Crisis Recognition Crisis Recognition Question to Consider What
Crisis Recognition Crisis Recognition Question to Consider What are the key challenges police officers face when dealing with persons in behavioral crisis? 2 Crisis Recognition Recognizing a Person in Crisis
3 Crisis Recognition Behavioral Crisis: A Definition An episode of mental and/or emotional distress that is creating instability or danger and is considered disruptive by the community, friends, family or the person him/herself Adapted from the Seattle Police Department 4 Crisis Recognition
How Does a Crisis Typically Occur? Precipitating event Persons perception of the event Normal methods of coping fail Resulting in Breakdown in control Inability to respond appropriately Feeling overwhelmed Adapted from Police Training Institute
University of Illinois 5 Crisis Recognition Why Should I Care? 6 People in crisis need help Crises can impact public and officer safety Its our job to serve and
protect Reflects mission, values & ethics sanctity of life Crisis Recognition Mental Illness Perception disorder Thought disorder Mood disorder PTSD 7 Emotionally Distressed
Person Adapted from Nassau County, NY Police Department Crisis Recognition Optional Video Tim Wynn, Mentor for the Philadelphia Veterans Court 8 Crisis Recognition Some Facts about People with Mental Illness
Biological illness like heart disease or cancer Nobody chooses to develop a mental illness There is no cure, but many people stabilize to live full, productive lives Medications help, but they are not perfect and there can be episodes or side-effects Adapted from Seattle Police Department 9 Crisis Recognition Mental Health Statistics
1 in 5 adults lives with a mental illness: 1 in 25 adults lives with a serious mental illness 1.1% (2.4 million adults) live with schizophrenia 2.6% (6.1 million adults) live with bipolar disorder 10.2 million adults have co-occurring mental health and addiction disorders Source: National Alliance on Mental Illness
10 Crisis Recognition Mental Health Statistics 26% of adults staying in homeless shelters live with a serious mental illness 24% of state prisoners have a mental health condition 90% of those who commit suicide have an underlying mental illness
Source: National Alliance on Mental Illness 11 Crisis Recognition Multicultural Living with a mental health condition:
12 19.3% of white adults 18.6% of African American adults 16.3% of Hispanic adults Multicultural communities typically: Mental Health Statistics Have less access to treatment Are less likely to receive treatment Receive poorer quality of care Language barriers Have lower rates of health insurance
11% of transgender individuals reported being denied care due to bias or discrimination Source: National Alliance on Mental Illness Crisis Recognition Children and Teen Mental Health Statistics 13
20% of teenagers live with a mental health condition The delay between symptoms and treatment is 10 years 37% of students with a mental health condition drop out of school 70% of youth in state and local juvenile justice systems have a mental illness Source: National Alliance on Mental Illness Crisis Recognition People with Mental Illness and the Criminal Justice System People with serious mental illness can be violent
But most people with mental illness are not, and never will be, violent Jail is often not a helpful place to get stabilized Most people, even in a behavioral crisis, respond positively to kind and patient behavior 14 Sources: National Institute of Mental Health, U.S. Department of Health and Human Services
Crisis Recognition Mental Illness Emotionally Distressed Person 15 Substan ce Abuse Alcohol Illegal drugs Synthetics Combinatio n
Adapted from Nassau County, NY Police Department Crisis Recognition Mental Illness Effects of Medicatio n Traumatic Brain Injury Medical Conditio n 16 Emotionally
Distressed Person Substan ce Abuse Adapted from Nassau County, NY Police Department Crisis Recognition Mental Illness Emotionally Distressed Person Medical Conditio n
17 Substan ce Abuse Career Financial Relationshi p Situation al Stress Adapted from Nassau County, NY Police Department Crisis Recognition Persons with Intellectual
and Development Disabilities Autism spectrum disorder 18 Most common but not usually visibly apparent Persons living with autism may engage in stimming Crisis Recognition Autistic Teen engaging in stimming 19
Crisis Recognition Persons with Intellectual and Development Disabilities Autism spectrum disorder Cerebral palsy Epilepsy Developmental delay May result in difficulties in communication, adaptive living skills, self-direction, mobility.
