thing, they were funded partially by a defunding of the Portland Police,
- 27:11So taking away some of their budget and using it for Portland Street Response came
- 27:15up with this. So some might say that's a good reason. So like,
- 27:19yeah, maybe we can reallocate some money. Maybe and it doesn't have
- 27:22to all be the police, but maybe there is a place where we can
- 27:27start to reallocate some funds here and there, or maybe the federal government could
- 27:33be better at allocating funds towards things like that instead of filling the blank here.
- 27:40So just some food for thought. I know we talked in the past
- 27:42about how after nine to eleven there was a large militarization of the police,
- 27:48and police budgets really expanded and blew up, and they spent it on the
- 27:52military equipment, and it would be nice if we did less of that and
- 27:56more of putting that money into public services. Yeah, teams like this,
- 28:04and so it sounds like these programs can be a way for reducing violent interactions
- 28:08between police and the mentally ill. But these programs are still young and they
- 28:12have not been studied thoroughly. So today there are no major studies giving us
- 28:18any hard data on how effective these programs are at a variety of outcomes.
- 28:22We know that they you know, like Eddie mentioned, we've got little snipets
- 28:26of data things that they help with, but we don't have like big sweeping,
- 28:30overwhelming like, yes, these programs work, we got to implement them.
- 28:33Plus, all these studies or all these different programs are different city to
- 28:37city too, so it's also hard to study them because they are not they're
- 28:41not consistent between the different programs, and so it's hard to know what are
- 28:45the active ingredients that actively help in these programs. Too. It ends up
- 28:51just being like if you do a city, we city, it ends up
- 28:52just being like a case study, and then you can like look at things
- 28:56that like fit here or there. Yeah, like each each city's needs are
- 29:00are drastically different to your point of the programs being young like Portland Street responses
- 29:04and even three years old, like yeah, it wouldn't even be able to
- 29:08go to kindergarten, Like it's that young, right, Like it's that brand
- 29:11new, and like part of it is like, damn it, why do
- 29:14we have to wait so long for these things to happen. The other part
- 29:17of it is like, well, at least something's happening now, And then
- 29:19the other part of it is like, yeah, but still we should just
- 29:22not shit earlier damn it, because then we can at least look at data
- 29:25and make some educated decisions, like have some data to back up like look,
- 29:30when we use this money for this, or when we have this much
- 29:32resource for this, this is what we're able to do. So hopefully in
- 29:36the near future we'll move towards that. So one question I wanted to ask
- 29:40too, and one thing I wanted to research for this episode was does having
- 29:42more cops actually help anything? And the short answer is, and I'm surprised
- 29:48by this. Yes, there was a really good systematic review done by the
- 29:52economist Morgan Williams out of New York University and YU that show that adding ten
- 29:57to seventeen cops to a police force actually prevents about one homicide per year.
- 30:03So more cops, especially in high crime areas, does tend to translate to
- 30:10less victim crimes like robbery, rape, and aggravated assault. The study also
- 30:15showed that adding more cops leads to increases in arrest for victimless crimes like disorderly
- 30:22conduct, drinking in public, drug possession, and loitering. They didn't mention
- 30:26public urination, but I think I'm gonna get hit for that one day,
- 30:29and then Black people were disproportionately impacted by these types of arrests. So more
- 30:34police, more black people getting arrested for victimless crimes. We've talked about it
- 30:38in the past, but things like adding cops to schools after Columbine has been
- 30:44shown to add no protective benefits but led to people of color getting more tickets
- 30:48and in trouble with the police. Basically, if you put in a police
- 30:52officer and a place where there's not normally a police officer. There's a higher
- 30:56chance, unfortunately for people of color to be disproportionately impacted and negatively impacted.
- 31:03And I think, you know, the conversation we've had today, For me,
- 31:07I've had to do a lot of thinking when you first sent me the
- 31:08show notes and then earlier today before we recorded of like, you know,
- 31:12one of my best friends is in law enforcement, and like we have a
- 31:15great school resource officer at my school. But just because those the two things
- 31:21are true does not mean that like there can't be room for growth. It
- 31:23also doesn't mean that, like everything is bad with the system. I think,
- 31:26like I said earlier, like it's probably somewhere in the middle that best
- 31:30fits our society. I mean, I think there's so many things that have
- 31:33just been so ingrained and intertwined into our society that it's I don't want to
- 31:37say impossible, but really hard to go back from or move away from.
- 31:41So it's like, Okay, how do we do the best with what we
- 31:45got now? And how do we make sure we are treating everyone fairly,
- 31:48taking care of each other, taking care of other people, Like there's so
- 31:51much Yeah, and some stats on cops there are about three hundred and twenty
- 31:56four nine hundred and fifty one police officers in the United States. It's seventeen
- 32:00percent female, eighty three percent male, so it is a bit of a
- 32:05sausage party if you ask me. And it's sixty percent white, eighteen percent
- 32:09LATINX, and thirteen percent black, so it's kind of what you expect.
