CIT Training Style San Antonio
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CIT Training Style San Antonio



Presented by: Jeanie Paradise, M.A., LPC-S

Presented by: Jeanie Paradise, M.A., LPC-S



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    CIT Training Style San Antonio CIT Training Style San Antonio Presentation Transcript

    • A Little History
      • 2003 SAPD, BCSO, Austin taught by Houston
      • October of 2003, our first CIT class
      • Now have completed 19 classes including
        • Child CIT for Administrators and School Resource Officers
        • We have taught 42 different municipalities to include Friendswood and Victoria
    • Little More History
      • From 2003 to October 2009 we have trained
      • SAPD Officers: 382
      • Outside agencies, including BCSO and other PD: 345
      • Fire fighters 23
      • Total number of officers: 727
    • Class Structure
      • Selection of Officers
        • Voluntary
        • Bulletin Announcement for SAPD
        • Email for outside agencies
        • Bexar County
    • Class Size
      • Attempt to limit class size at 60 officers
      • City slots are limited to 20 - 25
      • County slots are limited to 15 - 20
      • The remaining slots are given to other municipalities; 1 -2 slots per agency to give everyone a chance to participate
    • Collaboration
      • Since 2003
      • 1. Center for Health Care Services
        • 2. San Antonio Police Department
        • 3. NAMI
        • 4. Bexar County Sheriff’s Office
      • We added:
      • 1. Area Hospitals:
            • University Hospital
            • La Paz
            • Methodist Hospital
    • Collaboration
            • 2- Community Involvement (SAFCN)
            • Continues to grow
              • Police Departments
              • Out patient facilities
    • Collaboration
      • We have monthly meetings
        • Decisions are made regarding
        • a. Class dates
        • b. Class size is discussed
        • c. Selection of instructors
        • d. Current subject matter
        • e. Changes or new material
    • Meetings
      • The curriculum comes from T.C.L.E.O.S.E.
      • All instructors are given requirements & test material to cover in class (Latitude)
      • Instructors are reminded that all material is due six weeks in advance for printing
      • We also discuss any current issues or problems that have occurred, police/hospital/public safety unit
    • Class Preparation
      • Friday before the class:
      • Role Players, Role play graders, role play mentors and new instructors meet to prepare and go over any changes or new material or instruction
      • Go through all power points, videos, dvds, etc to make sure the system is working as well as all the above materials (sound guy)
    • Friday continued …
      • Assemble goody bags
      • Examples:
        • Bags are donated
        • Cups, pens, sanitary gel; all donated
        • We get gift cards for highest grades
        • Small trophy for best role player
        • Gift for instructors
    • Everyone has a role
      • IT person: 1 to 2 people who know all about media material, functions
      • Master of Ceremonies: 1 or more, will introduce each instructor and give short biography, will also announce breaks with time periods
      • Time keeper:
        • Class
        • Role play
    • Class Requirements
      • We tell everyone up front the amount of time necessary to complete the course; 10% can be missed; 40 hour course instruction
      • Notify Sergeant of any court assignment
      • We give cell phone numbers for Sgt. and course instructors in case of any emergency
      • Give information on housekeeping and logistics
      • Display up on screen
    • Opening Ceremony
      • We recognize outstanding CIT officers
      • We have leadership present to show support for the training
      • We have a city or county official to hand out official certificate from the county or city
      • Officers are nominated by their agency due to their outstanding action
      • Vote on officers at CIT meeting by all participants
    • Itinerary
      • Monday Topic Instructor(s)
      • 0800-0815 Purpose and History Officer Schmitz
      • 0815-0845 VIDEO Class Discussion
      • 0845-0900 BREAK
      • 0900-0930 Introduction and Welcome Pub. Officials
      • 0940-1040 Active Listening Deputy Guerrero and Officers Preyor- Johnson and Stepanik
    • Monday continued…
      • Monday Topic Instructor(s)
      • 1040-1110 DMOT Deputy Mobile Outreach Team
      • 1110-1200 LUNCH
      • 1200-1330 CIT Response Officers Kasberg and Stevens
      • 1330-1340 Break
