Handling persons with speial needs andor considerations/CIT policy

Question 1

Person with mental illness: a person with mental illness means an person whose capacity to exercise self control, judgment and discretion in the conduct of his affairs and social relations or to care for the person’s personal needs is diminished, as a result of a mental illness, to the extent that the person presents a clear and present danger of harm to him or herself or others.

Does the include persons whose capacity is diminished due to epilepsy, mental retardation, Alzheimer’s Disease, brief periods of intoxication caused by alcohol or drugs or dependence upon or addiction to alcohol or drugs.

Answer 1

No.

Question 2

When a CIT officer has been dispatched to an event, the _________ CIT officer on the scene has the ___________to direct police activities during the event unless relieved by a _________________.

Answer 2

senior,
authority,
field supervisor.

Question 3

CIT officers will be dispatched to: (4)

Answer 3

1. Disturbances involving a subject known to have or who has been reported as having a mental illness.
2. Events involving a subject threatening suicide under violent/volatile circumstances, such as a subject holding a weapon or threatening to jump from a height that could cause bodily harm or death.
3. Subjects who are experiencing the signs and symptoms of exited delirium.
4. Assist in taking into custody walk-away mental patients who have been located and are to be taken into custody.

Question 4

CIT officers WILL NOT be dispatched to events: (3)

Answer 4

1. Involving threats of suicide which are vague, non-violent, or where no immediate threat of harm is suggested or implied.*
2. Involving intentional or accidental overdose of a subject who is non-violent and has no known history of mental illness.*
3. Subject has been transported to the hospital and officers are needed for report purposes only.
   * CIT will respond if an individual has a reported or diagnosed mental illness or escalating or volatile circumstances suggesting immediate presence of CIT offer may be beneficial.

Question 5

CIT:
CIT officer will :
-Logon with CIT in the “rider” field, at the beginning of shift.
-respond to event in accordance with current procedures for event type.
-____1_____ and _____2_____ radio contact with responding patrol officers to coordinate tactics.
-Consider a ______3________ with responding officers near the scene, if appropriate and time permits to coordinate response tactics.
-Provide ______4_____ and ____5____ for responding patrol officers unless relieved by a ____6____.

Answer 5

1. Establish,
2. maintains.
3. pre-arrival.
4. direction.
5. guidance.
6. field supervisor.

Question 6

CIT:
CIT officer will: (continued)
-Assess, when possible, the ____1____ of the subject, and develop tactics based upon available information:
– Obtain all available info from friends, family members, neighbors, and any other available sources.
– ____2____ available history of subject:
— If ____3____, previous or active, is discovered.
—-Determine if additional resources are needed from the military to assist with a veteran in crises; or,
—- If the subject is an active duty member of the military or active reservist, notify Nellis AFB Security Forces watch desk (__4__).

Answer 6

1. mental condition.
2. evaluate.
3. military service.
4. BDOC.

Question 7

CIT:
What four pieces of information should be included in the Legal 2000 form, if known.
(4)

Answer 7

1. Diagnosis.
2. Medications past/current.
3. Specific statements and actions of subject.
4. Contact information for nearest relative or responsible party.

Question 8

CIT:

A CIT after action report, LVMPD 367, to include, but not limited to the following events: (5)

Answer 8

1. Threats to others/police.
2. Homeland security concerns.
3. Violence involved.
4. Weapons involved.
5. Officer safety concerns.

Question 9

CIT:
Field supervisors will:
- Ensure that officers who are CIT traied have “CIT” noted on the ____1____ next to the officer’s name.

-Acknowledge notifications over the radio, and assumes ____2____ the event and ensure that a CIT officer is en route.

Answer 9

1. daily lineup.

2. responsibility for monitoring.

Question 10

Field supervisors will:
- Respond to the scene and assume command and control to ensure appropriate tactics are employed in the best interests of all parties involved under the following circumstances: (3)

Answer 10

1. Events involving persons threatening suicide under violent/volatile circumstances (individual holding a weapon, or threatening to jump from a height that could cause bodily harm or death, etc.).
2. Persons who are experiencing the signs and symptoms of exited delirium.
3. Any event where circumstances clearly indicate there is a potential the situation may become violent/volatile.

Question 11

It is the policy of the LVMPD to respect the ___1___ of the mentally ill, and will ___2___ their basic right to be left alone, unless they present a danger to themselves or others.

Answer 11

1. rights.

2. protect.

