Crisis Intervention Team (CIT) Minute

Detective Ben Melendrez with the APD presents on the motivations of serial killers. This was a recording from a meeting on 1/9/18. 

This was presented to the CIT ECHO, if you are in public safety and would like to join for free online training and ability to staff cases with psychiatrist please check it out here or email Jenn Earheart. Don’t forget to follow us on Facebook!

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Nils Rosenbaum MD presents on Depression.

This was presented to the CIT ECHO, if you are in public safety and would like to join for free online training and ability to staff cases with psychiatrist please check it out here or email Jenn Earheart. Don’t forget to follow us on Facebook!

If you are enjoying these episodes that means someone else might as well so please share them with others and let us know you are enjoying them, leave a review on Apple Podcasts!

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UNM’s Early Clinic First Episode Clinic stops by CIT ECHO to talk about first break psychosis. Listen in for information on statistics and how the first break should be treated right away.

·     3 out of 100 people will experience a psychotic episode in their lifetime 

·     Onset is generally in late adolescence or early adulthood 

·     Psychosis can have multiple causes (MH Dx, Medical Illness, Substance-Induced, etc.), as well as cultural explanations/considerations. 

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 The Questions for today:

“Can police officers lie to someone during a call?”

Nils and Matt talk about when officers can use a fib or lie in an investigation. They also talk about when you have to give law enforcement your identification and when you do not need to give information to law enforcement.

“Does HIPAA apply in law enforcement?”

Officer often misspeak and say you can’t film something because of HIPAA. Often times officers are trying to protect someone’s privacy but have no legal authority to do so. 

Music used in this episode is the song Pure Adrenaline by Eddy from the Free Music Archive. 

CIT ECHO Session on Tips for Happiness

 Nils Rosenbaum, MD presents Tips for Happiness to the network. Nils breaks down how we create happiness and what it means to us. This was a presentation done on 11/14/2017 and you can see more here. 

If you would like to join the CIT ECHO please email Jennifer Earheart or check it out online here. Don’t forget to follow us on Facebook or Twitter.

If you are enjoying these episodes that means someone else might as well so please share them with others and let us know you are enjoying them, leave a review on Apple Podcasts!

Contact Us

Don’t forget to contact us to be on the podcast at [email protected] or call us at 505-333-8128.

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The Questions for today: 

Below are some definitions of the illness we are talking about today. Please click the highlighted link to go to the website where the information was found. 

“Is schizophrenia multiple personality disorder?” 

Schizophrenia:

Schizophrenia is a chronic and severe mental disorder that affects how a person thinks, feels, and behaves. People with schizophrenia may seem like they have lost touch with reality. Although schizophrenia is not as common as other mental disorders, the symptoms can be very disabling. 

Dissociative identity disorder:

Formerly known as multiple personality disorder, this disorder is characterized by alternating between multiple identities. A person may feel like one or more voices are trying to take control in their head. Often these identities may have unique names, characteristics, mannerisms and voices. People with DID will experience gaps in memory of every day events, personal information and trauma. Women are more likely to be diagnosed, as they more frequently present with acute dissociative symptoms. Men are more likely to deny symptoms and trauma histories, and commonly exhibit more violent behavior, rather than amnesia or fugue states. This can lead to elevated false negative diagnosis.

“What is Schizoaffective Disorder?” 

Schizoaffective disorder is a chronic mental health condition characterized primarily by symptoms of schizophrenia, such as hallucinations or delusions, and symptoms of a mood disorder, such as mania and depression.

Music used in this episode is the song Teamwork by Scott Holmes from the Free Music Archive.

CIT ECHO Session on Human Psychopathology Around Ingestions

Nancy Martin, MD presents on the psychopathy of ingestions. Dr. Martin breaks down what people ingest and some of the reasons behind it. This was a presentation on 12/19/17 and you can see more here.

If you would like to join the CIT ECHOplease email Jennifer Earheart or check it out online here. Don’t forget to follow us on Facebook or Twitter.

If you are enjoying these episodes that means someone else might as well so please share them with others and let us know you are enjoying them, leave a review on Apple Podcasts!

Contact Us

Don’t forget to contact us to be on the podcast at [email protected]or call us at 505-333-8128.

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The Question for today:

“What is the difference between bipolar and borderline personality disorder?”

