By Brian A. Jackson, Pauline Moore, Jennifer T. Leschitz, Benjamin Boudreaux, Jo Caulkins, Shoshana R. Shelton

Violence by K–12 students is disturbingly common. Ensuring that schools have effective ways to identify and prevent such incidents is becoming increasingly important. Various concerning behaviors or disturbing communications, including direct threats, can precede acts of violence. Although removing every student exhibiting such behaviors might seem prudent, doing so can be counterproductive, limiting the effectiveness of safety efforts. With effective systems for behavioral threat assessment and management (BTAM), schools can assess and respond to concerning behavior to protect the community and respond to the student whose behavior caused concern.

To do so, schools need the tools to respond. Tools may include restrictive measures or law enforcement involvement in the most serious cases, but other options can be more effective. Those additional options include different types of mental health intervention, counseling, and other supports. Teams with extensive tools available to them can better customize interventions, increasing the chance of positive outcomes for all involved.

In this report, the authors draw on published literature and extensive interviews with education and public safety practitioners to build an inventory of the many intervention options that are valuable for schools in the management phase of BTAM. In addition, drawing on varied approaches from the fields of counseling, school discipline and behavioral management, and other professions that must match appropriate services to the needs of youth in their care, the report discusses decision support tools to help management teams implement this critical part of efforts in preventing targeted violence and keeping school communities safe.

Key Findings

Various Intervention Options Are Available for K–12 BTAM Efforts

Support-focused interventions can address the underlying causes of problematic student behavior and also lead a student toward a more favorable, positive path into the future.

By using supportive counseling and other interventions, BTAM is widening the options available for school leaders and staff to address problematic behavior that has the potential to develop into violence.

To be effective, school BTAM teams need a broad set of tools, including options appropriately matched (1) to the specifics of a student's problematic behaviors, (2) to the unique school community and environment, and (3) to the needs and circumstances of the student or students involved.

Insights from Education, Public Safety, and Other Fields Can Be Combined to Support Matching Effective Interventions to Student Needs

Decision support tools and resource-matching guidance can help ensure that school-based teams are collecting the information required to taking a holistic approach to address a student's varied needs and help promote appropriate consistency to ensure that disparities in how BTAM teams respond do not substantiate concerns that BTAM processes are unfair or inequitable.

Using structured systems to capture data when a BTAM team (1) interviews students involved in an incident, (2) collects school or law enforcement data, or (3) contacts others for information about a student of concern provides a more straightforward starting point for selecting among multiple intervention options.

Recommendations

To better inform intervention planning, intervention tools should be designed so that they prioritize collecting data on factors that can be changed because pieces of information in BTAM that may be a useful part of assessing the danger posed by an individual may be useless for intervention planning.

The inventory of intervention options developed in this study could provide a starting point for schools to make conscious decisions as they (1) review the options available to their teams and (2) identify any options they do not have access to but that could become valuable near-term priorities to strengthen their school safety efforts.

Progress monitoring data of BTAM efforts can help better support students while also helping schools become more responsive to external oversight of their BTAM programs and allay concerns about the fairness and equity of outcomes across different student populations.

Including positive mileposts into threat management planning not only could help lay out a path to full completion of all intervention activities but could also help define goals more specifically for an at-risk student, motivating even more beneficial outcomes.

Santa Monica, CA: RAND, 2025. 170p.

By Jacqueline M Drew, Elise Sargeant, Sherri Martin

Policing worldwide is facing a staffing and retention crisis. If the staffing exodus continues, communities will be left with too few police and large cohorts of inexperienced new recruits on the job. Drawing on 2,669 survey responses collected as part of a national study of law enforcement officers across the USA, we test an integrated theoretical model of the predictors of turnover intentions. We computed a path model using structural equation modelling, finding that job demand stressors (including trauma, organizational, and operational stressors), burnout, psychological distress, and commitment (including organizational commitment and occupational commitment) all play important roles in explaining the intentions of officers to exit the policing profession. Based on the study findings, the importance of trauma, organizational and operational job demand stress, and the differential impact of organizational and occupational commitment on police turnover intentions is established. Addressing burnout and psychological distress through a wellness agenda is likely to assist in stemming the outflow of officers from policing. The current study makes a significant empirical and practical contribution to the small body of existing police turnover research. The current research guides police leaders on the critical factors that must be considered when developing strategies and initiatives that aim to positively impact on the retention of officers within policing.

