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Wellness check

A wellness check, also known as a welfare check, is an in-person visit conducted by law enforcement officers to assess the safety and well-being of an individual, typically initiated by a request from concerned parties unable to establish contact.^[1]^[2] These checks fall under the community caretaking function of police, distinct from criminal investigations, and may escalate to forced entry if there are indications of imminent harm.^[3]^[4] Wellness checks are commonly requested in situations involving potential mental health crises, substance use issues, or unexplained unresponsiveness, aiming to prevent harm through verification and possible referral to medical or social services.^[5] Officers approach with the goal of de-escalation, but procedures vary by jurisdiction, often prioritizing officer safety protocols that can include announcements, observation, and, if necessary, coordination with emergency medical personnel.^[6] Empirical data indicate that while most encounters resolve without incident, a subset involves individuals with untreated serious mental illness, who face elevated risks—up to 16 times higher—of fatal outcomes during police interactions.^[7] Despite their protective intent, wellness checks have drawn scrutiny for potential escalations to use of force or death, as seen in multiple cases where initial welfare concerns led to lethal confrontations, particularly in Canada where at least four such incidents occurred in early 2020.^[8] Critics argue that dispatching armed officers to non-criminal welfare matters mismatches response capabilities with needs, especially absent specialized mental health training, fueling advocacy for diverting such calls to civilian crisis teams to mitigate risks.^[9]^[6] This tension highlights causal factors like mismatched incentives and training gaps, rather than inherent malice, in outcomes that undermine public trust.

Definition and Purpose

Core Definition

![Law enforcement officers conducting a wellness check][float-right] A wellness check, interchangeably termed a welfare check, constitutes a law enforcement procedure wherein officers visit an individual's residence or location to ascertain their safety and physical condition. This intervention is predicated on reasonable concern for potential harm, incapacity, or distress, often prompted by reports from relatives, acquaintances, or observers indicating unresponsiveness or suspicious circumstances.^[4]^[3] The core objective is confirmatory: to establish whether the subject is alive, secure, and capable of self-care, thereby mitigating risks such as suicide, medical emergencies, or victimization. Officers initiate contact through verbal announcements and observation, eschewing immediate forcible entry absent exigent indicators of imminent danger, in alignment with community welfare imperatives and statutory bounds on intrusions.^[10]^[11] Such checks represent a non-punitive public safety mechanism, distinguishable from investigatory actions by their welfare-centric rationale rather than evidentiary pursuit.^[12]

Common Triggers and Initiators

Common triggers for wellness checks typically arise from third-party reports expressing concern over an individual's safety or well-being, often prompted by sudden changes in behavior or communication patterns. Family members or close associates frequently initiate requests when they cannot reach the person via phone, email, or in-person visits for an extended period, such as several days without response, which may indicate potential medical emergencies, self-harm risks, or other crises.^[13] ^[12] Similarly, neighbors or acquaintances may report suspicions based on observable signs like uncollected mail piling up, lights left on continuously, or unusual noises—or the absence thereof—from a residence, particularly for elderly individuals living alone.^[14] Mental health or substance abuse concerns represent another prevalent initiator, where reports highlight erratic actions, threats of harm, or known histories of instability that escalate to perceived immediate risks. For instance, 911 calls reporting potential mental health episodes, overdose symptoms, or suicidal ideation often lead authorities to dispatch officers for verification, as these situations are categorized under welfare or well-being responses rather than explicit criminal activity.^[5] Medical professionals or social services may also trigger checks upon noting patient non-compliance with treatment, missed appointments, or signs of neglect, such as in cases involving chronic illnesses or dependency issues.^[13] In rarer instances, self-requests occur, though these are less common and typically routed through non-emergency lines rather than direct police welfare protocols; more often, authorities receive prompts from landlords observing tenant inactivity or from community watch programs flagging isolation in vulnerable populations. Data from police call logs indicate that such checks constitute a significant portion of non-violent service calls, with mental health and medical crises comprising up to 20-30% of welfare-related dispatches in urban departments, underscoring their reactive nature to external observations rather than proactive surveillance.^[15]^[5] While these triggers aim to mitigate harm, they can stem from overcautious reporting, potentially leading to unwarranted intrusions if not substantiated upon arrival.^[4]

Historical Context

Origins in Modern Policing

Modern policing in the United States originated with the formation of professional municipal police departments in the mid-19th century, beginning with Boston in 1838, followed by New York in 1845 and other cities, shifting from reactive night watches to proactive forces responsible for public safety and order maintenance.^[16] These early departments inherently included responding to community concerns about individual welfare, such as reports of illness, isolation, or potential self-harm, as part of their broad mandate to protect life and property, though formalized procedures were absent.^[16] The practice of welfare checks—visits to verify an individual's well-being—evolved informally within these structures but lacked explicit legal doctrine until the 20th century. By the early 1900s, as police professionalized under influences like the 1919 Wickersham Commission, such checks became routine responses to citizen requests, often justified under general peace-keeping authority rather than specific statutes.^[16] A pivotal legal development occurred in 1973 with the U.S. Supreme Court's decision in Cady v. Dombrowski, which articulated the "community caretaking" function of police as a rationale for warrantless actions distinct from criminal investigations, initially applied to vehicle searches for public safety.^[17] This doctrine provided a constitutional basis for non-investigatory welfare checks, later extended by lower courts to home entries when objectively reasonable to protect life or property, though its application to residences remains limited and jurisdictionally varied to safeguard Fourth Amendment privacy rights.^[18] For instance, the Sixth Circuit in United States v. Rohrig (1996) upheld a home entry for emergency noise abatement under community caretaking, illustrating expansion beyond vehicles.^[19] Despite this, the Supreme Court has not endorsed its routine use for homes, emphasizing exigent circumstances for entries.

Key Developments and Policy Shifts

The community caretaking doctrine emerged as a key legal framework for welfare checks following the U.S. Supreme Court's ruling in Cady v. Dombrowski (1973), which permitted warrantless vehicle searches and seizures to safeguard public safety and assist individuals in distress. This exception was initially limited to automobiles but was extended by lower courts to justify non-investigatory actions, including home visits during welfare checks, under the rationale of promoting community welfare without probable cause.^[20] However, in Caniglia v. Strom (2021), the Supreme Court unanimously rejected the application of this doctrine to warrantless entries into homes, even during welfare checks prompted by suicide threats, emphasizing that the Fourth Amendment's protections against unreasonable searches extend to curtilage and require exigent circumstances or judicial authorization for home intrusions.^[21] This decision curtailed prior expansions by circuits like the First, prompting agencies to prioritize obtaining warrants absent immediate danger, thereby shifting protocols toward stricter adherence to constitutional limits.^[22] A significant operational development occurred in 1988 with the inception of the Crisis Intervention Team (CIT) model in Memphis, Tennessee, following the fatal shooting of a mentally ill individual by police during a crisis response.^[23] This program standardized 40-hour training for officers on recognizing mental health issues, de-escalation techniques, and resource linkages, transforming welfare checks involving behavioral health crises from ad hoc responses to structured interventions.^[24] By the early 2000s, CIT had proliferated to over 2,700 U.S. agencies, reducing use-of-force incidents in mental health encounters by up to 39% in adopting departments and fostering collaborations with healthcare providers.^[25] Post-2020, amid heightened scrutiny following high-profile welfare check fatalities—such as the 2019 shooting of Atatiana Jefferson in Fort Worth, Texas—policy discourse shifted toward diverting non-violent calls from police to civilian responders.^[26] Programs like Eugene, Oregon's CAHOOTS, operational since 1989 and handling 20% of the city's 911 calls including welfare checks with mental health professionals, gained national emulation, averting police dispatch in 5-8% of crises while achieving near-zero force usage. Jurisdictions including Denver and Seattle piloted similar mobile crisis teams, reducing armed responses and hospitalizations, though scalability challenges persist due to 24/7 coverage needs and variable outcomes in peer-reviewed evaluations.^[27] These reforms reflect a broader recalibration, prioritizing specialized non-law-enforcement options for welfare concerns to mitigate escalation risks, supported by data showing police handle 20-30% of such calls involving mental health or medical issues.^[5]

