Download 2#3841 UNIT TWO Participant Handout

Intermediate CIT
Course TCOLE Course # 3841
Texas Commission On Law Enforcement
PARTICIPANT HANDOUT
16-hr Two (2) Day Course
AND
BCCO PCT #4 PowerPoint
UNIT TWO
Unit Goal: 2.0.
• To sensitize the participant
to the adversity of mental
illness.
2
2.1.
• Define the term “mental
illness”.
3
Definitions:
• General Definition of
Mental Illness.
• Professional Definition of
Mental Illness.
• Definition of Insanity.
• Abnormal vs. Normal
Behavior.
4
General Definition
“Illness, disease, or condition that
either substantially impacts a
person’s thought, perception
of reality, emotional process,
or judgment, or grossly _______
a person’s behavior, as
manifested by recent
disturbance behavior.”
Professional Definition
Mental illness is diagnosed based
on ________ and ___________ as
evaluated by a psychiatrist,
psychologist, licensed
professional counselor, licensed
social worker, or other qualified
professionals using a tool known
as the Diagnostic and Statistical
Manual of Mental Disorders.
Insanity Legal Term
________________ is considered “a
diminished capacity and inability
to tell right from wrong.” This is not
a psychological term. The definition
varies from state to state. It is
generally used by the court with
regard to an individual’s
competency to stand trial.
Abnormal Versus Normal
Behavior
A sharp dividing line between
“normal” and “abnormal” behavior
does not exist. Adjustment seems to
follow what is called a “normal
distribution,” with most people
clustered around the center and the
rest spreading out toward the
extremes.
Basic Facts
• There are two distinct types of
mental illnesses
_______ to ___________ mental
illnesses which are caused by
psychological, biological,
genetic, or environmental
conditions
___________ mental illnesses
due to severe stress which may
be only temporary
9
Basic Facts – Cont’d
• Anyone can have a mental
illness, regardless of age, gender,
race or socio-economic level.
• Mental illnesses are more
common than cancer, diabetes,
heart disease or AIDS.
• Mental illness can occur at any
age.
10
Basic Facts – Cont’d
• ___ to ___% of individuals may
be affected by mental illness.
• __.__million children are
affected by mental,
developmental or behavioral
disorders.
11
Basic Facts – Cont’d
• Nearly ___ - ______ of all people
with a diagnosable mental
disorder do not seek treatment.
12
Basic Facts – Cont’d
• With proper treatment, many
people affected with mental
illness can return to __________,
productive lives.
• Mental illness can - and should
- be __________.
13
— Basic Facts About Mental Illness
— NAMI Texas
OCD Video
(View video newscast from “Train the Trainer” materials-updated version ))
14
2.2. Four Categories of
Mental Illness
Four prominent categories
of mental illness.
1. ____________ Disorders
2. ________ Disorders
3. _______________
4. _________________ Disorders
15
2.3. Personality Disorders
Disorders as they relate to law
enforcement officer contact.
16
2.3 Personality Disorders
Many individuals who are functioning
well in their lives may display
_____________________of what are
known as personality disorders
2.3 Personality Disorders
Continued
Individuals experiencing these
disorders show __________ _______
that are inflexible, maladaptive, or
inappropriate for the
situation, and this
causes
significant
problems in
their lives.
2.3 Personality Disorders
Continued
Those individuals who have
personality disorders usually have
very little insight that they have a
problem, and tend to believe that the
__________ are caused by other
people, the “system,” or the world
at large.
2.3 Personality Disorders
Continued
These traits are often accompanied by
some form of ____________ and may
also be seen in those with chemical
dependency problems.
2.3 Personality Disorders
Continued
Persons with personality
disorders are not usually treated
like those with other mental illnesses,
but are taught a variety of
____________ and ________ skills,
or treated for other problems such as
chemical dependency or depression.
2.3 Personality Disorders
CAUSES
Although the causes for these
disorders may not seem relevant
for the officer dealing with these
individuals, their backgrounds are
significant
Personality Disorders CAUSES – Cont’d
It is believed that most personality
disorders are caused by
a family _______ - usually beginning
at a young age - of physical or
emotional abuse,
lack of ________ and responsibility,
poor relationships with one or
both parents, and
alcohol or drug abuse.
2.4 Personality Disorders
Encountered By Law Enforcement
Common personality disorders
that may be encountered by peace
officers include;
• _________ personality disorder,
• _________ personality disorder,
and
• _________ personality disorder.
