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BPOC 134 > Crisis Intervention Training > Flashcards

Crisis Intervention Training Flashcards

1
Q

What percentage of US adult population suffers from a diagnosalbe mental disorder in a given year?

A

About 22.1%

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2
Q

About what percentage of US adults suffer from some sort of mental illness within their life?

A

Some studies indicate 32%

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3
Q

What started the spark of CIT?

A

Memphis PD shooting 26 year old Joseph Robinson who was mentally ill.
They said the approach should be non confrontational.

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4
Q

Are individuals with mental illness hardened criminals?

A

Traditionally no

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5
Q

When Houston PD did an analysis of 1,439 CIT calls in 2004 what percent of the mentally ill persons were arrested?

A 
1%
The remaining 99% of the incidents had no crime reported or a petty class C that wasn't filed
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6
Q

Explain control paradox

A

By being less physical, less authoritative, less confrontational, less controlling you end up having more control and authority over the person in the mental health crisis.

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7
Q

Where does Texas rank in mental health funding?

A

47 in student guide

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8
Q

What is CIT most focused toward?

A

Officer safety

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9
Q

What percentage has CIT increased officer safety?

A

70% per Phoenix, Arizona

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10
Q

According to FBI stats are mental ill subjects more prone to violence?

A

No, however the variables can be extremely dangerous

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11
Q

What is CIT proven to be effective with?

A

It have help with de-escalation

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12
Q

What is the general term of mental illness?

A

“illness, disease, or condition that either substantially impacts a person’s thought, perception of reality, emotional process, or judgement, or grossly impairs a person’s behavior, as manifested by recent disturbance behavior

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13
Q

What is the professional definition of mental illness

A

DSM-IV
It’s diagnosed based on behaviors and thinking as evaluated by a psychiatrist, psychologist, licensed professional counselor, licensed social worker, or other qualified professionals

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14
Q

What is insanity (legal term)

A

It’s considered “a diminished capacity and inability to tell right from wrong”
Definition varies from state to state
Generally used by courts with regard to an individual’s competency to stand trial.

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15
Q

What are the 4 prominent categories of mental illness?

A

Personality disorder
Mood disorder
Psychosis
Developmental disorders

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16
Q

What are common personality disorders peace officers may encounter

A

Paranoid personality disorder
Antisocial personality disorder
Borderline personality disorder

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17
Q

What disorder do the following explain:
Tendency to interpret the actions of others as deliberately threatening or demeaning
Foresee being in position to be used or harmed by others
Perceive dismissiveness from other people

A

Paranoid personality disorder

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18
Q

What personality do the following explain:
Most commonly recognized in males
Pattern of irresponsible and antisocial behavior (after 18)
As adults, they often have trouble with authority
Reluctant or unwilling to conform to society’s expectations of family and work
They know what they are doing is wrong, they don’t care

A

Antisocial

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19
Q

Antisocial may have one or more of the following characteristics

A 
History of truancy - may have ran away
Starting fights
Using weapons
Physically abusing animals or other people
Deliberately destroying others' property
Lying
Stealing
Other illegal behaviors
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20
Q

What personality do the following explain:

Most commonly recognized in females

A

Borderline

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21
Q

Borderline may have one or more of the following characteristics

A

Unstable and intense personal relationships
Impulsiveness with relationships, spending, food, drugs, sex
Intense anger or lack of control of anger
Recurrent suicidal threats
Chronic feelings of emptiness or boredom
Feelings of abandonment

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22
Q

What is a mood disorder

A

another type of mental illness demonstrated by disturbances in one’s emotional reaction and feeling

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23
Q

What are recognizable behaviors associated with mood disorders (6)

A 
Lack of interest and pleasure of activities
Extreme and rapid mood swings
Impaired judgment
Explosive temper
Increased spending 
Delusions
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24
Q

What are the 2 most common mood disorders encountered by LE

A

Depression
Bipolar disorder

(REVIEW STUDENT GUIDE)

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25
Q

What are the 2 phases of bipolar disorder

A

Mania phase - moving 90 to nothing

Depressive phase - depressed

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26
Q

What is psychosis

A

An illness involving a distortion of reality that may be accompanied by delusions and/or hallucinations