- 32:15I bring that up to say that I think it would be better to have
- 32:19more women police officers. I think that that could be something that could help
- 32:22a lot. Not to say that women can't be violent, but it does
- 32:27seem like they are better at connecting with people, de escalation, and perhaps
- 32:32we just got too many men on the force. Who knows. That's just
- 32:36conjecture for me, And let's do let's do one discussing discussion question here at
- 32:42the end, Eddie, what do you think should cops have guns? Oh?
- 32:49I knew this is going to be the one. It's I don't know
- 32:53because you look at we talked earlier too before recorded of like what do other
- 32:59kinds do? But I think the thing is that, like other countries,
- 33:02their history is so different with criminal justice and with law enforcement that like they
- 33:08can do different things you were mentioned in a country that like the police don't
- 33:13even have guns. So it's like it feels like it right now, Like
- 33:17is that really a thing we can move away from. I don't know.
- 33:21I don't I don't think so, I don't know. I'm gonna go to
- 33:24I don't know. Yeah, I think that's a very emotionally mature response.
- 33:30It's okay to say I don't know. My wife and I were recently watching
- 33:35a show on Netflix called Fool Me Once, which was pretty good, and
- 33:38it was set in the United Kingdom, and we thought it was so funny.
- 33:43There was a dangerous scene where a CoP's about to enter a situation and
- 33:45I'm like, oh, he's gonna pull his gun, and it said he
- 33:47pulls out like a telescoping baton, and I was like, what is he
- 33:52gonna do with that? It's just the most non intimidating, especially in the
- 33:58American mindset of like guns, guns, guns, guns, guns, Every
- 34:01movie's got guns, every show's got guns. I was just so weird to
- 34:05be like, he's got a baton. Yeah, all right, here it
- 34:08goes. But yeah, I think you're right, the cats out of the
- 34:13bag. There are already so many guns in America, and we have more
- 34:16guns per capita than any other country by far, that cops kind of need
- 34:21guns to protect themselves and to protect other people. So I know a lot
- 34:24of people argue that point of like take away the guns, that'll help,
- 34:27but I yeah, I would say maybe that wouldn't help and just put people
- 34:30in more risk and danger. And I think one thing to say with today's
- 34:35episode of like this is like, you know, people will say, like
- 34:38this is just scratching the surface. I don't even know if it's scratching the
- 34:40surface. There's like so much other Like we could go for hours if we
- 34:45wanted to, but I think we really enjoyed to have our episodes to be
- 34:47about forty five minutes long, so we're definitely not gonna go for hours,
- 34:51but there's just so much. I think the biggest thing is one thing I'm
- 34:54taking away from today is it's made me think. It's made me look into
- 34:59like things around me and like Portland Street response. I've heard of it,
- 35:01I'm aware of it, I know about it, didn't know the numbers.
- 35:05So I think for me it was really good to learn that and to get
- 35:07to hear that and to really just think like to have a discussion with my
- 35:12own self of like what are the possibilities, what can be done better?
- 35:15Like what is there? How do like the whole thing about the history you
- 35:19said of a silence and the homes closing down. Didn't even know that,
- 35:22didn't even piece that together, Like it's such useful information I have. So
- 35:27I think my takeaway is this is just forty minutes of the start. It's
- 35:31not enough of a conversation. Yeah, there definitely has to be more,
- 35:36but I think it's hopefully it helps you all think a little more, just
- 35:38like it helped me think a lot more today. You have a great point.
- 35:42I'm glad we were able to talk a little bit about the history,
- 35:45and I think that's something I want to start doing on the show a little
- 35:46bit more is addressing how messed up that we are because of the things that
- 35:52have happened in the past, and how psychiatry and mental health doesn't have the
- 35:55most stellar history in the world. They've done some really horrible things to people
- 35:59too, So we're going to dive into that in future episodes. But I
- 36:04would say my big take home point for today is cops have a hard job,
- 36:09and I recently read a book called The Best Minds where it talks a
- 36:14lot about people who have psychotic breaks, and there was an instance in a
- 36:20story, and this was a true story, where there was a woman who
- 36:22was having a psychotic break and she charged the police with a knife and one
- 36:29of the officers shot the woman and killed her. And this officer received a
- 36:34ton of hate and hate mail. This was back in I think the seventies,
- 36:38for doing that when he was protecting himself and protecting his partner in a
- 36:45very dangerous situation, and the mental health community skewered that police officer for it.
- 36:50So I think, no matter what, we gotta have some understanding.
- 36:53We got to have some peace and some acknowledgment that police have a very hard
- 37:01job and sometimes they don't know how to react. Sometimes they have to make
- 37:06split second decisions. And if we can support the cops, or train them
- 37:10in another way, or give them support teams to be able to respond to
- 37:14some of those calls so they don't have to do it as much, I
- 37:16think we need to consider those options for society as a whole. If it's
- 37:21something that we already have in our society, and if it's something that's probably
- 37:22not going away. Then how do we make them or how do we get
- 37:27them to a spot where they get to do they can do their jobs better?
- 37:30Or what improvements? Yeah can some people make? Yeah? All right,
- 37:32my man, play us out. Thank you all for listening to today's
- 37:37episode. On social media, you can find us at at Millennial MHC,
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- 38:23as always, take care of all mentals.