Procedure 611-Mentally IIl Persons Flashcards Preview

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

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.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.

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

mental health crises.

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

Crisis Intervention Team (CIT Officers).

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

unusual behavioral characteristics, ranging from passive to violent.

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

the existence of mental illness.

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.04B.
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

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.04B.
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

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.04B.
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

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.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;

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.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;

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.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;

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.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.

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

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

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.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.

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.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.

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

response of the Special Operations Unit.

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.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;

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

have not escalated to a critical incident.

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.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.

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

identify mental health crisis calls by using appropriate code;

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

a cover officer, to mental health crisis situations;

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.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;

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.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.

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

dispatcher should dispatch the CIT Officer to the scene;

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.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.

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.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.

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.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.

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

any medications.

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.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.

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

associated with the situation;

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.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

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.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.

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

person with mental illness and the crisis situation

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

person with mental illness and the crisis situation

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.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].

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.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.

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.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.

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

youth, 17 and under.

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.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.

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.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.

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.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].

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.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

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.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.

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.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.

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.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.

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

protective purposes and are not criminal.

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.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.

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.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.

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.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.

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.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

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.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.

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.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.

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.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.

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.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.

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.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.

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.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.

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.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.”

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

Detention Center personnel.

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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.

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.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.

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.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.

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.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.

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.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.

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

written notice of the threat and the SAPD case number.

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.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.

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.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

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.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.

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.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.

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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.

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.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

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

at least every three years.

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.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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