Operational Procedures

Initial Response Protocols

Officers responding to a welfare check request are typically dispatched by a public safety communications center after the caller provides details such as the individual's full name, exact address, reason for concern (e.g., lack of communication for several days), last known contact date, physical description, potential mental health history, and any observed risks like threats of self-harm.^[28] Dispatchers prioritize the call based on urgency; non-imminent concerns route through non-emergency lines, while suspected immediate dangers trigger emergency response protocols with lights and sirens if warranted.^[4] Pre-arrival, responding units receive relayed intelligence to enable risk assessment, including checks for prior police interactions, outstanding warrants, or weapon ownership at the address.^[29] Upon scene arrival, officers stage at a safe distance if intelligence suggests elevated threats, such as reports of armed subjects or domestic violence history, to evaluate the environment for hazards like unsecured entry points or suspicious vehicles.^[29] They then approach the primary entrance cautiously, scanning for objective indicators of welfare issues, including accumulated newspapers or mail, foul odors suggestive of decomposition, or signs of forced entry.^[30] Initial contact attempts emphasize de-escalation and voluntary engagement: officers knock repeatedly and announce their presence clearly (e.g., "This is the police conducting a welfare check requested by [caller]"), providing time for response while positioned for cover.^[4] If a phone number was provided, officers may attempt simultaneous telephonic contact to prompt the occupant to come to the door.^[28] Throughout these steps, officers document observations in real-time via body-worn cameras or notebooks, noting response times, environmental conditions, and any audible or visual cues from within the residence.^[30] Protocols stress officer safety, prohibiting solo entries without backup in potentially volatile situations, and encourage coordination with mental health co-responders if the call involves behavioral health indicators.^[29] These measures derive from community caretaking principles, balancing public safety duties with Fourth Amendment constraints against unreasonable searches.^[18] Variations exist by agency; for instance, some departments mandate canvassing immediate neighbors for additional context if initial knocks yield no reply.

Escalation and Entry Tactics

When initial verbal or non-invasive contact attempts during a wellness check fail to elicit a response, officers assess the situation for indicators of imminent harm, such as unusual silence, signs of distress observed through windows, or corroborating information from the reporting party suggesting risk of self-harm or injury.^[31] This evaluation follows a risk-based escalation protocol, prioritizing de-escalation where possible while summoning additional personnel or specialized units like Crisis Intervention Teams if the potential threat to life escalates.^[31] Officers may employ public address systems, telephone callbacks to known numbers, or consultation with neighbors and property records to gather further context before proceeding to entry.^[31] Under the exigent circumstances doctrine, warrantless entry is permissible if officers hold an objectively reasonable belief that immediate action is necessary to prevent serious bodily injury or death, as established in Brigham City v. Stuart (547 U.S. 398, 2006), where the Supreme Court upheld entry based on observed violence requiring intervention.^[32] This exception applies distinctly from the community caretaking function, which some federal circuits limit to non-home contexts but others extend to homes under a totality-of-circumstances test weighing public safety against privacy intrusions.^[18] Prior to breaching, officers must exhaust reasonable alternatives, such as prolonged announcements of "Police!" at entry points and visual checks of all accessible doors and windows for signs of life or forced entry risks.^[31]^[18] Entry tactics emphasize minimal force and announcement to mitigate confrontation, with forced entry—via tools like battering rams or breaching charges—justified only when exigent conditions confirm urgency and no lesser intrusion suffices.^[31] Officers document the justification, method employed, and any property damage immediately, often photographing the scene to support post-incident review.^[31] In higher-risk scenarios, such as reports of armament or barricading, escalation may involve tactical units for coordinated containment and dynamic entry to neutralize threats while preserving life, though standard patrols handle most checks without such involvement.^[6] The scope of entry remains narrowly tailored to the welfare objective, ceasing once the individual's condition is verified, to avoid Fourth Amendment overreach.^[18]

Documentation and Follow-Up

Officers conducting a wellness check typically prepare an incident report detailing the response, including the originating caller's concerns, arrival time, physical observations of the location and individual, any verbal or non-verbal interactions, and the resolution—such as confirming the person's safety, providing medical transport, or identifying unmet needs like mental health support.^[33] These reports are logged in the agency's computer-aided dispatch or records management system to maintain an auditable trail, facilitate potential investigations if discrepancies arise, and comply with departmental policies on call documentation.^[34] In jurisdictions with body-worn cameras, footage from the encounter is retained as supplementary evidence, often reviewed internally for training or accountability purposes.^[35] Follow-up actions depend on the findings: if the individual appears stable but isolated, officers may recommend community resources or advise the reporting party to monitor the situation; persistent risks, such as signs of self-neglect or suicidal ideation, prompt referrals to adult protective services, mental health crisis teams, or scheduled re-checks by non-emergency personnel.^[36] Reporting parties are informed of outcomes where privacy laws permit, though detailed medical information is withheld.^[37] Escalated cases involving involuntary commitments or discovered crimes trigger investigative protocols, including supervisory oversight and coordination with prosecutors or social workers.^[38] Documentation accuracy is critical for legal defensibility, as incomplete records have contributed to successful civil claims alleging negligence in overlooked welfare indicators.^[39]

Legal and Ethical Foundations

Constitutional and Statutory Basis

The constitutional foundation for wellness checks by law enforcement in the United States derives from exceptions to the Fourth Amendment's warrant requirement, which prohibits unreasonable searches and seizures. In Cady v. Dombrowski (413 U.S. 433, 1973), the Supreme Court recognized a "community caretaking" function, allowing police to perform warrantless vehicle searches or actions aimed at protecting public safety, separate from criminal investigatory motives, based on the inherent responsibilities of local police to assist individuals in distress and preserve evidence of crime.^[17] This doctrine acknowledges that officers routinely engage in non-investigatory tasks, such as removing impounded vehicles or aiding the ill, without implicating the full protections afforded homes.^[18] However, the Supreme Court has limited the application of community caretaking to home entries. In Caniglia v. Strom (593 U.S. ___, 2021), the Court unanimously rejected a standalone community caretaking exception for warrantless seizures or searches inside dwellings, holding that such actions must satisfy traditional Fourth Amendment exceptions, such as exigent circumstances involving an objectively reasonable belief of imminent harm requiring immediate aid or preventing evidence destruction.^[40] Absent exigency, police cannot enter a residence solely for welfare concerns without consent or a warrant, even if motivated by benevolence, as this would erode the home's heightened privacy protections.^[40] Lower courts have since applied this ruling to scrutinize wellness checks, permitting entry only upon specific, articulable facts indicating urgent danger, such as unanswered distress calls combined with visible signs of peril.^[41] Statutory authority for wellness checks is not uniform federally but resides primarily in state laws granting police general powers to preserve peace, protect life, and respond to emergencies. For instance, California Penal Code § 11106.4 mandates that law enforcement agencies adopt protocols for conducting welfare checks, emphasizing de-escalation and coordination with mental health professionals when reasonable suspicion of harm exists, without requiring a court order.^[42] Similar provisions in other states, such as reporting duties under Washington's RCW 26.44.030 for suspected abuse or neglect triggering law enforcement intervention, derive from broader public safety mandates rather than dedicated federal statutes.^[43] These laws operationalize constitutional exceptions by authorizing responses to credible reports of potential self-harm or vulnerability, provided they align with Fourth Amendment constraints on reasonableness and necessity.^[4]

