Newest Cpt Ppt

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    Officers CPT

    Mental Health Update

    Officer D. Neff

    Sergeant D. Faeth

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    Course Objectives:

    1. Help officers recognize signs and symptoms ofmental illness and access the resources needed.

    2. Improve officers interaction andcommunication skills needed to properly assessa call for service and conclude with theappropriate and legal disposition.

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    Approximately how many calls

    for service

    do patrol officers respond to

    which are coded

    5150 or 5150B?

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    5600 in 2009

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    Define: Mental Illness

    A clinically diagnosable disorder thatsignificantly interferes with an individuals

    Cognitive

    Emotional

    Social abilities.

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    Welfare and Institutions Code 5150

    When any person, as a result of a

    mental disorder, is a danger to

    others, or to himself or herself, orgravely disabled

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    Welfare and Institutions Code 5150

    When any person, as a result of a

    mental disorder, is a danger to others,

    or to himself or herself, or gravelydisabled.

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    Welfare and Institutions Code 5150 cont.

    The person designated by the county

    may, upon probable cause, take or

    cause to be taken the person intocustody and placed in a facility for up

    to 72 hours for an evaluation and

    treatment.

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    Welfare and Institutions Code 5150 cont.

    The person designated by the county may,

    upon probable cause, take or cause to betaken the person into custody and placedin a facility for up to 72 hours for an

    evaluation and treatment.

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    Welfare and Institutions Code 5150.2

    The documentation shall include detailed

    information regarding the factualcircumstances

    and observationsconstituting probable cause forthe peace officer to believe that the individualrequired a psychiatric evaluation.

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    Emergency Psychiatric Detention

    Officers are reminded that an emergencypsychiatric detention is the

    MOST INVASIVE

    police action against a personNot suspected of a crime.

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    Tactics Reminder:

    In the first 30 seconds involving a person in crisis,

    where a deadly weapon is NOTinvolved

    The most important tools are your

    MINDand your MOUTH

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    Listening can

    de-escalate

    a situation

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    Cultural Awareness:

    When communicating with people in crisis remember:1. Acknowledge cultural differences, dont make

    assumptions.

    2.

    Allow the family/RP to educate you how a crisismight be handled in their culture. Incorporatewhen appropriate.

    3. Dont stereotype.

    4. Be aware of differences when dealing with foreignborn individuals or youth of foreign born parents.

    5. Know how to access languages resources ifneeded.

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    Signs and Symptoms

    Handouts

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    What is the mostcommon mental

    illness?

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    Depression

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    Diagnosis alone does not constitute

    5150 W&I criteria

    Developmental Disability

    Substance Abuse

    Dementia

    Anti-social or oppositional behavior

    EpilepsyMental Retardation

    Alcoholism

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    Definitions:

    Danger to self:

    Due to a mentaldisorder, use of

    words or actions showing intentto commit suicide or cause great bodily

    harm or gross disregard for personalsafety.

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    Definitions:

    Danger to others:

    Due to a mentaldisorder, use of

    words or actions showing intentto cause great harm to another person, engage indangerous acts or to show gross disregard for

    others safety.

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    Definitions:

    Grave Disability:

    A condition which a person, as

    a result of a mental disorder, is

    unable to provide food,

    clothing or shelter.

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    Grave Disability:

    Refusal of medical treatment

    in itself is not evidence ofgrave disability.

    Handouts

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    CommunicationBasic Strategy:

    Ask 2 to 3 open ended questions

    Whats going on right now?

    How are you feeling?

    What would you like me to do for you?

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    Basic Strategy cont

    Use I statements.I understand it is difficult to.

    this is what I can do for you.

    Offer:

    support services

    counseling / someone to talk to

    medication

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    Handouts

    Ten Tips for Crisis

    Prevention

    Active Listening Skills

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    Field Reference Card 1

    1. Investigative Questions For Individual

    For R/P

    2. 5150 Intervention: Strategy

    Verbal Judo

    AVOIDMake into assignment card - laminate

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    Documentation

    Danger to Self or Others

    The legal criterion of danger to self or

    others has been narrowly definedby the courts to mean

    a demonstrated danger of substantialharm and danger that is

    imminent

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    In other words

    a danger exists

    which could reasonably

    be expected to cause deathor

    serious physical harm

    IMMEDIATELY

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    Probable Cause--Generally

    To constitute probable causeto detain a

    person pursuant to 5150, a state of facts

    must be known to the peace officer thatwould lead a person of ordinary care and

    prudence to believe or entertain a strong

    suspicion, that the person detained ismentally disorderedand is a danger to

    himself/herself, others or gravely disabled.

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    In justifying the particular intrusion, the officermustbe able to point to specific and

    articulable factswhich, taken together with

    rational inferences from those facts, reasonablywarrant his or her belief or suspicion.

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    If you dontdocument it

    It did nothappen.

    Evaluation at JGP based on what you wrotedown

    If taken to court, only testify to what is written

    on document

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    Formerly AB 1424

    Now 5150.05 W&I

    When determining if PC exists to take a personinto custody...

    Shallconsider available and relevant informationabout the historical course of the persons

    mental disorder if the officer determines that theinformation has a reasonable bearing on the

    determination as to weather a hold will beplaced.

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    Sample #1

    Outline for completing document

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    Sample #2

    Well Written Document

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    Sample #3

    An example which needs to add information.Whats missing??

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    Sample #4

    What is this detention missing?

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    Sample #5

    Is this an application for an

    emergency psychiatric detention??

    If not, what does it articulate?

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    Field Reference Card #2

    Crisis Services

    Support and Advocacy

    Make into assignment card - laminate

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    Closing thoughts

    Never treat a 5150 call as just

    another call

    Talk to the subject, constantly looking for Indicators of potential violence

    Indications of drug/alcohol use

    Characteristics of a specific mental illness

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    Cont

    Use your senses

    Determine if a crime has been committed

    Determine what action needs to be taken