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27
Q

What is a delusion

A

False beliefs not based on factual info

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28
Q

What is a hallucination

A

Distortions in the senses

Individual experiences hearing or seeing something that isn’t there

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29
Q

What are the common delusions experienced by a person during a psychotic episode (4)

A

Hearing voices
Feelings of paranoia
Visual hallucinations
Heightening of the senses

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30
Q

What are behavioral cues of a person with psychosis (7)

A

Inappropriate or bizarre dress
Body movements are lethargic or sluggish
Impulsive or repetitious body movements
Responding to hallucinations
Causing injury to self
Home environment - strange decorations / pictures over turned / waste matter or trash on floor or wall
Unusual attachment to childish objects or toys

31
Q

What are emotional cues of persons with psychosis (3)

A

Lack of emotional response
Extreme or inappropriate sadness
Inappropriate emotional reactions

32
Q

How do substance and cognitive disorders relate to psychosis (drug related symptoms) (5)

A

Major loss of contact with reality
Gross interference with ability to meet life’s demands
Has possible hallucinations and delusions
Alteration of mood
Defects in perception, language, memory, and congnition

33
Q

What is schizophrenia

A

Consists of a group of psychotic disorders that changes perception
Cause over sensitivity to sound and visions caused by hallucinations and or impaired distorted thinking
Typically emerging when about 19 yoa

34
Q

About how many adults and what age have schizophrenia in a given year in the US

A

About 2.2 million
18 and up

Top 10 causes of disability

35
Q

About what percent of people with schizophrenia commit suicide

A

10%

36
Q

What is Alzheimer’s and what does it cause

A

Common organic mental disorder (not mental illness)
Form of dementia
Individual may get lost easy, have poor memory, and become easily agitated

37
Q

How many people are suffer from Alzheimer’s and how many pass a year

A

2-3 million are afflicted

over 11,000 die each year

38
Q

What are the 2 most common developmental disorders

A

Autism

Mental retardation

39
Q

What are the characteristics of Autism (8)

A 
Appears before 3 typically 
Impaired non-verbal communication
Lack of eye contact
Restricted range of interest
Resistance to change of any kind
Obsessive repetitive movements
Lack of awareness of feelings
Social Isolation
40
Q

How many people does Autism affect? And who does it affect more

A

1 to 2 in 1,000 Americans
Males are 3-4 times more likely to have it
Females with it tend to have more severe symptoms and cognitive impairment

41
Q

What are social behaviors by autistic people (10)

A 
Lack of awareness of social rules
Reluctance to make eye contact
Inappropriate laughter or crying 
Unusual facial response
Ritualistic, habitual behaviors
Extreme distress for no apparent reason
Attachment to particular objects 
Deliberate soiling of clothes 
Uneven motor skills
Self stimulating behaviors
42
Q

What are communication behaviors of autistic people (6)

A

May be verbally limited
May repeat what is said
Abnormal pitch, rate or volume when speaking
Difficulty expressing ideas or needs
Reversal of pronouns or other parts of speech
Difficulty with abstract concepts and term

43
Q

What are other behaviors of autistic people (7)

A 
Matching, pairing, and ordering object
Blinking compulsively
Switching lights on and off
Dropping things repetitively
Jumping, rocking, and clapping
Chin-tapping, head banging, spinning
Faxcination with colorful and shiny objects
44
Q

What is mental retardation

A

Refers to a range of substantial limitations in mental functioning manifested in persons before 18

45
Q

What are the 4 degrees of MR

A

Mild: IQ 69-55
Moderate: IQ 54-40
Severe: IQ 39-25
Profound: IQ below 25

46
Q

What are strategies to use during contact with MR when it comes to criminal activity (5)

A 
Noticeably older than others involved in the offense
Follower
Readiness to confess
Remained at the scene while others ran
Previous criminal activity patterns
47
Q

What are strategies to use during contact with MR when it comes to educational history (3)

A

Below usual grade level
ID states mental impairments
Check MHMR records

48
Q

What are some physical appearances you’d notice about a MR subject (4)

A

Inappropriately dressed for the season
Unusual physical structure
Awkwardness of movement or poor motor coordination in walking
Difficulty writing or other fine motor skills

