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Street Talk |
A MENTAL HEALTH NEWSLETTER FOR
LAW ENFORCEMENT PROFESSIONALS
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Eastern Missouri October-December , 2005 |
In this issue . . .
A Police Officer's Guide to Mental Retardation vs. Mental Illness
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By Michael Maguire, Executive Director of Options For Justice since 1992. The agency is the only one of its kind in the State of Missouri and is set up to work with offenders with mental retardation and other developmental disabilities. Maguire is also a former Illinois State probation officer. He has been a trainer at the St. Louis County and Municipal Police Academy since 1993 and at the St. Louis Metropolitan Police Academy since 1997, where he has trained hundreds of police officers regarding mental retardation. Maguire can be contacted by calling 314-721-6161. |
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As a law enforcement officer, you encounter people from many walks of life. Your ability to recognize and correctly handle situations involving people with special needs, such as mental retardation, will largely determine your level of success.
Some officers use the term “mental illness” as a catch all, or interchangeably with mental retardation. However, mental illness and mental retardation are not the same and should not be treated that way.
In the past 30 years, the number of people with mental retardation who live in our communities has greatly increased. These individuals are typically law-abiding and can be productive citizens. Unfortunately, as with any other group of citizens, a small percentage of these individuals violate federal, state and local laws and should be held accountable for their acts.
Remember, a person with mild mental retardation may…
Mental retardation is a developmental disability. Individuals with these disabilities may experience difficulty in areas such as self-care, self-direction, mobility, learning, language and independent living. Common developmental disabilities in addition to mental retardation include learning disabilities, autism, epilepsy, and cerebral palsy.
Officer safety demands that you initially treat suspects with mental retardation in the same manner as you would any other suspect. However, when the situation is secure, using a calm but firm tone will usually be the best approach in communicating with these individuals.
The guidelines listed below will assist officers in becoming more aware of and increase their ability to recognize mental retardation and how it differs from mental illness:
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Mental Retardation |
Mental Illness |
| Mental Retardation is a condition and refers to below average intelligence | Mental illness has nothing to do with intelligence -- it is an illness |
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Mental Retardation usually occurs during the developmental years |
Mental illness can happen at any age |
| Mental retardation occurs in about 3% of the population | As many as 16-20% of the population may experience a mental illness |
| Mental retardation is permanent | Mental illness can be temporary, and many people recover fully |
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Individuals with mental retardation can be rational and perform at their levels of understanding
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An individual with mental illness can fluctuate between rational and irrational behavior |
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The majority of people with mental retardation have mild mental retardation, which can make it difficult to identify them |
Many people with mental illness may be able to hide their symptoms temporarily, and may also be difficult to identify |
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NPSF Survey: We Need Your Help In the last issue of Street Talk, we talked about the work being done by the National Police Suicide Foundation (NPSF) (Street Report: Police Suicide). This organization takes a proactive approach to suicide prevention. They provide a Train-the-Trainer Seminar that gives you the ability to set up training for your department and to develop a police suicide awareness policy. We would like to sponsor this training opportunity in St. Louis. First, we need to find out if there is interest in our police community. If you or someone from your department would like to attend this training, please e-mail Lt. Dan Fitzgerald at dfitzgerald@brentwoodmo.org. For more information on the training, contact www.psf.org. |
CIT Corner: CIT at Work
| By Sgt. Barry Armfield, a St. Louis County Police Officer for 31 years, with assignments in all patrol divisions including Tactical Operations. He is the CIT supervisor for the West County Precinct, Chair Person for the CIT Training Committee and a member of the CIT Executive Committee. |
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CIT Corner appears regularly in Street Talk. CIT-trained officers will contribute articles to the column for the purpose of sharing information about the successes and expansion of CIT (Crisis Intervention Training) in the metropolitan area.
Let me take the time to give some updates on the progress of the Crisis Intervention Team program.
