Collabora'ng	
  Across	
  Agency	
  Lines	
  
Marshall	
  Fisher	
  
Mississippi	
  Director,	
  Gulf	
  Coast	
  HIDTA	
 ...
Disclosure	
  Statements	
  
•  Marshall	
  Fisher	
  has	
  disclosed	
  no	
  relevant,	
  real	
  or	
  
apparent	
  pe...
Learning	
  Objec'ves	
  
1.  State	
  the	
  benefit	
  of	
  building	
  strategic	
  
coopera'on	
  between	
  local,	
 ...
Law	
  Enforcement	
  Interven'on	
  in	
  Parent	
  
Substance	
  Use	
  
When	
  Children	
  are	
  Present	
  
Panel	
 ...
A	
  Relevant	
  Scenario	
  
•  Imagine	
  you	
  arrive	
  at	
  a	
  scene	
  of	
  a	
  reported	
  
disturbance	
  as...
The	
  State	
  of	
  the	
  Union	
  
•  8.3	
  Mil	
  kids	
  lived	
  w/	
  @	
  least	
  one	
  parent	
  dependent	
 ...
It	
  Magers	
  to	
  Us	
  All	
  
Kids	
  from	
  homes	
  w/	
  substance	
  abusing	
  parents:	
  
•  Homes	
  are	
 ...
Not	
  Just	
  a	
  Mental	
  Health	
  Problem	
  
	
  	
  	
  	
  “The	
  overrepresenta'on	
  of	
  people	
  with	
  
...
Becoming	
  Trauma	
  Aware	
  in	
  	
  
Criminal	
  Jus'ce	
  
•  “there	
  is	
  consensus	
  that	
  high	
  percentag...
How	
  Being	
  Trauma-­‐Informed	
  Improves	
  
Criminal	
  Jus'ce	
  Responses	
  
•  Create	
  and	
  awareness	
  and...
Trauma	
  Informed	
  Policing	
  
•  Being	
  aware	
  when	
  intervening	
  and	
  children	
  
are	
  present	
  of	
 ...
The	
  Hope	
  of	
  System	
  Collabora'on	
  
•  Violence	
  and	
  trauma	
  exposure	
  is	
  not	
  an	
  automa'c	
 ...
Responding	
  at	
  the	
  Scene	
  
•  We	
  understand	
  that	
  the	
  mission	
  of	
  LE	
  at	
  the	
  
point	
  o...
Helping	
  Children	
  at	
  the	
  Scene	
  
•  Ask	
  where	
  Children	
  are	
  –check	
  if	
  hurt,	
  safe	
  
•  D...
Helping	
  Children	
  at	
  the	
  Scene	
  
•  Reassure	
  that	
  what	
  is	
  happening	
  with	
  adults	
  is	
  
N...
Helpful	
  Responses	
  for	
  Children	
  	
  
•  Addressing	
  kids	
  on	
  their	
  level	
  ?	
  Get	
  in	
  the	
  ...
Follow-­‐up	
  Can	
  Support	
  Resiliency	
  	
  
•  On	
  occasion	
  children	
  have	
  visited	
  precincts,	
  
fire...
Back	
  to	
  Our	
  Scenario	
  
	
  	
  	
  Which	
  of	
  the	
  following	
  two	
  
thoughts	
  going	
  through	
  t...
His	
  possible	
  thoughts…	
  
•  “I	
  bet	
  these	
  two	
  are	
  just	
  like	
  the	
  ones	
  that	
  day	
  
who...
•  Which	
  set	
  of	
  thoughts	
  would	
  you	
  rather	
  have	
  
be	
  	
  going	
  through	
  the	
  mind	
  of	
 ...
Who	
  Helps	
  the	
  Helper?	
  
