Community Access Support Teams (CAST) - Limerick Garda Division and HSE Mid-West Co-Response

This Project, led by Prof. Owen Doody, School of Nursing and Midwifery UL, examines how to design and implement a co-response crisis intervention model to improve outcomes for individuals experiencing mental health crises or situational trauma. It will investigate effectiveness of a multi-agency approach involving law enforcement and mental health professionals in providing rapid, integrated, and sustainable responses to such crises.  

The Community Access Support Team (CAST) pilot project is a groundbreaking initiative designed to improve responses to individuals in crisis, particularly those experiencing mental health challenges or situational trauma. Based in Limerick, this project brings together An Garda Síochána (police) and the Health Service Executive (HSE) to form a co-response team that combines the expertise of law enforcement and mental health professionals. The goal is to provide rapid, compassionate and effective support to people in crisis, reducing the need for arrests or emergency department visits and to ensure individuals get the care and support they need in a timely manner.

The CAST model involves three key components: specialised call handling, a co-response team that includes Gardaí and mental health professionals and a community support hub consisting of different support organisations who collaborate for follow-up care. By working together, these teams aim to address immediate crises, connect individuals with appropriate services and reduce repeat incidents. The project also includes evaluation and training to ensure its effectiveness and sustainability.

CAST aims to transform how mental health crises are managed, emphasising care, collaboration and recovery. The pilot project in Limerick will serve as a blueprint for nationwide implementation, offering a template for a more supportive approach to mental health and community safety in Ireland.