Procedure 611-Mentally IIl Persons Flashcards Preview

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Flashcards in Procedure 611-Mentally IIl Persons Deck (73):

.02A. Police officers must understand persons with mental illness have an illness requiring professional assistance and the officers’ actions;

may affect the immediate behavior of a person with mental illness.


.02B. Officers should attempt to carefully evaluate individuals involved in a mental health crisis and determine the;

best course of action to take in order to resolve the situation.


.02C. The Department has implemented a program which provides officers the opportunity to receive specialized training in handling;

mental health crises.


.02C. Officers who complete this training become part of the;

Crisis Intervention Team (CIT Officers).


.04A. Police officers routinely encounter situations involving persons exhibiting;

unusual behavioral characteristics, ranging from passive to violent.


.04A. Police officers must recognize symptoms which may indicate;

the existence of mental illness.


1. Drastic mood swings or behavioral changes;
2. Loss of memory;
3. Thoughts of being plotted against, or delusions of grandeur;

symptoms commonly associated with persons with mental illness


4. Speaks to himself, hears voices, sees visions, or smells strange odors;
5. Thinks people are watching or talking to him;
6. Exhibits an extreme degree of panic or fright

symptoms commonly associated with persons with mental illness


7. Behaves dangerous to himself or others
8. Poor personal hygiene or appearance;
9. Demonstrates unusual thought process or verbal expressions or is catatonic.

symptoms commonly associated with persons with mental illness


.04C. Upon recognition of a mental health crisis situation the officer's responsibilities include: Protecting the general public from;

the actions of the persons with mental illness;


.04C. Upon recognition of a mental health crisis situation the officer's responsibilities include: Maintaining a high degree of caution in dealing with;

the potentially unpredictable nature of persons with mental illness;


.04C. Upon recognition of a mental health crisis situation the officer's responsibilities include: Protecting the persons with mental illness from;

his/her own actions;


.04C. Upon recognition of a mental health crisis situation the officer's responsibilities include: Providing the most effective remedy available at the time to;

resolve the crisis situation.


.05B. CIT Officers are assigned to regular patrol duties and when available;

respond to situations involving persons who are experiencing a mental health crisis.


.05C. CIT Officers only respond to mental health crisis situations within their assigned service area unless;

specifically requested into another area by a supervisory officer.


.05D. The CIT Officer at the scene of a call involving a mental health crisis situation has the responsibility for handling the situation unless;

otherwise directed by a supervisor.


.05F. CIT Officers do not handle critical incidents. Critical incidents require a;

response of the Special Operations Unit.


.05G. Types of mental health crisis situations CIT Officers may respond to.

1. Disturbances involving mental illness;
2. Suicide threats, suicide attempts;
3. When mental person threatens to harm others;


.05G. CIT Officers may respond to several types of mental health crisis situations, which;

have not escalated to a critical incident.


.05G. Types of mental health crisis situations CIT Officers may respond to.

4. Intentional overdose or suicide has occurred;
5. Health of mentally ill at risk of serious deterioration;
6. An incident involving persons with mental illness which other patrol officers have been unable to resolve.


.06A. Dispatchers attempt to determine if a service call is a mental health crisis; and

identify mental health crisis calls by using appropriate code;


.06A. Dispatchers assign and dispatch a CIT Officer when available, along with;

a cover officer, to mental health crisis situations;


.06B. If the handling officer assigned to a call is not a CIT Officer, he;

may request a CIT Officer respond to assist with the call;


.06B. When officers handling a call become aware it involves a mental health crisis;

the handling officer should request a CIT Officer from the dispatcher.


.06B. If a CIT Officer is available within the assigned service area, the;

dispatcher should dispatch the CIT Officer to the scene;


.06B. When confronted with situations which pose a potential for serious bodily injury to any person, including situations which have a potential to escalate to a critical incident, officers will;

Immediately notify a supervisor.


.07D. A frisk of the individual and a search of the immediate surrounding area are conducted, to ensure the absence of any potential weapons, as frisking and handcuffing the individual;

may be necessary to satisfy safety requirements.


.07E. The person with mental illness should be guided to a safe and quiet area, if possible, away from other persons or things that may;

further incite the situation.


.07F. Officers shall not force individuals to take;

any medications.


.07F. If the individual is taken into custody, any medication being taken by the individual should be transported;

with the individual and released to the appropriate medical or detention personnel, which shall be documented in the report.


.07G. If possible, officers should interview relatives, friends, neighbors, or others;

associated with the situation;


.07G. Officers attempting to resolve a mental health crisis should rely on:

1. Close and constant visual observation.
2. Interviews of the person in crisis.
3. Information provided by health professionals
regarding condition of the person


.08A. In evaluating the person with mental illness and the crisis situation, all officers may contact the Mental Health Detail during their;

working hours, Monday through Friday through the dispatcher.


.08A. Officers may contact the Mobile Crisis Outreach Team, in evaluating the;

person with mental illness and the crisis situation


.08A., All officers may complete a Warrantless Application for Emergency Detention in dealing with a;

person with mental illness and the crisis situation


.08A. Officers shall call the Crisis Care Center prior to transport to verify they are not;

on diversion and can accept the person when it is an adult [18 and older].


.08A. If the Crisis Care Center cannot accept the person, the officer shall;

transport the adult to the nearest appropriate inpatient mental health facility or closest Emergency Room.


.08A. Officers shall phone the Child Crisis Unit between the hours of 0830–2000, Mon-Fri. before transporting to 711 E. Josephine.

Youth, 17 and under.


.08A. After hours, phone Clarity Child Guidance Center before transporting to 8535 Tom Slick Dr.

youth, 17 and under.


