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Educators and the emotionally disturbed persons

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Terence Parker

on 8 July 2013

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Transcript of Educators and the emotionally disturbed persons

UNIVERSITY OF NORTH ALABAMA PUBLIC SAFETY INSTITUTE
The seven conditions listed below have been the predominant factors with people who suffer from mental illness and are prone to violence. If these conditions exist there is a strong likelihood that person will be violent in the future. The truly tragic situations are ones where the police are called due to the violence against loved ones such as family members. Many times I have asked family members this critical question: “Have you in the past, or do you presently sleep with your bedroom door locked at night?” Obviously if the answer is yes to this question then there is a potential for violence. As emotionally painful as that question may be to answer there is little doubt in my mind about the potential for violence regardless whether the person is a loved one or not.
These Hallucinations are called “Command Hallucinations” where an alternate power, often times they believe it is God, is commanding them to commit some heinous act, which to them makes complete sense. According to Aaron Bassler’s father his son felt that Martians were ordering him to commit certain acts. Regardless of the commands being given they are most often so intense that the result is often of tragic proportions.
According to Dr. Torrey there is a condition that exists with many people who have Traumatic Brain Injuries (TBIs) and SMI called Anosognosia; or more simply put, an inability to have insight into their illness. Under the conditions of Mental Illness the person may be exhibiting Delusions and Hallucinations which to them they are very real. So real in fact that when you come upon them on the street they are convinced that God commanded them to kill someone, or cut off a limb, or kill a child.
According to Dr. E. Fuller Torrey, of the Treatment Advocacy Center, when the (Severely Mentally Ill) SMI demonstrates certain conditions then they are indeed dangerous. He lists 7 indicators that when present can be precursors to violence. I will be referring to those indicators after looking at a case that was going on in Northern California with a SMI individual named Aaron Bassler who according to his father had undiagnosed Mental Illness.
Mental Health America | 1.800.969.6642
http://www.mentalhealthamerica.net/farcry/go/searchMHA
NAMI | National Alliance on Mental Illness | 1.800.950.NAMI
http://www.nami.org/template.cfm?section=Your_Local_Nami
National Mental Health Consumers’ Self-Help Clearinghouse
1.800.553.4539 | http://www.cdsdirectory.org/
2.) Substance abuse — Typically alcohol, amphetamines, cocaine, and PCP can exacerbate violent tendencies
Here is Dr. Torrey’s potential-for-violence checklist:
Dr. Torrey’s research based on mentally ill crisis calls throughout the U.S. and what he has developed. I will go into more detail here in regard to what those conditions are and the precursors to violence. Dr. Torrey has conducted years of research and his findings, although they may be new to the general public, are facts that we have known for years in law enforcement as we have confronted the severely mentally ill time and again who were dangerous.
The Case of Aaron Bassler
The most recent case that comes to mind — for which I was interviewed on the local TV news — was Aaron Bassler in Mendocino County. Bassler was unofficially diagnosed with a mental illness by his father, James, who recounted stories of his gradual psychological demise since the age of 18 and many of his behaviors. To make matters worse Bassler got addicted to Methamphetamine and, if he wasn’t paranoid and delusional enough, the Methamphetamine addiction only served to exacerbate the intensity of his Mental Illness. Aaron Bassler fits the “profile” of dangerousness exactly according to what Dr. Torrey describes. At the time of this article I was not aware of what his family or friends had done on his behalf to obtain Mental Health care or intervention for him. Aaron Bassler shot and killed Jere Melo, a former mayor, and Matthew Coleman, a naturalist, when they came upon Bassler’s Opium farm.
Traumatic Brain Injury (TBI) and Mental Illness combined with Psychotropic medications and then add street drugs — you have a major problem on your hands, which unfortunately can end in tragedy
Other Considerations
Children and adolescents with an emotional disturbance should receive services based on their individual needs, and everyone involved in their education or care needs to be well-informed about the care that they are receiving. It’s important to coordinate services between home, school, and community, keeping the communication channels open between all parties involved
What is an emotionally disturbed person?
Although conduct disorder is one of the most difficult behavior disorders to treat, young people often benefit from a range of services that include:
training for parents on how to handle child or adolescent behavior;
family therapy;
training in problem solving skills for children or adolescents; and
community-based services that focus on the young person within the context of family and community influences.
What is an emotionally disturbed person?
Psychotic Disorders
“Psychotic disorders” is another umbrella term used to refer to severe mental disorders that cause abnormal thinking and perceptions. Two of the main symptoms are delusions and hallucinations. Delusions are false beliefs, such as thinking that someone is plotting against you. Hallucinations are false perceptions, such as hearing, seeing, or feeling something that is not there. Schizophrenia is one type of psychotic disorder. (24) There are others as well.
Treatment for psychotic disorders will differ from person to person, depending on the specific disorder involved. Most are treated with a combination of medications and psychotherapy (a type of counseling).
What is an emotionally disturbed person?
Bipolar Disorder
Also known as manic-depressive illness, bipolar disorder is a serious medical condition that causes dramatic mood swings from overly “high” and/or irritable to sad and hopeless, and then back again, often with periods of normal mood in between. Severe changes in energy and behavior go along with these changes in mood. (12)
For most people with bipolar disorder, these mood swings and related symptoms can be stabilized over time using an approach that combines medication and psychosocial treatment.
What is an emotionally disturbed person?
For the student to get an understanding of what an Emotionally Disturbed Person (EDP) is and what they are not.
Understand how to respond to EDPs
Where to find help in dealing with EDPs.
Goals
Educators dealing with, Emotionally Disturbed Persons
First and foremost safety is number 1.
Try to keep the situation from escalating.
Get as much history as possible.
Use a quiet, peaceful tone.
Try not to rush the person.
Remember they may not recognize you in uniform. They may see you as a threat.
Try to be calming.
Try not to get yourself cornered.
Distance is a friend to all.
CONCLUSION
Mobile Mental Health Center - Mobile, Mobile County, Alabama
Mountain View Hospital - Gadsden, Etowah County, Alabama
North Alabama Regional Hospital - Decatur, Morgan County, Alabama
Psychiatric Solutions, Inc. Hill Crest Behavioral Health Services - Birmingham, Jefferson County, Alabama
Laurel Oaks Behavioral Health Center - Dothan, Houston County, Alabama

