Mental / Behavioral Health Response - Juveniles

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Questions and Answers

What is the primary focus of the Omaha Police Department's policy regarding Mentally Ill and Dangerous juveniles?

  • To conduct thorough background checks
  • To assess their criminal history
  • To place them in mental health facilities (correct)
  • To prioritize jail time for such juveniles

When officers encounter a juvenile in a Behavioral Health Crisis, what should be their initial approach?

  • Use non-verbal communication techniques
  • Implement physical restraint immediately
  • Utilize non-confrontational verbal skills (correct)
  • Call for backup and wait

Under which circumstance is the policy of responding to Mentally Ill and Dangerous juveniles not applicable?

  • If the juvenile is under 18 years old
  • When the juvenile is cooperative
  • During family interventions
  • When exhibiting deadly force (correct)

What is defined as a Behavioral Health Crisis in the context of this policy?

<p>An episode of significant mental distress (B)</p> Signup and view all the answers

What is the purpose of the Behavioral Health Incident Tracking Form (OPD Form 78B)?

<p>To aid in tracking behavioral health contacts (A)</p> Signup and view all the answers

What does the Columbia-Suicide Severity Rating Scale (C-SSRS) help determine?

<p>An individual's risk for suicide (C)</p> Signup and view all the answers

Who is classified as an Adult under the Omaha Police Department's policy?

<p>Any person 18 years or older (A)</p> Signup and view all the answers

What strategy is recommended for stabilizing a situation involving a juvenile in crisis?

<p>Empathy and active listening (C)</p> Signup and view all the answers

What is the primary principle regarding taking juveniles into police custody?

<p>No juvenile should be taken into custody unless they have committed an arrestable offense. (B)</p> Signup and view all the answers

When encountering a juvenile in a Behavioral Health Crisis, officers are advised to prioritize which of the following?

<p>Non-confrontational verbal skills and empathy. (B)</p> Signup and view all the answers

What should officers document when they encounter individuals suspected of having a mental illness?

<p>The Behavioral Health Incident Tracking Form (OPD Form 78B). (D)</p> Signup and view all the answers

What is necessary before moving forward with an involuntary placement of a juvenile?

<p>The juvenile's parent(s)/guardian(s) must be consulted. (C)</p> Signup and view all the answers

What does the abbreviation 'MH' signify when used by officers?

<p>Mental Health related incident. (B)</p> Signup and view all the answers

In which circumstance may officers proceed with involuntary placement of a juvenile?

<p>If the juvenile is deemed Mentally Ill and Dangerous. (D)</p> Signup and view all the answers

What is the goal of the mandatory training for OPD employees regarding mental illness?

<p>To guide employees in dealing with mentally ill individuals effectively. (B)</p> Signup and view all the answers

What should happen if a juvenile's parent(s)/guardian(s) do not agree to voluntary placement?

<p>Officers may consider involuntary custody based on probable cause. (A)</p> Signup and view all the answers

What is the importance of the third principle regarding mental illness in the OPD procedures?

<p>It emphasizes the need for a compelling necessity before labeling someone as mentally ill. (A)</p> Signup and view all the answers

Which of the following statements best describes voluntary admission for juveniles?

<p>It occurs with parental or guardian consent. (A)</p> Signup and view all the answers

Why is training for officers in handling mental health situations considered mandatory?

<p>To ensure informed decision-making in critical situations. (A)</p> Signup and view all the answers

What should officers do if probable cause for involuntary placement does not exist?

<p>Leave the juvenile in the care of their parents/guardians. (B)</p> Signup and view all the answers

How should the OPD address an incident of a juvenile that demonstrates severe emotional distress?

<p>By using verbal engagement techniques wherever possible. (D)</p> Signup and view all the answers

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

<p>To document interactions with individuals suspected of mental illness. (B)</p> Signup and view all the answers

What factors must officers consider before proceeding with involuntary placement?

<p>The seriousness of the offense versus behavioral health symptoms. (D)</p> Signup and view all the answers

What is required before officers return to service after transporting juveniles?

