Transcript CIT - University of Pittsburgh

1
CIT
It’s More Than Just Training
2
3
Defined
•An innovative first-responder model of police-based crisis
intervention with community, behavioral healthcare, and
advocacy partnerships.
•CIT is a jail diversion program designed to improve the
outcomes of police interactions with individuals whose
behavior is influenced by mental illness, substance use, mental
retardation and related conditions.
4
Core Elements
Ongoing Elements
1. Partnerships: Law Enforcement, Advocacy, Mental Health
2. Community Ownership: Planning, Implementation & Networking
3. Policies and Procedures
5
Core Elements
Operational Elements
4. CIT: Officer, Dispatcher, Coordinator
5. Curriculum: CIT Training
6. Mental Health Receiving Facility: Emergency Services
6
Core Elements
Sustaining Elements
7. Evaluation and Research
8. Recognition and Honors
9. Outreach: Developing CIT in Other Communities
7
Before CIT: Us and Them
•Lack of Understanding about Mental
Illness
•Lack of Understanding about Mental
Health Services
•Lack of Understanding about Law
Enforcement’s Role and Responsibility
8
More Reasons Not to Get Along
•Lack of Historical
Cooperation
•Resistance to Change
•Territorialism
•Scarce Resources and
Little Funding
9
Work Plan for Developing and
Implementing a CIT Program
10
Organizational
• Identify and solicit key stakeholders that
need to be involved
•
County Commissioners, Human Services
Director, MH/MR, D&A, MCO, Providers,
NAMI, Consumers, Warden, Probation &
Parole, DA, Police Chiefs, etc
4 representatives from law enforcement, 3 from
NAMI, 3 from provider agencies, 1 consumer, 1
county representative
Memphis, Philadelphia, Johnstown, and
Collingswood.
• Establish Oversight/Steering Committee
and Chairperson
•
• Oversight Committee members attend CIT
events in other communities
•
• Establish mission and goals for the
committee
•
April 2008
• Establish workgroup committees
•
Curriculum, Outcomes, Public Relations
•
3.5, 6, (FTAC) and 40 hour
• Determine structure of training program
11
Curriculum Development
• Develop curriculum/training manual
to meet local needs - content & time
slots, field visits, resource material,
role plays
• Review learning objectives & content
outline for each module, set up final
training schedule
• Identify instructors
• Review instructors' materials
• Use real life situations. Stay focused.
Limit modules to about 1 hour
Consumer & Family presentations
Keep activity level moderately high
• Constantly evaluated and revised
• Trial and error. Evaluations for each
module (morning & afternoon)
• Get PP presentations for each
instructor
12
BUCKS COUNTY CRISIS INTERVENTION TEAM TRAINING SCHEDULE
May 17th-21st 2010 Continental breakfast and Lunch provided
Monday
Title
Intro:CIT Overview/Success Story
Clinical Issues Related to Mental Illness
Suicide /Q.P.R
Lenape Valley Presentation
Hoarding
Lunch
Class Evaluations
Adult Prob./Parole Mental Health Unit
Personality Disorders/hoarding
Substance Abuse/ Co-occurring disorders
Tuesday
Class Evaluations
PTSD
Suicide by Cop video
Suicide by Cop Presentation
Overview of Mental Health Law
Lunch
Class Evaluations
Consumer Perspective
Site Visits
Wednesday
Class Evaluations
Alzheimer's Disease
Day
Mon.
Mon.
Mon.
Mon.
Mon.
Mon.
Mon.
Mon.
Mon.
Mon.
Tues
Tues
Tues
Tues
Tues
Tues
Tues
Tues
Tues
Wed.
Wed.
Start End Time
8:00 9:00 1
9:00 10:00 1
10:00 11:00 1
11:00 11:30 1/2
11:30 12:00 1/2
12:00 12:45 3/4
12:35 12:45
12:45 13:45 1
13:45 14:45 1
15:00 16:15 1 1/4
Instructor
Sevick
Dr. Friedman
K.Thompson
Curran/Sperry
S.Curran
Provided
Task Force
L.Hennessey
Sharon Curran
Ed Donahue
8:00 8:15 1/4
Task Force
8:15 9:15 1
Curran/Kingsdorf
9:15 10:00 3/4
Task Force
10:00 10:45 3/4
Ofc. Ferraro
11:00 12:00 1
Tony Sevick
12:00 12:45 3/4
Provided
12:30 12:45
Task Force
12:45 14:00 1 1/4
NAMI
14:00 16:30 2 1/2
Task Force
8:00 8:15
8:15 9:15
1/4
1
Task Force
Steven Weiss
13
BUCKS COUNTY CRISIS INTERVENTION TEAM TRAINING SCHEDULE
Psychiatric Meds and Side Effects
Risk Assessment for Domestic Abuse
Veteran Issues (Roundtable)
Lunch
Class Evaluations
Family Perspective
Strategies of De-Escalation
Introduction to Verbal Techniques
Thursday
Class Evaluations
Community Resources
Juveniles
Advanced Verbal Techniques
Lunch Thurs 12:15 12:45 1/2 Provided
Class Evaluations
Site Visit BC Prison/B.A.R.N
Friday
Class Evaluations/Program feedback
Hearing distressing voices exercise
Complex Verbal Techniques
Lunch
Graduation
Team building techniques
Wed.