2.4 Personality Disorders
Encountered By Law Enforcement
1. Paranoid:
A. Tendency to ________the actions
of others as deliberately
threatening or demeaning
B. Foresee being in _________ to be
used or harmed by others
2.4 Personality disorders encountered
by law enforcement officers – Cont’d
1. ____________:
C. Perceive ___________ from other
people
2. _____________:
A. Most commonly recognized in
males (____________) Lone Wolfe
2.4 Personality disorders encountered
by law enforcement officers – Cont’d
2. Antisocial:
B. A pattern of _________________
and antisocial behavior diagnosed at
or after age 18
C. May have one or more of the
following:
2.4 Personality disorders encountered
by law enforcement officers – Cont’d
2. Antisocial C - Continued:
1.) History of _________ as a child
or adolescent, may have run away
from home
2.) Starting _______
3.) Using weapons
Personality disorders encountered by
law enforcement officers – Cont’d
2. Antisocial C - Continued:
4.) Physically abusing _________
or other ___________
5.) Deliberately destroying
others’ ____________
6.) ________
2.4 Personality disorders encountered
by law enforcement officers – Cont’d
2. Antisocial C - Continued:
7.) ____________
8.) Other illegal behavior
D. As adults, these people often have
trouble with ______ and are reluctant
or unwilling to conform to society’s
expectations of family and work
2.4 Personality disorders encountered
by law enforcement officers – Cont’d
2. Antisocial:
E. These individuals know that what
they are doing is _________, but do it
anyway
2.4 Personality disorders encountered
by law enforcement officers – Cont’d
3. ____________:
A. Most commonly
recognized in females
B. May have one or more of the
following:
1.) unstable and intense
personal relationships
2.4 Personality disorders encountered
by law enforcement officers – Cont’d
3. Borderline B:
2.) ____________ with sex,
relationships, spending, food, drugs,
3.) intense ______ or lack of control
of anger
4.) recurrent ____________ threats
2.4 Personality disorders encountered
by law enforcement officers – Cont’d
3. Borderline B:
5.) chronic feelings of ___________
or boredom
6.) feelings of _____________
2.5.
Prevalent behaviors
associated with personality
disorders.
35
Behaviors associated
with personality disorders
People with personality disorders
usually will not seek _____________
because they don’t think they have
a problem
Behaviors associated with
personality disorders – Cont’d
They may end up in the criminal
justice system because their
disorder may lead them to break
laws and come to the ____________
of law enforcement
by theft, by hot-check writing,
by fraud, etc.
Behaviors associated with
personality disorders – Cont’d
They may use alcohol and illegal
substances as a form
self-medication, due to the
__________and the consequences of
their behaviors
They often need treatment for
chemical dependency or depression.
2.6.
Mood Disorders
Mood Disorders as they relate
to officer contact.
39
Discuss Mood Disorders as
they relate to officer contact
A. A mood disorder is another type of
mental illness demonstrated by
disturbances in one’s _____________
reactions and feelings.
B. Severe depression and bipolar
disorder, also known as manic
____________, are referred to as mood
disorders.
Discuss Mood Disorders as they
relate to officer contact – Cont’d
C. Recognizable behaviors that
associate with mood disorders could
include:
1.) lack of _______ and _________ in
activities,
2.) extreme and rapid _____ swings,
Discuss Mood Disorders as they
relate to officer contact – Cont’d
C. Continued:
3.) impaired _____________,
4.) explosive ____________,
5.) increased ____________ and
6.) ____________
Discuss Mood Disorders as they
relate to officer contact – Cont’d
D. Causes: Researchers believe that
a complex _________ in the brain’s
chemical activity plays a
prominent role in mental illness
selectivity in the individual.
E. ________________ factors can also
be a trigger or buffer against the
onset.
2.7.
Two most common mood disorders
encountered by law enforcement
officers.
1. Depression
2. Bipolar Disorder
44
2.7 Depression
Depression is a common,
widespread disorder.
Most people have experienced some
form of _________ in their lifetime or
even had repeated bouts with
depression.
2.7 Depression – Cont’d
Depression is a natural reaction to;
____________
____________,
____________, or
____________.
2.7 Depression – Cont’d
Major depression is not just a bad
mood or feeling “blue” but a disorder
that affects thinking and behavior not
caused by any other physical or
mental disorder.
2.7 Depression – Cont’d
A major depressive syndrome is
defined as a depressed _____ or loss
of _________ of at least two weeks
duration accompanied by symptoms
such as;
weight loss/gain and
difficulty concentrating.
2.7 Depression – Cont’d
Five or more symptoms are generally
present during the same two-week
period and are represented by a
change from previous functioning.
Depressed mood or loss of interest
must also be included as a symptom.
2.7 Depression – Cont’d
Other symptoms of depression:
Prolonged feelings of __________
or excessive guilt
Loss of _______ in usual activities
Difficulty ___________ or making
decisions
2.7 Depression – Cont’d
Other symptoms of depression:
Low energy/_________
Changes in __________ level
An _____________ to enjoy usual
activities
2.7 Depression – Cont’d
Other symptoms of depression:
Changes in ____________ habits
(sleeping more or less);
an inability to fall _________, or
waking up ______ in the morning
and not being able to go _______
to sleep).
2.7 Depression – Cont’d
Depression and _______: The single
most common factor in suicidal
behavior or death by suicide is that
the individual is experiencing
depression.
2.7 Depression – Cont’d
Treatment for Depression: A
number of non-addictive
______________ are used in treating
depression, if needed.
