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Intermediate CIT Course TCOLE Course # 3841 Texas Commission On Law Enforcement Participant Handout AND BCCO PCT #4 PowerPoint UNIT FOUR 4.0 Psychopharmacology & Side Effects in Persons with Mental Illness 4.0 Psychopharmacology & Side Effects in Persons with Mental Illness Medications can be an effective ____________ for mental illness. While it is not a cure, they are used to control symptoms and improve _______ skills, which can then help reduce the severity of the mental illness. 4.0 Psychopharmacology & Side Effects in Persons with Mental Illness – Cont’d Most individuals who are on psychiatric medications for mental illness will continue taking them for the rest of their _________. 4.1 Four Categories of Medications used to control Mental Illness 1. Anti-psychotic (Thorazine, Mellaril, Haldol) controls hallucinations (e.g., schizophrenia) 4.1 Four Categories of Medications used to control Mental Illness 2. Antidepressants (Elavil, Prozac, Zoloft) control feelings of sadness, feelings of hopelessness, and suicidal thoughts (e.g., depression) 4.1 Four Categories of Medications used to control Mental Illness 3. Mood stabilizers (Tegratol, Lithium, Depakote) control mood swings (e.g., bipolar disorder) 4.1 Four Categories of Medications used to control Mental Illness 4. Anti-anxiety drugs (Xanax, Valium, Buspar) Old vs. new drugs - new drugs have significantly fewer side effects, but old drugs are still used today, especially with the _________ (due to lower costs) 4.2 Side Effects from Psychotropic Medications Can be __________________ Can be __________________ Are often ___________, which may cause person to refuse to take them as directed 4.2 Side Effects from Psychotropic Medications EXAMPLES muscle ____________, protruding __________, ________ rolled back, constant ________movement, ____________, 4.2 Side Effects from Psychotropic Medications EXAMPLES….Cont’d uncoordinated _______________, __________________, ______________, ________________, 4.2 Side Effects from Psychotropic Medications EXAMPLES….Cont’d blurred ________________ ____________ gain, ______________, liver ________________ 4.2 Side Effects from Psychotropic Medications SIDE EFFECTS As noted, some of these side effects are __________________, even after the ______________ have been stopped, due to the medications tendency to effect neurological damage 4.2 Side Effects from Psychotropic Medications SIDE EFFECTS….Cont’d Many of these medications are also lethal when taken in ____________. Careful monitoring is necessary due to many mentally ill consumer symptoms include disorganization and difficulty ________________. 4.3 OLD vs. NEW Medications There is an “old” class of drugs, such as ___________, that have some very negative side effects, such as severe sedation, possible impotence, etc. 4.3 OLD vs. NEW Medications…Cont’d There is also a “new” class of drugs that treat the __________ much better and have fewer side effects. The “older” _________ are still in use today 4.3 OLD vs. NEW Medications…Cont’d It is important to be familiar with the older medications, due to their more prevalent usage with the indigent and ________ populations. The newer antipsychotic medications are more _________. 4.4 Three Primary Reasons why Mental Persons do not take prescribed medications A continuous problem for law enforcement is mental health consumers not adhering to their medication ______________. This _______________ is the primary cause of crisis concerns. FOOD for THOUGHT How many of you have been prescribed medications by a doctor and did not take them for whatever reason? What was the effect of not taking them? 4.3 OLD vs. NEW Medications…Cont’d Common reasons for deviating from a drug schedule: Nasty _______ ______________ The ____________ associated with being mentally ill, i.e., they don’t want people to know they have a mental illness 4.3 OLD vs. NEW Medications…Cont’d Common reasons for deviating from a drug schedule: They start ________ ________ and think they no longer need the medications RIGHT TO REFUSE A person may not administer a psychoactive medication to a patient who __________to take the medication voluntarily RIGHT TO REFUSE - Cont’d Unless the patient is in need of a medication related to an emergency, or the patient is under an order authorizing the administration of the medication regardless of the patient’s refusal. QUESTIONS FOR PARTICIPANTS Would you want to take these medications? Is the treatment worse than the illness? 4.3. Discuss “old” vs. “new” medications. 26 RHETORICAL QUESTIONS Is this guy on the lawn mower playing with a full deck? Based on your observations do you think he is suffering from a mental illness? Back up may have kept this from escalating! Questions? DEFINE & PROCESS List & Explain 4.1: The four categories of medications utilized in controlling the symptoms of mental Illness Process: 29 DEFINE & PROCESS List and Explain 4.2: The side effects with the use of psychotropic medications Process: 30 DEFINE & PROCESS Define & Explain 4.3: ‘Old’ vs. ‘new’ medications Process: 31 DEFINE & PROCESS Define & Explain 4.4: The three primary reasons why consumers do not take their medications as prescribed. Process: 32 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” TAKE A 10-MINUTE BREAK