starting or improving your cit program · security others. be par t of the crisis int er v ention t...
TRANSCRIPT
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STARTING OR IMPROVING YOUR CIT PROGRAM
Using the Core Elements
Presented by: Major (ret.) Sam CochranMichele Saunders, LCSW
Don Kamin, Ph.D.Pat Strode
CIT International Annual ConferenceSeattle, Washington
August 25, 2019
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Agenda & Overview
• Community Engagement of the CIT Program: More than “Just” Training
• Introduce & Discuss CIT Core Elements
• Partnership Development & Steering Committees
• CIT Training & Implementation
• Sustainment & Growth
• Q & A
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• Ongoing Elements• Partnerships: Law Enforcement, Advocacy, Mental Health
• Community Ownership / Identity: Planning, Implementation & Networking
• Policies and Procedures
Operational Elements• CIT: Officer, Dispatcher, Coordinator
• Curriculum: CIT Training
• Mental Health Receiving Facility: Emergency Services
• Sustaining Elements• Evaluation and Research
• In-Service Training
• Recognition and Honors
• Outreach: Developing CIT in Other Communities
http://www.citinternational.org/resources/Documents/CoreElements.pdf
CIT Core ElementsPartnerships: Building Sustainability
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ONGOING ELEMENTSPartnerships and Committees
OPERATIONAL ELEMENTSTraining
Implementation
SUSTAINING ELEMENTSEvaluationIn-service
Recognition
Imp
rove Yo
ur C
IT Pro
gram
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ONGOING ELEMENTSPartnerships and Committees
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Questions & Discussions…
1) Who should be Considered “KEY” (necessary) Partners?
Answers: Law Enforcement (1st Responders)Mental Health (Community Services & Support)and Advocacy (NAMI / MHA / other…)
Answers: Probation, School Resource, 911 Telecommunications,Corrections, VA Police, University Police, State Police, Hospital Security, …… Other CIT Connections...
2) Who might be considered “additional” Partners ?
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• The When and Why and The Who – Also…
• The What … understanding “the agendas” within engagements
✓What’s in it for them?✓What motivates them?✓What do they have in common?✓What are their desired outcomes?
Understanding Engagements
of CIT
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• The most Important --• Examples: Successful engagements (Law Enforcement)➢Schedule Appointment with Chief / Sheriff➢Develop a “meeting plan” – (do your homework / research
about CIT)➢Know your community resources (strengths & weaknesses)➢Compliment your local law enforcement & Chief -- do
research -- know specifics ➢Promote to assemble a CIT Committee or Taskforce
(Partnerships)➢Introduce your Goals & Objectives & Share information about
other CIT programs
Understanding Engagements of CIT
How to Engage
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Examples: Successful engagements (Mental Health Providers and Advocates)
➢Develop list of public and private mental health providers (don’t forget school counselors)
➢Develop list of advocacy organizations, i.e., NAMI, BSA
➢Develop “talking points” of partnership and CIT benefits
➢Develop a “tentative training schedule” to give idea of CIT class topics
➢Identify CIT Committee or Taskforce members from MH/Advocate partners
➢Introduce Goals & Objectives & Share information about other CIT programs
Understanding Engagements of CIT
How to Engage
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https://nami.org/cit
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NEW RESOURCE: Available for Download or Purchase August 26, 2019
http://www.citinternational.org/bestpracticeguide
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A CIT Steering Committee…
L E
Building and Sustaining CIT as a Community Program
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CIT Steering Committee
What are some Steering Committee Roles?
✓Strategic Plan – develop short and long-term goals
✓Draft Time-Tables: What is a Time-Table
✓Fact Finding & Research about CIT – How• Read/Study: CIT CORE Elements
• Visit Existing CIT Program
• Familiarity with “state laws” – What role or influence does state law play within present systems / services
✓Keep Partnerships Active (Commitment) to CIT
✓Plan and commit for the Steering Committee to continue…
➢Adages help … “CIT is more than training”
✓Arrange “mental health system & crisis service mapping”
CIT is MORE…
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The Basis for Systems Mapping
Sequential Intercept Model
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Sequential Intercept
Model
“…a series of points of interception at which an intervention can be made to prevent individuals from entering or penetrating deeper into the criminal justice system.”
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I. Law Enforcement
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Crisis
Mobile Crisis Team
911 Police
Hospital
Jail
Crisis HotlineCrisis
Drop-off
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Crisis
Mobile Crisis Team
911 Police
Hospital
Jail
Crisis Hotline Crisis
Drop-off
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CIT Steering Committee
What does a “Troubled” Steering Committee look like?
