Field Response Operations
ACCESS operates 24 hours/day, 7 days/week as the entry point for mental health services in Los Angeles County. Services include deployment of crisis evaluation teams, information and referrals, gatekeeping of acute inpatient psychiatric beds, interpreter services and patient transport.
Psychiatric Mobile Response Teams (PMRT)
Psychiatric Mobile Response Teams (PMRT) consists of DMH licensed clinical staff assigned to a specific Service Area in Los Angeles County. Teams have legal authority per Welfare and Institutions Code 5150 and 5585 to initiate applications for evaluation of involuntary detention of individuals determined to be at risk of harming themselves or others or who are unable to provide food, clothing, or shelter as a result of a mental disorder.
This co-response model pairs a DMH clinician with a law enforcement officer to provide field response to situations involving mentally ill, violent or high risk individuals. Primary mission is to provide 911 response to community requests or patrol officer requests for services. Teams also assist PMRT as resources permit. Current programs:
- Santa Monica Police Department Homeless Liaison Program (HLP)
- Burbank Police Department Mental Health Evaluation Team (BMHET)
- Los Angeles County Sheriff’s Department Mental Evaluation Team (MET)
- Long Beach Police Department Mental Evaluation Team (Long Beach MET)
- Los Angeles County Metropolitan Transit Authority Crisis Response Unit (CRU)
- Pasadena Police Department Homeless Outreach Psychiatric Evaluations (HOPE)
- Los Angeles Police Department Systemwide Mental Assessment Response Team (SMART)
START provides training, early screening and identification, assessment, intervention, case management and monitoring services in collaboration with school districts, colleges, universities and technical school, and in partnership with local and federal law enforcement agencies. The program’s services are designed to prevent targeted school violence.
Assisted Outpatient Treatment, also known as Laura’s Law, was initiated following the 2001 killing of Laura Wilcox by an individual suffering from severe mental illness. Allows Los Angeles County Department of Mental Health to serve seriously mentally ill persons at substantial risk of deterioration as a direct result of poor psychiatric treatment compliance. AOT eligible individuals are outreached in an effort to voluntarily engage them in Full Service Partnership (FSP) services.
- If services are refused, AOT-LA may petition the court to order the individual into psychiatric outpatient treatment.
- AOT-LA Program expands inter-agency collaboration among courts, County Counsel, Public Defender, Patients’ Rights, and local law enforcement.
- AOT Brochure
- AOT Referral Form
- AOT portion of the DMH website
HOME provides countywide field-based outreach and engagement services to homeless persons and the mentally ill who live in encampments or other locations where outreach is not provided in a concentrated manner.
CAMP collaborates with the Los Angeles Police Department (LAPD) in addressing persons of concern including 911 high utilizers, chronic callers to public figures and, suicide-by-cop issues.
MHAT provides the mental health response to local and federal law enforcement agencies in facilitating a negotiated solution to barricade and hostage situations.
The Disaster Services Unit (DSU) is comprised of DMH staff that provides field response to critical incidents such as school violence, earthquakes, or acts of terror. DSU provides on-scene consultation and crisis intervention to survivors, their families, first responders, and the community. DSU collaborates with the Los Angeles County Office of Emergency Management, the City of Los Angeles Mayor’s Crisis Response Team (CRT), and the American Red Cross Los Angeles Region – Disaster Mental Health Services.
Homeless Outreach Teams (HOT) are comprised of PMRT staff that provide outreach, engagement, and field response to mentally ill homeless persons. HOT serves to increase the likelihood of effective outcomes for this population in situations when they are at risk of involuntary hospitalization.
Psychiatric Emergency Teams (PET) are mobile response teams based in and operated by psychiatric hospitals approved by the Department of Mental Health to initiate applications for 5150 and 5585 evaluations. Team members are licensed mental health clinicians. PET operates similar to PMRT and provides additional resources in specific geographical regions.