Interacting with persons effects by MI Flashcards

1
Q

What are some indicators used to assess potential danger in individuals affected by mental illness or in crisis?

A

Availability of weapons, violent statements, violent history, self-control, response to changes.

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2
Q

What are some examples of delusions that individuals affected by mental illness may experience?

A

Delusions of grandeur, paranoid delusions.

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3
Q

What behaviors may indicate a lack of self-control in individuals affected by mental illness or in crisis?

A

Extreme agitation, inability to sit still, wide eyes, rambling thoughts and speech.

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4
Q

How can the environment’s volatility impact individuals affected by mental illness or in crisis?

A

It can incite violence or affect the person’s behavior.

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5
Q

What behavioral change might occur in individuals affected by mental illness or emotional crisis based on external triggers?

A

From calm and command-responsive to physically active.

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6
Q

What should officers continually evaluate in the environment when dealing with individuals affected by mental illness or in crisis?

A

Agitators that may affect the person or incite violence.

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7
Q

What may sudden negative responses to changes in officer proximity indicate in individuals affected by mental illness or in crisis?

A

A sign of lack of self-control.

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8
Q

When should Emergency Care Unit be requested for a person exhibiting signs of Excited Delirium?

A

As soon as possible

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9
Q

What report is required for encountering a mentally ill person who does not meet Emergency Detention criteria?

A

Crisis Intervention Report (E-Crisis report)

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10
Q

What should officers do if they transport an individual voluntarily agreeing to be taken to a psychiatric facility?

A

Take them to the admissions office and inform hospital personnel.

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11
Q

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

A psychiatric facility, preferably Eastern State Hospital (ESH)

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12
Q

When can restraints be used on an individual according to 908 KAR 2:090 Decriminalization of Mental Illness?

A

If the individual exhibits or is threatening to exhibit assaultive or self-injurious behavior.

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13
Q

What are the potential causes of the inability to breathe properly?

A

The body’s position, compromise or blocking of the airway, mental condition, substance presence, and anatomy.

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14
Q

Why is the ‘hog-tied’ body position considered risky?

A

It interferes with breathing, leading to positional asphyxia, potentially causing suffocation or unconsciousness.

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15
Q

How should law enforcement officers respond to individuals affected by mental illness?

A

With compassion, respect, and effective intervention, ensuring safety for all involved.

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16
Q

What role do law enforcement officers play in responding to mental health crises?

A

They must be fully prepared, make difficult judgments, and use special skills to de-escalate safely.

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17
Q

What training requirements are outlined for law enforcement officers in dealing with mental illness?

A

Entry-level training, triennial refresher training, crisis intervention team training, and recognition of abnormal behavior.

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18
Q

Who is expected to diagnose mental illness according to the course notes?

A

Trained mental health professionals, not officers or civilian employees.

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19
Q

What are officers and civilian employees expected to do regarding mental illness?

A

Recognize behaviors suggestive of mental illness or crisis, focusing on indicators of potential danger.

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20
Q

What signs and symptoms should officers and civilian employees pay attention to regarding mental illness?

A

Generalized behaviors indicating mental illness or crisis, excluding reactions to substances like alcohol or psychoactive drugs.

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21
Q

What is the purpose of completing supplement reports in the context of serving mental health warrants?

A

To document observations made and actions taken by assisting officers.

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22
Q

What should be included in the mental health packet when serving a mental health warrant?

A

A copy of the complaint for ESH, a copy of the complaint for the person, and the judge’s warrant.

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23
Q

What is the procedure for serving the Emergency Services Hospital (ESH) and the person subject to the mental health warrants?

A

Serve ESH and the person with copies of the complaint, complete a citation, and sign the warrant.

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24
Q

When serving a mental health warrant, what should the officer do with the executed warrant?

A

Sign and return the executed warrant to the front window of District Court.

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25
Q

Which individuals can be recommended for a mental competency assessment by a judge within the Mental Health Court’s Diversion Program?

A

Subjects charged with at least a Class B Misdemeanor displaying deteriorating mental health signs.

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26
Q

What is the purpose of the Mental Health Court Program regarding individuals with mental health issues?

A

To assist those displaying signs of deteriorating mental health conditions and reduce recidivism rates.

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27
Q

How can an officer recommend a subject for evaluation by mental health professionals into the Mental Health Court Program?

A

Contact the Mental Health Court Coordinator or Fayette County Prosecutor with subject details.

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28
Q

What kind of subjects will the Mental Health Court Program not allow?

