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Law enforcement agents are trained to handle a variety of life-threatening situations, from talking down a suspect wielding a weapon to evacuating large areas following a natural disaster. Even when officers are well prepared, certain situations may require the assistance of other professionals. These professionals become especially important when law enforcement agents engage people with severe mental illness (SMI). In the U.S., one in four adults experiences mental illness. For 9.3 million Americans the problems can be severe enough to impede their ability to act rationally. Most people suffering a mental illness are not violent, criminal or dangerous. Yet, they are ten times more likely to be incarcerated than committed to a state psychiatric hospital. Increasingly, police officers serve as the first line of contact when those living with mental illness are at their most disoriented.

Already tasked with many responsibilities, firefighter duties are expanding in a few cities to include more medical care. Unlike tactical medical teams, where EMTs are given tactical skills to use on the scene, this medical attention occurs after an individual has been discharged from the hospital.

By aiding first responders in their efforts and providing care for disaster victims, medical centers play a vital role in the success of emergency response. All agencies, including medical institutions, must examine how they act before, during and after an emergency to improve their end-to-end disaster preparedness.