3. Community Classes Combination of agencies Specific Agency PD Firefighters Detention Officers Transit Police Specialized classes Child CIT Administrators Teachers; Staff School Police

4. How do you tailor the class? Collaborate; find out what is needed Collaborate; incorporate instructors from that agency

5. I.CIT History II. Mental Health Classes (these classes are aimed at reducing stigma; increasing knowledge) III. Developmental Disorders IV. Emergency Detentions (or your term for involuntary apprehension) Core Subjects

6. V. Active Listening/De-escalation VI. CIT Response VII. Consumer/Family’s Perspective VIII. Resources IX. Role Plays Core Subjects

7. How CIT Began Memphis Our State Our City/County Be Creative

8. Psychosis Mood Disorders/Anxiety Disorders Child Issues PTSD Depression; Suicide Personality Disorders

9. Who is Your Student? Include Suicide by Cop Include Officer Suicide: Taking Care of Our Own Role Plays

10. Intellectual Disability Autism ADHD

11. Understanding and recognition of symptoms Discussion on handling (speaking and physical contact) persons with developmental disorders This is important to understand and decisions are dependent on local statutes – e.g., In Texas we can’t execute an application for Emergency Detention on persons with developmental disorders, Alzheimer’s or Dementia

12. Include basics; definition Include the law Any other relevant issues: travel, dress, vehicle used; policies Include the forms used and slow it down; decision making exercises in deciding to conduct an ED and practice in completing the forms Role Play: part of the grading whether or not to ED

13. Our bread and butter: how to talk to a consumer; how to listen MORE PIE Low and slow Role plays

14. CIT Response Definition of a crisis Levels of violence Use of Force Identify Indicators of Mental Illness Types of Questions to Ask the Consumer Three minute assessment Responding to Domestic Disturbances Values of CIT

15. Nothing is more personal than the consumer’s own story in their own words Nothing provides more insight than a family member discussing dealing with the day to day issues and experiences with a loved one who suffers from a mental illness, including the services provided, or not provided, by the police It is difficult to obtain a child’s perspective

16. Resources Provides audience with information related to hospitals, mental health agencies, specific agencies who deal with specific agencies Resource panel on a specific day Invite area mental health resource providers NAMI State Hospital Judges Mental Health Authority County DMOT Eating Disorder Specialists (Child CIT) Juvenile Probation (Child CIT) Hospitals who accept children with mental issues (Child CIT)

17. COP Cards Mini fairs Invite area community resources to have a tables providing agency specific literature concerning their services

18. Who is your student? Provides an opportunity for the officer to use their active listening skills Specific role plays on different days to match the topic of the day

19. Use mental health professionals as actors In Child CIT classes use child actors or police explorers In police suicide role plays use police officers as actors

20. Graded to provide immediate feedback Graded on initial approach, tactics, obtained relevant information, establish rapport, and disposition of the call Practice for skill test role play at the end of the course

21. Jail Diversion Not optional for us because it’s required by TCLEOSE but it is an excellent opportunity to show why diversion is preferable to arrest and booking Invite the local Mental Health Authority to come in and present the class

22. Excited Delirium Officers will get calls that may appear to involve a person in a mental health crisis when in reality the person is in a state of delirium and at high risk of death if handled improperly Excellent opportunity to provide officers with critical information that may involve civil and criminal liability

23. Homeless Issues Again, not optional for us, but a great class to highlight the large number of homeless persons who have a mental illness and, more recently, the problem of veteran’s who are homeless and experiencing PTSD, traumatic brain injuries or other mental illnesses

24. Include Relevant Subjects ADHD, Conduct Disorder, Oppositional Defiant Disorder Cutting/Self Harm Depression; Suicide Brain Development

25. Name Tags Name Plates On Slides

26. Who is Your Student? Be inclusive Invite Community Leaders, Agency leaders Awards Presentation Establishes a positive camaraderie from the beginning