1 CIT Its More Than Just Training 2

1 CIT It’s More Than Just Training

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3 Defined • An innovative first-responder model of police-based crisis intervention with community, behavioral healthcare, and advocacy partnerships. • CIT is a jail diversion program designed to improve the outcomes of police interactions with individuals whose behavior is influenced by mental illness, substance use, mental retardation and related conditions.

4 Core Elements Ongoing Elements 1. Partnerships: Law Enforcement, Advocacy, Mental Health 2. Community Ownership: Planning, Implementation & Networking 3. Policies and Procedures

5 Core Elements Operational Elements 4. CIT: Officer, Dispatcher, Coordinator 5. Curriculum: CIT Training 6. Mental Health Receiving Facility: Emergency Services

6 Core Elements Sustaining Elements 7. Evaluation and Research 8. Recognition and Honors 9. Outreach: Developing CIT in Other Communities

7 Before CIT: Us and Them • Lack of Understanding about Mental Illness • Lack of Understanding about Mental Health Services • Lack of Understanding about Law Enforcement’s Role and Responsibility

8 More Reasons Not to Get Along • Lack of Historical Cooperation • Resistance to Change • Territorialism • Scarce Resources and Little Funding

9 Work Plan for Developing and Implementing a CIT Program

10 Organizational • Identify and solicit key stakeholders that need to be involved • Establish Oversight/Steering Committee and Chairperson • Oversight Committee members attend CIT events in other communities • County Commissioners, Human Services Director, MH/MR, D&A, MCO, Providers, NAMI, Consumers, Warden, Probation & Parole, DA, Police Chiefs, etc • 4 representatives from law enforcement, 3 from NAMI, 3 from provider agencies, 1 consumer, 1 county representative • Memphis, Philadelphia, Johnstown, and Collingswood. • Establish mission and goals for the committee • April 2008 • Establish workgroup committees • Curriculum, Outcomes, Public Relations • Determine structure of training program • 3. 5, 6, (FTAC) and 40 hour

11 Curriculum Development • Develop curriculum/training manual to meet local needs - content & time slots, field visits, resource material, role plays • Review learning objectives & content outline for each module, set up final training schedule • Identify instructors • Review instructors' materials • Use real life situations. Stay focused. Limit modules to about 1 hour Consumer & Family presentations Keep activity level moderately high • Constantly evaluated and revised • Trial and error. Evaluations for each module (morning & afternoon) • Get PP presentations for each instructor

12 BUCKS COUNTY CRISIS INTERVENTION TEAM TRAINING SCHEDULE May 17 th-21 st 2010 Continental breakfast and Lunch provided Monday Title Intro: CIT Overview/Success Story Clinical Issues Related to Mental Illness Suicide /Q. P. R Lenape Valley Presentation Hoarding Lunch Class Evaluations Adult Prob. /Parole Mental Health Unit Personality Disorders/hoarding Substance Abuse/ Co-occurring disorders Tuesday Class Evaluations PTSD Suicide by Cop video Suicide by Cop Presentation Overview of Mental Health Law Lunch Class Evaluations Consumer Perspective Site Visits Wednesday Class Evaluations Alzheimer's Disease Day Start End Time Instructor Mon. 8: 00 9: 00 1 Sevick Mon. 9: 00 10: 00 1 Dr. Friedman Mon. 10: 00 11: 00 1 K. Thompson Mon. 11: 00 11: 30 1/2 Curran/Sperry Mon. 11: 30 12: 00 1/2 S. Curran Mon. 12: 00 12: 45 3/4 Provided Mon. 12: 35 12: 45 Task Force Mon. 12: 45 13: 45 1 L. Hennessey Mon. 13: 45 14: 45 1 Sharon Curran Mon. 15: 00 16: 15 1 1/4 Ed Donahue Tues 8: 00 8: 15 1/4 Task Force Tues 8: 15 9: 15 1 Curran/Kingsdorf Tues 9: 15 10: 00 3/4 Task Force Tues 10: 00 10: 45 3/4 Ofc. Ferraro Tues 11: 00 12: 00 1 Tony Sevick Tues 12: 00 12: 45 3/4 Provided Tues 12: 30 12: 45 Task Force Tues 12: 45 14: 00 1 1/4 NAMI Tues 14: 00 16: 30 2 1/2 Task Force Wed. 8: 00 8: 15 1/4 Task Force Wed. 8: 15 9: 15 1 Steven Weiss

