Term
| What percent of US adult population uses some sort of mental health service each year? |
|
Definition
| 22.1% estimated. Some estimates are as high as 32%. |
|
|
Term
| What is the essentual difference between suspect encounter training, that officers traditionally receive and how to approach the mentally ill? |
|
Definition
| Mentally ill should be approached in a non confrontational manner. |
|
|
Term
| What should an officer first do when responding to a situation? |
|
Definition
| Take time to survey the the situation and gather necessary information. |
|
|
Term
| An officer should avoid approaching a subject until what occurs? |
|
Definition
| Untils some degree of repore has been developed. |
|
|
Term
| What is it helpful for officers to understand with persons who are afflicted with a form of mental illness? |
|
Definition
| The symptomatic behavioirs of mentally ill. |
|
|
Term
| What should you not do when confronted with a mentally ill persons? |
|
Definition
| Do not rush or crowd them. |
|
|
Term
| If a person is waving a knife or fist, but the situation is non threatening, what stance should a peace officer take? |
|
Definition
| A non threatening, non confrontational stance. |
|
|
Term
| Excessive emotional or violent outburst by mentally ill are often what? |
|
Definition
Short in duration.
Can be caused by extreme emotional stress. |
|
|
Term
| Increase adrinaline causes what? |
|
Definition
|
|
Term
| What works best and is most beneficial when working with mentally ill? |
|
Definition
| Patience and communication. |
|
|
Term
| True or false. Individuals who are mentaly ill are usually hardened criminals. |
|
Definition
|
|
Term
| How does the public generally view people with mentaly illness? |
|
Definition
| As ill, not as criminals. |
|
|
Term
| The public expects law enforcement to do everything in their power to... |
|
Definition
|
|
Term
| What is the control paradox when dealing with mentaly ill? |
|
Definition
| By using less physical, less authoritative , less confrontational, less controlling approach, you end up having more control and authority over the person |
|
|
Term
| Crisis Intervention Training is foremost what? |
|
Definition
|
|
Term
| What does Crisis Intervention Training do? |
|
Definition
| It assist in keeping the officer, the mental health consumer, and the community safer in difficult and potentially volatile situations. |
|
|
Term
| True or false. Mentallly ill are more proned to violence than the average population. |
|
Definition
|
|
Term
| A person in health crisis is usually... |
|
Definition
| Excited, alarmed, confused and feeling a lack of control. |
|
|
Term
| The essential difference between suspect encounter training that officers traditionally receive and how to approach the mentally ill is what? |
|
Definition
| The need to be non-confrentational. |
|
|
Term
| The same command techniques to take someone into custody serve only to what with mentaly ill? |
|
Definition
| Serve to escalate a contact with mentally ill into violence. |
|
|
Term
| How much more likelly are people with psychiatric dissabilities likely to die with police encounters than members of the general population? |
|
Definition
|
|
Term
| CIT is provent to be effective in what? |
|
Definition
| De-escalating a situation so that you are not placed in a position of having to use force. |
|
|
Term
| What are crisis intervention programs designed for? |
|
Definition
| To educate law enforcement officers in the basics elements of mental illness and prepare them to utilize practical applications of de-escalation techniques. |
|
|
Term
| What do crisis intervention programs help officers do? |
|
Definition
| Help officers recognize the signs and symptoms of mental illness and how to respond effectively, appropriately and professionally. |
|
|
Term
| What is the definition of mental illness? |
|
Definition
| Illness, disease or condition that either substantially impacts a person's thought, perception of reality, emotional process, or judgement; or grossly impairs a person's behavior as manifested by resent disturbance behavior. |
|
|
Term
| Mental illness is diagnosed based on what? |
|
Definition
|
|
Term
| Disorders, Forth Edition is most commonly called? |
|
Definition
|
|
Term
| What is the legal definition/term for insanity? |
|
Definition
| A diminished capacity and inability to tell right from wrong. |
|
|
Term
| True or False. There is not a sharp line between what is considered normal and abnormal behavior. |
|
Definition
|
|
Term
| What are the catagories of mental illness? |
|
Definition
Personality disorders
Mood disorders
Psychosis
Developmental disorders |
|
|
Term
| What traits are associated with personality disorders? |
|
Definition
| Inflexibility, maladaptive or inappropriate for situation, causing significant problems in their lives. |
|
|
Term
| People with personality disorders tend to beleive problems are caused by who/what? |
|
Definition
| Other people, the "system" or the world at large. |
|
|
Term
| People with personality disorders have __________ that they have a problem. |
|
Definition
|
|
Term
| What are the 3 most common personality disorders? |
|
Definition
Paranoia
Antisocial
Borderline |
|
|
Term
| 27.2.2 What are attributes paranoid/paranoia? |
|
Definition
Tendancey to interpret the actions of others as deliberatley threatening or demeaning.