A

Those previously convicted of sex crimes or violent offenses.

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29
Q

What reports are University of Kentucky Police officers responsible for at Eastern State Hospital?

A

Taking all reports of incidents that occur on the property of Eastern State Hospital.

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30
Q

In what instances shall officers transport mentally ill individuals without a court order?

A

Absent a court order directing an officer otherwise.

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31
Q

What circumstances trigger the duty for mental health professionals to warn of violent behavior?

A

When a patient communicates an actual threat of physical violence or a specific violent act.

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32
Q

Which professionals fall under the definition of ‘mental health professional’ according to the provided text?

A

Physicians, psychiatrists, psychologists, nurses, social workers, therapists, counselors, art therapists, and pastoral counselors.

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33
Q

How can a mental health professional discharge the duty to warn an intended victim of a patient’s threat of violence?

A

By making reasonable efforts to communicate the threat to the victim and notify the police.

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34
Q

Under what circumstances does a mental health professional not incur monetary liability for failing to predict or warn of a patient’s violent behavior?

A

When the patient has not communicated a threat of physical violence or a specific violent act.

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35
Q

What are the responsibilities of an officer when notified of a threat of violence communicated by a patient’s mental health professional?

A

Contact the mental health professional to obtain specific information.

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36
Q

Who completes documentation of the use of restraints in E-Crisis reports?

A

Qualified mental health professionals.

37
Q

What method can officers use to deliver E-Crisis reports if they are unable to print them?

A

Transmit the report to Central Records for printing and delivery.

38
Q

If a person does not meet criteria for involuntary hospitalization, what action should be taken?

A

They should be released immediately and transported back to their home county.

39
Q

What happens if a qualified mental health professional finds the person meets criteria for involuntary hospitalization?

A

Appropriate proceedings under the chapter should be initiated.

40
Q

For how long may a person be held pending certification after meeting criteria for involuntary hospitalization?

A

For a period not to exceed eighteen (18) hours.

41
Q

What should a peace officer do if someone meets criteria for involuntary hospitalization and has committed a criminal offense?

A

Swear out a warrant and take the arrested person before a judge without delay.

42
Q

What is the officer’s responsibility when a detainee is arrested for a criminal offense?

A

Notify hospital personnel and their immediate supervisor.

43
Q

What should the supervisor do to ensure awareness of specific circumstances involving a detainee?

A

Assure oncoming shift supervisors and E911 are informed.

44
Q

If a hospital evaluates and releases a detainee promptly, what action should the officer take?

A

Take the individual into custody and transport them to the detention facility.

45
Q

What should the officer do if the detainee is not going to be released within a short period of time?

A

Obtain warrants for the offenses committed before the end of their shift.

46
Q

What is the purpose of General Order 2005-01A?

A

To provide guidance when encountering persons affected by mental illness or in crisis.

47
Q

What are the primary objectives when encountering someone exhibiting excited delirium?

A

Rapid control of the subject and transfer to emergency medical providers.

48
Q

Define Crisis in the context of the policy notes.

A

An individual’s responses to trauma resulting in emotional, physical, or mental distress.

49
Q

What is the goal of Crisis Intervention Team (CIT) training?

A

To train law enforcement in best practices for intervention with individuals in crisis.

50
Q

Explain the term ‘Mentally ill person’ based on the policy notes.

A

A person with impaired capacity or maladaptive behavior due to physiological, psychological, or social factors.

51
Q

What is the definition of ‘Excited Delirium’ according to the notes?

A

A medical disorder characterized by extreme excitement, agitation, hyperthermia, hostility, and potential sudden death risk.

52
Q

Describe the concept of ‘Positional Asphyxia’ from the provided notes.

A

It occurs when body position restricts proper breathing leading to asphyxiation.

53
Q

What are some signs of excited delirium?

A

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.

54
Q

How should responding officers manage incidents involving excited delirium?

A

Manage as a medical emergency, use reasonable force, quickly control subject to minimize struggle.

55
Q

What steps should officers take when responding to a possible excited delirium incident?

A

Eliminate unnecessary lights, ensure backup officers and EC unit, have a supervisor, lower radio volume.

56
Q

What tactics should officers use if the subject appears unarmed and cooperative?

A

Contain subject at a safe distance, use contact/cover tactics, engage in non-confrontational conversation.

57
Q

How should officers handle a subject who is armed or combative?

A

Employ reasonable force, minimize resistance intensity, avoid prolonged struggle, consider multi-officer takedown.

58
Q

Who is responsible for verbally notifying detention facility personnel of any known mental health issues post-arrest?

