611 MENTALLY ILL PERSONS

Question 1

The CIT Officer at the scene of a call involving a mental health crisis situation has the responsibility for handling the situation unless otherwise directed by ________.

Answer 1

a supervisor

Question 2

An _________________ is a two-pronged approach where weapons are involved, or violence has occurred or is occurring, and corroborating factors exist that establish a mental health nexus.

Answer 2

Escalated Mental Health Crisis Call

Question 3

If the call meets the listed criteria for an Escalated Mental Health Crisis Call, a ________ will be assigned and dispatched to the scene.

Answer 3

supervisor

Question 4

For an Escalated Mental Health Crisis Call:

When dispatched, the officer assigned report responsibility ________ with the cover officer and assigned supervisor

Answer 4

coordinates his arrival

Question 5

For an Escalated Mental Health Crisis Call:

If possible, officer should attempt to ____________ while enroute to the call and obtain any additional relevant information prior to their arrival.

Answer 5

contact the complainant

Question 6

If the call is determined to be an Escalated mental Health Crisis Call, the ________________ will be contact and the on-call ________ will respond to the location.

Answer 6

Mental Health Unit (MHU) Supervisor
/
Mental Health Team

Question 7

2. For a Mental Health Crisis Call:
   [NOT ESCALATED]

a. If possible, officers should attempt to ________ while enroute to the call and obtain any additional relevant information prior to their arrival.

b. When dispatched, the officer assigned report responsibility ________ his arrival with the cover officer;

c. If the handling officer assigned to a call is not a CIT Officer, he may request a CIT Officer respond to assist with the call;

d. Immediately notify a supervisor when confronted with situations which pose a potential for ____________ to any person, including situations which have a potential to escalate to a ________.

Answer 7

contact the complainant
/
coordinates
/
serious bodily injury
/
critical incident

Question 8

For Mental Health Crisis Calls:
[NOT ESCALATED]

Upon arrival at the scene, officers shall approach persons with mental illness with caution. Officers should keep these persons under close observation and speak to them in an ________ manner, which is maintained throughout the incident.

Answer 8

unhurried, patient and calm

Question 9

For Mental Health Crisis Calls:
[NOT ESCALATED]

A ____ of the individual and a ____________ are conducted, in accordance with GM Procedure 502, Warrantless Arrests, Searches, and Seizures, to ensure the absence of any potential weapons. Frisking and handcuffing the individual ________ to satisfy safety requirements.

Answer 9

frisk
/
search of the immediate surrounding area
/
may be necessary

Question 10

For Mental Health Crisis Calls:
[NOT ESCALATED]

The person with mental illness should be ____________________, if possible. This area should be away from other persons or things that may further incite the situation.

Answer 10

guided to a safe and quiet area

Question 11

For Mental Health Crisis Calls:
[NOT ESCALATED]

Officers shall not force individuals to take any medications. If the individual is taken into custody, any medication being taken by the individual should be ________ and released to the appropriate ________________ (this shall be documented in the report).

Answer 11

transported with the individual
/
medical or detention personnel

Question 12

During an Escalated Mental health Crisis Call responding officers ________ the consumer unless the consumer initiates the contact or in the event of a life-threatening incident.

Answer 12

should not approach

Question 13

For an Escalated Mental Health Crisis Call:

Following the arrival of the ____________, an assessment will be made with the on-scene supervisor and a determination made if escalation to a Critical Incident, per General Manual Procedure 802, is warranted.

Answer 13

MHU On-Call Team

Question 14

If patient is cleared by EMS and needs to be Emergency Detained, the officer will obtain the ________ for their report. The officer will then contact MEDCOM for navigation to the appropriate psychiatric facility

Answer 14

EMS badge numbers

Question 15

If EMS is going to transport, and the patient still needs to be Emergency Detained, the officer will ____________ where a Notification of Emergency Detention will be completed.

