Police.stanford.edu
Course Description: This 24-hour course will provide peace officers and dispatchers with the skills and knowledge to recognize individuals with mental illness, identify potential disorders, and to minimize escalations in contacts with mentally ill individuals. Training focuses on developing safe techniques for approaching the mentally ill, communication skills, de-escalation techniques, suicide risk factors, stigma, and cultural issues. Students will hear from industry professionals that specialize in mental health treatment and services, and will participate in an interactive panel discussion with mental service consumers and family members. Course meets the minimum topics of SB29 & PC 13515.28(a)(1). Course Activities: In this 24 hour course, several learning activities will be utilized, such as role play scenarios, interactive video scenarios, case studies, classroom discussion, group discussion, question and answer during resource and lived experience panel, etc. Assessment of Student Learning: Student learning will be assessed by the learning activities listed above. COURSE OVERVIEW Course IntroductionInstructorStudentsFollow your agency/departmental policies and trainingValue-add to attendeesReduce deaths and injuries for both officers and those with mental health challengesLearn to recognize signs and symptom of mental healthLearn to effectively communicate with a person in crisis having a behavior health, developmental disability, or Alzheimer’sLearn to de-escalate individuals with mental health difficulties in crisisLearn coping skills that will benefit attendees professionally and personallyCrisis Intervention, de-escalationA crisis can provide both danger and opportunitySelf-AwarenessWhy it works and the use of distracters, compassion, and choicesHow emotions are storedNon-verbal de-escalationsMehrabian study on body language and voiceVerbal de-escalation and the language to use depending on type of learnerCultural awareness in negotiations and de-escalationCIVIL COMMITMENT AND LEGAL ISSUESMental holds5150 (California Welfare & Institutions Code) overview and backgroundPatient’s Rights Foundation of Silicon ValleyCourt casesLegal issuesCivil Welfare and Institute CodesCurrent case law reviewDiscretionDecision making and handling of criminal chargesCLIENT CULTURE AND STIGMA: CULTURAL DIVERSITY AND MENTAL HEALTHIntroductionResearch and clinical practice have propelled advocates and mental health professionals to press for “linguistically and culturally competent services” to improve utilization and effectiveness of treatment for different cultures.Culturally competent services incorporate respect for, and the understanding of, ethnic and racial groups, as well as their histories, traditions, beliefs, and value systems.Cultural differences reflect differences in coping with day-to-day problemsCoping stylesHelp seeking behaviorMistrustStigmaClinician biasMental health cultureSTIGMAProvide context for stigma and the role it plays in mental illness, intellectual disabilities, and substance use disorders;The meaning of stigma – a mark of disgrace or shame associated with a particular circumstance, quality, or personThe consequences of stigmatization – social isolation, fear, violence, mistrust, prejudice and discriminationDiscuss both historical and modern day stigmatization of mental illness, intellectual disabilities, and substance use disorders as it pertains to;Societal views and treatment of mental illnessThe evolution of medical treatmentDramatizations by the news and entertainment industryCompare and contrast the way different cultures treat mental illness, intellectual disabilities, and substance use disorders in the areas of;StigmatizationThe social impact on families and individualsBarriers to seeking help and participating in treatmentSTIGMA REDUCTIONIdentify mechanisms to reduce personal bias against people with mental illness, intellectual disabilities, and substance use disorders:Learn the factsGet to know people who have experiences with mental illness, intellectual disabilities, and substance use disordersIdentify mechanisms to reduce stigmatism against people with mental illness, intellectual disabilities, and substance use disorders:Speak out against the display of false beliefs and negative stereotypesSpeak openly of personal experiencesDon’t discriminate, judge, or stereotypeShow respect, treat with dignityPresent the perspective of individuals and families experienced with;Mental illnessIntellectual disabilitiesSubstance use disorders (co-occurring)SUICIDESuicide intervention/prevention (QPR)QuestionPersuadeReferRisk factorsSuicide is a complex behaviorAssociated mental and/or substance abuse disorderFrequently occurs in combinationEpidemiological factorsPsychiatric disordersPast historyBehavioral examplesSymptoms associated with suicideSuicide by CopIndividuals attempting to provoke police to kill themLeaves two victims the officer and the subjectOfficer suicideLethality of method makes rate highBEHAVIORAL HEALTH, DEVELOPMENT DISABILITY, HOARDING & ALZHEIMERSTRAUMATIC BRAIN INJURY (TBI)DefinitionEffects of TBIIndicators of TBIPhysical Slowness in thinking, speaking, actingSocial, behavioral, emotional INTELLECTUAL DISABILITIESDefinitionConnecting to Regional Center Resources24-hour response lineCriteria for helpSlowness in thinking, speaking, acting, etc. Social, behavioral, emotional types of childhood disorderAge at on setHOARDINGDefinitions of hoardingSymptomsDangers of hoardingResourcesFIRST RESPONDERS AND