DEEP IN THE HEART OF

TEXAS
Photo Courtesy of the San Antonio Convention & Visitors Bureau/Stephanie Colgan

First Annual
CIT International Conference
June 1-3, 2010
Marriott Rivercenter Hotel
San Antonio, Texas
http://www.youtube.com The Bexar County Story
Bexar County • Safety Net • Collaborative

The Center
for
Health Care
Services
Welcome
Welcome to San Antonio
It is my pleasure to welcome you
TABLE OF CONTENTS
to the First Annual CIT International
Conference 2010! Welcome......................................... 1

Back in 2005 I had hoped that at CIT International Board of Directors..... 5

least 250 people would attend the first
CIT National conference. I was quite
surprised to see that over 700 showed
up and was excited. The next year the
conference moved to Orlando, FL and
attendance continued to grow. The
following year it was held where it all began, Memphis, TN with an
attendance of over 1100!
It became very clear that there was a need for a CIT conference
where people could exchange ideas, new friends could be made,
Social Media Links........................... 6
Program at a Glance........................ 7
Speaker Bio’s................................... 8
Tuesday summaries by time............ 10
Wednesday summaries by time ..... 24
Thursday summaries by time . ........ 42
Poster Presentations........................ 43

Welcome
and old acquaintances rekindled. Not to mention the great
presentations that cover the entire gamut of CIT from those wanting
to know more about it, to those wanting to improve their current
program and everything and anything in-between. In 2008 Atlanta,
Georgia hosted this event and a great time was had by all.

This year San Antonio, Texas has stepped up to the plate and has
been working very hard to make this conference even better. There
are even more presentations, opportunities to network, and how can
you possibly beat being right on the Riverwalk in the spring! I would
Blogs............................................. 44
Reprints......................................... 45
Police 3x5 Crisis Intervention .
Quick Referral Cards...................... 49
Save the Date - Virginia Beach ...... 55
Hotel Map..................................... 56
Conference Committee................... 58
Conference Exhibitors..................... 58
like to thank the very hard working individuals who so graciously
Conference Sponsors...................... 59
volunteered to host this year’s convention.
Notes Pages.................................. 60
The Board of Directors of CIT International is all unpaid volunteers
who give freely of their time and expertise to make this relatively
new organization grow and meet your needs. After all, CIT – It’s
more than just training! It’s forming strong partnerships within the
community and together having a lasting PROGRAM!

On the CIT International Executive Committee are Sam Cochran &

Randy Dupont-Co-Chairs, Michele Saunders (Florida) Vice President,
Joe Mucenski (Arizona) 2nd Vice President, Victoria Huber-Cochran
(Virginia) Secretary, and Jim Dailey (Kentucky) Treasurer. General
Board members include Suzanne Andriukaitis, Jeff Murphy and Crisis Intervention Team
International
William Lange (Chicago), Ron Bruno (Utah), Brad Cobb (Tennessee),
Nora Lott-Haynes (Georgia), Donald Turnbaugh and Jeffrey Lefton
(Florida), Mark Munetz (Ohio); Nick Margiotta (Arizona); Thomas www.citinternational.org
Kirchberg (Tennessee); and Thomas Garrity (New Jersey).

Welcome to San Antonio, and I hope you have a great time!

Michael S. Woody
President – CIT International

First Annual
CIT International Conference 1
 Welcome
Greetings from the
Bexar County Sheriff’s
Office
On behalf of the Bexar
County Sheriff’s Office, we
are proud and humbled to
have been selected as the
City to host the 2010 CIT
International Conference.
The City of San Antonio and
Bexar County have been
leaders in this initiative and
we are anxious to showcase
our endeavors. All of the
conference planners have
welcome from the City
of San Antonio Police
Department
It is a pleasure to welcome
you to San Antonio, Texas,
for the First Annual CIT
International Conference..
We are honored and excited
that you have chosen to
attend this annual training
conference.
San Antonio is still known
for its friendly small town
atmosphere where the
Alamo and four other historic missions are located a

Welcome
been working hard to ensure that your stay in
our fair city will be pleasant and enjoyable. The short distance from the beautiful downtown Riverwalk.
conference agenda guarantees that every attendee will But as the sixth largest city in the nation, it offers such
receive the latest information on crisis intervention; the amenities as theatres, museums, large shopping malls,
elite speakers selected for this event will share their Six Flags Fiesta Texas and Seaworld theme parks, and
knowledge and experience to support you in carrying many other major attractions.
out your mission.
I hope each of you has a rewarding, educational,
During your leisure time, please enjoy the sights in enjoyable experience in and out of the seminar. It is our
this beautiful and historical city, the attractions are pleasure to serve you during your stay.
many and varied which makes San Antonio the ideal
On behalf of all the members of the San Antonio Police
location for a vacation getaway. Event planners will
Department, “Bienvenidos!”
be available to answer any questions that you may
have, as well as give you directions and information Sincerely,
on places to see and visit.
William P. McManus
A special thanks to the men and women that work with Chief of Police
our special needs population on a daily basis; they
deserve special recognition. Have a great time during
the conference and thanks again for allowing us to be
your host. Deputies will be on hand throughout the
conference to assist you.

Sincerely,

Amadeo Ortiz, Sheriff

Bexar County Sheriff’s Office

2 2010—San Antonio, Texas

Welcome
Dear Conference Bienvenidos! Welcome
Attendees to San Antonio!
On behalf of our fellow The National Center is
members of the Board of thrilled to host the First
Trustees we wish to extend Annual CIT International
to each and everyone of you Conference in beautiful San
a warm welcome to the First Antonio. It is our privilege
Annual CIT International to assist in bringing together
Conference. such an incredible group of
innovators and dedicated
Your attendance professionals. Our hope is
demonstrates your passion that your experience here
and commitment to learning is uniquely productive and
and innovation. We enjoyable.
commend you for your service and contributions to
your community. Our passion and mission is to participate in the

The Center for Health Care Services Board of Trustees
wishes to acknowledge the tremendously positive
outcomes which have resulted from Crisis Intervention
Teams all across the Country and in other nations of
the world.
The advances in community policing continue to
improve the quality-of-life for the many we serve. The
first CIT conference in Ohio laid the groundwork for
the many contributions which would follow in the
subsequent CIT conferences in Florida, Tennessee and
Georgia.
As we add Texas to the conference site list, we still
believe Texas is its own country, so it is only fitting that
the first international CIT conference be hosted here (a
little Texas humor).
It is our hope that you’ll take full advantage of the multiple
learning opportunities and of the many contributions
made by the over 130 presenters gathered here today.
Enjoy the Conference, enjoy San Antonio, and enjoy
the Riverwalk!
Sincerely,
Margaret M. Vera
Chairman
The Center For Health Care Services
Welcome
promotion of public policy, leadership development,
skills training and community education. With great
joy we note that this conference reflects a strong
commitment to community transformation and a direct
contribution from all of you.
I want to thank, the sponsors, exhibitors, and the
presenters for taking time out of your busy lives to
participate in this landmark event!
Participation in this conference is key for our involvement
in helping persons with mental illness. These efforts are
vital in establishing community initiatives to better serve
this diverse population.
A special thanks to the Conference Steering Committee
in San Antonio which has brought fellow committed
partners here at this conference to produce the
many opportunities for the development of models
establishing accessible community services based on
best practices.
Please let one of us from The National Center know
if we can do anything to make your time at the
conference better.
Sincerely,
Rudy Arredondo
Chairman of the Board of Directors
The National Center for Behavioral Health Solutions

First Annual CIT International Conference 3

 Welcome
Dear Participants,
Dear Participants
Welcome

It is my pleasure to welcome you the the

First Annual CIT International Conference
here in San Antonio, just walking distance
from the cradle of Texas Liberty, the Alamo.
This year's conference has drawn
attendance from leading law enforcement,
mental health and advocacy organizations
from all over the Nation and now, the world.
Speakers representing industry, government
policy makers, as well as academic scholars
and researchers from the criminal justice,

Welcome
mental health, substance abuse, and health
practitioners will present and discuss the latest topics in crisis
intervention training focusing on strategies, experiences and
techniques with regards to community policing, excellence in service
delivery and effective best practices.
This three day conference is an excellent opportunity for you to meet
with members from all over the world, share your approach with
Crisis Intervention Teams throughout the Nation and create an
opportunity for networking, collaboration, sharing of technical
information and the building of trust relationships internationally. As
always, we extend a warm welcome to all our colleagues in service
who share our interest in improving public safety and maximizing
compassionate care for persons we serve.

I am looking forward to meeting and hearing from you during what

promises to be a most stimulating and enjoyable event!
Enjoy San Antonio !!!
Leon Evans,
President and Chief Executive Officer
The Center for Health Care Services
Bexar County Mental Health and Substance Abuse Authority

4 2010—San Antonio, Texas

 CIT International Statement of Purpose
CIT International is a non-profit membership organization whose primary purpose is to facilitate understanding, development
and implementation of Crisis Intervention Team CIT training programs throughout the U.S. and in other nations worldwide in
order to promote and support collaborative efforts to create and sustain more effective interactions among law enforcement,
mental health care providers, individuals with mental illness, their families and communities and reduce stigma of mental ill-
ness. CIT International works to accomplish this purpose by raising public and stakeholder awareness through education and
outreach, establishing and disseminating recommended standards for developing, implementing and sustaining crisis interven-
tion programs, providing assistance to communities interested in developing CIT programs, supporting research and evaluation
of CIT programs and partnering with CIT programs in various localities to hold annual National CIT Conferences.

CIT International
Board of Directors

FRONT ROW: Left to right: Michele Saunders (Florida) Vice President; Michael Woody (Ohio) President; Nora Lott-
Haynes (Georgia) Member; Donald Turnbaugh (Florida) Member

BACK ROW: Left to right: Ron Bruno (Utah) Member; Randy Dupont (Tennessee) Co-Chairman; Williams Lange
(Illinois) Member; Jeffrey Murphy (Illinois) Member; James Dailey (Kentucky) Treasurer; Joseph Mucenski (Arizona)
2nd Vice President; Sam Cochran (Tennessee) Co-Chairman; Vernan Keenan (Georgia) former Member.

