BCCO PCT #4 PowerPoint AND Intermediate CIT Course TCOLE Course # 3841 Texas Commission On Law Enforcement Participant Handout UNIT FOUR

4.0 Psychopharmacology & Side Effects in Persons with Mental Illness

Medications mental illness Medications can be an effective ____________ for mental illness. cure controlimprove skills While it is not a cure, they are used to control symptoms and improve _______ skills, which can then help reduce the severity of the mental illness.

psychiatric medications mental illness rest of their _________ Most individuals who are on psychiatric medications for mental illness will continue taking them for the rest of their _________. 4.0 Psychopharmacology & Side Effects in Persons with Mental Illness – Cont’d

4.1 Four Categories of Medications used to control Mental Illness 1. Anti-psychotic Thorazine 1. Anti-psychotic ( Thorazine, Mellaril, Haldol) controls hallucinations (e.g., schizophrenia)

2. Antidepressants Prozac 2. Antidepressants (Elavil, Prozac, Zoloft) control feelings of sadness, feelings of hopelessness, and suicidal thoughts (e.g., depression) 4.1 Four Categories of Medications used to control Mental Illness

3. Mood stabilizers Tegratol LithiumDepakote 3. Mood stabilizers ( Tegratol, Lithium, Depakote ) control mood swings (e.g., bipolar disorder) 4.1 Four Categories of Medications used to control Mental Illness

4. Anti-anxiety drugs Xanax Valium 4. Anti-anxiety drugs ( Xanax, Valium, Buspar) 4.1 Four Categories of Medications used to control Mental Illness

Old vs. new drugs significantly fewer side effects Old vs. new drugs - new drugs have significantly fewer side effects, but old drugs are still used today, especially with the _________ (due to lower costs)

4.2 Side Effects from Psychotropic Medications  Can be __________________  Are often ___________, which may cause person to refuse to take them as directed

 muscle ____________,  protruding __________,  ________ rolled back,  constant ________movement,  ____________, 4.2 Side Effects from Psychotropic Medications EXAMPLES

 uncoordinated _______________,  __________________,  ______________  ______________,  ________________, 4.2 Side Effects from Psychotropic Medications EXAMPLES….Cont’d

 blurred ________________  ____________ gain,  ______________,  liver ________________ 4.2 Side Effects from Psychotropic Medications EXAMPLES….Cont’d

As noted, some of these side effects are __________________, even after the ______________ have been stopped, neurological damage due to the medications tendency to effect neurological damage 4.2 Side Effects from Psychotropic Medications SIDE EFFECTS

lethal Many of these medications are also lethal when taken in ____________. mentally ill Careful monitoring is necessary due to many mentally ill consumer symptoms include disorganization and difficulty ________________. 4.2 Side Effects from Psychotropic Medications SIDE EFFECTS….Cont’d

4.3 OLD vs. NEW Medications negative side effects There is an “old” class of drugs, such as ___________, that have some very negative side effects, such as  severe sedation,  possible impotence, etc.

drugs fewer side effects There is also a “new” class of drugs that treat the __________ much better and have fewer side effects. The “older” _________ are still in use today 4.3 OLD vs. NEW Medications…Cont’d

medications prevalent usage It is important to be familiar with the older medications, due to their more prevalent usage with the indigent and ________ populations. antipsychotic medications The newer antipsychotic medications are more _________. 4.3 OLD vs. NEW Medications…Cont’d

4.4 Three Primary Reasons why Mental Persons do not take prescribed medications continuous problem for law enforcement not adhering to their medication ______________ A continuous problem for law enforcement is mental health consumers not adhering to their medication ______________. crisis This _______________ is the primary cause of crisis concerns.

FOOD for THOUGHT How many of you have been prescribed medications by a doctor and did not take them for whatever reason? What was the effect of not taking them?

Common reasons for deviating from a drug schedule Common reasons for deviating from a drug schedule: ______________  Nasty _______ ______________ they don’t want people to know they have a mental illness  The ____________ associated with being mentally ill, i.e., they don’t want people to know they have a mental illness 4.3 OLD vs. NEW Medications…Cont’d

Common reasons for deviating from a drug schedule Common reasons for deviating from a drug schedule: think they no longer need the medications  They start ________ ________ and think they no longer need the medications 4.3 OLD vs. NEW Medications…Cont’d

RIGHT TO REFUSE A person may not administer a psychoactive medication to a patient who __________to take the medication voluntarily

Unless the patient is in need of a medication related to an emergency, or the patient is under an order authorizing the administration of the medication regardless of the patient’s refusal. RIGHT TO REFUSE - Cont’d

QUESTIONS FOR PARTICIPANTS Would you want to take these medications? Is the treatment worse than the illness?

Discuss “old” vs. “new” medications.

RHETORICAL QUESTIONS Is this guy on the lawn mower playing with a full deck? Based on your observations do you think he is suffering from a mental illness? Back up may have kept this from escalating!

Questions?

29 DEFINE & PROCESS Process: List & Explain 4.1: The four categories of medications utilized in controlling the symptoms of mental Illness

30 DEFINE & PROCESS Process: List and Explain 4.2: The side effects with the use of psychotropic medications

31 DEFINE & PROCESS Process: Define & Explain 4.3: Define & Explain 4.3: ‘Old’ vs. ‘new’ medications

32 DEFINE & PROCESS Process: Define & Explain 4.4: The three primary reasons why consumers do not take their medications as prescribed.

SOURCES All Course Sources and/or Resources are listed in your Participant Handout Bexar County Constable Office PCT#4 Crisis Intervention TRAINING (CIT) Course # 3841

“Knowledge is “POWER” Stay informed, stay SAFE, stay Vigilant & stay Alive”

TAKE A 10-MINUTE BREAK