-Secondary Traumatic Stress and Burnout Among Law
Enforcement Investigators Exposed to ...
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Law Enforcement: Collaborating Across Agency Lines - Marshall Fisher, Dr. William Holmes and Roy VanTassell

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Len 5 joint presentation

  1. 1. Collabora'ng  Across  Agency  Lines   Marshall  Fisher   Mississippi  Director,  Gulf  Coast  HIDTA   William  Holmes  MD   Medical  Director  for  Foster  Care  Cenpa'co   Roy  Van  Tassell  MS  LPC   Director  Trauma    Evidence-­‐Based  Interven'ons  Cenpa'co  
  2. 2. Disclosure  Statements   •  Marshall  Fisher  has  disclosed  no  relevant,  real  or   apparent  personal  or  professional  financial   rela'onships.   •  William  Holmes  has  disclosed  no  relevant,  real  or   apparent  personal  or  professional  financial   rela'onships.   •  Roy  Van  Tassell  has  disclosed  no  relevant,  real  or   apparent  personal  or  professional  financial   rela'onships.  
  3. 3. Learning  Objec'ves   1.  State  the  benefit  of  building  strategic   coopera'on  between  local,  state,  and  federal   law  enforcement  agencies.     2.  Evaluate  tools  for  sharing  data,  ideas,  and   undercover  tac'cs  for  officers  to  inves'gate   Rx  drug  abuse  violators.     3.  Construct  a  strategy  for  officers  to  take  home   in  order  to  collaborate  across  agencies.  
  4. 4. Law  Enforcement  Interven'on  in  Parent   Substance  Use   When  Children  are  Present   Panel  Discussion   William  Holmes  MD   Medical  Director  for  Foster  Care  Cenpa'co   Roy  Van  Tassell  MS  LPC   Director  Trauma    Evidence-­‐Based  Interven'ons  Cenpa'co  
  5. 5. A  Relevant  Scenario   •  Imagine  you  arrive  at  a  scene  of  a  reported   disturbance  as  others  are  running  from  scene  you   see  a  minority  teen  male  remaining   •  As  you  drove  up  you  saw  him  picking-­‐up  a    handgun   from  the  ground   •  An  officer  also  just  arriving  shouts  for  him  to  “stop,   and  lay  face  down  on  the  ground”     •  The  teen  now  looks  toward  you  as  you  arrive…   Hold  that  thought….  We’ll  get  back  to  you  both  
  6. 6. The  State  of  the  Union   •  8.3  Mil  kids  lived  w/  @  least  one  parent  dependent  upon   alcohol  or  drugs  in  2007  survey   •  In  U.S.  someone  dies  of  drug  OD  every  19  Min       •  Since  1999  Rx  painkiller  scripts  have  quadrupled   •  6.1  Mil  Americans  abused  Rx  drugs  in  2011  (down  from  2010)   •  But  number  of  deaths  from  Rx  drugs  doubled  since  1999   •  Rx  deaths  are  more  than  those  for  heroin  and  coke  combined   •  Drug  OD  deaths  now  exceed  motor  vehicle    deaths  in  29   states   Sources:    Trust  for  America’s  Health;  childwelfare.gov;  Na'onal  Survey  on  Drug  Use   and  Health;  CNN    
  7. 7. It  Magers  to  Us  All   Kids  from  homes  w/  substance  abusing  parents:   •  Homes  are  more  chao'c,  unpredictable,  violence   exposed  at  home  &  in  community   •  Receive  less  supervision   •  Child  needs  take  back  seat  to  parental  needs  /ac'vi'es   •  Prenatal  drug  exposure  (fragile,  low  b/wt.  premature)   •  ½  to  2/3  of  maltreatment  cases  involve  parent  sub  abuse   •  Low  SES  and  many  social  problems   •  More    likely  to  be  re-­‐vic'mized  or  abuse  others  
