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BLEA Crisis 810 Latest Update with Verified Solutions

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BLEA Crisis 810 Latest Update with Verified Solutions Active Listening Definition: A way of listening that focuses entirely on what the other person is saying, and confirms understanding of both the content of the message and feelings underlying the message to ensure that understanding is accurate. Active Listening Includes: Empathy, Paraphrasing, Asking probing questions, Verbal prompts, Silence Tactical Communications: A planned method of talking to people. A technique for gaining voluntary compliance from difficult people using professional language Effective Communications: The ability to select the appropriate means of communication often under surprising or stressful situations Messages have two parts to them: The words themselves, The signals we send, along with the words to tell people how they should interpret the words Strip Phrases: Short and simple calm answers that deflect verbal attacks Crisis: An emotionally significant event that causes stress, overwhelms someone's usual problem-solving skills, and results in chaos Four C's of Crisis: Control, Communicate, Coordinate, Contain Reactions in a crisis (2): Heightened emotions, Lowered reasoning The main ingredient for a crisis (Has three sources): Environmental, Psycho-social, Personality The Four Types of Stress: Acute, Chronic, Accumulative, Delayed Acute: Immediate: happening right now, Gun in face Chronic: The same thing happening over and over (Same suspect, the same household) Accumulative: The piling up of multiple stresses together, Bills, work stress, family life Delayed: Not happening in the present moment: you complete the task and the stress hits afterward PTSD Immediate Impacts of Stress on the Brain: Less logical/rational thinking, Loss of concentration, Dissociation, Memory blocks (can be 24-48 hours), In a major event, it can last up to 72 hours, Body responses Immediate Impacts of Stress on the Body: Adrenaline dump, Higher heart rate, Higher blood pressure, Faster breathing, Muscle tension, Blood pools around vital organs, Slowed digestion, Loss of fine motor skills, Slow-motion, Tunnel Vision, Auditory exclusion, Auditory distortion, Loss of bladder/bowel control Impacts of Stress on Behavior: Become task-oriented, Become frenzied, Cower (overcome by fear or panic), Violently act out, Denial Involuntary Treatment Act (ITA): RCW 71.05 Gives peace officers the authority to take into custody an individual who the officers believe is suffering from a mental disorder and presents an imminent likelihood of serious harm, or is in imminent danger because of being gravely disabled. Involuntary Treatment Act (ITA) 4 Prongs: Danger to self, Danger to others, Danger to property, Gravely disabled (or at risk of becoming so) Gravely disabled factors: Food, Water, Shelter, Clothing, Access to medical help Emotional Intelligence is: The ability to interpret, understand, manage one's own emotions and other's emotions Emotional Intelligence includes: Self Awareness, Social Awareness, Self Management, Relationship Management Suicidal Contact Questions: Are you thinking of killing yourself? Are you planning on killing yourself? Are you considering killing yourself? Long Term Effects of Unmanaged Stress (FOR LEO): Being out of touch with spouse, Straining other relationships, Being burnt-out, Abusing substances, Early Death, Suicide Preparations for Dealing With Stress (From Wellness Class) for LEO: Training until muscles remember Imagery Being physically fit Living below your means C.I.A.L.A.S. (in depth): Check for safety: Do not attempt to de-escalate or intervene if it is not safe to do so Introduce yourself and get the subject's name Ask open-ended questions Listen actively: Use active listening skills Align: Seek to find common ground Support: Look for opportunities to tie the person to resources that will improve the situation CPR: Current Plan, Past Behavior, Resources CPR (in depth): Current Plan: Do you have a current plan to kill yourself? DO you have access to that means? When are you planning to do this? Past Behavior: Have you tried to kill yourself before? How did you try to kill yourself last time? Do you know anyone who has killed themselves? Useful to know if they are at a baseline or if they are escalating Resources: Do you have a counselor/case manager or therapist? Who have you talked with before when things were bad? What have you done before when you felt like this? Eight Questions to Ask on Crisis Calls Name & DOB, Relationships, What happened, Were you assaulted, Anything intentionally broken, Were you prevented from calling to 9-1-1, Were you threatened, Has this happened before? 5 Decisive Steps Ask, Set Context, Present Options, Confirm their choice, Act What is Empathy The action of understanding, being aware of, being sensitive to, and vicariously experiencing the feelings and thoughts of another ITA RCW 71.05 Can you arrest someone for not taking their meds? No Strip Phrases Examples: I hear you... I understand but... (*DON'T SAY THAT YOU UNDERSTAND UNLESS YOU DO*) I hear what you are saying, however... Youth ITA Ages: 12 and under: parent has final say when LE decides to do an ITA. Parent can deny ITA attempt by LE 13-17: ITA process can be discussed with parent but ultimate decision is made by LE If there is a legit DV assault how many hours do you have to arrest and book: 4 hours What is the LEED model Listen, explain, equity, dignity What are the two types of trauma Primary and secondary trauma Definition of emotional intelligence: Ability to interpret, understand and manage one's own emotions and others What does ITA stand for Involuntary Treatment Act Can you frisk and search for safety on an ITA? Yes 3 benefits of paraphrasing Stops the rant Shows empathy Creates mind etching What symptoms might someone exhibit that is bipolar? Mania Highs and lows Elevated mood Lack of sleep Risk taking behaviors Euphoric Grandeous delusions What can create psychosis? Broad term Can be drug induced Can have delusions and disorganization If someone is exhibiting heightened emotions they probably have... Lowered reasoning

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