Expectations to be used or harmed by others.
Perceives slights from others people. |
|
|
Term
| 27.2.2 What are attributes associated with antisocial? |
|
Definition
Most commonly recognized in males.
A pattern of irresponsibility and antisocial behavior diagnosed at of after 18 yrs old.
Have trouble with authority.
Unwilling to conform to society's expectations of family and work. |
|
|
Term
| 27.2.2 What are attributes associated with Borderline? |
|
Definition
Most commonly recognized in females.
Unstable and intense personal relationships.
Impulsive with relationships.
Intense anger or lack of control of anger.
Recurrent suicidal threats.
Chronic feeleings of emptiness or boredom.
Feelings of abandonment. |
|
|
Term
| 27.2.2 People with personality disorders usually will not seek treatment because? |
|
Definition
| They dont think they have a problem. |
|
|
Term
| 27.2.2 What is a mood disorder? |
|
Definition
| A mental illness demonstrated by disturbances in one's emotional reactions and feelings. |
|
|
Term
| 27.2.2 What are common mood disorders? |
|
Definition
| Severe depression and bipolar disorder, also know as manic depression. |
|
|
Term
| 27.2.2 What are recognized behaviors associated with mood disorders? |
|
Definition
Lack of interest/pleasure in activities.
Extreme and rapid mood swings.
Impaired judgement.
Explosive temper.
Increased spending.
Delusion. |
|
|
Term
| Depression is a natural reaction to ... |
|
Definition
|
|
Term
| True or False. Depression is not a common or wide spread disorder. |
|
Definition
|
|
Term
| True or false. Most people have experienced some form of depression. |
|
Definition
|
|
Term
| A major depresive syndrome is defined by what? |
|
Definition
| A depressed mood or loss of interest of at least 2 weeks duration accompanied by symptoms such as weight loss/gain and diffeculty concentrating. Five or more symptoms are generally present during the same 2 week period and represent a change from previous function. |
|
|
Term
| What are some symptoms of depression? |
|
Definition
Prolong feelings of hopelessness with excessive guilt.
Loss of interest in usual activities.
Diffeculty concentrating/making decissions.
Low energy/fatigue.
Change in activity level.
An inability to enjoy usual activities.
Changes in eating habits.
Chages in sleep habits. |
|
|
Term
| What is the most common cause associated with suicide? |
|
Definition
|
|
Term
| What is bipolar disorder? |
|
Definition
| A mental illness involving mania and depression. |
|
|
Term
| What is another term for bipolar disorder? |
|
Definition
|
|
Term
| Mania includes what symptoms? |
|
Definition
Abnormal high, expansive or irritated mood.
Inflated self esteem.
Decreased need for sleep.
More talkative than ususal.
Flight of ideas or feelings of thoughts racing.
Excessive risk taking. |
|
|
Term
| What are symptoms of the depressive stage of bipolar? |
|
Definition
Prolonged feelings of sadness/hopelessness.
Feelings of guilt/worthlessness.
Difficulty concentrating/deciding.
Lack of interest.
