6/005.00 Handling persons with special needs Flashcards

1
Q

The diversion of certain persons away from the criminal justice system and toward treatment, whenever _________ and _________, is a desirable option.

A

-Available and appropriate

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2
Q

What is a CIT officer?

A

On-duty, uniformed officers who have completed CIT training

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3
Q

CIT scope entry - CIT1 (a, b, c, d)

A

CIT1 - previous legal 2000

a. unable to satisfy need for nourishment, personal or medical care
b. attempted or threatened to commit suicide
c. mutilated self
d. inflicted, attempted to inflict bodily harm on others

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4
Q

CIT scope entry - CIT2

A

-Previous violence toward officers and/or others

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5
Q

CIT scope entry - CIT3 (a, b, c)

A

CIT3 - weapon impounded from or taken off subject

a. knife
b. firearm
c. other

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6
Q

CIT scope entry - CIT4 (a, b, c, d, e)

A

CIT4 - self or doctor diagnosed mental disorder

a. psychosis
b. bi-polar
c. schizophrenia
d. PTSD
e. depression

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7
Q

What criteria must exist for a person to have a mental illness?

A

Any person whose capacity to exercise:

  • self-control
  • judgment and discretion in the conduct of his affairs and social relations
  • or care for the person’s personal needs is diminished
  • as a result of mental illness
  • to the extent the person presents a CLEAR and PRESENT danger of harm to himself
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8
Q

A person is not considered a person with mental illness if their capacity is diminished by what?

A
  • Epilepsy
  • Mental retardation
  • Alzheimer’s disease
  • Brief intoxication caused by alcohol or drugs
  • Dependence on or addiction to drugs or alcohol
  • Unless a mental illness exists which also contributes to the diminished mental capacity
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9
Q

Walk away mental patient

A
  • person who has been declared insane or of unsound mind by court order
  • and has walked away from a public or private hospital or mental health facility
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10
Q

What are signs of excited delirium? (12)

A
  • Excessive body temperature
  • Profuse sweating
  • Dilated pupils
  • Uncontrollable shaking
  • Talking incoherently
  • Screaming
  • Yelling
  • Paranoia
  • Extreme aggression towards objects
  • Violent resistance/struggling
  • Inappropriate shedding of clothing
  • Self-inflicted injuries
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11
Q

Are CIT officers SWAT or hostage/crisis negotiators? (yes or no)

A

No

-CIT officers are neither SWAT or hostage/crisis negotiators

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12
Q

When a CIT officer has been dispatched to an event, who has the authority to direct police activities unless relieved by a supervisor?

A
  • The senior CIT officer on the scene

- Unless relieved by a supervisor

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13
Q

CIT officers will be dispatched to call that meet any of what four criteria?

A
  • Disturbances involving a subject known to have or has been reported as having mental illness
  • Events involving a subject threatening suicide under violent/volatile circumstances
    (ex. subject holding a weapon or threatening to jump from a height that could cause serious bodily harm or death)
  • Subjects who are experiencing signs and symptoms of excited delirium
  • Assist in taking into custody walk-away mental patients who have been located and are to be taken into custody
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14
Q

CIT officers will not be dispatched to what events?

A

-Involving threats of suicide which are vague, non-violent, or where threat of harm is suggested or implied
(Will respond if an individual has reported or diagnosed mental illness, or escalating or volatile circumstances)
-Involving accidental or intentional overdose of a subject who is non-violent and has no history of mental illness
-Subject has been transported to a hospital and officers are needed for report purposes only

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15
Q

If you are on the scene of a CIT call and military service, previous or active, is discovered you have to determine if additional resources are needed. If the subject is an active duty member of the military or active reservist, who do you notify?

A

-Nellis Ari Force Base Security Forces watch desk

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16
Q

On a CIT call for service, what must be documented on the Legal or arrest report to assist mental health professionals or correctional personnel?

A
  • Diagnosis if known
  • Medications past/current
  • Specific statements and actions of subject
  • Contact information for nearest relative or responsible party
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17
Q

The CIT after-action should include, but is not limited to the following events:

A
  • Threats to others/police
  • Homeland security concerns
  • Violence involved
  • Weapons involved
  • Officer safety concerns
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18
Q

On a CIT call the supervisor will acknowledge notification over the radio, and assume responsibility for monitoring the event, and ensures that a CIT officer is en route. What events will cause a supervisor to respond to the scene and assume command and control to ensure appropriate tactics are employed in the best interest of all parties involved?

