Mental health overview

18.191. DISPOSITION OF FIREARM SEIZED FROM CERTAIN PERSONS WITH MENTAL ILLNESS

(a) A law enforcement officer who seizes a firearm from a person taken into custody and not in connection with an offense involving the use of a weapon or an offense, shall immediately provide the person a written copy of the receipt for the firearm and a written notice of the procedure for the return of a firearm under this article. (b) The law enforcement agency holding a firearm subject to disposition under this article shall, as soon as possible, but not later than the 15th day after the date the person is taken into custody under Section 573.001, Health and Safety Code, provide written notice of the procedure for the return of a firearm under this article to the last known address of the person's closest immediate family member as identified by the person or reasonably identifiable by the law enforcement agency, sent by certified mail, return receipt requested. The written notice must state the date by which a request for the return of the firearm must be submitted to the law enforcement agency as provided by Subsection (h). (c) Not later than the 30th day after the date a firearm subject to disposition under this article is seized, the law enforcement agency holding the firearm shall contact the court in the county having jurisdiction to order commitment under Chapter 574, Health and Safety Code, and request the disposition of the case. Not later than the 30th day after the date of this request, the clerk of the court shall advise the requesting agency whether the person taken into custody was released under Section 573.023, Health and Safety Code, or was ordered to receive inpatient mental health services under Section 574.034 or 574.035, Health and Safety Code. (d) Not later than the 30th day after the date the clerk of the court informs a law enforcement agency holding a firearm subject to disposition under this article that the person taken into custody was released under Section 573.023, Health and Safety Code, the law enforcement agency shall: (1) conduct a check of state and national criminal history record information to verify whether the person may lawfully possess a firearm under 18 U.S.C. Section 922(g); and (2) provide written notice to the person by certified mail that the firearm may be returned to the person on verification under Subdivision (1) that the person may lawfully possess the firearm. (e) Not later than the 30th day after the date the clerk of the court informs a law enforcement agency holding a firearm subject to disposition under this article that the person taken into custody was ordered to receive inpatient mental health services under Section 574.034 or 574.035, Health and Safety Code, the law enforcement agency shall provide written notice to the person by certified mail that the person: (1) is prohibited from owning, possessing, or purchasing a firearm under 18 U.S.C. Section 922(g)(4); (2) may petition the court that entered the commitment order for relief from the firearms disability under Section 574.088, Health and Safety Code; and (3) may dispose of the firearm in the manner provided by Subsection (f). (f) A person who receives notice under Subsection (e) may dispose of the person's firearm by: (1) releasing the firearm to the person's designee, if: (A) the law enforcement agency holding the firearm conducts a check of state and national criminal history record information and verifies that the designee may lawfully possess a firearm under 18 U.S.C. Section 922(g); (B) the person provides to the law enforcement agency a copy of a notarized statement releasing the firearm to the designee; and (C) the designee provides to the law enforcement agency an affidavit confirming that the designee: (i) will not allow access to the firearm by the person who was taken into custody under Section 573.001, Health and Safety Code, at any time during which the person may not lawfully possess a firearm under 18 U.S.C. Section 922(g); and (ii) acknowledges the responsibility of the designee and no other person to verify whether the person has reestablished the person's eligibility to lawfully possess a firearm under 18 U.S.C. Section 922(g); or (2) releasing the firearm to the law enforcement agency holding the firearm, for disposition under Subsection (h). (g) If a firearm subject to disposition under this article is wholly or partly owned by a person other than the person taken into custody under Section 573.001, Health and Safety Code, the law enforcement agency holding the firearm shall release the firearm to the person claiming a right to or interest in the firearm after: (1) the person provides an affidavit confirming that the person: (A) wholly or partly owns the firearm; (B) will not allow access to the firearm by the person who was taken into custody under Section 573.001, Health and Safety Code, at any time during which that person may not lawfully possess a firearm under 18 U.S.C. Section 922(g); and (C) acknowledges the responsibility of the person and no other person to verify whether the person who was taken into custody under Section 573.001, Health and Safety Code, has reestablished the person's eligibility to lawfully possess a firearm under 18 U.S.C. Section 922(g); and (2) the law enforcement agency holding the firearm conducts a check of state and national criminal history record information and verifies that the person claiming a right to or interest in the firearm may lawfully possess a firearm under 18 U.S.C. Section 922(g). (h) If a person to whom written notice is provided under Subsection (b) or another lawful owner of a firearm subject to disposition under this article does not submit a written request to the law enforcement agency for the return of the firearm before the 121st day after the date the law enforcement agency holding the firearm provides written notice under Subsection (b), the law enforcement agency may have the firearm sold by a person who is a licensed firearms dealer under 18 U.S.C. Section 923. The proceeds from the sale of a firearm under this subsection shall be given to the owner of the seized firearm, less the cost of administering this subsection. An unclaimed firearm that was seized from a person taken into custody under Section 573.001, Health and Safety Code, may not be destroyed or forfeited to the state

9.51. ARREST AND SEARCH

(a) A peace officer, or a person acting in a peace officer's presence and at his direction, is justified in using force against another when and to the degree the actor reasonably believes the force is immediately necessary to make or assist in making an arrest or search, or to prevent or assist in preventing escape after arrest, if: (1) the actor reasonably believes the arrest or search is lawful or, if the arrest or search is made under a warrant, he reasonably believes the warrant is valid; and (2) before using force, the actor manifests his purpose to arrest or search and identifies himself as a peace officer or as one acting at a peace officer's direction, unless he reasonably believes his purpose and identity are already known by or cannot reasonably be made known to the person to be arrested. (b) A person other than a peace officer (or one acting at his direction) is justified in using force against another when and to the degree the actor reasonably believes the force is immediately necessary to make or assist in making a lawful arrest, or to prevent or assist in preventing escape after lawful arrest if, before using force, the actor manifests his purpose to and the reason for the arrest or reasonably believes his purpose and the reason are already known by or cannot reasonably be made known to the person to be arrested. (c) A peace officer is justified in using deadly force against another when and to the degree the peace officer reasonably believes the deadly force is immediately necessary to make an arrest, or to prevent escape after arrest, if the use of force would have been justified under Subsection (a) and: (1) the actor reasonably believes the conduct for which arrest is authorized included the use or attempted use of deadly force; or (2) the actor reasonably believes there is a substantial risk that the person to be arrested will cause death or serious bodily injury to the actor or another if the arrest is delayed. (d) A person other than a peace officer acting in a peace officer's presence and at his direction is justified in using deadly force against another when and to the degree the person reasonably believes the deadly force is immediately necessary to make a lawful arrest, or to prevent escape after a lawful arrest, if the use of force would have been justified under Subsection (b) and: (1) the actor reasonably believes the felony or offense against the public peace for which arrest is authorized included the use or attempted use of deadly force; or (2) the actor reasonably believes there is a substantial risk that the person to be arrested will cause death or serious bodily injury to another if the arrest is delayed. (e) There is no duty to retreat before using deadly force justified by Subsection (c) or (d). (f) Nothing in this section relating to the actor's manifestation of purpose or identity shall be construed as conflicting with any other law relating to the issuance, service, and execution of an arrest or search warrant either under the laws of this state or the United States. (g) Deadly force may only be used