First Annual CIT International Conference 5

 Conference
Social Media Links
Connect Worldwide

All can be accessed via the Conference Website at

www.chcsbc.org/cit or directly at the listed site:

http://twitter.com/citinfo
be sure to use #citinfo hashmark in every tweet

http://cit2010.blogspot.com

http://www.facebook.com/pages/CIT-International-
Conference-San-Antonio-2010/116928652431

or just Google CIT International Conference 2010 Facebook

http://www.youtube.com/user/citinfo1

http://diversioninitiatives.net

6 2010—San Antonio, Texas

 Monday
Program at a Glance
Tuesday Wednesday Thursday
5/31/2010 6/1/2010 6/2/2010 6/3/2010

6:00 AM 6:00 AM 6:00 AM

Morning Walk Morning Walk Morning Walk

7:00 AM - 9:00 PM 7:00 AM - 9:00 PM 7:00 AM - 9:00 PM 7:00 AM - 9:00 PM

Central Operations Central Operations Central Operations Central Operations

1:00 PM - 4:30 PM 7:00 AM - 5:00 PM 7:00 AM - 5:00 PM 7:00 AM - 8:00 AM

Registrations Registrations Registrations Continental Breakfast

1:00 PM 7:00 AM - 8:00 AM 7:00 AM - 8:00 AM 8:30 AM - 10:00 AM

Early Registration Opens Continental Breakfast Continental Breakfast Closing Session

4:30 PM 8:30 AM - 10:00 AM 8:00 AM - 9:30 AM 10:00 AM

Registration Closes Opening Ceremony Workshop Session Adjournment

9:00 PM 10:00 AM 9:30 AM 10:30 AM - 12:00 PM

Central Operations Closed Break Break Tours: CC/Restoration

10:30 AM - 12:00 PM 10:00 AM - 11:30 PM 12:00 PM - 7:00 PM

Workshop Session Workshop Session MH First Aid Training
class pre-registration
required
12:00 PM - 1:30 PM 11:45 AM - 1:45 PM
Lunch Awards Luncheon

1:30 PM - 3:00 PM 2:00 PM -3:30 PM

Workshop Session Workshop Session Friday
6/4/2010

3:00 PM - 3:30 PM 3:30 PM - 4:00 PM 8:00 AM - 3:00 PM

Break Break MH First Aid Training

3:30 PM - 5:00 PM 4:00 PM - 5:30 PM

Workshop Session Workshop Session

5:30 PM - 7:30 PM 6:00 PM - 7:30 PM

Networking Reception CIT International Board
Pete Earley Meeting
Grand Ballroom

First Annual CIT International Conference 7

 Eric Holder
Eric Holder
U.S. Attorney General
U.S. Attorney General

Eric Himpton Holder, Jr. is the 82nd and current Attorney General of the United States and
Ericfirst
the Himpton Holder,
African Jr. istothe
American 82nd
hold and current
a position, Attorney
serving underGeneral of Barack
president the United States and
Obama.
the first African American to hold a position, serving under president Barack
Holder previously served as a judge of the Superior Court of the District of Columbia, Obama.
Holder States
United previously served
Attorney, as a judge
Deputy of the
Attorney Superior
General Court
of the of the
United District
States andofworked
Columbia,
at the
law firm of Covington & Burling in Washington, D.C. He was senior legal advisor toat
United States Attorney, Deputy Attorney General of the United States and worked the
then
law firm of Covington & Burling in Washington, D.C. He was senior legal
Senator Barack Obama during Obama’s presidential campaign and one of three members advisor to then
Senator
of Obama’s Barack Obama during
vice-presidential Obama’s
selection presidential campaign and one of three members
committee.
of Obama’s vice-presidential selection committee.

Steve Leifman
Steve Leifman

Special Advisor on Criminal Justice and Mental Health for the Supreme Court of Florida
Special Advisor on Criminal Justice and Mental Health for the Supreme Court of Florida
Since serving as Special Advisor, Judge Leifman has been responsible for chairing the
Since serving
Court’s Mental as Special
Health Advisor, Judge
Subcommittee Leifman
which hasa been
authored responsible for
ground-breaking chairing
report the
entitled,
Court’s Mental
Transforming Health Mental
Florida’s Subcommittee which authored
Health System. a ground-breaking
In this report Judge Leifman report entitled,
recommends
Transforming Florida’s Mental Health System. In this report Judge Leifman recommends
the redesigning of services, systems and financial strategies by increasing access to com-
the redesigning
prehensive of services, systems
and cost-efficient community andbased
financial strategies by increasing access to com-
services.
prehensive and cost-efficient community based services.
Judge Leifman also is responsible for creating the Eleventh Judicial Circuit Criminal Mental
Judge Project
Health Leifmanconsisting
also is responsible
of both preforand
creating the Eleventh
post-arrest diversionJudicial Circuit Criminal Mental
programs.
Health Project consisting of both pre and post-arrest diversion programs.

8 2010—San Antonio, Texas

 Pete
Pete Earley
Earley

In a Washingtonian Magazine cover story entitled, Top Journalists: Washington's Media

In a Washingtonian
Elite, Pete Earley was Magazine
described cover story
as one of entitled,
a handfulTop Journalists:inWashington's
of journalists America who Media "have
the power to introduce new ideas and give them currency." A formerAmerica
Elite, Pete Earley was described as one of a handful of journalists in reporterwho "have
for The
the power to introduce new ideas and give them currency." A former reporter
Washington Post, he is the author of nine nonfiction books and three novels. His book, for The
Washington
CRAZY: Post, he
A Father's is theThrough
Search author of nine nonfiction
America's Mental books
Healthand three novels.
Madness, tells two His book, It
stories.
CRAZY: A his
describes Father's Search
attempts Through
to help America's
his college age Mental Health
son, Mike, Madness,
after he becomestells ill
two stories.
with It
bipolar
describes his attempts to help his college age son, Mike, after he becomes
disorder and is arrested. It also describes a year that Earley spent at the Miami Dade ill with bipolar
disorderJail
County and is arrested.
where It also
he followed describes
persons witha mental
year that Earley spent
disorders, at the
who had Miami
been Dade
in jail, out
County
into the Jail where hetofollowed
community see what persons
sort of with mental
services theydisorders,
received.whoHis had
bookbeen
was in jail,
one of out
two
into the for
finalists community to see
the Pulitzer what
Prize sort of
in 2007 andservices they
has won received.
awards from His bookHealth
Mental was one of twoand
America
finalists
the for the
American Pulitzer Prize
Psychiatric in 2007 and has won awards from Mental Health America and
Association
the American Psychiatric Association

Frederick
Frederick J.Frese
J.Frese

Dr. Frederick J. Frese is a psychologist who served for fifteen years as Director of Psychol-
Dr. Frederick
ogy at WesternJ. Reserve
Frese is a psychologist
Psychiatric who served
Hospital, one offor fifteen
Ohio's yearspsychiatric
largest as Directorhospitals.
of Psychol-
He
is also Coordinator of the Summit County Ohio Recovery Project. Thirty-five years ago, He
ogy at Western Reserve Psychiatric Hospital, one of Ohio's largest psychiatric hospitals.
is alsoa Coordinator
while young Marine of Corps
the Summit
officer,County Ohio
Fred was Recoverywith
diagnosed Project. Thirty-five and
schizophrenia, years ago,
over the
whileten
next a young
years Marine
was in Corps
and outofficer, Fred hospitals,
of mental was diagnosed
often with schizophrenia,
on secure and over
wards. Despite his the
dis-
next ten
ability, heyears wasa in
earned and out
degree of mental hospitals,
in International Businessoften on securefrom
Management wards.
theDespite his dis-
American
ability, heSchool
Graduate earnedofa International
degree in International
Management Business Management
in Phoenix, as well asfrom the American
Masters and Doctoral
Graduate School of International Management
degrees in psychology from Ohio University. in Phoenix, as well as Masters and Doctoral
degrees in psychology from Ohio University.

First Annual CIT International Conference 9

Tuesday Agenda
Tuesday Agenda
Tuesday 10:30 a.m. – 12:00 p.m. RM J
Behavioral Health Indicators Project
Presenters: Susan Stone, JD, MD, Executive Coordinator
Mayor’s Mental Health Task Force Monitoring
Committee; James Van Norman, MD, Medical Director,
Austin-Travis County Integral Care; Abraham Minjarez,
LCSW, Criminal Justice Coordinator, Austin-Travis County
Integral Care, Austin, Texas
In 2004, an African American woman with serious
mental illness was killed by a law enforcement officer
in Austin, Texas. While the initial response was to
focus on law enforcement errors, the community took a
broader look at the challenges faced by individuals with
serious and persistent mental illness across a number
of focus areas, including justice system involvement.
The Mayor’s Mental Health Task Force Monitoring
Committee is a broad based collaborative that has
worked since May of 2005 to answer this question:
“How will we know if we are making progress?” In
response, we have arrived at a set of behavioral
health community indicators that have been nationally
recognized. The next step in our work is how to use
these indicators to effectuate system change. This
presentation will outline our approach to decrease the
number of individuals with serious mental illness in our
county jail, using Results Based Accountability and the
Bazelon Center for Mental Health Law Performance
Improvement Initiative.
10 2010—San Antonio, Texas
Tuesday 10:30 a.m. – 12:00 p.m. RM K
An Integrative Treatment Model for Mentally
Ill and Drug Abusing Offenders Re-entering
the Community
Presenters: Chad Graff, Ph.D., LMFT, LPC, Sr. Director,
Southwest Institute for Addictive Diseases, Department of
Psychiatry, Texas Tech University Health Science Center;
Rudy Arredondo, Ed.D., LPC, Board Chair National
Center for Behavioral Health Solutions; Greg Cruz,
M.S., Sr. USPO, U.S. Probation and Pretrial Services,
Texas Northern District
This panel of experts will provide participants with an
overview of an “integrated and collaborative” treatment
model for adult Federal offenders at high risk for mental
illness and substance abuse re-entering the community.
During the reality-based workshop, we will examine
the following topics: 1) service system philosophies
and intervention goals; 2) barriers and resolutions to
effective integration; and 3) collaborations involving
the criminal justice system and mental health/substance
abuse systems to better serve the offenders and their
families.
Tuesday 10:30 a.m. – 12:00 p.m. RM K
Community Mental Health SAMHSA
– The National Perspective
Presenter: Neal Brown, MPA Chief, Community Support
Prgrams Branch SAMHSA-Center Mental Health Services
My presentation will trace care for individuals
with serious mental illnesses from institutions to the
community. It will include reflections on the movement
from deinstitutionalization to community mental health,
and on to community support, and then to managed
care. I will discuss the need for integration among
the mental health, substance abuse, primary care,
and justice systems. Information will also be provided
about SAMHSA programs focused on transforming
systems, integrating care, and diverting individuals with
serious behavioral health problems from the criminal
justice system into community care and rehabilitation

