BCCO PCT #4 PowerPoint

1. Intermediate CIT Course TCOLE Course # 3841 Texas Commission On Law Enforcement AND UNIT NINE Through UNIT TWELVE BCCO PCT #4 PowerPoint BCCO PCT #4 PowerPoint

2. Unit Goal: 9.0 Mental health referrals/resources in San Antonio & Bexar County

3. 9.0 Understanding Mental Health Referrals - Resources A. The quality and availability of mental health programs vary depending on community mindsetand budgeting restraints. B. Even within a community, services available depend on timing, resources, and program eligibility criteria.

4. 9.0 Understanding Mental Health Referrals – Resources - Continued C. Too often, community mental healthresources are just in short supply. D. High costs of prescription drugs and formulary limitations also sometimes make it impossible for an indigent person to get access to needed medications.

5. 9.0 Understanding Mental Health Referrals – Resources - Continued E. In addition to the previously mentioned resource challenges, there is also an impasse with the willingness of mental health providers to participate in criminal justice initiated programs

6. 9.0 Understanding Mental Health Referrals – Resources - Continued F. Like society’s stigmas and discriminations against mentally ill individuals, mental health system often discriminates against people who have been arrested or incarcerated due to stereotypical

7. 9.0 Understanding Mental Health Referrals – Resources - Continued F. Cont’d: concerns about criminal behavior and lack of experience working with this population.

8. 9.1 Local Mental Health Resources See Participant for Listing of San Antonio and Bexar County Mental Health Services

9. 9.1 Local Mental Health Resources San Antonio & Bexar County - Continued Center for Health Care Services Telephone210-261-1000 Crisis Hotline: (210) 223-7233 Postal address3031 IH 10 West 78201

10. 9.1 Local Mental Health Resources San Antonio & Bexar County - Continued Deer Oaks Mental Health Toll-Free: 1-866-327-2400Address: 126 E. Main Plaza, Ste. 8., San Antonio, TX 78205

11. 9.1 Local Mental Health Resources San Antonio & Bexar County - Continued Alamo Mental Health Group PH: (210) 614 - 8400 4242 Medical Drive, Ste 6300 San Antonio, Texas 78229

12. 9.1 Local Mental Health Resources San Antonio & Bexar County - Continued McCullough Center for Mental Health Services 2515 Mccullough Ave, San Antonio, TX 78212 (210) 736-1762

13. 9.2 Referral Treatment Challenges 1. Once you have the individual in crisis under control, you may need to take him to a facility for emergency psychiatric evaluation. 2. Depending on the resources in your area, this may be a time-consumingprocess

14. 9.2 Referral Treatment Challenges – Cont’d 3. There may be a lack of services. Be aware of this potential challenge, but don’t let it detract you from your goal of respondingprofessionally and appropriately to the situation.

15. Questions UNIT NINE ?

16. Unit Goal: 10.0 CIT techniques apply to all areas of crisiscommunication.

17. 10.0 What constitutes a According to Webster… • “An unstable or crucial time or state of affairs whose outcome will make a decisive difference for better or worse.” • “…takes people out of their comfort zones and normal coping patterns.”

18. 10.0 What constitutes a crisis? (Continued) “Often a crisisis precipitated by a loss of some sort, or a situation that threatens normalcy or expectations. The greater the threat, the more severe the crisis will be.”

19. 10.0 What constitutes a crisis? (Continued) “…the crisis is the instability and threatthe event produces. A persons response to the upheaval will determine in large part, the outcome of it.”

20. Discussion Questions: • Is it the event itself that is the crisis or the person’s response to the situation? • What can turn the issue into a crisis?

21. Discussion Questions: • What makes an issue, loss, tragedy or stress seem like a crisis to one person but not to another person?

22. FOOD FOR THOUGHT For some persons with a mental illness, life as they know it can virtually stop when a crisissituation presents itself to them. While for other people even in a crisis situation, they will continue to function as normal.

23. 10.0 Intensifying factors contribute to how a person responds to crisis: A.Negativepersonality traits B. Unrealisticexpectations C. Faultysense of identity

24. 10.0 Intensifying factors contribute to how a person responds to crisis - Continued: D. Disconnectedness E. Poorcoping mechanisms due to background F. Faultybelief system

25. CLASS DISCUSSION Do you have to have a mental illness to possess the aforementioned factors? Albert Einstein

26. How can “YOU” as a Deputy Constable assist A. Acknowledgetheir feelings B. Avoidbeing judgmental C. Attempt to assist the individual in maintaining a realistic view of the situation

28. How can “YOU” as a Deputy Constable assist – Continued: D. Investigate available referral sources E. Assist the individual in focusing on the positive of what can be changed, instead of the negative of what can’t F. Be solution-oriented and guide the individual in developing a realistic plan

29. 10.1 Define Crisis Behavior and its relevance to CIT Training A person suffering from a temporary breakdown in coping skills that includes perception, decision-makingability, and problem solving ability is experiencing crisis behavior.

