Mental / Behavioral Health Response - Adults
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Questions and Answers

What should officers attempt to use when stabilizing a situation involving a person in a Behavioral Health Crisis?

  • Forceful commands
  • Silence to avoid escalation
  • Physical restraints immediately
  • Non-confrontational verbal skills (correct)

Under what circumstance does the policy not apply when dealing with a mentally ill person?

  • When the person is under the influence of medication
  • When the person is cooperative
  • When the person is being verbally aggressive
  • When the person is exhibiting deadly force (correct)

What is the primary purpose of the Behavioral Health Incident Tracking Form?

  • To ensure officers follow a strict protocol
  • To report violent incidents to the authorities
  • To collect data for tracking and informing decisions on mental health interventions (correct)
  • To maintain records of arrests and citations

Who qualifies as an 'Adult' under this policy?

<p>Anyone eighteen years or older or emancipated by the courts (A)</p> Signup and view all the answers

What does Emergency Protective Custody (EPC) allow officers to do?

<p>Transport a person to a mental treatment facility instead of jail (A)</p> Signup and view all the answers

In which of the following cases would officers be justified in using physical restraints immediately?

<p>When a person is exhibiting deadly force (C)</p> Signup and view all the answers

What does Civil Protective Custody (CPC) aim to do?

<p>Preserve life or prevent injury to an intoxicated person or others (C)</p> Signup and view all the answers

What condition must be met for an officer to initiate Emergency Protective Custody?

<p>There must be probable cause to believe that the individual is Mentally Ill and Dangerous (C)</p> Signup and view all the answers

What is the primary purpose of the Columbia-Suicide Severity Rating Scale (C-SSRS)?

<p>To enhance officers’ ability to identify an individual’s risk for suicide (A)</p> Signup and view all the answers

Who are Co-Responders in relation to the OPD?

<p>Specially trained mental health therapists working with OPD (C)</p> Signup and view all the answers

What does being classified as 'Dangerous' imply in this context?

<p>The person poses a substantial risk of serious harm imminently (D)</p> Signup and view all the answers

What is the role of a Mental Health Coordinator within the OPD?

<p>To manage and supervise the Co-Responder Team and task forces (B)</p> Signup and view all the answers

Which situation qualifies for Emergency Protective Custody (EPC)?

<p>An individual deemed mentally ill and potentially dangerous (A)</p> Signup and view all the answers

What defines a Dangerous Sex Offender as per NRS §83-174.01?

<p>A person likely to commit sexual violence due to mental illness (D)</p> Signup and view all the answers

What does a CIT Officer specialize in?

<p>Crisis intervention training for individuals with mental health issues (A)</p> Signup and view all the answers

What action can a Mental Health Professional take regarding a person considered Dangerous?

<p>Take the individual into custody until law enforcement arrives (C)</p> Signup and view all the answers

What does 'Medically Stable' imply about an individual?

<p>There is no need for additional medical treatment at the time (B)</p> Signup and view all the answers

What is a key role of Co-Responders during a crisis?

<p>Assessing immediate needs and providing de-escalation support (B)</p> Signup and view all the answers

Who has the authority to initiate an Emergency Protective Custody?

<p>Mental Health Professionals and law enforcement officers (A)</p> Signup and view all the answers

What does 'Medically Unstable' mean?

<p>The person needs immediate medical intervention (D)</p> Signup and view all the answers

Which statement reflects the responsibilities of a Mental Health Professional?

<p>They are licensed to provide mental health treatment and assessments (B)</p> Signup and view all the answers

What signifies the successful completion of CIT training for officers?

<p>Receiving certification and wearing a CIT pin (A)</p> Signup and view all the answers

What defines a person as a Mentally Ill and Dangerous Person according to NRS §71-908?

<p>A person who is mentally ill or substance dependent and poses a substantial risk of serious harm. (D)</p> Signup and view all the answers

Which of the following is not a characteristic of a person at risk of serious harm to themselves?

<p>Consistently having employment. (A)</p> Signup and view all the answers

What is the purpose of the Mobile Crisis Response Team (MCRT)?