13 BUCKS COUNTY CRISIS INTERVENTION TEAM TRAINING SCHEDULE Psychiatric Meds and Side Effects Risk Assessment for Domestic Abuse Veteran Issues (Roundtable) Lunch Class Evaluations Family Perspective Strategies of De-Escalation Introduction to Verbal Techniques Thursday Class Evaluations Community Resources Juveniles Advanced Verbal Techniques Lunch Thurs 12: 15 12: 45 1/2 Provided Class Evaluations Site Visit BC Prison/B. A. R. N Friday Class Evaluations/Program feedback Hearing distressing voices exercise Complex Verbal Techniques Lunch Graduation Team building techniques Wed. 9: 15 10: 00 3/4 Steven Weiss Wed. 10: 00 11: 00 1 L. Thomas Wed. 11: 00 12: 30 1 1/2 Veterans Wed. 12: 30 13: 00 1/2 Provided Wed. 12: 30 12: 45 Task Force Wed. 13: 00 14: 00 1 NAMI Wed. 14: 00 14: 45 3/4 Aninsman Wed. 14: 45 16: 30 1 3/4 Task Force Thurs 8: 00 8: 15 1/4 Task Force Thurs 8: 15 9: 45 1 ½ Task Force Thurs 9: 45 10: 45 1 Marjorie Morgan Thurs 10: 45 12: 15 1 1/2 Task Force Thurs 12: 15 12: 25 Task Force Thurs 12: 30 16: 30 3 1/2 Task Force Fri. 8: 00 8: 15 1/4 Task Force Fri 8: 15 10: 15 2 Phil Braun Fri. 10: 15 12: 15 2 Task Force Fri. 12: 15 13: 00 3/4 Provided Fri. 13: 00 14: 00 1 Task Force Fri 14: 00 16: 30 2 1/2 T. F/students

14 Logistics • Determine how to identify first group of officers for training and method to register them • Select participants for first class (what jurisdictions) • Notify participants of dress/schedule/expectations • Reproduce other handouts - resource cards, articles on CIT, etc. • Secure source of supplies / reproduction of materials • Reproduce handouts for manual • Secure training site (including A-Vs) • Create registration forms, evaluation forms • Order pins and diplomas • Volunteer and selected by supervisor • Lower Bucks County • Provided to participants before training starts

15 Logistics • Determine methods of evaluation and prepare evaluation forms • Confirm time slots with each instructor • Arrange for Field Visits • Identify Role Players • Secure food & refreshments • Develop and send out Press Release • Prepare rosters and nametags, on-site sign in sheets • Plan for graduation - Meal? Press? Dignitaries? Guests? Speakers? Photographer?

16 Post Training Follow-Up • Plan next 3. 5, 6, or 40 -hour class • Hold Debriefing and review • Process evaluations

17 System Enhancements • $ enhanced the system • $500, 000 • Expanded hours • 8: 30 AM-11: 00 PM • Security • 2 staff • Additional staff: Crisis, CPS, CRNP • Implemented electronic 302 process • Fall 2008 • Hired Crisis Director • Fall 2009 • Mobil outreach & follow up • Relationship with general hospital

18 Family Perspective • NAMI PA – Bucks County Chapter (The National Alliance on Mental Illness) • Mission – to improve the lives of the citizens of Bucks County who suffer from a serious mental illness or, as family members and caregivers, share the burden of these devastating illnesses. • One of the few organizations that support family members and caregivers. • All services are provided FREE. • Support – family and consumer support groups • Education – Family to Family, 12 wk, Peer to Peer, 9 wk, Classes • Advocacy – CIT - how it all started. . .

19 Law Enforcement Acceptance • Public Relations (face to face) • Numerous hours spent early on talking to police chiefs • Introductory sessions for management • 3. 5 hour Introduction to CIT • Introductory sessions for patrol officers • 6 hour Introduction to CIT • Training leading to CIT certification • 40 hour training

20 CIT Development for Bucks County CIT Task Force 3. 5 hour Introduction to CIT for Law Enforcement Management and Emergency Dispatch February 17, 2009. September 8 & 10, 2009 October 6, 2009 6. 0 hour CIT Introductory Training for Patrol Officers Completed: February and March 2009, 5 sessions. Completed: October and November 2009, 6 sessions. Completed: March 2010, 2 sessions. Completed: September & October 2010, 2 sessions 40 hour CIT Training leading to Certification. Completed: September 2009. Completed: January 2010 Completed: May 2010 Completed: November 2010