573.001. APPREHENSION BY PEACE OFFICER WITHOUT WARRANT

(a) A peace officer, without a warrant, may take a person into custody if the officer: (1) has reason to believe and does believe that: (A) the person is a person with mental illness; and (B) because of that mental illness there is a substantial risk of serious harm to the person or to others unless the person is immediately restrained; and (2) believes that there is not sufficient time to obtain a warrant before taking the person into custody. (b) A substantial risk of serious harm to the person or others under Subsection (a)(1)(B) may be demonstrated by: (1) the person's behavior; or (2) evidence of severe emotional distress and deterioration in the person's mental condition to the extent that the person cannot remain at liberty. (c) The peace officer may form the belief that the person meets the criteria for apprehension: (1) from a representation of a credible person; or (2) on the basis of the conduct of the apprehended person or the circumstances under which the apprehended person is found. (d) A peace officer who takes a person into custody under Subsection (a) shall immediately transport the apprehended person to: (1) the nearest appropriate inpatient mental health facility; or (2) a mental health facility deemed suitable by the local mental health authority, if an appropriate inpatient mental health facility is not available. (e) A jail or similar detention facility may not be deemed suitable except in an extreme emergency. (f) A person detained in a jail or a nonmedical facility shall be kept separate from any person who is charged with or convicted of a crime. (g) A peace officer who takes a person into custody under Subsection (a) shall immediately inform the person orally in simple, nontechnical terms: (1) of the reason for the detention; and (2) that a staff member of the facility will inform the person of the person's rights within 24 hours after the time the person is admitted to a facility, as provided by Section 573.025(b). (h) A peace officer who takes a person into custody may immediately seize any firearm found in possession of the person, after seizing a firearm

571.019. LIMITATION OF LIABILITY

(a) A person who participates in the examination, certification, apprehension, custody, transportation, detention, treatment, or discharge of any person or in the performance of any other act required or authorized by this subtitle and who acts in good faith, reasonably, and without negligence is not criminally or civilly liable for that action. (b) A physician performing a medical examination and providing information to the court in a court proceeding held under this subtitle or providing information to a peace officer to demonstrate the necessity to apprehend a person under Chapter 573 is considered an officer of the court and is not liable for the examination or testimony when acting without malice. (c) A physician or inpatient mental health facility that discharges a voluntary patient is not liable for the discharge if: (1) a written request for the patient's release was filed and not withdrawn; and (2) the person who filed the written request for discharge is notified that the person assumes all responsibility for the patient on discharge

611.004. AUTHORIZED DISCLOSURE OF CONFIDENTIAL INFORMATION OTHER THAN IN JUDICIAL OR ADMINISTRATIVE PROCEEDING

(a) A professional may disclose confidential information only: (1) to a governmental agency if the disclosure is required or authorized by law; (2) to medical or law enforcement personnel if the professional determines that there is a probability of imminent physical injury by the patient to the patient or others or there is a probability of immediate mental or emotional injury to the patient; (3) to qualified personnel for management audits, financial audits, program evaluations, or research, in accordance with Subsection (b); (4) to a person who has the written consent of the patient, or a parent if the patient is a minor, or a guardian if the patient has been adjudicated as incompetent to manage the patient's personal affairs; (5) to the patient's personal representative if the patient is deceased; (6) to individuals, corporations, or governmental agencies involved in paying or collecting fees for mental or emotional health services provided by a professional; (7) to other professionals and personnel under the professionals' direction who participate in the diagnosis, evaluation, or treatment of the patient; (8) in an official legislative inquiry relating to a state hospital or state school as provided by Subsection (c); (9) to designated persons or personnel of a correctional facility in which a person is detained if the disclosure is for the sole purpose of providing treatment and health care to the person in custody; (10) to an employee or agent of the professional who requires mental health care information to provide mental health care services or in complying with statutory, licensing, or accreditation requirements, if the professional has taken appropriate action to ensure that the employee or agent: (A) will not use or disclose the information for any other purposes; and (B) will take appropriate steps to protect the information; or (11) to satisfy a request for medical records of a deceased or incompetent person pursuant to Section 74.051(e), Civil Practice and Remedies Code. (b) Personnel who receive confidential information under Subsection (a)(3) may not directly or indirectly identify or otherwise disclose the identity of a patient in a report or in any other manner. (c) The exception in Subsection (a)(8) applies only to records created by the state hospital or state school or by the employees of the hospital or school. Information or records that identify a patient may be released only with the patient's proper consent. (d) A person who receives information from confidential communications or records may not disclose the information except to the extent that disclosure is consistent with the authorized purposes for which the person first obtained the information. This subsection does not apply to a person listed in Subsection (a)(4) or (a)(5) who is acting on the patient's behalf

573.011. APPLICATION FOR EMERGENCY DETENTION

(a) An adult may file a written application for the emergency detention of another person. (b) The application must state: (1) that the applicant has reason to believe and does believe that the person evidences mental illness; (2) that the applicant has reason to believe and does believe that the person evidences a substantial risk of serious harm to himself or others; (3) a specific description of the risk of harm; (4) that the applicant has reason to believe and does believe that the risk of harm is imminent unless the person is immediately restrained; (5) that the applicant's beliefs are derived from specific recent behavior, overt acts, attempts, or threats; (6) a detailed description of the specific behavior, acts, attempts, or threats; and (7) a detailed description of the applicant's relationship to the person whose detention is sought. (c) The application may be accompanied by any relevant information

