08/29/2026
There is an old saying about not being able to see the forest for the trees.
Sometimes we become so focused on what is immediately in front of us that we lose sight of the larger picture.
I think that is happening in some of our conversations about Elkhart.
Open Facebook on almost any given day and there will be something new to argue about. A controversy. An arrest. A political disagreement. A police incident. Something somebody said. Something somebody posted. Something that becomes the issue of the day.
Some of those things deserve attention.
But while we are looking at the trees, I am concerned that we are missing part of the forest.
There is another crisis happening underneath many of the things we see on the surface.
Mental health.
Substance use disorder.
Synthetic drugs.
And the increasing complexity that occurs when all of those things begin intersecting with homelessness, emergency rooms, law enforcement, the courts, jails, families, neighborhoods, and community services.
This is not as easy to reduce to a Facebook post.
It is not as sensational.
But it is something we need to talk about.
What I See Through CIT
Part of my perspective comes from serving as a Crisis Intervention Team coordinator.
CIT helps law enforcement officers and other first responders better recognize and respond to people experiencing behavioral health crises. It is important work, but CIT is only one piece of a much larger system.
That larger picture is one reason I have been involved in working through what is called the Sequential Intercept Model, or SIM.
The Sequential Intercept Model looks at what happens when someone with a mental health condition or substance use disorder begins interacting with different systems in the community.
It begins before the person ever enters the criminal justice system.
Then it examines crisis services, law enforcement contact, detention, courts, jail, reentry, community corrections, and ultimately whether that person can successfully reconnect with treatment and community support.
SAMHSA describes the model as a way for communities to identify resources and gaps throughout those different points of contact. Policy Research Associates, which helped develop the model, describes SIM as a community planning tool for determining where people can be connected with the right resources before they move deeper into the criminal justice system.
That is an important distinction.
The goal cannot simply be figuring out what police should do after the crisis has already arrived.
We should also be asking what happened before the police were called.
Police Cannot Be the Entire Behavioral Health System
Whenever someone suffering from a mental health crisis or substance use disorder becomes disruptive, dangerous, homeless, or involved in criminal behavior, attention naturally turns toward law enforcement.
People ask what the police are doing about it.
That is a legitimate question when public safety is involved.
But we have to understand the limits of the answer.
Police officers are not licensed therapists.
They are not addiction counselors.
They are not psychiatrists.
They are not long term treatment providers.
First responders can protect life, restore immediate safety, deescalate situations, administer emergency aid, make arrests when necessary, and connect people with services when those services are available.
CIT can make officers much better prepared to recognize what they are encountering and respond appropriately. SAMHSA specifically identifies specialized law enforcement training such as CIT and partnerships between police and behavioral health professionals as important components of the Sequential Intercept Model.
But an officer cannot provide months of addiction treatment on the side of the road.
A firefighter cannot provide ongoing psychiatric care.
A paramedic cannot create a long term recovery plan during an emergency call.
We have to stop expecting emergency responders to permanently solve problems that require an entire behavioral health system.
The Real Question Comes Before 911
Read the full article: https://substack.com//note/p-213273573?r=3jbf54