Wed.
Wed.
Wed.
Wed.
Wed.
Wed.
Wed.
9:15 10:00 3/4
10:00 11:00 1
11:00 12:30 1 1/2
12:30 13:00 1/2
12:30 12:45
13:00 14:00 1
14:00 14:45 3/4
14:45 16:30 1 3/4
Steven Weiss
L.Thomas
Veterans
Provided
Task Force
NAMI
Aninsman
Task Force
Thurs
Thurs
Thurs
Thurs
8:00 8:15 1/4
8:15 9:45 1 ½
9:45 10:45 1
10:45 12:15 1 1/2
Thurs
Thurs
12:15 12:25
12:30 16:30 3 1/2
Task Force
Task Force
Fri.
Fri
Fri.
Fri.
Fri.
Fri
8:00 8:15 1/4
8:15 10:15
2
10:15 12:15
2
12:15 13:00 3/4
13:00 14:00 1
14:00 16:30 2 1/2
Task Force
Phil Braun
Task Force
Provided
Task Force
T.F/students
Task Force
Task Force
Marjorie Morgan
Task Force
14
Logistics
• Determine how to identify first group
of officers for training and method to
register them
• Select participants for first class (what
jurisdictions)
• Notify participants of
dress/schedule/expectations
• Reproduce other handouts - resource
cards, articles on CIT, etc.
• Secure source of supplies /
reproduction of materials
• Reproduce handouts for manual
• Secure training site (including A-Vs)
• Create registration forms, evaluation
forms
• Order pins and diplomas
• Volunteer and selected by supervisor
• Lower Bucks County
• Provided to participants before
training starts
15
Logistics
• Determine methods of evaluation and
prepare evaluation forms
• Confirm time slots with each instructor
• Arrange for Field Visits
• Identify Role Players
• Secure food & refreshments
• Develop and send out Press Release
• Prepare rosters and nametags, on-site
sign in sheets
• Plan for graduation - Meal? Press?
Dignitaries? Guests? Speakers?
Photographer?
16
Post Training Follow-Up
• Plan next 3.5, 6, or 40-hour class
• Hold Debriefing and review
• Process evaluations
17
System Enhancements
• $ enhanced the system
• $500,000
• Expanded hours
• 8:30AM-11:00PM
• Security
• 2 staff
• Additional staff: Crisis, CPS, CRNP
• Implemented electronic 302 process
• Fall 2008
• Hired Crisis Director
• Fall2009
• Mobil outreach & follow up
• Relationship with general hospital
18
Family Perspective
• NAMI PA – Bucks County Chapter (The National Alliance on Mental Illness)
• Mission – to improve the lives of the citizens of Bucks County who suffer from a serious
mental illness or, as family members and caregivers, share the burden of these
devastating illnesses.
• One of the few organizations that support family members and caregivers.
• All services are provided FREE.
• Support – family and consumer support groups
• Education – Family to Family, 12 wk, Peer to Peer, 9 wk, Classes
• Advocacy – CIT - how it all started...
19
Law Enforcement Acceptance
• Public Relations (face to face)
• Numerous hours spent early on
talking to police chiefs
• Introductory sessions for management
• 3.5 hour Introduction to CIT
• Introductory sessions for patrol
officers
• 6 hour Introduction to CIT
• Training leading to CIT certification
• 40 hour training
20
CIT Development for Bucks County
CIT
Task
Force
3.5 hour Introduction to CIT for Law Enforcement
Management and Emergency Dispatch
February 17, 2009.
September 8 & 10, 2009
October 6, 2009
6.0 hour CIT Introductory Training for Patrol Officers
Completed: February and March 2009, 5 sessions.