Psychosis- behavioral cues of someone with psychosis

+Inappropriate or bizarre dress +Body movements are lethargic are sluggish +Impulsive are repetitious body movements +Responding to hallucinations +Causing injury to self

Psychosis-Emotional cues of person with

+Lack of emotional response +Extreme or inappropriate sadness +Loss of joy: anhedonia +Inappropriate emotional reactions

Psychosis -Home environment

+Strange decorations +Pictures turned over +Waste matter, trash on floors and walls +Unusual attachment to childish objects or toys

Legal process

-"least restrictive alternative" is treatment that is: +Available +Provides the consumer with the greatest possibility of improvement +Is no more restrictive of consumers physical or social Liberties than is necessary to provide the consumer with the most effective treatment to protect adequately against any danger the patient poses to himself or others

Notification of emergency detention (NED)

-A statement that the officer has reason to believe that the risk of harm is imminent unless restrained. This information may be obtained from a credible party. The officer does not have to witness the behavior personally -a statement that the officers believes their derived from specific recent Behavior, overtax, attempts or threats that were observed or reliably report it -a detailed description of the specific behavior, X, attempts, are threats. The individuals name and relationship to the apprehended person who reported observing the behavior. Miss who, what, where, when, why, and how Emergency detention order -serves as a magistrate's order for the Emergency apprehension need attention -is a civil court order issued by Magistrate -provides an emergency apprehension and transportation for evaluation (not guaranteed admission)

Crisis Intervention

-FBI statistics think that individuals with mental illness are no more prone to violence than the average person -however, the variables (mental instability, High motions, possible paranoia -officers qualification after CIT training +Designed to educate law enforcement officers in the basic elements of mental illness +Prepare officers to utilize practical applications of the escalation techniques +Assist the officer in being able to recognize the signs and symptoms of mental illness and respond e festive Lee, appropriately, and professionally +Identifications of signs and possible symptoms of mental illness and the process and levels of crisis situation are primary in preventing or the escalating violent behavior and keeping the officer, consumer and community safe -safely transporting a consumer to the proper referral resources will then begin the process of diagnosis by health professionals

Crisis communication strategies

-Stay calm - breathe deeply to become calmer -Be patient - avoid creating the individual, give them time to calm down -Double check information by restating what you hear -Use the individuals name and talking to them -Get instructions are directives one at a time, and allow them for the person to comply -The size and age of a person with mental illness has little to do with whether or backup officers should be called -Remember that a person with the mental illness may exhibit extraordinary strain -engagement is pivotal, keep trying -Don't underestimate the power of hallucinations or delusions they are real from the individuals point of view and can be very frightening, so try to be understanding -Never argue about it illusion, since arguing only solidifies the conviction simply accept it and move on -Ask about treatment in the past sometimes that can help with offering potential solutions to current situations -Remember that psychiatric medications have side effects that make them hard to take -Don't express disapproval -Persons in mental health crisis need more personal space watch for cues -safety your personal safety comes first. Control the surroundings. Remove harmful obstacles from the surroundings -Crisis facts the person in distress is usually excited, limited, or confused. ---Control is very important to persons in crisis. And people feel cornered, which translates to lack of control, they may respond with sudden violence -Language use the person's name. Talk quietly. Speak firmly. Use a calm tone of voice. Avoid direct confrontation. -Avoid labels in acronyms. I'm at the number of instructions, and give them one at a time. Be patient and consistent. Reactions and verbal responses may be slower than you expect -Movements beware of body movements. People in crisis often need more physical space. If possible position yourself at or below the individual's eye level. Keep on moving slow and deliberate

Psychosis - substance in cognitive disorders drug related disorders included

-a major loss of contact with reality -a gross interference with the ability to meet life's demands -may have possible delusions and hallucinations -altercation of mood -defects in perception, language, memory, cognition

Definition of bipolar disorder

-a mental illness involving mania (and intense enthusiasm) and depression -an individual may quickly swing from the manic phase to the depressed -an individual cannot maintain the level of activity normally associated with Mania for a long period of time

Autism spectrum disorder (ASD)

-affecting 1-2 in 1,000 Americans -usually appearing before Age 3 -characteristics Impaired nonverbal communication, including abnormal speech patterns or loss of speech Lack of eye contact Restricted range of Interest Resistance to change of any kind Obsessive, repetitive body movements Social isolation

What constitutes as a crisis

-for some persons with mental illness, life as they know it can virtually stops when a crisis situation presents itself to them. While for other people even in a crisis situation, they will continue to function as normal -intensifying factors can contribute to how a person responds to crisis -how can I officers assist?

Suicide

-half of all Americans will experience a mental disorder at some point in their lives -4.3 million Texans (3.1 million adults and 1.2 children) formal diagnosis mental health disorder in 2012 which is 20% -there are 1.5 times more suicides than homicides, with an average of 6 deaths each day by suicide in Texas -latest statistics reported in 2001 states that 121 more people committed suicide in 2001 than in 2000. This is a 6% increase in one year. The gender breakdown will support it at 1772 males versus 442 males for example 4 men for each 1 woman -highest rate of suicide are in the 45 through 54 age group (15.2 / 100,000), with second being 75 year old age group (18 / 100,000)

Characteristic of positive communication

-introduction of Officer to subject -opening statements - the initial contact of several things -reflecting statements -methods for gaining trust -communication to diffuse: calming techniques -level of communication

Use the force

-keep the situation in perspective -the officer may use force comparable to any other legal duty when a person is resisting arrest -the force must be reasonable Goal is to obtain care and treatment for the mentally ill person -changes in the behavior intensity level are also indicators of individual heading towards violence: +Agitated Behavior - trying to keep feelings inside the begin displaying such behaviors as pacing, hand wringling, hair pulling... +Destructive Behavior - our displays a behavior include shouting, swearing, and refused to comply with request +Destructive Behavior - begin to damage items in the environment. Physical force will probably be needed to intervene depending on circumstances +Out of control - individuals in danger to himself or others. Then the bus was out of control psychologically and is being threatened. Deadly force may be an option

