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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
What are the 2 phases of bipolar disorder
Mania phase - moving 90 to nothing | Depressive phase - depressed
26
What is psychosis
An illness involving a distortion of reality that may be accompanied by delusions and/or hallucinations
27
What is a delusion
False beliefs not based on factual info
28
What is a hallucination
Distortions in the senses | Individual experiences hearing or seeing something that isn't there
29
What are the common delusions experienced by a person during a psychotic episode (4)
Hearing voices Feelings of paranoia Visual hallucinations Heightening of the senses
30
What are behavioral cues of a person with psychosis (7)
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
What are emotional cues of persons with psychosis (3)
Lack of emotional response Extreme or inappropriate sadness Inappropriate emotional reactions
32
How do substance and cognitive disorders relate to psychosis (drug related symptoms) (5)
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
What is schizophrenia
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
About how many adults and what age have schizophrenia in a given year in the US
About 2.2 million 18 and up Top 10 causes of disability
35
About what percent of people with schizophrenia commit suicide
10%
36
What is Alzheimer's and what does it cause
Common organic mental disorder (not mental illness) Form of dementia Individual may get lost easy, have poor memory, and become easily agitated
37
How many people are suffer from Alzheimer's and how many pass a year
2-3 million are afflicted | over 11,000 die each year
38
What are the 2 most common developmental disorders
Autism | Mental retardation
39
What are the characteristics of Autism (8)
``` 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
How many people does Autism affect? And who does it affect more
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
What are social behaviors by autistic people (10)
``` 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
What are communication behaviors of autistic people (6)
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
What are other behaviors of autistic people (7)
``` 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
What is mental retardation
Refers to a range of substantial limitations in mental functioning manifested in persons before 18
45
What are the 4 degrees of MR
Mild: IQ 69-55 Moderate: IQ 54-40 Severe: IQ 39-25 Profound: IQ below 25
46
What are strategies to use during contact with MR when it comes to criminal activity (5)
``` Noticeably older than others involved in the offense Follower Readiness to confess Remained at the scene while others ran Previous criminal activity patterns ```
47
What are strategies to use during contact with MR when it comes to educational history (3)
Below usual grade level ID states mental impairments Check MHMR records
48
What are some physical appearances you'd notice about a MR subject (4)
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
What are some speech/language things would be noticeable with a MR person (5)
``` Obvious speech defects Limited response or understanding Inattentiveness Vocabulary or grammatical skills lacking Difficulty describing facts in detail ```
50
What are some social behavior of MR subjects (6)
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
What are some performance tasks to utilize that will help determine if problem exists for MR subject(7)
``` 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
What are 4 guidelines for LE contact with mentally retarded persons
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
What are major differences between MI and MR
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
How many more times is suicide than homicide
1.5 times | An average of 6 suicides a day in Texas
55
What age is the highest rate of suicide?
45-54 | 2nd is 75 years and older
56
What % of suicides are due to depression / bipolar / schizophrenia
90% Nearly 20 % bipolar people commit suicide 15% have schizophrenia
57
What percent of police shootings are suicide by cop
11% | 13% of all fatal shootings
58
What are the categories of drugs?
``` Anti-psychotic Antidepressants Mood stabilizers Anti-anxiety Old VS new drugs ```
59
What are Anti-psychotic drugs?
Thorazine, mellaril, haldol Controls hallucinations
60
What are antidepressants
Elavil, prozac, zoloft Controls feelings of sadness, hopelessness, and suicidal thoughts
61
What are mood stablizers
Tegratol, lithium, depakote Controls mood swings
62
What's the differences between new and old drugs
New have fewer side effects | Old are still used by elderly and lower class (cost less)
63
What are some side effects
Can be uncomfortable Dehumanizing Often irreversible Ex: muscle spasms, eyes rolled back, constant leg movement, tremors, uncoordinated movements, nausea, headache, ect
64
Common reasons for people to stop taking meds
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
What are the 4 components of the “first 3 minute assessment”
Elements of evaluation Intellectual functioning Behavioral reactions Emotional reactions
66
What are the elements of evaluation (7)
``` Appearance and behavior Stream of talk Thought content Perceptual abnormalities Affect-prevailing emotional tone Concentration Cognitive-intellectual functions ```
67
What is LEAPS
``` Listen Empathize Ask Paraphrase Summarize ```
68
What are the 8 lack of active listenings
``` Arguing Criticizing Jumping to conclusions Pacifying Derailing Moralizing Name-calling Ordering ```
69
What are the 3 levels of listening
Listening to words Listening to whole message Reflecting the whole message
70
What are the techniques of active listening (5)
``` Repeating Re-wording Paraphrasing Reflection of feelings Minimal encouragers ```
71
What are 4 effective communication/interaction skills
Safety Crisis facts Language Movements
72
What is stigma
A mark of disgrace or shame
73
What are the 2 approaches to jail diversion? Explain them
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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