Answer 15

follow EMS to the hospital

Question 16

If the offense is classified as a felony the person with mental illness shall be listed as an “AP” and booked for the offense(s). Details of the person’s mental health condition will be noted in the report details and a copy of the report will be sent to the ____________ via bin mail or through the SAPD ____________.

Answer 16

Mental Health Unit
/
Mental Health Detail Inbox

Question 17

With a supervisor’s approval, conduct a Warrantless Emergency Detention in lieu of arrest if the person with mental illness has committed a misdemeanor criminal offense other than ____________.

Answer 17

DWI and Family Violence

Question 18

If the person is being charged for a misdemeanor other than DWI or Family Violence, after receiving supervisor’s approval, the officer will “SP” the person
with mental illness on the correct report and notify the victim that he can pursue charges through the ____________. The person will then be Emergency Detained

Answer 18

appropriate follow-up unit

Question 19

When booking a person for either a misdemeanor or felony:

(1) The officer, for safety reasons, immediately notifies Central Magistration personnel, including ________ and ________, if available, of suspected mental illness and/or suicidal tendencies involved with the prisoner.

Answer 19

the nurse
/
mental health screener

Question 20

When booking a person for either a misdemeanor or felony:

The officer also makes the following notation on the ________ and ________ “Evidences Symptoms of Mental Illness.”

Answer 20

magistrate’s intake slip
/
the booking slip

Question 21

Medication being taken by prisoners will be transported by the arresting officer and left with _____________.

Answer 21

Detention Center personnel

Question 22

IF after an arrest, an officer is ordered by a Magistrate to conduct a Magistrate’s Order for Emergency Apprehension and Detention in lieu of the arrest, the officer will “SP” the person with mental illness on the correct report. If the officer receiving the Order from the Magistrate is not the original handling officer, the second officer will write a _________________________ and detail the non-arrest, the Magistrate’s Order and the disposition of the “SP” and forwards the supplement to the follow-up unit. If this is the situation, the second officer will not write a Notification of Emergency Detention (SAPD Form #127ED). The ____________ takes the place of the application.

Answer 22

supplemental report with the original case number
/
Magistrate’s Order

Question 23

If any person sustained any injury during the arrest or if any use of force requiring a use of force report was necessary, the person with mental illness ____________. A supervisor may approve the Warrantless
Emergency Detention, I.A.W. .08 A 4 (b), if he/she determines this is the better course of action due to the person’s mental state and need for psychiatric evaluation/treatment.

Answer 23

should be arrested

Question 24

Under this procedure, a person’s intent to cause property damage only, is not considered a ________ if the person who committed the offense has a mental illness.

Answer 24

violent criminal offense

Question 25

In **family violence** cases resulting in **no injury** or **minor injury** and where **no further violence** by the person with mental illness is anticipated, a ____________ for final disposition.

Answer 25

supervisor should be contacted

Question 26

When taking a person with mental illness into custody for Warrantless Emergency Detention, officers: ____ persons with mental illness before transporting; ____ the person with mental illness before transporting;

Answer 26

May handcuff / Shall search

Question 27

When taking a person with mental illness into custody for Warrantless Emergency Detention, officers: Shall immediately orally inform the person being detained of the reason for the detention and that a ________ will inform him of his rights within ____ of admission. Also, documentation of these actions will be made in the report;

Answer 27

staff member of the facility / 24 hours

Question 28

Shall contact a supervisor and request relief when the officer expects to work beyond their assigned duty hours. Contact with the supervisor to request relief shall occur no later than ________ before the end of the officers assigned duty hours; Shall complete all required reports, including SAPD Form #127-ED, Notification of Emergency Detention, prior to releasing the person to a relief officer.

Answer 28

thirty (30) minutes

Question 29

When the authority and criteria required for Warrantless Emergency Detention are satisfied, a peace officer may apprehend a person with mental illness from a ____ or a public place.

Answer 29

private residence

Question 30

If a person is voluntarily at a Hospital, clinic, nursing home, physician’s office or minor emergency clinic, the officer will consider completing a Notification of Emergency Detention (SAPD Form #127-ED) if ________.