<p>To assess the immediate needs of individuals and assist in crisis stabilization. (C)</p> Signup and view all the answers

What does the 'voluntary admission' process involve?

<p>Individuals agreeing to seek treatment for mental health issues voluntarily. (C)</p> Signup and view all the answers

What principle of the OPD's procedures regarding mental illness emphasizes that mental illness is not a crime?

<p>People with mental illness should not be subjected to arrest by default. (D)</p> Signup and view all the answers

What is one mentioned way for officers to de-escalate a situation involving someone in a Behavioral Health Crisis?

<p>Engaging in non-confrontational verbal skills and empathy. (C)</p> Signup and view all the answers

What does OPD Form 78B document?

<p>Officer contacts with persons suffering from mental illness or a Behavioral Health Crisis. (C)</p> Signup and view all the answers

Which counties are included in the Region VI Behavioral Health Care?

<p>Sarpy, Washington, Dodge, Douglas, and Cass. (D)</p> Signup and view all the answers

What is the primary role of a Peer Support Specialist (PSS)?

<p>To engage with peers and provide support from personal experience. (D)</p> Signup and view all the answers

What is the time frame for MCRT to typically respond on scene?

<p>Within 20-30 minutes. (C)</p> Signup and view all the answers

Which of the following is an incorrect statement about officer conduct with mentally ill individuals?

<p>Officers are allowed to use force without attempting de-escalation. (A)</p> Signup and view all the answers

What does the annual mandatory review of the policy aim to achieve?

<p>To ensure all employees stay informed about mental health response guidelines. (C)</p> Signup and view all the answers

What is the criteria for proceeding with involuntary placement?

<p>There must be observable acts threatening safety to oneself or others. (C)</p> Signup and view all the answers

Under what condition may officers take a person into emergency protective custody?

<p>If the person is Mentally Ill and Dangerous or a Dangerous Sex Offender (D)</p> Signup and view all the answers

What must an officer do before taking a person into involuntary custody?

<p>Ask the person if they are willing to seek voluntary treatment (C)</p> Signup and view all the answers

Which behavior is NOT indicative of a person's inability to care for themselves?

<p>Having a stable job and housing but feeling unwell (D)</p> Signup and view all the answers

What should officers do if they determine a person is medically unstable?

<p>Request an Emergency Medical Service Rescue Squad (D)</p> Signup and view all the answers

Which resource is NOT mentioned as available to assist officers during the placement process?

<p>Mental Health Crisis Hotline (A)</p> Signup and view all the answers

Which of the following statements about voluntary treatment is accurate?

<p>Voluntary treatment must be offered before involuntary placement (C)</p> Signup and view all the answers

When is an individual NOT eligible for emergency protective custody?

<p>They can satisfactorily meet their basic needs (D)</p> Signup and view all the answers

What action should officers take if a person refuses voluntary treatment but needs immediate help?

<p>Pursue involuntary placement/custody (C)</p> Signup and view all the answers

What should officers remember regarding the Columbia-Suicide Severity Rating Scale (C-SSRS)?

<p>It aids in identifying risk levels and appropriate responses (A)</p> Signup and view all the answers

If police believe a person needs to be placed involuntarily, whose approval must they seek?

<p>Their field sergeant (D)</p> Signup and view all the answers

Which scenario would likely justify the need for involuntary mental health placement?

<p>The person is found wandering in dangerous areas without protection (D)</p> Signup and view all the answers

What is the first step officers should take if they suspect a person is in many behavioral crises?

<p>Assess the person's mental stability (B)</p> Signup and view all the answers

Which of the following is an acceptable reason for officers to transport an adult to jail instead of a mental health facility?

<p>The seriousness of the offense outweighs the mental health symptoms (D)</p> Signup and view all the answers

What should officers do if the person being transported is identified as a US military veteran?

<p>Inform them about eligibility for free emergency care at the VA Medical Center. (B)</p> Signup and view all the answers

Which of the following facilities is preferred for veterans in a mental health crisis?

<p>Omaha Veteran Affairs Medical Center. (D)</p> Signup and view all the answers

Under what circumstances can officers secure their firearms in a firearms locker at Douglas County Community Mental Health Center?

