9/7/20151 cit role play designed for safer resolutions and better police/consumer encounters 11th...
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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
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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!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.
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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
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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 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.
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WE FEED OFF OF EACH OTHER’S EMOTIONS
What is your state of mind?
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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 QUALITY38%
(rate, tone, volume, cadence, rhythm)
NON VERBAL55%
(body language)
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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 Miami-Dade County CIT Program
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.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
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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 effects that may require attention.
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VERBAL INTERVENTION
Gathering of Information
Loss of Rationality
Set limits, boundaries, structure
INTERVENTION
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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
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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.
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CONTACT INFORMATION
Habsi W. Kaba MS MFT Miami-Dade County CIT Program Coordinator
11th Judicial Circuit Criminal Mental Health Project
305.548.5639
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