Rights and Liabilities Involved

Individuals subjected to wellness checks retain protections under the Fourth Amendment against unreasonable searches and seizures, which generally prohibits warrantless entry into a private residence unless exigent circumstances exist, such as an objectively reasonable belief of imminent harm to persons inside.^[18] In Caniglia v. Strom (2021), the U.S. Supreme Court unanimously held that the community caretaking exception—previously applied to vehicle searches—does not extend to warrantless entries or seizures in homes during welfare checks, rejecting lower court rationales that allowed officers to temporarily seize firearms from a resident after a mental health crisis without judicial approval.^[21] This ruling underscores that mere concern for well-being, absent evidence of immediate danger, does not justify overriding privacy rights, as officers in the case entered the home and removed weapons based on a wife's request and verbal consent later disputed.^[44] Exigent circumstances permitting entry without a warrant require specific indicators, such as sounds of distress or visible signs of injury, rather than generalized reports of non-responsiveness, as affirmed in Brigham City v. Stuart (2006), where the Court upheld entry due to observed violence but emphasized the need for objective exigency rather than subjective officer discretion.^[18] Individuals also hold rights to refuse medical evaluation or assistance during such checks, provided no crime is suspected and no immediate threat persists, limiting police authority to non-consensual actions like forced hospitalization.^[45] Violations of these rights can stem from improper escalation, such as forced entry without sufficient grounds, potentially implicating due process under the Fourteenth Amendment if seizures occur without probable cause.^[46] Law enforcement officers face civil liability for wellness check misconduct primarily through 42 U.S.C. § 1983 claims alleging deprivation of constitutional rights, including unlawful entry or excessive force, though qualified immunity often shields them unless conduct violates clearly established law known to a reasonable officer.^[18] In cases of excessive force—evaluated under an objective reasonableness standard from Graham v. Connor (1989)—officers may be liable if force exceeds what is necessary to address perceived threats during a check, as seen in lawsuits over fatal shootings of non-responsive subjects mistaken for armed threats.^[47] Qualified immunity has been denied in instances where officers ignored no-knock protocols or used lethal force absent imminent danger, but courts frequently grant it due to the doctrine's requirement for prior precedent directly on point, complicating accountability.^[48] Municipalities may incur liability under Monell v. Department of Social Services (1978) if departmental policies or customs encourage warrantless entries without exigency, though such claims demand proof of systemic failures rather than isolated errors.^[49] Requesters of checks, such as family members, generally face no liability for good-faith reports but risk harassment claims if repeatedly summoning police without basis to intimidate.^[50]

Variations by Jurisdiction

United States

In the United States, welfare checks—also termed wellness checks—involve law enforcement responding to reports of potential harm or distress to an individual, typically initiated by family members, neighbors, or acquaintances via 911 calls expressing concern over lack of contact or unusual behavior.^[14] These checks constitute a significant portion of police calls for service, accounting for approximately 7 percent in at least one major city, reflecting their routine nature in community policing.^[5] The legal foundation rests on the community caretaking doctrine, established by the Supreme Court in Cady v. Dombrowski (1973), which permits police to engage in non-investigatory actions to protect public safety, such as verifying welfare without probable cause of crime. However, in Caniglia v. Strom (2021), the Court unanimously held that this exception does not justify warrantless entries into homes, limiting its application to vehicles or public spaces and requiring exigent circumstances—like imminent danger—for forced entry during home-based checks. States vary in codification; for instance, Texas defines welfare checks statutorily, mandating notification to residents upon contact, while most jurisdictions rely on common law and departmental policies emphasizing verbal announcements and visual confirmation before escalation.^[51] Operational procedures generally begin with officers approaching the location, knocking, and announcing their purpose to elicit response; if unanswered and evidence suggests risk—such as signs of forced entry or prior suicidal ideation—they may invoke exigent circumstances to enter.^[6] Mental health crises often underlie these calls, prompting some departments to integrate crisis intervention training or co-responder models with mental health professionals, though implementation differs by locality, with larger urban areas more likely to adopt such protocols.^[5] Empirical outcomes show most checks resolve without incident, confirming safety or facilitating voluntary aid, but escalations occur, particularly in mental health scenarios; a Washington Post analysis identified at least 178 fatalities from 2019 to 2021 stemming from calls intended as help requests, including welfare checks, highlighting risks when subjects perceive intrusion as threat.^[52] Notable cases include the 2019 shooting of Atatiana Jefferson in Fort Worth, Texas, during a neighbor-initiated check, where an officer fired through a window after observing a silhouette with a firearm, later ruled justified but sparking debate on tactics.^[26] Such incidents underscore causal factors like armed self-defense responses and officer hesitation to approach without backup, with no national database tracking welfare check resolutions, complicating broader assessment.^[6]

Canada

In Canada, police conduct wellness checks—also termed welfare or well-being checks—in response to reports from family, friends, or the public expressing concern over an individual's unresponsiveness, potential self-harm, or vulnerability, such as elderly isolation or mental health episodes. These checks are not governed by a uniform national statute but derive authority from common law ancillary powers, enabling officers to act in the public interest to preserve life or prevent harm without prior judicial authorization. The Supreme Court of Canada in R. v. Godoy, 1 S.C.R. 311, established that police may forcibly enter a dwelling without a warrant when responding to credible indicators of emergency, such as a 911 hang-up call suggesting domestic distress, provided the entry is limited to assisting those in apparent need and not extended to general searches.^[53] ^[54] Operational protocols emphasize de-escalation and minimal intrusion, beginning with non-invasive measures: officers arrive at the location, attempt verbal contact by knocking and identifying themselves, and may peer through windows or speak with neighbors to assess urgency. Entry without consent or warrant requires reasonable grounds to believe an occupant faces imminent danger, as protected under section 8 of the Canadian Charter of Rights and Freedoms, which guards against unreasonable search and seizure; absent such exigency, police must obtain judicial approval under Criminal Code section 529.3 or withdraw. Provincial and municipal forces, including the Royal Canadian Mounted Police (RCMP) in rural and territorial areas, Ontario Provincial Police, and urban services like Toronto Police, adapt these steps locally, often integrating mobile crisis teams for mental health-related calls to reduce armed police involvement.^[55] ^[56] ^[57] Compared to U.S. practices, Canadian wellness checks impose stricter thresholds for entry due to Charter scrutiny, with courts invalidating intrusions lacking objective evidence of peril, as in cases post-Godoy where mere suspicion proved insufficient. Reforms since the early 2010s, including Public Safety Canada's 2020 guidance on call handling, promote alternatives like community crisis services (e.g., Toronto's 211 line dispatching non-police responders for low-risk checks), aiming to divert routine welfare inquiries from law enforcement amid criticisms of over-policing vulnerable populations. Documentation follows standardized incident reports, with follow-up referrals to social services if no immediate threat is found, though no centralized national data tracks outcomes or escalation rates.^[58]

