As citizens across the country filled the streets to protest police killings of black people, the violent response from law enforcement has added urgency to a national conversation about police brutality. As cities look for what’s next, there is already a proven system of de-escalation for the high volume of mental health calls that police respond to, which often end in violence.
Mobile, community-based crisis programs employ first responders who are not police to address disturbances where crimes are not being committed. One of the nation’s longest-running examples is CAHOOTS—Crisis Assistance Helping Out on the Streets—in Eugene, Oregon.
Such programs take police out of the equation when someone is going through a mental health crisis, struggling with substance abuse, or experiencing homelessness. When police show up, situations can escalate, and the use of force can be disproportionate, especially toward black people; a 2016 study estimated that 20 to 50 percent of fatal encounters with law enforcement involved someone with mental illness.

