Transcript Topeka/Shawnee County CIT

Topeka/Shawnee County CIT
CPT Bill Cochran
Assistant Division Commander
Field Operations Division
Topeka Police Department
Dwayne Moore
Team Leader
Crisis Diversion Services
Valeo Behavioral Health Care
History
• Talk of a CIT program started in 2006 after
officers used lethal force on a man with
mental illness
• Program started in 2007
• First training was in April of 2008
• Family has participated in every CIT training
• Family donates money to the program
March 2012
March 12th – March 16th, 2012
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
March 12th
March 13th
March 14th
March 15th
March 16th
Honorable Frank Yeoman
(confirmed)
Excited Delirium
LT Haggard
0800-0930
(confirmed)
0800
0900
0800-0815 Welcomes –
CPT Cochran
0815-0830 Department Heads
0830-0900 Overview of CIT
0900
1000
Overview of Mental Illness &
Personality Disorder
Dr. Ruh
(confirmed)
Psychotropic Made Simple
Dr. Karen Moeller-KU Med
(confirmed)


Stigma
SGT Shane Lind
(confirmed)
Exercise
Hearing Voices
(confirmed)
LUNCH
LUNCH
Active Listening Crisis
Negotiations
DET J. Falley
(confirmed)
Autism/Developmental Disability
Master Deputy Alison Anderson
(confirmed)
Reading Verbal & Nonverbal
Communications
DET J. Falley
Assessment of Behavioral Disorder
in Persons with Dementia
Master Deputy Alison Anderson

Family Members
Marge & Ralph Eilert
1000
1100
1100
1200
1200
1300
1300
1400
1400
1500
1500
1530
1530
1700
The Depressed/Suicide
Mind/Critical Incident
Stress/PTSD
Dr. Maureen Ruh
(confirmed)
Report to
Class
0800
Group A
Report to
Class
0800
Group B
KJCC
0830 1030
(confirmed)
SNCO DOC
0830 1030
(confirmed)
FS&GC
1045 1200
(confirmed)
KJCC
1045 1200
(confirmed)
LUNCH
SNCO
DOC
1300 1445
(confirmed)
FS&GC
1300 1445
(confirmed)

Suicide by Police
DET Broxterman
0945-1045
(confirmed)


The Residence
1500 – 1630
(confirmed)
Pathway
Presentation
(confirmed)
Substance Abuse, Dependence &
Co-Occurring Disorders
Mr. Phil Walsmith
(confirmed)
LUNCH
ADA Darren Root
(confirmed)
Crisis Negotiations
DET. J. Falley
(confirmed)
LUNCH
PROVIDED
DET J. Falley Cont
Kids with Severe Emotional
Disorders
Jerry Smith LSCSW
SN DOC / Brian Cole
(Confirmed)
Personality Disorders/Self
Mutilation
Jerry Smith LSCSW
(confirmed)
Presentation of Certificates
&
Department Heads
CPT Cochran
Case Studies
SGT Lind/SG Whisler
(confirmed)