Low enenrgy.
Changes in activity level.
Inability to enjoy usual activities.
Fatigue. |
|
|
Term
| True or False. Changing from the Manic to Depresive stage is a slow process. |
|
Definition
|
|
Term
| True or False. A person can maintain the activity level associated with the manic stage for long periods of time. |
|
Definition
|
|
Term
| 27.2.8 What is psychosis? |
|
Definition
| A group of serious and often debilitating mental disorders that may be of organic or psychological origin. Symptoms include impaired thinking and reasoning ability, perceptual distortion, inappropriate emotional responses, regressive behavior, reduced impulse control, impaired reasoning of reality. |
|
|
Term
| Psychosis is an illness involving the distortion of ... |
|
Definition
| reality that may be accompanied by delusions and/or hallucinations. |
|
|
Term
|
Definition
| False belief, not based on factual information. |
|
|
Term
| What are symptons of delusions? |
|
Definition
| A person may over react to situations or may appear to have what is called a "flat affect" where they show no emotion or does not seem to care about what is going on around them. |
|
|
Term
|
Definition
| Distortions of the senses where an individual experiences hearing or seeing something that is not there. |
|
|
Term
| What are common experiences by persons during a psychotic episode? |
|
Definition
Hearing voices
Visual hallucinations
Feeling of paranoia
Heightening of senses |
|
|
Term
| What are some behavioral cues of people wiith psychosis? |
|
Definition
Inappropriate/bizzar dress
Lethargic or sluggish body movements
Impulsive/repetitious body movements
Responding to hallucinations
Causes injuries to self
Unusual attachment to childish objects
|
|
|
Term
| Lack of emotional response, extreme or inappropriate sadness, or inappropriate emotional reactions are emotional cues associated with what? |
|
Definition
|
|
Term
| What is substance abuse disorder? |
|
Definition
| Prolonged abuse of any drug that causes chemical dependency or addiction. Can cause damage to the nervouse system. May cause a wide range of psychoological issues. |
|
|
Term
| What are symptoms of substance abuse and cognitive disorders? |
|
Definition
A major loss of contact with reality
A gross interference with the ability to meet lifes demands
May have possible delusions or hallucinations
Alteration of mood
Defects in perception, language, memory and cognition |
|
|
Term
| What does schitzophrenia consist of? |
|
Definition
| A group of psychotic disorders characterized by changes in perception. |
|
|
Term
| What can schizophrinia cause? |
|
Definition
| An over sensitivity to sounds and visions characterized by hallucinations and/or distorted thinking. |
|
|
Term
| What is considered the most chronic and disabling severe mental illness? |
|
Definition
|
|
Term
| When does schizophrinia typically emerge? |
|
Definition
| In teenagers and young people. |
|
|
Term
| Typically, how many adults in the US have schizophrinia? |
|
Definition
| Approximatley 2.2 million adults. |
|
|
Term
| What percent of people with schizophrinia commit suicide typically? |
|
Definition
|
|
Term
| Schizophinia causes distorted thinking which results in what? |
|
Definition
Hallucinations
Poor processing of information/attention deficit
Illogical thinking that can result in disorganized and rambling speech, and/or delusions. |
|
|
Term
| What are emmotional changes cause by schizophrinia? |
|
Definition
May over react to situations
Flat effect
Anhedonia (lacking pleasure or interest)
Person is withdrawn |
|
|
Term
| Is alzheimer a mental illness? |
|
Definition
| No. Alzheimer is a disease. |
|
|
Term
| What is the most common organic mental disorder for older people? |
|
Definition
|
|
Term
| How should an officer approach a person suspected of having a psychotic episode? |
|
Definition
An officer should always approach with caution.
The officer should never startle the person.
The officer should be patient and try to learn the persons name and use it.
The officer should talk in a calm, soft tone of voice.
Allow the person to verbally ventillate.
Should not crowd the persons space.
