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August 16.2025
3 Minutes Read

El Cajon's Mental Health Crisis Response: Why Community Support is Essential

El Cajon Police SUV, city background, daylight

The Crisis of Mental Health Responses in El Cajon

In recent weeks, the El Cajon City Council has scrutinized the city’s approach to mental health crisis responses during a pivotal meeting. At the center of discussions was Police Chief Jeremiah Larson's new policy, implemented in May, to limit police involvement in certain crisis situations unless there’s an immediate threat or crime involved. This decision was influenced by heightened legal liabilities stemming from a federal court ruling last year that cast doubt on the appropriateness of police interventions in non-violent mental health crises.

Understanding Crisis Response Teams

City officials, including Police Chief Larson and City Manager Graham Mitchell, argued that having police officers present during non-threatening mental health crises could escalate situations, leading to tragic outcomes. In place of automatic police responses, San Diego County has established Mobile Crisis Response Teams (MCRT) designed to handle such calls more effectively. These teams are composed of trained professionals who are accustomed to addressing mental health issues without escalating tensions.

Firefighters in a Tough Spot

However, the shift has placed firefighters in a precarious position. Heartland Fire Chief Bent Koch expressed concerns that firefighters have had to engage in actions outside their customary scope of work to manage mental health crisis situations, such as restraining an individual who posed a danger to themselves or others. Koch noted that firefighters are not typically trained to handle these scenarios and have found themselves in challenging situations when responding to calls they cannot simply dismiss.

Challenges with County Coordination

During the City Council meeting, several councilmembers raised probing questions about the nature of crisis response teams in the county. One prominent concern was whether the various teams, including Psychiatric Emergency Response Teams (PERT) and Mobile Crisis Response Teams (MCRT), were competing for resources. Such confusion raises critical issues as city officials like Councilmember Michelle Metschel called for county leadership to either provide security for these crisis calls or reimburse the El Cajon Police Department for their involvement in such operations, indicating the pressing need for clarity in policy and funding.

Future Directions in Crisis Response

As El Cajon grapples with its mental health crisis response strategy, conversation among city officials remains essential. Establishing clear protocols for cooperation between police, firefighters, and the county is vital. Policymakers must find effective collaboration and funding measures to ensure responders are adequately supported, all while prioritizing safety and mental health.

Community Engagement Matters

This shift highlights the importance of community dialogue about how best to support vulnerable populations. Effective mental health response strategies must balance the legal and operational challenges faced by first responders, while ensuring that help reaches those in need without exacerbating crises. As residents of San Diego, staying informed about these developments empowers individuals to advocate for better mental health support in their community.

This evolving situation in El Cajon reflects broader challenges faced by cities across the nation as they navigate the complexities of mental health crises. Residents should remain engaged in local governance discussions to push for better solutions and practices.

Now is the time to advocate for effective mental health crisis responses in our community! Stay informed and participate in local discussions to make your voice heard.

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