Modeling

-learning through observation -characteristics that contribute to or interfere with communication: age, gender, ethnicity, affect, language, and actions -intervention or communication strategies: establish credibility, decision and calming techniques

Developmental disorders - considerations when approaching an individual with the developmental disorder

-may be overwhelmed by police presence -may attempt to run out of fear of the uniform -they confess to a crime to please the officer or end the line of -is usually a concrete thinker - speak slowly and clearly utilizing concrete words and concepts -need visual cues to assistant understanding -may need a more in-depth explanation of their rights in an advocate to verify understanding -may be sensitive to touch, creating a fight or flight reaction, always explain any tactical intentions prior to action

Borderline

-most commonly recognized in females -may have one or more of the following: +Unstable and intense personal relationships +Impulsiveness with relationships, spending, food, drugs, sex +Intense anger or lack of control of anger +Recurrent suicidal thoughts +Chronic feelings of emptiness or boredom +Feelings of abandonment

Antisocial

-most commonly recognized in males -a pattern of irresponsible behavior diagnosed at or age 18 -may have one or more of the following: +History of truancy as a child or adolescent, may have run away from home +Starting fights +Using weapons +Physically abusing animals or other people +Deliberately destroying others' property +Lying +Stealing +Other illegal behavior +As adults, these people often have trouble with authority in are reluctant or unwilling to conform to society's expectations of family and work +These individuals know what they are doing is wrong, but do it anyway

Depression information

-other the symptoms of depression: +Prologue feelings of hopelessness or excessive guilt +Loss of interest in usual activities +Difficulty concentrating or making decisions +Low energy or fatigue +Changes in activity level +An inability to enjoy usual activities +Changes in eating habits leading to weight gain or loss +Changes in sleeping habits, sleeping more or less, and inability to fall asleep, or waking up early in the morning and not being able to go back to sleep Treatments: And number of non-addictive medications are used in treating depression, if needed -depressive topics include government, religion, or sex

Psychosis - substance abuse disorder

-prolonged abuse of drug (alcohol, prescription medications, or street drugs) will cause chemical dependency or addiction -has an effect on consciousness -can cause permanent damage to central nervous system

Psychosis - may cause a wide range of psychological reactions that can be classified as disorders

-smoking a stimulant like crack cocaine can cause paranoid symptoms -prolonged alcohol use can produce depressive symptoms -using heroin will cause anxious behavior if usage is discontinued -concern for individuals with mental illness

Developmental disorders - guidelines for law enforcement contact with ID persons

-speak directly to the person slow, clear, simple language and phrasing -when possible, move to a less destructive location to assist with focusing -be highly aware of questioning techniques -patient, calm, not threatening, but firm in persistent manner

Paranoid

-tendency to interpret the actions of others as deliberately threatening or demanding -foresee being in position to be used or harmed by others -proceed dismissiveness from other people

Alzheimer's

-the most common organic mental disorder of older people -may get lost easily, have poor memory, and become easily agitated -estimated that 2 to 3 million Americans are afflicted with Alzheimer's -over 11,000 die from it each year Additional facts: +Alzheimer's is a form of dementia +Is not considered a mental illness and people with Alzheimer's usually don't have a mental health facilities to go to +Drugs can help the progression of the disease, but are not Acure +Andy diagnosing persons considerably younger than 65 which includes 40 and up

Prevalent behaviors of personality disorders

-usually will not seek treatment because they don't think they have a problem -may end up in the criminal justice system because they're disorder may lead them to break laws and coming to the attention of law enforcement -men use alcohol and illegal substances as a form of self-medication, due to the stress and consequences of their behaviors -often needs treatment for chemical dependency or depression

Mental illness versus ID

-what are the significant differences between mental illness and ID? -3% of Americans are considered ID (sub average score of 69 or less on the IQ scale or though welcher intelligence scale) -22.1% are diagnosed with a mental illness Difference between mental illness and ID include -mental illnesses and related to intelligence, ID is below average intellectual functioning -mental illness develop at any point in one's life, while ID occurs before the age of 18 -there is no cure for mental illness, but medications can help. ID involves permanent intellectual impairment. No medications can help -behavior is less predictable with a mentally ill individual, while a ID individuals behaviors consistent to a very specific functional level

Personality disorder

A broad term for a cluster of 10 different conditions month by variety of Mal adaptive personality traits and behaviors, such as paranoid, narcissism in or psychopathy

Syndrome

A collection a signs and symptoms that characterize an ailment

Seasonal affective disorder

A cyclical type of depression related to a change in season. And usually develops on the onset of winter, when sunlight is limited, and Fades with spring

Not otherwise specified (NOS)

A designation used by a broad diagnostic category when a person's condition does not specifically fit specific psychiatric categories of when a doctor doesn't have enough information for a specific diagnosis

Alcoholism

A disease in which there is a craving for alcohol and continue drinking despite alcohol-related problems, such as legal trouble. It's also characterized by impaired control over your drinking, and physical dependence on alcohol, and alcohol tolerance requiring increasing amounts of alcohol to feel its effects

Narcissistic personality disorder

A disorder in which you have an inflated sense of your own importance, and extreme preoccupation with yourself, and inability to empathize with the others, and a propensity for attention-seeking behavior

Historic personality disorder

A disorder in which your behavior is characterized by being overly dramatic, excessively sensitive to the approval of others, excessively concern with your appearance, and by an exaggerated level intimacy and relationships

Delusions

A firmly held beliefs with no basis in reality that is, clinging to believe even when you evidence shows that it is false

Mental disorder

A general term for a wide range of disorders that disrupt thinking, feeling, moods and behaviors, causing a varying degree of impaired functioning in daily life, and believed in many instances to be related to brain dysfunction. Also called mental illness

Anxiety disorders

A group of conditions marked by persistent, extreme or pathological anxiety. They may be manifested by disturbances in mood or emotions, as well as by psychological symptoms, such as elevated blood pressure, rapid breathing and rapid heart rate

Psychosis

A group of serious and often debilitating mental disorders that may be organic or psychological origin and are characterized by some or all the following symptoms: impaired thinking and reasoning ability, perpetual distortions, inappropriate emotional response, inappropriate affect, regressive Behavior, reduce impulse control and impaired reasoning of reality

Depression

A loss of interest of at least two weeks duration occupied by symptoms such as weight loss or gain in difficulty concentrating. 5 or more symptoms are generally present during a loss of interest of at least two weeks duration occupied by symptoms such as weight loss or gain in difficulty concentrating. 5 or more symptoms are generally present during the same 2 weeks and I represented buy a change from previous functioning.