It is recommended that persons taking
medications for depression not use
______________
2.7 Depression – Cont’d
Alcohol can interact with the
medications and increase alcohol’s
_________ or _________ problems
in reaction time and judgment.
2.7 Depression – Cont’d
Many people self medicate their
depression with;
___________ or
other non-prescribed ________ that
may give them temporary relief but
tends to only ____________ the
depressive symptoms.
2.7 BIPOLAR DISORDER
A mental illness involving _________
(an intense enthusiasm) and
depression (see above)
2.7 BIPOLAR DISORDER
Continued
Mania Phase may include:
 Abnormally high, expansive or
irritated __________
 ________ self-esteem
 Decreased need for _________
 More ____________ than usual
2.7 BIPOLAR DISORDER
Continued
Mania Phase may include - Continued:
 Flight of ideas or feeling of
thoughts ____________
 ____________ risk-taking
2.7 BIPOLAR DISORDER
Continued
Depressive Phase may include:
Prolonged feelings of sadness or
hopelessness
Feelings of guilt and worthlessness
Difficulty concentrating or deciding
Lack of interest
2.7 BIPOLAR DISORDER
Continued
Depressive Phase may include:
 Low ________
 _________ in activity
level
 _________ to enjoy usual activities
 __________
2.7 BIPOLAR DISORDER
Continued
An individual may quickly swing
from the ________ phase to the
____________ stage.
An individual _________ maintain the
level of activity normally associated
with mania for a long period of time.
2.8 Psychosis and how it
relates to officer contact
Definition of Psychosis:
“A group of serious and often
_______________ mental disorders
that may be of ____________ or
__________________ origin and
are characterized by some or all of the
following symptoms:
2.8 Psychosis and how it relates
to officer contact - Continued
Definition of Psychosis - Continued:
following symptoms:
impaired ____________ and
_______________ ability,
2.8 Psychosis and how it relates
to officer contact – Cont’d
Definition of Psychosis(Cont’d)
perceptual ______________,
inappropriate _______________
responses, inappropriate affect,
______________behavior,
reduced ____________ control and
impaired _____________ of reality.”
2.8 Psychosis and how it relates
to officer contact – Cont’d
Psychosis is an illness involving a
___________ of reality that may be
accompanied by ___________ and/or
______________
2.8 Psychosis and how it relates
to officer contact – Cont’d
The person
may be hearing _________,
he may look at a person and see a
_________,
he may think people are _________
him, or
he may ____________ himself to be
Jesus Christ.
2.8 Psychosis and how it relates
to officer contact – Cont’d
To the person, these hallucinations
and delusions are real.
2.8 Psychosis and how it relates
to officer contact – Cont’d
These are most commonly seen in
persons with
________________,
____________ disorder,
severe ________________ or
________ induced disorders.
Physical ________________ can also
induce a psychotic state.
2.8 Psychosis and how it relates
to officer contact – Cont’d
Potential conditions include:
____________ brain disorders (brain
injury or infections to the brain),
_______________ disorder,
________ syndromes, and
________ withdrawal.
2.8 Psychosis and how it relates
to officer contact – Cont’d
Definition of Delusion:
False ________ not based on factual
information.
2.8 Psychosis and how it relates
to officer contact – Cont’d
Definition of Delusion(Cont’d)
The person may ____________ to the
situations or may appear to have what
is called a “flat affect,”
no _________ or
does not seem to ________ about
what is going on around him.
2.8 Psychosis and how it relates
to officer contact – Cont’d
Definition of Delusion(Cont’d)
social __________
inappropriate __________,
odd ____________,
____________ thinking
2.8 Psychosis and how it relates
to officer contact – Cont’d
Definition of Hallucinations:
Distortions in the senses, causing the
individual to experience hearing or
seeing something that is not there.
2.8 Psychosis and how it relates
to officer contact – Cont’d
Definition of Hallucinations:
There is poor processing of
information and illogical thinking that
can result in
disorganized and
rambling speech and/or
delusions
2.8 Psychosis and how it relates
to officer contact – Cont’d
Definition of Hallucinations(Cont’d)
It is not uncommon for a person
hearing voices to hear ______or more
at a time
2.8 Psychosis and how it relates
to officer contact – Cont’d
Definition of Hallucinations(Cont’d)
If you approach the person and start
yelling at him, you are only adding to
his ____________
2.8 Psychosis and how it relates
to officer contact – Cont’d
Definition of Hallucinations(Cont’d)
Imagine having two or three people
shouting at you all at once while an
officer is trying to give you directions.
2.9 Psychotic episode from
consumer perspective
The voices are almost always
negative, _________ _______ telling
the person things like;
“Die, die, die,”
“Kill yourself,”
“You’re no good,” or
“They are going to get you.”
2.9 Psychotic episode from
consumer perspective – Cont’d
These voices are ______ to the
person experiencing this episode.
Researchers have
conducted brain scans
on persons hearing
voices during a __________ episode.
