1. Making Your CIT Course A Success... and Interesting!
Sarah Burtenshaw, MEd, BHSc(OT)
Mental Health Worker – Mobile Crisis Rapid Response Team
CIT Coordinator – Hamilton Police Service

2. Goal Today! Provide some ideas to make your CIT course more:
UNDERSTANDABLE
INTERESTING
FUN
EDUCATIONAL

4. Hamilton, Ontario, Canada

5. Hamilton’s Police/Mental Health Collaborations
COAST (Crisis Outreach and Support Team):
24/7 Crisis Line
Mobile services include a plain-clothed police officer works with nurses, SW and OTs
Child/Youth Team and Dementia team
4500 requests for service
14000 phone calls –
2000 outreach visits

6. Hamilton’s Police/Mental Health Collaborations
Crisis Intervention Team Officer:
270+ officers CIT trained since 2007
16 courses completed
CIT officers replace COAST officers for annual leave, etc.

7. Mobile Crisis Rapid Response Team
Mental Health Worker rides with uniformed officers responding to 911 calls in patrol car
Started in November 2013
Function in downtown core/Central Division
Currently Monday – Friday - 12 hours/day

8. Mobile Crisis Rapid Response Team: The Perfect Marriage

9. Mobile Crisis Rapid Response Team

10. Understanding Psychosis (Psykosis or pszychosis)
Psychosis = Delusions, hallucinations and/or disorganized behaviours
Hallucinations are false sensory perceptions
Hearing, seeing, smelling, feeling and tasting things which aren’t there
The more stressed the individual is the more intense the hallucinations/delusions/disorganization will be
3 voice experience

11. Understanding Paranoia
Breaking bad clip
If they have powerpoint 2007 it won’t work.

12. Types of Delusions Erotomania: Capgras Syndrome:
believe another person, often someone important or famous, is in love with him or her. The person might attempt to contact the object of the delusion or stalk them.
Capgras Syndrome:
believe that a friend, spouse, parent, or other close family member has been replaced by an identical-looking imposter

13. Other Delusions Koro Delusion: Othello Syndrome:
an episode of sudden and intense anxiety that the penis (or, in females, the vulva and nipples) will recede into the body and possibly cause death
Othello Syndrome:
makes repeated accusations that their spouse or sexual partner is being unfaithful, based on insignificant, minimal, or no evidence, often citing seemingly normal or everyday events or material to back up their claims (stalking, cyberstalking, sabotage and violence)

19. Mental Disorder + Risk Delusions about Imposters
Delusions about Infidelity
Families of people with psychosis often minimize the risks e.g. “he would never hurt me, I’m his mother”
People who are extremely paranoid who:
- won’t leave the house
- won’t eat
- carry weapons
- now can identify who is

20. If you stare at the blinking pink dots, you will see only one color, pink. If you look at the + in the center, you'll see a circle of pink dots and a rotating green dot. But, if you stare at the + without moving your eyes, the pink dots will disappear and you will see only a rotating green dot. It's amazing how our brain works. There really is no green dot and the pink ones don't really disappear. This is proof that we don't always see what we think we see.

21. RED BLUE GREEN YELLOW GREY PINK YELLOW PURPLE ORANGE BROWN BLACK GREY GREEN YELLOW PINK BLUE PURPLE BROWN RED GREEN

23. Treatment Includes medication Exercise:
Provide dosette container filled with medication for the duration of the course
Use candies for the medications
Provide information on the illness as well as an overview of the medication

24. Medication Side Effects
Movement disorders
Weight gain
Sexual dysfunction
Drowsiness
Difficult sleeping
Lactation
Blunted affect

25. Video Based Training http://cirt.uoit.ca/LOs/mainMenu/
Developed by the Durham Regional Police Service, Ontario Shores Mental Health Centre and University of Ontario Institute of Technology
Online video-based learning program

27. Behavioral Change Stairway Model
Active Listening: Listen to their side and make them aware you’re listening.
Empathy: You get an understanding of where they’re coming from and how they feel.
Rapport: Empathy is what you feel. Rapport is when they feel it back. They start to trust you.
Influence: Now that they trust you, you’ve earned the right to work on problem solving with them and recommend a course of action.
Behavioral Change: They act (hopefully the way you want).

28. Suicide Intervention
Peter Mills to the Rescue - Chicago Fire Highlight
tLWo
If they have powerpoint 2007 or earlier it wont work, use it here

29. Dementia “Silver Tsunami”
Understanding the neurology of dementia helps with understanding the impact on a person’s functioning

30. Dementia
“Silver Tsunami” with the dramatic increase of dementia cases over the next 20 years with the baby boomers coming of age

31. Normal Brain vs. Alzheimer’s Brain

32. What is this?

33. What is this?

34. What is this?

35. What is this?

36. What is this?

37. What is this?

38. Where were you when?
When you heard Michael Jackson died?

39. Where were you when?
You heard Elvis had died?

40. Where were you when?
When the first man landed on the moon

41. Where were you when?
You heard JFK had been assassinated?

42. Where were you when?
You heard World War 2 had ended?

43. Humour….
A sensitive topic with mental illness

47. Anxiety Disorders