.08A. For mentally ill youth, 17 and under, when Clarity and Child Crisis are not available, officers phone;

Nix Behavioral Health Services at before transporting to 4330 Vance Jackson.


.08A. If the Nix Behavioral Health Services are not available for youth, 17 and younger, officers call;

Laurel Ridge, before transporting to, 17720 Corporate Woods.


.08A. If there is no availability at any of the Mental Health Facilities, the officer shall transport the
child , 17 and under, to the;

nearest hospital, [Consider using a Children’s Hospital if appropriate].


.08A. If the person with mental illness has committed a nonviolent misdemeanor criminal offense, “SP” the person, and conduct a;

Warrantless Application for Emergency Detention in lieu of arrest with a supervisor’s approval


.08A. If after an arrest, an officer is ordered by a Magistrate to conduct a Magistrate’s Order for Emergency Apprehension and Detention in lieu of the arrest, the officer;

will “SP” the person with mental illness on the correct report.


.08A. Under this procedure, a person’s intent to cause property damage only, is not considered a;

violent criminal offense if the person who committed the offense has a mental illness.


.08A. In family violence cases resulting in no injury or minor injury and where no further violence by the person with mental illness is anticipated;

a supervisor should be contacted for final disposition.


.08B. Application for Emergency Apprehension by Peace Officer without warrant. Detentions of this nature are for;

protective purposes and are not criminal.


.08B. A substantial risk of serious harm to the person or others may be demonstrated by behavior; or evidence of;

severe emotional distress and deterioration in the person’s mental condition to the extent the person cannot remain at liberty.


.08B. The peace officer may form the belief the person meets the criteria for apprehension based on specific recent behavior, overt acts, attempts, or threats by the person:

a. Observed by the officer when the apprehended
person is found; or

b. Reliably reported to the officer by a credible person.


.08C. If a person is voluntarily at a Hospital, clinic, nursing home, physician’s office or minor emergency clinic, the officer should consider;

completing a Warrantless Application for Emergency Detention if requested by the facility.


.08C. When completing the application for a E D at a hospital or psychiatric hospital, officers will list the;

physician’s name, or medical personnel, as the observer and credible person on the Application


.08C. For Emergency Detention, in cases where persons with mental illness are sedated and no substantial risk of harm is observed by the officer;

The officer should quote the physician or medical personnel.


.08C. retain the original for routing to the Records Office and leave a;

duplicate copy with an original signature of SAPD Form #127-ED and a copy of the offense report, with the facility staff.


.08C. If an officer is unsure of the condition, he will call or ask the;

Information Channel to call the Crisis Care Center and consult with the staff for guidance.


.08D. When taking a person with mental illness into custody for ED, officers:

a. May handcuff persons before transporting;
b. Shall search the person before transporting;
c. Retain custody until accepted by facility.


.08D. When taking a person with mental illness into custody for ED, and officers expect to work past the end of their shift, they shall;

contact a supervisor, request relief no later than [30] minutes before the end of the officers assigned duty hours.


.08E. Booking Process: The officer, for safety reasons, immediately notifies the following of suspected mental illness and/or suicidal tendencies involved with the prisoner:

* Central Magistration personnel,
* Including the nurse and mental health screener.


.08E. Booking Process: The officer also makes the following notation on the magistrate’s intake slip and the booking slip;

“Evidences Symptoms of Mental Illness.”


.08E. Medication being taken by prisoners will be transported by the arresting officer and left with;

Detention Center personnel.


Family members or persons concerned over the mental or emotional health of an individual can be referred to;

the Mental Health Office at the Bexar County Courthouse or may call the Crisis Line.


.08G. Officers confronted with situations that pose a continuing threat of serious bodily injury to any person will request;

additional officers and a supervisor through the dispatcher.


.08G. Officers call person being threatened by telephone, and will advise them of the threats and may leave a;

voice message advising the person of the threat and the SAPD case number.


.08G. If no telephone number is known for the person being threatened, officers will;

contact the person at their residence, if located within service area.


.08G. If the residence is located in another service area, the officer notifies the appropriate dispatcher to have an officer dispatched to;

make the notification or he may follow-up with the supervisor’s permission.


.08G. If no one is found at the residence, officers will leave a;

written notice of the threat and the SAPD case number.


.08G. If no telephone number or residence is known for the person who is being threatened, officers will notify
and route a copy of the report to the;

Homicide Unit and the Crisis Response Team (CRT) at their substation prior to checking back into service.


.08G. Will immediately follow-up on the threats by making a reasonable effort to notify the person who is the subject of the threats.

Crisis Response Team personnel


.08G. Officers will route a copy of all reports involving threats made by persons with mental illness to the;

* Homicide Unit,
* Crisis Negotiators Detail,
* Crisis Intervention Team,
* Crisis Response Team.


.08G. When threats are made against public officials or other high profile individuals, officers will also
route a copy of their report to the;

San Antonio Regional Intelligence Center.


10.Mental Health Detail responsibilities:

A. Coordinate training of C.I.T officers;
B. Ensure a Department Psychologist is included.
C. Maintain statistical data and complete an annual
report on all reported mental health crisis calls;
D. Maintain entry of CIT Officers into the computer
PAPX System for identification of CIT Officers on
the work sheet.


.10A. regarding interactions with persons suspected of suffering from mental illness, Police Cadets in the Training Academy, shall receive a;

minimum of 40 hours of Crisis Intervention Team Training


.10B. Officers shall receive refresher training regarding interactions with persons suspected of suffering from mental illness;

at least every three years.


.10D. Civilian employees who have contact with the public shall receive refresher training regarding interactions with persons suspected of suffering from mental illness;

at least every three years.

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