The following from the National Institute of Mental Health

Borderline Personality Disorder (BPD):

Borderline personality disorder is a mental illness marked by an ongoing pattern of varying moods, self-image, and behavior. These symptoms often result in impulsive actions and problems in relationships. People with borderline personality disorder may experience intense episodes of anger, depression, and anxiety that can last from a few hours to days.

Bipolar Disorder:

Bipolar disorder, also known as manic-depressive illness, is a brain disorder that causes unusual shifts in mood, energy, activity levels, and the ability to carry out day-to-day tasks. 

There are four basic types of bipolar disorder; all of them involve clear changes in mood, energy, and activity levels. These moods range from periods of extremely “up,” elated, and energized behavior (known as manic episodes) to very sad, “down,” or hopeless periods (known as depressive episodes). Less severe manic periods are known as hypomanic episodes.

 Music used in this episode is the song Irresistible by Sweet N Juicy from the Free Music Archive.

CIT ECHO Session on Introduction to the criminal psychology of serial killers

Detective Ben Melendrez gives a talk covering the basic understanding of criminal psychology as it pertains to serial killers. He also covers the differences between an “organized” and “disorganized” serial killer. This was a presentation on 11/28/17 and you can see more here.

If you would like to join the CIT ECHO please email Jennifer Earheartor check it our online here. Don’t forget to follow us on Facebook or Twitter.

If you are enjoying these episodes that means someone else might as well so please share them with others and let us know you are enjoying them, leave a review on Apple Podcasts!

Contact Us

Don’t forget to contact us to be on the podcast at [email protected] or call us at 505-333-8128

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The show

The guys talk about resiliency and discuss some thoughts from Viktor E. Frankl.

The first quote we discuss is:

“Between stimulus and response, there is a space. In that space is our power to choose our response. In our response lies our growth and our freedom.”

And we close on this quote:

  “What is to give light must endure burning" 

Music used in this episode is the song Feeling Sunny by Scott Holmes from the Free Music Archive.

CIT ECHO Session on Psychiatric Symptoms related to Medical causes

Nils Rosenbaum MD then speaks about psychiatric symptoms that may be medical causes. This was a presentation on 8/29/17 and you can see more here. This presentation provides a great recap of why we should pay attention to someone having symptoms of psychosis.

If you would like to join the CIT ECHO please email Jennifer Earheartor check it our online here. Don’t forget to follow us on Facebook or Twitter. 

If you are enjoying these episodes that means someone else might as well so please share them with others and let us know you are enjoying them, leave a review on Apple Podcasts!

Contact Us

Don’t forget to contact us to be on the podcast at [email protected] or call us at 505-333-8128

Support the show

Listener Questions this week.

Charles in Sarasota, FL asks, “ How often should you see a doctor?”

Nils dives into this question. You should try to have a yearly checkup but don’t go looking for problems that are not there. If you take too many screening tests you will eventually find something positive. It is normal to have abnormal findings. What happens if you find an abnormal finding? Well, you will have to take more tests, which can cause more stress.

Sarah in Toronto, CA asks, “What movie closest represents being a cop and being a doctor?”

Nils shows his age with this question as he answers shows from the 70s. Nils feels that police is like the TV show is Barney Miller. Matt states the closest to police work is End of Watch and Super Troopers. The officer’s characteristics are very common in how officers act and interact. Those are two far ends of police movies but have some common traits seen in policing.

Nils asks if there are cop movies that are not accurate and Matt talks about the Departed and Training Day being good movies but very extreme and far-fetched.

Law in Order has some accuracy but is very far fetched. Detectives do not solve crimes in an hour and not many people actually run from police. The psychiatrists in the show are often portrayed as bad people.

Brooklyn Nine-Nine shows some similarities to police work. Employees are in the precinct hanging out and complaining about the drama that is happening.

So what do you think is closet for doctors? Scrubs is one of the most accurate ones. It is tedious and they show them doing random little things like drawing blood.  Most of the doctor shows is a doctor fighting the systems or doctors finding some rare disease, which is just not common.

ER was one of the most accurate shows for the time. The setting of the actual ER and the hierarchy of resident vs. attending were very accurate.

CIT ECHO Session on Sexuality

Dr. David Leyjoins the network to talk about sexuality and how we view it. This is a thought-provoking talk about sexual health.