programs. Finally, I will reflect on the report of the
National Leadership Forum on Behavioral Health/
Criminal Justice Services, “A Call to Action” and where
we need to go from here.
Tuesday 10:30 a.m. – 12:00 p.m. RM L
Psychological Effects on War Veterans
Presenter: Thomas von Hemert, BS-Business
Administration, CIT Coordinator, Thomas Jefferson Area
CIT
As the war in Iraq and Afghanistan continues, the
measures of its psychological toll are coming in. A
medical study estimates that more than one in seven
returning veterans are expected to suffer from major
depression, anxiety, or Post Traumatic Stress Disorder
(PTSD). For those who have survived the fighting, the
battle is not over. For some, the return home can be
as painful as war itself. PBS FRONTLINE (60 minute
video) tells the stories of soldiers who have come home
haunted by their experiences and asks whether the
government is doing enough to help. This workshop
will demonstrate the horrific stigma of mental illness in
our society. Materials and information will be provided
to duplicate this class for your use for CIT Trainings.
Tuesday 10:30 a.m. – 12:00 p.m. RM M
Training Ideas for Instructing CIT for
Dispatchers and Medics
Presenter: Sgt. Michael Yohe, BS, MA, Akron Police
Department
Although they play a crucial role in the success,
several CIT programs under develop the importance
of dispatchers and EMS providers. This presentation
will help develop stand alone instructional strategies
for both safety communications centers and medics.
Curriculum suggestions focus on improving connections
with law enforcement’s safety, mission and culture. CIT
contacts many times begin with a call into dispatch
centers and end with a hand-off or review from medical
staff and yet many times gaps exist that do not allow
a smooth transition between different first responders.
Numerous challenges exist in having the CIT work
hand-in-hand with support units and thus create a need
for substantial training and collaboration.
Tuesday Agenda
Tuesday 10:30 a.m. – 12:00 p.m. RM 1&2
CIT Leadership – Top Down for Success
Presenters: Major Sam Cochran, (ret.), MS, BS,
University of Memphis, Instructor, University of Memphis
CIT Center, Memphis, TN. Dr. Randolph Dupont,
Ph.D. Professor, Clinical Psychologist and Chairman
of Department of Criminology and Criminal Justice
and CIT Lead Instructor, The University of Memphis:
Memphis, TN., Chief Tom Garrity, MA, BA,. Camden
County Prosecutor’s Office: Camden, New Jersey,
Elaine Deck, Program Manager, BA, International
Association of Chiefs of Police: Arlington, Virginia Ron
Tuesday
Honberg, JD, MA, NAMI Director of Policy and Legal
Affairs: Arlington, Virginia, Major Sam Cochran, MS,
BS, (retired). Department of Criminology and Criminal
Justice and CIT Instructor, The University of Memphis CIT
Center, CIT Instructor: Memphis, TN.
The Crisis Intervention Team (CIT) program continues
to be an innovative national model of police-based
crisis intervention and pre-jail diversion. Communities
of varying sizes have implemented CIT with positive
results. However, the implementation process can
be time consuming. The panel will discuss factors
leading to shortened implementation timeframes as
well as barriers that cause delays. One factor that is
Tuesday
sometimes overlooked is the importance of effective
leadership.
Communities suffering from a lack of effective leadership
often fail to nurture partnerships and, are likely to
experience difficulty in realizing a successful program.
This panel discussion will provide a framework for
engaging those in positions of leadership in order
to implement and sustain a viable community CIT
program.
Tuesday 10:30 a.m. – 12:00 p.m. RM 3 & 4
Crisis Intervention Teams for Youth- Training
Law Enforcement to Respond to Youth with
Mental Health Needs
Presenters: Kathleen Skowyra, BA, Director, Models for
Change Mental Health Juvenile Justice Action Network;
Don Kamin, Ph.D., Chief, Clinical and Forensic Services,
Monroe County Office of Mental Health; Sandra Sayre,
BA., Manager, Division of Criminal Justice, Colorado
Regional Community Policing Institute, New York, New
York
The majority of specialized police mental health
training programs developed in this country focus on
First Annual CIT International Conference 11
Tuesday Agenda
training police to respond to adults. Recognizing this
gap, the Models for Change Mental Health Juvenile
Justice Action Network, working with support from the
John D. and Catherine T. MacArthur Foundation and
in conjunction with the Colorado Regional Community
Policing Institute, developed Crisis Intervention Teams
for Youth (CIT-Y), a youth-focused supplemental training
for CIT trained officers that provides critical information
on adolescent development, mental health disorders
and response techniques appropriate for youth.
This workshop will provide an overview of the key
components of the CIT-Youth curriculum and highlight
the experiences of one Action Network state to use
the training curriculum to expand their existing CIT
program.
Presenters will also share information on how to access
the training curriculum, as well as discuss developing
efforts to expand the training curriculum into a 24 hour
version.
Tuesday 10:30 a.m. – 12:00 p.m. RM 7
Integration of Crisis Care Services
Presenter: Debra S. Dillon, MA, RN-BC, Deputy
Director, Transitional Services, Memphis, Tennessee
Adult crisis services in Memphis and Shelby County
Tennessee underwent a complete redesign and
integration in 2009. The reorganized system provides
a full continuum of integrated crisis services consisting
of a Crisis Assessment Center (walk-in and mobile
crisis services), Police Diversion Unit (social detox
services), Crisis Respite, Crisis Stabilization Unit, and
Peer Support all housed at a single location. The
program offers services to assess, stabilize and direct
individuals to the most appropriate and least restrictive
level of care; provides a single point of entry for law
enforcement officers to access mental health and
substance abuse services for individuals; improves
access to the full continuum of care; and decreases
fragmentation and duplication of services. Following
integration and redesign, the number of individuals
served doubled and the diversion rate increased from
10%-15% previously to 59%-60% currently. Feedback
from consumers, referral systems, families, advocacy
groups and funding agencies has been overwhelmingly
positive.
12 2010—San Antonio, Texas
Tuesday 10:30 a.m. – 12:00 p.m. RM 8
Using the Right Language when Enlisting
Help from Law Enforcement
Presenter: Jeanie Paradise, LPC, Center for Health Care
Services, San Antonio, Texas
This session is designed to help facilitate the mental
health professionals interaction with police. Come
and see role plays and practice for yourself how using
the right language can better your outcomes with law
enforcement. Through the art of negotiation, put the
focus back on the consumer and having the consumer’s
needs met rather than allowing professional egos take
over. It’s all out in the open now, no holding back!
Tuesday 10:30 a.m. – 12:00 p.m. RM 8
San Antonio CIT
Presenter: Sgt. Romana Lopez, B.A., San Antonio Police
Department, CIT Coordinator
Learn about CIT San Antonio style including curriculum,
class structure, how to choose guest instructors and the
importance of evaluating each class for improvement.
We’ll discuss keeping your CIT class involved and
invested in the learning process for the full 40 hours
with special attention to active role play. The session
will also cover pitfalls to look out for and how to avoid
missed opportunities to learn about mental illness. You
will receive our curriculum itinerary, a copy of our
resource cards and other helpful hints!
Tuesday 10:30 a.m. – 12:00 p.m. RM 11
Cognitive Behavioral Therapy for Psychosis:
Basic Tenets and Skills for Interacting with
Individuals Experiencing Psychotic Symptoms
Presenters: Dawn I. Velligan, Ph.D., Professor/Director,
Division of Schizophrenia and Related Disorders,
Department of Psychiatry, University of Texas Health
Science Center, San Antonio; Meredith L. Draper,
Ph.D., Postdoctoral Fellow/Licensed Psychologist,
Department of Psychiatry, University of Texas Health
Science Center, San Antonio, Texas
A recent report from the Council of State Governments
Justice Center indicated that individuals diagnosed
with a serious mental illness (SMI) were three to six
times more likely to be incarcerated in local jails than
members of the general population. SMI includes the