  8. 8. Not  Just  a  Mental  Health  Problem          “The  overrepresenta'on  of  people  with   SMI  or    Co-­‐Occurring  Disorder  (COD  )in   the  criminal  jus'ce  system  has  a   significant  impact  on  the  recovery  path   of  these  individuals,  creates  stress  for   their  families,  and  has  an  effect  on  public   safety  and  government  spending.”   Blandford,  A.  &  Osher,  F.  (2012).  A  Checklist  for  Implemen>ng  Evidence-­‐ Based  Prac>ces  and  Programs  (EBPs)  for  Jus>ce-­‐Involved  Adults  with   Behavioral  Health  Disorders.  Delmar,  NY:  SAMHSA’s  GAINS  Center  for   Behavioral  Health  and  Jus>ce  Transforma>on.  
  9. 9. Becoming  Trauma  Aware  in     Criminal  Jus'ce   •  “there  is  consensus  that  high  percentages  of  jus'ce-­‐ involved  women  and  men  have  experienced  serious   trauma  throughout  their  life'me.       •  The  reverbera'ng  effect  of  trauma  experiences  can   challenge  a  person’s  capacity  for  recovery  and  pose   significant  barriers  to  accessing  services,  onen   resul'ng  in  an  increased  risk  of  coming  into  contact   with  the  criminal  jus'ce  system  “                                                                                                                                                                              Policy  Research  Associates  
  10. 10. How  Being  Trauma-­‐Informed  Improves   Criminal  Jus'ce  Responses   •  Create  and  awareness  and  understanding  of  the   impact  of  trauma   •   Create  an  awareness  of  the  impact  of  trauma  on   behavior   •  Develop  trauma-­‐informed  responses   •  Provide  strategies  for  developing  and   implemen'ng  trauma-­‐informed  policies   See  more  at:  hgp://gainscenter.samhsa.gov/trauma/trauma_training.asp    hgp://www.prainc.com/how-­‐being-­‐trauma-­‐informed-­‐improves-­‐criminal-­‐jus'ce-­‐ responses/#sthash.UF8vLzq2.dpuf  
  11. 11. Trauma  Informed  Policing   •  Being  aware  when  intervening  and  children   are  present  of  what  they  see,  hear  and   experience   •  Children  key  off  of  adult,  care  givers  even   impaired  ones  are  child’s  psychological  safe   base   •  Threats  to  caregivers  will  threaten  child’s   sense  of  safety,  vulnerability  
  12. 12. The  Hope  of  System  Collabora'on   •  Violence  and  trauma  exposure  is  not  an  automa'c  lifelong   'cket  to  dysfunc'on   •   The  single  biggest  factor  in  what  helps  kids  is  having  a   suppor've,  believing,  consistent,  nurturing  care-­‐giver  and  safe   place  in  the  community   •  There  are  very  effec've  evidenced-­‐based  community   programs,  responses  and  treatments  that  have  been  clinically   demonstrated  to  provide  healing  from  exposure  to  violence   and  abuse  for  adults  and  children   •  There  are  effec've  ac'on  steps  for  preven'on  which   everyone  can  help  foster  in  any  community,  the  cycles  can  be   broken  
  13. 13. Responding  at  the  Scene   •  We  understand  that  the  mission  of  LE  at  the   point  of  interven'on  is  a  specific  one  and  has   different  priori'es  e.g.  secure  the  scene  /   safety,  etc.   •  But  where  possible  and  as  soon  as  possible   agend  to  the  needs  of  children  present,  be   aware  of  what  they  see,  especially  involving   caregivers    
  14. 14. Helping  Children  at  the  Scene   •  Ask  where  Children  are  –check  if  hurt,  safe   •  Describe  your  role  in  simple  terms   •  Speak  at  their  level  (kneeling,  si5ng,  squa5ng)   •  Try  not  to  talk  badly  about  parent  in  front  of  child   •  Keep  kids  with  known  adults  when  possible   •  Don’t  say  “everything  will  be  OK”  or  make   promises  you  can’t  keep  
