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Crisis Intervention Training Pg 1-2/ 12-22
Terms in this set (46)
About ______% of the U.S. adult population suffers from a diagnosable mental disorder in a given year.
Some studies indicate that _____% of U.S. adults suffer from some sort of mental illness within their lifetime.
What event sparked the interest in crisis intervention training?
Shooting of 26yr old mentally ill (black) male by two (white) officers in Memphis TN September 1987.
What is the essential difference between suspect encounter training (that officers traditionally receive) and how to approach the mentally ill?
The need to be non-confrontational
What year was CIT created?
True or False; Individuals with mental illness are traditionally hardened criminals?
When force is utilized in cases involving persons with mental illness, law enforcement is highly ______ by the public and private sectors.
How does the public view the mentally ill?
Ill and not as criminals
What does the public expect law enforcement personal to do in a situation with the mentally ill involving use of force or potential use of force?
Everything in their power to help, not hurt.
An analysis of 1439 CIT calls by HPD in 2004 revealed only 1% of individuals in a mental health crisis were arrested. Out of the remaining 99% incidents what crimes were committed?
no crimes were reported or petty class C ...
List the Social behaviors persons with autism exhibit.
-Lack of awareness/Social rules
-Reluctant to make eye contact
-Inappropriate laughter or crying
-Extreme distress for no reason
-Attachment to particular objects
-Deliberate soiling of clothes
-Uneven motor skills
-Self stimulating behaviors
List the Communication behaviors persons with autism may exhibit.
-May be verbally limited
-May repeat what is said
-Abnormal pitch, rate, or volume
-Difficulty expressing ideas or needs
-Reversal of pronouns or other parts of speech
-Difficulty with abstract concepts and terms
Other behaviors persons with autism may exhibit
-Matching,pairing, ordering objects
-Switching lights on and off
-Dropping things repetitively
-Jumping, rocking and clapping
-Chin-tapping, head-banging, spinning
-Fascination with colorful and shiny objects
What is Mental Retardation?
Refers to a range of substantial limitations in mental functioning manifested in persons before the age of 18
What are the characteristics of Mental Retardation?
-Below-level intellectual capacity
-Limitations in 2 or more adaptive skill areas such as; communication, self-care, home living, social skills, health, safety, work, academic functioning
What are the degrees of Mental Retardation?
-Mild IQ 69-55
-Moderate IQ 54-40
-Severe IQ 39-25
-Profound IQ Below 25
What are some questioning methods when dealing with mentally retarded persons?
-Be patient for reply
-Repeat question as needed
-Ask short, simple questions using simple language
-Ask open-ended questions rather than yes/no
What are some strategies that can be used during officer contact in determining possible retardation? -Criminal Activity
-Noticeably older than others involved in offense
-Readiness to confess
-Remained at the scene while others ran
-Previous criminal activity
What are some strategies that can be used during officer contact in determining possible retardation?-Educational History
-Below usual grade level
-ID states mental impairments
-Check MHMR records
What are some strategies that can be used during officer contact in determining possible retardation?- Physical appearance
-Inappropriately dressed for season
-Unusual physical structure
-Awkwardness of movement or poor motor coordination in walking
-Difficulty writing or other fine motor skills
What are some strategies that can be used during officer contact in determining possible retardation?- Speech/Language
-Obvious speech defects
-Limited response or understanding
-Vocabulary or grammatical skills lacking
-Difficulty describing facts in detail
What are some strategies that can be used during officer contact in determining possible retardation?- Social behavior
-Adult associating with children or early adolescents
-Eager to please
-Ignorance of personal space
-Non-age appropriate behavior
-Easily influenced by others
-Easily frustrated or aggressive in response to direct questioning
What are the performance tasks to utilize to help determine if possible mental retardation during officer contact?
-Read/write simple phrases
-Identify telephone number in book
-Give directions to their home
-Count to 100 by multiples of 5
-Define abstract terms (such as emotions or feeling terms)
-Explain how to make change from a dollar
What are some guidelines for law enforcement contact with mentally retarded persons?
-Speak directly to person in slow, clear, simple language
-When possible move to less disruptive location
-Be highly aware of questioning techniques
-Have patient, calm, non-threatening, but firm persistent manner
What % of the American population is considered retarded?
What % of the American population is diagnosed with a mental illness?
What are the differences between Mental illness and Mental retardation?
-MI is unrelated to intelligence while MR is below-average intellectual functioning
-MI develops any point in ones life, MR occurs before age 18
-MI has no cure but can be medicated, MR is permanent/can not be medicated
-MI behavior is unpredictable, MR behavior is consistent
The Developmental Disabilities Assistance and Bill of Rights Act of 1990 defines what?
Defines a developmental disability as a severe, chronic disability of a person five years of age or older
What is a developmental disability?
-Mental or physical impairment or both
-Manifested before age 22
-Likely to continue indefinitely
-Manifested in substantial limitation of three or more specified life activities
-Reflects persons need for lifelong or extended care, treatment or other services
The Mental Health Association of Texas reports______ of all Americans will experience a mental disorder at some point in their lives.
The Mental Health Association of Texas reports __________ Texans has some form of diagnosable mental health disorder in 2002(20%).
The Mental Health Association of Texas reports there are _____ times suicides than homicides in Texas.
1.5 times more
The Mental Health Association of Texas reports in 2001 _____ more people committed suicide in 2001 than in 2000. The gender breakdown was _______ males vs. ______ females (4 men to each women).
The Mental Health Association of Texas reports the highest rates of suicide are in what age group followed by what other age group?
45-54 (15.2 per 100,000)
75 and older (18 per 100,000)
What % of suicides are reportedly related to untreated or under-treated mental illness with the most common being depression?
What % of people diagnosed with bipolar disorder die from suicide? What % of those diagnosed with schizophrenia?
What questions will assist in evaluating an individuals current level of suicidal danger? -Evaluating the levels of danger
-Nature of current stressor?
-Method and degree?
-Acute v Chronic?
-Chance for rescue?
What questions will assist in evaluating an individuals current level of suicidal danger? -Danger to themselves?
-Gross neglect for personal safety
-Specific plan (action/words)
What questions will assist in evaluating an individuals current level of suicidal danger? -Danger to others
-Specific person identified
-Agitated, angry, explosive
-Irrational, impulsive, reckless (intent/actual)
Are medications used to treat mental illness a cure?
No. They are used to control symptoms and improve coping skills
What are the 4 categories of medications utilized in controlling they symptoms of mental illness?
What are the possible side affects of psychotropic medications?
Why do persons with mental illness prefer new medication over old?
Less side effects
A continuous problem for law enforcement is mental health consumers not adhering to their medication regimen. What are the common reasons for this deviation?
-Nasty side effects
-Start to feel better and think they no longer need the medication
What are the components of the first three minute assessment?
-Elements of evaluation
What does L.E.A.P.S stand for?
Listen- "Talk to me"
Empathize- "I can understand that"
Ask- "Would you explain that again"
Paraphrase- "So voices say your a bad person"
Summarize- "You want to kill yourself because......"
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