Building the Community Foundation
• Our committee is made of members from the Mental Health
Community (Valeo Behavioral Health, Family Service and
Guidance Center, Veterans Administration), Law
Enforcement, Shawnee County Department of Corrections,
and NAMI Topeka (MOUs)
•Constant communication between partners in an effort to improve
our effectiveness
• Meet monthly
Building the Community Foundation Continued
•
Every other month is a Mental Health, Court, and Law Enforcement
meeting to discuss :
Osawatomie State Hospital Report
Working Groups – CIT, Crisis Diversion,
Out Patient Services,
Social Detox,
Barriers, and
Agency Reports
• Quarterly conference call with all the CIT programs in the state,
facilitated by Rick Cagan - NAMI Kansas Executive Officer
• Mobile Response to Law Enforcement
Valeo Crisis Support Clinicians
Mobile Response to Law
Enforcement
5:00pm-8:00am seven days a week
Phone: 785-220-6134
Overview of Mobile Crisis
Support Clinician Response:
• Valeo Crisis Support Clinician(CSC) will be available
to respond to calls from Law Enforcement
Officers(LEO) in the community to assist with
identifying mental health needs for individuals who
have LEO encounters. This may include phone or
face-to-face consult.
• CSC Mobile Response service is offered from 5pm to
8am seven days a week.
• LEO can contact a CSC from 5p to 8am / 7 days a
week, including holidays, at 785-220-6134.
Overview of Mobile Crisis Support
Clinician Response Continued:
• During normal business hours 8am-5pm Mon-Fri
LEO will need to utilize Valeo Crisis services
located at 330 Oakley. Crisis Line number is 785234-3300.
• Calls for assistance will be responded to within 5
minutes of receiving the call. The CSC will then
give an estimated time for face-to-face assistance.
• CSC will obtain a Release of Information on faceto-face contacts from individuals in crisis so
collaboration with LEO can occur.
CSC Mobile Responders objectives
include the following:
• Provide a timely and appropriate initial response to individuals
experiencing a mental health crisis by intervening proactively
and earlier, before the level of deterioration is such that
hospital services or arrest becomes necessary.
• Enhance the capacity to provide short-term crisis stabilization
to promote safe outcomes for individuals in crisis, clinical
staff, the public and LEO.
• Facilitate a range of crisis intervention, stabilization, support,
safety plans, and/or follow-up services to connect individual
to adequate mental health services once the acute phase of
the crisis is resolved.
CSC Mobile Responders objectives
include the following continued:
• Reduce the potential for escalation and
aggression in the presence of LEO (e.g. those
individuals who feel threatened/fearful when
interacting with LEO)
• Enhance the ability for LEO to defer mental
health responses to the Mobile Responder,
and thereby reducing LEO resources onscene, time waiting with individuals in the
ER, Stormont Vail West, etc.
CSC Mobile Responders objectives
include the following continued:
• Promote a respectful and non-threatening early
intervention for individuals experiencing psychiatric
symptoms, while enhancing the capacity to remain in the
community, or the least intrusive and most appropriate
services for the individual
• Facilitate the most appropriate care option to reduce
repeated or inappropriate contacts with LEO
• Adopt a more proactive approach to addressing evolving
community issues regarding individuals with mental
illness, through effective partnership and liaison activity
between MH and LEO.
Role and Responsibility of CSC:
• CSC will assist the LEO as requested in crisis situations with individuals
with mental needs in the community and priority will be given to LEO
for assistance.
• CSC will identify Crisis Intervention, Safety Plans or Coping Skills needs
for individuals in crisis to minimize the risk of harm to self or others.
• CSC will provide next day short-term follow-up to individual seen by
LEO. These situations must not be urgent in nature, and for individuals
who do not require immediate assessment/hospital admission.
• CSC will make arrangements with LEO to meet at scene in the event
situation warrants face-to face mental health intervention. The parties
will consult regarding roles and best mode of intervention for individual
in crisis.
Role and Responsibility of CSC
Continued:
• CSC will utilize mental health services such as,
Crisis Residential Program- The Residence,
Crisis In-Home Support Services, CCM FollowUp, MH Screening, etc. as needed.
• CSC will complete tracking and appropriate
documentation on each call.
• CSC will communicate with LEO about
prioritizing if multiple calls occurs.
Role and Responsibility of LEO:
• CSC and LEO will confer in order to make sure safety is
determined and the necessity of LEO to remain and continue
to provide stand-by assist to the CSC. As soon as safety is
determined the LEO will be freed up and the CSC will continue
to provide interventions as identified.
• If necessary CSC will request LEO to come back to a scene in
the event the individual decompensates or becomes volatile
and safety is compromised for the individual and/or the CSC.
• If necessary CSC will request LEO assist with transporting
individual if they pose a danger risk to self or others to
appropriate location for CSC to evaluate treatment needs.
Data Collection
• Is important
– To conduct research on your program,
– It directly impacts your conclusions and expectations of your
program,
– Data can be organized and analyzed to measure success,
failures, and effectiveness, and
– Provides avenues for recommendations and decision making
• It’s Difficult to do
• Options to collecting data
– Dispatch
– Activity logs
– Special reports
• What to collect
Topeka CIT Data Collection Started
January 1, 2012
•
•
•
•
•
•
•
Calls per shift and length of calls
Reporting party
Age group
Race/Ethnic/Sex Factors
Reason for the call
Outcome
Territory (beat location)
Moving CIT Forward in Kansas
• Tower foundation grant 2009 founded state wide
trainings through the first quarter of 2012
• February 21, 2012 CIT resolution passed the
Kansas House of Representatives
• March 15, 2012 CIT resolution passed the Kansas
State Senate
• Video link
• August 27 – 31, 2012 (SROs and Juvenile Issues)
• Yearly State Summit – September 11, 2012
CIT: Doing the right thing for
the right reasons
QUESTIONS