<p>Only if they are in the secure area of the facility. (C)</p> Signup and view all the answers

What role do the Mobile Crisis Response Team (MCRT) and the Co-Responders play in mental health calls?

<p>They provide immediate assistance in assessing 'at risk' individuals. (B)</p> Signup and view all the answers

When can officers refer individuals to the Peer Support Specialist (PSS)?

<p>When the individual is chronic but not in immediate crisis. (C)</p> Signup and view all the answers

What is the time frame for reporting an actual or imminent breach of personally identifiable information (PII)?

<p>No later than 24 hours after occurrence. (D)</p> Signup and view all the answers

What type of weapons are allowed into the secured area of Douglas County Community Mental Health Center?

<p>Less-lethal weapons. (C)</p> Signup and view all the answers

What should officers do after a MCRT therapist provides a recommendation for an individual?

<p>Consider the recommendation before determining EPC necessity. (B)</p> Signup and view all the answers

Who can request the presence of CIT officers at a mental health scene?

<p>Family members of the individual in crisis. (C)</p> Signup and view all the answers

What does PII stand for in the context of reporting breaches?

<p>Personally Identifiable Information. (A)</p> Signup and view all the answers

What should officers do if the wait time for triage is over 30 minutes?

<p>Ask for staff relief if reports are completed. (B)</p> Signup and view all the answers

What action must officers take if the subject is combative at a facility?

<p>Remain on scene until the triage process is complete. (C)</p> Signup and view all the answers

Which of the following is not part of the officer's responsibilities upon presenting a person for assessment?

<p>Email the incident report to the facility. (A)</p> Signup and view all the answers

What is required when transporting individuals who are being involuntarily placed?

<p>Notify the receiving facility before transporting. (C)</p> Signup and view all the answers

What should officers do if a person being transported is medically stable and requests to go to a specific facility?

<p>Accommodate the request if they are voluntarily admitted. (A)</p> Signup and view all the answers

What should officers do to ensure communication during transport regarding a combative subject?

<p>Notify 911 Dispatch while en route. (D)</p> Signup and view all the answers

Which statement correctly describes the use of handcuffs during transport?

<p>The decision to use handcuffs is based on known and presenting circumstances. (C)</p> Signup and view all the answers

What does the term 'EPC' stand for in the context of the officer's responsibilities?

<p>Emergency Protective Custody (B)</p> Signup and view all the answers

What should the top/white copy of the EPC paperwork be left with?

<p>The intake staff at the hospital. (D)</p> Signup and view all the answers

When should officers contact their sergeant during the process?

<p>When they disagree with a facility about returning to service. (B)</p> Signup and view all the answers

What must officers ensure regarding the subject being presented for mental health assessment?

<p>The subject is not actively combative and secured. (A)</p> Signup and view all the answers

What is required of officers when leaving the facility after presenting an individual?

<p>They must ensure that staff are overseeing the subject. (B)</p> Signup and view all the answers

What guidelines must officers follow regarding body-worn cameras during transport?

<p>Turn them on during transport to and from facilities. (D)</p> Signup and view all the answers

When can officers transport a person to a facility without police assistance?

<p>When the individual meets EPC criteria for involuntary placement. (B)</p> Signup and view all the answers

Flashcards

Behavioral Health Crisis

A situation where a person is experiencing mental and/or emotional distress, causing significant disturbances for themselves, others, or the public.

Behavioral Health Incident Tracking Form (OPD Form 78B)

A form used by Omaha Police Department officers to track contacts with individuals who appear to be experiencing mental health issues.

Emergency Protective Custody (EPC)

A legal option for officers to take an adult individual experiencing a mental health crisis to a medical treatment facility instead of jail, under certain conditions.

Civil Protective Custody (CPC)

An involuntary detention used to protect a person from harm if they are under the influence of alcohol or drugs.

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Adult

Any person 18 years of age or older, including those living independently.

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OPD Mental Health Response Policy

Omaha Police Department policy outlines procedures for officers when encountering individuals who appear to be experiencing a Behavioral Health Crisis and require mental health evaluation.

