Topeka/Shawnee County CIT

CPT Bill Cochran Assistant Division Commander

Field Operations Division Topeka Police Department

Dwayne MooreTeam Leader

Crisis Diversion ServicesValeo 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

MONDAYMarch 12th

TUESDAYMarch 13th

WEDNESDAY March 14th

THURSDAYMarch 15th

FRIDAYMarch 16th

0800 0900

0800-0815 Welcomes – CPT Cochran

0815-0830 Department Heads0830-0900 Overview of CIT

The Depressed/Suicide Mind/Critical Incident

Stress/PTSDDr. Maureen Ruh

(confirmed)

Report to Class0800

Group A

Report to Class0800

Group B

Honorable Frank Yeoman (confirmed)

Excited DeliriumLT Haggard

0800-0930(confirmed)

0900 1000

Overview of Mental Illness & Personality Disorder

Dr. Ruh (confirmed)

Psychotropic Made SimpleDr. Karen Moeller-KU Med

(confirmed)KJCC

0830 1030(confirmed)

SNCO DOC0830 1030

(confirmed)

Substance Abuse, Dependence & Co-Occurring Disorders

Mr. Phil Walsmith (confirmed)

Suicide by PoliceDET Broxterman

0945-1045(confirmed)

1000 1100

FS&GC

1045 1200(confirmed)

KJCC1045 1200

(confirmed)

1100 1200

StigmaSGT Shane Lind

(confirmed)

ExerciseHearing Voices

(confirmed)

Crisis Negotiations DET. J. Falley

(confirmed)

1200 1300

LUNCH LUNCH LUNCH LUNCH LUNCHPROVIDED

13001400

Active Listening Crisis Negotiations

DET J. Falley (confirmed)

Autism/Developmental DisabilityMaster Deputy Alison Anderson

(confirmed)SNCODOC

1300 1445(confirmed)

FS&GC1300 1445 (confirmed)

ADA Darren Root (confirmed) DET J. Falley Cont

1400 1500

Reading Verbal & Nonverbal CommunicationsDET J. Falley

Assessment of Behavioral Disorder in Persons with Dementia

Master Deputy Alison Anderson

Kids with Severe Emotional Disorders

Jerry Smith LSCSW

SN DOC / Brian Cole(Confirmed)

1500 1530

Family Members

Marge & Ralph Eilert The Residence

1500 – 1630(confirmed)

Personality Disorders/Self Mutilation

Jerry Smith LSCSW (confirmed)

Presentation of Certificates&

Department HeadsCPT Cochran

1530 1700

PathwayPresentation(confirmed)

Case Studies

SGT Lind/SG Whisler(confirmed)

March 12th – March 16th, 2012

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 ReportWorking 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 CliniciansMobile Response to Law

Enforcement5:00pm-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 785-234-3300.

• 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 face-to-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 on-scene, 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 Follow-Up, 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

QUESTIONS

CIT: Doing the right thing for the right reasons