TCOLE CIT

TCOLE CIT About__________ of the U.S. adult population (about 1 in 5 adults) suffers from a diagnosable mental disorder in a given year. This is an understatement of the number of persons with mental health problems, ...

TCOLE CIT About__________ of the U.S. adult population (about 1 in 5 adults) suffers from a diagnosable mental disorder in a given year. This is an understatement of the number of persons with mental health problems, as many people do not seek treatment. Some studies indicate that 32% of U.S. adults suffer from some sort of mental illness within their lifetime. - ✔✔22.1% When and where was CIT started? - ✔✔1987 Memphis TN What is the difference between normal suspect encounter training and approaching the mentally ill? - ✔✔There is a need to be non-confrontational when approaching the mental ill. Confrontation with consumers usaully. - ✔✔Takes more time than normal allow the person to vent do not crown or rush the person. be patient and communicate Individuals with mental illness are traditionally not _______ ______. Law enforcement is highly scrutinized by the public and private sectors when_______ is utilized in these cases, even when provocation is evident. - ✔✔hardened criminals force No matter the situation, the public views consumers as_____________, not _________. - ✔✔ill criminal by using a less physical, less authoritative, less confrontational, less controlling approach you end up having more control and authority over the person in a mental health crisis. - ✔✔Control paradox Crisis Intervention Training is foremost an officer__________ training - ✔✔safety "Illness, disease, or condition that either substantially impacts a person's thought, perception of reality, emotional process, or judgment, or grossly impairs a person's behavior, as manifested by recent disturbance behavior - ✔✔mental illness _____________is considered "a diminished capacity and inability to tell right from wrong." This is not a psychological term. The definition varies from state to state. It is generally used by the court with regard to an individual's competency to stand trial - ✔✔Insanity four prominent categories of mental illness - ✔✔Personality Disorders Mood Disorders Psychosis Developmental Disorders three most common personality disorders encountered by law enforcement officers - ✔✔paranoid personality disorder, antisocial personality disorder, borderline personality disorder Tendency to interpret the actions of others as deliberately threatening or demeaning Foresee being in position to be used or harmed by others Perceive dismissiveness from other people - ✔✔Paranoid Most commonly recognized in males A pattern of irresponsible and antisocial behavior diagnosed at or after age 18 May have one or more of the following: History of truancy as a child or adolescent, may have run away from home Starting fights Using weapons Physically abusing animals or other people Deliberately destroying others' property Lying Stealing Other illegal behavior As adults, these people often have trouble with authority and are reluctant or unwilling to conform to society's expectations of family and work These individuals know that what they are doing is wrong, but do it anyway - ✔✔Antisocial Most commonly recognized in females May have one or more of the following: o unstable and intense personal relationships o impulsiveness with relationships, spending, food, drugs, sex o intense anger or lack of control of anger o recurrent suicidal threats o chronic feelings of emptiness or boredom o feelings of abandonment - ✔✔Borderline People with _________ __________ usually will not seek treatment because they don't think they have a problem. They may end up in the criminal justice system because their disorder may lead them to break laws and come to the attention of law enforcement (i.e., by theft, hot-check writing, fraud, etc.). They may use ____________ and illegal substances as a form of self-medication, due to the stress and the consequences of their behaviors. They often need treatment for chemical dependency or __________ - ✔✔personality disorders alcohol depression A______ ________ is another type of mental illness demonstrated by disturbances in one's emotional reactions and feelings. Severe depression and bipolar disorder, also known as manic depression, are referred to as mood disorders. Recognizable behaviors that associate with mood disorders could include: lack of interest and pleasure in activities, extreme and rapid mood swings, impaired judgment, explosive temper, increased spending and delusions. - ✔✔mood disorder two most common mood disorders encountered by law enforcement officers. - ✔✔Depression Bipolar Disorder A major depressive syndrome is defined as a depressed mood or loss of interest of at least ____ weeks duration accompanied by symptoms such as weight loss/gain and difficulty concentrating. _____ or more symptoms are generally present during the same twoweek period and are represented by a change from previous functioning. Depressed mood or loss of interest must also be included as a symptom. - ✔✔two Five The single most common factor in suicidal behavior or death by suicide is that the individual is experiencing __________ - ✔✔depression Many people self medicate their depression with __________ or other non-prescribed drugs that may give them temporary relief but tends to only_______ the depressive symptoms. - ✔✔alcohol increase A mental illness involving mania (an intense enthusiasm) and depression (see above - ✔✔Bipolar Disorder These are example of the ________ phase of Bipolar Disorder. o Abnormally high, expansive or irritated mood o Inflated self-esteem o Decreased need for sleep o More talkative than usual o Flight of ideas or feeling of thoughts racing o Excessive risk-taking - ✔✔Mania Phase of Bipolar Disorder These are examples of the ______ phase of Bipolar disorder. o Prolonged feelings of sadness or hopelessness o Feelings of guilt and worthlessness o Difficulty concentrating or deciding o Lack of interest o Low energy o Changes in activity level o Inability to enjoy usual activities o Fatigue - ✔✔Depressive Phase An individual cannot maintain the level of activity normally associated with _______ for a long period of time. - ✔✔mania A group of serious and often debilitating mental disorders that may be of organic or psychological origin and are characterized by some or all of the following symptoms: impaired thinking and reasoning ability, perceptual distortions, inappropriate emotional responses, inappropriate affect, regressive behavior, reduced impulse control and impaired reasoning of reality - ✔✔Psychosis Psychosis is an illness involving a distortion of reality that may be accompanied by ______and/or_________.The person may be hearing voices, he may look at a person and see a demon, he may think people are after him, or he may believe himself to be Jesus Christ. To the person, these hallucinations and delusions are real. These are most commonly seen in persons with schizophrenia, bipolar disorder, severe depression or drug induced disorders. Physical circumstances can also induce a psychotic state. Potential conditions include: organic brain disorders (brain injury or infections to the brain), electrolyte disorder, pain syndromes, and drug withdrawal. - ✔✔delusions hallucinations False beliefs not based on factual information. The person may overreact to the situations or may appear to have what is called a "flat affect," where he shows no emotion or does not seem to care about what is going on around him. (e.g., social isolation, inappropriate emotions, odd beliefs, magical thinking) - ✔✔Delusions Distortions in the senses, causing the individual to experience hearing or seeing something that is not there - ✔✔Hallucinations When a person is having a psychotic episode and hearing voices to the person experiencing these voices they are very ______. - ✔✔Real These are all examples of what? Inappropriate or bizarre dress Body movements are lethargic or sluggish Impulsive or repetitious body movements Responding to hallucinations Causing injury to self Home environment: strange decorations (e.g., aluminum on windows) pictures turned over waste matter/trash on floors and walls Unusual attachment to childish objects o