A
  • Events involving persons threatening suicide under violent/volatile circumstances (individuals holding a weapon or threatening to jump from a height that could cause serious bodily harm or death)
  • Persons who are experiencing signs and symptoms of excited delirium
  • Any situation where the circumstances clearly indicate there is a potential the situation may become violent/volatile
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19
Q

If a CIT event rises to the level of inclusion in the watch commanders log, what needs to be included in the entry?

A
  • Name and P# of CIT officers on scene

- If no CIT officer responded the reason for the lack of response

20
Q

How may officers not CIT certified in the academy or field training become CIT certified?

A
  • By attending a 36 hour recertification course

- Instructed by CIT detail

21
Q

Patrol and corrections officers who are CIT certified must attend recertification how often?

A
  • Minimum six hours

- Every two years

22
Q

It is the policy of this department to respect the rights of the mentally ill, and will adhere to the following principles regarding the mentally ill:

A
  • Standing alone mental illness does not signify a special police response
  • Mentally ill persons have the right to be left alone so long as no crime has been committed
  • No person is to be taken involuntarily into police custody by reason of mental illness alone, but rather like any other citizen
  • Should only be taken into custody if such person has also committed an offense which necessitates an arrest, or presents a clear and present danger to themselves or others
23
Q

A person presents a clear and present danger of harm to self if within the previous _____ days, (s)he has, as a result of mental illness, satisfied any of the four criteria for a legal 2000.

A

30 days

24
Q

Before an allegedly mentally ill person may be transported to a public or private mental facility, the person must be what? (2)

A
  • First be examined at a licensed hospital to determine if he has a medical problem which requires immediate treatment
  • If such treatment is required, to be admitted to a hospital or appropriate medical facility for appropriate medical care
25
Q

Mental petitions are similar to arrest warrants; however, when taking a person into civil custody the level of force used must be balanced with these facts: (3)

A
  1. The order is civil, not criminal
  2. No crime has been committed
  3. The goal is to safely help the person
26
Q

Nevada law provides the authority to facilitate the transport of mentally ill persons; however, generally this department WILL or WILL NOT assist in the routine transport of mentally ill persons.

A
  • Will not
  • With the exception of court ordered admissions, any person requesting transport of an alleged mentally ill person should be advised to seek private transport
  • Unless transport is approved by a supervisor
27
Q

Armed department personnel are required to secure all weapons (including ECD and baton) prior to routine entry into to any mental health hospital for investigative purposes. When an emergency exists at a mental health facility are responding officers required to disarm?

A

No

-If requested to disarm in an emergency situation by facility personnel they will contact their immediate supervisor

28
Q

Concerning crimes committed by mentally ill patients, at a mental health facility, discretionary actions are still discretionary, and mandatory arrests are still mandatory. To arrest such a subject, what must be completed by the supervising physician?

A
  • A voluntary statement
  • Indicating the crime was committed not as a result of mental illness
  • Must have been a criminal action independent of the subjects mental illness
  • Must be willing to discharge the patient
29
Q

If a juvenile is under a court order to be at a mental health facility, and they commit a crime, what must be done before an arrest is made?

A
  • No arrest will be made without prior notification to the court issuing the order
  • Appropriate incident report(s) will still be completed
30
Q

Who has the primary responsibility of apprehending walk-away mental patients? If that unit is unavailable, who is assigned to apprehend the walk-away?

A
  • DSD
  • Two correction officers, at least one of which CIT
  • At least one correction officer will be the same gender of the walk-away
  • If DSD is unavailable, patrol will be assigned
31
Q

What must patrol or corrections do after they apprehend a walk-away mental patient?

A
  • Notify communications upon locating the patient
  • Transport to the proper facility
  • Complete an officer’s report concerning the circumstances and identifies the party and facility taking custody of the patient
32
Q

It is the policy of this department to identify a subject displaying symptoms of excited delirium and de-escalate the situation with care, ensuring the person receives a response which is appropriate to their needs and protects the safety of all concerned. Persons in this acute excited state should be considered in __________________.