Answer 30

requested by the facility

Question 31

When completing the Notification of Emergency Detention (SAPD Form #127-ED) at a hospital or psychiatric hospital, officers will: List the physician’s name, or name of other medical personnel, as the observer and credible person on SAPD Form #127-ED, Notification of Emergency Detention, in cases where persons with mental illness are ____ and no ____________ is observed by the officer. The officer ________ the physician or other medical personnel on all actions observed by them which confirms the person has a mental illness and is a risk to himself or others

Answer 31

sedated / substantial risk of harm / should quote

Question 32

When completing the Notification of Emergency Detention (SAPD Form #127-ED) at a hospital or psychiatric hospital, officers will: Leave a duplicate copy with ________ of SAPD Form #127-ED and a copy of ________, with the facility staff and retain the original for routing to the Records Office.

Answer 32

an original signature / the offense report

Question 33

If an officer is unsure whether the person’s condition is primarily the result of a mental illness, physical illness, or a substance abuse problem, the officer may contact the ________, through their dispatcher, for assistance. If the ________ is unavailable the officer will call or ask the Information Channel to call The ____________ and consult with the staff for guidance.

Answer 33

Mental Health Unit / Mental Health Unit / Center for Health Care Services

Question 34

In accordance with Health and Safety Code Section 573.001, a peace officer who takes a person into custody under an emergency detention, may ________ any firearm found in _____________. After seizing a firearm under this subsection, the peace officer **shall** comply with the requirements of Article 18.191, Code of Criminal Procedure taking custody of the firearm.

Answer 34

immediately seize / possession of the person

Question 35

In accordance with Code of Criminal Procedure 18.191, a law enforcement officer who seizes a firearm from a person taken into custody under Section 573.001, Health and Safety Code, and **NOT** in connection with a criminal offense **SHALL immediately** provide the person with a ________ and a ____________ of the firearm under this article.

Answer 35

written copy of the receipt for the firearm / written notice of the procedure for the return

Question 36

Firearms Seized from Certain Persons with Mental Illness: The officer will complete a property receipt SAPD Form #113. Additionally, the officer will complete and provide the owner a duplicate copy of ____________________.

Answer 36

SAPD Form-127 Mental Illness Weapons Seizure

Question 37

Officers need to send (bin-mail) a copy of the ________, the original ________, the original copy of ________, and a copy of their emergency detention ________, to the San Antonio Police Department **Mental Health Unit**.

Answer 37

SAPD property receipt Form#113 / SAPD Form 127-Emergency Detention / SAPD Form 127-Mental Illness Weapons Seizure / offense report

Question 38

Officers need to send (bin-mail) a copy of the SAPD property receipt Form#113, the original SAPD Form 127-Emergency Detention, the original copy of SAPD Form 127-Mental Illness Weapons Seizure, and a copy of their emergency detention offense report, to the ________________.

Answer 38

San Antonio Police Department Mental Health Unit.

Question 39

When placing a seized weapon in the property room under Health and Safety Code Section 573.001, emergency detention, officers will place the firearm under ____ and ensure the follow-up unit is ________, and the item description is ________

Answer 39

“evidence” / Mental Health / “Firearm – Mental Health”

Question 40

Persons who do not fit the criteria for Warrantless Emergency Detention and who are not going to be booked for a criminal offense, but who do exhibit mental illness, are referred to an appropriate source for treatment. The officer may recommend the person see their doctor, counselor, therapist, or _________.

Answer 40

call the Crisis Line

Question 41

Family members or persons concerned over the mental or emotional health of an individual, who do not meet criteria for an Emergency Detention, can be referred to ________________ at 601 N. Frio, the ________ at the Bexar County Courthouse or may _____

Answer 41

The Center for Health Care Services (CHCS) / Mental Health Office / call the Crisis Line

Question 42

The ____________ may assist persons in completing an application for an Emergency Apprehension and Detention and an application for Court-Ordered Mental Health Services with a request for an Order of Protective Custody. All applications shall be reviewed and acted upon by an appropriate ________. If approved a Mental Health Warrant would then be directed to the Bexar County Sheriff’s Office Mental Health Unit for service.

