1. Introduction to the Behavioral Intervention Team (BIT) © 2015, The NCHERM Group, LLC. All rights reserved. Brian Van Brunt, Ed.D Senior Executive Vice President of Professional Program Development The NCHERM Group, LLC Brian@ncherm.orgBrian@ncherm.org

2. 2 Introduction ©2015 The NCHERM Group, all rights reserved What is a BIT?

3. 3 Introduction ©2015 The NCHERM Group, all rights reserved Gather DataRubric/AnalysisIntervention

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5. Deisinger, G., Randazzo, M., O’Neil, D., Savage, J. (2008). The Handbook for Campus Threat Assessment & Management Teams. Boston, MA: Applied Risk Management. 5

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7. Structured Interview for Violence Risk Assessment www.nabita.org/resources/sivra-35/ Questions? Brian@ncherm.org ©2013 The NCHERM Group, all rights reserved

8. 8 ©2014 The NCHERM Group, all rights reserved 1. Direct threat to person/place/system 2. Has tools, plans, weapons, schematics 3. Preoccupation with person/place 4. Action plan or timeframe to attack 5. Fixated/focused on target 6. Grudges/injustice collector 7. Pattern of negative writing/art 8. Leakage/warning of potential attack 9. Suicidal thoughts with plan 10. Persecution/victim mindset 11. Last act behaviors 12. Confused thoughts/hallucinations 13. Hardened point of view 14. No options/hopeless/desperate 15. Drawn or pulled to action 16. Recent break up or stalking 17. Defensive/overly casual interview 18. Little remorse or bravado 1 9. Weapons access or training 20. Glorifies/studies violence 21. Disingenuous/externalize blame 22. Acts superior/lacks empathy 23. History of impulsive risk taking 24. History of conflict (authority/work) 25. Extreme poor frustration tolerance 26. Trouble connecting/lacks trust 27. Substance abuse/acting out 28. Mental health Issues 29. Poor access to mental health 30. Objectification of others 31. Obsession with person/place 32. Oppositional thoughts/behaviors 33. Evaporating social inhibitors 34. Overwhelmed from loss (job, class) 35. Drastic behavior change

9. 9 Introduction A set membership A set meeting time A vision and mission statement A protocol A web presence Marketing material A decision- making rubric A Behavioral Intervention Team has: ©2015 The NCHERM Group, all rights reserved

10. 10 Introduction 1.Passively collects all information 2.Seeks reporting of low-risk behaviors, including those that may need to be referred to other offices (financial aid, student success, academic advising, low level counseling, etc.) 3.Is a tool for retention of the student or staff and those surrounding, as the “issue” may be headed off before it escalates 1.Actively seeks threatening behaviors 2.Waits until the behavior is “threatening” or “risky” before seeking the data 3.Is a tool to determine whether and how the student/staff may remain part of the community Behavioral Intervention Threat Assessment ©2015 The NCHERM Group, all rights reserved

11. 11 Introduction Threat Assessment is a component of what Behavioral Intervention Teams (BITs) do, not the sole focus. A Threat Assessment Team (TAT), by definition, assesses “threat” in the same way a “Risk Assessment Team” assesses ‘risk.” BITs seek to assist all students, faculty and staff that are heading toward “risk” or “threat” (to self or others). Can also be interested in external threats/risks ©2015 The NCHERM Group, all rights reserved

12. 12 ©2015 The NCHERM Group, all rights reserved Reporting BIT’s work best when they are prevention oriented. This means a focus on training the larger community to report concerns up---particularly concerns that might previously have been ignored, explained away, rationalized, or just described as “weird or odd” Reporting

13. 13 ©2015 The NCHERM Group, all rights reserved Initial thoughts… Imagine a scale of behavior from 1-10. 1’s are low concern and 10’s are police response 1 2345678910 Reporting

14. 14 ©2014 The NCHERM Group, all rights reserved We all understand the importance of reporting higher end behaviors… 1 2345678910 Reporting

15. 15 ©2015 The NCHERM Group, all rights reserved It’s the lower risk behaviors that provides the team with the puzzle pieces it needs to see the larger picture… 1 2345678910 Reporting

16. 16 ©2014 The NCHERM Group, all rights reserved In the classroom…. Argumentative, angry, disrespectful or non-compliant Frequent and continued cross-talk, technology misuse Social isolation or odd behavior, poor boundaries Fixation or focus on an individual, place or system Hardened or inflexible thoughts or speech Threatening (direct or indirect) behavior or speech Alcohol or other drug use Lack of attention, motivation or focus Sense of hopelessness or desperation Reporting