<p>Notify hospital security of their departure (A)</p> Signup and view all the answers

How many officers are required to transport juveniles for mental health placements?

<p>Two officers must be present (D)</p> Signup and view all the answers

What should officers avoid using when referring to a juvenile being transported?

<p>The name of the medical facility (C)</p> Signup and view all the answers

What action should officers take before transporting a juvenile for placement?

<p>Call the receiving facility (C)</p> Signup and view all the answers

What should officers do if they are transporting a combative juvenile?

<p>Request 911 Dispatch to alert the facility (B)</p> Signup and view all the answers

Which statement about Mental Health Crisis Intervention Teams (CIT) is correct?

<p>CIT officers may be requested by family or other officers (D)</p> Signup and view all the answers

What do officers need to do with any paperwork forwarded from MCRT or Co-Responders during involuntary placements?

<p>Provide it to the hospital/mental health facility staff (B)</p> Signup and view all the answers

Which letters should officers use after the call disposition code for mental health-related incidents?

<p>MH (D)</p> Signup and view all the answers

What is the responsibility of officers during a Custodial Search when transporting juveniles?

<p>To check for weapons and contraband (A)</p> Signup and view all the answers

What must officers ensure before leaving with a mental health patient?

<p>That the scene is secure and the juvenile is not combative (D)</p> Signup and view all the answers

What does PII stand for in the context of personal information breaches?

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

What should an officer do if they detect an imminent breach of PII?

<p>Report to the OJP Program Manager within 24 hours (B)</p> Signup and view all the answers

What role do Co-Responders serve in mental health crisis situations?

<p>They assist in assessing immediate needs of individuals (A)</p> Signup and view all the answers

What should officers do first in any incident regarding a juvenile placement?

<p>Take steps to ensure the safety of all parties involved. (C)</p> Signup and view all the answers

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

<p>To identify the risk level and necessary response. (A)</p> Signup and view all the answers

What should an officer do if a juvenile is Medically Unstable?

<p>Request a Rescue Squad to transport the juvenile to the hospital. (A)</p> Signup and view all the answers

What is required from the parent or guardian for voluntary admission of a juvenile?

<p>A willingness to sign the juvenile in for treatment. (C)</p> Signup and view all the answers

If a parent or guardian is not willing to sign the juvenile for voluntary treatment, what action should be taken?

<p>Proceed with an involuntary placement if grounds exist. (C)</p> Signup and view all the answers

What is the role of the field sergeant in the placement procedure?

<p>To finalize the decision on mental health placement. (B)</p> Signup and view all the answers

Which step should officers take if the wait time for hospital triage is excessive?

<p>Request hospital staff to relieve them. (B)</p> Signup and view all the answers

What type of report must officers submit if a juvenile is involuntarily placed?

<p>Incident Report through PortalONE. (C)</p> Signup and view all the answers

What documentation must be forwarded to the Douglas County Juvenile Attorney?

<p>Copies of OPD Form 78 and OPD Form 96. (B)</p> Signup and view all the answers

When should officers remain on the scene with a juvenile?

<p>When the juvenile is combative or threatening harm. (B)</p> Signup and view all the answers

What action should officers take immediately upon arrival at a facility with a juvenile?

<p>Check in with intake/registration staff. (D)</p> Signup and view all the answers

What should officers do after transferring custody of a juvenile to the facility staff?

<p>Complete all required paperwork. (B)</p> Signup and view all the answers

What determines the necessity for a juvenile to be transported by a Rescue Squad?

<p>If the juvenile is Medically Stable or Unstable. (A)</p> Signup and view all the answers

What kind of behavioral summary is required when handling a juvenile?

<p>A detailed summary of the juvenile’s behavior and risk factors. (C)</p> Signup and view all the answers

What is the primary goal of Co-Responders in an OPD facility?

<p>To aid in crisis stabilization and hospital/jail diversion (D)</p> Signup and view all the answers

Which of the following best describes the role of Crisis Intervention Team (CIT) Officers?