2.9 Psychotic episode from
consumer perspective – Cont’d
The part of the brain that is firing
when hearing these _________ is the
same part of your brain that is firing
when you are listening to the
instructor’s voice.
2.9 Psychotic episode from
consumer perspective – Cont’d
Common delusions experienced by
persons during a psychotic episode:
____________ voices
Feelings of ____________
Visual _______________
Heightening of the _________
2.10 Behavior Emotional Cues
from Psychotic Episode
Behavioral cues of persons with a
psychosis:
Inappropriate or bizarre _________
Body ____________ are lethargic or
sluggish
Impulsive or ______________ body
movements
2.10 Behavior Emotional Cues
from Psychotic Episode – Cont’d
Behavioral cues of persons with a
psychosis:
Responding to ______________
Causing ______ to self
2.10 Behavior Emotional Cues
from Psychotic Episode – Cont’d
Home environment:
strange ______________ (e.g.,
aluminum on windows)
____________ turned over
________ matter/_________ on
floors and walls
2.10 Behavior Emotional Cues
from Psychotic Episode – Cont’d
Home environment – Cont’d:
Unusual attachment to ___________
objects or toys
2.10 Behavior Emotional Cues
from Psychotic Episode – Cont’d
Emotional cues of persons with a
psychosis:
Lack of ______________ response
Extreme or inappropriate ________
Inappropriate emotional _________
2.11 Substance Abuse –
Cognitive Disorders &
Psychosis
Substance and cognitive disorders
(drug related disorders included) symptoms include:
A major loss of contact with ______
A gross interference with the
__________ to meet life’s demands
2.11 Substance Abuse – Cognitive
Disorders & Psychosis – Cont’d
Substance and cognitive disorders (drug
related disorders included) - symptoms include
– Cont’d:
 May have possible _________ and
________________
Alteration of ________
Defects in ______________,
2.11 Substance Abuse – Cognitive
Disorders & Psychosis – Cont’d
Substance and cognitive disorders (drug related
disorders included) - symptoms include –
Cont’d:
Defects in language,
Defects in memory, and
Defects in cognition
2.11 Substance Abuse – Cognitive
Disorders & Psychosis – Cont’d
Substance Abuse Disorder:
Prolonged abuse of any drug (alcohol,
prescription medications, or “street”
drugs) will cause chemical _________
or ______________
2.11 Substance Abuse – Cognitive
Disorders & Psychosis – Cont’d
Substance Abuse Disorder – Cont’d:
This has an effect on consciousness,
and if used long enough or in large
dosages, may cause _____________
damage to the central nervous
system
2.11 Substance Abuse – Cognitive
Disorders & Psychosis – Cont’d
Substance Abuse Disorder – Cont’d:
This may cause a wide range of
psychological reactions that can
be classified as ______________
2.11 Substance Abuse – Cognitive
Disorders & Psychosis – Cont’d
Substance Abuse Disorder – Cont’d:
Smoking a _________________ like
crack cocaine can cause paranoid
symptoms,
2.11 Substance Abuse – Cognitive
Disorders & Psychosis – Cont’d
Substance Abuse Disorder – Cont’d:
as prolonged alcohol use can produce
__________________symptoms
2.11 Substance Abuse – Cognitive
Disorders & Psychosis – Cont’d
Substance Abuse Disorder – Cont’d:
A person who is physically
_____________ on heroin will show
anxious behavior if usage is discontinued.
_________ drug and alcohol usage
is also a primary concern for
individuals with a mental illness
2.11 Substance Abuse – Cognitive
Disorders & Psychosis – Cont’d
Substance Abuse Disorder – Cont’d:
These substances can have an
adverse effect when used in
combination with prescribed
medications as well as having a
_________ _____________ on more
severe symptoms
2.11 Substance Abuse – Cognitive
Disorders & Psychosis – Cont’d
Substance Abuse
Disorder – Cont’d:
Use of illegal drugs and alcohol
in a self-medicating way can also
create a ______________ as well as
a roller coaster effect due to lack of
consistency and medical monitoring.
2.11 Substance Abuse – Cognitive
Disorders & Psychosis – Cont’d
Substance Abuse Disorder – Cont’d:
Substance abuse treatment is a
critical _____________ in a
comprehensive system of care
2.11 Substance Abuse – Cognitive
Disorders & Psychosis – Cont’d
Substance Abuse Disorder – Cont’d:
Research conducted over the last
decade has shown that the most
successful models of treatment for
people with co-occurring disorders
provide _________ mental health
and substance abuse services.
2.12 Schizophrenia &
Psychosis
_____________: consists of a group of
psychotic disorders characterized by
changes in ______________.
These disorders cause oversensitivity
to ________ and __________
characterized by hallucination and/or
impaired distorted thinking
2.12 Schizophrenia &
Psychosis – Cont’d
Schizophrenia: is considered the
most ________ and ___________ of
severe mental illnesses, typically
emerging in teenagers and young
people.