17. 17 ©2014 The NCHERM Group, all rights reserved Around campus…. Frequent arguments with others Teasing or bullying (receiving or giving) Explosive or impulsive behavior Social withdrawal in inappropriate boundaries Excessive alcohol or drug use Sexually harassing or aggressive behavior Hardened or objectified language Threats (either verbal or physical) Argumentative with authority Reporting

18. 18 ©2014 The NCHERM Group, all rights reserved Mental Health Concerns… Repeated talking to self Poor focus or attention Impulsive or rash behaviors Mention of self-injury or suicide Drastic behavior change (for better or worse) Health problems (low weight, fainting, chest pain) Odd or strange behavior, being teased or bullied Repetitive or anxious behaviors Panic or worry over relatively common troubles Reporting

19. 19 ©2014 The NCHERM Group, all rights reserved Mental Health Concerns…. Talking to or seeing things that aren’t there Hysterical crying or emotional outbursts Drunk or intoxicated Poor hygiene or cleanliness, odd dress Delusional or paranoid speech/actions Stalking or obsessive behavior toward others Sexually inappropriate behaviors Overly excited or irrational behavior or speech Reporting

20. 20 ©2015 The NCHERM Group, all rights reserved Three things to remember when reporting … Time: How quickly does the report need to get to the BIT? Minutes, Hours, Days, Weeks? Method: How should the report be made? Email, Phone call, face-face, online form, letter? Location: Who should be the contact? BIT chair, Police, Counseling, Conduct? Reporting

21. 4-year schools/traditional 67% 2-year schools/community 33% Residential 64% Non-Residential 36% Public 70% Private 28% 21 Team Demographics Data was collected from over 550 community colleges and four-year universities during June-August 2014. ©2015 The NCHERM Group, all rights reserved

22. 22 School Size (2012 in blue/2014 in red) ©2015 The NCHERM Group, all rights reserved

23. Team Membership (2014 data) Counseling 92%  Police/Campus Safety 88%  Dean of Students 75%  Residential Life 59% Academic Affairs 53%  Health Services 40% VP Student Affairs 40% Faculty 30%  Human Resources 29%  Student Activities 21% Case Manager 20% Legal Counsel 17% Athletics 13% Admissions 8% Greek Life 4% Team Leadership (2014 data) Dean of Students 44% Counseling 6% VPSA 24% Police/Safety 3% Student Conduct 9% Other/Misc 14% 23 8.6 average ©2015 The NCHERM Group, all rights reserved

24. 24 Meeting Frequency (2012 in blue/2014 in red) ©2015 The NCHERM Group, all rights reserved

25. 25 Team Demographics ©2015 The NCHERM Group, all rights reserved

26. Caseload 26 20122014 ©2015 The NCHERM Group, all rights reserved

27. BIT MARKETING The campus community should be educated about how to solicit and classify their reports Mild→Extreme on the Risk Scale 27 ©2015 The NCHERM Group, all rights reserved

28. 28 ©2015 The NCHERM Group, all rights reserved BIT MARKETING

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31. 31 ©2015 The NCHERM Group, all rights reserved BIT MARKETING

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34. 34 ©2015 The NCHERM Group, all rights reserved

35. The NaBITA Book on BIT was first created in 2011 updated in 2014. It is now available for purchase in both electronic versions and hardcopy. 35 More information is available here: www.nabita.org ©2015 The NCHERM Group, all rights reserved

36. Ending Campus Violence: New Approaches to Prevention Authored by Brian Van Brunt in 2012 Brian@ncherm.org www.amazon.com/Ending-Campus-Violence-Approaches-Prevention/dp/0415807441 36 ©2015 The NCHERM Group, all rights reserved

37. 37 Outlines what clinical staff should know about workplace violence research and threat assessment. Addresses both assessment and treatment of those who make a threat. Beyond mental health assessments and treatment, but a focus on anger, dangerousness and addressing uncertainty. Offers clarity on working with referral sources in term of letters and sharing information. Builds on research and literature from workplace violence and rampage shootings. ©2015 The NCHERM Group, all rights reserved

38. Introduction to the Behavioral Intervention Team (BIT) © 2015, The NCHERM Group, LLC. All rights reserved. Brian Van Brunt, Ed.D Senior Executive Vice President of Professional Program Development The NCHERM Group, LLC Brian@ncherm.orgBrian@ncherm.org