Searcy Hospital - Mount Vernon, Mobile County, Alabama
Taylor Hardin Secure Medical Facility - Tuscaloosa, Tuscaloosa County, Alabama
University of Alabama at Birmingham (UAB) Center for Psychiatric Medicine - Birmingham, Jefferson County, Alabama
Mental Health Facilities in AL.
Here are some tips for communicating with someone who is mentally ill.

1. Protect yourself – don’t take unnecessary risks
2. Go slowly
3. Paraphrase and repeat back what they are telling you
4. Don’t issue orders unless there is an immediate danger to life
5. Take a “soft” approach whenever possible
6. Don’t take shortcuts unless absolutely necessary
7. Don’t forget, you may be dealing with this person again and they will remember you.
COMMUNICATIONS
When attempting to communicate with someone who is mentally ill, go slowly. Don’t assume anything, don’t take anything for granted. You cannot assume the individual identifies you. . You cannot assume they know they are mentally ill or that you have their best interests at heart. You can’t even assume they are oriented to the current time and place. Therefore, it is essential to communicate carefully
COMMUNICATIONS
An individual who is suffering from dementia may not be able to process an officer’s instructions or requests. As the individual is unable to process these communications there may not be an appropriate response, often leading to an escalation in the intensity of the officer’s communication. While the individual is perceived as being unresponsive by choice, it may well be that he is unresponsive because he does not understand even the simplest of requests.
COMMUNICATIONS
In cases where the mental illness is more severe and there are delusions or hallucinations involved communication becomes even more difficult. Delusions may cause an individual to believe that he is endowed with special powers and entitled to specific kinds of treatment. He may believe that he is the world’s greatest athlete or scientist. The police officer may not be aware of these beliefs and no matter how polite, courteous, and professional the officer is, the individual can still feel as though the officer is being disrespectful because of his perceived status in life.
COMMUNICATIONS
We take certain things for granted in our day to day communication that may not be true when dealing with an individual suffering from a mental illness. The mental illness may well involve perceptual difficulties or even hallucinations. While attempting to communicate with an individual who is extremely paranoid, even the simplest statements can be misinterpreted and heard as accusatory or persecutory. This becomes exceptionally problematic when attempting to build trust in a crisis situation.
COMMUNICATIONS
Dr. Conroy has a Ph.D. in Clinical Psychology, has a private practice and consulting business, and is a recently retired 30-year veteran Sergeant with the St. Paul (MN) Police Department
"School-based Interventions for Adolescent Depression" - Cari McCarty, PhD
7.) Gender — Typically men account for 85-90 percent of violent behavior throughout the world; women for only 10-15 percent. Women with severe psychiatric disorders are the exception to this rule. Many studies have shown that women with psychosis are equally assaultive as men.
Here is Dr. Torrey’s potential-for-violence checklist:
6.) Neurological Impairment — Those who suffer from neurological impairment have been found to be more violent.
Here is Dr. Torrey’s potential-for-violence checklist:
5.) Paranoid Symptoms — SMI individuals who have fixed false beliefs due to paranoid symptoms can become extremely violent
Here is Dr. Torrey’s potential-for-violence checklist:
4.) Antisocial Personality Disorder — The combination of severe psychiatric disorder in an individual with these personality characteristic leads, as would be expected to more frequent incarceration and violent behavior.
Here is Dr. Torrey’s potential-for-violence checklist:
3.) Anosognosia with medication non-compliance — those individuals who are not aware of their illness and refuse to take medication.
Here is Dr. Torrey’s potential-for-violence checklist:
1.) Past history of violence — the individual’s past history of violence is the most important predicator of future violence among all people-whether mentally ill or not
Here is Dr. Torrey’s potential-for-violence checklist:
Conduct Disorder
Conduct disorder refers to a group of behavioral and emotional problems in youngsters. Children and adolescents with this disorder have great difficulty following rules and behaving in a socially acceptable way. (14) This may include some of the following behaviors:
aggression to people and animals;
destruction of property;
deceitfulness, lying, or stealing; or
truancy or other serious violations of rules.
What is an emotionally disturbed person?
We refer to mental disorders using different “umbrella” terms such as emotional disturbance, behavioral disorders, or mental illness. Beneath these umbrella terms, there is actually a wide range of specific conditions that differ from one another in their characteristics and treatment. These include (but are not limited to):
anxiety disorders;
bipolar disorder (sometimes called manic-depression);
conduct disorders;
eating disorders;
obsessive-compulsive disorder (OCD); and
psychotic disorders.
What is an emotionally disturbed person?
The mental health of our children is a natural and important concern for us all. The fact is, many mental disorders have their beginnings in childhood or adolescence, yet may go undiagnosed and untreated for years. (1)
What is an emotionally disturbed person?
TERRY PARKER, SGT.