21 Introduction to CIT • Enhancing Officer & Community Safety: ▫ An Introduction to CIT • 370 individuals trained as of 10. 30. 2010 • Collaborative effort between Bucks County and FTAC

22 Graduates – • • • • • 102 (as of November 2010) Bensalem Twp 19 Bristol Twp 13 Northampton Twp 10 Lower Makefield Twp 9 New Britain Twp 8 Lower Southampton Twp 8 Falls Twp 6 Adult Probation 5 Warminster Twp 4 Middletown Twp 3 Plumbstead Twp 3 Newtown Twp 2 Corrections 2 LVF Crisis 2 Bristol Borough 2 PA Probation & Parole 1 Doylestown Borough 1 • • Newtown Borough Pennridge Regional Paramedic Penn Foundation 1 1 1 1

23 Officer Perspective and Acceptance of C. I. T. OR How to teach an old dog new tricks

24 Brick Wall *The system is broken *I am concerned about real crime. *I am not a social worker *I don’t like talking to those “people” *Let’s “lock em up” and keep society safe

Crisis Intervention Team Training • CIT task Force, and Officer infused training. • Common goals • Sympathy vs Empathy • Memphis Model vs your own community • Realistic role playing • Accepted presenters • Resources 25

CIT Graduates 26

27 Change is Here Cpl. Tom Augustin, Lower Makefield Township Police Department. 20 + years of police Experience talks about what CIT Training meant to him.

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29 Short/Long Term Goals & Outcomes • The goals of the CIT program: • • • The overall goal of the CIT training program is to treat mental illness as a disease, not a crime. Law Enforcement: ▫ decreased number of injuries to the officers ▫ decreased use of force ▫ improved use of alternatives to arrest and jail ▫ decreased time officers spend in the crisis unit (involuntary commitments) ▫ reduced myths and stigma of mental illness among law enforcement ▫ improved relationships for officers and community Behavioral Health System: ▫ extended crisis response systems ▫ increased opportunity for earlier intervention ▫ improved treatment outcomes Consumers/Family Members: ▫ decreased number of injuries to the consumer ▫ better relationships between consumers and law enforcement officers ▫ removed stigma of unnecessary incarceration in local jails ▫ improved access to treatment ▫ increased chance that the consumer will receive continuous care

30 Short/Long Term Goals & Outcomes • Outcomes ▫ Success Stories ▫ Bucks County CIT Tracking Form

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32 Contacts Task Force Membership: Law Enforcement: Lieutenant Lois Kirgan, Bensalem Township Police Department, 2400 Byberry Rd, Bensalem, Pa 19020, 215 -633 -3700 Sergeant Andy Aninsman, Bensalem Township Police Department, 2400 Byberry Rd, Bensalem, Pa 19020, 215 -633 -3700 Detective Chuck Pinkerton, Northampton Township Police Department, 50 Township Road, Richboro, PA 18954, (215) 322 -6111 Officer Steve Kingsdorf, Northampton Township Police Department, 50 Township Road, Richboro, PA 18954, (215) 322 -6111 NAMI: Charles Bechtel, PO Box 355, Warrington, PA 18976, 1. 866. 399. NAMI Carol Meholic, PO Box 355, Warrington, PA 18976, 1. 866. 399. NAMI Agnes Mc. Farlane, PO Box 355, Warrington, PA 18976, 1. 866. 399. NAMI Behavioral Health Providers: MH - Sharon Curran, Lenape Valley Foundation, 500 N. West Street • Doylestown, PA 18901 215. 345. 5300 Nicole Wolf, Lenape Valley Foundation, 500 N. West Street • Doylestown, PA 18901 215. 785. 9765 D&A Ed Donahue, Addictions Specialist, General Manager/Consultant , The Next Step, House of Recovery, 267 -205 -4963 Certified Peer Specialist: Julie Harbison, Lenape Valley Foundation, 500 N. West Street • Doylestown, PA 18901 215. 345. 5300 County Representation: Tony Sevick, Bucks County Department of MH/MR (Chair), 600 Louis Drive, Suite 202, Warminster, PA 18974, 215. 444. 2872

33 Thank You!