Generalized anxiety disorder (GAD)

A mental disorder that causes extreme worry and tension for 6 months or more

Paranoia

A mental disorder, or an element of several of the mental illnesses, characterized by suspicion, delusions of persecution and jealousy

Mania

A new disorder characterized by an intense feeling of elation or irritability in rapidly changing moods, often accompanied by increased activity, rapid speech or distractibility

NED criteria

A peace officer, without a warrant, may take a person into custody if you off the police that the person is mentally ill and that, because of the mental illness, there is a substantial risk of serious harm to the person or others unless the person is immediately restrained, and believes there is not sufficient time to obtain a warrant

Panic attack

A period of sudden, intense of apprehension, fearfulness or terror with impending doom and accompanied by psychological symptoms, such as shortness of breath, palpitations, pounding heart or chest discomfort

Mixed episode

A period which symptoms of both mania and depression occur at the same time or rapidly alternate with one another. Also called mixed type

Adjustment disorder

A psychological response to a stressor that results in emotions or behaviors that are greater than would be expected by the stressor or that cause significant impairment in functioning effectively

Intellectual disability (ID)

A range of substantial limitations in mental functioning manifested in persons before the age of 18. Characteristics of mental retardation are below level intellectual capacity plus limitations in two or more adaptive skill areas such as communication, self care, home living, social skills, health, safety, academic functioning, it work Degrees of ID: Mild IQ 69 through 55 Moderate IQ 54 through 40 Severe IQ 39 through 25 Profound blow 25

Obsession

A recurrent unwanted, image or impulse that's distressing and comes to my despite efforts to suppress or ignore it

Hallucination

A sensory perception with no basis in reality. It may be seen, heard, felt or smelled

Cognitive disorders

A set of disorders consisting of significant impairment of thinking or memory that represents a marked deterioration from a previous level of functioning

Delirium

A state of mental confusion, usually temporary, that is sometimes characterized by disordered speech and often accompanied by hallucinations

Narcosis

A state of stupor, often induced by drugs or other agents

Crisis

A sudden intense ification of symptoms that results in marked and ability to function and possibly raising the risk of harm to others or the person in crisis because of overwhelming emotion, destructive thinking or is he behaving

Chronic

A term used to describe long lasting diseases or conditions

Post-traumatic stress disorder

A type of anxiety disorder characterized by intrusive memories of a traumatic or highly stressful event, often characterized by nightmares, flashbacks, depression, hopelessness and loss of interest in activities

Affective disorder

A type of mental disorder that primarily affects mood and interference with the ability to function, such as major depressive disorder and bipolar disorder. Also called mood disorder

Serotonin

A type of neurotransmitter believed to influence mode

Borderline personality disorder

A type of personality disorder characterized by instability in the perception of self and others, unstable personal relationships, intense anger, feelings of emptiness and fears of abandonment

Social anxiety disorder

A type of thing xiety disorder that causes significant anxiety and discomfort related to a fear of being embarrassed, judge humiliated or scorned by others and social or performance situations. Also known as social phobia

