Last week we attended the Mental Health and Crime Symposium at Fordham University. This event summary was written by Richard Aborn, President of the Citizens Crime Commission.
Last week, the CCC, along with Northwell Health and Fordham University were proud to present Mental Health & Crime: A Path To Safety For All. Distinguished speakers and panelists took attendees through the life-cycle of a case, from the initial 911 call to post-incarceration re-entry, exploring the unique challenges and opportunities at every touchpoint. With a focus on systemic gaps in care, the symposium provided a platform to leaders across professions (law enforcement, the justice system, mental healthcare providers, etc) to discuss innovative solutions, share best practices, and advocate for policies that can improve outcomes for individuals and the communities they live in.
In his opening remarks, CCC President Richard Aborn acknowledged the complexity of the intersection of mental health and public safety. “Not everyone who has a mental health issue or confronts a mental health challenge commits a crime, and not every single person who commits a crime has a mental health challenge,” he said.
Janine Francolini, Richard Aborn and Cheryl Roberts
However, Mr. Aborn emphasized to truly focus on prevention, these intersections must be identified and addressed effectively. He explained studies indicate that up to 44% of those in jail and 37% of those in prison have some form of mental health challenge, highlighting the systemic failures in addressing mental health before it escalates to incarceration. Addressing underlying mental health concerns early can improve public safety, reduce recidivism, and create pathways for individuals to thrive within their communities. This approach alleviates the strain on law enforcement and correctional systems. It also ensures individuals receive consistent care that prioritizes their dignity, health, and overall well-being.
Among the most pressing issues discussed were over-reliance on police and hospitals for crisis response, a lack of diversion programs, and insufficient stabilization options for individuals experiencing homelessness and mental health challenges that don’t rise to the acuity of inpatient care. Some of the limitations of 911 services were outlined, noting that 168,000 of 8 million annual calls to 911 involve mental health issues. Lieutenant Sean Walker of the NYPD discussed programs like Be Heard, which aims to connect people to community resources and bypass police involvement in non- violent cases. Dr. Monica Brooker, Assistant Commissioner of the Behavioral Health Division for the NYPD discussed the successes of Co-Response, including collaboration between law enforcement and mental health professionals, effective de-escalation, and better access to appropriate care for individuals facing mental health challenges, all of which reduce unnecessary arrests. However, many panels agreed gaps remain in training, resources, and decision-making for both 911 operators and police.
The conference didn’t just focus on challenges; it highlighted many innovative solutions already being implemented across New York. The audience heard from Manhattan District Attorney Alivn Bragg on key early intervention programs, such as the Neighborhood Navigator’s Program and Court-Based Navigators Program that focus on addressing underlying needs and barriers to reduce recidivism and foster long-term stability. Hon. Matt D’Emic shared the successes of the Brooklyn Mental Health Court, where individuals can receive treatment to address the underlying issues that may have contributed to criminal behavior. Similarly, Hon. Richard Berman, of the U.S. District Court for the Southern District of NY, discussed his experiences leading a post-incarceration re-entry program. Many panelists agreed these inspiring programs need more funding and more government support to be expanded across jurisdictions.
In a fireside chat with Dr. Tara Narula Cangello, Michael Dowling, President and CEO of Northwell Health stressed the importance of breaking down the stigma surrounding mental health challenges. “People have to think about it differently,” he said, emphasizing that mental health is not separate from physical health and both need to be present for wellbeing. Mr. Dowling spoke about the innovative ways Northwell Health is tackling stigma, including integrating mental healthcare into primary healthcare discussions and investing heavily in adolescent mental health. This shift in thinking could help more individuals seek care early, preventing crises and reducing the long- term impacts of untreated mental health conditions.
Advocacy for policy change also took center stage with calls for mandated services for misdemeanor defendants unfit to stand trial, clearer involuntary commitment laws, and a stronger continuum of care post-crisis. Panelist Brian Stettin, Senior Advisor on Severe Mental Illness for the New York City Mayor’s Office highlighted the need for additional policies that focus on stabilization and restoring mental wellness to address homelessness and disorder. One such policy would improve Housing First by incorporating access to mental health and substance misuse treatment to ensure individuals are healthy and able to thrive in permanent housing. He also proposed expanding access to Assisted Outpatient Treatment (AOT) through Kendra’s Law by requiring services for individuals with severe mental illness who are deemed unable to care for themselves, addressing gaps in treatment continuity, and reducing reliance on emergency or criminal justice interventions. The proposed policy changes aim to enhance public safety by ensuring individuals with mental health challenges receive consistent care and support, while also improving their long-term health and overall stability.
Panelists stressed building capacity across systems as a critical piece of the path forward. The safety of New York could benefit greatly from the creation of more inpatient beds, community-based resources, and drop-off centers to divert individuals from emergency rooms and jails. The effectiveness of existing programs and many of the new initiatives proposed throughout the conference are severely hindered by a shortage of mental health providers. Many panelists emphasized the need to invest in workforce development to address this shortage and to empower non-traditional providers such as community health workers, family members, and peers to identify early warning signs and support individuals in crisis. Creating this additional capacity lays the foundation for the broader systemic changes needed to create a system of safety and support for justice-involved individuals and the communities they live in.
The conference underscored that addressing the intersection of mental health and public safety requires breaking down silos, integrating behavioral and physical health systems to reduce stigma, and fostering collaboration across sectors to ensure continuity of care. These discussions were a powerful reminder that change is possible when we work together. By building partnerships, advocating for reform, and committing to innovative solutions, we can create a justice system that treats all individuals with dignity and respect and offers them the care they need. Progress begins with action, and the time to act is now.