If you would like to know more about Dr. Ley click here. You can see his books here.

If you would like to join the CIT ECHO please email Jennifer Earheart or check it out online here. Don’t forget to follow us on Facebook or Twitter.

If you are enjoying these episodes that means someone else might as well so please share them with others and let us know you are enjoying them, leave a review on Apple Podcasts!

Support the show

“Engaging people with first episode psychosis” and “What happens if an officer is mentally ill?” 

Nils and Matt start this episode off answering questions around law enforcement and if they are prohibited from having a firearm if they have a mental illness. We then listen in to Melissa Garzon MD and Caroline Bonham MD as they talk about first episode psychosis on the CIT ECHO.

Listener Question this week.

Lisa wrote us on Facebook after reading about Miami-Dade’s new unit around firearms and people living with a mental illness. You can see that article here. 

She asked. “I have question what happen if the cop has mental illness or PTSD? Another question about HIPPA: they have to be compliment to HIPPA.”

Officers are normal citizens and the laws around prohibited people with firearms will apply to law enforcement as well. If an officer is adjudicated mentally ill or if they are convicted of a felony they would not be allowed to possess a firearm.

Having a mental illness alone is not a reason to be prohibited from a firearm. Seeking treatment for an illness will not prevent you or make you give up any rights.

Click here for more on Identify Prohibited Personfrom the AFT.

Law Enforcement is not bound by HIPAA. HIPAA is the Health Insurance Portability Accountability Act and it apply to organizations that are billing for mental health care. Law Enforcement does not bill for insurance but they do respond to medical related calls.

Click here for more on HIPAA and Law Enforcement.

Melissa Garzon MD and Caroline Bonham MD then present on “Engaging People with Frist Episode Psychosis”.This is a recording from the CIT ECHO meeting on 6/27/17. If you want to attend these sessions please check out more here.

Music used in this episode is the song Hungaria by Latché Swing from the Free Music Archive.

Don’t forget to follow us on Facebook or Twitter.

If you are enjoying these episodes that means someone else might as well so please share them with others and let us know you are enjoying them, leave a review on Apple Podcasts!

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Is there a difference between Crisis Intervention Training vs. Crisis Intervention Team (CIT) training?

Matt Tinney and Ben Melendrez discuss training around crisis intervention. What do you use in your program or training?

How do you view your training? Is your training part of an overall program or is your training a stand-alone training? 

Remember a true CIT program is more than training. A big component is looking for resources to be part of the team and to help those in crisis. Training may be a critical part of your CIT program but it should not be the main part. Include your community experts in developing your training.

What is your favorite shift for work and training? 

Ben and Matt both talk about 10-hour shifts and if your training should reflect the work schedule of the students. Should you put on classes that are 10-hour days if your students are working 10-hour days? Do you currently provide training for all shift and hours?

Officers make bad audience to outside presenters.

Prepare your outside presenters on what to expect when training law enforcement. You may need to work on your common language to not lose your audience. Officers as students sometimes appear distant as students but they are paying attention.

How do you check your presenters for bias towards law enforcement?

Check in with presenters beforehand. Get to know them and what their agendas may be. Look over their presentation and curriculum to see what the objects are and discuss what will work with law enforcement vs. what will alienate them.

Should students have laptops and phones out during class?

Ben speaks about why students should be allowed with their electronics. This generation is used to electronics and in college settings most students have laptops open. Officers are used to having to work on their computer while listening to the radio and another outside stimulus.

How to check if you should take a specific class or if it is a good class. 

• Ask for the curriculum
• Ask to see the latest reviews
• Ask others who have taken the class if they like it

Nancy Martin MD then presents “

“That can’t be real... or is it?!?” A guide to delusions, hallucinations, and illusions

“ on the CIT ECHO. This is a recording from the meeting on 10/31/2017.

Music used in this episode is the song Other Side by Lame Drivers from the Free Music Archive.

This was presented to the CIT ECHO, if you are in public safety and would like to join for free online training and ability to staff cases with psychiatrist please check it out here or email Jenn Earheart. Don’t forget to follow us on Facebook!

If you are enjoying these episodes that means someone else might as well so please share them with others and let us know you are enjoying them, leave a review on Apple Podcasts!

Support the show