Assure the person they are there to help, not hurt. |
|
|
Term
| What are the 2 most common developmental disorders related to officer contacts? |
|
Definition
Autism
Mental retardation |
|
|
Term
| Autism usually appears at what age? |
|
Definition
|
|
Term
| How many are affected by autism? |
|
Definition
| 1 to 2 per 1000 Americans |
|
|
Term
| What is Autism characterized by? |
|
Definition
Impaired non-verbal communications
Lack of eye contact
Restricted range of interest
Resistance to change of any kind
Obsesive/repetative body movement
Lack of the awareness of the existance or feelings of others
|
|
|
Term
| Who is more likley to suffer from autism? |
|
Definition
| Males are 3 to 4 times more likely to be afflicted with autism. |
|
|
Term
| What do people with autims suffer with? |
|
Definition
| Sensory disorders that keep them from effectively filtering and blocking painful sensations. |
|
|
Term
| What will officers who encounter a person suffering from autism likely notice? |
|
Definition
| The person will likely fear being touched, will have repetative behavior, insist on a routine, they will be anxious in new situations, have a tendancy to become confused. |
|
|
Term
| How should an officer interview someone with autism? |
|
Definition
| Be patient, calm and detached to help prevent agitation in the questioning process. |
|
|
Term
| What are some of the social behaviors of someone with autism? |
|
Definition
Lack of awareness of social rules
Reluctance to make eye contact
Inappropriate laughter or crying
Unusual facial response
Ritual/habitual behavior
Extreme distress for no apparent reason
Attachment to particular objects
Deliberate soiling of cloths
Uneven motor skills
Self stimulating behavior. |
|
|
Term
| What are some communications behaviors of someone with autism? |
|
Definition
May be verbally limited
May repeat what is said
Abnormal pitch, rate or volume when speaking
Difficulty expressing ideas or needs
Reversal of pronouns
Difficulty with abstract concepts and terms. |
|
|
Term
| A person is considered mentally retarded when? |
|
Definition
|
|
Term
| How should law enforcement approach mentally retarded persons? |
|
Definition
Speak directly to the person in slow, clear, simple language and phrasing.
When possible, move to less disruptive location to assist with focusing.
Be highly aware of questioning techniques.
Be patient, calm, non-threatening, but firm and persistent. |
|
|
Term
| What percent of the American population is considered mentally retarded? |
|
Definition
|
|
Term
| When does mental illness occur compared to mental retardation? |
|
Definition
Mental illness can occur at any point in life.
Mental retardation occurs before the age of 18. |
|
|
Term
| Where is a developmental disability defined? |
|
Definition
| The Developmental Disabilities Assistance and Bill of Rights Act of 1990 |
|
|
Term
| 27.2.17 How is developmental disabilities defined? |
|
Definition
| Developmental dissabilities is defined as severe, chronic disability of a person 5 years of age or older. |
|
|
Term
| What percentage of Americans will experience a mental disorder at some point in their life? |
|
Definition
|
|
Term
| How many Texans had some form of diagnosable mental disorder in 2002? |
|
Definition
|
|
Term
| What is the ratio of suicides to homicides? |
|
Definition
| 1.5 times as many suicides as homicides. 6 deaths each day by suicide in Texas. |
|
|
Term
| What age group has the highest rate of suicide? |
|
Definition
|
|
Term
| People who talk about suicide wont commit suicide. |
|
Definition
|
|
Term
| People who commit suicide are cray. |
|
Definition
|
|
Term
| Just because a person starts to improve does not mean there is no risk. |
|
Definition
|
|
Term
| A person who has unsussefully attempted suicide may try to commit suicide later. |
|
Definition
|
|
Term
| What percent of suicides are related to untreated or undertreated mental illness? |
|
Definition
|
|
Term
| What is the most common mental illness associated with suicide? |
|
Definition
|
|
Term
| What percent of people diagnosed with Bipolar disorder die from suicide? |
|
Definition
|
|
Term
| What percent of people diagnosed with schizophrinia die from suicide? |