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OPD Mental Health Response Policy - Deadly Force Exclusion

This policy applies to situations where control of a person is needed for arrest or safety, but not when someone is exhibiting deadly force.

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OPD Mental Health Response Policy - Non-confrontational Approach

Officers should prioritize verbal skills, empathy, and active listening to stabilize the situation before resorting to other measures.

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Mentally Ill and Dangerous

A person who is at risk of harming themselves or others and needs immediate mental health assessment and potentially hospitalization.

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CIT Officer

An officer trained to handle individuals experiencing a mental health crisis in a safe and effective way.

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Columbia-Suicide Severity Rating Scale (C-SSRS)

A tool used by officers to assess an individual's suicide risk.

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Co-Responder

A mental health professional who works alongside officers to assist individuals in crisis.

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Emergency Admittance Pursuant to Certificate of Peace Officer Form

Form used to document an officer's belief that a person needs mental health assessment, treatment, and/or hospitalization.

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Mental Health Facility

A facility licensed to treat mental illness and/or substance dependency.

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Custody

The condition of being detained or held under guard. Can be used to prevent harm to the individual or others.

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Medically Unstable

A person who requires immediate medical attention.

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Medically Stable

A person who doesn't require immediate medical treatment.

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Dangerous Sex Offender

A person who has been convicted of two or more sex offenses and is deemed likely to engage in repeat acts of sexual violence.

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Involuntary Mental Health Placement

Involuntary placement in a mental health facility for treatment due to risk of harm to self or others.

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Mental Health Coordinator

OPD employee who oversees the Behavioral Health and Wellness Unit, and manages the Co-Responder Team and Peer Support Specialists.

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Mental Health Professional

A person licensed to practice medicine, psychology, or advanced practice nursing with a psychiatric or mental health specialization.

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Dangerous

Substantial risk of serious harm to oneself or another in the near future, or the inability to care for oneself.

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Mental Illness Leading to Repeat Acts of Sexual Violence

Refers to a mental illness that makes someone likely to engage in repeat acts of sexual violence.

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Mentally Ill and Dangerous Person

A person who is mentally ill or substance dependent and presents a substantial risk of harm to themselves or others, typically judged based on recent violent actions, threats, or inability to care for basic needs.

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Mobile Crisis Response Team (MCRT)

A 24/7 team of licensed mental health therapists who assist officers with individuals experiencing a behavioral health crisis, providing de-escalation, stabilization, and linking to healthcare providers.

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Peer Support Specialist (PSS)

An individual who self-identifies as having a mental illness and is trained to support others in mental health crisis, providing emotional support and connecting them to services.

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Region VI Behavioral Health Care

A region encompassing five counties in Nebraska, responsible for organizing and funding mental health and substance abuse services for residents.

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Voluntary Admission

When a person voluntarily agrees to seek treatment for mental health issues or a behavioral health crisis.

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Deadly Force Exclusion for Mental Health Response Policy

A situation where an officer needs to control someone for their safety or arrest but the person is not posing a threat of immediate serious harm or deadly force.

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Non-confrontational Approach for Mental Health Response Policy

The OPD policy promoting a non-confrontational approach using verbal skills, empathy, and active listening to stabilize crisis situations before resorting to other measures.

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Mandatory Review/Training for OPD Mental Health Response Policy

A mandatory review and training requirement on the

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Veterans' Mental Health Care in Omaha

Officers should ask if a person in a mental health crisis is a US military veteran and inform them of free emergency care available at the VA Medical Center or any private facility within Omaha.

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Firearm Safety at Mental Health Facilities

When feasible, officers should secure their firearms in a locker before entering the secured section of the Douglas County Community Mental Health Center.

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CIT Officer Role

The Crisis Intervention Team (CIT) officers are a resource for mental health calls.

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MCRT and Co-Responders

The Mobile Crisis Response Team (MCRT) and Co-Responders assist officers in assessing individuals who do not clearly meet Emergency Protective Custody (EPC) criteria.

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Peer Support Specialist Role

Officers can refer individuals to a Peer Support Specialist (PSS) for low-level crises, offering support and service access.

