Crisis Intervention Team Training

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1 Crisis Intervention Team Training YEAR IN REVIEW 2017 PREPARED BY SServing Anson, Guilford, Harnett, Hoke, Lee, Montgomery, Moore, Randolph and Richmond counties in central North Carolina 1

2 The importance of CIT Sandhills Center coordinates the Crisis Intervention Team (CIT) training program throughout its nine-county catchment area. It is a joint effort with local chapters of the National Alliance on Mental Illness (NAMI), leading law enforcement and first responder agencies, and other stakeholder groups. CIT AND SANDHILLS CENTER CIT began in the Sandhills Center region in Since then, it has grown exponentially. In total, we have coordinated 53 classes, and graduated more than 1,100 students from nearly three dozen first responder agencies. CIT for most first responders is a 40-hour curriculum conducted through a strong relationship between first responders, behavioral health care providers, advocates, and people and families with lived experiences. CIT for emergency medical services (EMS) personnel is a 32-hour course. CIT is an innovative model of police-based crisis intervention training to help people with mental health disorders and/or addictions to access medical treatment rather than place them in the criminal justice system due to illness-related behaviors. CIT also promotes officer safety and the safety of individuals in crisis. Each year, about 25,000 people with severe mental illnesses end up in North Carolina jails. Encounters between these individuals and law enforcement personnel sometimes can end tragically. CIT training plays an important role in educating officers to respond appropriately in such situations. First responders and mental health professionals have joined forces throughout the country and the world to establish CIT programs, giving them the knowledge and skills needed to intervene and de-escalate crisis situations with an emphasis on treatment, rather than incarceration. The CIT program was started in 1988, in Memphis, Tenn., following the police shooting death of a man with mental illness. Today, its success has inspired communities throughout the country to start similar programs. In North Carolina, CIT training began in About 40 percent of the state s law enforcement population is now trained in CIT, according to the North Carolina Department of Health and Human Services. The latest figures available indicate that 11,170 police officers, sheriff s deputies, telecommunicators, private security officers, paramedics, emergency medical services (EMS) personnel and firefighters had received training by end of CIT is recognized as a best practice by multiple organizations including NAMI, the U.S. Department of Justice, the U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration (SAMHSA) and the White House Conference on Mental Health. 2 2

3 Sandhills Center is proud to have cosponsored CIT training in Harnett County the week of June 12, Nineteen members of the Lee County Sheriff s Office and the Harnett County Sheriff s Office (including two telecommunicators) graduated from the 40-hour training. The entire graduating class is pictured, above, with host officer Lt. Scott Jeffries of the Harnett County Sheriff s Office. 3 3

4 2017 Statistics 194 students representing 32 agencies 141 law enforcement officers 20 telecommunicators 16 paramedics 12 school resource officers 4 probation officers 1 magistrate 12 CIT classes coordinated in the region Also assisted with Basic Law Enforcement Training (BLET) in Randolph County, as well as EMToday, the annual North Carolina Office of Emergency Medical Services conference, held in Greensboro. Sandhills Center also provided role players and other support to the CIT training class in Randolph County (coordinated by Randolph Community College and experienced law enforcement volunteers). 440 hours of instruction 48 hours of role-playing exercises 2017 Training Calendar February 27-March 3 -- Guilford County March Moore County April Anson County April Guilford County May Richmond County May Lee County June Harnett County August Moore County September Lee County (8-Hour Refresher Course) Oct Guilford County Oct Guilford County EMS (32-Hour Course) Oct. 30-Nov Moore County Visit the CIT page on our website: 4 4