|
Definition
|
|
Term
| What is "suicide by cop"? |
|
Definition
| A person who intends to commit suicide and speciifically wants to be shot by police. |
|
|
Term
| What percentage of cop shootings are suicide by cop? |
|
Definition
| 11% of police shootings. 13 % of all fatal shootings. |
|
|
Term
| What are the categories of drugs used for mental illness? |
|
Definition
Anti-Psychotic/Tranquilizers
Anti- Depressants
Mood Stabilizing
Anti-Anxiety |
|
|
Term
| What are some drugs used for anti-psychotic mental illness? |
|
Definition
| Thorazine, Mellaril, Haldol |
|
|
Term
| What are some of the drugs used for Anti-Depressants? |
|
Definition
|
|
Term
| What are some of the drugs used as Mood Stabilizers? |
|
Definition
|
|
Term
| What are some of the drugs used for anti-anxiety? |
|
Definition
|
|
Term
| What are 3 reasons why mentally Ill do not take their medications? |
|
Definition
Bad side effects
Stigma with being mentally ill
Start feeling better and think they no longer need them |
|
|
Term
| What are the components of the 3 minute assessment? |
|
Definition
Appearance and behavior
Stream of talk
Thought content
Perception abnormalities
Affect-prevailing emotional tone
Concentration
Cognitive- Intelectual function |
|
|
Term
|
Definition
Listen
Empathize
Ask
Paraphrase
Summarize |
|
|
Term
| What is used in the process of modeling? |
|
Definition
Learning through observation
Characteristics that contribute to or interfere with communications
Intervention/Communications strategies |
|
|
Term
| What should initial contact do? |
|
Definition
Establish a leadership role
Identifies the ultimate goal to resolve the situation
Allows subject/suspect to respond |
|
|
Term
| What are some barriers to communications? |
|
Definition
Arguing
Criticizing
Jumping to conclusions
Pacifying
Derailing
Moralizing
Name calling
Ordering
|
|
|
Term
| What are the 3 listening levels? |
|
Definition
Listening to words
Listening to the whole message
Reflecting the whole message |
|
|
Term
| What are techiques used for active listening? |
|
Definition
Repeating what was said
Rewording
Paraphrasing
Reflection of feeling
Minimal encouragers
|
|
|
Term
| The size and age of a person with mental illness is critical to determining if back up should be called? |
|
Definition
|
|
Term
| What are some basic strategies that are necessary when communicating in a crisis situation? |
|
Definition
Stay calm
Be patient
Double check information
Use the individuals name
Give instructions/directives one at a time |
|
|
Term
| What are 4 effective communication/interaction skills used when dealing with a person with mental illness? |
|
Definition
Safety -- Your personal safety comes first
Crisis Facts - The person in distress is usually excited, alarmed or confused.
Language - Use the persons name, talk quietly, speak firmly
Movements - Be aware of body movements |
|
|
Term
| What must be done to apply for an emergency detention order? |
|
Definition
A statement that the officer has reason to believe that risk or harm is imminent.
A statement that the officer beliefs are derived from specific recent behavior, overt acts, attempts or threats that were observed or reliably reported.
A detailed description of the specific behavior, acts, attempts or threats. |
|
|
Term
| What is an emergency detention order? |
|
Definition
Serves as a magistrates order for emergency apprehension and detention.
Is a civil court order.
Provides for emergency apprehension and transportation for evaluation. |
|
|
Term
| When may a peace officer take a mental ill person into custody without a warrant? |
|
Definition
| A peace officer, without warrant, may take a person into custody if the peace officer believes that the person is mentally ill and that, because of the mental illness, there is substantial risk of serious harm to the perrson or others unless the person is immediately restrained; and believes there is not sufficient time to obtain a warrant. |
|
|
Term
| How much force can be used for dealing with mentally ill? |
|
Definition
The officer may use force comparable to any other legal duty when a person is resisting arrest.
The force must be reasonable.
