Evidence map›Paper›PMID 39752036›Full record

ArticleCommunity mental health journal2025

A Comparison of Behavioral Health Crisis Response Models in Meeting Behavioral Health Goals and Improving Criminal Legal Diversion.

Matthew Bakko, Leonard Swanson, Catherine Zettner, Kaitlyn Kok, Hosanna Fukuzawa, Sheryl Kubiak

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Community mental health journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Matthew BakkoSchool of Social Work, Wayne State University, Detroit, MI, USA. mbakko@wayne.edu.ORCID 0000-0002-1302-9959
Leonard SwansonCenter for Behavioral Health and Justice, Wayne State University, Detroit, MI, USA.
Catherine ZettnerCenter for Behavioral Health and Justice, Wayne State University, Detroit, MI, USA.
Kaitlyn KokCenter for Behavioral Health and Justice, Wayne State University, Detroit, MI, USA.
Hosanna FukuzawaDepartment of Anthropology, Johns Hopkins University, Baltimore, MD, USA.
Sheryl KubiakSchool of Social Work, Wayne State University, Detroit, MI, USA.

Funding

Michigan Department of Health and Human Services Michigan Department of Health and Human ServicesMichigan Governor's Mental Health Diversion Council Michigan Governor's Mental Health Diversion Council
6 · The paper itself

Abstract

Various behavioral health crisis models have been developed to advance the shared goals of improving behavioral health outcomes and increasing diversion from criminal legal systems. The effectiveness of these models is promising, yet research is needed to understand their comparative advantages. This study compares the effectiveness of three community mental health response models-co-response, mobile response, and office-based response-and law enforcement-only response in addressing key behavioral health and diversion goals. These goals include improvements to follow-ups, service linkages to community resources, crisis de-escalation, and dispositions (i.e., decreasing hospitalizations and arrests). Five partner sites in Michigan provided administrative data on crisis cases and outcomes. The sample included crisis cases from one office-based model (n = 91), two mobile response models (n = 306), and two co-response models (n = 322), along with data from the partnering law enforcement agencies at each site (n = 669). Results show that model type is associated with all key outcomes. Mobile response effectively met all examined crisis response goals, including by resolving crises informally or without hospitalization, providing links to community services, and conducting follow-ups. Co-response showed some success in meeting goals, while the law enforcement-only model showed more limited results. Additionally, law enforcement presence during a mobile crisis response produced worse disposition outcomes, while contacting a CMH during law enforcement response produced better disposition outcomes. Overall, this study contributes to SAMHSA's (2020) crisis response vision to effectively meet the behavioral health needs of those in need of service by providing "someone to respond."

Indexed as

Community Mental Health ServicesCriminal LawCrisis InterventionMental DisordersAdultFemaleGoalsHumansLaw EnforcementMaleMichiganMiddle AgedBehavioral crisisCrisis interventionCrisis responseMobile crisis

Identifiers

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.