5 Many thanks HOST OFFICERS Sandhills Center is grateful for the many host officers who support CIT training. Host officers are pivotal as a liaison between the participants and instructors. Host officers are alumni of CIT, and also volunteer their time during the 40-hour training course. We would like to recognize the following officers for their support of CIT in the Sandhills Center region: Lt. Steven Kelly, Wadesboro Police Department (Anson County) Chris Wilson, Guilford County Emergency Medical Services Lt. Demarr Inman, Guilford County Sheriff s Office Lt. Scott Jeffries, Harnett County Sheriff s Office Sgt. Greg Deck, Sanford Police Department (Lee County) Lt. Shannon Garner, Moore County Sheriff s Office Lt. Bryan Monroe, Moore County Sheriff s Office Lt. Clyde Smith, Richmond County Sheriff s Office INSTRUCTORS AND PRESENTERS Sandhills Center also is extremely appreciative of all the behavioral health and law enforcement experts who make CIT possible. Their knowledge is impressive and leaves an indelible mark on the participants: Margaret Alexander, Harnett Health Cpt. Jeff Armstrong, Harnett County Sheriff s Office Michael Bachman, Wake County EMS Aaron Back, NC Law Enforcement Assistance Program Roger Bailey, Stevens Center Tammy Barrow, Guilford County Magistrate Cpt. Elijah Bazemore, Durham County Sheriff s Office Melanie Bunn, Alzheimer s North Carolina Inc. Kristen Buss, FirstHealth of the Carolinas Cassandra Byers, Daymark Recovery Services Carolyn Cardwell, U.S. Dept. of Veterans Affairs Dr. Tony Carraway, Sandhills Center Dr. Talula Cartwright, Mount Eagle Institute Courtney Chavis, Randolph-Montgomery Family Support Program Lt. Josh Christensen, Harnett County Sheriff s Office Dr. Gregory Collins, FirstHealth of the Carolinas Jonathan Cook, Harnett County Sheriff s Office Lauren Costello, Brain Injury Association of NC Det. Bradley Davidson, Wadesboro Police Department Cristina De Aguilar, Carolinas Healthcare System Sgt. Greg Deck, Sanford Police Department Dep. Robert Doby, Moore County Sheriff s Office Jerry Earnhardt, Daymark Recovery Services Tonya Espino-Hernandez, Good Hope Hospital Al Frye, Sandhills Center Kelly Frye, FirstHealth of the Carolinas David Ferguson, NC State Highway Patrol Tony Gibson, NC LEAP and NC State Highway Patrol Dr. Tobi Gilbert, Bay Area Psychological Associates Jack Glenn, NAMI-Guilford Dr. Kelly Graves, Kellin Foundation Tonya Greene, Therapeutic Alternatives Madonna Greer, NAMI-Guilford and Kellin Foundation Suzanne Hart, Therapeutic Alternatives Phil Hewitt, Community Volunteer Kay Hinson, Good Hope Hospital David Hodges, Harnett County Sheriff s Office Sgt. Latoya Howell, Guilford County Sheriff s Office Barry Hoyle, Harnett County Magistrate Lt. Demarr Inman, Guilford County Sheriff s Office MCpl. Dee Jackson (Ret.), Guilford County Sheriff s Office (Coninued on page 6) 5 5

6 Pictured, at left: The Moore County CIT class of August 2017, with host officers Lt. Bryan Monroe and Lt. Shannon Garner. In 2017, CIT was held on three occasions at Sandhills Community College in Moore County. (Continued from page 5) Lt. Scott Jeffries, Harnett County Sheriff s Office Dr. Susan Pinsker, Pinsker and Associates Dr. Jason Jerry, FirstHealth Behavioral Services William Pone, Therapeutic Alternatives Gayla Jones, North Carolina Veteran s Treatment Court Ken Jones, Brain Injury Association of NC Betsy Rhodes, American Foundation for Suicide Prevention Sarah Jones, Lee County Magistrate Vickie Rhodes, Therapeutic Alternatives Lt. Rachel Juren, High Point Police Department Lt. Steven Kelly, Wadesboro Police Department Chief Dep. Frank Rodriguez, Moore County Sheriff s Office Maureen Krueger, Moore County District Attorney Sally Rickard, Brain Injury Association of NC Michelle Kennedy, Interactive Resource Center Sarah Roethlinger, Youth Focus Dr. Bob Kurtz, NC Dept. of Health & Human Services Lisa Russell, Moore County Chief Magistrate Jessica Laube, Central Carolina Hospital Courteney Schenck, Therapeutic Alternatives Dr. Mary Mandell, FirstHealth of the Carolinas Mary Silverman, FirstHealth Behavioral Services Suzanne Maness, Family Support & Community Collaboration Program Shirlyn Smith, Family Support & Community Collaboration Program Det. Sgt. Ronald Martin (Ret.), NC Harm Reduction Coalition Theressa Smith, Family Support & Community Collaboration Program Lori Maynor, Central Carolina Hospital Missy Stancil, Harnett County Sheriff s Office Dr. Anthony Mazzarulli, FirstHealth Behavioral Services Warren McSweeney, Moore County Assistant District Attorney Dr. Kim Soban, Mental Health Associates of the Triad Adrian Standish, Family Support & Community Collaboration Program Dr. Meredith Stanton, FirstHealth of the Carolinas Capt. Jeff Medlin, Moore County Sheriff s Office Vernon Stewart, Harnett County District Attorney Lt. Bryan Monroe, Moore County Sheriff s Office Dr. Khalil Tanas, Sandhills Center Dr. Joel Monroe, FirstHealth Behavioral Services Kellie Moran, Sandhills Center Lt. Col. Mark Teachey (Ret.), North Carolina Veteran s Treatment Court Curtis Morrow, Fayetteville Veteran s Affairs Medical Center Weaver Thomas, Anson County Chief Magistrate Stephanie Wilson, Carolinas Healthcare System Stephanie Mueller, Daymark Recovery Services Carolyn Uhlin, Guilford County EMS Rachel Parker, World Relief Triad Victoria Whitt, Sandhills Center Chief Wilton Perez, Harnett Health Police Department Stephanie Wilson, Carolina Healthcare Systems Bob Peterson, First Health of the Carolinas Jason Yates, Caring Services Harold Pickett, Sandhills Center Jenna Young, Project FIGHT 6 6

