Interviewing Persons with Disabilities or Mental Illness

1. Interviewing Persons with Disabilities or Mental Illness Chapter 9

2. Profile of the Impaired Population • Approximately 54 million Americans live with a wide variety of physical, cognitive, and emotional disabilities. • One out of every ten police calls nationally involves someone who is mentally ill.

3. The American with Disability Act (ADA) • It prohibits state and local governments from discriminating against any qualified person with a disability • “An individual who, with or without reasonable modifications to rules, policies, or practices … meets the essential eligibility requirements for the receipt of services or the participation in programs or activities provided by a public entity.”

4. The American with Disabilities Act is a legislative mandate to provide equal protections and access of government facilities for persons who have a disability. It affects everything that officers and deputies do Receiving citizen complaints Interrogating & interviewing Arresting, booking, and holding suspects Enforcing laws Incarceration ADA is a Legislative Mandate

5. ADA requires that government officials attempt effective communication with individuals having disabilities, but they are not required to alter the nature of the service Examples include: an interpreter the use of an auxiliary aid such as note takers, transcript services, audio recordings, or large print materials Interviewing Accommodations

6. Sporadic claims against police departments for failure to train officers on handling persons with disabilities have surfaced in Federal Court Police are expected to recognize a situation where a person has a disability Police Liability under ADA

7. Wrongful-Arrest Claims • Jackson v. Town of Sanford (1994): a man was arrested for drunk driving but was sober. His unsteadiness and slurred speech resulted from a past stroke • Lewis V. Truitt (1997): a deaf man, who could not understand the commands of the police, was beat and arrested by police for resisting arrest • Gohier v. Enright (1999): Arrest is being broadly interpreted to include arrests, violent confrontations not technically involving an arrest, and pre-arrest investigations

8. Noticing if there is a handicapped license plate on the car Communicating to people in a crowd to signal that a person stop running By speaking clearly Using breathalyzers Self-confrontation! Negative attitudes may be the largest impediment to successful interviewing Speak directly to the person being interviewed, even if they are accompanied by another person Their condition should not cause repulsion, sympathy, or admiration Techniques to avoid wrongful arrest

9. Identifying When Special Care is Needed • Communication problems can result in misleading statements or inappropriate reactions because of misunderstanding of events • Excessive apprehension or anxiety may be evident • May be incoherent not due to drug or alcohol

10. Disability may be defined through a variety of cognitive and communication disabilities

11. Persons with mental retardation possess less than average ability to process information 2% to 10% of the prison population Some may not be able to understand or answer questions Will exhibit a mood level that is inconsistent with the situation Have a short attention span Limited vocabulary May have a speech impediment Unusual behavior traits or agitation accompanied by physical activity may also present itself Verbal and nonverbal behaviors may include yelling, biting, hugging, rubbing of genital areas, or breasts Mental Retardation – a Developmental Disability

12. Mental Illness Defined • Mental illness is a clinically significant behavioral or psychological syndrome or pattern that occurs in an individual and that is associated with present distress (e.g. a painful symptom) or disability (i.e., impairment in one or more important areas of functioning) or with a significant increased risk of suffering death, pain, disability, or an important loss of freedom

13. Persons having mental illness & mental retardation are highly represented in the cj system: they are not the same!

14. Categories of Severe Mental Illness • These are highly represented in the prison population • Schizophrenia • Bipolar disorder • Serious depression

15. 3 to 6 times greater in the prison population versus the general population This complex disease may include disordered thinking or speech; delusions; hallucinations; inappropriate emotions; confusion; withdrawal; and inattention to personal grooming Individuals with this mental disorder may present with anxiety, anger, and aloofness, argumentativeness, along with a superior or patronizing manner May be quick to anger, provocative, and dangerous Schizophrenia

16. Bipolar disorder (previously called manic-depressive disorder) is characterized by frequently dramatic mood swings from depressions to mania During manic phases some people may be psychotic and may experience delusions or hallucinations. In a manic phase can be disruptive, quick to anger, provocative, and dangerous Bipolar Disorder

17. Puts people at an increased risk for suicide and self-mutilation In 2001, a prisoner at Georgia’s Phillips State prison who was mentally ill had had an extensive history of self-mutilation, heard the murder of another prisoner at the hands of his cellmate in a nearby cell. The prisoner “responded to the stress by cutting himself, and was subsequently given a disciplinary report and placed in an isolation cell for “destruction of state property.” Serious Depression

18. A nonverbal assessment that is conducted from a distance over 3 feet This is used when a person attracts interest in the field Inappropriate dress Stumbling or appearing confused Inappropriate actions with others Appears gravely disabled Distant Field Evaluation

19. Up-close assessment to determine if the subject is mentally disordered or physically handicapped The purpose is to determine if there are problems that must be addressed Show of respect & non-threatening approach Speak firmly and clearly Show concern through actions and words: “Are you ok?” “Do you need help?” Detailed Field Evaluation

20. Interview Considerations • Although these interviews may be challenging, they involve only a modification of techniques • A cycle of victimization and abuse will make it more difficult to establish rapport • Be patient • Understanding

21. Research the statutes that are specific to protecting disabled persons in your state Elements of the crimes against persons with disability may be different crimes committed against non-disabled persons Specific statutes exist that protect persons Having disability Mentally incapacitated Having mental disability Having physical disability Specific statutes exist that protects the property of special populations Legal Issues

22. Select a location that is quiet and without distractions Turn off cell phone or pager One-on-one interview is preferred Prepare for the Interview

23. Speak directly to the interviewee with respect Ask the person what they would like to be called Don’t assume the person wants or needs help Keep clear of wheelchairs Avoid touching the person May be touch toxic May feel as though they can’t refuse the touch If inappropriate touching occurs, firmly and gently avoid personal contact Methods for Establishing Rapport

24. Do not phrase questions in legal terms Do not infantilize Keep sentences short and to the point Avoid asking “why” Attempt consistency in communications Avoid leading questions and questions that can be answered with “yes” or “no” If possible, no longer than 30 minutes Confirm vocabulary Communication during the Interview

25. Interrogation Considerations –Level of Functioning • Make a determination on the level of functioning of the suspect • Can they read, write, answer simple questions? • Follow up statements suggestive of guilt by asking for details • Verify that the accused understands what is being said

26. Provide the suspect his or her Miranda Rights which is required for all interrogations of persons in custody There is no requirement that Miranda rights be given verbatim Explain in a manner consistent with the needs of the suspect Miranda Warnings

27. Interrogations of individuals with a mental retardation is a concern There is a link between low IQ and false confessions Avoid unnecessarily lengthy interrogations Persons having mental retardation usually want to please police officers and may incriminate themselves even when innocent of any crime False Confessions