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When to Use a Peer Support Specialist

The PSS will not be used for immediate Behavioral Health Crisis needs that require a higher level of care.

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Reporting PII Breaches

Any actual or imminent breach of personally identifiable information (PII) needs to be reported to an OJP Program Manager within 24 hours.

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Personally Identifiable Information (PII)

PII is information that can be used, alone or combined with other information, to identify a specific individual.

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OPD PII Breach Notification

OPD employees must notify the City of Omaha Mayor’s Office about any actual or imminent breach of PII.

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Criteria for EPC

To initiate EPC, officers must have probable cause to believe the person is Mentally Ill and Dangerous, or a Dangerous Sex Offender, and poses a significant risk of harm to themselves or others.

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Mental Health Professional Intervention

If a Mental Health Professional believes someone is Mentally Ill and Dangerous, they can take the individual into custody and hold them until law enforcement arrives. This is another way to initiate EPC.

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Voluntary Treatment First

Officers are obligated to attempt voluntary treatment first, before pursuing involuntary placement. They must ask the person if they're willing to seek help and assist them if necessary.

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Incompetence to Self-Care

Examples of behaviors that could indicate a person's inability to care for themselves, including inappropriate clothing, malnourishment, and lack of shelter, could necessitate EPC.

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Inability to Care for Oneself

The inability to care for oneself due to mental health issues is crucial in determining if EPC is necessary.

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Mental Health Response Resources

OPD officers can utilize various resources like the Mobile Crisis Response Team, Behavioral Health and Wellness Unit, and Peer Support Specialists to assist in a mental health crisis.

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Voluntary Treatment Inquiry

Officers can ask the person if they are willing to voluntarily seek treatment.

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Voluntary Treatment Assistance

If the person is capable of voluntary treatment, officers will provide the necessary support.

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Involuntary Placement

If the person refuses to seek voluntary treatment and officers believe immediate intervention is necessary, they can initiate EPC.

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Medical Stability Assessment

Officers should assess the person's medical stability before an EPC placement. If medically unstable, they should be transported to the nearest hospital.

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Sergeant's Involvement

When a person is placed in EPC for involuntary mental health treatment, officers must contact their field sergeant.

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Lasting Hope Recovery Center

If the person is deemed Medically Stable, Lasting Hope Recovery Center should be consulted for further guidance and directions on placement.

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Placement Decision

Officers may weigh the gravity of the offense against the severity of mental health symptoms before deciding on jail or mental health facility placement.

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Safety and Protection

In all situations involving mental health issues, officers must protect everyone's safety and make sure the person, officers, and the public are safe.

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Secure Subject

Officers must ensure the person being brought for assessment is safe and not actively resisting.

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Two Officer Transport

Two officers are required to transport individuals for voluntary or involuntary mental health placement.

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Excessive Triage Wait

When a wait for triage exceeds 30 minutes, officers should request facility staff to relieve them, ensuring reports are completed.

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Security Staff Notification

Officers should inform the facility's security staff before leaving after delivering an individual for mental health assessment.

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Radio Code for Mental Health

Officers should use the appropriate radio code for mental health patients, not the facility's name, to minimize alarm.

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Custodial Search for EPC/CPC

Officers must conduct a search of all individuals transported in a police vehicle for Emergency Protective Custody (EPC) or Civil Protective Custody (CPC) purposes.

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Secure the Subject

Officers must ensure the person who is being presented for assessment/admittance is secured and is not actively combative.

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Handcuff Discretion

Officers should utilize their discretion when determining whether or not to place an individual in handcuffs while transporting them for mental health placement.

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Body Worn Camera Use

Officers should turn on their Body Worn Cameras when transporting adults both to and from mental health facilities.

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Facility Contact Before Transport

Officers should attempt to contact the receiving mental health facility prior to transporting an individual for placement, ensuring they are able to accept the individual.

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Call Out of Hearing Range

In cases of involuntary placement, officers should attempt to make the call to the receiving facility out of hearing range of the individual, when feasible.

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Voluntary Admittance Facility Selection

Officers should use their discretion when determining whether to take a voluntarily admitted person to their requested facility or the nearest one in the catchment area.

