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</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</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</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</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</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</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</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</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</p> Signup and view all the answers

    Which situation qualifies for Emergency Protective Custody (EPC)?

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

    What does a CIT Officer specialize in?

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

    What does 'Medically Unstable' mean?

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

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

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

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

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

    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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