9/7/20151 CIT Role Play Designed for Safer Resolutions and Better Police/Consumer Encounters 11th Judicial Circuit Criminal Mental Health Project Habsi

04/21/23 1

CIT Role Play Designed for Safer Resolutions and Better Police/Consumer Encounters

11th Judicial Circuit Criminal Mental Health Project

Habsi W. Kaba MS MFTMiami-Dade County CIT Coordinator/Liaison

The Hayes De-escalation

Teaching Model

ANXIETY

Miami-Dade County CIT Program

The Hayes Role Play Teaching Model

Crisis Intervention requires an effective set of skills in order to safely Connect, Engage and Assist someone in distress.

In order to assist someone safely and effectively one must understand what crisis is…


PERSON IN CRISIS STATE OF MIND:

THERE IS NO TIME LEFT


PERSON IN CRISIS BELIEVES:

• He/she must act now.

• There is no hope in negotiation or any other attempt to solve problem.

• He/she believes they have LOST CONTROL.


PROCESS

THOUGHTS become…

WORDS become…

ACTION!Miami-Dade County CIT Program

PERSON IN CRISIS BELIEVES:

THOUGHT:

Contemplation, deliberation, consideration, thinking, reflection, idea, belief, feeling, plan.

WORDS:

statement, expression, a declaration

ACTION:

Act, deed, achieve, accomplish, battle, fighting, combat, conflict, engagement, encounter, dogfight, skirmish, raid, WAR.


THE ESSENCE OF CRISIS INTERVENTION:

The Role of a CIT Officer:

The CALM in the center of a STORM Help the person gain control

WE HAVE ALL THE TIME WE NEED


ADULT LEARNING

• COMMUNICATE through a MULTISENSORY APPROACH by DEMONSTRATING.

• As children we learn through sensory experience.

• The best way to know what a child needs is to watch what interest them and follow their lead.

• As adults we learn similarly.Miami-Dade County CIT Program

De-escalation through

Demonstration• Chronic mental illness, severe mood disorders,

behavioral disorders, dementia, organic brain disorders, Schizophrenia, Schizoaffective Disorder, and developmental disorders.


WE FEED OFF OF EACH OTHER’S EMOTIONS

What is your state of mind?


Be Prepared

•Stress triggers Symptoms

•Cognitive vs. Emotional


PARAVERBAL COMMUNICATION

BE AWARE OF NOT ONLY WHAT YOU SAY BUT HOW YOU SAY IT


3 ELEMENTS OF COMMUNICATION

(Mehrabian’s Rule 7%-38%-55%)

VERBAL 7%

VOCAL QUALITY38%

(rate, tone, volume, cadence, rhythm)

NON VERBAL55%

(body language)


Be Prepared

• Nice and slow…

• Slow is fast and fast is slow.

• Give people time and they’ll tell you what you need to know.



SAFETY FIRST, DURING & AFTER

• Connect – build trust & rapport, encourage

• Honesty – be genuine & sincere

• Engage – active listening, gather info., feedback

• Validate – Acknowledge, reaffirm, understand

• Assist – guide, provide info., facilitate coping skills

• Link – guide, direct, seek services/support system Miami-Dade County CIT Program


• Cheval glass - A tall mirror swung on an upright frame that takes its name from French cheval, "horse"—a synonym for "supporting framework," which describes this mirror.

• Cheval glass - a full length mirror mounted in a frame in which it can be tilted. A polished surface that forms images by reflecting light.

• Cheval - A type of mirror that demands your attention.Miami-Dade County CIT Program

WHAT TO DO

• Be patient, accepting, encouraging but remain firm

• Indicate you are trying to understand

• Reassure that you don’t intend to harm

• Speak slowly and quietly and pause between statements

• Make them aware of their behaviors (speech, pattern, content)

• Meet their basic needsMiami-Dade County CIT Program

BE AWARE

• Person may be overwhelmed by sensations, thoughts, frightening beliefs, sounds (voices), or the environment

• People suffering from mental illness often have a hard time processing what others are saying at a "normal" speed

• Allow for some extra mental processing time to avoid unnecessarily combative situation


STRATEGIC DE-ESCALATION

• Give person permission to vent, otherwise violence may seem to be only option

• Ensure quiet to avoid escalation due to external influences

• Do not use reason or logic, they are irrational

• Offer alternatives gives person choices and control


KEEP IN MIND THAT…

• A person acting out in his own space, but not directly threatening any other person or himself, should be given time to calm down.

• Attempting to use logic/rationality with a psychotic person is counterproductive, will most likely escalate person.

• Some medications that treat mental illness have side effects that may require attention.


VERBAL INTERVENTION

Gathering of Information

Loss of Rationality

Set limits, boundaries, structure

INTERVENTION


QUESTIONING

REFUSAL

SETTING LIMITS

• Recognize that you cannot force individuals to respond appropriately, results in a power struggle

• When you set limits you are offering a person choices

• Limits better received when the positive choice and/or consequences are stated first


Words to live by…

The definitive interpretation of Sun Tzu’s classic book of strategy Stephen R. Kaufman, Hanshi 10th Dan

Unless it is absolutely necessary, never use force when taking control of another state. Not using force will enable you to RELAX the FEARS of the people. When they realize the meaning of your intentions, they will follow your LEAD and obey if you have PROPERLY PREPARED. If they are approached with respect, and the INEVITABILITY of your action is understood, they will SEEK to ASSIST you as a means of PROTECTING their own interests.


CONTACT INFORMATION

Habsi W. Kaba MS MFT Miami-Dade County CIT Program Coordinator

11th Judicial Circuit Criminal Mental Health Project

[email protected]

305.548.5639


mailto:[email protected]

Documents

9/7/20151 CIT Role Play Designed for Safer Resolutions and Better Police/Consumer Encounters 11th Judicial Circuit Criminal Mental Health Project Habsi