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CIT Role Play Designed for Safer Resolutions and Better Police/Consumer Encounters 11th Judicial Circuit Criminal Mental Health Project Habsi W. Kaba MS MFT Miami-Dade County CIT Coordinator/Liaison. The Hayes De-escalation Teaching Model. ANXIETY.
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CIT Role Play Designed for Safer Resolutions and Better Police/Consumer Encounters 11th Judicial Circuit Criminal Mental Health Project Habsi W. Kaba MS MFT Miami-Dade County CIT Coordinator/Liaison
The Hayes De-escalation Teaching Model ANXIETY Miami-Dade County CIT Program
The Hayes Role Play Teaching Model Crisis Intervention requires an effective set of skills in order to safely Connect, Engage and Assist someone in distress. In order to assist someone safely and effectively one must understand what crisis is… Miami-Dade County CIT Program
PERSON IN CRISIS STATE OF MIND: THERE IS NO TIME LEFT Miami-Dade County CIT Program
PERSON IN CRISIS BELIEVES: • He/she must act now. • There is no hope in negotiation or any other attempt to solve problem. • He/she believes they haveLOST CONTROL. Miami-Dade County CIT Program
PROCESS THOUGHTS become… WORDSbecome… ACTION! Miami-Dade County CIT Program
PERSON IN CRISIS BELIEVES: THOUGHT: Contemplation, deliberation, consideration, thinking, reflection, idea, belief, feeling, plan. WORDS: statement, expression, a declaration ACTION: Act, deed, achieve, accomplish, battle, fighting, combat, conflict, engagement, encounter, dogfight, skirmish, raid, WAR. Miami-Dade County CIT Program
THE ESSENCE OF CRISIS INTERVENTION: The Role of a CIT Officer: The CALM in the center of a STORM Help the person gain control WE HAVE ALL THE TIME WE NEED Miami-Dade County CIT Program
ADULT LEARNING • COMMUNICATE through a MULTISENSORY APPROACH by DEMONSTRATING. • As children we learn through sensory experience. • The best way to know what a child needs is to watch what interest them and follow their lead. • As adults we learn similarly. Miami-Dade County CIT Program
De-escalation through Demonstration • Chronic mental illness, severe mood disorders, behavioral disorders, dementia, organic brain disorders, Schizophrenia, Schizoaffective Disorder, and developmental disorders. Miami-Dade County CIT Program
WE FEED OFF OF EACH OTHER’S EMOTIONS What is your state of mind? Miami-Dade County CIT Program
Be Prepared • StresstriggersSymptoms • Cognitive vs. Emotional Miami-Dade County CIT Program
PARAVERBAL COMMUNICATION BE AWARE OF NOT ONLY WHATYOU SAY BUT HOW YOU SAY IT Miami-Dade County CIT Program
3 ELEMENTS OF COMMUNICATION(Mehrabian’s Rule 7%-38%-55%) NON VERBAL 55% (body language) VOCAL QUALITY 38% (rate, tone, volume, cadence, rhythm) VERBAL 7% Miami-Dade County CIT Program
Be Prepared • Nice and slow… • Slow is fast and fast is slow. • Give people time and they’ll tell you what you need to know. Miami-Dade County CIT Program
The Hayes Role Play Teaching Model SAFETY FIRST, DURING & AFTER • Connect – build trust & rapport, encourage • Honesty – be genuine & sincere • Engage – active listening, gather info., feedback • Validate – Acknowledge, reaffirm, understand • Assist – guide, provide info., facilitate coping skills • Link – guide, direct, seek services/support system Miami-Dade County CIT Program
The Hayes Role Play Teaching Model • Cheval glass - A tall mirror swung on an upright frame that takes its name from French cheval, "horse"—a synonym for "supporting framework," which describes this mirror. • Cheval glass - a full length mirror mounted in a frame in which it can be tilted. A polished surface that forms images by reflecting light. • Cheval - A type of mirror that demands your attention. Miami-Dade County CIT Program
WHAT TO DO • Be patient, accepting, encouraging but remain firm • Indicate you are trying to understand • Reassure that you don’t intend to harm • Speak slowly and quietly and pause between statements • Make them aware of their behaviors (speech, pattern, content) • Meet their basic needs Miami-Dade County CIT Program
BE AWARE • Person may be overwhelmed by sensations, thoughts, frightening beliefs, sounds (voices), or the environment • People suffering from mental illness often have a hard time processing what others are saying at a "normal" speed • Allow for some extra mental processing time to avoid unnecessarily combative situation Miami-Dade County CIT Program
STRATEGIC DE-ESCALATION • Give person permission to vent, otherwise violence may seem to be only option • Ensure quiet to avoid escalation due to external influences • Do not use reason or logic, they are irrational • Offer alternatives gives person choices and control Miami-Dade County CIT Program
KEEP IN MIND THAT… • A person acting out in his own space, but not directly threatening any other person or himself, should be given time to calm down. • Attempting to use logic/rationality with a psychotic person is counterproductive, will most likely escalate person. • Some medications that treat mental illness have side effects that may require attention. Miami-Dade County CIT Program
VERBAL INTERVENTION Gathering of Information Loss of Rationality Set limits, boundaries, structure QUESTIONING REFUSAL INTERVENTION Miami-Dade County CIT Program
SETTING LIMITS • Recognize that you cannot force individuals to respond appropriately, results in a power struggle • When you set limits you are offering a person choices • Limits better received when the positive choice and/or consequences are stated first Miami-Dade County CIT Program
Words to live by… The definitive interpretation of Sun Tzu’s classic book of strategy Stephen R. Kaufman, Hanshi 10th Dan Unless it is absolutely necessary, never use force when taking control of another state. Not using force will enable you to RELAX the FEARS of the people. When they realize the meaning of your intentions, they will follow your LEAD and obey if you have PROPERLY PREPARED. If they are approached with respect, and the INEVITABILITY of your action is understood, they will SEEK to ASSIST you as a means of PROTECTING their own interests. Miami-Dade County CIT Program
CONTACT INFORMATION Habsi W. Kaba MS MFT Miami-Dade County CIT Program Coordinator 11th Judicial Circuit Criminal Mental Health Project HKaba@jud11.flcourts.org 305.548.5639 Miami-Dade County CIT Program