A
  • Medical crisis
  • They typically have an elevated body temperature, increased heart rate, and may be under the influence of drugs or alcohol
  • Can lead to sudden death
33
Q

Responding personnel on ED will:

A
  1. Assess the situation
  2. Request medical, a supervisor, and CIT
  3. Containment
  4. Custody plan
  5. Closely observe the subject prior to medial arrival
  6. Custody plan must be executed quickly when enough officers arrive
    - if possible wait for medical personnel prior to executing the custody plan
  7. Consider options to help calm the individual
    - 2 sets of handcuffs
    - assist subject in sitting upright or laying on side to facilitate breathing
    - calming the subject verbally by explaining the situation
  8. A person who suddenly becomes quiet or no longer offers resistance should be immediately assessed to ensure breathing and a pulse
  9. Coordinate with on-scene medical to transfer custody
    - assist in any way to avoid delay in transportation to a medical facility
  10. Respond to the medical facility to complete the appropriate paperwork
    - arrest or legal
34
Q

If force was used on a subject showing signs of excited delirium, the use of force report should contain what?

A

-details of the events and actions of the subject which led to the decision the person was suffering from excited delirium

35
Q

What is the supervisor’s responsibility when responding to an ED situation?

A
  • Respond to the scene
  • Provide advice, ensure sufficient back-up is available, ensure appropriate decisions are made
  • Ensure all necessary forms and reports are completed
36
Q

When communicating with a deaf or hearing impaired witness or victim of a crime or contact should give __________________ to providing the type of communication aid or service requested by the individual.

A
  • Primary consideration

- The right to an interpreter card should be presented to the hearing impaired victim or witness

37
Q

LVMPD employees WILL or WILL NOT use its personnel as sign language interpreters or oral transliterators if the employee or volunteer’s presence poses a conflict of interest or raises confidentiality and/or privacy concerns.

A

-Will not

38
Q

If a person who is hearing impaired is the subject of a traffic violation, and the officer would normally issue a citation without having to question the offender, does the officer need to provide an interpreter?

A
  • No
  • If the officer is unable to communicate the nature of the infraction via notepad or other means the officer should use his discretion to contact an interpreter to the scene or use his discretion to issue a warning instead of a citation
39
Q

If a hearing impaired subject is in custody or being detained, can their hands be handcuffed in front, in an attempt to facilitate communications?

A
  • Yes
  • Hearing impaired subjects have the right to use their hands to communicate
  • During transport of the prisoner, SOP for transporting prisoners will be followed
40
Q

If a conversation with a hearing impaired subject is done by writing in a criminal case, how must the written conservation be treated?

A
  • As evidence
  • Copies of the questions and answers sent to records
  • Original written conservation impounded as evidence
41
Q

If an officer has to read a hearing impaired subject Miranda, the officer must secure the services of an _______ prior to any interrogation, to accurately communicate the warnings to the subject.

A

-Interpreter

42
Q

If a hearing impaired subject is arrested, and they waive their right to an interpreter, how must that be documented?

A
  • In writing

- There must be no barrier in effective communication

43
Q

Interactions with the homeless
Officers may approach a homeless person to advise of the assistance of shelters and services which are currently available. The officer may call for the assistance of the _________ __________ to help with appropriate placement.

A

-Homeless Liaison

44
Q

Officers MAY or MAY NOT transport homeless persons to a shelter when they accept such a referral.

A
  • May

- Subjects will be searched for weapons and/or contraband prior to transport

45
Q

The removal of illegal encampments of homeless persons is the responsibility of __________.

A
  • The owner of the property (public or private)
  • Officers may stand by to keep the peace
  • Officers should encourage posted notices of the pending activity prior to the clean-up
46
Q

If a homeless person has been arrested for a criminal matter, will you impound bed rolls, clothing, or other items that are wet, damp, covered in urine or fecal matter?

A

-No

47
Q

Westcare Civil Protective Custody unit and Detoxification Center will not accept the following individuals: (5)

A
  1. Psychotic
    - threatened or attempted homicide or suicide
    - uncontrollable behavior
    - out of contact with reality
  2. Drug overdose
  3. Persons under the influence of Phencyclidine (PCP)
  4. Persons experiencing Delirium Tremens (DT’s)
  5. Injuries that require immediate medical attention