405.06 general orders mentally ill persons

A. Velocity. The mentally ill population is vulnerable segment of our city, they deserve to be treated fairly and with dignity and respect. Law enforcement Personnel routinely the first line of response for situations involving mentally ill persons. Although the symptoms of mentally ill nessus are not always readily apparent, it is Arlington Police Department's responsibility to train its employees on how to recognize and interact with persons suffering from mental illness, with the objective being to increase the opportunity to provide a beneficial outcome for the mentally ill person, the public-at-large, and the employees involved D. Statutory Authority for mental illness examination or treatment. 1. Health and safety code chapter 572 voluntary inpatient mental health services authorizes a person over 16 or one younger than 16 who is or has been married, or the parent, managing conservator, or guardian of a person younger than 16 who is not and has not been married to file written request with a mental health facility administrator for admission for inpatient care and treatment. If a person voluntarily resubmit to written discharge for Quest, they must be discharged within 4 hours unless their physician has reason to believe the patient might meet the criteria for emergency detention or court-ordered Mental Health Services. The facility May refuse to discharge the patient pending a physician's examination within 24 hours of request for discharge. If the dishes has until 4 p.m. of the next business day after the day of the exam to distrust patient or get in order for court-ordered mental health services or for emergency detention 2. Health and safety code chapter 73 emergency detention authorizes a peace officer to take custody and transport them to a mental health facility for preliminary examination. Also authorize is any adult person to make application to a magistrate for an order requiring a peace officer to take a person into custody and transport them to a mental health facility for preliminary examination. 3. Health and safety code chapter 5 7 for court-ordered Mental Health Services authorized to the court that has probate jurisdiction to order a person to be committed involuntarily to a mental health facility for inpatient mental health services. There is also statutory authorization for a cord to order outpatient Mental Health Services. Pending the court hearing that must be held, the suspected mental ill person must remain at Liberty unless and Order of protective custody is obtained from the same court and which and involuntarily commitment is pending. The protective custody order always proposed patient to be detained for 72 hours E. Police Authority and limitations unless there is authority to rest with or without warrant for Commission of a criminal offense, police authority over suspected mental ill persons is limited to these situations where the person is believed to be in need of emergency detention or where statutory Authority exist it to take custody of patient who is absent with out with of a station from a court order commitment 2. The mental health la liaison team has partnered with the police department to provide consultation and follow-up services to individuals exhibiting a need for mental health services. It same as part of Tarrant County Department of Mental Health and mental retardation MHMR this unit provides an assessment in order to link individuals with appropriate treatment needs A. When an officer identifies a person need a mental health treatment, the officer shall initiate a referral to the mental health la liaison team by adding the letter X disposition number of a call B. If the report with contact information has not been initiated, the officer shall include the following information in the call: name, date of birth, contact information comment if description of medical needs C. Unless the call is coded as mental, a reference to any person's mental health or detention shall not be made in the brief narrative in the offense report 3. Use of force. If a mentally Disturbed person becomes violent, only that amount of force necessary to control and restrain the person should be used. Of warrant for emergency detention does not justify forced entry into a building to execute it, absent exigent circumstances 4. Two officer response. Response to situations involving a person believed to be a suspected of being mentally ill will be assigned to officers. An officer who and cancer someone who appears to be mentally ill will request a backup 5. If a patient has voluntarily signed into a mental health facility and when she's to leave that is, most often as civil matter among the patient, patients family, and Institution 6. Officer shall notify deal personnel for persons arrested for criminal activity who display Behavior consistent with mental illness F. Emergency detention 1. Criteria A. Health and safety code chapter 53 Provisions that Authority emergency Detention of suspected mentally ill person require belief that a person is mentally ill, because of mental illness there is substantial risk of serious harm to persons are others, the risks of harm is imminent unless the person is immediately restrained, there is not sufficient time to obtain a warrant before taking the person into custody 2. Emergency detention based on warrant B. Any person seeking emergency Detention of a friend or relative may be referred direct me to Tarrant County MHMR ICare call center at 817-335-3022 3. Emergency detention without a warrant A. Chill out NED C. The transporting officer shall determine if a one or two officer transfer is safe and appropriate. The decision to use one officer for your transfer may be based on, but not limited to, the following effects regarding this subject to be transported: criminal history documentary history of violent Behavior, Korean violent Behavior psychotic State, possible intoxication, negative delusions regarding the government D. Is any factors need the transporting office to believe that went off so transfer it may be unsafe or inappropriate, to a two officer transport is required E. Dawson shell open a call tightening tool, and complete the department of fence report where the victim is listed as the state of Texas in the suspect is the subject being detained these calls should be cleared As One X and the report number Shelby ring on the notification of emergency detention. Forms are maintained and the form storage areas in each Geographic District briefing station F. If a firearm is seized from the mentally ill individual and not related to the crime, the officer shall ensure that the mentally ill individuals provided with the receipt and Firearm return procedures 4. Emergency mental Detention of physically injured or ill person A. When officers find in the field to a mentally ill person who is physically ill or injured in that person has also proven to be a danger to self or others, treating the physical injury are in the Shelby a priority. Officer shall: -have an ambulance transport the person to the closest appropriate medical facility, officers shall follow the ambulance a ride in the ambulance if necessary -provide medical staff with information regarding the person, the notification for emergency detention and report number -contact the supervisor to do to determine if the person is continuing threat to self or others, if continued officer president to reduce presence is appropriate, if continued officer presence is necessary at all B. The supervisor may choose to consult with Hospital Personnel before making a determination C. If the supervisor determines that continued officer presence is unnecessary, the officer shall: -advise medical staff that the person is now in care, control, and custody of the medical facility -direct staff to contact 911 should law enforcement assistance be needed -critical 1X clearance code 5. Emerson detention through hospital or physician request. When a mental ill person arrives at the hospital or other medical facility requesting treatment, at the facility is responsible for the care, control, and custody of that person E. Officers must consider the totality of the circumstances, and should consider the criteria set forth in HSC 573.001 when determining if the position has sufficient time to obtain a mental health warrant from a judge G. Hospital staff should not request police response in lieu applying for a mental health warrant when a warrant is the appropriate method of handling the mentally ill person H. If the officer determines that a notification of emergency detention is appropriate, the officer shall: -obtain a copy of the notarized Physician's certificate of medical examination for medical illness when the physician stating the reason for the requested emergency detention. This may be used as a basis for detention even without any visible conduct by the person that needs the criteria -completed notification of emergency detention without warrant and the required offense report. The report must speak to HSC chapters 573 requirement and include: why there was not sufficient time to obtain a warrant, the identification of the credible person who is represented, write the report number on all the documents, submit notification of emergency detention and a copy of the physician certificate to appropriate mental health facility and return copies of both to the police department, clear the call 1X clearance code 6. The quiet notice of detention. When an officer transports a person to a facility for an emergency mental detention, South shall utilize the 1X addition to the clearance code in order to initiate referral to the Tarrant County MHMR liaison unit 6. Absent mental patients 1. Absent voluntary patient. Officers May transport of voluntary patient who has left a facility without authorization back to the facility or return says patient to the custody of the facility administrator and if you only if the patient agrees to the return. Patient admitted to a mental health facility voluntarily return to the facility if they do not consent to return 2. Absent involuntary patient. Health and safety code section 574.083 authorizes a peace officer to take a person into custody based on a court order or the certificate a station from a facility administrator at the person was committed to the facility involuntarily for mental health services in that the patient is absent without 4:30 and should be returned to the facility. The officer does not need to have possession of the administrators certificate or court order 3. Return via ambulance. Unless the person has a medical or physical condition that requires Medical Care, officers will not some of the Cities emergency ambulance contracted to transport a patient to a mental health facility H. Patient control to mental health facilities. Department assistance of facilities that accept patients for treatment of mental health illness will be limited to restoring order and releasing control of the patient to the facility

Remission

Abatement of signs and symptoms

Psychosis - officer approach

Always be cautious Never started a person Be patient Learn the person's name and use it Talk in a calm, soft tone voice Allow the person to verbally ventilate Do not cry out the person space Introduce yourself I sure the person that you were there to help, not to hurt them Be prepared to repeat yourself several times

Tardive dyskinesia

An abnormal, involuntary movement disorder of the facial area, trunk or extremities, sometimes resulting from treatment with certain antipsychotic medications

Obsessive compulsive disorder

An anxiety disorder characterized by intense, unwanted and distressing your current thoughts (obsessions)and repeated (compulsions) behaviors that are difficult to control

Mood

An experience of emotion that can influence your perception of the world

Tourette syndrome

An inherited neurological disorder that causes repeated involuntary movements or ticks and uncontrollable vocal sounds of speech

Anxiety

An unpleasant emotional and physical state of overwhelming apprehension and fear

Adrenaline

And Ashley occurring hormone that increases heart rate and blood pressure and affects the other bodily functions. Also called epinephrine

Panic disorder

And anxiety disorder characterized by chronic unexpected episodes of potentially disabling intense fear or anxiety, often accompanied by physical symptoms, such as rapid heartbeat and dizziness

Flashback

And involuntary reoccurrence, often repeatedly, of the feeling, memory or experience from the past

Antisocial personality disorder

And mental disorder in which there's a disregard for in violation of the rights of others. Behavior patterns include deceitfulness, lack of conformity to social norms, and reckless disregard for safety of others for the self

Split personality

And non-medical term sometimes used to describe dissociative identity disorder or multiple personality disorder or, incorrectly schizophrenia.