49
Q

What are some speech/language things would be noticeable with a MR person (5)

A 
Obvious speech defects
Limited response or understanding
Inattentiveness
Vocabulary or grammatical skills lacking
Difficulty describing facts in detail
50
Q

What are some social behavior of MR subjects (6)

A

Adult associating with children or early adolescents
Eager to please
Ignorance of personal space
Non-age appropriate behavior
Easily influenced by others
Easily frustrated or aggressive in response to direct questioning

51
Q

What are some performance tasks to utilize that will help determine if problem exists for MR subject(7)

A 
Read/write simple phrases
Identify telephone number in book
Give directions to their home
Tell time
Count to 100 by multiples of five
Define abstract terms (such as emotions or feeling terms)
Explain how to make change from a dollar
52
Q

What are 4 guidelines for LE contact with mentally retarded persons

A

Speak directly to the person in slow, clear, simple language and phrasing
When possible, more to a less disruptive location to assist with focusing
Be highly aware of questioning techniques
Patient, calm, non-threatening but firm and persistent manner

53
Q

What are major differences between MI and MR

A

about 3% of Americans have MR while 22/1% have MI
MI is unrelated to intelligence while MR is
MI can occur at anytime in life / MR occurs before 18
MI meds can help / MR no meds help
MI behavior is unpredictable / MR is usually consistent

54
Q

How many more times is suicide than homicide

A

1.5 times

An average of 6 suicides a day in Texas

55
Q

What age is the highest rate of suicide?

A

45-54

2nd is 75 years and older

56
Q

What % of suicides are due to depression / bipolar / schizophrenia

A

90%
Nearly 20 % bipolar people commit suicide
15% have schizophrenia

57
Q

What percent of police shootings are suicide by cop

A

11%

13% of all fatal shootings

58
Q

What are the categories of drugs?

A 
Anti-psychotic
Antidepressants
Mood stabilizers
Anti-anxiety 
Old VS new drugs
59
Q

What are Anti-psychotic drugs?

A

Thorazine, mellaril, haldol

Controls hallucinations

60
Q

What are antidepressants

A

Elavil, prozac, zoloft

Controls feelings of sadness, hopelessness, and suicidal thoughts

61
Q

What are mood stablizers

A

Tegratol, lithium, depakote

Controls mood swings

62
Q

What’s the differences between new and old drugs

A

New have fewer side effects

Old are still used by elderly and lower class (cost less)

63
Q

What are some side effects

A

Can be uncomfortable
Dehumanizing
Often irreversible

Ex: muscle spasms, eyes rolled back, constant leg movement, tremors, uncoordinated movements, nausea, headache, ect

64
Q

Common reasons for people to stop taking meds

A

Nasty side effects
They don’t want people to know they are mentally ill
Start to feel better and think they don’t need it
Cost

65
Q

What are the 4 components of the “first 3 minute assessment”

A

Elements of evaluation
Intellectual functioning
Behavioral reactions
Emotional reactions

66
Q

What are the elements of evaluation (7)

A 
Appearance and behavior
Stream of talk
Thought content
Perceptual abnormalities
Affect-prevailing emotional tone
Concentration
Cognitive-intellectual functions
67
Q

What is LEAPS

A 
Listen
Empathize
Ask
Paraphrase
Summarize
68
Q

What are the 8 lack of active listenings

A 
Arguing
Criticizing
Jumping to conclusions
Pacifying
Derailing
Moralizing
Name-calling
Ordering
69
Q

What are the 3 levels of listening

A

Listening to words
Listening to whole message
Reflecting the whole message

70
Q

What are the techniques of active listening (5)

A 
Repeating
Re-wording
Paraphrasing
Reflection of feelings
Minimal encouragers
71
Q

What are 4 effective communication/interaction skills

A

Safety
Crisis facts
Language
Movements

72
Q

What is stigma

A

A mark of disgrace or shame

73
Q

What are the 2 approaches to jail diversion? Explain them

A

Pre-booking : first contact with LE, prior to any formal charges.

Post-booking: Most used program – Process is to identify and divert consumers after they have been booked

BPOC 134 (7 decks)

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