diagnoses of bipolar disorder, treatment refractory
depression and schizophrenia. Schizophrenia is a
complex disorder that includes an array of symptoms
such as; cognitive deficits, negative symptoms and
psychosis (hallucinations and delusions). Cognitive
Behavioral Therapy for Psychosis (CBTp) focuses on
helping individuals to develop alternative explanations
for the symptoms of their illness and to reduce the impact
of these symptoms on their behavior. This workshop
provides an overview of schizophrenia and psychotic
symptoms, and will focus on basic skills informed by
CBTp, that may be employed by members of law
enforcement or community groups when interacting
with individuals experiencing psychotic symptoms.
Tuesday 10:30 a.m. – 12:00 p.m. RM 12
Mobile Crisis Intervention: The Toronto
Experience
Presenters: David Gotlib, M.D., FRCPC, Medical
Director of the Emergency Psychiatry Team, Community
Mental Health Services and Mobile Crisis Intervention,
St. Joseph’s Health Centre, Toronto, Ontario, Canada.
Michael Zawerbny, Police Constable, Toronto Police
Service. Conny Stefan, RN, Mobile Crisis Intervention
Team.
The presentation will discuss the operation of a Mobile
Crisis Intervention Team within a large Canadian urban
environment. The team is comprised of dedicated
police officers, psychiatric nurses and is supported
and managed by a base hospital with a psychiatric
medical director who oversees and directs patient
care. The perspectives of all three team members
will be presented and discussed as it relates to their
experiences in the field. Topics of discussion will
include team operation and function, experiences
in developing a collaborative model, internal and
external challenges faced by police, the influence of
the Canadian health care system on the functioning of
the MCIT, attempts to use new computer technologies,
practical strategies for dealing with challenging clients
whose needs extend across many service systems, and
what works, what doesn’t.
Tuesday Agenda
Tuesday 10:30 a.m. – 12:00 p.m. RM 13 & 14
It All Begins at the Jail
Presenters: Denise Curiel, Criminal Justice Liaison,
Adult Services/CPSA; Diana Carino, Criminal Justice
Assistant, CPSA, Tucson, Arizona
The Community Partnership of Southern Arizona (CPSA)
has developed a comprehensive model of care that
starts at the time of arrest and moves though the justice
system and ends with the member developing a plan
for recovery.
Community Partnership of Southern Arizona (CPSA) is
Tuesday
the first responder for its members who are arrested
and detained in the Pima County Adult Detention
Center. CPSA’s role at Pima County Detention Center
is to ensure coordination of care is being provided to
our members. The process starts by getting release
of information so that collaboration efforts can begin
between the member, jail staff, jail medical staff,
treatment providers, peer support, law enforcement and
the courts.
This model offers a number of points of engagement for
members, supports community safety efforts, reduces
the numbers of days a member is in custody, expedites
case processing, reduce recidivism and relieves jail
overcrowding. This model will also show what Mental
Health Diversion programs have to offer our members
with a co-occurring disorders and family members.
Tuesday 10:30 a.m. – 12:00 p.m. RM 13 & 14
A Diversionary Program for People with
Psychiatric Disabilities
Presenter: Brian Coco, BS, Chief Probation Officer,
Judicial/Adult Probation
The presentation will provide an overview of the
specialized supervision initiatives within Court Support
Service’s Adult Probation Department in CT with a
special focus on the development and implementation
of a diversionary program specifically geared for
clients with psychiatric disabilities.
First Annual CIT International Conference 13
Tuesday Agenda
Tuesday 10:30 a.m. – 12:00 p.m. RM 15
CIT Program Calls for Assistance: Two Year
Outcomes
Presenter: Sabrina W. Tyuse, Ph.D., Associate
Professor, School of Social Work, Saint Louis University
The St. Louis County Police Department, in cooperation
with the National Alliance for the Mentally Ill (NAMI) in
St. Louis, Missouri, and several mental health treatment
agencies, developed a crisis intervention team (CIT)
training program the goal being incarceration reduction
among the mentally ill. A critical assessment is
necessary to determine the effectiveness of CIT program
interventions; this presentation will address CIT calls for
assistance during the first two years of the Program. The
presentation will provide information on the number
and types of CIT calls, who was diverted for evaluation
and why, and which individuals were hospitalized for
mental health treatment.
Tuesday 10:30 a.m. – 12:00 p.m. RM 16
Cross-System Collaboration Promotes Access
to Health Care in Miami-Dade County,
Florida
Presenters: Cindy A. Schwartz, MS, MBA, Project
Director, Eleventh Judicial Criminal Mental Health Project;
Alejandro Aristizabal, MBA, Felony Jail Diversion Team
Leader, Eleventh Judicial Criminal Mental Health Project;
Florida
To improve access to medical and psychiatric care,
the Eleventh Judicial Criminal Mental Health Project
(CMHP) of Miami-Dade County, Florida developed
a collaboration with the Public Health Trust/ Jackson
Health System (PHT/JHS) to assist individuals with
mental illnesses and co-occurring substance use
disorders to transition from the criminal justice system
to the community. The collaboration has ensured that
program participants have immediate admission to
treatment, medication, support services and housing
upon release from jail.
Stakeholders in the criminal justice and behavioral
health communities consistently identify lack of access
to public entitlement benefits such as Supplemental
Security Income (SSI), Social Security Disability
Insurance (SSDI), and Medicaid as among the
most significant and persistent barriers to successful
community re-integration and recovery for individuals
who experience serious mental illnesses and
co-occurring substance use disorders. In order to
14 2010—San Antonio, Texas
address this barrier and maximize limited resources,
the Eleventh Judicial Criminal Mental Health Project
(CMHP) in Miami-Dade County developed an
innovative plan to improve the ability to transition
individuals from the criminal justice system to the
community. Toward this goal, all participants in the
program who are eligible to apply for Social Security
entitlements are provided with assistance utilizing a
best practice model referred to as SOAR (SSI/SSDI,
Outreach, Access and Recovery).
TUESDAY 1:30 p.m. – 3:00 p.m. RM J
Outpatient Commitment Law: The Missing
Piece for Crisis Intervention
Presenter: Daniel Garza, MD
Inpatient psychiatry’s “revolving door” often has as
its welcome mat a crisis intervention referral. Crisis
teams are often the first witnesses to the unraveling of
outpatient treatment adherence. Mentally ill individuals
with dangerous symptoms often make headlines
throughout the country and shine an unflattering light
on regional mental health systems. This increases
referrals to crisis teams as providers reflexively make
more referrals.
As state after state incorporates outpatient commitment
legislation, crisis teams should familiarize themselves
with these reforms. Assisted Outpatient Treatment
Program is an ideal example of such an adjustment
to the New York State mental health system that has
helped thousands of mentally ill clients enhance their
compliance, and lower negative consequences while
living in the community, now 10 years after its inception.
Crisis teams are key stakeholders in promoting such
changes in their communities and ensuring they are
properly designed and correctly implemented.
Tuesday 1:30 p.m. – 3:00 p.m. RM K
The Road to the Houston Police Department’s
Crisis Intervention Response Team (CIRT)
Presenters: Rebecca Skillern, MA, LPC-S, Police
Officer/Investigator, Mental Health Unit, Houston Police
Department; Eric Chimney, Senior Police Officer,
Houston Police Department; Mike Erickson, MA,
Clinician/Licensed Mental Health Practitioner, Mental
Health Mental Retardation Authority, Houston, Texas
The Houston Police Department’s Mental Health Unit,
along with the Mental Health Mental Retardation

Authority (MHMRA), has developed a program, the
Crisis Intervention Response Team (CIRT), that pairs
a uniformed police officer with a Licensed Mental
Health Professional for responding to more serious calls
involving citizens in mental health crises. This model of
policing allows for a collaborative approach to dealing
with citizens in mental health crises.
Tuesday 1:30 p.m. – 3:00 p.m. RM K
Premise Histories, Mental Health Referrals
and a Working Relationship between CIT
and the Mental Health Department
Presenters: Priscilla Rayon, Police Officer, Houston
Police Department, Mental Health Unit; Evelyn Locklin,
MCOT Supervisor, HMRA; Houston, Texas
This workshop will discuss the importance of Premise
Histories and Referrals to the Harris County Mental
Health Department, Mobile Crisis Outreach Team.
Premise History is used to flag a location and (or)
person to advise officers of previous activity at the
location or with the person. MCOT Referrals are from
the Houston Police Department to the Outreach Team
to give them information of a consumer in possible
need of services. The workshop will also discuss how
having a working relationship between the Houston
Police Department and the Harris County Mental
Health Department, has helped both agencies better
serve the community.
Tuesday 1:30 p.m. – 3:00 p.m. RM L
Excited Delirium: What is it?
Presenters: Erik Lindgren, BA, Police Training Officer,
Riverside Police Department; Corey Braxton, LVN, CIT
Trainer, Riverside County Regional Medical Center –
Department of Psychiatry; Deborah Johnson, LCSW,
Assistant Hospital Administrator
Excited delirium is a controversial term currently used
by law enforcement to explain unexpected in-custody
police deaths where the person may be agitated,
exhibiting bizarre behavior with increased physical
strength and other medical-psychiatric emergency
presentations. This course will provide the student with
a basic understanding of the term excited delirium,
presentation of the kind of person that may be
exhibiting excited delirium and interventions to prevent
possibility of death or serious harm. Use of tasers
will also be incorporated. The course will also
Tuesday Agenda
include recommendations for training police officers,
psychiatric emergency room and emergency room staff
on how to recognize and treat this condition.
Tuesday 1:30 p.m. – 3:00 p.m. RM M
Advanced CIT Class Focusing on Children and
Adolescent Mental Health Issues
Presenters: Sgt. Michael R. Peterson (Ret), MA LAMFT.
Jane Marie Sulzle, RN, CNS, MS, Clinical Nurse
Specialist at PrairieCare; Sgt. Steve Wickelgren, MA,
Tuesday
MFT, Minneapolis Police Department
After listening to the requests of our CIT officers who
work closely with children and adolescents with mental
health issues, the MN CIT Officers Association in
collaboration with PrairieCare, a provider of health
care services to children, adolescents and their families,
have developed an advanced CIT course. This 3 day
class is for SRO’s, juvenile corrections staff, and any
other CIT officer who wants to expand their knowledge
and expertise in CIT. The expanded curriculum will
include a closer look at how mental illness looks very
different in children as in adults. Officers will gain a
greater understanding of parental perspectives, and
how family systems and environmental forces can affect
a child’s behavior. This will be a dynamic learning
experience featuring actors with specifically designed
scenarios that reflect the unique emotional situations
that often arise when working with youth.
Tuesday 1:30 p.m. – 3:00 p.m. RM 1 & 2
U.S. Department of Veterans Affairs
Engagement with CIT
Presenters: Ira R. Katz, MD, PhD, Deputy Chief Patient
Care Services for Mental Health, U.S. Department of
Veterans Affairs; Thomas M. Kirchberg, PhD, ABPP,
Chief Psychologist, VA Medical Center Memphis, U.S.
Department of Veterans Affairs; Trent Pettis, Course
Manager, VA Law Enforcement Training Center, U.S.
Department of Veterans Affairs
There have been a number of recent media articles
indicating that veterans returning from deployment in
Iraq and Afghanistan are at risk for contact with the
criminal justice system. In response to the intersection of
mental health issues, substance abuse issues, veterans’
services and the criminal justice system, the United States
Department of Veterans Affairs has recently launched
the Veterans Justice Outreach Initiative, which includes
First Annual CIT International Conference 15
Tuesday Agenda
an education effort for law enforcement professionals
focusing on mental health issues among veterans. This
workshop will have four components including an
overview of veterans’ mental health and criminal justice
issues, examples of VA and CIT team partnerships,
and a national plan to train VA police officers in CIT
concepts. At the end of the workshop, attendees will
have a deeper understanding of services available for
veterans and opportunities for partnership between CIT
and VA medical centers.
Tuesday 1:30 p.m. – 3:00 p.m. RM 3 & 4
Keys to the Successful Implementation of a
CIT program
Presenter: Frank Webb, Senior Police Officer, Houston
Police Department
Key #1: Marketing: For many law enforcement officers,
as soon as the words crisis intervention training are
mentioned they automatically think warm and fuzzy
social work. The program needs to be marketed
correctly. Key #2: Level of collaboration. It is important
to collaborate with local mental health agencies to
develop and implement the program and to help teach
the classes. This process should be driven by law
enforcement, however. Key #3: Involve the community
in “selling” the program. Unfortunately, many chiefs
and sheriffs listen to members of the community more
than personnel in their agencies. Key #4: Getting the
right person/people to coordinate the program and to
teach the classes. Key #5: The importance of data. The
collection of data is necessary in order to implement
and run a successful program. Before program and
after program data is optimal.
Tuesday 1:30 – 3:00p.m. RM 3 & 4
CIT the North Carolina Experience
Presenters: Jamie Sales, CIT Coordinator, Mental Health
Partners; Deby Dihoff, Executive Director, NAMI, NC;
Sgt. Bob Cardwell, Moore Co. Sheriff’s Office; Bonnie
Currie, CIT coordinator, Pitt Coordinator; and LaShay
Avery, CIT Coordinator, Piedmont Behavioral health.
This session will give a history of how the state
of North Carolina began to improve its outcomes
in diverting people from jail through the goal of
statewide implementation of CIT. Much of the effort
was prompted by a UNC CH jail study that highlighted
the need for diversion and jail improvements. Various
media will be used to tell our story, including clips
16 2010—San Antonio, Texas
from a video that was put together by a statewide CIT
committee. Details will be provided on the statewide
committee approach and the achievements- Guidelines
to promote quality, Lessons learned, Web site (state
and local examples), sample data sheets, MOUs,
and fidelity scale. NC has a unique relationship with
community colleges as partners – we’ll review the
statute that makes it possible to receive reimbursement
that sustains the program. We will also cover the new
audiences we are reaching – school resource officers,
jail staff, dispatchers, airport security. Finally, we
will mention other improvements stemming directly
from CIT: prison rules reform, statute requiring
communication on arrests between the jail and the
public local management entities.
Tuesday 1:30 p.m. – 3:00 p.m. RM 7
CIT Training for Corrections
Presenters: Bruce Handler, MH Consultants, Inc., Jeffry
Murphy, President of MH Consultants, Inc.; Carl Alaimo,
PsyD, Director of Advance Psych training, Cook County
Department of Corrections, Cook County, Illinois
Crisis Intervention Team training (CIT) is widely accepted
as an effective model for law enforcement agencies
throughout the country. Correctional institutions, on
the other hand, have very different circumstances.
Detainees do not leave their behavior and needs at the
jail door after being arrested. Correction officers need
similar education and skills to deal with crisis to insure
safety and security within the jail setting. Modified CIT
training can accomplish those goals.
Tuesday 1:30 p.m. – 3:00 p.m. RM 8
Detecting Malingering on the Street
Presenter: Felicia Byars, Master’s in Forensic
Psychology, Police Officer, Menlo Park Police
Department; Menlo, California
Have you ever wondered if the person is claiming
to be suicidal for attention or if they really mean it?
How do you know the mentally ill person stole that
beer because the “voice of God” told them to? What
verbal or visual cues could you look for? What do
you do next? The purpose of this workshop is to
develop the skills of the law enforcement responder
to detect malingering during initial contacts “on the
street.” The attendees will be introduced to some
basic principles and skills in determining malingering,
then broken up into groups to practice the interview
 Tuesday Agenda

