4013 Recognizing and responding to individuals in mental health crisis Flashcards

1
Q

Mental illness is…

A
  • A diagnosed/undiagnosed illness
  • creating a problem in the areas of thoughts, emotional regulation, and/or behavior that reflects dysfunction
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2
Q

______ is a dysfunction that negatively affects someone’s thoughts, emotions, and/or behaviors and interferes in their ability to live a full life in society.

A

Mental illness

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3
Q

What situation is not considered a mental disorder?

A

A response to an extreme stressor, such as a loss, that is expected and culturally approved

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4
Q

Stress created during a mental health crisis can often lead to abnormal behaviors in the mentally ill, often requiring _____.

A

Law enforcement assistance

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5
Q

It should be noted that someone displaying a mental illness, abnormal behavior, or in crisis, does not mean….

A

They are involved in criminal activity

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6
Q

What are 3 ways Generalized neurodevelopment disorder is characterized by?

A
  • characterized by a lower-than-average general intellectual functioning (i.e., an IQ of approximately 70 or below).
  • two or more adaptive behaviors that affect everyday life (i.e.. cooking, cleaning, bathing, dressing).
  • requires assistance with daily activities.

(Lifelong condition - treatment but no cure)

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7
Q

Ranges in severity from a handicap that somewhat limits an
otherwise normal life to a devastating disability that may require institutional care.
(Lifelong condition)

A

Autism

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8
Q

What may also be referred to “Elopement, Bolting, Fleeing, or Running?”
* Officers should know to ask “Has the child/adult ever run away before?”

A

Wandering - Autism

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9
Q

Brain Deterioration: A gradual loss of intellectual abilities.
- may have better memory of past events, seem to be living in the past.
- individual may appear lost and/or unable to recognize people
- hallucinations
- delusions

A

Dementia

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10
Q

What disease is an example of dementia?

A

Alzheimer’s is a type of dementia that affects memory, thinking and behavior Symptoms eventually grow severe enough to interfere with daily tasks

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11
Q

How to interact with someone with dementia?

A
  • Attempt to gain rapport
  • Approach slowly
  • Speak slowly
  • Confrontation or correcting them about time or place may prove counter-productive and should be avoided
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12
Q

What are 2 recognized trauma and stress-related disorders?

A
  • Acute Stress Disorder (ASD), lasts less than a month
  • Post Traumatic Stress Disorder (PTSD), lasts more than one month.
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13
Q

Many _____, _____, _____, and _______ can cause behaviors that can be mistaken for mental illnesses.

A

Medicines, illegal drugs, alcohol, and cannabis

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14
Q

When an officer suspects an overdose or is uncertain, it is necessary to do what?

A

Call emergency medical services immediately!

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15
Q

Recognizing possible indicators of mental illness/abnormal behavior.
Behavioral cues can include:

A
  • bodily movement (tics, pacing, agitation, sudden jerking movements, etc.).
  • lethargic, sluggish movements.
  • confusion about or unaware of their surroundings.
  • lack of or inappropriate emotional response.
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16
Q

_____ is a behavioral, emotional, or psychiatric situation likely resulting in significantly reduced levels of functioning in:
* primary activities of daily living
* often resulting in placement of the recipient in a more restrictive setting (in an emergency), including but not limited to inpatient hospitalization

A

Mental health crisis

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17
Q

Behavior violates a norm in society, is maladaptive, is rare or unusual given the context of the culture and location and causes a person stress in their daily life.

A

Abnormal/Atypical behavior

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18
Q

____ is what you are seeing from the individual when you arrive on scene and interact with the individual

A

Signs

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19
Q

_____ are what they are telling you they are experiencing or feeling

A

Symptoms

20
Q

Trouble expressing oneself in speech. Maybe eager to communicate but has difficulty finding the right word. Grammar structure is below age level.

A

Expressive Language Disorder

21
Q

This is a disturbance in verbal fluency

A

Stuttering

22
Q

Can comprehend speech, also, the person tends to have a substantial vocabulary. The disorder is apparent in the person’s speech pattern. For example, blue comes out as “bu,” and rabbit sounds like “wabbit.”

