Transcript cit role play designed for safer resolutions and better police

CIT Role Play Designed for Safer Resolutions
and Better Police/Consumer Encounters
11th Judicial Circuit Criminal Mental Health Project
Habsi W. Kaba MS MFT
Miami-Dade County CIT Coordinator/Liaison
4/13/2015
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The Hayes De-escalation
Teaching Model
ANXIETY
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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…
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PERSON IN CRISIS
STATE OF MIND:
THERE IS NO TIME LEFT
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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.
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PROCESS
THOUGHTS
become…
WORDS
become…
ACTION!
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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.
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THE ESSENCE OF
CRISIS INTERVENTION:
The Role of a CIT Officer:
WE HAVE ALL THE TIME WE NEED
The CALM in the center of a STORM
Help the person gain control
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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 learnMiami-Dade
similarly.
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De-escalation through
Demonstration
• Chronic mental illness, severe mood disorders,
behavioral disorders, dementia, organic brain
disorders, Schizophrenia, Schizoaffective Disorder, and
developmental disorders.
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WE FEED OFF OF EACH OTHER’S
EMOTIONS
What is your state of mind?
Crisis
Stress Level
Perception
Biases
Past
Experiences
Health
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Be Prepared
•Stress triggers Symptoms
•Cognitive vs. Emotional
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PARAVERBAL
COMMUNICATION
BE AWARE OF NOT ONLY WHAT
YOU SAY BUT HOW YOU SAY IT
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3 ELEMENTS OF COMMUNICATION
(Mehrabian’s Rule 7%-38%-55%)
VERBAL
7%
VOCAL QUALITY
38%
(rate, tone, volume,
cadence, rhythm)
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NON VERBAL
55%
(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.
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The Hayes Role Play
Teaching Model
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
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The Hayes Role Play
Teaching Model
• 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.
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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)
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• Meet their basic needs
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
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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
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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
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effects that may require attention.
VERBAL INTERVENTION
QUESTIONING
Gathering of Information
REFUSAL
Loss of Rationality
INTERVENTION
Set limits, boundaries, structure
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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
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Words to live by…
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.
The definitive interpretation of Sun Tzu’s classic book of strategy
Stephen R. Kaufman, Hanshi 10th Dan
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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
Miami-Dade County CIT Program