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2016 GC Chapter 27 - CIT Mental Health Code
Chapter 27 - Crisis Intervention Training and Mental Health Code
150
Law
Not Applicable
11/30/2016

Additional Law Flashcards

 


 

Cards

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
Insensitivity to pain.
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
False
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
Help, not hurt.
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
Officer safety training.
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
False
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
4 times
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
Behaviors and thinking
Term
Disorders, Forth Edition is most commonly called?
Definition
DSM-IV
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
True
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
very little insight
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

Trauma

Loss

death

Term
True or False. Depression is not a common or wide spread disorder.
Definition
False
Term
True or false.  Most people have experienced some form of depression.
Definition
True
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
Depression
Term
What is bipolar disorder?
Definition
A mental illness involving mania and depression.
Term
What is another term for bipolar disorder?
Definition
manic/depressive
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
False
Term
True or False. A person can maintain the activity level associated with the manic stage for long periods of time.
Definition
False.
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
What are delusions?
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
What are hallucinations?
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
Psychosis
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
Schizophrinia.
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
10%
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
Alzheimer
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
Before the age of 3
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
IQ is below 70
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
3%
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
50%
Term
How many Texans had some form of diagnosable mental disorder in 2002?
Definition
1.5 million or about 20%
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
45 to 54 years old
Term
People who talk about suicide wont commit suicide.
Definition
False
Term
People who commit suicide are cray.
Definition
False
Term
Just because a person starts to improve does not mean there is no risk.
Definition
True
Term
A person who has unsussefully attempted suicide may try to commit suicide later.
Definition
True
Term
What percent of suicides are related to untreated or undertreated mental illness?
Definition
90%
Term
What is the most common mental illness associated with suicide?
Definition
Depression
Term
What percent of people diagnosed with Bipolar disorder die from suicide?
Definition
20%
Term
What percent of people diagnosed with schizophrinia die from suicide?
Definition
15%
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
Elail, Prozac, Zoloft
Term
What are some of the drugs used as Mood Stabilizers?
Definition
Tegratol, Lithium
Term
What are some of the drugs used for anti-anxiety?
Definition
Xanaz, Valium, Buspar
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
What is LEAPS?
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
False
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
What is ExDS?
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
5 to 6.
Term
What is needed to keep the the physical struggle as short as possible when handling someone experiences an ExDS episode?
Definition
Overwhelming Force.
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
4 to 13 pecent
Term
How much more likely are mental ill likely to be victims of theft?
Definition
140 times
Term
How many mentaly ill are estimated to be victimized each year?
Definition
3 million
Term
What portion of mentally ill are vicimized each year?
Definition
one quarter or 25%
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
False
Term
Mental illness is an indication of weakness of character.
Definition
False
Term
A person who is mentally ill is also mentally retarded.
Definition
False
Term
People with mental illness should be able to cope with it since people with other disablities can cope.
Definition
False
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
22
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

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