1. Domineering Leader
2. Member(s) may drop-off from the committee
3. Leader may leave (not engaged)
4. Lack of clear, shared purpose or mission/goal understanding
5. Lack of focus to task or shared tasks
6. Personality issues
7. Time constraints (tasks and/or meetings)
8. Money issues (discouragement)
9. Discouragement from lack of (or no) crisis services
10. At least one “weak” partnership
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CIT Steering Committee – Overcoming Barriers
1. Plan to keep Committee & Community Leaders engaged and informed
2. Develop clear, shared purpose with goals
3. Have an agenda – make meetings meaningful
4. Assign purposeful tasks (committee / sub-committee work)
5. Give recognition and credits to committee members
6. Have rules to minimize personality conflicts
7. Be respectful of everyone’s time and commitment
8. Think smart – plan for “distractions” …… “just train everyone”
9. Continuously promote CIT as a Community Program / Not $$
10. Plan to nurture-develop-engage new “champions / partners”
Stay Focused
CIT
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OPERATIONAL ELEMENTS
TrainingImplementation After Training
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CIT Training
• Forty (40) Hour training
• Uses multiple trainers with subject matter expertise
• Recommend a co-trainer model
– Mental Health/Law Enforcement/Advocacy
• Selecting and Preparing trainers
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Selecting Trainers• Subject Matter Experts• Understand work and culture of LEO• Can relate to officer, not talk down or over• Training/Teaching experience• Good engagement with audience• Knows the community
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Preparing trainers• Review their role• Review their presentation/rehearse• Educate on philosophy of CIT
• Safety, resource connection, increase knowledge and skills
• For understanding – Ride-alongs• Ensure trainers feel connected to other
trainers (Team) and to each topic• Encourage use of varied activities for learning• Real life examples• Provide feedback to trainers
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Challenges with Trainers
Challenges• Not prepared• Not understanding the audience• Not reliable• Too academic• Not able to connect with audience• Good ones move on• Having a back up plan
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CIT Training
• CIT training must be relevant to the deputy/officer
• CIT training must emphasize Safety
• CIT training must show a relationship with the community crisis system
• Each part of the CIT training must build on each other
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Purpose?
Why are they important?
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Site Visits
Purpose
• To interact with consumers in recovery
• To engage in conversation for learning
• To educate consumers of your role
• To connect with community resources
Whey are they important
• Learn more about mental illness
• Allows for better understanding
• Builds relationships
• Builds trust
• Build empathy
• Reduces stigma
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OPERATIONAL ELEMENT:
DE-ESCALATION TRAINING
Yes, sometimes De-escalation is MORE Than Just Talking
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De-EscalationIt’s More Than Just Talking
• The two highest CIT Training Evaluation Ratings:
(1) Talking with people – “Face-to-face discussions” / Engaging (talking) officers & people living with Mental Illness (talking & sharing information)
(2) De-escalation Skills with Scenario Practicums
➢ Recommending minimum of 10-hours verbal de-escalation training
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Verbal De-escalation “Training”
CIT Verbal De-escalation –
✓ Teaching officers to think outside the “academic verbal de-escalation training box” (skills & scenarios)
✓ Officer safety training (performance and skills) must be protected & engaged throughout verbal de-escalation trainings.
More than “textbook skills”
CIT Verbal
De-escalation…
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Selecting Verbal De-Escalation Trainers
✓ Trainers:
❑ experience
❑ consider Train-The-Trainer
✓ Co-Trainer Model – teaching as a “team”
✓ Mixing didactical training with scenario practicums
(close to 50/50 training split -- didactic & scenario)
✓ Verbal De-escalation may be introduced within some of the many various training topics...
Skills, Guardrails, Strategies, Stages of Crisis, Advance or Complex Crisis Performances
Skills
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Verbal Communication Skills
2-hours
De-escalation Strategies: The Four Plays
2-hours
12 CIT Guardrails
2-hours
Verbal De-escalation in Action
4-hours
Verbal De-Escalation Learning by “Steps”
Learning Points are incorporated within each “Step”
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Training Others
Dispatch
Corrections
EMS
Hospital Security
Others
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Be part of the Crisis Intervention Team!
Participate in a 2-day training for dispatchers.
Advanced training is optional for those taking the 2-day course, and is
a refresher for those who have been through the training in the past.