Completed: October and November 2009, 6 sessions.
Completed: March 2010, 2 sessions.
Completed: September & October 2010, 2 sessions
40 hour CIT Training leading to Certification.
Completed: September 2009.
Completed: January 2010
Completed: May 2010
Completed: November 2010
21
Introduction to CIT
•
Enhancing Officer & Community Safety:
▫ An Introduction to CIT
•
370 individuals trained as of 10.30.2010
•
Collaborative effort between Bucks County
and FTAC
22
Graduates –
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
Bensalem Twp
Bristol Twp
Northampton Twp
Lower Makefield Twp
New Britain Twp
Lower Southampton Twp
Falls Twp
Adult Probation
Warminster Twp
Middletown Twp
Plumbstead Twp
Newtown Twp
Corrections
LVF Crisis
Bristol Borough
PA Probation & Parole
Doylestown Borough
102
(as of November 2010)
19
13
10
9
8
8
6
5
4
3
3
2
2
2
2
1
1
•
•
•
•
Newtown Borough
Pennridge Regional
Paramedic
Penn Foundation
1
1
1
1
23
Officer Perspective and
Acceptance of C.I.T.
OR
How to teach an old dog new tricks
24
Brick Wall
*The system is broken
*I am concerned about real
crime.
*I am not a social worker
*I don’t like talking to those
“people”
*Let’s “lock em up” and keep
society safe
Crisis Intervention Team
Training
• CIT task Force, and
Officer infused
training.
• Common goals
• Sympathy vs
Empathy
• Memphis Model vs
your own community
• Realistic role playing
• Accepted presenters
• Resources
25
CIT Graduates
26
27
Change is Here
Cpl. Tom Augustin,
Lower Makefield Township Police
Department. 20 + years of police
Experience talks about what CIT
Training meant to him.
28
29
Short/Long Term Goals & Outcomes
• The goals of the CIT program:
•
•
•
The overall goal of the CIT training program is to treat mental illness as a disease, not a crime.
Law Enforcement:
▫ decreased number of injuries to the officers
▫ decreased use of force
▫ improved use of alternatives to arrest and jail
▫ decreased time officers spend in the crisis unit (involuntary commitments)
▫ reduced myths and stigma of mental illness among law enforcement
▫ improved relationships for officers and community
Behavioral Health System:
▫ extended crisis response systems
▫ increased opportunity for earlier intervention
▫ improved treatment outcomes
Consumers/Family Members:
▫ decreased number of injuries to the consumer
▫ better relationships between consumers and law enforcement officers
▫ removed stigma of unnecessary incarceration in local jails
▫ improved access to treatment
▫ increased chance that the consumer will receive continuous care
30
Short/Long Term Goals & Outcomes
• Outcomes
▫ Success Stories
▫ Bucks County CIT Tracking Form
31
32
Contacts
Task Force Membership:
Law Enforcement:
Lieutenant Lois Kirgan, Bensalem Township Police Department, 2400 Byberry Rd,Bensalem, Pa 19020, 215-633-3700
Sergeant Andy Aninsman, Bensalem Township Police Department, 2400 Byberry Rd,Bensalem, Pa 19020, 215-633-3700
Detective Chuck Pinkerton, Northampton Township Police Department, 50 Township Road, Richboro, PA 18954, (215) 322-6111
Officer Steve Kingsdorf, Northampton Township Police Department, 50 Township Road, Richboro, PA 18954, (215) 322-6111
NAMI:
Charles Bechtel, PO Box 355, Warrington, PA 18976, 1.866.399.NAMI
Carol Meholic, PO Box 355, Warrington, PA 18976, 1.866.399.NAMI
Agnes McFarlane, PO Box 355, Warrington, PA 18976, 1.866.399.NAMI
Behavioral Health Providers:
MH - Sharon Curran, Lenape Valley Foundation, 500 N. West Street • Doylestown, PA 18901 215.345.5300
Nicole Wolf, Lenape Valley Foundation, 500 N. West Street • Doylestown, PA 18901 215.785.9765
D&A Ed Donahue, Addictions Specialist, General Manager/Consultant ,The Next Step, House of Recovery, 267-205-4963
Certified Peer Specialist:
Julie Harbison, Lenape Valley Foundation, 500 N. West Street • Doylestown, PA 18901 215.345.5300
County Representation:
Tony Sevick, Bucks County Department of MH/MR (Chair), 600 Louis Drive, Suite 202, Warminster, PA 18974, 215.444.2872
33
Thank You!