techniques introduced to them. While practicing, they
will have an opportunity to critique themselves and
determine best practice solutions.
Tuesday 1:30 p.m. – 3:00 p.m. RM 11
Persuading Policy Makers: Effective CIT
Program Evaluation
Presenters: Maria Felix-Ortiz, PhD, Professor, Incarnate
Word University, San Antonio, Megan Brodie, University
of the Incarnate Word, San Antonio
ingredient to establishing community alternatives or
“divert to where” solutions. (133). This workshop will
also address how CIT must be an integral part of a
larger behavioral healthcare diversion system. It will
include state examples of leadership and legislation
and other unique national initiatives. Mr. Engelhardt
will provide a step by step planning process, including
key community stakeholders, values, services that are
critical ingredients to designing and implementing
acute care systems.
Tuesday 1:30 p.m. – 3:00 p.m. RM 12

Tuesday
How can you convince local and state policy makers
Providing Health Care for the Acute Mentally
and stakeholders to support your CIT program? In this
Ill: A Community Response
presentation, the benefits and challenges of collecting
various types of data from the CIT training program, Presenter: David Hnatow, MD, FAAEM, FACEP,
and from the community are discussed, and some basic Emergency Medicine Physician with the Greater San
models for data collection and program evaluation are Antonio Emergency Physicians group, Chair, Community
provided. The benefits of and how you can involve the Medical Director’s Roundtable.
community in setting goals for your CIT program will
be discussed and related to program evaluation, and A group called the Community Medical Directors
educating legislators/policy makers about CIT using Roundtable developed out of initial discussions regarding
old and new technologies. Finally, issues related to emergency detention orders, crisis intervention training,
selecting a program evaluator will be presented. and jail diversion. Recent collaborative efforts by
the major stakeholders (mental health advocates,
emergency department administrators, public health
officials, and law enforcement) in the San Antonio health
Tuesday 1:30 p.m. – 3:00 p.m. RM 11 care community have resulted in improved coordination
of acute psychiatric services. These community leaders
“Divert To Where?” - Cross-Systems
along with the Center for Health Care Services
Planning
(CHCS) and University Health System, the two largest
Presenter: Mark Engelhart, MS, MSW, ACSW, faculty providers of mental health services in the Greater
member at the University of South Florida, Department San Antonio area, lead to the development of the
of Mental Health, Law and Policy, and Associate Crisis Care Center. A 24 hour a day comprehensive
Director of Florida’s Criminal Justice, Mental Health and acute mental health clinic located at University Health
Substance Abuse Technical Assistance Center. Clinic Downtown. This type of collaboration remains
one of the few available means for addressing the
This workshop will address a formula for developing deteriorating mental health system.
a range of recovery-oriented crisis and acute care
alternatives in states and communities. It will address
the essential principles; community challenges; public-
private partnerships; concrete goals and objectives,
problem solving approaches and service array that is
necessary to develop alternatives to jail, unnecessary
hospitalizations and support the efforts of CIT Teams.
CIT is not a single service. Integrated community
planning efforts, such as legislative changes, program
expansion and development, subpopulations like
co-occurring disorders and homeless interventions and
emerging consumer best practices will be discussed.
Practical cross-systems planning examples and
collaborations from several states will be featured.
Leadership: from top down and bottom up is a key

First Annual CIT International Conference 17

Tuesday Agenda
Tuesday 1:30 p.m. – 3:00 p.m. RM 13 & 14
Buddy Up for Success – The Power of Public/
Private Partnerships
Presenters: Sgt. Shannon Wichtendahl, Virginia Beach
Police Department, Mary Witwer, LCSW Virginia
Beach Dept. of Human Services, Emergency Services
Supervisor, PO Steven G. Shunk, VBPD, Jada M. Lee,
Emergency Communications Supervisor, Lt. John Gandy,
VBPD, PO Andrea Bryk, VBPD, Capt. William T. Dean,
VBPD, Debi Evans, Virginia Beach Psychiatric Center,
Director of Development
In this presentation, VB CIT Police Officers, Human
Services clinicians, 9-1-1 Supervisor and a VB Psychiatric
Center representative will discuss how we resolved the
issues of different cultures, use of terminology, and
myths about each other to a point where communication
and partnership became a reality for Virginia Beach
Crisis Intervention Team. As a result of this Private/
Public partnership Virginia Beach Human Rights
Commission formally recognized CIT Core Faculty
and CIT Leadership Committee as recipients of the
prestigious Human Rights Commission Award on March
18, 2010. Virginia Beach Crisis Intervention Team’s
story of success represents the collaboration from a
multi disciplinary group including the VB Department of
Human Services clinicians, VB Police Department CIT
Officers, VB Sheriff’s Office deputies, 9-1-1 Dispatchers,
Virginia Beach Psychiatric Center, and many state and
local advocates. Virginia Beach Psychiatric Center is a
private-for-profit free standing psychiatric hospital that
partnered with the City of Virginia Beach by offering
ample space in their facility for the transfer of custody
for evaluations of people with serious mental illnesses
who are in crisis. This not only prevents inappropriate
incarcerations for misdemeanors, but allows CIT Officers
an opportunity to return to street duty. The result is a
partnership that is unique and serves the needs of
several systems.
Tuesday 1:30 p.m. – 3:00 p.m. RM 13 & 14
Haven for Hope Homeless Campus and
Diversion Initiatives
Presenters: Art Vela, Chief of Life Safety/Security,
Haven for Hope, Dr. Ann Meyers, Director of
Transformation Services
Haven for Hope is a $100 million dollar, 1,000 bed
facility aimed at transforming the lives of homeless
men, women and children in the San Antonio/Bexar
County area. Partnering with 78 governmental, non-
18 2010—San Antonio, Texas
profit and faith-based agencies, Haven for Hope seeks
to transform the lives of the homeless by addressing
the root causes of homelessness through education, job
training and behavioral health services. While most
“shelters” feed, clothe and shelter the homeless, Haven
for Hope and its Partners will provide critical social
services to help the homeless become self-sufficient
individuals on a long-term basis.
Tuesday 1:30 p.m. – 3:00 p.m. RM 15
CIT Officers and the Psychiatric Evaluation:
Community Collaboration in a Crisis
Presenter: Emily Ribnik, Bachelors in Psychology,
Masters in Counseling, CIT Coordinator & Emergency
Mental Health Therapist, Coleman Professional Services
CIT officers on street patrol play an integral and
immeasurable role in emergency psychiatric evaluations
for individuals in psychological crisis. Emergency
mental health professionals rely on the officer’s for
acute and concise information so that they can best
prepare and approach the individual for his/her
evaluation. This presentation pulls back the curtain
of the psychiatric evaluation, and will give officers an
inside view of what mental health professionals due to
assess someone in crisis. Officers will also learn about
different options that mental health professions have,
and what restrictions that exist with the assessment.
Officers will learn how to provide concise and effective
reports to mental health professionals and enhance their
observations of “mental health evidence.” Officers will
additionally understand what a psychiatric evaluation
is, and their important role in this assessment.
Tuesday 1:30 p.m. – 3:00 p.m. RM 16
Recovery Is Possible
Presenter: Gail Tapp, full time staff Advocate Specialist,
County of Los Angeles
As a presenter with my own story coming from years
of incarceration, prison, I talk about the feelings, the
hopelessness I owned for years caught up in a frayed
system along with stigma and a misdiagnoses. A
supreme court judge ruled that I would never be fit to
live in society again back in 1979. Today I am a leader
in the workforce a speaker for consumer rights and an
example, ‘Recovery Is Possible!’