7 We offer thanks to our 2017 CIT cosponsors NAMI Cumberland, Harnett and Lee Counties NAMI Guilford NAMI Moore County Daymark Recovery Services LeeCAN Mental Health Partners Lee County Health Department Therapeutic Alternatives Mobile Crisis Central Carolina Community College Guilford Technical Community College Sandhills Community College Southern Piedmont Community College Richmond Community College Carolinas Healthcare System Central Carolina Hospital FirstHealth of the Carolinas Good Hope Hospital Harnett Health System LAW ENFORCEMENT PARTNERS Guilford County EMS Guilford County Sheriff s Office Harnett County Sheriff s Office Moore County Sheriff s Office Richmond County Sheriff s Office Sanford Police Department Wadesboro Police Department Pictured, at left: Moore County Schools Police Chief Roberta Maness presents a CIT graduation certificate to Shannon Darling (far left) of the Aberdeen Police Department during the Moore County CIT graduation ceremony in August PHOTO CREDITS The photos throughout this publication are courtesy of: Heather Odendahl, Sandhills Center George E. Reynolds Jr., NAMI-Moore County Chris Laughlin, Sandhills Center Consumer and Family Advisory Committee (CFAC) Kellie Moran, Sandhills Center 7

8 A panel of behavioral health experts addresses the Harnett County CIT class in June CIT Curriculum During 2017, CIT students were exposed to an array of behavioral health topics. Curriculum was chosen based on recommendations from CIT International and the current issues facing each unique community. Topics presented by our CIT partners and instructors included: Mental Illness 101 Behavioral Health System Overview Military and PTSD Developmental Disabilities Special Concerns with Adolescents Psychiatric Medications Cultural Diversity Addiction Trauma Stress Management Alzheimer s Disease Involuntary Commitment and Other Legal Issues Officer Discretion Suicide Risk and Assessment Trauma -- Risk and Resilience Excited Delirium De-escalation Role Playing and Simulation Exercises NC Harm Reduction Traumatic Brain Injuries Trauma-Informed Care Homelessness Active Listening Human Trafficking Testimonials from Individuals and Families Site Visits to Behavioral Health Treatment Facilities Jerry Earnhardt of Daymark Recovery Services discusses suicide prevention during a 2017 CIT class. 8 8

9 Pictured, above: Suzanne Hart of Therapeutic Alternatives participates in role-playing exercises with two officers in Lee County during the pilot CIT Refresher Course, September The importance of role-playing and simulation exercises Because acquiring effective communication skills is a large part of CIT training, role-playing exercises are known to be among the most effective means of learning how to handle crisis situations. During these exercises, first responders use the tools they have learned in mock crisis situations. The training teaches officers how to understand the signs and symptoms of mental illness, intellectual/developmental disabilities, and co-occurring disorders. It also teaches them how to recognize these signs and symptoms in a crisis, and to safely de-escalate such situations. In 2017, Sandhills Center, its CIT partners and students participated in 48 total hours of role-playing exercises throughout all 12 classes. During the piloted 8-hour CIT Refresher training class in Lee County, role-playing exercises were expanded to new environments, including outside the classroom. Also as part of the CIT curriculum, students were exposed to exercises that simulate auditory hallucinations ( hearing voices ), autism and psychosis. This builds a greater understanding of the challenges faced by people with mental illness and intellectual/developmental disabilities. 9 9