2.12 Schizophrenia &
Psychosis – Cont’d
Schizophrenia Statistical Facts:
In the U.S., approximately 2.2 million
adults, age ___ and older in a given
year have schizophrenia.
Worldwide statistics remain
fairly consistent with U.S. figures.
2.12 Schizophrenia &
Psychosis – Cont’d
Schizophrenia Statistical Facts – Cont’d:
Ranks among the top ___ causes of
disability in developed countries
worldwide.
Higher risk of suicide approximately ____% of people with
schizophrenia commit suicide.
2.12 Schizophrenia & Psychosis
– Cont’d
Distorted thinking results in:
________________
Poor processing of information /
____________ deficit
_________ thinking that can result in
____________ and __________
speech, and/or
______________.
2.12 Schizophrenia &
Psychosis – Cont’d
Changes in Emotion:
May ______________ to situations
 “Flat affect”
decreased _____________
expressiveness,
diminished _____ expression and
____________ appearance
2.12 Schizophrenia &
Psychosis – Cont’d
Changes in Emotion – Cont’d:
Anhedonia lacking pleasure or
interest in activities that were once
enjoyable)
Person is withdrawn – the media
tends to portray this as _______, but
it is rarely the case
2.13 Alzheimer’s Disease
& Psychosis
Alzheimer’s disease:
The most common __________
mental disorder of older people
is Alzheimer’s disease
2.13 Alzheimer’s Disease
& Psychosis – Cont’d
Alzheimer’s disease – Cont’d:
An individual experiencing this
disease may
get __________ easily,
have poor _________, &
become easily __________
2.13 Alzheimer’s Disease
& Psychosis – Cont’d
Alzheimer’s disease – Cont’d:
It is estimated that 2-3 million
Americans are afflicted with
Alzheimer’s, and that over 11,000
die from it each year.
2.13 Alzheimer’s Disease
& Psychosis – Cont’d
Additional Facts:
Alzheimer’s is a form of _________
It is not considered a mental
illness, and most mental health
facilities will not admit
Alzheimer’s patients
2.13 Alzheimer’s Disease
& Psychosis – Cont’d
Additional Facts – Cont’d:
Drugs can help the progression of
the disease, but there is no cure.
It is now being diagnosed in
persons considerably younger than
____.
2.14 Communicative approach
when confronting person in
psychotic episode
1. The officer should always be
cautious.
2. He should never startle the
person.
3. He should be patient and try to
learn the person’s name and use it
2.14 Communicative approach
when confronting person in
psychotic episode….Cont’d:
4. The officer should talk in a
calm, soft tone of voice.
5. He should allow the person to
verbally ventilate.
6. He should not crowd the person’s
space
2.14 Communicative approach
when confronting person in
psychotic episode….Cont’d:
7. The officer should introduce
himself and assure the person the
officers are there to help, not hurt
him.
8. The officer may have to repeat
himself several times.
2.15 Mental Illness Sensitize
Practical – Guest Speaker
GUEST
SPEAKER
2.16 Two most common
disorders officers face
1. ____________:
A developmental disorder,
affecting 1 to 2 in 1,000 Americans,
usually appearing before age ______,
2.16 Two most common disorders
officers face – AUTISM – Cont’d
1. Autism:
characterized by;
• impaired non-verbal ____________
• including ________ speech patterns
• or loss of ________,
2.16 Two most common disorders
officers face – AUTISM – Cont’d
1. Autism - Continued:
• lack of ____ _________, a restricted
range of interest,
• ____________ to change of any kind,
• __________________ repetitive body
movements,
2.16 Two most common disorders
officers face – AUTISM – Cont’d
1. Autism - Continued:
• a lack of awareness of the existence
or _________ of ________, and
• social ____________.
• ____________ vary from child to child
2.16 Two most common disorders
officers face – AUTISM – Cont’d
1. Autism Symptoms can range from
mild to severe. “The child may;
• act as if ___________ of the coming
and going of others, or
• physically attack and injure
others without ______________
2.16 Two most common disorders
officers face – AUTISM – Cont’d
Unraveling Autism, 2001). Although
autism is diagnosed 3-4 times more in
males,
females with autism tend to have
more severe symptoms and
____________ impairment
2.16 Two most common disorders
officers face – AUTISM – Cont’d
1. Autism - Treatment is
experimental, and few autistic children
show significant ____________
of symptoms.
2.16 Two most common disorders
officers face – AUTISM – Cont’d
1. Autism - Continued:
Persons with Autism suffer from
________ ___________that keep them
from effectively filtering and blocking
painful sensations.
2.16 Two most common disorders
officers face – AUTISM – Cont’d
1. Autism - Continued:
Their sensory disorders can cause
extreme pain from loud noises
and bright light that can move
them toward frustration
and acts of aggression.
