Mental Illness Flashcards
What are the three major types if mental illness?
Schizophrenia-disorganized thinking, hallucinations and delusions. Occurs 18-25of age.
Bipolar-manic depression. Low depression, high manic episode. 4cyles in a year is “rapid cycling”
Major depression-affects daily functions, one of the most caused disability. 5% have it.
What areas can mental illness affect a person in?
Social-difficulties maintaining necessities of life
Occupational-difficulty acquiring or maintaining employment
Interpersonal relationships-maintaining healthy relationships
What are the 5 major types of anxiety d/o?
Generalized anxiety-uncontrollable worrying about everyday things
OCD-uncontrollable obsessions
Panic d/o- intense onset fear or discomfort
PTSD-exposure to extreme trauma
Social phobia- social fears
What are the 10 personality d/o in the dsm 5?
Paranoia-fear of others-after them
Schizoid-limited range of emotion
Schizotypal-odd beliefs, feeling magical
Antisocial-lack of moral or legal standards
Borderline-lack of identity, rapid change in mode
Histrionic-inappropriate displays of emotions
Narcissistic-lack of empathy need to be admired
Avoidant-sensitive to criticism
Dependent-extreme need for other
Obsessive compulsive-lack of uncontrollable patterns
What are common characteristics of MH d/o?
Perception-hallucinations Orientation-person, place, time awareness Thinking-delusions, paranoia Judgement-poor decision making Feeling-incongruent, variable Behaviors-actions Environment-
What is the iq for a person with mr?
Less than 70
What are some techniques to use when dealing with a person with dd or mr?
Use simple language
Avoid questions that tell a person the answer u expect
If giving Miranda, speak slowly, make sure they understand and give praise
When are u most likely to encounter a person with autism?
Anywhere in the community
Supervised caregiver home
Residential facilities
Public and private schools
When may an officer come into contact with a person with autism?
Medical emergency
Call for assistance
Child or adults run away or wander
What are some situations where people with autism would be targets as victims?
Child abuse
Robbers and con artist
Hate crimes
What is a way for an officer to know if a person has a disability like autism?
Identify cards
Have name, address and number
And if asked politely can give it to you
What Is a first responder checklist?
Treat all cases as critical Listen to the caregivers Search waters first Ask about child's attractions Don't give up
What should you do when a child is found?
Maintain calm and relaxed environment
Speak normal tone if voice, use simple phrases
Bring caregiver
Avoid use of dangerous restraints
What are some available resources?
Awaare
First responder tool kit
First responder pre notification form
What are some first aid tactics to control seizures?
Do not put anything in mouth Do not hold down Do not pry open mouth Do not attempt physical restraint Do not leave unattended
When should you use restraints on a person having a seizure?
When they are a harm to them selfs or another and use minimal force necessary, wait until conscious
How and why should you document an encounter with a person with mh disability?
It creates a history of the b/o
It gives other officers/medical personnel and supervisors information
It’s recommended to document everything to establish rapport in future crisis incidents
And documents when someone is a unreliable source
When is an interpreter needed for an officer?
Usually for urgent situations or violent crimes
Not required for simple transactions or violations
What are some symptoms of excited delirium?
Bizarre/aggressive b/o
Shouting
Paranoia/panic
Physical strength
What are ways to control a subject who presents with excited delirium?
Call ems ahead of time Train dispatchers to know the signs Focus on contacting the subject Ask for backup if it's excited delirium Prone position might work best, but make it difficult for subject to breathe
What are some tactics when dealing with an suicidal subject?
Identify the subject and risk they present to them selfs or others
Take seriously
Use caution, may want suicide by cop
Work with others, family, MH workers
What are some crisis intervention tactics? (CIT) crisis intervention team
Gather as much info as possible before u arrive
Monitor ur own emotion
Assess and stabilize the scene
What are the steps in the crisis circle?
1) normal stage: 100% perception, ability to reason
2) stimulation stage: subject only has 50-75% reasoning, agitated b/o
3) escalation stage-loud agrees dive b/o 5-24% reasoning
4) crisis stage- only 0-5% reasoning and ability to control
5) de-escalation-subject coming out of crisis
6) stabilization-keep subject calm, try not to escalate the subject
What is the basic rules of intervention?
Rule of time Rule of 3-stay 3 arm lengths away Rule of 5-May need to repeat 5x Rule of palms Rule of echoes-repeating back Rule of calm
What is the ADA?
Americans with disability act
Intent for individuals with physical and mental impairments
What are the severe chronic disability characteristics?
Disability until at least 24 years old
3or more impairments
Last for a life time
What are some developmental disabilities?
Epilepsy
Autism
MR
Cerble palsy
What are some type of seizures?
Simple partial-no memory/conscious loss
Complex partial-some memory/conscious loss, stiffening of muscles
Tonic clonic (grand mal) loss of memory/conscious/Brian activity
What are first aid tactics for a tonic clonic (grand mal) seizure?
Time the seizure
Don’t hold down
Don’t pry open mouth
What are ways to differing symptoms from MH vs substance abuse?
Ask if they take or use drugs/Etoh
When was last use
What medication they are taking
Obvious smells-Etoh