406.01 General Order transporting prisoners

Applicability of rules. Unless otherwise specified, the rules in this section apply to transportation in custody: From or to the jail or from secure facility or to or from a medical facility B. B. Mentally ill or violent arrest teens should be restrained using handcuffs, the chain weighs handcuff, in or ankle cuffs and or leg strap as necessary. B. E. During medical treatment. Is medical or paramedical Personnel request removal of restraint devices in the case of injured prisoners, restraint will be removed. The custodial officers must remain with the prisoner at all times unless medical personnel request their departure from the room for medical reasons C. Vehicles. Except in the case of a seriously ill or injured prisoner as specified below, all prisoner transports will be in Department Vehicles. Mark Patrol vehicles in any other vehicle routinely used for prisoner transport will have prisoners Shields installed and interior handles removed from rear passenger compartments before using transporting prisoners 1. Vehicle check. Before and after prisoner transport, the transporting officer will check the prisoner transfer vehicle for weapons in or contraband 2. Prisoner placement in transporting Vehicles will be as follows: Single officer, no prisoners shield, prisoner front passenger seat Single officer, prisoner Shield, prisoners in backseat Multiple officers, no prisoners Shield, single prisoner in right rear seat or second officer in rear seat behind driver Multiple officers, prisoner Shields, prisoner in back seat or second officer in front seat 2. Seat belts required. The use of seat belt is required when transporting prisoners 3. Ambulances will be used to transfer prisoners with serious illnesses or injuries.

Schizophrenia - higher risk of suicide

Approximately 10% of people with schizophrenia commit suicide -distorted thinking results in +Hallucinations +Core processing of information, attention +Illogical thinking +Disorganized and rambling speech +Delusions -Changes in emotion +May over react to situations +Flat affect +Anhedonia +Person is withdrawn - the media tends to portray this as violent, but it isn't really the case

Barriers to communication

Arguing - avoid creating a conflict Criticizing - avoid making the person feel worse Jumping to conclusions - don't tell the person with you think the problem is Pacifying - don't belittle the situation Derailing - don't change the subject to abruptly unless there's a need to distract Moralizing - avoid using moral obligations to manipulate the situation Name-calling - putting the other person that will make matters worse Ordering - an authoritative approach me create resistance

Euphoria

Assailing of elation or exceptional well being

Officer safety

Assistance request factors: -size and age of the person with mental illness has very little to do with whether a backup officers should be called -like any other person on the stress, person with mental illness makes it extraordinary strength. Persons with mental illness may, but not always, be unpredictable and irrational. Behavior is very individualized -request assistance is needed. backup may be needed for the safety officer, and the individual, or others -contact the local mental health mental retardation (MHMR) center for assistance, education, and referrals to appropriate resources -there's a 24-hour hotline for families

Questioning methods of people with developmental disorders

Be patient for reply Repeat question as needed Ask short, simple questions using simple language Speak slowly Ask open-ended rather than yes or no questions

Schizophrenia

Consists of a group of psychotic disorders characterized by changes in the perception Over sensitivity to sounds and visions Hallucination Impaired distorted thinking Most striking disabling of severe mental illnesses Typically emerging in teenagers and young people Ranks among the top 10 causes of disability in developed countries worldwide

Developmental disorders - strategies to use during officer contacting to determining possible ID

Criminal activity (MHMR Records) Educational history Physical appearance Speech or language Social behavior - likes to people please Performance task

Affect

Current, observable state of feeling or emotion, such as sadness, anger or elation

Addiction

Dependence on a substance, such as alcohol or drugs. It's usually characterized by impaired control over the preoccupation with the use of the substance, as well as continued use of the substance despite adverse consequences

Fictitious disorders

Disorders in which a person fabricates illnesses or injury in order to gain attention

Hallucinations

Distortions in the senses, causing the individual to experience hearing or seeing something that is not there

First three minute assessment

Elements of evaluation Intellectual functioning Behavioral reactions Emotional reactions

Personality

Enduring patterns of perceiving, relating to and thinking about yourself and the environment

Considerations for a suicide

Evaluating the levels of danger Danger to themselves Danger to others +They have a plan +Make sure you get the medication status +No regulations for their safety +Irrationally mad at one person +This is civil versus Criminal

Delusion

False beliefs not based on factual information. The person they over react to situations or may appear to have what is called flat ass effect, where he shows no emotion or does not seem to care about what is going on around him.

Psychotic

Having delusions or hallucinations that cause disorganized thinking, unusual behaviors and loss of touch with reality

Chemical imbalance

Having too much or too little of such brain neurotransmitters or serotonin or dopamine, which may play a role in depression or other mental illnesses

Dual diagnosis

Heading of substance abuse problem along with another psychiatric disorder

Mental illness

Illness, disease, or condition that either substantially impact a person's thought, perception of reality, emotional process, or judgment, are grossly and pears a person's behavior, as manifested by recent disturbance Behavior

Passive aggression

Indirectly and unassertively, expressing aggression towards others, masking resentment or hostility

Dyskinesia

Involuntary muscle activity causing distorted movements of the lips, tongue, neck, arms or trunk, sometimes as a side effect of certain medications

ASD - social behaviors

Lack of awareness of societal rules Reluctance to make eye contact Inappropriate laughter or crying Unusual facial expressions Ritualistic, habitual behaviors Extreme distress for no apparent reason Attachment to particular objects Deliberate so laying of clothes Uneven motor skills Self stimulating behaviors

Control paradox

Less: physical, authoritative, less confrontational, controlling Relates to more control and authority over the person in a mental crisis

Liability and confidentiality

Limitation of liability: people acting in good faith, reasonably without negligence are not civilly or criminally liable Confidentiality: -communication between patients and a professional, as well as records of the identity, diagnosis, evaluation, or treatment of a patient that are created or maintained by a professional, is confidential -exceptions include: +Disclosure to Medical law enforcement person out there is probability of imminent physical injury to the patient or others, there is a probability of immediate mental or emotional injury to the patient +When the patient consents +To Health Care Personnel of jail if it is for the sole purpose of providing Healthcare "Momorandum of understanding"

L.E.A.P.S.