United Kingdom

In the United Kingdom, welfare checks—commonly referred to as "concern for welfare" incidents—are responses to reports expressing apprehension about an individual's safety, mental health, or vulnerability, often from relatives, acquaintances, or automated alerts such as from smart devices. These are assessed for urgency via emergency (999) or non-emergency (101) calls to police, with the National Police Chiefs' Council emphasizing risk-based triage to determine if police attendance is warranted.^[59]^[60] Since the 2022 rollout of the "Right Care, Right Person" framework across forces, police prioritize attendance only for scenarios engaging core functions, such as immediate risk of death or serious injury, active criminality, or prevention of imminent breach of the peace; otherwise, cases are redirected to NHS 111, social services, or adult safeguarding teams.^[61] This shift, driven by resource constraints and audit findings of over 2.5 million annual mental health-related calls diverting officers from crime response, aims to ensure appropriate professional intervention while reducing unnecessary police deployments.^[60] Upon attendance, officers conduct a "safe and well" assessment, verifying the subject's location and basic vital signs—alive, breathing, and conscious (ABC)—through initial contact, observation, or dialogue, without presuming entry into private premises absent consent or legal authority.^[62] If the individual is located and deemed safe, officers may offer reassurance or refer to support services but withhold details from the reporting party to protect privacy under data protection laws, unless the subject consents or there's ongoing risk.^[63] Escalation occurs if no response is obtained: under common law, forced entry is permissible only for imminent life-threatening peril, such as suspected suicide attempts with evidence of harm; alternatively, for suspected mental disorder requiring assessment, Section 135(1) of the Mental Health Act 1983 authorizes entry with a magistrate's warrant, while Section 135(2) permits warrantless entry and removal to a place of safety if urgency precludes judicial approval, limited to once per incident without reassessment.^[64] Police lack routine powers to compel welfare checks on non-vulnerable adults without such grounds, distinguishing UK practice from more permissive U.S. interpretations of community caretaking, and forces like Suffolk Constabulary mandate documentation of rationale for any entry to mitigate liability under the Human Rights Act 1998.^[61] For vulnerable adults, protocols integrate multi-agency safeguarding under the Care Act 2014, where police may initiate referrals to local authority teams post-check if exploitation or neglect is suspected, but primary responsibility shifts to health and social care providers for non-acute concerns.^[65] Empirical data from the College of Policing indicates that while welfare checks comprise a significant call volume—exceeding 10% of non-crime demand in some forces—resolution rates favor non-escalatory outcomes, with fewer than 5% leading to detention under mental health powers, though critics note variability in application amid post-pandemic increases in self-referral alerts. This jurisdictional emphasis on de-policing routine welfare matters reflects broader efforts to align responses with statutory remits, reducing officer exposure to civil claims for overreach while addressing systemic pressures from rising mental health demands.^[66]

Other Countries

In Australia, state police forces conduct welfare checks in response to reports indicating potential imminent harm, suspected criminal activity, risks to children, or possible death, with interventions strictly limited to these criteria to balance public safety and individual privacy.^[67] Protocols typically initiate with non-intrusive methods, such as telephoning the subject to assess well-being before proceeding to in-person visits if necessary.^[68] Non-emergency requests can be directed through services like PoliceLink on 131 444, available around the clock, though outcomes depend on the assessed urgency and evidence of risk.^[69] In New Zealand, police handle welfare concerns reported via the non-emergency line 105, evaluating reports from relatives, neighbors, or agencies to determine if a check is warranted, particularly absent immediate criminality or life-threatening risks.^[70] As of September 2024, operational guidelines have shifted to refuse certain "inappropriate" welfare referrals, such as low-risk mental health matters, redirecting them to health or social services to alleviate police resource strain amid rising call volumes.^[71]^[72] This policy adjustment, part of a broader mental health response reform, has prompted concerns from disability advocates that it may erode safety nets for vulnerable individuals facing crises without alternative support.^[73] In continental Europe, police roles in welfare equivalents vary, often deferring non-urgent personal concerns to specialized social or youth welfare agencies while reserving intervention for acute threats to public order or life; for instance, Germany's youth welfare offices prioritize child protection assessments over general adult checks.^[74] France lacks a direct police-led welfare check parallel for isolated adults, with authorities focusing instead on targeted services like home verifications during owner absences or emergency responses via 17, emphasizing identity and security protocols rather than routine well-being inquiries.^[75]^[76]

Empirical Outcomes

General Statistics on Resolutions

In large U.S. cities, welfare checks account for approximately 7% of total police calls for service, representing a substantial operational demand on law enforcement resources.^[5] Similar patterns appear in specific jurisdictions; for instance, in Saint Paul, Minnesota, during 2019, welfare checks combined with person-in-crisis and crisis response calls comprised 7.5% of all emergency calls for service (5,850 out of 78,484 total calls).^[77] Detailed disposition data from Berkeley, California, illustrate typical resolutions over a five-year period from 2015 to 2019, during which police handled 14,560 welfare check calls, averaging roughly 2,912 annually.^[78] Arrests occurred in 0.8% of these cases (122 instances), while only 0.27% (40 instances) resulted in a Part I Uniform Crime Reporting (UCR) crime report, underscoring that the overwhelming majority—over 99%—concluded without formal enforcement or documented criminal activity.^[78] Response metrics included a median on-scene time of 19 minutes and an average dispatch of 1.9 officers per call, with about 40% of narratives referencing mental health elements, often leading to welfare confirmation, referral to services, or no further action.^[78] National aggregation of resolution statistics remains limited due to inconsistent reporting across departments, but available evidence indicates welfare checks generally resolve non-confrontationally, with rare escalations to force or fatality.^[15] However, these calls exhibit heightened risks relative to other service types; responses to well-being checks are 74% more likely to involve fatal injury than non-welfare incident responses.^[15] From 2019 to 2021, police fatally shot at least 178 individuals during welfare checks or associated mental health crises, equating to roughly 6% of annual fatal police shootings amid millions of total calls nationwide.^[5]^[52] Such outcomes, while exceptional, arise disproportionately when underlying factors like untreated mental illness or substance use are present, as documented in incident databases.^[52]

Rates of Escalation and Fatalities

Data on escalation during police wellness checks is sparse due to inconsistent national tracking of call types and outcomes, with most available empirical evidence focusing on fatal incidents rather than broader use-of-force escalations. A peer-reviewed analysis of 10,429 police shootings resulting in injury (fatal or nonfatal) from 2015 to 2020, drawn from the Police Violence Reported database, found that well-being checks comprised approximately 2% of such incidents but carried elevated risks: 65% of these shootings were fatal, compared to lower rates in other behavioral categories, and well-being check responses were 74% more likely to result in fatal injury relative to police responses to general incidents.^[79]^[80] This heightened lethality stems from factors such as uncooperative subjects or underlying mental health crises, though the study emphasizes that well-being checks rarely involve explicit threats of violence.^[79] Fatalities specifically tied to wellness checks remain rare in absolute terms amid millions of annual police dispatches, but they cluster in crisis contexts. From 2019 to 2021, a review of fatal police shootings identified at least 178 cases where officers killed individuals during responses to wellness checks, mental health crises, or suicide threats, with no reported imminent danger to others; these drew from a comprehensive database of over 3,000 annual fatal shootings, supplemented by public records.^[52] Mental health-related encounters, which often overlap with wellness checks, constitute 7% to 10% of police-citizen interactions overall, per surveys of U.S. departments, yet escalate disproportionately when subjects exhibit resistance or impairment. Localized studies provide further granularity on nonfatal escalations. In a 2020 analysis of 1,114 wellness checks by a mid-sized Western Canadian police agency, most resolved via welfare confirmation or referrals for mental health or substance issues, but a subset involved force, including rare lethal outcomes linked to weapons like knives during noncompliant encounters; unofficial checks (e.g., officer-initiated) showed distinct patterns from third-party requests, with data challenges underscoring underreporting of minor escalations.^[82] U.S.-specific escalation rates beyond fatalities are not systematically quantified nationally, though de-escalation training has been associated with reduced force in crisis calls in departmental evaluations.^[83] Overall, while fatalities represent outliers, the inherent unpredictability of unverified welfare concerns elevates risks compared to routine patrols.