Question 12

The department will adhere to the following principles regarding the mentally ill: (2)

Answer 12

1. Standing alone, mental illness does not signify a special police response. A mentally ill person has a righto be left alone so long as no crime has been committed.
2. No person is to be taken involuntarily into police custody by reason of mental illness alone, but rather is to be treated like any other citizen and taken into custody only if such person has also committed an offense which necessitates arrest, or presents a danger to themselves or others.

Question 13

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)

Answer 13

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

Question 14

District Court Ordered Admissions:
CIT patrol officers will:
- Obtain District Court order for admission from Detention Record Bureau.
- Contact the Mental Health Professional, Case Worker, or family member.
- Transports to ___1___ for medical evaluation only. When medical cleared, transports to ___2___ and places subject in custody of appropriate personnel according to Part 11, Section B Admissions, above.
-Remove the Verification of Service (cover sheet) and leaves the remainder of the package with SNAMHF
- Have ___3___ staff member sign the Verification of Service form and return the signed form to DSD Records Court Services.

Answer 14

1. UMC ER.
2. Southern Nevada Adult Mental Health Services Rawson-Neal Psychiatric Hospital. (SNAMHS)
3. SNAMHF

Question 15

Police response to crimes committed by mentally ill persons at mental health facilities:
-If requested to disarm in an emergency situation, by facility personnel, officers will contact their ______ immediately to respond to the scene.

Answer 15

1. Supervisor

Question 16

Police response to crimes committed by mentally ill persons at mental health facilities:
Patrol will:
-Make appropriate contact with medical personnel.
- Determine if a crime has been committed.
- Take appropriate action if a crime has been committed:
– Discretionary actions are still discretionary with mentally ill subjects,
– Mandatory actions are still mandatory with mentally ill subjects.
-Will make and arrest ONLY if the ____1____ will complete a voluntary statement indicating that the crime committed was NOT a ____2____, but of a criminal action independent of the subject’s mental illness and is willing to discharge the patient.

Answer 16

1. supervising physician.

2. result of mental illness.

Question 17

Police response to crimes committed by mentally ill persons at mental health facilities:
Patrol will: (continued)
-Incases involving juveniles who are under a court order at the facilities, appropriate incident report(s) will be completed but no arrest will be made ______1______.
-Complete all paperwork and, if an arrest is made, transports subject to detention facility.
-Notify ____2____ if an arrest is made.

Answer 17

1. without prior notification to the court issuing the order.
2. supervisor.

Question 18

What is MOST?

Answer 18

Mobile
Outreach
Safety
Team

Question 19

The CIT Detail will provide the referrals for MOST to follow-up via the web-based database, SPIRIT. There are three sources from which these consumers will come: (3)

Answer 19

1. Subjects that have been placed on a Legal 2000 four or more times within the last six months.
2. CIT After Action Reports of subjects who may have a potential for future contact with law enforcement based on propensity for violence, medication non-compliance, deteriorating mental health condition, etc.
3. Referral from patrol officers to CIT Detail based on contact with subjects in the field.

Question 20

Excited Delirium
It is the policy of this department to identify a subject displaying symptoms of Excited Delirium and ___1___ the situation with care, ensuring that 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 ____2____. They typically have an ___3___, increased heart rate and by be under the influence of drugs or alcohol, which can lead to ___4___.

Answer 20

1. De-escalate.
2. in medical crisis.
3. elevated body temperature.
4. sudden death.

Question 21

Excited Delirium
Responding patrol officer will:
- assess situation and congers with other ___1___ responders to determine if the person is suffering from mental illness or ___2___.

• If ___3___ is suspected, request medical personnel, ___4___, and CIT officer to respond immediately.
• Establish ___5___ of the area.
• Formulate a custody plan ___6___ with the subject. The object of the plan is to ___7___ the situation, calm the individual and gain control of the person. This can include verbal communication, response of CIT trained officers, or other levels of the force continuum as are reasonable to the situation.

Answer 21

1. on-site.
2. excited delirium.
3. excited delirium.
4. supervisor.
5. containment.
6. before making physical contact.
7. de-escalate.

Question 22

Excited Delirium
Responding patrol officer will: (continued)
- Closely ___1___ the subject prior to arrival of medical personnel and share any observations with medical upon their arrival.

• Once sufficient officers are present and it has been determined tat physical force is necessary, the custody plan must be ___2___ to prevent the ___3___ of the excited physical state of the person and an increase in distress. If possible, officers should not execute the custody plan _____4_____.

-Consider options available to help calm the individual. such options include but are not limited to:
___5___,
___6___, and
___7___.

Answer 22

1. observe.
2. executed quickly.
3. escalation.
4. medical personnel arrive.
5. Using two sets of handcuffs to avoid discomfort.
6. Assisting subject in sitting up-right or laying on side to facilitate breathing.
7. Calming the subject verbally by explaining the situating and advising that medical is en route.

