2. Crisis Intervention Abnormal Behavior & Mental Illness Officer Mark Best May 2006

4. Learning Objectives (From Memory in a Classroom Environment)  Name six elements of a tactical response.  ID the ITA’s four criteria for commitment.  Name four mimics to mental illness.

5. Three Types of Abnormal Behavior -1-______________________________ -2- _____________________________ -3- _____________________________

6. Neurotic Experiences (1 st of 3 abnormal behavior types)  Nervousness  Distress  Anxiety  Guilt  Depression

7. Neurotic Behavior  Worrying  Avoiding  Showing a lack of insight  Regressing  Panicking

8. Neurotic Illnesses  Phobias  Obsessive-compulsive disorder

9. Psychotic Experiences (2 nd of 3 abnormal behavior types)  Altered states of consciousness through…  perception  thought  emotion This person loses touch with reality.

10. Psychotic Phenomena  Delusions  Hallucinations

11. Common Psychotic Illnesses Manic-depressive disorder aka bi-polar Paranoia Schizophrenia

12. Triggers of Psychotic Experiences Mourning PTSD Drugs: esp. LSD, opium, shrooms Detoxing Dementia Sleep Deprivation

13. Psychopath / Sociopath (3 rd of 3 types of abnormal behavior)  A deeply ingrained, inflexible pattern of thoughts and behavior that persists throughout a person’s life.  These people know exactly what they are doing.

14. Signs of a Psychopath/Sociopath  No empathy  Incapable of feeling remorse  Egocentric

15. Behavior of a Psychopath / Sociopath Displays behavior problems early in life Lies pathologically Has a sexually exaggerated life Takes risks Lives impulsively Lives egocentrically Excessively boasts

16. Facts regarding Psychopaths / Sociopaths  There is an extremely high recidivism rate.  The insanity plea is not an option.  There is no cure / medication.

17. Theoretical Origins of a Psychopath/Sociopath  Heredity  Disease  Emotional Deprivation

18. Mental Illness  As an officer/deputy, you will encounter a mentally ill person nearly every day.

19. 3-pronged “Mission” While Contacting a Mentally Disturbed Person  _____________________________

20. A Point of Decency  A person is not their “illness.”  I.Q. is unrelated to M.I.

21. Facts About Mental Illness  term: acute OR chronic  onset: any time

22. Signs of Mental Illness Rapid, uninterruptible speech Incoherent or disorganized speech Talking or laughing to self Hallucinations

23. More Signs of Mental Illness Delusions Erratic thinking Rapid mood swings Blank stare or catatonic behavior

24. Tactical Response Do:  _____________________

25. Tactical Response Don’t:  ___________________  ________________________________

26. Tactical Considerations  Critical: observing before engaging  Crowds  Expect sudden changes  Use restraints

27. Involuntary Treatment Act (I T A)  Allows us to detain a person to be evaluated & treated for a mental illness without their consent.

28. Involuntary Treatment Act  Enacted: 1974  Last amended: 1998.  RCW 71.05.150

29. The ITA addresses 3 Things  Rights for the M.I.  Powers for the MHP’s  Guidelines for L.E.

30. ITA Commitment Criteria -1- _________________ OR -2- _________________ OR -3- _________________ OR -4- _________________

31. Some Mimics  __________________

32. Alzheimer’s Disease  A brain disease, not normal aging  Nerve cells in the brain are destroyed  Most common form of dementia  Degenerative – terminal

33. Symptomatic Behaviors of an A.D. Patient  Dresses inappropriately  Appears confused & disoriented  Is frightened  Behaves angrily, violently

34. Common Reasons We Contact A.D. Patients  Missing person  False reporting  Shoplifting  Indecent exposure  Erratic driving

35. Prevalence of A.D.  ~10% of those 65+  ~50% of those 85+

36. Tactical A.D. Response  The same as for a mentally ill person

37. Restraint Considerations  The same as with a mentally ill person AND…  If using, pay special attention to avoid bone and joint injury.

38. The Safe Return Program  Issues ID bracelets  Is a liaison for the missing or found  800-572-1122

39. Q & A

40. Review  Name six elements of a tactical response.  ID the ITA’s four criteria for commitment.  Name four mimics to mental illness.

41. …& finally, What do you get when you cross a pit bull with a collie? A dog that rips your leg off, then runs for help. -A Prairie Home Companion

42. Next Time: Suicide