Controversies and Debates

Criticisms of Police-Led Checks

Critics argue that police-led wellness checks frequently escalate into confrontations due to the inherent presence of armed officers, transforming routine welfare inquiries into high-risk encounters, especially when individuals are experiencing mental health crises or exhibit non-compliance. A 2024 Johns Hopkins University study analyzing over 1,000 police shootings found that dispatch calls for well-being checks were 74% more likely to result in fatal injuries compared to responses for other reported crimes, highlighting the elevated dangers of these interactions. Similarly, a 2022 Washington Post investigation of police shootings revealed that many stemmed from wellness checks, mental health crisis calls, or suicide threats, with officers often perceiving threats where none were intended by distressed subjects.^[84]^[52] A primary concern is the mismatch between police training and the nature of many wellness checks, which are precipitated by mental health, substance use, or medical issues for which officers lack specialized expertise. Experts, including those cited in a 2020 Global News analysis, contend that inadequate de-escalation training for complex psychological situations contributes to avoidable violence, as officers default to enforcement tactics rather than therapeutic interventions. The National Police Foundation has described these checks as "unpredictable and dangerous," noting their potential to evolve into death investigations despite occasional positive resolutions. Racial disparities exacerbate these risks; the Johns Hopkins research indicated that Black individuals faced a 2.6 times higher likelihood of fatal outcomes in shootings during well-being checks compared to White individuals, prompting questions about systemic biases in dispatch and response protocols.^[9]^[15]^[84] Privacy and civil liberties advocates further criticize wellness checks for enabling unwarranted intrusions without sufficient probable cause, potentially violating Fourth Amendment protections against unreasonable searches in the U.S. High-profile incidents, such as the 2019 fatal shooting of Atatiana Jefferson in Fort Worth, Texas, during a neighbor-initiated wellness check—where an officer fired through a window after spotting her with a gun—illustrate how these operations can rapidly infringe on personal autonomy and lead to irreversible harm. In Canada, a 2020 CBC report documented multiple deaths during wellness checks involving Indigenous and Black individuals, fueling debates over police capacity to manage vulnerability without lethal force. Such outcomes have led reform advocates to argue that defaulting to police for non-criminal welfare concerns perpetuates a cycle of mistrust and trauma, particularly among marginalized communities wary of law enforcement interactions.^[26]^[8]

Arguments for Police Necessity

Police maintain a unique position in welfare checks due to their 24/7 availability and capacity for immediate response to emergency calls, which alternative services often lack.^[5] This operational readiness enables rapid intervention in situations where delay could result in harm, such as suspected suicides or medical emergencies reported via 911.^[85] Under doctrines like community caretaking, law enforcement can assess and act on public safety concerns without a warrant in exigent circumstances, allowing entry into private spaces to verify well-being when individuals are unresponsive or express concern.^[18] Although the U.S. Supreme Court in Caniglia v. Strom (2021) clarified that this exception does not broadly justify warrantless home entries, police retain authority to pursue warrants swiftly or act under probable cause of imminent danger, powers not extended to non-law enforcement responders.^[44] This legal framework ensures that welfare checks can compel verification of safety, preventing scenarios where distressed individuals falsely claim well-being to avoid scrutiny. Police involvement addresses the inherent unpredictability of welfare checks, which may reveal armed resistance, ongoing crimes, or acute mental health crises requiring restraint. Officers' training in de-escalation, use of force, and coordination with medical services equips them to manage these risks, protecting both the subject and responders—capabilities absent in unarmed civilian alternatives.^[30] In cases of potential domestic violence or child endangerment, swift police action has documented life-saving outcomes by interrupting harm.^[86] Empirical analyses indicate that police conduct thousands of such checks annually with routine resolutions, underscoring their practical necessity despite occasional escalations. For instance, one suburban department performed approximately 2,000 welfare checks in a year, reflecting the scale of managed interventions without widespread reported incidents.^[18] Without police, unresolved concerns could lead to preventable deaths, as non-coercive options fail against non-compliant or deceptive subjects.^[87]

Mental Health and Vulnerability Factors

Individuals subjected to wellness checks often exhibit symptoms of mental health disorders, with such concerns prompting a significant portion of these requests. Estimates indicate that at least 20% of police calls for service, including welfare checks, involve mental health or substance use crises, though the figure rises to approximately 19% when accounting for broader behavioral health needs beyond explicitly labeled mental health calls.^[88]^[89] These checks are frequently initiated by family, friends, or neighbors reporting erratic behavior, withdrawal, or threats of self-harm indicative of conditions like depression, schizophrenia, or bipolar disorder. Untreated serious mental illness represents a primary vulnerability factor, elevating the risk of fatal outcomes during law enforcement encounters by 16 times compared to the general population.^[7] In encounters involving behavioral health episodes, 67% of police shootings result in fatality, compared to lower rates in non-mental health contexts.^[84] Delusions, paranoia, or impaired reality testing can lead to non-compliance or perceived aggression, complicating de-escalation; for instance, 95% of mentally ill individuals fatally shot by police were on familiar territory, such as their home, where wellness checks commonly occur.^[45] Substance abuse frequently co-occurs as a compounding vulnerability, impairing judgment and intensifying agitation during crises that precipitate checks. Wellness checks are often tied to intoxication or withdrawal symptoms alongside mental disorders, contributing to higher escalation potential.^[5] From 2019 to 2021, at least 178 deaths resulted from police responses to mental health calls, wellness checks, or suicide threats, many involving substance-influenced states.^[52] Additional factors such as social isolation, lack of support networks, and chronic untreated conditions amplify risks, as isolated individuals may resist entry or exhibit disorganized behavior. Officers face elevated assault rates in mental illness-related calls, with federal data from 2007 reporting 1,114 assaults during such responses.^[90] These dynamics underscore causal links between vulnerability profiles and adverse resolutions, independent of officer intent.

Notable Incidents

High-Profile United States Cases

One notable case occurred on October 12, 2019, in Fort Worth, Texas, when police officer Aaron Dean fatally shot 28-year-old Atatiana Jefferson during a welfare check initiated by a neighbor who noticed her front door ajar and called the non-emergency line to ensure her safety.^[26] Jefferson, who was at home with her nephew playing video games, heard a noise outside, retrieved a legally owned handgun for protection, and pointed it toward the window where Dean was peering without announcing his presence, as the call had been logged as an "open structure" potential burglary rather than a standard wellness check.^[91] Dean fired a single shot through the window, killing her; he resigned from the force, was charged with murder, convicted of manslaughter in 2022, and sentenced to 11 years and 10 months in prison.^[92] The incident drew national scrutiny for the rapid escalation from a low-risk welfare inquiry, highlighting issues with call classification and officer tactics in residential settings.^[93] In White Plains, New York, on November 19, 2011, 66-year-old Kenneth Chamberlain Sr., a former Marine with a heart condition, was killed by police responding to an accidental activation of his medical alert pendant, which triggered a welfare check.^[26] Chamberlain, who was asleep and later awake but refused entry citing distrust of police, informed officers via his alert device that he was not in distress and barricaded his door; after hours of negotiation involving a faulty Taser, bean-bag rounds, and chemical agents, an officer fired two shotgun blasts, one fatally wounding him.^[94] No criminal charges were filed against the officers, but a federal lawsuit by Chamberlain's family resulted in a $1.6 million settlement in 2022, amid criticisms of excessive force and racial profiling, as Chamberlain was Black and officers allegedly used racial slurs during the standoff.^[26] Another escalation took place on December 7, 2015, in Gastonia, North Carolina, where 74-year-old Army veteran James Allen was shot during a welfare check requested after he failed to answer calls from family.^[26] Firefighters broke down the door due to concerns for his safety; Allen, mistaking the entry for a burglary, retrieved a gun and pointed it at responders, prompting an officer to fire, killing him.^[95] The Gaston County district attorney ruled the shooting justified as self-defense, but the case fueled debates over forced entry protocols in welfare checks and the risks to elderly or isolated individuals arming themselves in perceived home invasions.^[26] These incidents, part of a broader pattern documented in at least 178 police killings during mental health or wellness calls from 2019 to 2021, often involve armed residents responding to unannounced or aggressive approaches, underscoring tensions between welfare verification needs and constitutional protections against unwarranted intrusions.^[52]