Tuesday 1:30 p.m. – 3:00 p.m. RM 16
The Need for CIT as viewed by Persons with
Mental Illness
Presenters: John Elizondo, BA, English, Community
Relations Specialist, Research & Development; Paul
Eisenhauer, BA, Supervisor, San Antonio State Hospital.
As people who have been on the opposite side of
the law during crises, Paul and I will discuss our
experiences and views when a person with mental
illness intersects with law enforcement both before and
after the establishment of Crisis Intervention Teams.
Tuesday 3:30 p.m. – 5:00 p.m. RM J
Military Culture, Mental Health and Law
Enforcement
Presenter: Deloria Ramos Wilson, Ph.D. Clinical
Research Psychologist, Warrior Resiliency Program-
Training Division
With sustained operations around the world, military
service members of the Active Duty, Guard and Reserve
Components are being asked to do more for longer
periods of time. The majority of service members
and families are resilient, but even the most resilient
individuals may have difficulty adjusting to life once they
return, which can also pose challenges for the family
and community. Understanding the unique stressors of
service members and their families is essential when
considering responding to crisis situations or working
with veterans within your agency. This workshop
will discuss military culture and how it is similar and
different from mental health and law enforcement,
describe unique stressors of military members and
families including combat stress and PTSD, and finally
review some collaborative efforts between departments
and agencies to help build an understanding to better
meet the needs of the military community.
Tuesday 3:30 p.m. – 5:00 p.m. RM K
If I am the Last Resort, Where do I Turn for
Support?
Presenter: Kellie Meyer, M.A., Criminal Justice Director
& Development Director, NAMI Indiana
While there is no exact formula for those who work in
the human being business to find support for themselves,
there are some techniques that are helpful. Kellie is not
Tuesday Agenda
a clinician and will not attempt to offer a diagnosis
for you, but will share ideas and possible insight to
maintaining your own wellness. Her extensive work in
the field has enhanced officer safety. She is a trainer at
the Indiana Law Enforcement Academy, has trained for
the Indiana and Kentucky Departments of Correction,
has consulted on numerous projects and has provided
training for local law enforcement agencies and jails.
She has also developed curriculum for those who work
with people with mental illness in Parole, Probation,
Community Corrections, Work Release and others.
Tuesday
Tuesday 3:30 p.m. – 5:00 p.m. RM L
A Train-the-Trainer Workshop for Teaching
Empathy
Presenter: Don Kamin, Ph.D., Chief, Clinical & Forensic
Services, Monroe County Office of Mental Health,
Rochester, New York.
Designed as a ‘train-the-trainer’ workshop, this session
will help participants gain the knowledge and skills
necessary to enhance their current teaching. It will
provide ways to demonstrate the importance of using
empathy, explain the benefits of empathy, and articulate
a 3-step process of how to use empathy during crisis
intervention. Specific examples of structured role-plays
will be provided and demonstrated for trainers to
incorporate into their own trainings. In addition, a semi-
structured spontaneous exercise (known as the “Random
Roving Role-Play”) will be used. The “Connect, then
Direct” approach – which emphasizes the importance
of establishing rapport prior to directing those in crisis,
is the cornerstone of this interactive training.
Tuesday 3:30 p.m. – 5:00 p.m. RM M
Police Surviving Catastrophic Events
Presenter: Roberto L. Jimenez MD. FAPA, Clinical
Professor of Psychiatry, University of Texas Health
Science Center at San Antonio
Today the number of catastrophic events police officers
have to face seems to be growing on a daily basis.
This workshop will define and review the impact of
catastrophic events, exploring potential complications
and consequences resulting from post traumatic stress
syndrome. This workshop will present an overview
of psychiatric disorders as they relate to today’s
officer and especially the impact on their spouses,
children and families. The workshop will explore the
First Annual CIT International Conference 19
Tuesday Agenda
interrelationship of survival, mental illness, physical and
psychic trauma. Cues in everyday routines which may
trigger disproportionate reactions will be explored.
Lastly, treatment approaches and helpful suggestions
will be offered in helping our officer’s address potentially
increasing levels of catastrophic events.
Tuesday 3:30 p.m. – 5:00 p.m. RM 1 & 2
Medical Conditions Masquerading as
Psychiatric Illness or Accompanying a
Psychiatric Crisis
Presenter: Rosario Rodriguez, MD, University of Texas
Health Science Center, San Antonio, Texas
This lecture will review a variety of medical conditions
that may present with behavioral changes.   Also,
certain medical conditions are more prevalent in
people with chronic mental illness.   These conditions
may complicate the community evaluation of these
patients by law enforcement or mental health
professionals.   Unfortunately, many communities have
separate facilities for the emergent evaluation of
patients with psychiatric symptoms.   Simple protocols
to aid in guiding the determination of whether patients
require medical evaluation in addition to psychiatric
evaluation will be discussed.  
Tuesday 3:30 p.m. – 5:00 p.m. RM 1 & 2
Forensic Court Services Unit
Presenter: Mike Alkek, MS, Clinical Administrator II,
Center for Health Care Services Forensic Court Services
Unit.
The Forensic Court Services Unit provides services
for clients ordered for treatment by various criminal
courts in Bexar County. At the current time we
have four programs: The Bexar County Outpatient
Competency Restoration Program, the Forensic
Outpatient Commitment Program (NGRI Program),
the Bexar County Drug Court Program, and the Bexar
County Mental Health Court Program.
20 2010—San Antonio, Texas
Tuesday 3:30 p.m. – 5:00 p.m. RM 3
From Triage to Treatment: Innovative Crisis
Care
Presenters: David Cozadd, M.Ed., Director of Mental
Health Operations for Burke Center; Thomas Kerss,
Sheriff, Nacogdoches County, Texas, Current President
of the Sheriff’s Association of Texas; Anne Bondesen,
Director, Rural East Texas Health Network
Communities are often challenged to address mental
health crisis situations. In an environment of limited
mental health resources, general hospitals and law
enforcement are often the predominant defacto mental
health crisis response system. Twelve counties in
rural Texas came together to address this very issue.
The result is a mental health triage and treatment
intervention center that draws upon technology, as
well as ongoing stakeholder collaboration to meet both
consumer and community needs.
Tuesday 3:30 p.m. – 5:00 p.m. RM 7
Proving Success in CIT: Developing Evidence-
Based Programs
Presenters: Larry E. Thompson, Ed.D., Coordinator,
Law Enforcement Initiative, Department of Mental Health
Law & Policy, Louis de la Parte Florida, Mental Health
Institute; Sgt. J. Thomas Acker, M.S., Pinellas County
Sheriff’s Office
Crisis Intervention Teams (CIT) has existed in numerous
communities and continues to grow throughout the
U.S. Yet the professional literature is absent of data to
support the success of this highly touted best practice.
From the inception, programs have suggested that the
training and implementation of the Memphis model
1st responder system will achieve several objectives
including: 1) reduction of injury for officers and
consumers, 2) fewer arrests, 3) improved relations
between law enforcement and the mental health
community.
Pinellas County Sheriff’s Office has sought to use
existing data systems including their Computer Aided
Dispatch and report system as sources of evaluative
data. This agency was able to develop a data
collection system that minimizes additional effort or
paperwork on the part of the reporting officers. Many
agencies utilize tracking forms that are in addition to
other required reports and require additional time and
effort on the part of CIT officers. These tracking forms
are also have limited value in that they are completed