30. 10.1 Define Crisis Behavior and its relevance to CIT Training – Continued Crisis behavior can be different depending on individual response. Anyone can suffer from a crisis and its effects can vary with time, place, and person.

31. 10.1 Define Crisis Behavior and its relevance to CIT Training – Continued Examples of situations involving crisis: being locked out of the house, losing a job, being a victim of a crime, having a divorce, being involved in a traffic stop or accident

32. 10.2 Crisis Intervention Techniques in domestic disturbance situations

33. 10.2 Tactics & Techniques in Domestic Disturbances

34. 10.3 Crisis Intervention Techniques can be utilized in domestic disturbance situations TRAFFIC STOP

35. Questions UNIT TEN ?

36. TAKE A 10-MINUTE BREAK

37. Unit Goal: 11.0 Jail and/or Court deference alternatives and referrals for persons with a mental illness. JUSTICE SYSTEM MENTAL HEALTH DEFERRED ADJUDICATION

38. 11.0 Jail and/or Court Deferred Adjudication Mental Health Alternatives Our nation’s system of jails and prisons has now become the largest facility for persons with mental illness. Policehave become the “first responder” to persons in a crisissituation

39. 11.0 Jail and/or Court Deferred Adjudication Mental Health Alternatives - Continued: Judges, law enforcement personnel, and mental health experts struggle with trying to find a solution to the increasing numbers passing through the legal system.

40. 11.0 Jail and/or Court Deferred Adjudication Mental Health Alternatives - Continued: The Mental Health Association of Texas states that “deinstitutionalization without adequate community supports (such as supported housing and employment) contributes to an increase of people with mental illness in prisons.”

41. 11.0 Jail and/or Court Deferred Adjudication Mental Health Alternatives - Continued: There is an overrepresentation of people in our prison system

42. 11.0 Jail and/or Court Deferred Adjudication Mental Health Alternatives - Continued: While only 3% of violent behavior is attributable to mental disorder. An estimated 16% of prisoners have mental illness, and 50% of the young people under the Texas Youth Commission have a mental disorder.

43. 11.0 Jail and/or Court Deferred Adjudication Mental Health Alternatives - Continued: TYC further reports that in 2002, 21% of its institutional population was on psychotropicmedications. There has been a rise in the number of persons with mental illness or co-occurring disorders who are appearing before the court system.

44. 11.0 Jail and/or Court Deferred Adjudication Mental Health Alternatives - Continued: Many alternatives to the “traditional” court model are being initiated, including; Veteran court drug courts, mentalhealthcourts, domesticviolence courts, and community courts.

45. 11.0 Jail and/or Court Deferred Adjudication Mental Health Alternatives - Continued: Programs such as the Jail Diversion Program are also being implemented in many states, including Texas (see HB 2292). These courts/programs have been implemented to address the underlying issues that brought the consumer to court in the first place

46. 11.0 Jail and/or Court Deferred Adjudication Mental Health Alternatives - Continued: Bexar County now has a “Veteran’sCourt” with a Judge (Honorable Wayne Christianson) currently adjudicating Veterans charged with The aim is to link veterans and mental health consumers to community-based services.

47. 11.0 Jail and/or Court Deferred Adjudication Mental Health Alternatives - Continued: Persons with mental illnesses are reportedly arrested at a disproportionatelyhigher rate than other individuals (Lamb and Weinberger, 1998). Over 11 million adults are booked each year into U.S. jails (Steadman et al., 1999).

48. 11.1 Concept of Mental Health Courts According to a collaborative survey conducted by NAMI, the GAINS Center, and the Council on State Governments, at least 94 communities across the U.S. have established mental health courts as of June 2004.

49. 11.1 Concept of Mental Health Courts – Cont’d Portland state researcher Heidi Hendricks followed 368 people who were diverted to the Clark County Mental Health Court from the traditional court system. Her results are as follows:

50. 11.1 Concept of Mental Health Courts – Cont’d 1. In one year after being diverted, those in the group were arrested a total of 713 times 2. One year after completing the mental health court program, 199 of the group (54%) had no new arrests