International Examples

In Canada, the fatal shooting of Chantel Moore, a 26-year-old Indigenous woman from the Tla-o-qui-aht First Nation, occurred on June 4, 2020, in Edmundston, New Brunswick, during a police wellness check requested by her boyfriend in Montreal due to concerns over possible harassment she reported experiencing.^[96] The responding Edmundston Police Force officer fired multiple shots, claiming Moore advanced toward him with a knife despite commands to drop it; she was pronounced dead at the scene.^[97] A coroner's inquest in May 2022 featured testimony from the officer, who stated he did not know why Moore failed to comply, and no criminal charges were laid against him following investigations by New Brunswick's police watchdog.^[98] Another Canadian case involved Steven Dedam, a 31-year-old Mi'kmaq man, who was shot and killed by Royal Canadian Mounted Police (RCMP) officers on September 10, 2024, in Miramichi, New Brunswick, after family members requested a wellness check amid reports of his mental distress.^[99] The RCMP characterized the call as involving a man possibly armed with a weapon, stating officers fired when Dedam approached them with a knife despite de-escalation attempts including less-lethal options; family accounts emphasized the initial concern as non-violent mental health support rather than an immediate threat.^[100] The incident prompted an investigation by New Brunswick's Serious Incident Response Team, highlighting ongoing debates over RCMP protocols for Indigenous communities.^[101] In February 2025, two separate wellness checks in Halifax, Nova Scotia, resulted in the deaths of men experiencing mental health crises after police interventions escalated.^[102] On one occasion, officers responding to a report of distress tasered a man who became aggressive, leading to his death in custody; a similar sequence occurred less than a week later with another individual, both cases investigated by Nova Scotia's Serious Incident Response Team.^[102] Advocacy groups cited these events to argue for replacing police with civilian mental health teams in such responses.^[102] In the United Kingdom, the death of Kaine Fletcher, a 26-year-old man, followed a July 3, 2022, welfare check by Nottinghamshire Police in Nottingham, where officers encountered him in mental distress and decided to detain him under mental health legislation.^[103] The situation escalated to prolonged physical restraint by multiple officers, after which Fletcher suffered cardiac arrest and died in hospital; a jury at the 2025 inquest determined that "gross failings" in police actions, including inadequate risk assessment and restraint techniques, contributed to his death.^[104] The Independent Office for Police Conduct investigated, underscoring systemic issues in handling welfare concerns involving vulnerability.^[103]

Reforms and Alternatives

Enhanced Training Initiatives

The Crisis Intervention Team (CIT) model, developed in Memphis, Tennessee, in 1988 following a fatal police shooting of a individual with mental illness, represents a foundational enhanced training initiative for law enforcement responding to wellness checks involving behavioral health crises. This 40-hour program equips officers with skills in recognizing mental health symptoms, de-escalation techniques, suicide prevention, and coordination with mental health professionals, emphasizing voluntary treatment over arrest when possible.^[24] By 2022, over 2,700 U.S. law enforcement agencies had implemented CIT training, covering more than 20% of officers nationwide, often mandated in states like Florida and Ohio.^[105] Empirical evaluations of CIT indicate improvements in officer knowledge and attitudes toward mental illness, with pre- and post-training assessments showing increased self-efficacy in handling crises and reduced stigma.^[106] For instance, a 2022 study found CIT-trained officers more likely to identify psychosis symptoms and employ communication strategies during simulated encounters, potentially lowering escalation risks in wellness checks.^[107] However, outcome data on real-world applications reveal mixed results: while some jurisdictions report 20-30% decreases in use-of-force incidents and arrests for emotionally disturbed persons, meta-analyses highlight inconsistent reductions in hospitalizations or overall fatalities, attributing variability to factors like follow-up mental health access and departmental policy enforcement rather than training alone.^[108]^[109] Complementing CIT, the Law Enforcement Mental Health and Wellness Act of 2017, enacted in 2018, allocates federal grants to expand crisis intervention and officer wellness training, funding peer support, stress management, and behavioral health response curricula for over 18,000 agencies by fiscal year 2025.^[110] This initiative addresses officer resilience, with programs like the International Association of Chiefs of Police's Officer Resilience Training incorporating evidence-based modules on trauma-informed responses, implemented in pilot sites since 2020 to mitigate secondary trauma from repeated wellness check exposures.^[111] Additionally, the Law Enforcement De-escalation Training Act of 2022 directs the Department of Justice to certify de-escalation programs, focusing on verbal persuasion and tactical patience, with initial rollouts in 2024 showing preliminary gains in scenario-based proficiency among trainees.^[112] These training enhancements, while proliferating post-2020 amid public scrutiny of police-civilian interactions, face challenges in scalability and measurement; causal analyses suggest efficacy hinges on integration with community resources, as isolated training yields limited systemic impact on wellness check outcomes.^[113] Ongoing reforms emphasize refresher courses and evaluations, such as randomized scenario assessments introduced in 2024, to refine protocols empirically.^[114]

Non-Police Response Models

Non-police response models for wellness checks involve dispatching unarmed civilians, such as mental health professionals, paramedics, or social workers, to handle low-acuity, non-violent calls that do not require law enforcement intervention, thereby reducing potential escalations associated with police presence.^[115]^[116] These models prioritize de-escalation through behavioral health expertise and aim to connect individuals to services like counseling or housing support rather than arrest or transport under duress. Empirical evaluations indicate they can divert 20-60% of eligible calls from police, depending on program design, with lower costs per response—often $100-200 versus $1,000+ for traditional police dispatch.^[117]^[118] The CAHOOTS program in Eugene, Oregon, operational from 1989 until its closure in April 2025, exemplified an early non-police model by sending two-person teams of a crisis worker and medic to approximately 20% of the city's 911 calls, including welfare checks for behavioral health issues.^[116]^[119] Program data from 2021 showed CAHOOTS resolved 85-90% of responses without police backup, transporting individuals to medical or detox facilities in 37% of cases and avoiding arrests or hospitalizations in most instances, at an average cost of $100 per call.^[120] A 2025 study using difference-in-differences analysis found CAHOOTS reduced police transport of crisis subjects by 15-20% in targeted periods, though it did not significantly alter overall arrest rates, suggesting benefits limited to diversion rather than broader crime reduction.^[121] The program's termination stemmed from strained relations with the Eugene Police Department over funding and operational overlaps, highlighting sustainability challenges despite prior cost savings of up to $8 million annually for the city.^[122] Denver's Support Team Assisted Response (STAR), launched in July 2020, deploys paramedics paired with behavioral health clinicians to non-violent 911 calls, including wellness checks, covering about 5-10% of mental health-related dispatches.^[123]^[124] Interim evaluations reported STAR handled over 1,500 calls in its first six months with zero uses of force and a 99% non-transport rate to jails, linking 40% of subjects to ongoing services; a 2022 Stanford analysis of the pilot phase linked STAR deployment to a 34% reduction in low-level crimes (e.g., disorderly conduct) in service areas during operational hours, alongside fourfold cost savings per response.^[125]^[117] However, the Urban Institute's 2024 review noted STAR's scope excludes high-risk scenarios like weapon involvement, with response times averaging 19 minutes—faster than police in some cases but reliant on dispatcher triage accuracy, which misclassifies 10-15% of calls.^[124] Broader evidence on non-police models, drawn from rapid reviews of over 20 U.S. programs, shows they increase service referrals by 25-50% compared to police-led responses and reduce involuntary commitments, but outcomes vary by call volume and training; a 2022 synthesis found non-police teams achieved de-escalation in 80% of mental health crises without escalation to violence, though evidence remains limited by small sample sizes and lack of randomized controls.^[126]^[127] These models succeed causally by minimizing perceived threats from armed responders, fostering trust through expertise, but require precise eligibility screening to avoid overburdening teams with unsafe calls, as seen in programs rejecting 30-40% of dispatches.^[128] Implementation barriers include funding dependency—often 10-20% of police budgets—and integration with 911 systems, with academic sources noting potential overestimation of benefits due to self-reported data from program advocates.^[129]