<p>They receive specialized training to assist individuals with mental health issues. (C)</p> Signup and view all the answers

What does the Emergency Admittance Pursuant to Certificate of Peace Officer Form (OPD Form 78) certify?

<p>That a person is mentally ill and dangerous and requires further assessment (B)</p> Signup and view all the answers

What action can lead to an involuntary mental health placement for a juvenile?

<p>Being deemed mentally ill and dangerous by an officer (C)</p> Signup and view all the answers

How does a Mental Health Coordinator contribute to OPD’s response to mental health needs?

<p>They coordinate training and manage the Co-Responder Team. (D)</p> Signup and view all the answers

Which of the following describes a 'Mentally Ill and Dangerous Person'?

<p>A person who poses a substantial risk of serious harm to themselves or others. (B)</p> Signup and view all the answers

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

<p>They assist OPD officers on calls for service related to behavioral health crises. (B)</p> Signup and view all the answers

What distinguishes a medically stable individual from a medically unstable individual?

<p>Medically stable individuals need no medical treatment at the time. (A)</p> Signup and view all the answers

What role do Co-Responders have during a crisis response?

<p>To assist in the assessment of immediate needs and de-escalation. (C)</p> Signup and view all the answers

What is the definition of a juvenile according to the provided policy?

<p>Any person under the age of eighteen who has not been emancipated. (C)</p> Signup and view all the answers

Which term is used to describe the state of being detained under guard?

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

What type of professionals does the term 'Mental Health Professional' encompass according to the policy?

<p>Licensed individuals in medicine, psychology, or advanced practice nursing. (B)</p> Signup and view all the answers

Which statement is true regarding Crisis Intervention Team (CIT) training?

<p>It enhances officer safety and improves community relations. (A)</p> Signup and view all the answers

What is a key feature of how the MCRT operates during a crisis?

<p>They typically respond on-scene within 20-30 minutes. (B)</p> Signup and view all the answers

Flashcards

Behavioral Health Crisis

A situation where a person experiences significant mental or emotional distress, causing disruptions for themselves, their loved ones, or the community.

Adult

Any person who is 18 years old or older, or legally emancipated by the courts.

Behavioral Health Incident Tracking Form (OPD Form 78B)

A form used by Omaha Police officers to document interactions with individuals who appear to be experiencing behavioral health issues. This form helps track data and inform decisions about mental health interventions, training needs, and procedures.

Columbia-Suicide Severity Rating Scale (C-SSRS)

A tool used by officers to assess a person's risk of suicide. It helps identify the level of risk, the severity and urgency of the situation, and the required level of support.

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OPD Policy on Mentally Ill and Dangerous Juveniles

The Omaha Police Department's policy to place mentally ill and dangerous juveniles in mental health facilities instead of jail.

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OPD Response to a Mentally Ill and Dangerous Juvenile

Procedures officers follow when responding to a juvenile experiencing a Behavioral Health Crisis, aiming to stabilize the situation using non-confrontational communication and de-escalation techniques.

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OPD 'Response to Resistance- Use of Force' Policy

A set of guidelines for using force during an arrest or in situations where a person is resisting.

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OPD 'Mental/Behavioral Health Response - Adults' Policy

A policy focusing on procedures for responding to and managing adults experiencing mental or behavioral health crises.

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Co-Responder

A specially trained mental health professional who responds to 911 calls alongside police officers.

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CIT Officer

Police officers trained to handle individuals experiencing mental illness or behavioral health crises.

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Custody

The state of being held under guard and supervision.

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Dangerous

A person who poses a significant risk of harming themselves or others.

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OPD Form 78 (Emergency Admittance)

A document completed to justify the need for immediate mental health assessment, treatment, or hospitalization.

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Involuntary Mental Health Placement (Juvenile)

Involuntary placement of a juvenile into a mental health facility.

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Juvenile

A person under 18 years old who may be placed in a mental health facility.

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Medically Stable

A person who doesn't require immediate medical attention.

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Medically Unstable

A person requiring immediate medical treatment.