A

Officers

59
Q

What action should officers take upon leaving a psychiatric facility regarding the uniform citation?

A

Deliver a copy to the adult detention facility for processing

60
Q

What report is required for CIT-trained officers in encounters with persons with mental illness?

A

Crisis Intervention Report (E-Crisis report)

61
Q

According to KRS 210.365 (9), what must CIT-trained officers report to their agency?

A

Encounters with persons with mental illness, substance abuse disorders, etc.

62
Q

Under KRS 645.120, when can a peace officer file a petition for emergency hospitalization of a child with mental illness?

A

If the child appears in need of immediate hospitalization

63
Q

Within what time frame must an authorized staff physician determine if a child needs immediate hospitalization due to mental illness?

A

Within twenty-four (24) hours

64
Q

What does the petition for emergency hospitalization need to state regarding a child’s need for immediate hospitalization?

A

The petitioner’s belief and its factual basis

65
Q

What two options does the court have within twenty-four hours of filing a petition for emergency hospitalization?

A

Deny the petition or issue an order for evaluation

66
Q

What is the recommended approach when using a CEW in probe mode for restraint?

A

Use a single deployment coupled with immediate restraint to avoid prolonged confrontation.

67
Q

Why should drive stun mode not be used with a CEW?

A

It only causes pain and does not incapacitate the subject.

68
Q

How should officers position a person in custody to facilitate breathing?

A

Roll the person on their side.

69
Q

What should officers continuously monitor once a subject is in custody?

A

Pulse and respiration.

70
Q

Why should officers avoid pressure on the subject’s chest, neck, or head?

A

To prevent stress on respiratory muscles and obstruction of breathing.

71
Q

What can happen if a subject is left in control restraints on their back or stomach?

A

It can lead to positional asphyxia.

72
Q

What should an officer do when encountering a person exhibiting symptoms of excited delirium?

A

Request backup and EC unit assistance before attempting physical control.

73
Q

What should officers do regarding reporting requirements for a subject with excited delirium symptoms?

A

Prepare all required reports whether the subject is arrested, committed, or released.

74
Q

Where can uninsured individuals find counseling services with lower fees?

A

Bluegrass Comprehensive Care offers counseling with ‘Sliding Fee Scale.’

75
Q

What details should be documented in an electronic case report regarding a threat incident?

A

The complainant (mental health professional), the suspect (patient), intended victim(s), and actions taken.

76
Q

How should officers and civilian employees manage individuals in extreme distress?

A

By identifying distress, minimizing risks, facilitating medical care, and recognizing signs of Excited Delirium.

77
Q

What are some factors that may contribute to Excited Delirium?

A

Hypoxia, hypoglycemia, intoxication, drug use, obesity, and delirium.

78
Q

What specific symptoms indicate Excited Delirium in individuals?

A

Profuse sweating, elevated body temperature, dilated pupils, uncontrollable shaking, and rapid breathing.

79
Q

How can officers and civilian employees recognize extreme distress in individuals?

A

By noting physical symptoms (sweating, temperature), behavioral symptoms (paranoia, agitation), and self-inflicted injuries.

80
Q

What actions or behaviors may individuals with Excited Delirium exhibit?

A

Irresponsiveness to police, intense paranoia, extreme agitation, aggression, constant physical activity, and irrational speech.

81
Q

Where can employees find a list of community mental health resources?

A

In the Appendix or by contacting NAMI.

82
Q

What is the purpose of establishing a single point of contact with an individual in crisis?

A

To establish a calming relationship and minimize confusion or overstimulation.

83
Q

What steps should be taken to calm a situation when interacting with individuals in crisis?

A

Eliminate emergency lights/sirens, speak quietly, remove dangerous weapons, and gather info.

84
Q

How should officers communicate with individuals experiencing delusions?

A

Speak slowly, use a low tone, ask one question at a time, and be patient.

85
Q

When should officers request assistance from specialized training officers?

A

When dealing with mental illness or escalating crisis situations.

86
Q

What should civilian employees do if no officer is available during a crisis?

A

Call E911 and ask for an officer’s assistance.

87
Q

Where can juveniles and adults seek outpatient counseling for issues like family dysfunction and anxiety?

A

St., 253-1993, UK Psychiatry Services, UK Family Center/Family Studies, UK Jesse Harris Psychological Services, UK Counseling Psychology Center

88
Q

What services does the National Alliance on Mental Illness (NAMI) provide?

A

Support groups, educational materials, resource center, advocacy activities