Policy Recommendations

To mitigate risks of escalation and abuse in wellness checks, agencies should mandate pre-dispatch verification protocols, including callbacks to the reporting party to corroborate details and assess credibility, thereby filtering out potentially malicious or unsubstantiated requests.^[130] Pre-arrival risk assessments, incorporating database checks for prior mental health contacts, criminal history, or patterns of false reporting, enable tailored responses—such as deploying mental health co-responders for low-threat scenarios rather than armed officers.^[29] ^[45] Training reforms prioritize de-escalation and Crisis Intervention Team (CIT) programs, which empirical studies link to reduced use of force, fewer arrests, and improved linkages to mental health services during crises.^[24] ^[105] Agencies should integrate 40-hour CIT curricula for 20-25% of patrol officers, emphasizing scenario-based exercises, empathy, and time-distance management, while extending basic mental health awareness to all dispatchers and frontline personnel.^[131] Supervisors must foster de-escalation cultures through post-incident reviews and incentives, as stress impairs judgment and routine application prevents unnecessary confrontations.^[131] Legislative measures to deter false reports, including those disguised as wellness checks (e.g., swatting), recommend enhanced penalties under federal statutes like the proposed Preserving Safe Communities by Ending Swatting Act of 2025, which criminalizes conveying misleading information likely to prompt emergency responses.^[132] At the state level, 15 jurisdictions since 2013 have broadened false reporting laws to target swatting explicitly, with fines, imprisonment, and civil liabilities calibrated to the response scale invoked.^[133] These deter abuse without impeding legitimate concerns, as data indicate false alarms strain resources and elevate officer and subject risks.^[134] Broader policies advocate keyholder registries for vulnerable populations (e.g., elderly or isolated individuals) to facilitate non-intrusive verifications via trusted contacts, and public campaigns promoting crisis hotlines over police for non-violent welfare inquiries.^[45] Community partnerships with mental health providers ensure seamless diversions, reserving police for imminent threats, as evidenced by reduced forced entries and injuries in adopting departments.^[45] ^[131]

