crisis intervention abnormal behavior & mental illness officer mark best may 2006
TRANSCRIPT
Crisis InterventionCrisis InterventionAbnormal Behavior & Mental IllnessAbnormal Behavior & Mental Illness
Officer Mark BestMay 2006
Learning ObjectivesLearning Objectives(From Memory in a Classroom Environment)(From Memory in a Classroom Environment)
Name six elements of a tactical response.
ID the ITA’s four criteria for commitment.
Name four mimics to mental illness.
Three Types of Abnormal Three Types of Abnormal BehaviorBehavior
-1-______________________________-2- _____________________________-3- _____________________________
Neurotic ExperiencesNeurotic Experiences(1(1stst of 3 abnormal behavior types) of 3 abnormal behavior types)
Nervousness Distress Anxiety Guilt Depression
Neurotic BehaviorNeurotic Behavior
Worrying Avoiding Showing a lack of insight Regressing Panicking
Neurotic IllnessesNeurotic Illnesses
Phobias Obsessive-compulsive disorder
Psychotic ExperiencesPsychotic Experiences(2(2ndnd of 3 abnormal behavior types) of 3 abnormal behavior types)
Altered states of consciousness through…perceptionthoughtemotion
This person loses touch with reality.
Psychotic PhenomenaPsychotic Phenomena
Delusions Hallucinations
Common Psychotic Common Psychotic IllnessesIllnesses
Manic-depressive disorder aka bi-polar Paranoia Schizophrenia
Triggers of Psychotic Triggers of Psychotic ExperiencesExperiences
MourningPTSDDrugs: esp. LSD, opium, shroomsDetoxingDementia Sleep Deprivation
Psychopath / SociopathPsychopath / Sociopath(3(3rdrd of 3 types of abnormal behavior) of 3 types of abnormal behavior)
A deeply ingrained, inflexible pattern of thoughts and behavior that persists throughout a person’s life.
These people know exactly what they are doing.
Signs of a Signs of a Psychopath/SociopathPsychopath/Sociopath
No empathy Incapable of feeling remorse Egocentric
Behavior of a Behavior of a Psychopath / SociopathPsychopath / Sociopath
Displays behavior problems early in life Lies pathologically Has a sexually exaggerated life Takes risks Lives impulsively Lives egocentrically Excessively boasts
Facts regardingFacts regardingPsychopaths / SociopathsPsychopaths / Sociopaths
There is an extremely high recidivism rate.
The insanity plea is not an option. There is no cure / medication.
Theoretical Origins of a Theoretical Origins of a Psychopath/SociopathPsychopath/Sociopath
Heredity Disease Emotional Deprivation
Mental IllnessMental Illness
As an officer/deputy, you will encounter a mentally ill person nearly every day.
3-pronged “Mission” While 3-pronged “Mission” While Contacting a Mentally Contacting a Mentally
Disturbed PersonDisturbed Person
_____________________________ _____________________________ _____________________________
A Point of DecencyA Point of Decency
A person is not their “illness.” I.Q. is unrelated to M.I.
Facts About Mental IllnessFacts About Mental Illness
term: acute OR chronic onset: any time
Signs of Mental IllnessSigns of Mental Illness
Rapid, uninterruptible speechIncoherent or disorganized speechTalking or laughing to selfHallucinations
More Signs of Mental IllnessMore Signs of Mental Illness
DelusionsErratic thinkingRapid mood swingsBlank stare or catatonic behavior
Tactical ResponseTactical Response
Do: _____________________ _____________________ _____________________ _____________________ _____________________
Tactical ResponseTactical Response
Don’t: ___________________ ___________________ ________________________________
Tactical ConsiderationsTactical Considerations
Critical: observing before engaging
Crowds Expect sudden changes Use restraints
Involuntary Treatment ActInvoluntary Treatment Act(I T A)(I T A)
Allows us to detain a person to be evaluated & treated for a mental illness without their consent.
Involuntary Treatment ActInvoluntary Treatment Act
Enacted: 1974 Last amended: 1998. RCW 71.05.150
The ITA addresses 3 ThingsThe ITA addresses 3 Things
Rights for the M.I. Powers for the MHP’s Guidelines for L.E.
ITA Commitment CriteriaITA Commitment Criteria
-1- _________________OR-2- _________________OR-3- _________________OR-4- _________________
Some MimicsSome Mimics
__________________ __________________ __________________ __________________ __________________ __________________ __________________
Alzheimer’s DiseaseAlzheimer’s Disease
A brain disease, not normal aging Nerve cells in the brain are
destroyed Most common form of dementia Degenerative – terminal
Symptomatic Behaviors of Symptomatic Behaviors of an A.D. Patientan A.D. Patient
Dresses inappropriately Appears confused & disoriented Is frightened Behaves angrily, violently
Common Reasons We Common Reasons We Contact A.D. PatientsContact A.D. Patients
Missing person False reporting Shoplifting Indecent exposure Erratic driving
Prevalence of A.D.Prevalence of A.D.
~10% of those 65+ ~50% of those 85+
Tactical A.D. ResponseTactical A.D. Response The same as for a mentally ill
person
Restraint Considerations
The same as with a mentally ill person
AND… If using, pay special attention to
avoid bone and joint injury.
The Safe Return ProgramThe Safe Return Program
Issues ID bracelets Is a liaison for the missing or
found 800-572-1122
Q & AQ & A
ReviewReview
Name six elements of a tactical response.
ID the ITA’s four criteria for commitment.
Name four mimics to mental illness.
……& finally,& finally,
What do you get when you cross a pit bull with a collie? A dog that rips your leg off, then runs for help.
-A Prairie Home Companion
Next Time:Next Time:
Suicide