THE ELDERLY: ALZHEIMER’SStatistics / prevalenceCaregiversSymptoms including distorted thinking and visual spatial considerationsWhy people with AD behave the way they doTracking devicesResources including 24/ hour HelplineAlzheimer’s preventionPolice interventionsCommon reasons for police involvementWandering / lostDriving issuesErratic behavior in publicDanger to themselves or othersWelfare checkShopliftingIn custody challengesApproach tacticsQuestions to askQuestions not to askInformation gathering Effective listeningTrigger words and behaviorsCollateral InformationPractical tips in crisis situationsMake the individual as comfortable as possibleFamiliarity helpsWandering tips Find a quiet spot, without interruptionsEstablish a positive relationship with the clientFind ways to communicate effectivelyUnderstanding significant changes in behaviorMost common medicationsAntidepressantsProzac, Celexa, Lexapro, ZoloftAntipsychoticsHaldol, Ativan, Seroquel Antipsychotics are the drugs to really look for. Lots of people take antidepressants. TYPES OF PSYCHOSIS AND MENTAL HEALTHMood disorders and/or affective disorders, Thought disorders, Personality disordersMental, behavioral descriptionsSubstance Abuse and Dual DiagnosisMental, behavioral descriptionsBasic drug classificationsSubstance induced mood and psychotic disorders Approach tacticsQuestions to askQuestions not to askInformation gathering Effective listeningTrigger wordsCollateral InformationMost common medicationConcernsAUTISMBehavioral descriptionsHow to approachQuestions to askQuestions not to askInformation gathering techniquesEffective listeningTriggering wordsDe-escalation techniquesDo’s and don’tsCollateral informationMost common medicationCommunity resourcesConcernsVETERANS AND POSTTRAUMATIC STRESS DISORDER (PTSD)Recognizing PTSDSpecific symptoms associated with veteransProviding assistanceResourceMENTAL HEALTH IN THE JAIL IntroductionNationwide statisticsReferral and intakeAvailable resourcesCustody release aftercare and resourcesReferral processFacts about the JailThe length of the court processHousing systemDe-escalationCaringFoodAttitudeJokes and humorQuestions to askConsiderationsDo’s and Don’tsMENTAL HEALTH COURTIntroductionMental Health Court is a diversion programGoalsRequires collaboration between the criminal justice system and mental health fieldsMental health courts typically involve judges, prosecutors, defense attorneys, and other court personnel who have expressed an interest in /or possess particular mental health expertise.Target offenders, nonviolent offenders diagnosed with a mental health or co-occurring mental health and substance abuse disorders.PurposeEligibilityOutcomes: Less crowding in Jail and reduced residuum ratesTo reduce the time taken by police in the handover of mental health consumers into the health care system.CRITICAL INCIDENT/STRESS MANAGEMENT (CISM)DefinitionTreatment and peer supportTaking care of selfRecognize the connection between your mental and physical well-beingWellness requires one change at a time, making good habits a way of life rather than a short-term change.Characterization of good mental healthPersonal growthSense of purpose in lifeSelf-acceptancePositive relationships with othersFriends and FamilyNormalization of critical incident feelingsMethods for copingDebriefingDefusingGrief and loss sessionCrisis management briefingGiving referrals for further help if requiredEXCITED DELIRIUMDefinitionBehaviorsBizarre and/or aggressive behaviorShouting paranoiaFear or panicRapid emotional changesViolence toward othersUnexpected physical strengthSudden tranquilityDisoriented about selfHallucinating and/or delusionalPsychotic in appearanceNaked or partially disrobedFoaming at the mouthProfuse sweatingDilated pupilsMaking animal like sounds -GruntingHyperactivity and trashing aboutCRISIS INTERVENTION IN ACTION Implementing Different ways of implementing Crisis Intervention Trained (CIT) officers effectivelyIdeas for how to run a CIT programHow to continually improve CITCase Studies showing CIT in actionNATIONAL ALLIANCE FOR MENTAL ILLNESS (NAMI) IntroductionIn our own voicesA first-hand account of what it’s like to live with a mental illnessNot uncommon to live well with mental illnessStereotypes and misconceptionsThe understanding that every person with a mental health challenge can hope for a bright future.ReferralApproachInteractive discussionHOMELESSNESS Introduction In our own voicesA first-hand account of what it’s like to live on the streets/be homelessStereotypes and misconceptionsMental illness.Resources/Referral Approach DE-ESCALATION TECHNIQUESCommunication methodologyAssessing situation/gathering cluesHow to approach the person with behavioral health challengesUnderstand possible causes of disruptive behaviorDevelop through questioning/communication skills: when, where, how, and whyListening skillsThreatsPresence of drug and alcoholSuicide / homicide: intent, means, planCollateral informationPossible causes of disruptive behaviorAre you safe/afraid/concernedDe-escalation Management of behavioral emergenciesAggressive individualsCalming angry individualsVerbal de-escalation and control of individuals on the edge of violenceControl of aggressive, suicidal and para-suicidal threatsUse of spacing, stance, the eyes and voice to calm and individual or establish controlPersonal securityPracticing de-escalationInteractive video for role playCONCLUSIONEvaluationsCertificates & CIT Pins ................
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