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Crisis Intervention Abnormal Behavior & Mental Illness

Crisis Intervention Abnormal Behavior & Mental Illness. Officer Mark Best May 2006. Learning Objectives (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.

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Crisis Intervention Abnormal Behavior & Mental Illness

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  1. Crisis InterventionAbnormal Behavior & Mental Illness Officer Mark Best May 2006

  2. Learning Objectives(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.

  3. Three Types of Abnormal Behavior -1-______________________________ -2- _____________________________ -3- _____________________________

  4. Neurotic Experiences(1st of 3 abnormal behavior types) • Nervousness • Distress • Anxiety • Guilt • Depression

  5. Neurotic Behavior • Worrying • Avoiding • Showing a lack of insight • Regressing • Panicking

  6. Neurotic Illnesses • Phobias • Obsessive-compulsive disorder

  7. Psychotic Experiences(2nd of 3 abnormal behavior types) • Altered states of consciousness through… • perception • thought • emotion This person loses touch with reality.

  8. Psychotic Phenomena • Delusions • Hallucinations

  9. Common Psychotic Illnesses • Manic-depressive disorder aka bi-polar • Paranoia • Schizophrenia

  10. Triggers of Psychotic Experiences • Mourning • PTSD • Drugs: esp. LSD, opium, shrooms • Detoxing • Dementia • Sleep Deprivation

  11. Psychopath / Sociopath(3rd 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.

  12. Signs of a Psychopath/Sociopath • No empathy • Incapable of feeling remorse • Egocentric

  13. Behavior of a Psychopath / Sociopath • Displays behavior problems early in life • Lies pathologically • Has a sexually exaggerated life • Takes risks • Lives impulsively • Lives egocentrically • Excessively boasts

  14. Facts regardingPsychopaths / Sociopaths • There is an extremely high recidivism rate. • The insanity plea is not an option. • There is no cure / medication.

  15. Theoretical Origins of a Psychopath/Sociopath • Heredity • Disease • Emotional Deprivation

  16. Mental Illness • As an officer/deputy, you will encounter a mentally ill person nearly every day.

  17. 3-pronged “Mission” While Contacting a Mentally Disturbed Person • _____________________________ • _____________________________ • _____________________________

  18. A Point of Decency • A person is not their “illness.” • I.Q. is unrelated to M.I.

  19. Facts About Mental Illness • term: acute OR chronic • onset: any time

  20. Signs of Mental Illness • Rapid, uninterruptible speech • Incoherent or disorganized speech • Talking or laughing to self • Hallucinations

  21. More Signs of Mental Illness • Delusions • Erratic thinking • Rapid mood swings • Blank stare or catatonic behavior

  22. Tactical Response Do: • _____________________ • _____________________ • _____________________ • _____________________ • _____________________

  23. Tactical Response Don’t: • ___________________ • ___________________ • ________________________________

  24. Tactical Considerations • Critical: observing before engaging • Crowds • Expect sudden changes • Use restraints

  25. Involuntary Treatment Act(I T A) • Allows us to detain a person to be evaluated & treated for a mental illness without their consent.

  26. Involuntary Treatment Act • Enacted: 1974 • Last amended: 1998. • RCW 71.05.150

  27. The ITA addresses 3 Things • Rights for the M.I. • Powers for the MHP’s • Guidelines for L.E.

  28. ITA Commitment Criteria -1- _________________ OR -2- _________________ OR -3- _________________ OR -4- _________________

  29. Some Mimics • __________________ • __________________ • __________________ • __________________ • __________________ • __________________ • __________________

  30. Alzheimer’s Disease • A brain disease, not normal aging • Nerve cells in the brain are destroyed • Most common form of dementia • Degenerative – terminal

  31. Symptomatic Behaviors of an A.D. Patient • Dresses inappropriately • Appears confused & disoriented • Is frightened • Behaves angrily, violently

  32. Common Reasons We Contact A.D. Patients • Missing person • False reporting • Shoplifting • Indecent exposure • Erratic driving

  33. Prevalence of A.D. • ~10% of those 65+ • ~50% of those 85+

  34. Tactical A.D. Response • The same as for a mentally ill person

  35. Restraint Considerations • The same as with a mentally ill person AND… • If using, pay special attention to avoid bone and joint injury.

  36. The Safe Return Program • Issues ID bracelets • Is a liaison for the missing or found • 800-572-1122

  37. Q & A

  38. Review • Name six elements of a tactical response. • ID the ITA’s four criteria for commitment. • Name four mimics to mental illness.

  39. …& 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

  40. Next Time: Suicide

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