Listen Emphasize Ask Paraphrase Summarize

Active listening

Listen to words Listening to whole message (content, feelings, reason) Reflecting the whole message

Bipolar disorder

Mania phase may include: -abnormally High, expansive or irritated mood -inflated self-esteem -decrease need for sleep -more talkative than usual -flight of ideas or feeling of thoughts racing -excessive risk-taking Depressive phase may include: -prolonged feelings of sadness or hopelessness -feelings of guilt and worthlessness -difficulty concentrating or deciding -lack of interest -low energy -changes in activity level -and ability to enjoy usual activities -fatigue

ASD - communication behaviors

Maybe verbally limited May repeat what it said Abnormal pitch, red, or volume when speaking Difficulty expressing ideas or needs Reverse of pronouns are other parts of speech Difficulty with abstract Concepts and terms -other: Matching, pairing, and ordering objects Blinking compulsively Switching lights on and off Dropping things repeatedly Jumping, rocking, and clapping Contacting, head-banging, spinning Fascination with colorful and shiny objects

Antidepressants

Medications that improve or relieve symptoms of depression or other psychiatric disorders by affecting brain chemistry

Antipsychotics

Medications used to treat psychotic illnesses. Also known as neuroleptic medications

Crisis intervention origin

Memphis Tennessee September 1987 Importance of training Community mindset The program started a year after the Memphis incident -white Memphis police officers answer to 911 call. A young African-American man with a history of mental illness was cutting himself with a knife and threatening suicide. Police officers are trained to respond with deadly force when they perceive their lives in danger. At the onset of the incident, it appeared that the only life in danger was the young man's from self-inflicted wounds. As they were trained to do at the time, officers at the same confronted the man and the man did he drop his weapon. At this, he became more upset and ran at the officers who, and see if their own safety, open fire and killed him

Thought disorder

Mental disorders characterized by an impaired perception of reality such as schizophrenia

Stigma

Negative attitudes about or toward those with mental illness, usually stemming from fear and misunderstanding, and resulting in disgrace, embarrassment or humiliation for those with mental illness

Adverse reaction

Negative or unwanted effect caused by medication. Also called side effects

Self-esteem

Opinion of self

Three most common encountered personality disorders by officers

Paranoid Antisocial Borderline

Myths - suicide

People who talk about suicide won't commit suicide People who commit suicide a crazy Once the person begins to improve, the risk has ended Prior and successful suicide means there will never be a successful suicide -there is no typical suicide victim. He happens to young and old, rich and poor -90% of suicides are reportedly related to untreated or under treated mental illness with the most common being depression -nearly 20% of people diagnosed with bipolar disorder and 15% diagnosed with schizophrenia die from suicide

Dementia

Persistent common worsening mental deterioration with prominent effects on memory and behavior arising from organic causes, such as Alzheimer's disease or cumulative effects of small strokes

Categories of mental illness

Personality disorders Mood disorders Psychosis Developmental disorders

Cognitive

Pertaining to the mental process of thought, including perception, reasoning, and intuition and memory

Anhedonia

Producer complete inability to feel pleasure from activities that usually produce happiness

Relapse

Reappearance of disease signs and symptoms after apparent recovery

Active listening techniques

Repeating Rewording Paraphrasing Reflection of feelings Minimal encouragers Use you statements vs. I statements for clearer understanding

Developmental disorders

Severe, chronic disability of a person 5 years of age or older. Such a disability: +Attributable to mental or physical impairment, or a combination of the two +Manifested before a person to change the age of 22 -Manifested in substantial limitation of three or more specified life activities: Self care Language Learning Mobility Self Direction Independent Living Economic self-sufficiency -reflects the person's need for lifelong or extended care, treatment or other services which are playing in coordinated according to that person's needs -infants and young children (newborn to age 5) with developmental disabilities have subsequently delayed development or specific cognitive or acquired conditions, and are likely to suffer developmental disabilities if services are not provided to them -add 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, which continues into old age. The four kinds of life skills that are normally master during this time and could be affected are gross motor, fine motor, communication, and social skills -the number of persons with developmental disabilities who commit crimes cannot be reported accurately due to the lack of identification prior to conviction, sentencing, or incarnation

Synapse

The Junction between two nerve cells/neurons

571.004. LEAST RESTRICTIVE APPROPRIATE SETTING

The least restrictive appropriate setting for the treatment of a patient is the treatment setting that: (1) is available; (2) provides the patient with the greatest probability of improvement or cure; and (3) is no more restrictive of the patient's physical or social liberties than is necessary to provide the patient with the most effective treatment and to protect adequately against any danger the patient poses to himself or others

Withdrawal

The process of stopping a drug

Suicidal ideation

Thoughts of suicide or desire to in your life

Pharmacotherapy

Treatment of disease with prescription medications

Mood disorder

Type of mental illness demonstrated by disturbances in one's emotional reactions and feelings +Severe depression and bipolar disorder -recognizable behaviors that associate with mood disorders could include: +Lack of interest in pleasure and activities +Extreme and rapid mood swings +Impaired judgement +Explosive temper +Increase spending +Delusions -Causes: +Complex and balance in the person's chemical activity plays a prominent role +Environmental factors can also be a trigger or buffer against the onset

Repression

Unwilled banishment of disturbing wishes, thoughts or experiences from conscious awareness

Psychosis - consumer perspective

Voice-same parts of the brain tires as if someone is actually talking in front of them -common delusions experience by persons during an episode: Voices: command voices telling them to hurt themselves or others and they will do anything to make the voices go away Paranoia Visual hallucinations Heightening of the senses

611.002. CONFIDENTIALITY OF INFORMATION AND PROHIBITION AGAINST DISCLOSURE

a) Communications between a patient and a professional, and records of the identity, diagnosis, evaluation, or treatment of a patient that are created or maintained by a professional, are confidential. (b) Confidential communications or records may not be disclosed except as provided by Section 611.004 or 611.0045. (c) This section applies regardless of when the patient received services from a professional