      • 1340-1500 E/D Officers Stevens and Kasberg
      • 1500-1630 Active Listening Instructors Role Play
      • (Little history: Back to back)
    • Active Listening Skills
      • M Minimal Encouragers
      • O Open Ended Questions
      • R Reflective / Mirroring
      • E Effective Pauses (silence)
      • P Paraphrasing
      • I “I” Messages
      • E Emotional labeling
    • Tuesday
      • Tuesday Topic Instructor (s)
      • 0800-0930 Intro to Dr. John Price
      • Mental Illness
      • 09:30-0940 BREAK
      • 0940-1030 Developmental Dr. Melissa Disorders Graham
      • 1040-1140 Psychosis & Dr. Joseph Schizophrenia Simpson
      • 1140-1230 LUNCH
    • Tuesday continued…
      • Tuesday Topic Instructor(s)
      • 1230-1300 VIDEO
      • 1300-1315 BREAK
      • 1315-1415 Cognitive Dr. Melissa Graham
        • Disorders/Alzheimer’s
      • 1415-1445 Adult Abuse Colleen Phillips
      • 1445-1500 BREAK
      • 1500-1630 Role-play: Psychosis Instructors
    • Wednesday
      • Wednesday Topic Instructor(s)
      • 0800-0930 Substance Abuse/ Dr. Maria Felix- Dual Diagnosis Ortiz
      • 0930-0940 Break
      • 0940-1140 Mood Disorders, Dr. Melissa Graham
      • Anxiety Disorders, Dep. Stanfield-Mims
      • and Suicide Jeanie Paradise-LPC
      • 1140-1150 BREAK
    • Community Panel
      • Introduction by CHCS
      • Professionals
      • Medical Facilities
      • Judges
      • Crisis Care Center
      • Each describes what they are in charge of
      • Open for questions
    • Wednesday, Continued…
      • Wednesday Topic Instructor(s)
      • 1300-1310 BREAK
      • 1310-1440 Child and Dr. Jeannie Adolescent Issues Von Stultz
      • 1445-1645 Role-play: Suicide Instructors
    • Thursday
      • Thursday Topic Instructor(s)
      • 0800-0845 Crisis, Public Jeanie Paradise
      • Inebriates, and Aaron Diaz
      • Detox Center Kathryn Jones
      • 0845-0915 Homeless Issues Dr. Ann Meyers
      • 0915-1030 Post Traumatic Dr. Robert Jimenez
      • Stress Disorder
      • 1030-1040 BREAK
      • 1040-1110 Child Abuse Melissa Tijerina
      • 1110-1120 BREAK
    • Thursday, continued…
      • Topic Instructor(s)
      • 1120-1210 Psychotropic Dr. John Price
      • Medications
      • 1210-1300 LUNCH
      • 1300-1400 The Consumer’s Perspective NAMI
            • “ In Our Own Voice”
      • 1400-1405 BREAK
      • 1405-1505 Family’s Perspective Kym Bolado
      • 1505-1635 Mental Retardation Ms. Barbara Campbell-LPC
    • Friday (Test Day)
      • Friday Topic Instructor(s)
      • 0800-0900 Excited Delirium Sgt. Butch Matjeka
      • 0900-1000 Review and Instructors
      • Written Test
      • 1030-1630 Skills Test Instructors
    • Rules for Role Playing
      • Structured Role Play
      • Role player does have latitude, however everyone is told ahead of time
        • No touching
        • No weapons on the person (officer and role player)
        • We changed the way we first handled role play due to injuries; fake weapons but not on person
    • Mentor’s Responsibilities
      • Objective - The purpose of this is to establish consistency in the area of mentoring. The mentor is responsible for guidance and personal instruction of the students assigned to them during the week of training to ensure that CIT skills are being utilized in a positive and encouraging manner.
      • Assist students during role plays / give guidance through the week for individual improvement.
      • Summarize groups strengths / suggestions of more effective application.
    • Mentor’s Responsibilities cont’d…
      • Mentors shall establish both handling and cover officer assignments prior to role plays. This will ensure that officers are partnered with someone that will compliment their skills.
      • Mentors will give constructive advice to officers and give them insight to any challenging areas observed in current or prior role plays.
      • Mentors shall take notes of any positive applications of CIT skills and/or areas allowing for improvement.
    • Mentor’s Summary Sheet
      • Mentors observations of needed improvement:
      • ___________________________________________________________________________________________________
      • Mentors suggestions given:
      • ___________________________________________________________________________________________________
      • Officer ____________
      • Signature ____________
      • Department ____________
    • Grader Responsibilities
      • Objective: Purpose of this is to establish a consistency in the area of grading. This will ensure a positive and constructive learning environment for every student.