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Involuntary Placement Facility Selection

Officers should contact Lasting Hope Recovery Center for direction or take individuals for involuntary placement to the nearest hospital in the catchment area.

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Officer Transport for Mentally Ill Individual

If there are no other reasonable and available means of transportation, officers may transport a mentally ill individual to a mental health facility if they meet EPC criteria and consent.

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Officer Relief During Triage

If the wait time for facility/hospital triage will be excessive, officers should ask for staff to relieve them, as long as required reports are completed.

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Study Notes

Omaha Police Department (OPD) Policy on Mental Health Response

  • OPD officers follow specific procedures for responding to and handling mentally ill and dangerous individuals, or dangerous sex offenders.
  • Non-confrontational communication, empathy, and active listening are prioritized when feasible, to de-escalate situations involving behavioral health crises.
  • Deadly force situations are excluded from this policy, and standard use-of-force procedures apply.
  • Officers can place individuals deemed "Mentally Ill and Dangerous" or "Dangerous Sex Offenders" in medical facilities ("Emergency Protective Custody"), instead of jail, if probable cause exists.

Definitions

  • Adult: Individuals 18 years or older, or emancipated by courts.
  • Behavioral Health Crisis: Episodes of significant mental/emotional distress causing disruption.
  • Dangerous: Substantial risk of harm to self or others in the near future, or inability to self-care.
  • Dangerous Sex Offender: Defined by Nebraska Revised Statutes, it involves a specific set of criteria related to mental illness or personality disorder and past sex offenses.
  • Emergency Protective Custody (EPC): Involuntary detention to prevent self-harm or harm to others.
  • Mental Health Facility: Licensed facilities for mental health treatment.
  • Mentally Ill and Dangerous Person: Defined by Nebraska Revised Statutes, a person with a mental illness posing a significant risk of harm to self or others.

Forms and Tools

  • Behavioral Health Incident Tracking Form (OPD Form 78B): Records officer interactions with individuals experiencing behavioral health issues.
  • Civil Protective Custody (CPC): Used for involuntary detainment to protect others from an intoxicated person or themselves.
  • Columbia-Suicide Severity Rating Scale (C-SSRS): Screening tool used to assess suicide risk during EPC considerations.
  • Co-Responder: Specially trained mental health therapists aiding officers.
  • Crisis Intervention Team (CIT) Officers: Trained and certified for crisis intervention.
  • Mobile Crisis Response Team (MCRT): Mental health therapists available 24/7 for behavioral health calls.
  • Peer Support Specialist (PSS): Trained individuals who are in recovery from mental illness themselves, offering peer support to others.

Procedures

  • General Principles: Mental illness is not a crime; custody is only for criminal actions, danger to self or others, or inability to care for basic needs.
  • Voluntary vs. Involuntary: Individuals are first asked for voluntary treatment. If refused and deemed needing immediate treatment, involuntary placement is pursued.
  • EPC Criteria: Probable cause for a mental illness and danger to self or others, needs to be determined, including indicators of inability to care for basic needs (food, shelter, etc.).
  • Placement Procedures: Officers determine medical stability, and in the event of a medical instability, request EMS. A sergeant is involved in final placement decisions.
  • Transportation: Two officers are usually required for transport, and appropriate radio codes and procedures must be followed. Officers are encouraged to ask about veteran status for care guidance.
  • Alternative Resources: CIT officers, MCRT, or Co-Responders can assist in cases that do not require EPC.

Additional Considerations

  • Training: Mandatory training for all personnel, with ongoing policy revisions and reviews.
  • Warrants: Procedures related to mental health warrants are mentioned.
  • Documentation: Complete appropriate forms (OPD Form 78B, EPC paperwork) for all interactions and placements.
  • Confidentiality: Data is stored with subject anonymity in compliance with OPD policies.
  • Hospital Procedures: Liaison procedures with receiving mental health facilities are clearly defined, ensuring the person’s transfer is handled professionally.
  • Firearm Policy: When in secured mental health facilities, appropriate firearm procedures must be followed.

Appendix A

  • Reference for contact information related to services.

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