solely by CIT officers, giving no basis of comparison to
non-CIT officer activity.
Data from this veteran CIT program (10 + years) of
operation will be presented to demonstrate the process
of gleaming valuable quantitative data and applying
qualitative measures showing positive results of CIT.
Handouts and PowerPoint displays will provide the
audience with an evaluation tool which other police
agencies can implement.
Tuesday 3:30 p.m. – 5:00 p.m. RM 7
Heartland CIT: Toward Comprehensive
Evaluation
Presenters: Shinobu Watanabe-Galloway, Ph.D.,
Assistant Professor, Interim Chair, Department of
Epidemiology, College of Public Health at University of
Nebraska Medical Center; Stephen Spelic, Operational
Director, Alegent Health
Practical approach to comprehensive evaluation of CIT:
Heartland CIT Council Experience
Due to limited resources, expertise and time, development
and implementation of comprehensive evaluation of
Crisis Intervention Team (CIT) is often very difficult.
Without objective data that capture the inputs from
multiple stakeholders (e.g., law enforcement, criminal
justice, behavioral health providers, consumers), it is
not possible to understand the true effectiveness and
impact of the CIT program. Evaluation is necessary in
order to improve the curriculum and instruction as well
as to understand the training gaps. In this presentation,
the experience of Heartland CIT program is shared to
illustrate how the evaluation activities have evolved
and become more comprehensive over the years. The
workshop participants will learn how the Heartland CIT
Council uses local resources and expertise to conduct
curriculum evaluation and to expand the evaluation
plan to include collection of inputs from multiple
stakeholders. Practical examples for inexpensive data
collection will be also discussed.
Tuesday Agenda
Tuesday 3:30 p.m. – 5:00 p.m. RM 8
Georgia CIT – Partners in Transformation
Presenters: Pat Strode, BA - Political Science, GA CIT
Program Administrator, NAMI Georgia; Nora Haynes,
Master of Education, Policy Committee Chair, NAMI
Georgia Board of Directors; Sheriff William Massee,
Baldwin County Sheriff’s Office.
This workshop will showcase how Georgia CIT officers
and their collaborative partners have become agents
for transforming Georgia’s mental health system. The
Georgia CIT Program has been a leader in forming
Tuesday
community partnerships since its inception in 2004.
It has demonstrated how non-traditional partners
can work together toward solutions to Georgia’s
behavioral health dilemma, inspiring trained CIT
officers to advocate for improved local and statewide
community based services. CIT officers have been called
upon to address state legislators and the Governor’s
Commission on Mental Health. Their testimonies
have influenced recommendations for increased CIT
funding. From their respective positions, workshop
presenters will explain the influence GA CIT officers
and the GA CIT Program have had in persuading the
Georgia Sheriff’s Association, Georgia Association
of Chief of Police, probate, magistrate and superior
court judges to spearhead an initiative to change GA
statutes that allow for the continued criminalization and
marginalizing of citizens with mental illness, while
tying the hands of law enforcement officers trained to
assist them in treatment and recovery.
Tuesday 3:30 p.m. – 5:00 p.m. RM 8
Speaking the Language of Community
Involvement – Getting the Word out that
the Politics of CIT are in Everybody’s Best
Interests
Presenters: Dennis Bosley, President NAMITopeka. Ken
Kerle.
The ethos of the CIT program is treating everyone
as if they matter. It is a grassroots political program
taking roots in the Topeka Police Department and
reverberating throughout the entire community. Every
CIT practitioner must know that his/her actions strongly
affect the quality of life throughout the entire community.
First Annual CIT International Conference 21
Tuesday Agenda
Tuesday 3:30 p.m. – 5:00 p.m. RM 11
CIT and Crisis Negotiations Teams: A
Natural Alliance
Presenters: Michael McMains, Ph.D., San Antonio,
Texas; Lt. Mark C. Lowthwer, Weber County Sheriff’s
Office
Both CIT Officers and Crisis Negotiators share the
goal of making the community, consumers and officers
safer while managing emotionally disturbed and
mentally ill consumers. Sometimes their responsibilities
overlap. This presentation will explore the shared
concern of CIT officers and Crisis Negotiators. It will
present a systematic comparison of the similarities and
differences in training and experience between the
units, highlighting the unique strengths of both. It will
explore the boundaries between the two units. It will
present observations on the change in attitudes and
operations in Crisis Negotiations since the siege at
Waco, Texas and outline the limits of those changes
when dealing with the mentally ill consumer. Data
on CNTs views of the CIT program will be presented
and the support each unit can provide the other will
be explored. Finally, there will be suggestions for the
establishment of a working alliance that will move both
units to better services, less violence and more safety.
Tuesday 3:30 p.m. – 5:00 p.m. RM 11
CIT Out of Uniform: Tailor-Made Training for
Specialized Units
Presenters: Habsi W. Kaba, MS, MFT, Miami-Dade CIT
Coordinator, Eleventh Judicial Circuit Criminal Mental
Health Project. Patricia A. Perez Nogues, Field Training
Unit Officer, Miami-Dade Police Department.
Miami-Dade County is home to the largest percentage
of people living with serious mental illnesses of
any urban community in the U.S. and represents
210,000 individuals, 9.1 % of the general population.
The Eleventh Judicial Circuit Criminal Mental Health
Project has trained nearly 3000 police & corrections
officers within 36 agencies in Miami-Dade County and
is internationally recognized as a leading learning
institution.
Miami-Dade CMHP now offers training exclusively
designed for Police and FBI Hostage/Crisis Negotiators,
Dispatchers, Recruits, Law Enforcement Clergy and
Victims Advocates amongst others. This workshop
will not only focus on progressive concepts/strategies
in developing specialized to advanced courses for
22 2010—San Antonio, Texas
units beyond patrol, but will also provide curriculum
and course outline samples. “Out of the box” thinking
and creative teaching methods/styles to capture your
student’s attention will also be discussed.
Tuesday 3:30 p.m. – 5:00 p.m. RM 12
Civil versus Criminal Commitment Process
Presenters: Honorable Oscar Kazen, Bexar County’s
Associate Probate Judge for Probate Courts One and
Two.
The workshop will review the basic processes involved
within both Civil and Criminal commitments including
special considerations which can expedite judicial
proceeding and address overall needs for both
consumers and stakeholder agencies. Participants will
also be given an introduction to criteria and process for
civil involuntary commitment programs which provide
for judicial interventions with persons suffering from
mental illness.
Tuesday 3:30 p.m. – 5:00 p.m. RM 13
Customer Service, CIT and Policing
Presenter: Jeff Futo, Patrol Officer and CIT Coordinator,
Kent State University Police Services, Department of
Public Safety.
In an era in which police services are in greater
demand than ever, police professionals must reflect
on the terminology they use to label the services their
agencies provide, such as “law enforcement” and
“crime fighting.” Law enforcement is only one of many
services that police provide. Characterizing policing
as merely “law enforcement” misrepresents the true
nature of policing. Service and order maintenance
functions account for the majority of time the average
officer spends in the field. Regardless of the specific
function a police officer is carrying out, customer
service should be the focus of the police services your
agency provides to the community. This workshop
explores the concept of customer services as it relates to
policing and discusses the ways in which CIT programs
represent an example of customer service in action.

Tuesday 3:30 p.m. – 5:00 p.m. RM 13
Compassion Fatigue: Self-Care for Crisis
Intervention Professionals
Presenter: Isaac Martinez, Ph.D., Director of Resource
Development, Center for Health Care Services
Compassion fatigue is a concept which relates to the
cognitive schema of the provider or CIT professional.
Research on this concept evolved in the field of
traumatology and is related to secondary traumatic
stress. Crisis Intervention Professionals are consistently
exposed to trauma and are at risk for development
of secondary traumatic stress. This presentation will
address the relationship between trauma exposure,
burnout, compassion fatigue and the necessity of self-
care for Crisis Intervention Professionals.
Tuesday 3:30 p.m. – 5:00 p.m. RM 15
Exploring Statewide Implementation of CIT
Presenters: Melissa Reuland, MS, Research Consultant,
CSG Justice Center; Mark Munetz, M.D., Chair of
Psychiatry, College of Medicine; Detective Ron Bruno,
Salt Lake City Police Department.
Specialized Policing Responses (SPR) designed
to improve public safety and linkage of people
with mental illnesses to treatment initially spread to
new communities by word of mouth or in response
to a tragedy. To encourage systematic program
implementation and resource pooling, several state-
level organizations have developed mechanisms to
foster programs statewide. Statewide coordination of
SPRs is practical given that the mental health system
is state based and that state law authorizes police
powers for emergency mental health evaluations. The
Bureau of Justice Assistance funded the Council of
State Governments Justice Center to provide guidance
to states seeking to support the design, implementation
and sustainability of effective responses to people
with mental illnesses. This presentation will define a
“Statewide Implementation Model” and present data
collected from three states on how these models are
structured to achieve the dual objectives of program
proliferation and fidelity to essential program elements.
Tuesday Agenda
Tuesday 3:30 p.m. – 5:00 p.m. RM 16
Cultivating Children’s CIT - Grassroots to
Systems Implementation
Presenters: Keri Fitzpatrick, MS, Client Services
Consultant, Northpoint Institute for Public Management;
Terri Mabrito, MA, CCIT Coordinator, The Center for
Health Care Services
This session explores the many paths toward planting,
cultivating and sustaining Children’s CIT programs.
The unique lay of the land of the presenters’ respective
communities will provide for an in-depth exploration
Tuesday
of lessons learned and creative, practical problem
solving approaches following the concept of growth:
seeding, weeding and feeding. The presenters will
guide attendees through topics and discussion using a
grounding central theme, “meet them where they’re at”
as it applies within a strength-based approach at the
grassroots level and at a systems level. Children’s CIT
“gardening” tools, tips and techniques will be plentiful!
Tuesday 5:30- 7:30 pm Grand Ballroom
Tuesday Network Reception Pete Earley
The main ballroom will be open to all to attend
and meet with other officers, mental health workers,
advocates and consumers from across the world who
will be attending the conference. This will be a great
opportunity to network and learn of individual stories
and accomplishments from others in their respective
communities. (Light appetizers and cash bar available)
First Annual CIT International Conference 23
Wednesday Agenda
Wednesday Agenda
Wednesday 8:00 a.m. – 9:30 a.m. RM J
CIT “If It’s Worth Doing, It’s Worth Doing
Well”
Presenters: Michael Woody, B.A., President - CIT
International; Mark Munetz, M.D., Psychiatry,
Northeastern Ohio Universities College of Medicine and
Pharmacy
Ohio has been fine tuning their statewide CIT efforts
for over 10 years and has learned a lot. From its
beginnings in the Akron, Ohio Police Department it
has spread through over 72 of Ohio’s 88 counties and
continues to evolve as times and circumstances change.
Ohio tries to stick to a 40-hour course with a classroom
filled with volunteer officers and other interested
“civilians.” However, since parts of Ohio are very rural
in nature an alternative CIT Program is also offered.
This course is true to the Core Elements of CIT but is
able to accomplish the learning task in less than 40
hours due to smaller class size and limited availability
of site visits. Ohio recently produced a video titled
“Ohio’s CIT Initiative” which, though only 14 minutes
in length, explains and shows just how far the state has
come through their grass roots efforts and partnerships
with law enforcement, mental health organizations,
and advocates of persons with a mental illness. Of
particular interest to the audience are the strides Ohio
has made in its training of police dispatchers who are
the first law enforcement contact a family or consumer
usually has when calling for help when there is a crisis.
The video also shows the workings of Ohio’s State CIT
Coordinators Group made up of over 70 coordinators
that meet twice yearly to keep everyone on that same
page and exchange ideas.
Ohio truly is a model for other states to look at. We
believe that a job worth doing is worth doing well!
24 2010—San Antonio, Texas
Wednesday 8:00 a.m. – 9:30 a.m. RM K
Does your CIT program deserve the Gold
Seal of approval? Come take the test
Presenters: Michelle Saunders, LCSW; Larry Thompson,
Ed.D, Coordinator of Academic Programs
The Florida CIT Coalition has developed a self-
assessment process for communities to determine their
level of implementation for the Memphis Model Crisis
Intervention Teams and have a means to develop
standards for their CIT program. Core values of training
and the first responder system are used as the basis for
determining fidelity with the model. This workshop will
present the instrumentation, the development process
and the current results of over 50 communities who
have participated.
Wednesday 8:00 a.m. – 9:30 a.m. RM L
Portrait of a Police Suicide
Presenter: Amy Lyons, B.S.O.E., Lyons Investigations
and Consulting, L.L.C.
As CIT officers, we are used to dealing with suicidal
people. What happens when the suicidal person is
a cop? More police officers die by suicide than in
the line of duty every year. The biological family and
the law enforcement family of the deceased, struggle
with how to pick up the pieces. In this workshop,
participants will be presented with an intimate glimpse
into the life and suicide death of a 19 year veteran
police officer. Participants will receive information
about the risk factors that police officers face, and will
be provided with information about intervention and
prevention programs in an effort to reduce the number
of police suicides in the future.

