1. CIT Urban to Rural Communities and the Power of Relationships Tonya J. Eiden, MS, LMHC Director, Park Center’s Decatur Office teiden@parkcenter.org Officer Victor R. Torres Fort Wayne Police Department Victor.Torres@ci.ft-wayne.in.us

2. Objectives  A brief history of CIT Fort Wayne, Indiana  Protocol and Procedure  Importance of maintaining accurate data  Growing the pie, transitioning to the rural setting, what’s necessary  Importance of developing relationships  Forming your own NAMI Chapter

3. Fort Wayne Police Department’s CIT, Fort Wayne, Indiana  A northeastern Indiana community  440 sworn Police Officers  140 CIT trained Officers, 80 currently active on varying shifts in all quadrants of the City  Born out of necessity

4. April 2000 FWPD makes a Memphis Site Visit  Discoveries made  Learning what’s necessary  Volunteers to train for free

5. August 2001 FWPD CIT Begins  Immediate Detention or 24-Hour Hold Indiana Code 12- 26-4 requires:  A law enforcement officer having reasonable grounds to believe that an individual is mentally ill and dangerous or gravely disabled and is in immediate need of hospitalization and treatment may apprehend and transport the person to the nearest appropriate facility, but not a state institution; or charge the individual with an offense, if applicable.

6. FWPD Protocol Requires  Must have 3 yr.s law enforcement experience, or other qualifiers, must complete 40 hour training  Two officer response  C.I.T. officer is in charge of the scene  Second officer utilized as backup for tactical intervention, if necessary  If probable cause exists that a felony crime has been committed, the person goes to lockup under suicide watch  If a misdemeanor crime has been committed, the 24 or 72 hr. detention is made and charges are not filed. All reports are written.

7. Protocol continued  All consumers are searched and handcuffed prior to transport  Consumer transported to the nearest medical facility  Consumer may be transported to Transitional Care Services, if they do not need medical clearance and are a Park Center, Inc. client  Immediate detention paperwork, incident report, C.I.T. statistical sheet all written. First page of the 72 hour detention form signed by officer.  C.I.T. officer is not required to standby at the hospital

8. FWPD By the Numbers 2001- 2002  665 Calls  286 24-Hour Immediate Detentions  39 72-Hour Emergency Detentions  180 Self-Admissions  105 Consumers Stabilized at the Scene  5 Medical Admissions  21 No Action Required  8 Incarcerations with a total of 10 charges  230 Suicide Related  57 Party Armed  2 Threats of Homicide  2 Threats/Use of Fire

9. 10 th year success 2011  1234 calls for service  1205 IDO’s (24-hr.)  9 Voluntary Admissions  0 Medical Admissions  1 EDO (72-hr.)  18 Consumers Stabilized at Scene  892 Suicide Related  78 Consumers Armed  329 Currently Using Alcohol/Drugs  0 Arrests  669 Males 565 Females  111 Juveniles  931 W; 244 B; 42 H; 17 A  1 Chemical Agent Used  21 Physical Force Used  11 Velcro/Rip Hobbles Used  1 Less than Lethal Munitions  Taser – 0 Spark Display, 3 Drive Stuns, 3 Probe Deployments  279 – A; 672 – B; 292 – C  1169 – Parkview; 32 – St. Joe; 11 – Lutheran Generations; Veterans Admin. - 2

10. 2012 CIT Data  1313 calls for service  1290 24-hr IDO’s  9 voluntary admissions  1 medical  0 72-hr EDO’s  12 consumers stabilized at scene  1 arrested - felony  119 armed  942 suicide related calls  389 currently using alcohol or drugs  3% use of force  130 juveniles or 10%  76% White; 20% Black; 3% Hispanic; 1% Asian

12. Obstacles & Stumbling Blocks

13. Why was CIT needed in Adams County, a rural community?  EDOs took up to 9 hours  No locked unit at the local hospital

14. Historical Barriers  Lack of solid reputation of the mental health center  Key law enforcement personnel did not believe mental health fell under their domain  Other law enforcement was on board, but felt all key law enforcement personnel needed to be on board for it to work in the county

15. Why People Came to the Table  Mental Health  Superior Court Judge  Circuit Court Judge  Chief of Police  Sheriff  Prosecutor  Local Hospital  County Council Member

16. Obstacles  Lacked manpower to have officers leave for a week  Hospital was concerned about increase of self pay clients

19. NAMI  Closest NAMI was 40-60 minutes away, depending on where in the county people lived.  No encompassing regular groups to meet needs of individuals and their families that was free.

20.  Questions? Thank you! Contact Information: Tonya J. Eiden teiden@parkcenter.org 260/481-9125, ext 3020