A City Where Mental Health Isn’t for Policing — Next City
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A City Where Mental Health Isn’t for Policing

March 20, 2024 · 41 min

Why listen

Toronto's Gerstein Crisis Centre shows how listening and trust can replace police in mental health response.

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A City Where Mental Health Isn’t for Policing
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In this episode

  • How a non-coercive crisis center reduces emergencies instead of punishing them
  • Why believing people about their own needs is central to effective care
  • What Human Rights Watch found when studying Gerstein as a replicable model
  • How expanding access to care leads to fewer crises over time

About this episode

Cities too often respond to a person experiencing a mental health crisis with carceral systems. Toronto’s Gerstein Crisis Centre provides an alternative and proves that when people have access to care, they’ll reach out when they need help. Increased access can lead to more opportunities for problem-solving and less crises and punishment.

Next City Reporter Maylin Tu first reported this story and says that the center is doing things differently by respecting people’s autonomy and acknowledging the power dynamics at play when responding to people’s needs. Tu adds that, in some ways, the programs offered at Gerstein act as an intervention that helps to reduce people experiencing crises.

In this episode, we also hear from Susan Davis, the center’s executive director, and Olivia Ensign, senior advocate and researcher for the U.S. program at Human Rights Watch, which published a case study that outlined the success of the Gerstein Centre’s work. Upon publication, HRW noted that it hopes the document “inspires action among and across mental health service providers, service users, policymakers, and human rights and mental health advocates on providing community-based and rights-respecting support to people experiencing mental health crises.”

What the Gerstein Centre is doing provides a model for what’s possible. Davis says that one of the most essential cores of what they do is listen.

“Unfortunately, right now, when people are reaching out for mental health care, they cannot access the services that they need, either in a timely fashion or the correct services that they need,” Davis says. “One of the things that is important about that is that people need to be trusted about what it is that’s going on for them. And when they reach out for care, they need to be believed.”

To learn more about the Gerstein Crisis Centre’s non-coercive, person-centered approach to addressing mental health, listen to this episode and subscribe to Next City.
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Join Lucas Grindley, executive director at Next City, where we believe journalists have the power to amplify solutions and spread workable ideas. Each week Lucas will sit down with trailblazers to discuss urban issues that get overlooked.

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