Pink Slip
True or False: The pink slip is used when the person is willing to go to the hospital.
FALSE - the pink slip is used when, according to your discretion, the individual needs to be hospitalized and they are NOT voluntary. Pink slip is used for those involuntary.
You come across an individual who struggles with substance use issues and does not know how/where to go for help or what to do. They feel hopeless. What could you do?
Potential answer: offer them resources (Hope Line - can get individuals to rehab or connected with treatment services; Crisis Peer Supporter, call and speak with Kathy and see if you, she, and the individual can troubleshoot and make a plan).
You are dealing with a situation involving a person in crisis who identifies as transgender. Their ID says their name is Michael, but they identify as Danielle. What do you call them and what do you put in the report?
Calling them by the name they prefer, but putting their legal name in the report. In that moment, put your politics to the side and think about what will create the best outcome for the scenario. Will calling this person Michael help de-escalated this crisis or escalate it?
Someone, they may not even be in crisis, is struggling with getting their electric shut off, or received an eviction notice, or need help getting food or clothes, or need help getting a job... what can you give to them to help?
A CIT business card!
True or False: A counselor/mental health therapist can pink slip.
FALSE - unless they are a designated health officer, designated by the ADAMHS Board, they can not pink slip.
You have an individual with mental health issues who your department continuously responds to, whom you have pink slipped and referred for help numerous times, but they are still a constant call and nuisance to the community... what more could you do to help the situation?
Contact Jenna or contact the ADAMHS board; ask for the individual to be placed on the Community Treatment Team agenda.
It is freezing outside or extremely hot, temperatures are unbearable outside. Where can you take someone who does not have a place to go to get out of these elements?
Potential answer: warming or cooling centers (look at EMA's Facebook page for these updates... Jenna will sometimes send these out too).
If someone is experiencing a delusion or hallucination, do you play along with it, deny it completely, or do neither?
Neither. You do NOT want to play along with it (this could affect their future interactions with you and understanding of their illness) and you do not want to deny it (this could escalate things). Rather, you want to say something along the lines of, "I believe that YOU see that... or, I believe that YOU feel that way" or, paraphrasing their statement, "You feel like the government has you under surveillance."
What is the purpose of CIT training?
Reduce liability, increase officer awareness, increase officer safety, increase community safety
True or False: Probation officers can pink slip.
TRUE - probation officers can pink slip with the approval of their Chief.
If you respond to an individual who is 20 years old and in crisis, who can you call to help de-escalate and get them connected with services?
MRSS
If you are responding to an individual in crisis who is WILLING to get help, but might not meet the criteria of a pink slip, where can you get the person to, in order to help?
Potential answer: take the individual to RapidCare in New Philadelphia (they will get linked with services here).
How can we find out more information about someone in crisis?
By asking questions! Do you take medication? Do you have a case worker/case manager? Do you have a support person? Do you have any medical conditions? Do you have any mental health conditions? Do you receive services through _____?... with the answers to these questions, it gives you insight into what you may be dealing with currently as well as potential ways to intervene in the crisis.
FOR EVERYONE: Write down one way you can unload your backpack each day. What is one way that YOU can take care of yourself and your mental health?
Everyone provide an answer!
True or False: I can change information on a pink slip after it's been written.
FALSE - you would have to write a new pink slip.
Call the board of DD on-call number to assist in identifying/helping find their way home/to help; looking for clues (i.e emergency contact on phone, bracelet, shoes, etc); speak slowly and in simple terms
Potential answers: it could help de-escalate a crisis, it could help prevent future calls, it could give the individual hope to live (i.e suicidal), it could help the person get the help that they need.
What are active listening skills and give two examples?
Active listening skills are skills used to show the person you are listening to that you are paying attention... this helps build rapport, understanding of the situation at hand, and give you info on how to resolve. Two examples: emotional labeling (brining emotions into the room), paraphrasing, reflecting (literally saying back the last few words of what they said to you), summarizing what they say, minimal encouragers (words to show you're listening - uh huh, okay, hmmm), effective pauses, "I" statements (i.e I feel frustrated when you yell at me, because it stops me from listening to you), etc.
True or False: You can still pink slip even if the person is not suicidal nor homicidal.
TRUE - even if someone is not suicidal or homicidal, if they "would benefit further from treatment", you can use the pink slip (i.e they are not a harm to themselves or others, but they are unstable and would benefit if they went to the hospital to be stabilized).
What would be a good strategy if you are responding to a veteran in crisis and you, yourself, are not a veteran?
Potential options: if you have a veteran on duty who can respond, ask for them; call Jim Thornton; call 988 Press 1 with the veteran as support; pink slip if necessary; ask if they have a battle buddy they can call; plan with them to reach out for help/give resources.
You are in a crisis. Who can you contact for help?
Potential answer: CopLine, 988, a trusted buddy... if you do not unload your backpack, it will eventually weigh you down. Don't let it get to that point. Call someone as soon as you feel like you need help or that your backpack is filling up. Make time for yourself every day to unload your backpack.
What are 2 foundational skills in de-escalation?
Possible answers: empathy, active listening skills, open-ended questions, hooks & triggers (giving a suicidal person hope), nonverbal communication (body language, facial expressions, eye contact etc)