20 Crisis Recognition Persons with Physical Disabilities Deaf/hard of hearing Blind/low vision Muscular Dystrophy Multiple Sclerosis
Stroke Alzheimers Huntingtons Disease Head/spinal cord injury May make it difficult for people to hear, comprehend and follow directions and to respond back to you. 21 Crisis Recognition Persons with disabilities may exhibit same behaviors as EDPs Dont always assume its mental illness
Could be one of many factors or a combination of several Focus on subjects behavior 22 Crisis Recognition Another Ask the person Does the person have a mental health condition?
A physical or developmental disability? Ask Dispatch 23 Are you on medication? Do you normally see a doctor? Ask family members or friends nearby Approach Ask! Get more information, ask follow-up questions
Crisis Recognition Why do you want to know whats behind someones erratic behavior? Best approaches to help stabilize the situation What communications strategies to employ What additional resources you may need Up-front awareness and recognition are key to a safe and effective response.
24 Crisis Recognition What the encounter looks like from another perspective 25 Crisis Recognition Suicide by Cop - Content Courtesy of NYPD Detective Jeff Thompson, Ph.D. 26 Crisis Recognition Suicide by Cop
Definition: A deliberate act motivated, in whole or in part, by the subjects desire to die by suicide, which provokes the law enforcement officer(s) to act, with the result being a justifiable homicide by the officer(s). -Detective Jeff Thompson, NYPD 27 Crisis Recognition Suicide by Cop Suicide-by-Cop criteria: 1. 2. 3.
28 Voluntarily enter into a confrontation with law enforcement Communicate suicidal intent (verbal or actions) Act in a threatening manner to the police Crisis Recognition Suicide by Cop Suicide by cop is prevalent and often unpredictable Study of 700 officer-involved shootings
36% were suicide-by-cop incidents 17% of these suicides were planned 81% were spontaneous Mohandie, Meloy, and Collins. Suicide by Cop Among Officer-Involved Shooting Cases. Journal of Forensic Science (2009) 29 Crisis Recognition Suicide by Cop Suicide-by-Cop Subjects:
Ment al Illnes s History of mental illness 62% Unknown mental illness 32% Under the influence of a controlled substance 17% Intoxicated 36%
Medical Thought disorder 15% Conditi on Prior criminal history 30 66% Substan ce Abuse Emotionally Distressed Person Situatio nal Stress
Crisis Recognition Suicide by Cop Subject may be experiencing a wide range of emotions and characteristics including Anger Agitation Resoluteness Defiance Desperation
We know that when a subjects emotions are running high, their rational thought is low. 31 Crisis Recognition Suicide by Cop The Emotional-Rational Thinking Scale 32 Courtesy of Detective Jeff Thompson, NYPD Crisis Recognition
Quick There Recap could be many causes for a person to be in crisis mental illness is one of them Your priority is not to diagnose and resolve the situation its to defuse, stabilize and get help 33 Crisis Recognition Quick As Recap
emotions rise, rational thinking declines lowering their emotions helps people think more rationally Empathy, communication, respect, making a connection all about trying to get 34 voluntary compliance Crisis Recognition Thoughts? Questions? Observations? 35
They are mostly IFR and on a mandatory route. TCAS helps protect the aircraft, but it also creates problems by reaching out and alerting about an a/c that may not be a problem. TCAS can't determine other than "if everyone...
The ABEL Project: First Interim Evaluation Report, June 2003 "ABEL teachers consider the opportunity to build relationships with their colleagues as the primary strength of the project." "Students have been exposed in presentations and dialog to expert thinking in different...
Technologically simple or unsophisticated, and readily available in most offices (e.g., replacing a door knob with an accessible door handle, providing a magnifier). High-tech: Advanced or sophisticated devices (screen reading software with synthesized speech).
Although PPE when used correctly can reduce the seriousness of injuries, is not intended to allow workers to commit unsafe acts or violate safety rules or regulations. Link to logging personal protective equipment regulations. Link to online video on logging...
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