3rd Test Flashcards
Offen _______ are the first responders.
Police
Mental health is defined as:
condition with regard to their psychological and emotional well-being.
Mental Health includes
Emotional, psychological, and social well-being
Mental health affects
How we think, feel and act, and determines how we handle stress, relate to others and make choices
Mental illness is
condition that impacts a persons thought, perception of reality, emotional process or judgement or grossly impairs a persons behavior as manifested by recent disturbance behavior.
Mental illness means a
Illness, disease or condition
Mental illness is illness, disease or condition other than?
Epilepsy, dementia, substance abuse or intellectual disability
Five prominent categories
-Mood disorder
-Schizophrenia/psychotic disorder
-Dementia
-Anxiety Disorder
-Eating Disorders
Mood disorder
A psychological disorder characterized by the elevation or lowering of a persons mood such as depression or bipolar disorder
Two most common mood disorders encountered by jailers are?
-Depression
-Bi-Polar Disorder
Depression
A common, widespread disorder
Major depressive disorder is defined as
A depressed mood or list of interest for at least TWO WEEK DURATION
How many symptoms are present within the 2 week of major depressive syndrome?
Five or more symptoms are present
In 2014 what percentage of adults had Major Depressive Episodes and what ages?
6.6% of adults at the age of 18 or older
Bipolar Disorder
A mental illness involving mania (an intense enthusiasm) and depression
Schizophrenia
Is a brain disorder that impacts the way a person thinks (“thought disorder”) and is characterized by a range of cognitive, behavioral, and emotional experiences
Characteristics of schizophrenia
Delusion, hallucinations, disorganized thinking, grossly disorganized or abnormal behavior, and negative symptoms
Symptoms of schizophrenia typically manifest between the ages of
16 and 30
Dementia is
An umbrella term used to describe a decline in memory or brain function that impacts an individuals daily life
Symptoms of Dementia
-Memory Problems
-Confabulation
-Impaired Thinking
-Impaired Judgment
Anxiety Disorder are
A group of mental disturbances characterized by anxiety as a central or core symptom
Anxiety is associated with
physical illnesses, medication side affects, and other psychiatric disorders
Eating Disorder are
Serious conditions related to persistent eating behaviors that negatively impact your health, your emotions, and your ability to function in important areas of life
What Mental illness doesn’t impact jails as severely?
Eating Disorders
What is DSM-5
Diagnostic and Static Manual of Mental Disorder
Co-occurring Disorder
The coexistence of both mental and substance use disorder, co-occurring disorders were previously referred to as dual diagnosis.
People with mental health disorders are more likely to
alcohol or substance use disorder
Symptoms of substance withdrawal are
Emotional, and physical withdrawal symptoms.
Psychosis is
distortion of reality that may be accompanied by delusions and/or hallucinations
Hallucinations are
Seeing, hearing, or feeling things that aren’t there
Delusions are strong beliefs that are not consistent with a persons culture unlikely to be true and may seem irrational to others such as the following:
-Believing external forces are controlling thoughts, feeling and behaviors
-Believing that tribal remarks, events, or objects have personal meaning or significance
-Thinking that they have special powers, on a special mission, or that they are God
Behavioral characteristics of a person in psychosis
-Inappropriate or bizarre attire
-Body movements are lethargic or sluggish
-Impulsive repetitious body movement
-Responding to Hallucinations
-Causing injury to self
-Home environment
-Unusual attachment to childish object or toy
Excited Delirium (Overdose)
A serious and potentially deadly medical condition involving psychotic behavior, elevated temperature, and an extreme fight or flight response by the nervous system
What is the appropriate responses to Excited Delirium?
-Notify Medical Staff rapid chemical sedation can be life saving
-Remove physical restrains when feasible
-when using restraints, monitor the subject for positional asphyxiation
Personality Disorder
A deeply ingrained, inflexible pattern of relating perceiving, and thinking serious enough to cause distress or impaired functioning is a personality disorder.
What are the three most common Personality Disorder
-Paranoid
-Antisocial: most commonly in men
-Borderline: most commonly in females
People with Personality Disorder have difficulty
Dealing with other people
People with Personality Disorder may use
Alcohol and illegal substances as a form of self- medication. They often need TREATMENT CHEMICAL DEPENDENCY OR DEPRESSION
Intellectual disability means
Significant sub-average general intellectual functioning that is concurrent with deficits in adaptive behavior and originates during the development period.
