"It doesn't provide adequate care for treating people's illnesses,” said CEO Sarah Anderson of the alleged response to the incident by the fire department.

"I'm afraid to stay alone, I’d rather die than go to the hospital, I want to be dead,” Nurse practitioner Catherine Matthews said when she heard that from the patient she knew immediate hospital services were required.

Matthews showed 5 EYEWITNESS NEWS the transport information she gave to firefighters for an emergency admission at the hospital.

"He stated to the patient, 'well he's competent... he seems competent to me... he seems competent... he doesn't need to go to the hospital... he's not suicidal... so not taking him,'" Matthews said while the captain spoke to her and the patient.

Psych Recovery staff said they provided the patient with additional resources for care.

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“The city is actively engaged in assuring our responders have the tools, training and resources needed to appropriately and effectively respond to these calls for assistance,” said Matt Simpson, St Paul Fire Assistant Chief of Emergency Medical Services. “There is a commitment in assuring that we are positioned to provide the proper level of care and assistance to all who rely on our services in a time of need.”

IAFF Local 21, who represents the fire captain, said they were aware of the allegations and take any complaint made against any firefighter seriously.

Since 2018, SPFD said they have responded to 2,181 calls for service involving mental health/behavioral concerns citywide.

If you or anyone you may know is struggling with mental health, call the National Suicide Prevention Lifeline at 1-800-273-8255.