The Greater St. Louis Area Crisis Intervention Team has started a new phase with a grant obtained from the Missouri Foundation for Health. There are new plans in process to assist officers with CIT including additional training resources. The grant pays for my new position as CIT Coordinator for the St. Louis area. My duties will include but are not limited to:
I can be reached at 314-628-5509 or Barmfield@stlouisco.com.
The grant will also assist St. Louis Metropolitan Police Department with getting officers trained by providing money for overtime to cover the 40-hour training week.
Richard Stevenson, NAMI-St. Louis, will be the CIT program coordinator for the mental health agencies providing instructors and program support.
Wendy Dudek has been hired as a full-time Family Support Specialist for CIT referrals. Wendy will provide follow-up support to the consumers of services, their families, and individuals that are involved with the CIT Program. Wendy Dudek can be contacted at 314-628-5510.
The CIT program received donations in the amount of $2,000 from the St. Louis Area Police Chiefs Association, and $1,000 from the Town and Country and Des Peres golf tournament. Thank you for your support.
The St. Louis County Council recently approved an ordinance, which allows St. Louis County Mental Health Court to contract with municipalities in St. Louis County. This will allow all persons with a mental illness who have been accused of a crime to be treated with care and compassion during their involvement with the criminal process. Associate County Counselor Joyce Kelley has been instrumental in getting this accomplished and our thanks go to her for her efforts.
I recently had the opportunity to review a CIT case handled by Town and Country Police Officer John Mattingly. CIT Officers John Mattingly and Steve Nelke responded to a CIT call and represented the program in a professional manner. The parents of the consumer wrote, complimenting the officers and program:
I would like to extend my utmost gratitude to the officers, specifically John Mattingly, who helped my family in our crisis, this past Saturday, April 16. I have a son who is mentally ill, and we needed the police assistance in diffusing a potentially hostile situation.
When I called, the dispatcher assured me the officers were crisis trained to respond to my situation. Officers John Mattingly and Steve Nelke did a wonderful job talking with my son, and convincing him to go to St. John’s Hospital for help. Officer Palmer was also a reassuring voice for my husband and me while all this was going on.
Officer Mattingly stayed at the hospital for several hours talking to my son and me. He referred quite often to the Crisis Training he had recently taken. I appreciated his thoughtfulness and insight into our situation, all the while maintaining a kind and caring attitude. The following evening he stopped by our home to drop off information he had received from this training on where to get help for my son and family.
One out of five persons is affected by mental illness. It can be devastating for not only the affected person, but for the family as well. Having a police department that is trained to respond when there is a crisis in a family dealing with a mentally ill person is invaluable. Many thanks to the Town and Country Police for providing this training to its officers.
It is interactions like this that make the whole CIT program worth it!!!!
CIT Continuing Education
Register through Becky Murphy at the Academy at BAMurphy@stlouisco.com.

Congratulations to the Graduates of the July, 2005 CIT
Training Program

Bridgeton Police Officers Receive their Certificates
Bipolar disorder differs significantly from clinical
depression, although the symptoms for the depressive phase (see below) of the
illness are similar. Most people who have bipolar disorder talk about
experiencing "highs" and "lows" – the highs are periods of mania, the lows
periods of depression. These swings can be severe, ranging from extreme energy
to deep despair. The severity of the mood swings and the way they disrupt normal
life activities distinguish bipolar mood episodes from ordinary mood changes.
Symptoms of mania - the "highs" of bipolar disorder
No two people experience clinical depression exactly the
same. Symptoms vary in severity and duration among different people. While many
people understand that “sadness” and “fatigue” are symptoms of depression, far
fewer understand that anxiety, sleep loss and restlessness are also early signs
of clinical depression.
See your doctor if you experience 5 or more of the following symptoms for
more than 2 weeks:
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By Joyce Kelley, Associate County Counselor. Joyce has been in the St. Louis County Counselor’s Office for 15 years. She has been the Chief Prosecutor and Warrant Officer for the St. Louis County Municipal Court for the last 10 years. She is a member of the CIT Executive Committee, Mental Health Court Executive Committee, and the Jail Diversion Executive Committee.
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What is Mental Health Court?