Advanced Training will focus on:
PTSD, Active Shooter, and Practice Scenarios
Monday, September 21 &
Tuesday, September 22
Portage County Sheriff’s Office
Contact Laura at
330.673.1756 ext 201 or [email protected]
Learn about:
a Mental Health Conditions
a De-escalation Skills
a Active Listening Skills
a Pink Slip Procedures
a Trauma
a Suicidal Callers
a Practice Scenarios
Sponsored by
Portage County Crisis
Intervention Team
Portage County
Sheriff’s Offic
e
Wednesday, September 23
at the Portage County Sheriff Office
Registration:
Contact Laura 330.673.1756 ext 201
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What does a Dispatcher Need?
A roster showing current CIT Officers on duty
A laminated sheet showing medications for mental illness
Telephonic de-escalation skills training – cheat sheet
An understanding of what a CIT officer is capable of
What else?
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Considerations for Training Others
Relevancy to other professions -Purpose/Goal
Capacity/space
Is it best to have a mixed class or separate professions (i.e., corrections, probation)?
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OPERATIONAL ELEMENTSCIT IMPLEMENTATION
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The law enforcement Coordinator (Commanding Officer) is a police officer and is the liaison between law enforcement and all program partners.
CIT LAW ENFORCEMENT COORDINATOR
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The mental health coordinator is a leader / administrator in the mental health community and is the liaison with the advocacy and law enforcement communities.
CIT MENTAL HEALTH COORDINATOR
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The advocacy coordinator is the liaison between advocacy (advocates, family members, and individuals with mental illness) and all program partners.
CIT ADVOCACY COORDINATOR
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Albany, New York CIT Coordinators
Mental Health, Law Enforcement & Advocacy Coordinators
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Multi-agency CIT programs may have a need for a Program Coordinator who is largely responsible for the day to day logistics of inter-departmental communication, data collection and management, records keeping and scheduling training.
CIT PROGRAM COORDINATOR
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SUSTAINING ELEMENTSEvaluation In-service
Recognition
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Recognition
and
Honors
Data Collection
and
Evaluation
CIT
Advanced/Inservice,
Coordinator
Meetings
and
Newsletters
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Data Collection
and
Evaluation
What are some “DATA” of interest ?
What data and Where and How collected ?
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Positive CIT Outcomes1
• Increased officer knowledge & confidence
• Lower arrest rates
• Increased referrals for treatment
•Decreased use of force
1 Watson, A. C., Compton, M. T., & Draine, J. N. (2017).
The crisis intervention team (CIT) model: An evidence-based policing practice?
Behavioral Sciences & the Law. 1-11.
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Is Your Program Getting These
Same Outcomes?
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Examples of collectable information
• Pre & Post training measures of knowledge & attitudes• Ratings of each module (instructors)
• Law enforcement overall call volume➢#/% related to mental health crises➢#/% responded to by CIT officers
• Outcomes of ‘CIT calls’➢Diversion; resolved @ location, transported➢Force used (injuries)➢Arrest
• Jail census for individuals with mental illness
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https://store.samhsa.gov/product/Crisis-Intervention-Team-CIT-Methods-for-Using-Data-to-Inform-Practice-/sma18-5065
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Where do you discuss data / evaluation results?
Hint: It was mentioned about 40 slides ago
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What, Where, How…. ?
CIT
Advanced/Inservice,
Coordinator
Meetings
and
Newsletters
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Top 10 Advanced CIT Courses1
1. Communication / De-escalation2. Youth3. Community Resources4. Veterans5. Diagnoses6. Suicide7. Legal Issues8. Developmental Disabilities / Autism9. CIT Program-Related 10. Officer Wellness
1 Among those programs reporting in-service / advanced courses, from CIT International survey conducted in 2016.
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Top 10 Desired Advanced CIT Courses1
1. Communication / De-escalation2. Diagnoses3. Community Resources4. Officer Wellness5. Legal Issues6. Youth7. Trauma8. Developmental Disabilities / Autism9. Suicide10. Veterans
1 From CIT International survey conducted in 2016.
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FEEDING & NURTURING
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Everyone wants to know that they are valued and appreciated!
• Show them: • Annual Awards Banquet
• Civic Recognition (news articles, public acknowledgement)
• Plaques/certificates/a box of chocolates
• Donations (gas cards, movie tix)
Recognition and Honors
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CIT Law Enforcement, Mental Health Provider, Advocate of the Year Awards
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Course Graduation Pictures
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.
Recognizing CIT Partners
Got great ideas on awarding and recognizing CIT officers, your program, and your department?
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NEW RESOURCE: Available for Download or Purchase August 26, 2019
http://www.citinternational.org/bestpracticeguide
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• Sam Cochran
• Michele Saunders
• Don Kamin
• Pat Strode
OUR CONTACT INFORMATION