Interacting with persons effects by MI Flashcards
What are some indicators used to assess potential danger in individuals affected by mental illness or in crisis?
Availability of weapons, violent statements, violent history, self-control, response to changes.
What are some examples of delusions that individuals affected by mental illness may experience?
Delusions of grandeur, paranoid delusions.
What behaviors may indicate a lack of self-control in individuals affected by mental illness or in crisis?
Extreme agitation, inability to sit still, wide eyes, rambling thoughts and speech.
How can the environment’s volatility impact individuals affected by mental illness or in crisis?
It can incite violence or affect the person’s behavior.
What behavioral change might occur in individuals affected by mental illness or emotional crisis based on external triggers?
From calm and command-responsive to physically active.
What should officers continually evaluate in the environment when dealing with individuals affected by mental illness or in crisis?
Agitators that may affect the person or incite violence.
What may sudden negative responses to changes in officer proximity indicate in individuals affected by mental illness or in crisis?
A sign of lack of self-control.
When should Emergency Care Unit be requested for a person exhibiting signs of Excited Delirium?
As soon as possible
What report is required for encountering a mentally ill person who does not meet Emergency Detention criteria?
Crisis Intervention Report (E-Crisis report)
What should officers do if they transport an individual voluntarily agreeing to be taken to a psychiatric facility?
Take them to the admissions office and inform hospital personnel.
Where should an individual be taken for evaluation under KRS 202A.041 if believed to be mentally ill and a danger to self or others?
A psychiatric facility, preferably Eastern State Hospital (ESH)
When can restraints be used on an individual according to 908 KAR 2:090 Decriminalization of Mental Illness?
If the individual exhibits or is threatening to exhibit assaultive or self-injurious behavior.
What are the potential causes of the inability to breathe properly?
The body’s position, compromise or blocking of the airway, mental condition, substance presence, and anatomy.
Why is the ‘hog-tied’ body position considered risky?
It interferes with breathing, leading to positional asphyxia, potentially causing suffocation or unconsciousness.
How should law enforcement officers respond to individuals affected by mental illness?
With compassion, respect, and effective intervention, ensuring safety for all involved.
What role do law enforcement officers play in responding to mental health crises?
They must be fully prepared, make difficult judgments, and use special skills to de-escalate safely.
What training requirements are outlined for law enforcement officers in dealing with mental illness?
Entry-level training, triennial refresher training, crisis intervention team training, and recognition of abnormal behavior.
Who is expected to diagnose mental illness according to the course notes?
Trained mental health professionals, not officers or civilian employees.
What are officers and civilian employees expected to do regarding mental illness?
Recognize behaviors suggestive of mental illness or crisis, focusing on indicators of potential danger.
What signs and symptoms should officers and civilian employees pay attention to regarding mental illness?
Generalized behaviors indicating mental illness or crisis, excluding reactions to substances like alcohol or psychoactive drugs.
What is the purpose of completing supplement reports in the context of serving mental health warrants?
To document observations made and actions taken by assisting officers.
What should be included in the mental health packet when serving a mental health warrant?
A copy of the complaint for ESH, a copy of the complaint for the person, and the judge’s warrant.
What is the procedure for serving the Emergency Services Hospital (ESH) and the person subject to the mental health warrants?
Serve ESH and the person with copies of the complaint, complete a citation, and sign the warrant.
When serving a mental health warrant, what should the officer do with the executed warrant?
Sign and return the executed warrant to the front window of District Court.
Which individuals can be recommended for a mental competency assessment by a judge within the Mental Health Court’s Diversion Program?
Subjects charged with at least a Class B Misdemeanor displaying deteriorating mental health signs.
What is the purpose of the Mental Health Court Program regarding individuals with mental health issues?
To assist those displaying signs of deteriorating mental health conditions and reduce recidivism rates.
How can an officer recommend a subject for evaluation by mental health professionals into the Mental Health Court Program?
Contact the Mental Health Court Coordinator or Fayette County Prosecutor with subject details.
What kind of subjects will the Mental Health Court Program not allow?
Those previously convicted of sex crimes or violent offenses.