Question 23

Excited Delirium
Responding patrol officer will:
- A subject who suddenly becomes quiet or who no longer offers resistance should be immediately assessed to ensure adequate breathing and the presence of a pulse.

• coordinate with ____1____ to transfer custody of the subject to them, assisting in any way to avoid ___2___ in transportation of the individual to a medical civility.
• Respond to the medical facility to complete appropriate paperwork which may include a ___3___ or arrest.
• If arrested, the arresting/transporting officer will inform the ___4___ of the suspected excited delirium.
• If physical force was used, complete a Use of Force report.

Answer 23

1. on-scene medical personnel.
2. delay
3. Legal 2000.
4. booking sergeant.

Question 24

Excited Delirium
Responding Supervisor will:
- respond to the scene to provide ___1___, ensure sufficient back-up is available and ____2____ are made.

-Ensure all necessary forms and reports are completed.

Answer 24

1. advice.

2. appropriate decisions.

Question 25

Interaction with the hearing impaired.

LVMPD will ensure that appropriate ____1____ and services are made available to all members of the public who are deaf or hard of hearing, where such ___2___ and services are necessary to ensure effective communication.

Answer 25

1. auxiliary aids.

2. aids

Question 26

Interaction with the hearing impaired.

Auxiliary aids may include:

• Qualified Interpreters;
• ____1____ and ___2___.
• assistive listening devices/systems; and
• other effective methods of makin aurally delivered materials available to individuals with hearing impairments.

Answer 26

1. notepads.

2. written materials.

Question 27

Interaction with the hearing impaired.

Non Custodial contact:
The Right to Interpreter Card, LVMPD 49, should be presented to inform hearing impaired ___1___, ___2___, ___3___ of the right to have an interpreter present before and during all communications in accordance with NRS. 50.050 and 171.1536.If the person waives their right to an interpreter and elects to utilize a different auxiliary aid or service as a means of communication, this expressed choice will be honored. Once an ___4___ means of communication has been agreed upon, questioning can resume.

Answer 27

1. victim,
2. witness, or
3. contact.
4. effective.

Question 28

Interaction with the hearing impaired.

Who should not be used or called upon to interpret or facilitate communication, except in an emergency involving an imminent threat to the safety or welfare of an individual or the public where there is no interpreter available. (3)

Answer 28

1. An adult accompanying an individual who is deaf or hard of hearing.
2. Spouses and relatives of the impaired person, or person biased for or against one of the parties, unless otherwise agreed upon by the parties involved.
3. A minor child.

Question 29

Interaction with the hearing impaired.

Interviewing/interrogating subjects with a hearing impairment:
-How should all written questions and responses between and among officers and person with hearing impairments be treated?

Answer 29

As Evidence.

Question 30

Interaction with the hearing impaired.

Booking arrestees:
- Make arrest of hearing impaired subject that communicates in sign language. ___1___ before and during all communications.

• the right to an interpreter may be waive ___2___ by an arrestee after being notified of that right by an interpreter, and there is no barrier to effective communication. Waiver may be retracted anytime from arrest to termination of custody.

Answer 30

1. Present the Right to Interpreter card.

2. in writing.

Question 31

Homeless:
-It is the policy of this department to be sensitive to the homeless population by ____1____, __2__, and personal property, while providing appropriate law enforcement services to the entire community.

Answer 31

1. protecting the rights,

2. dignity.

Question 32

Homeless:
1. Who is responsible for the removal of illegal encampments of homeless persons?

2. When requested, what are the officer’s duties?

Answer 32

1. The property owner, whether public or private.

2. To standby to keep the peace.

Question 33

Homeless:
The personal property of homeless person will be respected. Officers may allow homeless persons to take a limited amount of person items with them when arrested on a criminal matter.

These items may be Radios, audio and video equipment, medication, personal papers, phots, book and other reading materials, luggage, backpacks or other storage containers, clothing, shoes toiletries and cosmetics, clocks and watches, eye glasses, bed roll, blankets and pillows.

What is a reason that these items would not be taken.

Answer 33

If the items are wet/damp, soiled with urine, fecal matter, or food.

Question 34

Public alcohol or drug abuse:
At Westcare-Civil Protective Custody and Detoxification Center, what three items of information are needed on the intake log: (3)

Answer 34

1. Officer name and “P” number.
2. Event number.
3. Location from which the individual was transported.

Question 35

Public alcohol or drug abuse:

At Westcare, what individuals will not be accepted: (5)

Answer 35

1. Psychotic.
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.