10 Left: Officers participate in a role-playing exercise during the October/November 2017 Moore County CIT training at Sandhills Community College. Below: Role playing during the Richmond County CIT class in May 2017, at Richmond Community College. Left: Officers approach a woman in crisis during a CIT training class in Moore County. WE VALUE OUR ROLE PLAYERS Sandhills Center wishes to thank the dozens of people who served as role players during the 2017 CIT training year. We appreciate the crucial role these volunteers played in training first responders to deescalate crisis situations

11 For the second year, Sandhills Center and our cosponsors held a 32-hour class exclusively for emergency medical personnel. EMS personnel and paramedics face an increasing number of calls involving people with behavioral health challenges. To handle the calls effectively and safely, responders must be able to recognize signs of mental illness while applying techniques for de-escalating potentially dangerous situations. Often, these first responders must make referrals for people to receive appropriate treatment. CIT training offers the tools EMS personnel need to ensure positive outcomes. The CIT training for EMS personnel was held in Guilford County in October

12 Anson and Richmond counties welcome CIT Sandhills Center is proud to have cosponsored the first-ever CIT Training classes in Anson and Richmond counties. In Anson County, the training was held in April 2017, with Lt. Steven Kelly of the Wadesboro Police Department serving as host officer. Participants in the class (pictured, above) were law enforcement personnel from the Anson County Sheriff s Office, Richmond County Sheriff s Office, Union County Sheriff s Office, Cabarrus County Sheriff s Office, Monroe Police Department, Anson County Magistrate s Office q and the Wadesboro Police Department. Anson County CIT is a partnership between Sandhills Center, NAMI-Moore County, South Piedmont Community College and the Wadesboro Police Department. In Richmond County, the first CIT class was held in May 2017 (see photo, at left). The host officer was Lt. Clyde Smith of the Richmond County Sheriff s Office. Graduates represented the Hamlet Police Department, the Rockingham Police Department, the Richmond Community College (RCC) Police Department and the Rockingham County Sheriff s Office. The class was sponsored by Sandhills Center, NAMI-Moore County, RCC, the Rockingham Police Department, the Hamlet Police Department and the Rockingham County Sheriff s Office

13 CIT in Guilford County graduates a variety of first responders CIT training was held in Guilford County four times during Three of the classes were the 40-hour sessions geared to law enforcement personnel and other first responders. The fourth class was designed specifically for EMS personnel (see page 11). In Guilford County, CIT classes were made up of a variety of first responders from diverse agencies. In the photo (above) of the April 2017 class, students represented the Guilford County Sheriff s Office, Guilford Metro 911, UNC-Greensboro Police 911 Center, High Point Police Department, Greensboro Police Department and the Haw River Police Department. Lt. Demarr Inman (first row, far left) of the Guilford County Sheriff s Office, was the host officer. Also pictured are Sandhills Center staff and community cosponsors. CIT training in Guilford County is held at Guilford Technical Community College (GTCC). It is a partnership between Sandhills Center, GTCC, NAMI-Guilford and the Guilford County Sheriff s Office. SANDHILLS CENTER S DEDICATED CIT STAFF Sandhills Center has a number of dedicated staff who work with our community partners to make CIT possible in the Sandhills Center region. The CIT training is coordinated through our Community Relations, Communications and Training department. Key organizers are Kellie Moran, Justice Systems Clinical Liaison, and Marilyn Gilliam, Mental Health Justice Systems Specialist. The department is under the direction of Anne Kimball, with assistance from Anne Gable, Training Coordinator

14 FirstHealth Hospital security staff were among graduates of the Moore County CIT class in August Feedback is important CIT students complete evaluations in all areas of CIT instruction. This helps to provide feedback to presenters, and to learn what is relevant to the first responders. We receive many positive comments from the students. Here are some of their responses from the 2017 classes: Enjoyed the class! I believe I will be a better police officer as a result of taking this class! Great class! Should be mandatory for all law enforcement! I enjoyed the class! I have new perspectives on mental illness. I didn t think I was going to learn anything at first but, boy, was I wrong! This turned out to be one of the best classes I ve ever attended. The food was good, but the class was better. I actually learned quite a bit. Thanks and keep up the great work! Class was very beneficial to me. I learned totally different perspectives of people with mental illness

15 P.O. Box 9 West End, NC Hour Call Center TTY SandhillsCenter.org SandhillsCenterAccess2Care.org Sandhills Center manages mental health, intellectual/developmental disabilities and substance abuse services in the central North Carolina counties of Anson, Guilford, Harnett, Hoke, Lee, Montgomery, Moore, Randolph and Richmond. 15