Policing: A Journal of Policy and Practice, Volume 18, 2024, paae036,

By Kristin Turney

Research shows youth police contact— a stressor experienced by more than one-quarter of urban-born youth by age 15—has deleterious mental health consequences for both youth and their mothers. Less is known about how youth’s fathers respond to this police contact, despite differences in how men and women respond to stress and relate to their children. I use data from the Fragile Families and Child Wellbeing Study to investigate the association between youth police stops and depression among youth’s fathers. Results show that fathers of youth stopped by the police, compared to fathers of youth not stopped by the police, are more likely to report depression, net of father and youth characteristics associated with selection into experiencing youth police stops. This association is concentrated among non-Black fathers and fathers of girls. The findings highlight how the repercussions of youth criminal legal contact extend to youth’s fathers and, more broadly, suggest that future research incorporates the responses of men connected to those enduring criminal legal contact. 

  J Urban Health (2023) 100: 269–278 pages

By Kristin Turney

Police stops are a pervasive form of criminal justice contact among adolescents, particularly adolescents of color, that have adverse repercussions for mental health. Yet, the mental health consequences of adolescent police stops likely proliferate to parents of adolescents exposed to this form of criminal justice contact. In this article, I conceptualize adolescent police stops as a stressor, drawing on the stress process perspective to examine how and under what conditions this form of criminal justice contact damages the mental health of adolescents’ mothers. The results, based on data from the Fragile Families and Child Wellbeing Study, suggest three conclusions. First, the mental health consequences of adolescent police stops proliferate, increasing the likelihood of depression and anxiety among adolescents’ mothers. These relationships persist across modeling strategies that adjust for observed confounders, including adolescent characteristics such as delinquency and substance use. Second, the relationship between adolescent police stops and mothers’ mental health is contingent, concentrated among mothers with prior exposure to the criminal justice system (either via themselves or their adolescents’ fathers). Third, mothers’ emotional support buffers the relationship between adolescent police stops and mothers’ mental health. Taken together, this research highlights the role of police exposure as a stressor that is experienced vicariously and that has contingent consequences and, accordingly, documents the expansive and proliferating repercussions of police contact. Given the concentration of police contact among marginalized adolescents, including adolescents of color, these findings highlight another way the criminal justice system exacerbates structural inequalities. 

Social Forces 100(3):1142–1169.2022, 28 p.

By Liam Michaud a a , b , * , Gillian Kolla c , d , Katherine Rudzinski Graduate Program in Socio-Legal Studies, York University, Toronto, ON, Canada b e , Adrian Guta

The ongoing overdose and drug toxicity crisis in North America has contributed momentum to the emergence of safer supply prescribing and programs in Canada as a means of providing an alternative to the highly volatile unregulated drug supply. The implementation and scale-up of safer supply have been met with a vocal reaction on the part of news media commentators, conservative politicians, recovery industry representatives, and some prominent addiction medicine physicians. This reaction has largely converged around several narratives, based on unsubstantiated claims and anecdotal evidence, alleging that safer supply programs are generating a "new opioid epidemic", reflecting an emerging alignment among key institutional and political actors. Employing situational analysis method, and drawing on the policy studies and social science scholarship on moral panics, this essay examines news media coverage from January to July 2023, bringing this into dialogue with other existing empirical sources on safer supply (e.g. Coroner's reports, program evaluations, debates among experts in medical journals). We employ eight previously established criteria delineating moral panics to critically appraise public dialogue regarding safer supply, diverted medication, and claims of increased youth initiation to drug use and youth overdose. In detailing the emergence of a moral panic regarding safer supply, we trace historic continuities with earlier drug scares in Canadian history mobilized as tools of racialized poverty governance, as well as previous backlashes towards healthcare interventions for people who use drugs (PWUD). The essay assesses the claims of moral entrepreneurs against the current landscape of opioid use, diversion, and overdose among youth, notes the key role played by medical expertise in this and previous moral panics, and identifies what the convergence of these narratives materialize for PWUD and healthcare access, as well as the broader policy responses such narratives activate.