The goal is to obtain care and treatment for the mentally ill person.
|
|
|
Term
| What are indicators of an individual heading towards violence? |
|
Definition
Agitated behavior
Disruptive behavior
Destructive behavior
Out of control |
|
|
Term
| What is the limitation of liability? |
|
Definition
| A person acting in good faith, reasonable and without negligence are not civilly or criminally liable. |
|
|
Term
| When can confidential information be used? |
|
Definition
Disclosure to medical or law enforcement personnel if there is a probability of imminent physical injury by patients or others, or there is a probability of immediate mental or emmotional injury to the patient.
When patient consents
To healthcare personell of a jail when it is for the sole purpose of providing healthcare
|
|
|
Term
| Where are the limitations of liability and exceptions rules found? |
|
Definition
| Texas Health and Safety Code, Section 571.019a |
|
|
Term
| What are signs associated with Excited Delirium Syndrome? |
|
Definition
Violent behavior
Bizarre behavior
Aggressive towards inanimate objects
Running in traffic
Naked or inappropriate dress
Profuse sweating
Intense paranoia
Extreme agitation
See pg 427 in txt for full list |
|
|
Term
|
Definition
| A descriptive phrase used when delirium becomes combative or violent in nature. |
|
|
Term
| Is someone experiencing an ExDS episode in need of medical attention? |
|
Definition
| Yes. Immediate medical attention. |
|
|
Term
| How many first responders are typically need to safely handle someone experincing an ExDS episode? |
|
Definition
|
|
Term
| What is needed to keep the the physical struggle as short as possible when handling someone experiences an ExDS episode? |
|
Definition
|
|
Term
| First and foremost. ExDS is what? |
|
Definition
| Always a medical emergency |
|
|
Term
| What needs to be done for determining the appropriate method of transport for someone mentally ill? |
|
Definition
Follow department policy
Beaware of the distance to an approved medical facility for examination
Evaluate the behavior or physical condition of the person.
|
|
|
Term
| What percentage of mentally ill are perpetrators of crime? |
|
Definition
|
|
Term
| How much more likely are mental ill likely to be victims of theft? |
|
Definition
|
|
Term
| How many mentaly ill are estimated to be victimized each year? |
|
Definition
|
|
Term
| What portion of mentally ill are vicimized each year? |
|
Definition
|
|
Term
| What are tips for responding to a victims needs? |
|
Definition
Law enforcment is usually the first to approach a victim. How the officer responds to the victim is important.
Victims need to feel safe
Victims need to express their emotions
Victims need to know what comes next |
|
|
Term
| What are components of a stigma? |
|
Definition
Labelling someone with a condition
Stereotyping people with that condition
Creating a division (Superiority vs denigrating)
Discriminating against someone because of a label |
|
|
Term
| Mental illness does not affect the averge person. |
|
Definition
|
|
Term
| Mental illness is an indication of weakness of character. |
|
Definition
|
|
Term
| A person who is mentally ill is also mentally retarded. |
|
Definition
|
|
Term
| People with mental illness should be able to cope with it since people with other disablities can cope. |
|
Definition
|
|
Term
| Most people with mental illness live on the street or are in mental hospitals. |
|
Definition
| False. 2/3rds live in communities. |
|
|
Term
| What are some symptoms of psychosis? |
|
Definition
Impaired thinking and reasoning ability.
Perceptual distortions.
Inappropriate emotional responses.
Regressive behavior.
Reduced impulse control.
Impaired reasoning of reality.
|
|
|
Term
| 27.2.17 Developmental disabilities usually manifest in persons before what age? |
|
Definition
|
|
Term
| 27.2.17 What substantial limitations of specified life activities are associated with developmental disabilities? |
|
Definition
self-care
language
mobility
self direction
independent living
economic self sufficiency |
|
|
Term
| 27.7.6 _____ takes precedence over _____ when dealing with ExDS. |
|
Definition
Medical emergency
Mental health issues |
|
|
