Résumés du XXXIIIe Congrès International de droit et de santé ...

Michele Slatter, Adelaide University (michele.slatter@adelaide.edu.au)Until quite recently cases of problem hoarding were treated as isolated oddities. They mightinconvenience neighbours, worry local authorities and risk the safety of family but they wereaddressed (or ignored) case by case. However, the last two decades have seen major shifts inboth professional and public awareness. The incidence of problem hoarding is much morefrequent than was earlier believed. Hoarders fit no stereotype. There is no ‘standard appropriateresponse’, no ‘one size fits all’ and no professional monopoly in these cases; best practicerecognises the need for multidisciplinary engagement and support. Although the ‘causes’ ofhoarding are diverse, the lead-up to DSM-5 saw an explosion of research seeking to establishHoarding Disorder. Discussion of hoarding cases is now informed by this broader and moresophisticated understanding. Nevertheless such cases remain challenging especially for localauthorities, driven by conflicting responsibilities, limited resources and uncertain powers.Reform of public health legislation in Australia has introduced another uncertainty into this mix.In developing a risk-based approached the new Acts deploy the flexibility of legislation based oneight guiding Principles that operates through extra-statutory Codes and Guidelines. This paperexplores the implications of this reform for future cases of problem hoarding.6. Applied Research in Law Enforcement, Mental Health, andCrime PreventionDevelopment and Implementation of the Seattle Police Crisis InterventionTeam/Mental Health Partnership Pilot ProjectJustin Dawson, Seattle Police Department, Seattle,USA (justin.dawson@seattle.gov)Dan Nelson, Seattle Police Department, Seattle, USA (daniel.nelson@seattle.gov)Scott Enright, Seattle Police Department, Seattle, USA (scott.enright@seattle.gov)Joe Fountain, Seattle Police Department, Seattle, USA (joseph.fountain@seattle.gov)In 2010 the Seattle Police Department launched a 24-month pilot project establishing a CrisisIntervention Response Team (CIRT) comprised of members of the Seattle Police CrisisIntervention Team partnered with licensed mental health professionals (MHPs) trained in crisisassessment, intervention, and resource referral. The goal of the pilot program is to improvepolice response in situations involving mentally ill and chemically dependent individuals throughspecialized mental health provider response in the field. To date, few jurisdictions haveimplemented programs involving law enforcement/mental health provider partnerships. Thispaper focuses on the history, development, and implementation of the pilot program with focuson the experiences of the CIT Officer and MHP in their collaborative roles within the CIRTPilot. The impact of the CIRT Pilot in changing the nature of police response to the mentally illand in enhancing police-mental health practitioner partnerships in serving the community isdiscussed.29