  15. 15. Helping  Children  at  the  Scene   •  Reassure  that  what  is  happening  with  adults  is   NOT  their  fault     •  Explain  to  children  why  any  use  of  force  was   necessary   •  Provide  parent  or  other  caregiver  with   informa'on  about  safety,  resources  as   appropriate  
  16. 16. Helpful  Responses  for  Children     •  Addressing  kids  on  their  level  ?  Get  in  the  ROLES   •  Relaxed  manner   •  Open  posture  (no  folded  arms  or  hands  on  hips)   •  Lean  towards  slightly  w/  upper  body  (on  level)   •  Eye  contact  (direct  but  not  piercing,  warm)   •  Space  between  you  (note  how  close,  not  allowing   them  to  feel  trapped,  but  blocking  distressful   visual  scenes  is  helpful)    
  17. 17. Follow-­‐up  Can  Support  Resiliency     •  On  occasion  children  have  visited  precincts,   fire  sta'ons  or  met  with  responders  in  other   sesngs  (schools  community  sesngs)  aCer   the  scene/event  to  restore  connec'ons     reduce  fear  and  avoidance   •  Helps  to  underscore  task  of  safety  at  'me  of   interven'on  and  what  occurred  as  necessary   to  get  people  help  keep  everyone  safe  
  18. 18. Back  to  Our  Scenario        Which  of  the  following  two   thoughts  going  through  the  mind   of  that  teen  male  -­‐s'll  holding   the  handgun-­‐  would  you  rather   be  confron'ng?  
  19. 19. His  possible  thoughts…   •  “I  bet  these  two  are  just  like  the  ones  that  day   who  jerked  me  away  from  my  mom  and  were   yelling  when  I  watched  them  throw  her  and   my  dad  on  the  floor,  put  them  in  handcuffs  -­‐ and  then  they  put  me  in  a  cop  car  and  I  had  to   go  to  that  shelter”          OR   •  “I  wonder  if  these  two  are  like  the  ones  who   came  that  >me  my  mom  and  dad  were  so  high   and  figh>ng  and  we  didn’t  have  food  ,  and  one   took  me  and  my  sister  outside  and  said  we’re   going  to  get  your  family  some  help  since  they   can’t  take  care  good  of  you  right  now”        
  20. 20. •  Which  set  of  thoughts  would  you  rather  have   be    going  through  the  mind  of  that  teen   holding  the  handgun?     •  Why?   •  Beyond  the  obvious,  what  other  differences   could  it  make  going  forward?  
  21. 21. Who  Helps  the  Helper?   -Secondary Traumatic Stress and Burnout Among Law Enforcement Investigators Exposed to Disturbing Media Images Lisa M. Perez & Jeremy Jones & David R. Englert & Daniel Sachau, J Police Crim Psych (2010) 25:113–124 -­‐Contamina'on  of  Cop:  Secondary  Trauma'c  Stress  of   Officers  Responding  to  Civilian  Suicides  (From  Suicide  and  Law  Enforcement,   P  337-­‐355,  2001,  Donald  C.  Sheehan  and  Janet  I.  Warren,  eds.  -­‐-­‐  See  NCJ-­‐193528)        Author(s):    John  Nicoles  ;  Sally  Spencer-­‐Thomas,    2001  Nat.  Criminal  Jus'ce  Reference  Service   -­‐The  Cause  and  Effect  of  Secondary  Trauma'c  Stress     Wrigen  by  Federal  Employee  Defense  Services  on  19  May  2011.  Posted  in  The  Spotlight  FED  AGENT  .COM   -­‐Vicarious  Trauma'za'on  and  Spirituality  in  Law   Enforcement    FBI  Law  Enforcement  Bulle>n  ,  July  2011  Vicarious  Trauma'za'on    *Greater  agen'on  being  given  in  last  few  years  to   Secondary  Trauma'c  Stress  for  law                       enforcement    

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