Answer 42

Mental Health Office at the Bexar County Courthouse / judge of magistrate

Question 43

Persons with Mental Illness Involved in Critical Incidents Officers confronted with situations that pose a **continuing threat of serious bodily injury** to any person will request additional officers and ________ through the dispatcher.

Answer 43

a supervisor

Question 44

Officers confronted with persons with mental illness who are making threats to harm themselves or others will assess the persons and determine if the criteria exist for a Warrantless Emergency Detention. Officers will contact ____________ for all reports involving threats made by persons with mental illness. Officers will also route a copy of their report to ____. The report will include details of the threat and whether the person who is the subject of the threats ____.

Answer 44

Southwest Texas Fusion Center (SWTFC) / the Fusion Center / was notified

Question 45

Officers responding to a mental health crisis call involving **any First Responder** or their **immediate family** should contact ____________ before determining a course of action.

Answer 45

the Mental Health Unit Supervisor

Question 46

If the subject involved in a mental health crisis call is a **sworn** member of the **San Antonio Police Department** the officer should immediately request ________ in accordance with GM Procedure 604.12. A – Family Disturbance/Violence.

Answer 46

a patrol supervisor

Question 47

If the subject involved in a mental health crisis call is a sworn member of the San Antonio Police Department the officer should immediately request a patrol supervisor in accordance with GM Procedure 604.12. A – Family Disturbance/Violence. After assessing the situation, the supervisor will contact the ________ before determining a course of action.

Answer 47

Mental Health Unit Supervisor

Question 48

Officers handling a mental health crisis where the person with mental illness has not committed a criminal offense, but where the person is taken into custody for a Warrantless Emergency Detention, will complete an Offense Report along with SAPD Form #127-ED. No ____ will be listed on the report.

Answer 48

complainant

Question 49

Officers handling a mental health crisis where the person with mental illness has not committed a criminal offense and where no Warrantless Emergency Detention is made may complete an ________. Additionally, officers will complete the appropriate report criteria documenting the mental health crisis.

Answer 49

Incident Report

Question 50

Officers will forward copies of all reports involving mental health crisis situations, including a copy of SAPD Form #127-ED, to the ____________ and the ____________ when the officer **reasonably believes** the person with mental illness has the potential to become involved in **critical incident**.

Answer 50

Psychological Services Office / Crisis Negotiators Detail

Question 51

Officers responding to mental health calls will have three N-Codes available to use as the disposition of the Call for Service, if a report is not required to be written.

Answer 51

**N23MH** – Mental Health No Complainant **N23MHN** – Mental Health No Criteria for Emergency Detention **N23MHR** – Mental Health – Refused Services

Question 52

used when officers are dispatched to a location for someone who may be having a mental health issue and upon arrival they do not find anyone.

Answer 52

N23MH – Mental Health No Complainant

Question 53

used when Officers arrive at the call and after talking to the consumer, it is determined the consumer has mental health issues, but the consumer is not homicidal, suicidal, or in a state of mental decompensation. The consumer and family if present, is given resources they can use.

Answer 53

N23MHN – Mental Health No Criteria for Emergency Detention

Question 54

used when Officers arrive at the call and after talking to the consumer, it is determined the consumer has mental health issues but the consumer is not homicidal, suicidal, or in a state of mental decompensation. The consumer also REFUSES any assistance and does not want any information on resources available to them.

Answer 54

N23MHR – Mental Health – Refused Services

Question 55

Police Cadets shall receive a minimum of ____ of Crisis Intervention Team Training regarding interactions with persons suspected of suffering from mental illness in the Training Academy.

Answer 55

40 hours

Question 56

Officers shall receive refresher training regarding interactions with persons suspected of suffering from mental illness at least ____________.

Answer 56

every three years