Evidence map›Paper›PMID 41249813›Full record

ArticleNature human behaviour2026

Emergency mental health co-responders reduce involuntary psychiatric detentions in the USA.

Thomas S Dee, Jaymes Pyne

Abstract read
In one paragraph

Article in Nature human behaviour, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

2 authors.

Thomas S DeeStanford University, Stanford, CA, USA. tdee@stanford.edu.ORCID 0000-0001-7524-768X
Jaymes PyneStanford University, Stanford, CA, USA. pyne@stanford.edu.ORCID 0000-0003-2570-5384

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Historical efforts to deinstitutionalize those experiencing mental illness in the USA have inadvertently positioned police officers as the typical first responders to emergency calls involving mental health crises and empower them to initiate involuntary psychiatric detentions. Although potentially lifesaving, such detentions are controversial and costly, and they may be medically inappropriate for some of those detained. Here we present evidence from two quasi-experimental designs on the causal effects of a 'co-responder' programme that pairs mental health professionals with police officers as first responders on qualified emergency calls. The results indicate that a co-responder programme reduced the frequency of involuntary psychiatric detentions by 16.5% (that is, 370 fewer detentions over 2 years; b = -0.180, 95% confidence interval -0.325 to -0.034) but had no detectable effect on programme-related calls for service, criminal offences or arrests. Complementary results based on incident-level data suggest this reduction reflects both a co-responder's influence on the disposition of an individual incident and a reduction in future mental health emergencies.

Indexed as

Commitment of Persons with Psychiatric DisordersEmergency RespondersEmergency Services, PsychiatricMental DisordersPoliceAdultFemaleHumansMaleMiddle AgedUnited States

Identifiers

PMID41249813
PMCPMC12846909

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.