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White Rockѻýs top cop wants to bill local health authority for lengthy mental-health calls

ѻýSuggestionѻý included in nine-page review calling for ѻýrobustѻý support for healthcare-led response
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White Rock RCMP Staff Sgt. Kale Pauls has released a report on mental health and policing in the city. (File photos)

White Rockѻýs top cop says his detachment has become a ѻýdefault mental health response agencyѻý and that this reality ѻý of routinely responding to calls that are more appropriate for a healthcare professional ѻý ѻýdenies people in crisis a proper service.ѻý

In a report released Monday (Oct. 19), titled ѻýThe intersection of mental health and policing in White Rock,ѻý Staff Sgt. Kale Pauls shares statistics and recommendations for change, including one suggesting that the City of White Rock start billing Fraser Health for mental-health apprehensions in which waits for assessment at Peace Arch Hospital (PAH) exceed 30 minutes.

ѻýThe prioritizing at hospitals of mental health apprehensions for assessment has been problematic across many hospitals and is not isolated to White Rock,ѻý Pauls notes in the report.

He explains that at Peace Arch Hospital, patients apprehended under the Mental Health Act (MHA) wait ѻý in police custody ѻý anywhere from 2.5 to six hours in emergency to be assessed by a doctor, while the maximum wait recommended by the Canadian Triage and Acuity Scale that is used to prioritize emergency patients is 30 minutes for mental-health complaints.

A review of White Rock detachment files found that, annually, the cityѻýs officers respond to around 150 such calls, resulting in approximately 375 hours of police time being spent at PAH waiting with such patients, rendering those officers unable to respond to other calls, including priority emergencies.

ѻýAs this issue has persisted for years, the White Rock RCMP suggests that the City of White Rock invoices Fraser Health in 15 minute increments for any mental health apprehension waits that exceed 30 minutes.ѻý

Noting the billing practice aligns with that of BC Ambulance Service ѻý which invoices hospitals for any waits in emergency that exceed 30 minutes ѻý Pauls says the city following suit becomes a matter of fiscal accountability.

But the issue goes deeper than operational finances, Pauls says.

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The current police-response model that sees officers tasked out for reports of deteriorating mental health, suicidal thoughts and other wellness checks or MHA apprehensions ѻýdoes not benefit some of societyѻýs most vulnerable,ѻý and, highlights ѻýthat our healthcare professionals need the support and mandate to deliver a robust frontline response.ѻý

Pauls initiated a review of his detachmentѻýs wellness checks, mental health calls and interactions with homeless people ѻýto better understand why the police are taking on the responsibility of social and health issues that likely should be responded to by other specialized service providers.ѻý

The review was underway when Pauls in August called for a ѻýhealthcare-led intervention modelѻý for dealing with people whose criminal activities are clearly tied to mental health and substance use. That call followed the arrest of a woman who had been reported to White Rock RCMP more than 65 times in 2020 as of that month.

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Pauls said at that time that with no system in place for people to report mental-health concerns that would invoke a more appropriate, specialized response, ѻýit falls upon the police.ѻý

Other statistics shared in his report include that White Rock RCMP responds to approximately 6,600 calls for service every year, with an estimated one-third of those related to mental health, including substance use.

Other conclusions include that police response is rarely appropriate for calls from supported-care facilities regarding a senior resident displaying violent behaviour; and, that it is ѻýunfairѻý to expect frontline officers to have the advanced mental health assessment skills necessary to properly service the diverse needs of those in a health crisis.

ѻýThe police role should be limited to imminent crisis intervention where safety is a concern, and not mental health assessments and mental health guidance, which is unreasonable to place upon the police,ѻý Pauls says.

Further recommendations Pauls makes include having a mobile mental-health crisis response service for the region, staffed only by mental-health professionals who may request police assistance as deemed necessary; and, that Fraser Healthѻýs advanced sobering and assessment centre, Quibble Creek, be expanded to welcome intoxicated subjects transported by White Rock RCMP.



tholmes@peacearchnews.com
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Tracy Holmes

About the Author: Tracy Holmes

Tracy Holmes has been a reporter with Peace Arch News since 1997.
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