UNA PD 5 YEARS 2008-PRESENT
Deputy director University of North Alabama Public Safety Institute
Mid-night shift interim sergeant 2009
Training Center Interim Director 2009, NRA handgun/shotgun/patrol riffle instructor, A.L.E.R.R.T. /A.L.I.C.E./TASER,/CTS LESS LETHAL/RADAR/LIDAR instructor.

BRATTLEBORO POLICE DEPARTMENT 1988-2007
Patrol division
Sr. Officer
FTO 18 years trained over a 100 officers
Major Accident Investigation Team 16 years
FBI trained, crisis negotiator 15 years
Bike Team officer
R.A.D.A.R/LIDAR (LASER) instructor

VOLUNTEER FIRE CHIEF VERNON VT. 2003-2006

NORTHFIELD, MA. PD 4 YEARS 1984-1988
Part time, patrol officer

U.S. COAST GUARD 1980-84
Search and Rescue, small boat stations
4 major drug seizures
Introductions

Sgt. Terry Parker, UNA PD
University of North Alabama, Public Safety Institute

Other classes, go to www.una.edu/naletc
Like us on facebook
QUESTIONS??????
Alabama Department of Mental Health and Mental Retardation Bryce Hospital - Tuscaloosa, Tuscaloosa County, Alabama
Greil Memorial Psychiatric Hospital - Montgomery, Montgomery County, Alabama
Mary Starke Harper Geriatric Psychiatry Center - Tuscaloosa, Tuscaloosa County, Alabama
North Alabama Regional Hospital - Decatur, Morgan County, Alabama
Searcy Hospital - Mount Vernon, Mobile County, Alabama
Taylor Hardin Secure Medical Facility - Tuscaloosa, Tuscaloosa County, Alabama

Bryce Hospital - Tuscaloosa, Tuscaloosa County, Alabama
Greil Memorial Psychiatric Hospital - Montgomery, Montgomery County, Alabama
Hill Crest Behavioral Health Services - Birmingham, Jefferson County, Alabama
Laurel Oaks Behavioral Health Center - Dothan, Houston County, Alabama
Mary Starke Harper Geriatric Psychiatry Center - Tuscaloosa, Tuscaloosa County, Alabama
Mental Health Facilities in
Alabama
WHO IS an emotionally
disturbed person or (E.D.P.)
Who are you?
Where are you from?
What agency?
How many mentally disturbed people have you dealt with?
Introductions
Seung-Hui Cho, who committed the Virginia Tech massacre in 2007, had been diagnosed with severe anxiety disorder as a child and placed under treatment.

But Virginia Tech was prohibited from being told about Cho’s mental health problems because of federal privacy laws.
One of Loughner’s teachers, Ben McGahee, filed numerous complaints against him, hoping to have him removed from class. “When I turned my back to write on the board,” McGahee said, “I would always turn back quickly — to see if he had a gun.”
On her first day at school, student Lynda Sorensen emailed her friends about Loughner: “We do have one student in the class who was disruptive today, I’m not certain yet if he was on drugs (as one person surmised) or disturbed. He scares me a bit. The teacher tried to throw him out and he refused to go, so I talked to the teacher afterward. Hopefully he will be out of class very soon, and not come back with an automatic weapon.”
Motivation for school board shootings[edit]

"The economy and the world just got the better of him."

--Rebeccah Duke, wife of Clay Duke

Duke was reportedly unhappy with the school board for terminating his wife's teaching job in the Panama City district. In addition, Duke felt a particular sales tax was unfair because it hurt lower-income families more than the wealthy.[8] Prior to the shooting, Duke spray-painted a red circle with a 'V' inside it [Ⓥ] --an allusion to the film, V for Vendetta
Full transcript