      • Graders should be objective and open minded with regards to:
        • Officer responses – Introduction/approaches
        • Tactics - distance/proximities/barriers used
        • Postures – standing/kneeling/sitting
    • Graders Responsibilities, cont’d…
        • Grader shall switch handling/cover officer when either time has been met or objectives fulfilled.
        • Graders shall end the scenario with positive statements with regards to areas graded, as well as constructive criticism. Any areas needing improvement should be addressed with helpful suggestions.
    • Grade Scale
      • 1 = Student does not meet expectations of specific categories
      • 2 = Student lacks the proficiency/inability to apply skills
      •   3 = Applied the use of CIT skills but there is room for improvement
      •   4 = Had the understanding of CIT skills and demonstrated the ability to apply these skills
      • 5 = Identified all areas of CIT skills and applied in a significant and meaningful manner
    • Friday role plays
      • Every officer goes through a role play
      • Each officer is graded
      • At least one role player is assigned to a scenario requiring an emergency detention
      • All officers are advised that they are to take notes at the designated emergency detention role play scenario
      • All officers are to write an ED based on above role play
    • Friday Grading
      • Officers are graded on:
      • Officer’s initial approach to the consumer:
      • 1 2 3 4 5
      • Officer was aware of his safety and tactics:
      • 1 2 3 4 5
      • 3. Officer utilized active listening skills: 1 2 3 4 5
    • Friday Grading
      • Officer gathered the appropriate information:
      • 1 2 3 4 5
      • Officer was able to develop a rapport: 1 2 3 4 5
      • Officer made determination for E.D.: 1 2 3 4 5
      • Each section has an area for comments
    • Friday Grading
      • Emergency Detentions
      • Each officer must write an emergency detention
      • Rotated role play sessions; a session for writing the emergency detention
      • We have a judge, psychiatrist, or doctor who goes over the written emergency detention and makes sure that the officer articulates all necessary criteria that is helpful to facility and/or doctor
    • Role Play
    • Graduation
      • We ham it up
      • Try to bring the Chiefs back to hand out certificates
      • Certificates are designed to show collaboration
      • We announce what is necessary to become Mental Health Peace Officers
      • Hand out partially filled Mental Health Peace Officer applications and instructions for the officers to submit to TCLEOSE for certification
    • Graduation
    • Certificate Example
    • Another Example
    • A New Collaboration
      • Fire and EMS personnel
      • They brought a new perspective
      • We asked about searching, proximity; tactics
      • They were appalled we have no life or safety skills
      • When paired with an officer at role play, perfect scenarios
    • A few Incidentals
      • For Instructors:
      • 1- All officer instructors are asked to wear their uniform on Monday & Friday
      • 2- If an officer has a class to instruct, he/she wears a uniform.
      • 3- Critiques are handed out on Monday for the student to fill out throughout the class.
    • Making it our own
      • On Monday, students are issued their goody bags and a class manual
      • Cop cards
    • Manual Table of Contents
      • Purpose and History…………………..7
      • In the Line of Duty .......................13
      • Active Listening ............................15
      • Deputy Mobile Outreach Team .....21
      • CIT Response ...............................23
      • Emergency Detention ...................33
      • Introduction to Mental Illness ......49
      • Developmental Disorders .............59
    • More Table of Contents
      • Psychosis and Schizophrenia ............. 65
      • Cognitive Disorders/Alzheimer’s ....... 69
      • Adult Abuse ........................ …………….73
      • Alcohol, Substance Abuse, Dual Diagnosis ......................................................... 77
      • Child and Adolescent Issues............... 95
      • Community Resources...................... 107
      • Mood Disorders, Anxiety, Suicide …. 109
    • More Table of Contents
      • Crisis, Public Inebriates, Detox ...... 123
      • Homeless Issues .............................125
      • PTSD .................................... ……….127
      • Child Abuse ...............................…..137
      • Psychotropic Medications .............. 143
      • Consumer Perspective .............…….147
      • The Family’s Point of View ..............149
    • More Table of Contents
      • Mental Retardation ................. 151
      • Excited Delirium ......................155
      • Supplemental Materials............157
      • Drug Reference ........................175
      • Bottom of each page:
      • “ Never sacrifice safety for rapport.”