Development Disability means
A severe chronic disability
Intellectual Disability are chronic disabilities that:
-Attribute to mental or physical impairment or both combined
-Manifest before 22years of age
-Is likely to continue indefinitely
What are the two characteristics associated with intellectual and developmental disorders?
-Speech/Language
-Social Behavior
Mental illness is unrelated to
Intelligence
Metal illness develops at
Any point I anyone’s life
Developmental Disability occurs before age of
22
Does mental illness have a cure?
No mental illness has no cure but medication can control the symptoms
Does Intellectual Disability have a cure?
Intellectual Disability is a permanent intellectual impairment. No medications can help.
TBI (Traumatic Brain Injury)
Is a blow or jolt to the head or a penetrating injury that disrupts the normal function of the brain.
TBI
-Injury may range from a mild concussion to severe closed or open head injury
-Injury may not be reported or diagnosed
- Symptoms may not appear for months or years
Delirium is a
Serious disturbance in mental abilities that result in confusing thinking and reduced awareness of your environment. The start of delirium is usually rapid within hours or a few days
What are the four symptoms of Delirium
-Reduced awareness of environment
-Poor thinking skills
-Behavioral changes
-Emotional disturbances
What are crisis related to mental health
-The individual presents a immediate danger to himself or others
-Mental and physical health risk of serious deterioration
What are the three communication techniques for de-escalation?
-Empathy ability to accurately describe emotionally state of another
-Sensitivity, staying with person until crisis is resolved
-Communication
Promoting Communication
-Listening
-Clarification
-Respond Effectively
-Maintain Personal Space
Basic Communication Guidelines
-Use short, clean direct sentences
-Keep the “stimulation level” as low as possible
-Instructions and directions will often have to be repeated. Be patient
Nonverbal communication speaks volumes. A ________ may be more affective.
Cooperative and open stance
An inmate with compromised coping capacity who is experiencing a crisis may have ________ behavior which can be mistake for noncompliance with your commands.
Unpredictable
Safety is compromised any time jailers ________ .
Goes hands on
Jailers should use _______________to talk them down versus taking them down
No confrontational, verbal de-escalation skills
Inmates deaths occurred within the first
7 days of admission
What percentage of suicided occurs within the first 24 hours of incarceration in Texas jails?
24%
What percentage of suicides involve victims who are intoxicated occurs in Texas jails?
20%
What percentage of suicides happen with the hanging method in Texas jails?
93%
Myths about suicide
-People who make suicidal statements or threaten suicide don’t commit suicide
-Suicide happens suddenly and without warning
-People who attempt suicide have gotten it out of their system and won’t attempt again
-Asking about and probing the inmate about suicidal thoughts or actions will cause him to kill himself
What are risk factors of potential suicide?
-First time arrestee or insignificant arrest
-Harsh, condemning, rejecting attitudes of jailers or an authoritarian environment regimentation
-Recent excessive drinking or used of drugs/ withdrawal
-Lost if stabilizing resources
-Rape or threat of it
-Mental illness, poor health, terminal illness
Segregation increased risk of psychological difficulties, especially in
Mentally ill and juveniles
Key times to observe signs or symptoms of suicide
-At arrest and booking
-Sentencing court appearance
-Holidays
Warning signs and symptoms of suicide
Excessive self blaming
Everything happens at ____________before admitting inmates.
Intake area
Intake screening is the first step and is crucial to determine
Which inmate required more specialized mental health assessment
What form must be completed on all inmates upon admission into the facility?
An intake screening
The intake form should be completed by
Trained booking jailer or medical/mental health personnel
If an inmate is ________________, notify supervisor and place the inmate on ___________until form can be completed.
Unable to or refuses to answer question/
Suicide watch
Cells for inmates in suicide watch
-Violent Cells
-Administrative Separation
-Single Cell
Violent Cell
A single occupant padded cell for the temporary holding of inmates harmful to themselves or others
Administrative Seperation
The assignment of an inmate to special housing unit, usually a separation or single cell, when staff determines that such close custody is needed for the safety of inmates or staff, for the security of the facility, or to promote order in the facility
Single Cell
A cell designed to accommodate 1 inmates. The cell minimally contains 1 bunk, toilet, lavatory, table and seat.
