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Racism & Mental Health Equity
Published Online: 25 August 2022

Revisiting Research Safety Protocols: The Urgency for Alternatives to Law Enforcement in Crisis Intervention

Esther Anene, M.S., Meghana Nallajerla, B.A., Eraka P. J. Bath, M.D., and Enrico G. Castillo, M.D., M.S.H.P.M. [email protected]Authors Info & Affiliations
Publication: Psychiatric Services
Volume 74, Number 3
https://doi.org/10.1176/appi.ps.20220084
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Abstract

Research safety protocols are ubiquitous in mental health research involving human subjects and have the potential to harm research participants from racial-ethnic minority populations. For mental health emergencies, such protocols commonly rely on law enforcement for crisis intervention. The authors review inequities experienced by individuals with mental illness in law enforcement encounters, especially Black, Latinx, and other minoritized populations. They then describe the development of a research safety protocol that uses community-based crisis intervention programs as alternatives to law enforcement and provide a roadmap for researchers and institutional review boards to revisit and revise their human subjects safety protocols.

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Information & Authors

Information

Published In

Go to Psychiatric Services
Go to Psychiatric Services
Psychiatric Services
Volume 74 • Number 3 • March 01, 2023
Pages: 325 - 328
PubMed: 36004437

History

Received: 15 February 2022
Revision received: 26 May 2022
Revision received: 12 July 2022
Accepted: 17 July 2022
Published online: 25 August 2022
Published in print: March 01, 2023

Keywords

  1. Structural racism
  2. Crisis intervention
  3. Psychiatric research
  4. Racial-ethnic disparities
  5. Police
  6. 988 Suicide & Crisis Lifeline

Authors

Details

Esther Anene, M.S.
Department of Psychology, Yale University, New Haven, Connecticut (Anene); Department of Psychiatry and Behavioral Sciences, Feinberg School of Medicine, Northwestern University, Chicago (Nallajerla); Jane and Terry Semel Institute for Neuroscience and Human Behavior, Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles (Bath, Castillo).
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Meghana Nallajerla, B.A.
Department of Psychology, Yale University, New Haven, Connecticut (Anene); Department of Psychiatry and Behavioral Sciences, Feinberg School of Medicine, Northwestern University, Chicago (Nallajerla); Jane and Terry Semel Institute for Neuroscience and Human Behavior, Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles (Bath, Castillo).
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Eraka P. J. Bath, M.D.
Department of Psychology, Yale University, New Haven, Connecticut (Anene); Department of Psychiatry and Behavioral Sciences, Feinberg School of Medicine, Northwestern University, Chicago (Nallajerla); Jane and Terry Semel Institute for Neuroscience and Human Behavior, Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles (Bath, Castillo).
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Enrico G. Castillo, M.D., M.S.H.P.M. [email protected]
Department of Psychology, Yale University, New Haven, Connecticut (Anene); Department of Psychiatry and Behavioral Sciences, Feinberg School of Medicine, Northwestern University, Chicago (Nallajerla); Jane and Terry Semel Institute for Neuroscience and Human Behavior, Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles (Bath, Castillo).
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Notes

Send correspondence to Dr. Castillo ([email protected]). Michael Mensah, M.D., M.P.H., Lucy Ogbu-Nwobodo, M.D., M.S., and Ruth S. Shim, M.D., M.P.H., are editors of this column.

Author Contributions

Ms. Anene and Ms. Nallajerla contributed equally to this work.

Competing Interests

The authors report no financial relationships with commercial interests.

Funding Information

Dr. Bath has received funding from the Los Angeles County Department of Probation, the National Institute on Drug Abuse (NIDA) under the American Academy of Child & Adolescent Psychiatry–NIDA K12 program (K12 DA-000357), the California Community Foundation, and the University of California, Los Angeles (UCLA), Pritzker Center for Strengthening Children and Families. Dr. Castillo has received funding from the National Institute of Mental Health (K23 MH-125201), UCLA Clinical Translational Science Institute (UL1 TR-0001881), and the Friends of Semel Institute for Neuroscience and Human Behavior at UCLA.

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