A

Phonological Disorder

23
Q

Disability that causes
impairment of understanding and language expression

A

Mixed Receptive-Expressive

24
Q

_____ occur when a person exhibits depression. bipolar disorder (Manic depression) or both in an alternating fashion

A

Mood disorders

25
Q

Officer response considerations for people with Bipolar disorder:

A
  • Don’t be afraid to ask if the person is suicidal
  • Don’t take the individuals mood or comments personally
  • Stick to the issue at hand
    The changes can occur SUDDENLY!
26
Q

_____ is the act of intentionally causing one’s own death.

A

Suicide

27
Q

Examples of life situations that can lead to suicide:

A
  • Death or terminal iliness of a relative or friend.
  • Divorce, separation, or the breakup of a relationship
  • Loss of health (real or imagined).
  • Loss of job, home, money, status, self-esteem, or personal security
  • Drug or alcohol misuse
28
Q

Risk factors for suicide:

A

can include both the situations a person experience and how the person is feeling internally

29
Q

What are some suicide emotional and behavioral changes?

A
  • Overwhelming pain.
  • Hopelessness.
  • Worthlessness, shame, guilt, or self-hatred.
  • Fear of losing control and harming themselves or others.
  • Appear sad, withdrawn, tired, apathetic, anxious, irritable, or prone to angry outbursts.
  • Not be performing well in school, work, or other activities.
30
Q

Warning signs of suicide:

A
  • Previous suicide attempts.
  • Preoccupation with death.
  • Statements like, “You would be better off without me” or “I wish I were dead”
  • Development of a suicide plan, “Making out a will or giving away favorite possessions.
31
Q

Characteristics of suicide:

A
  • Experiences drastic changes in behavior, loses interest in work, school, hobbies, etc.
  • Shows happiness after prolonged depression.
32
Q

______ is a serious and potentially deadly medical and physiological condition involving psychotic behavior, elevated temperature and an extreme fight-or-flight response by the nervous system.

A

Excited Delirium Syndrome

33
Q

Characteristics of Excitied Delirium Syndrome:

A

severe agitation, unusual strength, tolerance to significant pain and elevated body temperature.

34
Q

Many “in custody deaths” are linked to _____

A

Excited delirium syndrome

35
Q

Some cases of severe _____, ______, or ______ can result in excited delirium syndrome

A

Intoxication, drug abuse, or substance use disorder

36
Q

Scene Assessment: plan of approach

A
  • Immediately identify people at the scene (when safe to do so)
  • Who are they/Can they assist?
  • Role at the scene, are they necessary (witness; bystander, etc.) or THREAT (escalation)?
  • Eliminate distractions
  • Observable behaviors upon arrival
  • Speech, movements or gestures
  • Full body assessment (WEAPONS/Hands)
37
Q

If the person is a danger to himself/herself or another person the officer should….

A

Take IMMDIATE enforcement actions in order to:
* stabilize the scene/subject.
* secure the scene/subject.
RECOGNIZE THE DANGER SIGNS!
- Potential for “police assisted suicide”, violence, compliance.

38
Q

Rapport building is critical in most situations dealing with a person in ____

A

Mental health crisis

39
Q

Contact with the subject:
The goal is ______ but be prepared for noncompliance

A

Voluntary compliance

40
Q

Avoid arguing with the person if….
- the person is hallucinating
- the person is delusional

  • Do NOT get caught up in their perception of reality *
A
41
Q

Recognize possible indicators of mental illness/abnormal behavior.

Verbal cues may include:

A
  • illogical or grandiose thoughts.
  • paranoia, delusions, or hallucinations.
  • talking rapidly, excitedly, or loudly.
  • unusual speech patterns or extremely slow speech, pressured speech or not talking
  • sub-vocals; grunting or hissing
  • being argumentative, belligerent, or unreasonably hostile, threatening harm to self or others
42
Q

What are 2 things to do once the scene and subject(s) are secured?

A
  1. Preserve evidence
  2. Interview witnesses
43
Q

The officer MUST be able to articulate why the person’s behaviors are a ______

A

Danger to themselves or others

44
Q

A state of emotional exhaustion that results from failing, wearing out, or feeling totally used up due to too many demands on one’s energy, strength, or resources.

A

Burnout

45
Q

Managing the scene.

Taking into Custody:

A
  • Your (Officer) safety
  • Safety of others
  • Individual(s) safety
  • In-custody deaths (considerations)
46
Q

What is Deinstitutionalization?

A
  • moved mental health patients out of state-run “insane asylums” into federally-funded community mental health centers.
  • began in the 1960’s to improve treatment for the mentally ill.
  • substantially decreased the services and “beds” available to the mentally ill.
  • served as a catalyst for the increase in crime rate and incarcerations during the 1960’s and 1970’s.
47
Q

Disposition of the individual is critical. Assistance considerations for the individual in crisis include:

A
  • application of state law and agency policy
  • informal- officer, family or counselor involvement, crisis intervention
  • formal- institution or confinement based on law, agency policy and supervisory decision
  • Arrest
  • Involuntary commitment