References

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“WELLNESS CHECK” MEANS AN IN–PERSON VISIT BY A LAW. ENFORCEMENT OFFICER CONCERNING THE WELL–BEING OF AN INDIVIDUAL. (B) (1) IF SUBJECT TO SUBSECTION (C) OF ...
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105 is the number for Police non-emergencies. 111 is the emergency number for Police, Fire and Ambulance. 111 Police Emergency. Call triple one when you need an ...
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Police could refuse welfare check referrals, minister told | RNZ News
Sep 26, 2024 · The Minister for Mental Health has been told the police will "refuse welfare checks" under their pullback from social harm callouts.
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Police to refuse 'inappropriate' requests for help as part of mental ...
Sep 29, 2024 · Police have detailed some of the "inappropriate" requests for help during mental health callouts that they will no longer be responding to.<|separator|>
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Disabled community concerned about police welfare check changes
Oct 31, 2024 · New Zealand Disability Support Network is seeking reassurance that new guidance for police attending welfare checks won't negatively affect the disabled ...
[74]
Child protection - Stadt Hof
Children have a right to grow up in a safe and healthy environment. The Youth Welfare Office is tasked with protecting the welfare of children and young people.
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French police can check your home (and vulnerable relatives) when ...
Jul 31, 2025 · Police in France can check on your home for free when you are away over the holidays. The Opération Tranquillité Vacances service is free ...
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Emergency numbers: what you need to know - France.fr
Sep 24, 2024 · SAMU (medical emergencies): 15 · Police emergency: 17 · Fire brigade: 18 · European emergency number: 112 · Emergency number for the deaf and hard ...<|separator|>
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[PDF] Preliminary Overview of Call Types in Saint Paul, Minnesota in 2019
• Calls for welfare check, person in crisis, and crisis response account for 7.5% (n=5,850) of all emergency calls for service (N=78,484). • 57.9% (n=3,389) ...
[78]
[PDF] Data Analysis of the City of Berkeley's Police Response
Jul 2, 2021 · ... call types such as welfare check or person down depending on the information they receive about the primary reason for the call. 14 ...<|control11|><|separator|>
[79]
National Burden of Injury and Deaths From Shootings by Police in ...
Mar 13, 2024 · ... fatal injuries was well-being checks. Well-being checks were 74% more likely to be associated with fatal injury, despite not explicitly or ...
[80]
National Burden of Injury and Deaths From Shootings by Police in ...
Rarer but more frequently fatal injurious shootings included well-being checks (2% of incidents, 65% fatal) and threats (e.g., an armed person verbalizing ...
[81]
Law Enforcement Response to Mental Health Crisis Incidents
An estimated 7 to 10 percent of police-citizen interactions involve a citizen with a mental health disorder. Further, researchers estimate officers are 1.4 to ...Missing: welfare check
[82]
The role of police in conducting wellness checks: Insight from a study of police data
### Summary of Empirical Findings on Police Wellness Checks
[83]
30 Police De-Escalation Statistics to Keep in Mind [Updated in 2024]
Oct 23, 2024 · Statistics indicate that de-escalation training can have a substantial impact on community safety, public trust, and officer conduct.Missing: welfare | Show results with:welfare
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Study of Fatal and Nonfatal Shootings by Police Reveals Racial ...
Mar 15, 2024 · A new study from researchers at the Johns Hopkins Center for Gun Violence Solutions and Vanderbilt University found that an average of 1,769 ...
[85]
Welfare Checks - International Association of Chiefs of Police
Welfare checks are requests for the police to check on an individual due to concern for their safety or well-being. Reasons for such requests vary widely ...Missing: arguments necessity
[86]
Calling the police for welfare checks - JAMS
Apr 8, 2025 · For victims of crimes and domestic abuse, calling the police can be a life saver. A quick police response can protect adults and children alike, and no one ...<|separator|>
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The role of police in conducting wellness checks: Insight from a ...
By providing researchers, practitioners, and policymakers with an empirical analysis of wellness checks, we hope to contribute to evidence-based decision-making ...
[88]
Building mental health into emergency responses
Jul 1, 2021 · It's estimated that at least 20% of police calls for service involve a mental health or substance use crisis, and for many departments, that ...
[89]
Law Enforcement Response to Mental Illness: Effective Strategies
While only 2.1% of officially labeled 911 calls are marked as mental health-related, that number jumps to 19% when you include all behavioral health needs. This ...Systemic Barriers And... · Deployment Of Mental Health... · Police-Mental Health...<|separator|>
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Police Encounters, Mental Illness and Injury: An Exploratory ... - NIH
The FBI reported that 1,114 officers nationally were assaulted during a call responding to a person with mental illness in 2007 (Federal Bureau of Investigation ...
[91]
Fort Worth shooting: Officers weren't asked to do a wellness check ...
Oct 17, 2019 · When Atatiana Jefferson's neighbor called police, he says he expected them to go check to see if she was OK.
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Ex-Fort Worth cop sentenced to nearly 12 years for manslaughter of ...
Dec 20, 2022 · Aaron Dean, the former Fort Worth police officer who shot and killed Atatiana Jefferson in 2019, received an 11-year, 10-month prison sentence.
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Atatiana Jefferson: 'Why I will no longer call the police' - BBC
Jun 15, 2020 · When James Smith called police to check his neighbour was OK, she ended up dead. Never again, he says.
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https://www.wsoctv.com/news/local/officials-gastonia-police-officer-involved-fatal-s/52200616
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Edmundston, police officer say in lawsuit reply Chantel Moore ... - CBC
Feb 23, 2023 · The suit also alleged Son neglected his duties and demonstrated "significant errors in judgment and analysis throughout the wellness check, ...
[97]
How an Indigenous woman's fatal police shooting in N.B. helped ...
Apr 8, 2025 · Police had been called to her apartment for a wellness check, and the officer says he was forced to fire when Moore advanced on him with a knife ...
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Chantel Moore inquest hears from former officer about police shooting
May 18, 2022 · The Chantel Moore inquest heard from a retired RCMP officer about the night the 26 year old was killed by an Edmunston police officer.
[99]
New Brunswick RCMP dispute death of Indigenous man was ...
Sep 13, 2024 · New Brunswick RCMP are disputing claims that the recent shooting death of an Indigenous man in mental distress happened during a police wellness check.
[100]
Two Weeks, Six Dead: Police Violence, Indigenous Dehumanization ...
Sep 24, 2024 · Steven “Iggy” Dedam was shot and killed by officers after police responded to a call for a wellness check. ... events remind us all that genocide ...
[101]
Six Indigenous deaths after interacting with police in last 2 weeks
Sep 12, 2024 · Amber Joseph says when she arrived on the scene just after her brother Steven Dedam was shot by the RCMP, she was shocked.
[102]
Groups call to end deploying police for wellness checks | CBC News
Mar 8, 2025 · Three prison advocacy organizations want police deployments for mental wellness checks to end after the deaths of two men in police custody.
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Kaine Fletcher: Jury finds "gross" failings by police contributed to death
Jul 25, 2025 · Kaine Fletcher died aged 26 on 3 July 2022 after a period of prolonged restraint by officers from Nottinghamshire police who had been called to ...
[104]
Jury finds “gross failures” by police contributed to the death of Kaine ...
Jul 25, 2025 · Kaine Fletcher died aged 26 on 3 July 2022 after a period of prolonged restraint by officers from Nottinghamshire police who had been called ...
[105]
The crisis intervention team (CIT) model: An evidence‐based ...
Aug 7, 2025 · Arguably the most well-known strategy is the Crisis Intervention Team model that includes 40 h of specialized training for officers. Research ...
[106]
Crisis Intervention Team (CIT) training and impact on mental illness ...
Sep 29, 2022 · Knowledge items assessed trainee ability to identify symptoms of psychosis and suicidal thoughts; ability to describe communication strategies ...Missing: wellness | Show results with:wellness
[107]
Evaluation of Ongoing Crisis Intervention Team (CIT) Training for ...
Jun 17, 2022 · CIT training has been associated with improved knowledge, attitudes, and self-efficacy among LEOs and improved outcomes between law enforcement ...Missing: wellness | Show results with:wellness
[108]
Issues in Law Enforcement Reform: Responding to Mental Health ...
Oct 17, 2022 · The paramedic and mental health clinician are dispatched first for mental health calls or when a wellness check is needed. Community health ...
[109]
[PDF] Crisis Intervention Team Training: Full Implementation
The perceived effectiveness of this training is positive in reducing the number of EDP incarcerations and fewer uses of force against them. Therefore, one of ...Missing: wellness | Show results with:wellness<|separator|>
[110]
Law Enforcement Mental Health and Wellness Act (LEMHWA ...
Increasing law enforcement agency capacity to provide mental health and wellness training and resources for employees of law enforcement agencies and their ...
[111]
Officer Resilience Training Program
The Officer Resilience Training Program is designed to equip officers with empirically validated skills of resilience.Missing: crises | Show results with:crises
[112]
Implementation of De-escalation Training Act Program - COPS Office
Apr 3, 2024 · The Law Enforcement De-escalation Training Act of 2022 directs the US Department of Justice to develop or identify effective existing training for law ...Missing: wellness entry<|separator|>
[113]
Improving police interventions during mental health-related ...
... health, mental health, mental illness, reform, Crisis Intervention Training. Introduction. There are calls across America for police to re-imagine themselves ...
[114]
Assessing law enforcement officer skills in Crisis Intervention Team ...
Dec 16, 2024 · This paper outlines the development of standardized scenarios used to assess the efficacy of Crisis Intervention Team (CIT) training in a randomized, ...Missing: wellness | Show results with:wellness
[115]
Evaluating Alternative Crisis Response in Denver's Support Team ...
Sep 30, 2024 · The STAR program pairs paramedics and behavioral health professionals on designated vans to respond to certain 911 calls in lieu of a conventional response.Missing: results | Show results with:results
[116]
CASE STUDY: CAHOOTS - Vera Institute
The program dispatches two-person teams of crisis workers and medics to respond to 911 and non-emergency calls involving people in behavioral health crisis.
[117]
Stanford study shows benefits to reinventing 911 responses
Jun 8, 2022 · A new study shows dispatching mental health specialists for nonviolent emergencies can be beneficial. In Denver, it reduced reports of less serious crimes and ...Missing: statistics successful outcomes
[118]
Sending Unarmed Responders Instead of Police: What We've Learned
Jul 25, 2024 · A 2022 study on Denver's STAR team found a 34% drop in low-level crime in neighborhoods where the team was operating, compared to neighborhoods ...
[119]
Eugene after CAHOOTS: The end of the crisis response program ...
Jun 4, 2025 · It's been nearly two months since CAHOOTS, Eugene's groundbreaking street response program, shut down in the city after decades of service.
[120]
[PDF] eugene police department crime analysis unit
CAHOOTS Program Analysis 2021 Update. PURPOSE: To gain a clear understanding of the CAHOOTS program regarding the nature and levels of activity.
[121]
[PDF] Mobile Crisis Response Teams Support Better Policing: Evidence ...
Apr 1, 2025 · Our first research design seeks to quantify the impact of introducing CAHOOTS services on call outcomes. Specifically, at five distinct times ...
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https://www.wsj.com/us-news/oregon-cahoots-police-mental-health-7573cd61
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Support Team Assisted Response (STAR) Program - Denvergov.org
To request support from the STAR team in Denver, please call 9-1-1 or 720-913-STAR (7827). An operator will dispatch the most appropriate available response. If ...
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[PDF] Evaluating Alternative Crisis Response in Denver's Support Team ...
The STAR program offers an alternative to having police respond to behavioral health crises—reducing the potential for clients to experience additional ...
[125]
[PDF] STAR Program Evaluation - AWS
Heading into 2020, Denver Police data showed mental health- related calls for service were up 17% over the three-year average. Once the ballot measure passed, ...
[126]
Re‐examining mental health crisis intervention: A rapid review ...
Feb 1, 2022 · The present review's main objective was to examine, synthesise and compare outcomes across police, co-responder and non-police models of mental health crisis ...
[127]
Alternative First Responders | TRANSFORM911
Mar 2, 2022 · The two most employed approaches are Crisis Intervention Teams (CIT) and co-responder models. These models are not focused on reducing police ...Alternative First Responders · State Of Practice... · NotesMissing: shifts | Show results with:shifts
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A community response approach to mental health and substance ...
Jun 8, 2022 · In addition, the evidence that the STAR program reduced the number of low-level criminal offenses during hours when the program was inactive ( ...
[129]
[PDF] Analyzing Alternative Behavioral Crisis Response Models in the U.S.
Nov 9, 2023 · Alternative crisis response models have proven to be effective at safely responding to individuals who find them- selves struggling with their ...
[130]
Reducing Forced Entry on Welfare Checks: Policy and Tech Best ...
Sep 12, 2025 · Policy Best Practices to Minimize Break-Ins · Risk-based dispatch triage · Mandatory callback loops · Keyholder registry programs · Residential ...
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[PDF] Law Enforcement Best Practices: Lessons Learned from the Field
For example, de-escalation and the Crisis Intervention Team model go hand-in-hand. Similarly, early inter- vention in personnel issues can help agencies prevent ...
[132]
S.38 - Preserving Safe Communities by Ending Swatting Act of 2025
This bill makes it a crime to intentionally convey false or misleading information in circumstances where the information may reasonably be expected to cause ...
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https://www.csg.org/2025/10/20/swatting-state-efforts-to-prevent-political-violence/
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'SWATting' False Emergency Reports and Serious Ramifications
Jun 30, 2024 · These charges fall under various statutes, including 18 U.S.C. § 1001 for false statements and 18 U.S.C. § 1343 for wire fraud. State laws in ...