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In response to calls for police reform, one area that has received substantial interest is alternative
responses to mental health crisis calls. Jurisdictions across the United States are adopting co-
responder teams that bring qualified mental or behavioral health professionals into emergency
responses by police. We report on a first national survey investigating the prevalence,
characteristics, and operation of law enforcement adoption of co-responder teams. The current
study aims to estimate how widespread the use of these teams are in the U.S., their varieties, and
features with a sample of over 500 law enforcement agencies. While adoption of co-responder
programs in law enforcement is occurring across the country, we find that there is a lack of a
consistent programmatic model that can guide future development of co-responder programs.
Additionally, agencies face challenges to implement and maintain program operation such as
personnel and funding concerns. For guidelines and protocols to develop to assist law
enforcement, there is a need for a clear representation of the variation in programs and push for
agencies to evaluate the effectiveness of different program elements.