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Crisis Intervention (23-33)
Terms in this set (49)
Four effective communication/interaction skills used when dealing w/ persons with mental illness
2) Crisis Facts
Controlling your surroundings and removing harmful obstacles refers to what communication/interaction skill?
Person being distressed, alarmed, confused as well as responding in sudden violence if feeling cornered refers to what effective communication skill?
Using the person's name, talking quietly but firmly in a calm tone of voice, avoid labels/acronyms, limit number of instructions and give one at a time refers to what communication skill?
Being aware of body movements and keeping all movements slow and deliberate refer to what communication skill?
True or False: You should ask the mentally ill person about support available to them including clergy, family, doctors, therapists, etc. when trying to find a solution to their problem.
True or False: You may need to introduce yourself more than one time when dealing with a mentally ill person.
True- also, establish trust and control your own emotions.
In reference to a warrantless apprehension of a mentally ill person, what is the "least restrictive alternative?"
One that is available, provides greatest opportunity for their improvement, and is no more restrictive of their liberties than is necessary to provide them with the most effective treatment while protecting them and others.
-Magistrate's order for emergency apprehension and detention
-civil court order
-emergency apprehension and transportation for evaluation
These describe what?
Emergency Detention Order
What are the components of an Emergency Detention Order?
1) statement that officer has reason to believe risk of harm is imminent unless restrained.
2) statement that officer's beliefs are derived from specific, recent behavior, acts, attempts, or threats.
3) Detailed description of the behavior and the person's name.
True or False: An officer HAS to witness the behavior personally in order to apply for an Emergency Detention Order.
False: Information can be obtained from a credible party who is listed in the EDO.
True or False: a peace officer may arrest a mentally ill person who, because of their mental illness, is a risk of serious harm to themselves or others unless immediately apprehended; and no time to obtain a warrant.
When using force to apprehend a mentally ill person, an officer may use force comparable to any other legal duty when a person is resisting arrest. The force must be __________.
Reasonable; Goal is to obtain treatment and care for the person.
List the changes to behavior intensity that may indicate the person is heading towards violence.
1) Agitated Behavior
2) Disruptive Behavior
3) Destructive Behavior
4) Out of Control
Limitation of Liability: People acting in good faith, reasonably and without _________ are not civilly or criminally liable.
What are some exceptions to confidentiality as it applies to communication between a patient and professional?
1) Disclosure to medical or law enforcement personnel when probability of imminent danger.
2) When patient consents
3) To health care personnel at a jail for the sole purpose of providing health care
True or False: Size and age of a person with mental illness has very little to do with whether back-up officer should be called.
True; like any other person under stress, a mentally ill person may exhibit extraordinary stress and act unpredictably and irrationally. Behavior is individualized.
A medical emergency requiring police intervention followed by medical treatment to reduce the risk of sudden death defines what?
Excited Delirium Syndrome
What are some symptoms of ExDS?
-Running in Traffic
-Hyperthermia and profuse sweating
- Naked or inappropriately dressed
-Screaming, yelling, or making animal sounds
-Superhuman Strength and unlimited endurance
True or False: Experts suggest five to six trained first responders to safely handle someone experiencing ExDS in order to make the struggle as short as possible.
Factors determining appropriate method of transport of mentally ill persons include:
-Distance to facility
-Behavior/Physical condition of person
On any given night approximately _________ Americans are homeless and more than __ million are homeless throughout the year.
About how many homeless Americans have a serious mental illness?
note, about 1/2 also have substance abuse disorder
What is the cause for the recent increases in homeless mentally ill persons?
Denial of service due to funding cuts;
What percentage of mentally ill persons are perpetrators of crime?
True or False: Mentally ill person are 140 times more likely to be the victim of theft and 11 times higher risk of being victimized than the general population.
-Victim's need to feel safe
-Victim's need to express his/her emotions
-Victim's need to know what come next;
These describe what?
Tips for responding to a victim's needs
Children with mental illness are commonly victims of _______ or _______.
Adults with mental illness may be easily robbed or victims of a _____ ______.
Mentally ill victims have less chance of a successful __________.
due to them not knowing they are a victim or lack of ability to discriminate between good and bad social situations.
Mark of disgrace or shame.
What are some components of Stigma?
- labeling someone with a condition
- Stereotyping people with that condition
- Creating a division
- Discriminating against them on the basis of the label.
True or False: a common stereotype of persons with mental illness is that they are dangerous and unpredictable.
What are some effects of Stigma?
- perpetuate negative portrayal of the mentally ill
- fuels fear and mistrust
- refuse treatment for fear of being "labeled."
- social distancing
- loss of job
- limited health insurance
The quality and availability of mental health programs ______ depending on community mindset and budgeting restraints.
True or False: high costs of prescription drugs and formulary limitations sometimes make it impossible for an indigent person to get access to needed medications.
The mental health system often discriminates against people who have been ________ or ____________ due to stereotypical concerns about criminal behavior and lack of experience working with this population.
Depending on the resources in your community, taking a mentally ill person for evaluation may be a ______-_______ process.
-Unstable or crucial time or state of affairs whose outcomes will make a decisive difference for better or worse;
-takes people out of their comfort zones and normal coping patterns.
-often precipitated by a loss or threat against normalcy.
What are some intensifying factors that contribute to a persons response to a crisis?
- Negative personality traits
- unrealistic expectations
- faulty sense of identity
- poor coping mechanisms due to background
- faulty belief system
How can an officer assist in a person's crisis?
- Acknowledge their feelings
- Avoid being judgmental
- attempt to assist them in maintaining a realistic view of the situation
- investigate available referral sources
- assist them in focusing on the positive
- be solution-oriented
A person suffering from temporary break down of coping skills and can be different depending on individual response.
What has now become the largest facilities for persons with mental illness?
Jails and prisons.
What percentage of violent behavior is attributable to a mental disorder?
__% of prisoners have a mental illness.
50% in TYC
What alternative to traditional courts are now being utilized for mentally ill offenders?
Mental health courts;
At least 94 communities across country have established these courts.
Based on the Clark County Mental Health Court study, __% had no new arrest one year after completing the program.
Note, 75% reduction in the number of offenders arrested.
Based on the Clark County MHC study, probation violations dropped by __%
Elements of the Texas Jail Diversion Ideal
-Education/training of law enforcement and courts
- development of:
- centralized location for assessment w/out arrest
- holding facilities for treatment
- linking services
- timely/effective screening
- community support
- methods to address housing
Sets found in the same folder
Crisis Intervention Training Pg 1-2/ 12-22
CIT pg 34-44
Crisis Intervention Training(CIT)pgs1-11
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