What reports are University of Kentucky Police officers responsible for at Eastern State Hospital?
Taking all reports of incidents that occur on the property of Eastern State Hospital.
In what instances shall officers transport mentally ill individuals without a court order?
Absent a court order directing an officer otherwise.
What circumstances trigger the duty for mental health professionals to warn of violent behavior?
When a patient communicates an actual threat of physical violence or a specific violent act.
Which professionals fall under the definition of ‘mental health professional’ according to the provided text?
Physicians, psychiatrists, psychologists, nurses, social workers, therapists, counselors, art therapists, and pastoral counselors.
How can a mental health professional discharge the duty to warn an intended victim of a patient’s threat of violence?
By making reasonable efforts to communicate the threat to the victim and notify the police.
Under what circumstances does a mental health professional not incur monetary liability for failing to predict or warn of a patient’s violent behavior?
When the patient has not communicated a threat of physical violence or a specific violent act.
What are the responsibilities of an officer when notified of a threat of violence communicated by a patient’s mental health professional?
Contact the mental health professional to obtain specific information.
Who completes documentation of the use of restraints in E-Crisis reports?
Qualified mental health professionals.
What method can officers use to deliver E-Crisis reports if they are unable to print them?
Transmit the report to Central Records for printing and delivery.
If a person does not meet criteria for involuntary hospitalization, what action should be taken?
They should be released immediately and transported back to their home county.
What happens if a qualified mental health professional finds the person meets criteria for involuntary hospitalization?
Appropriate proceedings under the chapter should be initiated.
For how long may a person be held pending certification after meeting criteria for involuntary hospitalization?
For a period not to exceed eighteen (18) hours.
What should a peace officer do if someone meets criteria for involuntary hospitalization and has committed a criminal offense?
Swear out a warrant and take the arrested person before a judge without delay.
What is the officer’s responsibility when a detainee is arrested for a criminal offense?
Notify hospital personnel and their immediate supervisor.
What should the supervisor do to ensure awareness of specific circumstances involving a detainee?
Assure oncoming shift supervisors and E911 are informed.
If a hospital evaluates and releases a detainee promptly, what action should the officer take?
Take the individual into custody and transport them to the detention facility.
What should the officer do if the detainee is not going to be released within a short period of time?
Obtain warrants for the offenses committed before the end of their shift.
What is the purpose of General Order 2005-01A?
To provide guidance when encountering persons affected by mental illness or in crisis.
What are the primary objectives when encountering someone exhibiting excited delirium?
Rapid control of the subject and transfer to emergency medical providers.
Define Crisis in the context of the policy notes.
An individual’s responses to trauma resulting in emotional, physical, or mental distress.
What is the goal of Crisis Intervention Team (CIT) training?
To train law enforcement in best practices for intervention with individuals in crisis.
Explain the term ‘Mentally ill person’ based on the policy notes.
A person with impaired capacity or maladaptive behavior due to physiological, psychological, or social factors.
What is the definition of ‘Excited Delirium’ according to the notes?
A medical disorder characterized by extreme excitement, agitation, hyperthermia, hostility, and potential sudden death risk.
Describe the concept of ‘Positional Asphyxia’ from the provided notes.
It occurs when body position restricts proper breathing leading to asphyxiation.
What are some signs of excited delirium?
Psychotic symptoms, rapid emotional changes, disorientation, superhuman strength, muscle rigidity, hallucinations of grandeur, nakedness, resistance to capture, insensitivity to pain, lack of focus or fatigue.
How should responding officers manage incidents involving excited delirium?
Manage as a medical emergency, use reasonable force, quickly control subject to minimize struggle.
What steps should officers take when responding to a possible excited delirium incident?
Eliminate unnecessary lights, ensure backup officers and EC unit, have a supervisor, lower radio volume.
What tactics should officers use if the subject appears unarmed and cooperative?
Contain subject at a safe distance, use contact/cover tactics, engage in non-confrontational conversation.
How should officers handle a subject who is armed or combative?
Employ reasonable force, minimize resistance intensity, avoid prolonged struggle, consider multi-officer takedown.