2.16 Two most common disorders
officers face – AUTISM – Cont’d
1. Autism - Officers in contact with
these individuals will notice certain
behaviors such as
fear of ____________,
______________ behavior,
insistence on ____________,
______________ in new situations, &
tendency to become ____________
2.16 Two most common disorders
officers face – AUTISM – Cont’d
1. Autism – Officers when
interviewing, be
____________,
_______, and
____________,
which tends to help prevent
agitation in questioning process.
2.16 Two most common disorders
officers face – AUTISM – Cont’d
1. Autism – Officers should use
____________ materials,
__________ of previous statements,
____________, encouragement, and
attentive ________ will assist in the
exchange process.
2.16 Two most common disorders
officers face – AUTISM – Cont’d
1. Autism - Social Behaviors:
• Lack of ___________ of social rules
• Reluctance to make eye _________
• Inappropriate _________ or ______
• Unusual ____________responses
2.16 Two most common disorders
officers face – AUTISM – Cont’d
1. Autism - Social Behaviors:
• ______________ habitual behaviors
• Extreme _________ for no apparent
reason
• _____________ to particular objects
• Deliberate ____________ of clothes
2.16 Two most common disorders
officers face – AUTISM – Cont’d
1. Autism - Social Behaviors:
• Uneven ____________ skills
• Self ________________ behaviors
2.16 Two most common disorders
officers face – AUTISM – Cont’d
1. Autism - Communication
Behaviors:
• May be ____________ limited
• May ____________ what is said
• When speaking ___________ pitch,
rate, or
volume
2.16 Two most common disorders
officers face – AUTISM – Cont’d
1. Autism - Communication
Behaviors:
• ______________ expressing ideas or
needs
• ________ of pronouns or other parts
of speech
• Difficulty with abstract __________
and terms
2.16 Two most common disorders
officers face – AUTISM – Cont’d
1. Autism - Other Behaviors:
• ___________, pairing, and ordering
objects
• ______________ compulsively
• ________________ lights on and off
2.16 Two most common disorders
officers face – AUTISM – Cont’d
1. Autism - Other Behaviors:
• ________________ things
repeatedly
• _______________, rocking and
clapping
2.16 Two most common disorders
officers face – AUTISM – Cont’d
1. Autism - Other Behaviors:
• Chin-tapping, _________-________,
spinning
• ____________ with colorful and shiny
objects
.
2.16 Two most common
disorders officers face –
Mental Retardation
2. Mental Retardation:
Mental Retardation (MR) refers to a
range of substantial limitations in
mental functioning manifested in
persons before the age of ____.
2.16 Two most common disorders
officers face – Mental Retardation
2. Mental Retardation - Continued:
A. Characteristics of MR are;
1.) a below-level intellectual capacity
2.) plus limitations in two or more
adaptive skill areas such as
a. ______________,
b. ________-__________,
2.16 Two most common disorders
officers face – Mental Retardation
2. Mental Retardation - Continued:
A. Characteristics of MR are;
2.) c. __________ living,
d. __________ skills,
e. ____________,
f. ____________,
2.16 Two most common disorders
officers face – Mental Retardation
2. Mental Retardation - Continued:
A. Characteristics of MR are;
2.) g. academic _____________, and
h. ___________.
2.16 Two most common disorders
officers face – Mental Retardation
2. Mental Retardation - Continued:
B. Degrees of mental
retardation:
Mild:
IQ 69-55
Moderate:
IQ 54-40
Severe:
IQ 39-25
Profound:
Below 25
2.16 Two most common disorders
officers face – Mental Retardation
2. Mental Retardation - Continued:
C. Questioning methods:
1. Be ____________ for a reply
2. _________ __________ as needed
3. Ask short, _______ ________using
simple language
2.16 Two most common disorders
officers face – Mental Retardation
2. Mental Retardation - Continued:
C. Questioning methods:
4. _________ ____________
5. Ask _______-____________ rather
than “yes/no” questions
2.16 Two most common disorders
officers face – Mental Retardation
2. Mental Retardation - Continued:
D. Strategies to use during
officer contact in determining
possible mental retardation
1. Criminal Activity
a. noticeably ________ than others
involved in offense
2.16 Two most common disorders
officers face – Mental Retardation
2. Mental Retardation - Continued:
D. 1. Criminal Activity
b. ____________
c. readiness to ________
d. ___________ at the scene while
others ran
e. previous criminal activity patterns
2.16 Two most common disorders
officers face – Mental Retardation
2. Mental Retardation - Continued:
D. 2. Educational History
a. Below usual grade level
b. ID states mental impairments
c. Check MHMR records
2.16 Two most common disorders
officers face – Mental Retardation
2. Mental Retardation - Continued:
D. 3. Physical Appearance
a. Inappropriately dressed for
season
b. Unusual physical structure
2.16 Two most common disorders
officers face – Mental Retardation
2. Mental Retardation - Continued:
D. 3. Physical Appearance
c. Awkwardness of movement or
poor motor coordination in walking
d. Difficulty writing or other fine
motor skills
2.16 Two most common disorders
officers face – Mental Retardation
2. Mental Retardation - Continued:
D. 4. Speech/Language
a. Obvious ________ ____________
b. Limited response or
__________________
c. ________________
2.16 Two most common disorders