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Mental Health Coordinator

OPD employee who oversees the Behavioral Health and Wellness Unit.

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Mental Health Facility

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

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Mental Health Professional

A licensed professional who can provide mental health services.

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Mentally Ill and Dangerous Person

A person with a mental illness or addiction who poses a risk to themselves or others.

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Mobile Crisis Response Team (MCRT)

A team of licensed mental health therapists available 24/7 to assist police officers.

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Mental Health Crisis

A person who is medically stable but needs mental health care.

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No one should be treated as being mentally ill unless a compelling necessity exists.

The principle that a person should not be labeled as 'mentally ill' unless there is a compelling reason to do so, as the label can carry stigma.

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Voluntary Admission

The act of a parent/guardian voluntarily signing a juvenile into a mental health facility for treatment when they are experiencing a behavioral health crisis.

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Non-confrontational verbal skills, empathy, and/or active listening

An officer's use of non-confrontational communication, empathy, and active listening to stabilize a situation involving a juvenile experiencing a Behavioral Health Crisis.

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OPD procedures addressing mental illness

The Omaha Police Department's policy addressing mental illness, emphasizing that it is not a crime and that involuntary custody should only be used when a juvenile presents a serious threat to themselves or others.

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Officers shall assist as needed and will ensure the process is completed.

An officer's role in assisting with a voluntary admission - either transporting the juvenile to the facility or following the parent(s)/guardian(s) to the facility.

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Involuntary Placement

The process of taking a juvenile into custody for involuntary placement at a mental health facility when probable cause exists that they are Mentally Ill and Dangerous.

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Probable Cause

The legal standard requiring an officer to have reasonable grounds to believe that a juvenile is Mentally Ill and poses a serious risk of harm to themselves or others, allowing for involuntary placement.

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Weighing the seriousness of the offense versus the seriousness of the behavioral health/mental illness symptoms

The situation where officers must prioritize the seriousness of the offense committed by a juvenile against the seriousness of their mental health symptoms when deciding where to place them.

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Officers shall first ask the juvenile’s parent(s)/guardian(s)

The legal standard that requires officers to first ask a juvenile's parent(s)/guardian(s) if they are willing to voluntarily place the juvenile for treatment before considering involuntary custody.

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Officers will attempt to verify the grounds for such action

The principle that officers should attempt to verify the grounds before taking a juvenile into custody for mental health reasons, emphasizing the importance of thorough observation.

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OPD 'Mental/Behavioral Health Response - Juveniles' Policy

A policy that outlines the procedures for officers when responding to individuals who appear to be experiencing mental illness or a Behavioral Health Crisis.

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Mandatory Review/Training

The process of reviewing the 'Mental/Behavioral Health Response - Juveniles' policy annually to ensure all employees are familiar with the procedures for handling mental health situations.

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Mandatory Training

The mandatory training for officers on how to deal with juveniles who are suspected of being mentally ill.

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Transporting Juveniles to Mental Health Facilities

Procedure for officers to follow when transporting juveniles to a mental health facility.

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Transfer of Juvenile without Police Assistance

When a juvenile is transported to a mental health facility without police assistance.

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OPD Form 96 (Affidavit for Removal of Juvenile(s) from Parental/Custodial Home)

A legal document that authorizes the removal of a juvenile from their home due to mental health concerns.

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Juvenile (in the context of mental health placement)

An individual who is under the age of 18 and is deemed to need mental health services.

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CIT Officer (Crisis Intervention Team)

A police officer trained specifically to handle situations involving individuals experiencing mental illness or emotional distress.

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Dangerous (in context of mental health)

A person who presents a significant risk of harming themselves or others, often due to their mental health condition.

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Placement Procedures

The process of completing all required forms and paperwork after a juvenile has been placed in a mental health facility.

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Study Notes

Omaha Police Department (OPD) Policy for Mentally Ill and Dangerous Juveniles

  • OPD policy prioritizes mental health facilities over jail for mentally ill and dangerous juveniles, aligning with Nebraska Revised Statutes (NRS).
  • Officers are to use de-escalation techniques (verbal skills, empathy, active listening) before physical intervention, when feasible, for juveniles experiencing behavioral health crises.
  • This policy does not apply to situations involving deadly force.