The St. Louis County Municipal Mental Health Court began in October 2001. It was created in response to and consistent with a nationwide trend to seek ways to decrease the large number of persons with mental illness entering the criminal justice system. Bureau of Justice statistics show that approximately 16% of those in jail, prison or on probation have a mental illness. Such Mental Health Courts are also consistent with a nationwide trend to develop specialized courts to contend with particular social problems that interface the criminal justice system, including domestic violence, homelessness and substance abuse.
What happens in Mental Health Court?
Currently, persons faced with ordinance violations in unincorporated St. Louis County are eligible to participate in the Mental Health Court. Participation is voluntary. A defendant agrees he or she is willing to participate in exchange for a lessened penalty in the end. This could be anything from some type of amendment or probation all the way to a dismissal of charges. Normally, the defendant comes to court once a month for one to two years. The judge determines if the defendant has complied with the court’s order for the preceding month and what might need to be changed for the next month. Orders typically include things such as: keep doctor appointments and comply with doctor’s orders, take all medication as prescribed, attend counseling, go to Alcoholic’s Anonymous (and other similar programs) a certain number of times per week, continue attending school, continue to apply for various benefits, etc. The list of possibilities is extensive.
What are the long-term benefits to participants and police departments?
Basically, the court builds a relationship with each defendant, with a monthly compliance check in front of the judge. However, during the course of the month, there is frequent contact and support from the various caseworkers, mental health caregivers, and other resource persons connected to the Mental Health Court. Each defendant’s plan is tailored to address his or her individual problems and situation. Reduction in recidivism is a major goal as is building a support system that helps the defendant become a more functional person with a better life situation than before. Referrals to Mental Health Court are made by many various persons including, but not limited to: police officers (especially CIT), prosecutors, judges, family members, mental health professions and other resource persons.
How can municipalities use the Mental Health Court?
An exciting development occurred in June 2005 when the County Council voted to allow the St. Louis County Municipal Mental Health Court to offer its services to the municipalities of the county. For a $3,000.00 annual fee, a municipality can contract with the county to send ordinance violators with a suspected mental illness to Mental Health Court. The number of referrals is not limited. There are several reasons the fee for access to the Mental Health Court will be well spent:
Citizens will receive needed services.
When persons receive proper treatment, costs now incurred by municipalities for "repeat" calls will likely be reduced.
Officers and municipal courts will be freed up to perform other functions that do not involve mental health concerns.
CIT officers play a crucial role in referring these kinds of cases and in helping these citizens improve their lives.
For more information on the Mental Health Court, contact me at jkelley@stlouisco.com or 314-615-7042.
At Your Service: The Productive Living Board
By Joyce Prage, CPA. Joyce has worked at the Productive Living Board for 15 years, serving as the Executive Director for the past five years.
The Productive Living Board (PLB) for St. Louis County Citizens with Developmental Disabilities was established in 1979 when St. Louis County voters passed a property tax levy to develop services and supports for residents with developmental disabilities. The present tax generates approximately $17 million annually. PLB funds 46 local agencies that provide residential and vocational services to 4,500 individuals with developmental disabilities that live in St. Louis County.
Offenders with developmental disabilities often experience difficulty in navigating the criminal justice system because of their disability. Often the most difficult task when a police officer or other professional is called into a situation is to identify the specific needs of the individuals. Do these people have any developmental disabilities? Do they understand the consequences of the situation? What assistance do they need?
In order to assist these individuals, the PLB established, and now funds, Options for Justice, an agency that assists individuals who enter the criminal justice system. They provide direct client service (case coordination), training/education and information/referral.
Several resources exist in the St. Louis area to assist individuals with developmental disabilities. This information could be useful when you respond to calls involving an individual or family who needs assistance to address concerns or to find services related to mental retardation or developmental disabilities.
| Options for Justice | 314-721-6161 |
| St. Louis Regional Center North (St. Louis County) | 314-640-6500 |
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St. Louis Regional Center South (St. Louis City, St. Charles and Jefferson Counties) |
314-301-3900 |
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St. Louis Office for Mental Retardation and/or Developmental Disability Resources |
314-421-0090 |
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Developmental Disabilities Resource Board of St. Charles County |
636-939-3351 |
| Jefferson County Developmental Disabilities Resource Board | 636-931-4219 |
Open Mind is a column produced by the Mental Health Association, which appears weekly in many Suburban Journals. Click here for the reprint above and access to the entire Open Mind Archive on this website.