officers face – Mental Retardation
2. Mental Retardation - Continued:
D. 4. Speech/Language
d. Vocabulary or grammatical skills
____________
e. Difficulty _____________ facts in
detail
2.16 Two most common disorders
officers face – Mental Retardation
2. Mental Retardation - Continued:
D. 5. Social Behavior
a. Adult ___________ with children or
early adolescents
b. Eager to ____________
c. _____________ of personal space
2.16 Two most common disorders
officers face – Mental Retardation
2. Mental Retardation - Continued:
D. 5. Social Behavior
d. Non-age appropriate ___________
e. Easily ______________ by others
f. Easily ___________ or aggressive
in response to direct questioning
2.16 Two most common disorders
officers face – Mental Retardation
2. Mental Retardation - Continued:
D. 6. Performance Tasks to utilize to
help determine if problem exists
a. Read/write ____________ phrases
b. ____________ telephone number
in book
c. Give ____________ to their home
2.16 Two most common disorders
officers face – Mental Retardation
2. Mental Retardation - Continued:
D. 6. Performance Tasks to utilize to
help determine if problem exists
d. Tell ____________
e. Count to 100 by multiples of
________
2.16 Two most common disorders
officers face – Mental Retardation
2. Mental Retardation - Continued:
D. 6. Performance Tasks to utilize to
help determine if problem exists
f. Define _________ __________(such
as emotions or feeling terms)
g. __________ how to make change
from a dollar
WARNING – CAUTION
When performance tasks are used,
one should be cognizant of the
person’s dignity.
The officer needs to realize that
failing a performance task could
cause the person humiliation,
especially in public.
WARNING – CAUTION
Continued
This humiliation could then turn
quickly to aggression.
2.16 Guidelines for law
enforcement contact with
mentally retarded persons
1. Speak directly to the person
in;
a. ____________,
b. ____________,
c. __________ ______________ and
d. __________
2.16 Guidelines for law enforcement
contact with mentally retarded
persons - Continued
2. When possible, move to a less
disruptive location to assist with
focusing
3. Be highly aware of questioning
techniques
2.16 Guidelines for law enforcement
contact with mentally retarded
persons - Continued
4.
a.
b.
c.
d.
e.
Officer should remain
______________,
__________,
_____-______________,
_________ and fair
__________ and ________ manner
2.16 What are the significant
differences between Mental
Illness and Mental
Retardation?
Mental Illness vs. Mental
Retardation: ___% of the American
population is considered retarded
2.16 What are the significant
differences between Mental
Illness and Mental
Retardation? (Cont’d)
Sub-average score of 69 or less on
Wechler Intelligence Scale or
Stanford Binet IQ test),
while 22.1% is diagnosed with a
mental illness.
2.16 Differences between
mental illness and mental
retardation include:
1. Mental illness is unrelated to
intelligence, while mental
retardation is below-average
intellectual functioning.
2.16 Differences between
mental illness and mental
retardation include – Cont’d:
2. Mental illness develops at any
point in one’s life, while mental
retardation occurs before the age
of ____.
2.16 Differences between
mental illness and mental
retardation include – Cont’d:
3. There is no cure for mental
illness, but medications can help.
Mental retardation involves
permanent intellectual impairment.
4. No ____________ can help.
2.16 Differences between
mental illness and mental
retardation include – Cont’d:
5. Behavior is less predictable
with a mentally ill individual, while
a mentally retarded individual’s
behavior is consistent to a very
specific functional level.
2.17 Developmental Disorders
Ref: Officer Contact
The Developmental Disabilities
Assistance and Bill of Rights Act of
1990 defines a developmental
______________ as a severe, chronic
disability of a person five years of age
or older.
2.17 Developmental Disorders
Ref: Officer Contact - Cont’d
Such a ______________:
1. Is attributable to a mental or
physical impairment, or a
________________ of the two
2. Is manifested before a person
attains the age of twenty-two
3. Is likely to continue indefinitely
2.17 Developmental Disorders
Ref: Officer Contact - Cont’d
Such a disability:
4. Is manifested in substantial
limitation of three or more specified life
e. mobility
a. activities
f. self-direction
b. self-care,
g. Independent
c. language,
living,
d. learning,
h. economic self-sufficiency
2.17 Developmental Disorders
Ref: Officer Contact - Cont’d
Such a disability:
5. Reflects the person’s need for
lifelong or extended care,
treatment, or other services which are
planned and coordinated according to
that person’s needs
2.17 Developmental Disorders
Ref: Officer Contact - Cont’d
Such a disability:
5. Infants and young children (newborn
to age 5) with developmental disabilities
have substantially delayed
development or specific congenital or
acquired conditions, and are likely to
suffer developmental disabilities if
services are not provided to them.
2.17 Developmental Disorders
Ref: Officer Contact - Cont’d
Put more simply, a DD is a
condition that an individual
may have had since birth or
childhood which has
prevented them from full
social or vocational
independence in adulthood, and
which continues on into old age.
