Iacobucci's report recommends the Toronto Police Service:
1. Create a police and mental health oversight body
2. Educate officers on available mental health resources
3. Amend procedure so that contact with the Mobile Crisis Intervention Team be notified of any incidents
4. Try to bridge the divide between police and people living with mental health issues
5. Prepare a formal statement setting out its commitments to people experiencing mental health issues
6. Require new constables to complete a mental health first aid course
7. Give preference to recruits with experience in community service, a higher education and involvement in a mental health community
8. Update parts of the TPS job applications online to reflect new job qualifications
9. Consider recruiting from specific educational programs
10. Hire new constables demonstrating diversity of specialization, skills and life experience
11. Use psychologists to assess positive traits and absence of mental illness
12. Include psychologists in hiring decisions
13. Compile data to allow evaluation of psychological screening tests
14. Create a group specifically to consider the role of psychological services within TPS
15. Place more emphasis on containment, de-escalation and use of force as part of recruit training
16. Consider additional tools, like checklists, for dealing with people in crisis
17. Consider extending the 20-week training period
18. Give more time for in-service training
19. Require officers to re-qualify annually
20. Consider tailoring mental health training to specific officers
21. Improve training process with exposure and peer learning
22. Collaborate with researchers to develop a system for analysing the effectiveness of training
23. Include psychologists, police college trainers, mental health nurses and others in training
24. Refine evaluation process for supervising officers who are best equipped to respond appropriately to people in crisis
25. Create a service-wide procedure for debriefing
26. Develop a procedure that permits debriefing on a real-time basis, despite special investigations unit investigations
27. Develop a network of mental health "champions" within the service
28. Establish an early intervention process for identifying incidents of behaviour indicating weakness in responding to mental health crises
29. Review discipline procedure
30. Create incentives for officers to put mental health training into practice
31. Revise the process for performance reviews and promotions
32. Enforce procedures that require officers to attempt to de-escalate situations
33. Create a formal statement on psychological wellness for TPS members
34. Establish a comprehensive psychological health and safety management system
35. Provide mandatory annual wellness visits with psychologists for all officers within their first two years of service
36. Consider less frequent periodic mandatory wellness visits
37. Promote a greater understanding of the role and availability of TPS psychologists
38. Consider creating an internal support network for officers who have experienced traumatic incidents
39. Consider creating a new procedure to address officers' mental health
40. Provide supervising officers with training to monitor other officers' psychological wellness
41. Revise use of force procedure following provincial and international guidelines
42. Regularly update use of force procedure
43. Develop a Crisis Intervention Team (CIT)
44. Implement 10 elements of the Memphis/Hamilton CIT model
45. Study the effectiveness of CIT officers
46. Amend procedures to allow a CIT officer to take charge of a call when a person in crisis is involved
47. Establish a six-month probation period for officers assigned to the Mobile Crisis Intervention Team (MCIT)
48. Expand the availability of MCIT officers
49. Require supervising officers to take the MCIT training course
50. Award and recognize officers with exemplary MCIT service
51. Encourage supervising officers to promote awareness of the MCIT
52. Include sessions for MCIT members to educate other officers
53. Consider amending procedure to identify exceptions to usual rules for persons in crisis
54. Solicit the input of MCIT members to learn from first-hand experience
55. Advocate a strudy on the medical effects of conducted energy weapons (Tasers)
56. Build a database of standardized information on conducted energy weapons
57. Amend use of force and conducted energy weapons forms
58. Collaborate with local health integration networks, hospitals, emergency medical services and others
59. Conduct a pilot project to assess the potential for expanding access to conducted energy weapons
60. Ensure anyone given a conducted energy weapon wears a camera or recording device
61. Ensure conducted energy weapon reports are reviewed regularly
62. Discipline those who over-rely on or misuse conducted energy weapons
63. Provide additional training on use and misuse of conducted energy weapons
64. Require detailed reports of de-escalation measures used before the use of a conducted energy weapon
65. Monitor data downloaded from conducted energy weapons
66. Review data gathered from conducted energy weapons
67. Revise the conducted energy weapon procedure
68. Review the best practices on safety of conducted energy weapons
69. Consider guidelines on the appropriate use of conducted energy weapons
70. Require that all officers with conducted energy weapons have completed training in mental health first aid and de-escalation techniques
71. Ensure training on conducted energy weapons is updating regularly
72. Issue body-worn cameras to all police who may encounter people in crisis
73. Develop a protocol for protecting the privacy of information recorded by body-worn cameras
74. Review alternative equipment and tactical approaches
75. Create an advisory committee to advice the chief of police on how to implement recommendations
76. Issue a public report on the progress made towards meeting Iacobucci's recommendations
77. Have the chief of police play a leadership role in the implementation of the recommendations
78. Appoint a senior officer to assume responsibility for the implementation of the recommendations
79. Create an implementation team
80. Appoint an officer for each division and unit to be in charge of the implementation of the recommendations
81. Seek further study, examination and analysis of specific issues
82. Take a leadership role in forging and fostering the relationships outlined by the recommendations
83. Collaborate with academic researchers, hospitals and others to evaluate the TPS procedures
84. Conduct a follow-up review
