The Eugene CAHOOTS team has existed since 1989 until it was shut down recently. Dispatchers make the call as to whether or not to send police officers along with CAHOOTS responders on a per call basis.

Quoting vera.org: “ Of the estimated 24,000 calls CAHOOTS responded to in 2019, only 311 required police backup, and in Eugene, CAHOOTS teams resolved almost 20 percent of all calls coming through the city’s public safety communications center.”

To the best of my knowledge, no CAHOOTS staff have died or been seriously injured on the job. I’m not sure the evidence shows that finding the right balance is dangerous. Hard for sure, CAHOOTS put a lot of effort into building the right relationship with the police, but the risk to responders is overstated.

> police are by far the best equipped to keep responders and bystanders safe

Are they, though?

Increasingly, in the US, police are being trained to respond to any hint of danger with hair-trigger reflexes and lethal force. They are being taught to see themselves as constantly under siege, and every member of the public who's not a wealthy, able-bodied white person as a potential enemy, actively seeking to kill them.

If I knew there was someone with a mental illness nearby that made them sometimes violent and unpredictable, the person I would want around wouldn't be a police officer. It would be someone who's actually trained to interact with the mentally ill and de-escalate situations.

Sure, it might also be helpful to have someone who's physically strong enough to temporarily (safely) restrain the person having a psychotic episode, or a PTSD flashback, or just a plain old panic attack, to ensure they can't harm themselves or anyone around them while they are being helped.

But if someone has one of those kinds of problems, and I'm nearby, the last thing I want is for a heavily-armed member of the Aryan Brotherhood with a badge to shoot them dead and then boast about it online.