International Journal of Drug Policy 127 (2024) 104423

By Jacek Koziarski

Drawing upon seven years of police calls for service data (2014–2020), this study examined the effect of the COVID-19 pandemic on calls involving persons with perceived mental illness (PwPMI) using a Bayesian Structural Time Series. The findings revealed that PwPMI calls did not increase immediately after the beginning of the pandemic in March 2020. Instead, a sustained increase in PwPMI calls was identified in August 2020 that later became statistically significant in October 2020. Ultimately, the analysis revealed a 22% increase in PwPMI calls during the COVID-19 pandemic than would have been expected had the pandemic not taken place. The delayed effect of the pandemic on such calls points to a need for policymakers to prioritize widely accessible mental health care that can be deployed early during public health emergencies thus potentially mitigating or eliminating the need for increased police intervention, as was the case here.

Crime Science 2021 10:22

By Becca Cadoff, Kristyn Jones, Preeti Chauhan, & Michael Rempel

Alternatives to arrest are a means of lessening the deleterious effects of exposure to the criminal legal system. Current alternatives to arrest policies focus primarily on lower-level offenses such as misdemeanors, which constitute the bulk of police enforcement practices and criminal caseloads in the United States. With funding from Arnold Ventures, the Data Collaborative for Justice reviewed policy, practice and research to-date concerning five key models: 1. Citations involving releasing people to appear in court on their own at a later date in lieu of a traditional arrest in which police officers take the individual into custody. 2. Diversion programs involving pre-arrest social service participation where a case is never booked if individuals complete their diversion obligation. 3. Legalization (in which particular conduct becomes permissible under the law) and decriminalization (in which conduct remains illegal but is moved to the civil legal system). 4. Police-involved crisis response models that can either involve trained officers acting alone or in tandem with mental health professionals to respond to people in mental health crisis without resorting to an arrest (e.g., by sending a person to treatment or services). 5. Non-police response models in which social workers, paramedics, or other non-police agencies respond to certain calls for service or criminalized conduct without the presence of law enforcement. Research on any one model is limited. Although key themes and findings are outlined below, alternatives to arrest are in a growth period, and future research is likely to add clarity as well as, potentially, revise our understanding of what works and why.

New York: Data Collaborative for Justice at John Jay College, 2023. 41p.

By P. M. Di Nota , G. S. Anderson , R. Ricciardelli , R. N. Carleton3 and D. Groll

Background Recent investigations have demonstrated a significant prevalence of mental health disorders, including post-traumatic stress disorder (PTSD), and suicidal ideation, plans and attempts among Canadian public safety personnel, including police officers. What remains unknown is the relationship between mental disorders and suicide among sworn police officers, and the prevalence of both among civilian police workers. Aims To examine the relationship between suicidal ideation, plans and attempts and positive mental health screens for depression, anxiety, panic disorder, alcohol abuse and PTSD among Canadian sworn and civilian police employees. Methods Participants completed an online survey that included self-report screening tools for depression, anxiety, panic disorder, alcohol abuse and PTSD. Respondents were also asked if they ever contemplated, planned or attempted suicide. Between-group (Royal Canadian Mounted Police [RCMP], provincial/municipal police and civilians) differences on mental health screening tools were calculated using Kruskal–Wallis analyses. The relationship between mental disorders and suicidal ideation, plans and attempts was evaluated with a series of logistic regressions. Results There were 4236 civilian and sworn officer participants in the study. RCMP officers reported more suicidal ideation than other police and scored highest on measures of PTSD, depression, anxiety, stress and panic disorder, which were significantly associated with suicidal ideation and plans but not attempts. Relative to provincial and municipal police, civilians reported more suicide attempts and scored higher on measures of anxiety. Conclusions The results identify a strong relationship between mental health disorders and increased risk for suicidal ideation, plans and attempts among sworn and civilian Canadian police employees.

Occupational Medicine, Volume 70, Issue 3, April 2020, Pages 183–190,

By National Academies of Sciences, Engineering, and Medicine.

On February 26–27, 2014, the National Academies of Sciences, Engineering, and Medicine’s Forum on Global Violence Prevention convened a workshop titled Mental Health and Violence: Opportunities for Prevention and Early Intervention. The workshop brought together advocates and experts in public health and mental health, anthropology, biomedical science, criminal justice, global health and development, and neuroscience to examine experience, evidence, and practice at the intersection of mental health and violence. Participants explored how violence impacts mental health and how mental health influences violence and discussed approaches to improve research and practice in both domains. This publication summarizes the presentations and discussions from the workshop.

Washington, DC: The National Academies Press. .2018. 172p.