Mental Illness

Question 0

What are the three major types if mental illness?

Answer 0

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.

Question 1

What areas can mental illness affect a person in?

Answer 1

Social-difficulties maintaining necessities of life
Occupational-difficulty acquiring or maintaining employment
Interpersonal relationships-maintaining healthy relationships

Question 2

What are the 5 major types of anxiety d/o?

Answer 2

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

Question 3

What are the 10 personality d/o in the dsm 5?

Answer 3

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

Question 4

What are common characteristics of MH d/o?

Answer 4

Perception-hallucinations
Orientation-person, place, time awareness
Thinking-delusions, paranoia 
Judgement-poor decision making
Feeling-incongruent, variable 
Behaviors-actions
Environment-

Question 5

What is the iq for a person with mr?

Answer 5

Less than 70

Question 6

What are some techniques to use when dealing with a person with dd or mr?

Answer 6

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

Question 7

When are u most likely to encounter a person with autism?

Answer 7

Anywhere in the community
Supervised caregiver home
Residential facilities
Public and private schools

Question 8

When may an officer come into contact with a person with autism?

Answer 8

Medical emergency
Call for assistance
Child or adults run away or wander

Question 9

What are some situations where people with autism would be targets as victims?

Answer 9

Child abuse
Robbers and con artist
Hate crimes

Question 10

What is a way for an officer to know if a person has a disability like autism?

Answer 10

Identify cards
Have name, address and number
And if asked politely can give it to you

Question 11

What Is a first responder checklist?

Answer 11

Treat all cases as critical
Listen to the caregivers
Search waters first
Ask about child's attractions
Don't give up

Question 12

What should you do when a child is found?

Answer 12

Maintain calm and relaxed environment
Speak normal tone if voice, use simple phrases
Bring caregiver
Avoid use of dangerous restraints

Question 13

What are some available resources?

Answer 13

Awaare
First responder tool kit
First responder pre notification form

Question 14

What are some first aid tactics to control seizures?

Answer 14

Do not put anything in mouth
Do not hold down 
Do not pry open mouth
Do not attempt physical restraint 
Do not leave unattended

Question 15

When should you use restraints on a person having a seizure?

Answer 15

When they are a harm to them selfs or another and use minimal force necessary, wait until conscious

Question 16

How and why should you document an encounter with a person with mh disability?

Answer 16

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

Question 17

When is an interpreter needed for an officer?

Answer 17

Usually for urgent situations or violent crimes

Not required for simple transactions or violations

Question 18

What are some symptoms of excited delirium?

Answer 18

Bizarre/aggressive b/o
Shouting
Paranoia/panic
Physical strength

Question 19

What are ways to control a subject who presents with excited delirium?

Answer 19

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

Question 20

What are some tactics when dealing with an suicidal subject?

Answer 20

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

Question 21

What are some crisis intervention tactics? (CIT) crisis intervention team

Answer 21

Gather as much info as possible before u arrive
Monitor ur own emotion
Assess and stabilize the scene

Question 22

What are the steps in the crisis circle?

Answer 22

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

Question 23

What is the basic rules of intervention?

Answer 23

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

Question 24

What is the ADA?

Answer 24

Americans with disability act

Intent for individuals with physical and mental impairments

Question 25

What are the severe chronic disability characteristics?

Answer 25

Disability until at least 24 years old
3or more impairments
Last for a life time

Question 26

What are some developmental disabilities?

Answer 26

Epilepsy
Autism
MR
Cerble palsy

Question 27

What are some type of seizures?

Answer 27

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

Question 28

What are first aid tactics for a tonic clonic (grand mal) seizure?

Answer 28

Time the seizure
Don’t hold down
Don’t pry open mouth

Question 29

What are ways to differing symptoms from MH vs substance abuse?

Answer 29

Ask if they take or use drugs/Etoh
When was last use
What medication they are taking
Obvious smells-Etoh