We have archived past issues of Street Talk on this website. All back issues also include a Mental Health Directory and a link to a relevant Open Mind column.
McAtee Award recipients
Stress Relief (Sgt. Dan Fitzgerald)
Management Looks at Officer Burnout (Lt. Mike Laws)
A Look at Mental Health Courts (Officer Jim Rudden)
Signs of Officer Burnout
In the Limelight: Sgt. Paul Ferber
At Your Service: Self-Help Groups as a Resource
Crisis Intervention Training (CIT)
Q&A: What is Schizophrenia
In Their Own Words
Following is a dated index of previous articles that have appeared in Street Talk. To get a copy of any article or a previous issue, please call LaDonna Haley at 314-773-1399.
January 2001
"It Worked for Me" (Officer Gorman)
Holiday blues vs. Seasonal Affective Disorder (SAD)
What should I know about Bipolar Disorder?
"When it finally hit home – part 1" (FBI agent Burt Jensen)
Public policy, mental health, your work
Liability issues for officers and departments
In the Limelight: Hazelwood PD
At Your Service: St. Patrick Center
April 2001
I’d like you to know (helpful hints)
Dealing with frequent callers
"When it finally hit home – part 2" (FBI agent Burt Jensen)
July 2001
Officer and Department of the year awards
At Your Service: Provident Counseling
Q&A: All about EAP’s
Know your mental health options
What does confidentiality really mean?
October 2001
Rethinking our strategies (John Bozarth)
Anger management
Helping peers in distress
In the Limelight: Ballwin and Hazelwood PD’s
January 2002
Who Can You Trust?
Staying in the Cooktent
Top 10 Myths & Facts about Mental Illness
The Terrorist: Sane or Mentally Ill?
At Your Service: American Red Cross
Department of Mental Health Administrative Agents
| BJC Behavioral Health (St. Louis County and South St. Louis City) | 314-729-4004 |
| Comtrea (Jefferson County) | 636-931-2700 |
| Crider Center for Mental Health (Franklin, Lincoln, St. Chas, Warren Co.) | 636-332-6000 |
| Hopewell Community Mental Health Services (north St. Louis City) | 314-531-1770 |
| Community Mental Health Resources | |
| BHR (Behavioral Health Response) 24-Hour Crisis Hotline | 1-800-811-4760 |
| Life Crisis Services, Inc. 24-Hour crisis Hotline | 314-647-HELP |
| Mental Health Association (Education, Information, Referral) | 314-773-1399 |
| NAMI-St. Louis (Education and Support for Families) | 314-966-4670 |
Visit These Websites For FACT SHEETS & Other Mental Health Resource Information:
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Advisory Board Chair Vice Chair Sgt. Barry Armfield Barbara Bauer Al Fressola, MA, CEAP Officer Barb Kaighin
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Street Talk Editor Print Version Graphic Layout/Design Web Version Layout/Design Publishers Published quarterly by Behavioral Health Response and Mental Health Association of Greater St. Louis, a United Way Agency, to provide mental health and mental illness information to law enforcement professionals. Contents copyright © 2005 Behavioral Health Response and Mental Health Association of Greater St. Louis, a United Way Agency. All rights reserved. Written permission must be obtained from Mental Health Association of Greater St. Louis for reprints and duplication in any form. For Further Information Contact: Mental Health Association
of Greater St. Louis Behavioral Health Response,
Inc. Articles and comments from law enforcement professionals are welcomed and encouraged. |
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This website is designed and maintained by Barry Schapiro at Business Resource Group. Please address any technical issues via e-mail to: bjschapiro@aol.com
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