TRANSFORM911Implementation Case Studies


St. Louis: Crisis Response Unit (CRU)


  • City: St. Louis, Missouri (CRU)
  • Population Size: 300,576
  • Jurisdiction Size: 61.91 sq miles


  • 1 – CIT
  • 1 – CRU co-responders

CIT (Crisis Intervention Training) Requirements

  • Have CIT, state-run (officers are all CIT trained)
  • Have a CIT statewide database that officers can check for treatment referrals (where drop-offs were made)

Model Components

  • Area of Jurisdiction
    • Moving to citywide
  • Staffing Structure
    • 8 co-responder teams are assigned 8 officers to join with clinicians
    • Have peers performing follow-ups and live handoffs on the scene from officer/clinician to peer support (through facetime)
    • CRU Team (Crisis Response Unit) EMS can request them
    • Also have a new call diversion program
    • Moving to city-wide and are doing 9 AM-5 PM and 3 PM to 11 PM (overlap is due to large call volumes at that me)
    • A BHR (Behavioral Health Response organization) clinician is stationed at the jail for bookings. If the person is arrested following a co-responder interaction and transported, the information can be seen by the clinician at the jail
  • Dispatch Structure
    • Co-response, secondary response, and at the moment response – serving as a backup to patrol. They intending to open to primary response and self-initiated but don’t want to limit types of calls.
    • 911 is owned by Police Department – Police decide if police are needed, if they are not, they are transferred to EMS. If transferred to BHR they call back into 911 to provide a disposition and close the loop on the call

Operating Structure

    • Operations
      • Everything is done through Behavioral Health Response org (all of their technology/information sharing)
    • Funding Mechanism: All covered under city budget ($1.1 million)
    • MOUs/Contracting
      • Contracted with BHR (Behavioral Health Response)- They run everything (crisis line, MH counseling, resources).
      • Clinicians are hired through BHR
    • Supplies/Equipment
      • Co-responders- Officers are currently wearing police uniforms but are moving towards no uniforms
      • Use marked cars because police are concerned about the level of violence for some of these calls

Data Systems & Collection

  • Data Systems:
    • BHR data platform is used for everything- allows for data sharing between clinicians
    • Have a CIT statewide database that officers can check for treatment referrals (where drop-offs were made)
  • Data Collection:
    • They plan to track individuals long-term post-intervention, but not sure how long

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