Who is responsible for verbally notifying detention facility personnel of any known mental health issues post-arrest?
Officers
What action should officers take upon leaving a psychiatric facility regarding the uniform citation?
Deliver a copy to the adult detention facility for processing
What report is required for CIT-trained officers in encounters with persons with mental illness?
Crisis Intervention Report (E-Crisis report)
According to KRS 210.365 (9), what must CIT-trained officers report to their agency?
Encounters with persons with mental illness, substance abuse disorders, etc.
Under KRS 645.120, when can a peace officer file a petition for emergency hospitalization of a child with mental illness?
If the child appears in need of immediate hospitalization
Within what time frame must an authorized staff physician determine if a child needs immediate hospitalization due to mental illness?
Within twenty-four (24) hours
What does the petition for emergency hospitalization need to state regarding a child’s need for immediate hospitalization?
The petitioner’s belief and its factual basis
What two options does the court have within twenty-four hours of filing a petition for emergency hospitalization?
Deny the petition or issue an order for evaluation
What is the recommended approach when using a CEW in probe mode for restraint?
Use a single deployment coupled with immediate restraint to avoid prolonged confrontation.
Why should drive stun mode not be used with a CEW?
It only causes pain and does not incapacitate the subject.
How should officers position a person in custody to facilitate breathing?
Roll the person on their side.
What should officers continuously monitor once a subject is in custody?
Pulse and respiration.
Why should officers avoid pressure on the subject’s chest, neck, or head?
To prevent stress on respiratory muscles and obstruction of breathing.
What can happen if a subject is left in control restraints on their back or stomach?
It can lead to positional asphyxia.
What should an officer do when encountering a person exhibiting symptoms of excited delirium?
Request backup and EC unit assistance before attempting physical control.
What should officers do regarding reporting requirements for a subject with excited delirium symptoms?
Prepare all required reports whether the subject is arrested, committed, or released.
Where can uninsured individuals find counseling services with lower fees?
Bluegrass Comprehensive Care offers counseling with ‘Sliding Fee Scale.’
What details should be documented in an electronic case report regarding a threat incident?
The complainant (mental health professional), the suspect (patient), intended victim(s), and actions taken.
How should officers and civilian employees manage individuals in extreme distress?
By identifying distress, minimizing risks, facilitating medical care, and recognizing signs of Excited Delirium.
What are some factors that may contribute to Excited Delirium?
Hypoxia, hypoglycemia, intoxication, drug use, obesity, and delirium.
What specific symptoms indicate Excited Delirium in individuals?
Profuse sweating, elevated body temperature, dilated pupils, uncontrollable shaking, and rapid breathing.
How can officers and civilian employees recognize extreme distress in individuals?
By noting physical symptoms (sweating, temperature), behavioral symptoms (paranoia, agitation), and self-inflicted injuries.
What actions or behaviors may individuals with Excited Delirium exhibit?
Irresponsiveness to police, intense paranoia, extreme agitation, aggression, constant physical activity, and irrational speech.
Where can employees find a list of community mental health resources?
In the Appendix or by contacting NAMI.
What is the purpose of establishing a single point of contact with an individual in crisis?
To establish a calming relationship and minimize confusion or overstimulation.
What steps should be taken to calm a situation when interacting with individuals in crisis?
Eliminate emergency lights/sirens, speak quietly, remove dangerous weapons, and gather info.
How should officers communicate with individuals experiencing delusions?
Speak slowly, use a low tone, ask one question at a time, and be patient.
When should officers request assistance from specialized training officers?
When dealing with mental illness or escalating crisis situations.
What should civilian employees do if no officer is available during a crisis?
Call E911 and ask for an officer’s assistance.
Where can juveniles and adults seek outpatient counseling for issues like family dysfunction and anxiety?
St., 253-1993, UK Psychiatry Services, UK Family Center/Family Studies, UK Jesse Harris Psychological Services, UK Counseling Psychology Center
What services does the National Alliance on Mental Illness (NAMI) provide?
Support groups, educational materials, resource center, advocacy activities
