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These models represent one of several emerging alternatives to police-led crisis response and have gained attention for their potential to improve safety, trust, and care outcomes. Reports included in this scoping review discussed: the development, need, potential, implementation, and outcomes of civilian-led crisis response models. Covidence software was utilized by two independent reviewers to search 11 databases, with a third reviewer resolving conflicts. A dataset of 46 reports were then analyzed with thematic content analysis by a multidisciplinary team using critical theories to offer an exploration of how civilian-led crisis teams have begun to address the harms of policing responses to mental health. In exploring the key processes for civilian-led crisis response teams, three themes emerged. The first theme,\n                    <jats:italic>Decentering Police,<\/jats:italic>\n                    explores the growing collective awareness of the harms associated with police-involved crisis intervention and the corresponding need for alternative approaches, alongside efforts to establish a team composition that is intentionally distinct. The second theme,\n                    <jats:italic>Team Scope of Practice,<\/jats:italic>\n                    explores the subthemes of dispatch logistics and defining criteria for response.\n                    <jats:italic>Team Sustainability<\/jats:italic>\n                    is the third theme and explores how social and political will shape the uptake and long-term operation of civilian-led crisis programs.\n                  <\/jats:p>","DOI":"10.1007\/s10488-026-01514-w","type":"journal-article","created":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T01:32:53Z","timestamp":1782696773000},"page":"520-534","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Restructuring Crisis Response Programs as Civilian-Led: A Scoping Review"],"prefix":"10.1007","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2628-4024","authenticated-orcid":false,"given":"Megan W.","family":"Rowe","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-0424-2612","authenticated-orcid":false,"given":"Allannah","family":"Nguyen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-8330-2213","authenticated-orcid":false,"given":"Leyna","family":"Lowe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6409-7476","authenticated-orcid":false,"given":"Kara","family":"Fletcher","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1331-1222","authenticated-orcid":false,"given":"Andrew D.","family":"Eaton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,29]]},"reference":[{"issue":"3","key":"1514_CR1","doi-asserted-by":"publisher","first-page":"325","DOI":"10.1176\/appi.ps.20220084","volume":"74","author":"E Anene","year":"2023","unstructured":"Anene, E., Nallajerla, M., Bath, E. 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