    • Making it our own
    • Making it our own
    • Critique Summary
      • Psychosis and Schizophrenia
      • SAPD: Technical language was reduced to comprehendible terminology- examples: Thank you; made sense of word origins.
      • BCSO: Informative.
      • SAPD: Very sincere – liked the way he broke down unknown/large words and explained the meaning – explained the root.
    • More Comments
      • Substance Abuse and Dual Diagnosis
      • SAPD: Excellent down to earth presentation that exuded credibility and interesting data/info.
      • BCSO: Very informative, good presentation, knows the subject well, kept my attention.
      • SAPD: Wonderful speaker – would gladly attend another lecture – great rapport and street knowledge.
    • More Comments
      • BCSO: Awesome, very educational, enjoyed it a lot, lots of information, I would take it again, in our field we need more of it. The best part so far.
      • Unk: Instructor was yelling.
      • SAPD: Missing tab in manual – The PERFECT speaker for this block – I like that he has experience, being a vet himself, with PTSD which makes this block more interesting and relatable.
    • Newest Collaborators
    • Using the right language in enlisting the help of law enforcement Jeanie Paradise, M.A., LPC-S June 1, 2010
    • Helpful tips
      • Keep in mind your ultimate goal which should be getting your consumer’s needs met!
    • Once you have offended an officer how likely is he/she going to help?
      • Never tell an officer what to do
      • Don’t talk down to an officer
      • Don’t way your credentials in his/her face
      • Set your own ego aside
    • Steps to approaching the situation
      • Thank him/her for coming
      • Examples
      • Right Way:
      • “ Thank you so much for coming out here officer, I really need your help.”
      • Bad Way:
      • “ Gosh we’ve been waiting over 2 hours, thank God you finally got here!”
    • Steps to approach
      • 2. Introduce yourself and your role
      • Examples
      • Right way:
      • “ Hi my name is Jeanie Paradise. I’m the nurse in charge for the unit and this is Sally, my patient.”
    • Steps to approach
      • Get the officer’s name and badge number
      • “ What was your name officer? And can I please get your badge number for my records?”
      • Always get the name of the officer at the beginning of the conversation.
      • What happens after you’ve argued and then ask for his/her name?
    • Steps to approach
      • Explain the situation and how you need his/her help. Be factual, concise and honest.
      • Example
      • “ I’m hoping you’ll consider an Emergency Detention for Sally as I believe she is a danger to herself. “
      • “ Sally came in today and told me she wanted to kill herself. She said she would go home and take all of her medication which she has stored up for several months. Yesterday, her husband filed for divorce. I’m worried about her safety.”
    • Steps to approach
      • Give the officer the opportunity to interview the patient, doctor or other credible source if he/she feels it is necessary.
      • In Texas, an officer can use a credible source to obtain the information necessary for an Emergency Detention.
      • Often the officer prefers to speak to the consumer directly. Unless unsafe, you should allow this to occur.
    • Steps to approach
      • Avoid buzz words that have a different meaning for law enforcement.
      • Transport is usually referred to in a court order for transportation which in our county is done by the Sheriff’s Office.
      • If you feel it is unsafe for the consumer to drive him/herself to the hospital, or for you to drive them, state the reasons clearly.
    • Steps for approach
      • Example
      • “ I’ve contacted the private hospital who has agreed to evaluate the consumer. I’m just really concerned that she will not make it there. I’m worried she will wreck her car since she is so upset.
      • I don’t believe it is safe for me to drive her since I’m worried she will try and jump out of the car or that she will change her mind and not sign in.”
    • If there is still a problem
      • Sometimes despite what you believe clinically, the officer does not see for him/herself.
      • In Texas, only a licensed peace officer or a Magistrate Judge can issue an Emergency Detention
      • Ask politely for the officer to consider consulting with their supervisor.
    • Asking for a supervisor
      • Example
      • “ Would you consider contacting your supervisor on this to get his/her opinion on what we should do because I know I’m going to have to contact my supervisor?”
      • This is not the time to threaten to report the officer. There is still time to use your negotiation skills.
    • If you still disagree
      • Try asking to speak to the officer’s supervisor yourself.
      • Tread lightly and continue to negotiate.
      • Stay focused on the consumer’s safety and not your own needs, such as the office is closing in 5 minutes, or your ego.
      • Document the outcome with the officer well. Inform the officer that you may need to call the officer back or call the dispatch office back for further assistance.