2.17 Developmental Disorders
Ref: Officer Contact - Cont’d
The four kinds of life skills that are
normally mastered during this time
and could be affected are
1. __________ motor,
2. _________ motor,
3. ______________, and
4. ____________ skills.
2.17 Developmental Disorders
Ref: Officer Contact - Cont’d
The number of persons with
developmental disabilities who
commit crimes cannot be reported
accurately due to lack of
identification prior to conviction,
sentencing, or incarceration.
2.18 ID Behaviors
Developmental Disorders &
Officer Contact
An officer should consider the
following points when approaching an
individual with a developmental
disorder. The individual:
1. May be ________________by
police presence
2.18 ID Behaviors Developmental
Disorders & Officer Contact – Cont’d
An officer should consider the following
points when approaching an individual with
a developmental disorder. The individual:
2. May attempt to run out of ______of
uniform
3. May ________ to a crime to please
the officer or end the line of
questioning
2.18 ID Behaviors Developmental
Disorders & Officer Contact – Cont’d
An officer should consider the following
points when approaching an individual with
a developmental disorder. The individual:
4. Is usually a ___________ thinker
- speak slowly and clearly utilizing
concrete words and concepts
5. Needs ________ cues to assist in
understanding
2.18 ID Behaviors Developmental
Disorders & Officer Contact – Cont’d
An officer should consider the following
points when approaching an individual with
a developmental disorder. The individual:
7. May need a more in depth
explanation of their ___________
and an advocate to verify
understanding
2.18 ID Behaviors Developmental
Disorders & Officer Contact – Cont’d
An officer should consider the following
points when approaching an individual with
a developmental disorder. The individual:
8. May be sensitive to touch,
creating a “________ or __________”
reaction - always explain any
tactile intentions prior to
action
Tartive Dyskensia
A ____________ ________caused by
long-term use of neuroleptic
drugs, which are prescribed for
psychiatric disorders
Not considered a mental illness
within itself…drugs utilized to treat
can lead to TD
180
Tartive Dyskensia – Cont’d
The neurotransmitters are
_____________ which over time may
cause uncontrolled involuntary
movement of the body and face
Treatment is highly
individualized and should be
monitored by the physician for a plan
of action
Tartive Dyskensia – Cont’d
__________, quick movement is
common.
Note: This movement may distract
or trigger defensive actions
from the officer when not needed,
which could _________ a situation
unknowingly.
Tartive Dyskensia – Cont’d
Autism Video
(View ‘Autism’ video from “Train the Trainer” (updated version) course
materials))
184
Questions?
DEFINE & PROCESS
Define 2.1 Mental Illness
Process:
186
DEFINE & PROCESS
Define & List 2.2 Four prominent categories of
mental illness
Process:
187
DEFINE & PROCESS
Explain 2.3 Personality Disorders as they relate to
officer contact
Process:
188
DEFINE & PROCESS
List 2.4 The three most common personality
disorders encountered by law enforcement
officers
Process:
189
DEFINE & PROCESS
Identify 2.5 prevalent behaviors associated
with personality disorders
Process:
190
DEFINE & PROCESS
Explain 2.6 Mood Disorders as they relate to
officer contact
Process:
191
DEFINE & PROCESS
List & Explain 2.7 the two most common mood
disorders encountered by law enforcement
officers
Process:
192
DEFINE & PROCESS
Explain 2.8 Psychosis and how it relates to
officer contact
Process:
193
DEFINE & PROCESS
Explain 2.9 A psychotic episode from a
consumer’s perspective.
Process:
194
DEFINE & PROCESS
Define Explain 2.10 The behavioral/emotional
cues a person displays when experiencing a
psychotic episode
Process:
195
DEFINE & PROCESS
Explain 2.11 How substance abuse and
cognitive disorders relate to psychosis.
Process:
196
DEFINE & PROCESS
Define & Explain 2.12 Schizophrenia as it
relates to psychosis
Process:
197
DEFINE & PROCESS
Define & Explain 2.13 Alzheimer’s disease and
its involvement with psychosis
Process:
198
DEFINE & PROCESS
Explain 2.14 The communicative approach an
officer should take when confronting a person
in a psychotic episode.
Process:
199
DEFINE & PROCESS
Explain Appraisal 2.15 Personal impressions of
mental illness after viewing the consumer
presentation
Process:
200
DEFINE & PROCESS
List & Explain 2.16 The two most common
developmental disorders that relate to officer
contact
Process:
201
DEFINE & PROCESS
Explain 2.17 Developmental disorders as they
relate to officer contact
Process:
202
SOURCES
All Course
Sources
and/or
Resources
are listed
in your
Participant
Handout
Crisis Intervention
TRAINING (CIT)
Course # 3841
Bexar County Constable Office PCT#4
“Knowledge is
“POWER” Stay
informed, stay
SAFE, stay
Vigilant & stay
Alive”