Transcript 4. Intermediate CIT - TCOLE Course #3841

Intermediate CIT
Course TCOLE
Course # 3841
Texas Commission On Law Enforcement
AND
BCCO PCT #4 PowerPoint
UNIT FOUR
4.0
Psychopharmacology
& Side Effects in
Persons with Mental
Illness
4.0 Psychopharmacology &
Side Effects in Persons with
Mental Illness
Medications can be an effective
treatment for mental illness.
While it is not a cure, they are used
to control symptoms and improve
coping skills, which can then help
reduce the severity of the mental
illness.
4.0 Psychopharmacology &
Side Effects in Persons with
Mental Illness – Cont’d
Most individuals who are on
psychiatric medications for
mental illness will continue taking
them for the rest of their lives.
4.1 Four Categories of
Medications used to control
Mental Illness
1. Anti-psychotic (Thorazine,
Mellaril, Haldol) controls
hallucinations (e.g., schizophrenia)
4.1 Four Categories of Medications
used to control Mental Illness
2. Antidepressants (Elavil, Prozac,
Zoloft) control feelings of sadness,
feelings of hopelessness, and
suicidal thoughts (e.g., depression)
4.1 Four Categories of Medications
used to control Mental Illness
3. Mood stabilizers (Tegratol,
Lithium, Depakote) control mood
swings (e.g., bipolar disorder)
4.1 Four Categories of Medications
used to control Mental Illness
4. Anti-anxiety drugs (Xanax,
Valium, Buspar)
Old vs. new drugs - new drugs
have significantly fewer side
effects, but old drugs are still used
today, especially with the indigent
(due to lower costs)
PURE BS
4.2 Side Effects from
Psychotropic Medications
Can be uncomfortable
Can be dehumanizing
Are often irreversible, which may
cause person to refuse to take them
as directed
4.2 Side Effects from
Psychotropic Medications
EXAMPLES
muscle spasms,
protruding tongue,
eyes rolled back,
constant leg movement,
tremors,
4.2 Side Effects from
Psychotropic Medications
EXAMPLES….Cont’d
uncoordinated movements,
impotence,
nausea,
headache,
4.2 Side Effects from
Psychotropic Medications
EXAMPLES….Cont’d
blurred vision
weight gain,
fatigue,
liver toxicity
4.2 Side Effects from
Psychotropic Medications
SIDE EFFECTS
As noted, some of these side effects
are permanent,
even after the medications have
been stopped,
due to the medications tendency to
effect neurological damage
4.2 Side Effects from
Psychotropic Medications
SIDE EFFECTS….Cont’d
Many of these medications are also
lethal when taken in excess.
Careful monitoring is necessary due
to many mentally ill consumer
symptoms include disorganization and
difficulty remembering.
4.3 OLD vs. NEW
Medications
There is an “old” class of drugs, such
as Haldol, that have some very
negative side effects, such as
severe sedation,
possible
impotence,
etc.
4.3 OLD vs. NEW
Medications…Cont’d
There is also a “new” class of drugs
that treat the disease much better
and have fewer side effects.
The “older” drugs are still in use
today
4.3 OLD vs. NEW
Medications…Cont’d
It is important to be familiar with the
older medications, due to their
more prevalent usage with the
indigent and jail populations.
The newer antipsychotic
medications are more costly.
4.4 Three Primary Reasons
why Mental Persons do not
take prescribed medications
A continuous problem for law
enforcement is mental health
consumers not adhering to their
medication regimen.
This deviation is the primary cause
of crisis concerns.
FOOD for THOUGHT
How many of you have been
prescribed medications by a
doctor and did not take
them for whatever reason?
What was the effect of not
taking them?
4.3 OLD vs. NEW
Medications…Cont’d
Common reasons for deviating
from a drug schedule:
Nasty side effects
The stigma associated with being
mentally ill, i.e., they don’t want
people to know they have a
mental illness
4.3 OLD vs. NEW
Medications…Cont’d
Common reasons for deviating
from a drug schedule:
They start feeling better and
think they no longer need the
medications
RIGHT TO REFUSE
A person may not administer a
psychoactive medication to a
patient who refuses to take the
medication voluntarily
RIGHT TO REFUSE - Cont’d
Unless the patient is in need of
a medication related to an
emergency, or the patient is
under an order authorizing the
administration of the
medication regardless of the
patient’s refusal.
QUESTIONS FOR
PARTICIPANTS
Would you want to take these
medications?
Is the treatment worse than the
illness?
4.3.
Discuss “old” vs. “new”
medications.
27
RHETORICAL QUESTIONS
Is this guy on the lawn mower
playing with a full deck?
Based on your observations do you
think he is suffering from a mental
illness?
Back up may have kept this from
escalating!
Questions?
DEFINE & PROCESS
Define 7.0: Explain the key points – elements
for Human Trafficking Investigation
Process:
31
SOURCES
All Course
Sources
and/or
Resources
are listed
in your
Participant
Handout
Crisis Intervention
TRAINING (CIT)
Course # 3841
Bexar County Constable Office PCT#4
“Knowledge is
“POWER” Stay
informed, stay
SAFE, stay
Vigilant & stay
Alive”
TAKE A 10-MINUTE BREAK