Definitions

  • Adult: Individuals 18 years or older, or emancipated by courts.
  • Behavioral Health Crisis: Episodes of mental/emotional distress causing significant or repeated disruptions.
  • Behavioral Health Incident Tracking Form (OPD Form 78B): Records details of officer interactions with individuals exhibiting behavioral health issues. Data aids in tracking incidents and informing training, interventions, and procedures.
  • Columbia-Suicide Severity Rating Scale (C-SSRS): Used to assess suicide risk in individuals being considered for temporary protective custody.
  • Co-Responder: Trained mental health therapists who assist officers in the field. Coordinate with the Mental Health Coordinator and Mental Health professionals.
  • Crisis Intervention Team (CIT) Officers: Trained and certified in crisis intervention techniques for dealing with mental illness.
  • Custody: Detention and control by a person in charge.
  • Dangerous: Significant risk of harm to self or others in the immediate future; or the inability to care for self.
  • Emergency Admittance Pursuant to Certificate of Peace Officer Form (OPD Form 78): Used to document an officer's belief that a person is mentally ill and dangerous and needs further evaluation.
  • Involuntary Mental Health Placement: Placement in a mental health facility for juveniles deemed mentally ill and dangerous, if harm is likely before court proceedings. Options include voluntary admission (with parental consent) or involuntary placement.
  • Juvenile: Individuals under 18 years old who haven't been emancipated.
  • Medically Stable/Unstable: Describes a person's medical needs at the time of encounter.
  • Mental Health Facility: Licensed facility for treating mental illness. Requirements outlined in NRS §71-914.
  • Mental Health Professional: Licensed professionals able to provide psychiatric care, as per relevant Nebraska statutes.
  • Mentally Ill and Dangerous Person: Defining criteria for involuntary placement, including substantial risk of harm, based on NRS §71-908. Criteria includes recent violent acts/threats, suicide attempts/threats, or inability to meet basic needs (food, shelter, etc) for the individual or risk of harm to self due to self-inflicted harm. Juvenile inability to maintain health is included as a criteria if endangering health (e.g. constantly refusing personal hygiene to the extent of immediate health risk) or refusing medication to address serious medical needs (e.g insulin).
  • Mobile Crisis Response Team (MCRT): Mental health professionals available 24/7 to assist responding officers with calls regarding behavioral health crises.
  • Region VI Behavioral Health Care: Regional organization for community-based behavioral health services.
  • Voluntary Admission: Agreement by parent(s)/guardian(s) to voluntarily place a juvenile in treatment.

Procedures

  • General Principles: Mental illness is not a crime, no custody unless arrestable offense or threat to self/others, and treatment should be necessary only when compelling reasons exist.
  • Training: All officers receive training on guidelines for dealing with mentally ill juveniles, mandatory annual review of this specific policy.
  • Placement Decisions: Weigh the offense against the seriousness of behavioral health symptoms, attempt voluntary admission from parents/guardians first, proceed with involuntary placement only with probable cause.
  • Placement Procedures: Officers: determine medical needs, contact field sergeant, notify parents/guardians, complete various forms like OPD Form 96 and 78 (juvenile affidavit and officer’s certification form.
  • Transportation: Two officers should transport juveniles for placement. Body cameras are activated.
  • Alternative Resources: Crisis Intervention Team (CIT) officers, Mobile Crisis Response Team (MCRT) and designated Co-Reponders are available for assessment and recommendations. The appropriate forms must be filled out, and notifications made if resources are utilized for voluntary or involuntary placements.

Additional Information

  • OPD forms (78, 78B, 96) are specifically referenced for documentation of interactions.
  • The C-SSRS screening tool is to assist in identifying suicide risk.
  • OPD emphasizes a careful approach to determining whether a placement is necessary, with emphasis on the safety of all involved and respect for the juvenile’s rights.

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