Key Takeaways

A New York City pilot program that sends mental health professionals and paramedics instead of police for nonviolent emergency calls has succeeded in keeping more people out of the hospital and getting them treatment, according to new data.

In an effort to better respond to mental health crises, last month, New York City launched theirBehavioral Health Emergency Assistance Response Division, also known as B-HEARD. This change arrives just over a year after George Floyd’s murder, which pressured states to find ways tocurb violence and systemic racism in policing.

During certain nonviolent situations, in lieu of police, the city is now dispatching B-HEARD teams, which consists of emergency medical technicians (EMS) or paramedics and mental health professionals from NYC Health + Hospitals. The program was designed to de-escalate emergency situations, provide immediate care, and handle people experiencing suicidal ideation, substance use, and other mental health illnesses.

“Early data shows that more individuals are accepting assistance and fewer people are being sent to the hospital, as a result of the B-HEARD program,” Anton C. Bizzell, MD, former practicing physician based in Maryland, who is not involved with the program, tells Verywell.

How the Program Works

During this pilot, 911 operators and EMS dispatched B-HEARD teams to 25% of all mental health emergency calls. But calls that involve a weapon, risk of violence, or immediate transport to a medical facility were still met with an ambulance and police officers.

The program operates seven days a week for 16 hours per day.Under the pilot, B-HEARD only serves communities in East Harlem and parts of Central and North Harlem. These areas were chosen based on the previous volume of 911 mental health calls and the availability of community-based mental health resources.

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Will B-HEARD Help?

Alyssa Mairanz, LMHC, CDBT, licensed mental health counselor based in New York, believes that B-HEARD will be an effective intervention, especially for individuals at risk for mental health emergencies.

“As someone who works regularly with at-risk clients, I have had to make the judgment call whether to reach out to 911 on occasion and know firsthand how the situation can improve,” Mairanz tells Verywell.

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By dispatching mental health professionals instead of police, “this can be a much softer or positive approach to help at-risk people get help in a less resistant way,” Mairanz says.

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“Many of those who called 911 with mental health issues were admitted to the hospital against their will or incarcerated,” Mairanz explains. “These supposed solutions not only fail to correct mental health but can exacerbate the situation and cause more trauma while increasing the number of people in hospital beds or jail cells without need.”

What This Means For YouNew Yorkers experiencing a crisis that does not involve an immediate in-person response can call 1-888-NYC-WELL or chat online atnyc.gov.nycwellto connect with a trained counselor.

What This Means For You

New Yorkers experiencing a crisis that does not involve an immediate in-person response can call 1-888-NYC-WELL or chat online atnyc.gov.nycwellto connect with a trained counselor.

This Kind of Program Isn’t New

Programs like B-HEARD are not new. Thirty-two years ago, the city of Eugene, Oregon launched a community-based safety program called Crisis Assistance Helping Out On The Streets (CAHOOTS) to provide mental health first response to calls involving homelessness, addiction, and mental illness.

The program involved mobilizing two-person teams of a medic (nurse, paramedic, or EMT) and a crisis worker with substantial mental health training. Using de-escalation and harm reduction techniques, the CAHOOTS teams handle a myriad of situations that involve conflict resolution, welfare checks, substance use, and suicide. CAHOOTS teams do not carry weapons.

As a result of CAHOOT, the city of Eugene an estimated $8.5 million in public safety spending annually.

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Other cities have recently followed suit, including Olympia, Washington, and Denver, Colorado. Denver’s program, Support Team Assistance Response (STAR), directs emergency calls to a two-person team, consisting of a medic and clinician. The STAR program launched in June 2019 and also reported promising results in its six-month progress report.So far, STAR has responded to 748 calls regarding welfare checks, narcotic incidents, and mental health episodes.

“These types of programs are designed to send the right kind of first responders into crisis situations where crime is oftentimes not being committed,” Bizzell says. “With the support of these programs, key people are collaborating to address and deescalate high-stress mental health situations, while at the same time acquiring the skills to handle escalated developments."

5 SourcesVerywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.B-Heard.Transforming NYC’s Response to Mental Health Crisis. First Month Of Operations.NYC Health + Hospitals.B-Heard: 911 Mental Health Emergency Alternative Response Pilot Project.Mapping Police Violence.Police Violence Map.White Bird Clinic.What Is Cahoots?STAR Program Evaluation.

5 Sources

Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.B-Heard.Transforming NYC’s Response to Mental Health Crisis. First Month Of Operations.NYC Health + Hospitals.B-Heard: 911 Mental Health Emergency Alternative Response Pilot Project.Mapping Police Violence.Police Violence Map.White Bird Clinic.What Is Cahoots?STAR Program Evaluation.

Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

B-Heard.Transforming NYC’s Response to Mental Health Crisis. First Month Of Operations.NYC Health + Hospitals.B-Heard: 911 Mental Health Emergency Alternative Response Pilot Project.Mapping Police Violence.Police Violence Map.White Bird Clinic.What Is Cahoots?STAR Program Evaluation.

B-Heard.Transforming NYC’s Response to Mental Health Crisis. First Month Of Operations.

NYC Health + Hospitals.B-Heard: 911 Mental Health Emergency Alternative Response Pilot Project.

Mapping Police Violence.Police Violence Map.

White Bird Clinic.What Is Cahoots?

STAR Program Evaluation.

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