Wednesday 8:00 a.m. – 9:30 a.m. RM M
Trauma Recognition and Coordination: Early
Intervention with Youth
Presenters: Keith Warner, M.S., Sharon Lipford,
Executive Director, Harford County Mental Health; Victor
Welzant, PsyD, CIT Program Psychologist, Harford
County CIT; Shawn Dundon, MA, Director, Mobile
Crisis Program, Sheppard Pratt Health System-Harford
County
The Harford County Sheriff’s Office, Harford County
Crisis Program and partner agencies established a
multi-systemic approach to provide early detection,
improved screening and better response for youth
experiencing trauma. The Trauma Recognition and
Coordination (TRAC) program uses CIT officers and
Mobile Crisis Program as the first contact to identify
children with risk factors related to family violence,
mental health/substance abuse issues and trauma.
The purpose of the presentation is to describe clinical
indicators of trauma, the TRAC model, and innovative
responses to child & adolescents experiencing crisis.
Wednesday 8:00 a.m. – 9:30 a.m. RM 1 & 2
Specialized Court Programs for Mental
Health and Substance Treatment Consumers:
How Court Programs Work and How They
Can Work for You
Presenters: Bonnie Sultan, M.A., Criminal Justice/
Mental Health Consultant, Founding Coordinator for
NAMI National CIT Technical Assistance Center; Dr.
Charles Amrhein, Psy D, Clinical Director, Bronx Mental
Health Court; Christopher Wodzinski, MA, Senior U.S.
Probation & Parole Officer
People with mental illness and substance abuse issues
many times are not diverted before arrest and continue
into the justice system. Exposure to correctional
facilities can not only be dangerous for this group,
but significantly worsen their symptoms both while
inside prison and upon reentry. This population
with co-occurring disorders poses extensive policy
challenges at all levels of government, especially at
the level of court case processing. To address this
issue, our nation’s courts are developing new initiatives
and programs in order to assist these individuals in
obtaining needed services while safely living in their
home community. Navigating through court systems
and learning how to utilize the programs and services
in which clients are referred can be overwhelming for
consumers, family members, and advocates alike. This
Wednesday Agenda
unique panel will share the experience and expertise
of federal probation supervisors, a clinical director
of a mental health court program, and a mental
health/criminal justice advocate in order to show how
collaboration and partnerships can enhance the court
programs serving consumers.
Wednesday 8:00 a.m. – 9:30 a.m. RM 3 & 4
Behind the Scenes of Self-Selection into
CIT Training of Police Officers: The Role of
Family and Personal History, Trait, Empathy,
and Psychological Mindedness
Wednesday
Presenters: Michael T. Compton, M.D., M.P.H.,
Assistant Professor, Emory University School of Medicine,
Psychiatry and Behavioral Sciences; Beth Broussard,
M.P.H., C.H.E.S., Emory University School of Medicine,
Psychiatry and Behavioral Sciences; Janet R. Oliva,
Ph.D., Georgia Bureau of Investigation (Retired)
Widely accepted as an important feature of CIT is the
self-selection of officers into training (i.e., volunteering
rather than being assigned.) It has also been proposed
that a “self-selection bias” occurs, meaning certain
Wednesday
characteristics of some officers predispose them to want
to be trained and to being ideal for CIT. In this workshop,
past research on characteristics of self-selecting officers
will be presented and results will be presented related
to demographic characteristics, family history of mental
illnesses, and previous exposure to mental illnesses.
Secondly, given a lack of research in this area, new
results of recent research will be presented. This
research will provide the first empirical examination of
some of the behind –the-scenes characteristics involved
in self-selection into training among pre-CIT officers
and non-CIT officers. Characteristics examined include
empathy and psychological mindedness. Lastly, the
benefits and disadvantages of self-selection into CIT
as opposed to wider-scale or universal training will be
debated.
Wednesday 8:00 a.m. – 9:30 a.m. RM 7
Arresting Stigma and Preconceived Notions
Presenter: Sylvia Luna, M.A.(Counseling), LCDC,
Ministry Assistant Coordinator, Faith based Mental
Health Initiative/NAMI
Consequences of attitudes and behaviors stemming
from stigma within law enforcement, mental health and
advocacy systems create barriers to providing and
First Annual CIT International Conference 25
Wednesday Agenda
receiving competent and effective services. Society’s
views and interpretations have been distorted through
strongly held social beliefs and continue to reinforce
inaccuracies about mental illness. Reducing stigma
and discrimination requires community and individual
responses. This interactive workshop is designed
to raise the participants’ awareness of prevalent
stigmatizing behaviors, attitudes, and practices within
law enforcement and mental health agencies.
Wednesday 8:00 a.m. – 9:30 a.m. RM 7
Psychological Assessment and Psychological
Robustness: An Exploration of How Police
Officers Cope with Impact of Trauma
Presenter: Sajida Naz, Ph.D. student, University of
Huddersfield, UK, Lecturer at Fatima Jinnah Women
University, Pakistan
The study is concerned with traumatic events that police
personnel encounter during their work. Exposure
to negative experiences such as death can trigger
high stress levels leading to various personal and
professional difficulties. Analyzing perception of
negative experiences and identification of emotional
triggers attached to it may be helpful for psychological
assessment of police /security officers.
Wednesday 8:00 a.m. – 9:30 a.m. RM 8
Completing the Circle of Care Wisconsin
Presenters: Sgt. John Wallschlaeger, B.S., Appleton
Police Department; Karen J. Aspenson, MSW, Executive
Director, NAMI Fox Valley, Appleton, Wisconsin
The issues faced by people living with a diagnosis
of mental illness are many and complex. The issues
service providers face when confronted with a person
diagnosed with mental illness who is in crisis are just
as complex, especially if it is not a part of the training
and education background of the provider. Developed
from NAMI Fox Valley’s successful CIT law enforcement
training initiative, the Crisis Intervention Partner (CIP)
education workshop addresses this need. This 16-hour
workshop is targeted to meet the needs of personnel
working within corrections, residential, vocational,
medical, and first-responder settings. CIP combines
lecture by experts in their field with discussion and
experiential learning opportunities. The life stories of
people living with mental illness (consumers) and their
family members are also presented. CIP is a valued
26 2010—San Antonio, Texas
partner of CIT in Wisconsin, and this session will
provide all of the information needed to replicate it in
other communities, ultimately expanding the Circle of
Care that begins with CIT.
Wednesday 8:00 a.m. – 9:30 a.m. RM 11
Calming a Psychotic Person in Crisis
Presenter: Milt Greek, M.A. – Sociology, Project
Leader, Office of Information Technology, Ohio
University
The material for this talk is drawn from case studies with
psychotic and recovering schizophrenics. It focuses on
concrete examples and specific guidelines to help those
responding to a crisis with a schizophrenic work with
the person to calm them and end the crisis successfully.
The purpose of this talk is to help attendees:
1. Understand that seamless, often symbolic
hallucinations build a delusional framework around
the rational core of a psychotic person.
2. Be able to apply basic and advance techniques
for calming schizophrenics in crisis and safely
resolving the crisis.
3. Following a question and answer period to hone
the attendees understanding of this material,
attendees will hear how a series of hallucinations
can tell a symbolic story, helping them to have a
deeper understanding of the inner experiences of
a person in psychosis.
Wednesday 8:00 a.m. – 9:30 a.m. RM 12
CIT Driven Partnerships with the Faith Based
Community to Address Homelessness and
Substance Abuse
Presenters: Alexis Zoss, LCSW, Division Director, City of
Virginia Beach, Dept of Human Services, Mental Health
Substance Abuse Services Division, CIT Project Director,
Carolyn H. Wood, Mental Health Substance Abuse
Division Consultant and NAMI Representative; Carolyn
H. Wood, Mental Health Substance Abuse Division
Consultant and NAMI Representative
Join us to learn about the role the faith community can
have in your community to support the development
and work of CIT and the people it serves. The
humanity of the Crisis Intervention Team program in
Virginia Beach was the impetus for the establishment

of the Faith-Based committee of the Virginia Beach
CIT Coalition. This was the idea of an Episcopal
rector who attended the inaugural Virginia Beach CIT
Coalition meeting in August 2008. CIT is a mindset
and is about collaboration between public safety,
mental health, and community non-profit partners to
enhance the program. In addition to collaboration,
the Faith Based committee works to educate faith
leaders and congregations about how they can assist
individuals who are living with mental illness and /or
substance abuse. This workshop will include review of
a resource directory created to assist clergy to more
effectively identify resources for individuals.
Wednesday 8:00 a.m. – 9:30 a.m. RM 12
Community Collaboration: A Case Study
Presenter: Jill Marcum, J.D., Magistrate, Vanderburgh
Superior Court
Community collaboration will make your CIT program
stronger and provide more benefit to your community.
Learn who to bring to the table, how to identify the
issues of your community, how to resolve some of
those issues, and how collaboration will help with the
solutions. The CIT of Vanderburgh County, Indiana
has been running a successful program for almost
two years. We will share with you how we achieved
our success. More importantly, we will share with
you the problems we overcame through community
collaboration to make our program a success.
Wednesday 8:00 a.m. – 9:30 a.m. RM 13 & 14
How CIT Works in a Small Rural County
Presenters: Sheriff Kevin Frye, B.S., Applied Science in
Criminal Justice, Avery County NC; Ann V. Robinson,
B.S., Psychology, Emergency Services Coordinator
Smoky Mountain Center Mental Health, CIT Coordinator
The information presented will discuss the reasons why
Avery County Sheriff’s Office, New River Mental Health
(the mental health provider) and Smoky Mountain
Center came together to provide mental health services
resulting in fewer involuntary commitments, fewer
arrests and providing a monetary savings for the
county. CIT is the program that has provided training
and collaboration to achieve these goals. Avery
County North Carolina is a small rural county that has
two different populations. The year round residents
are mostly farmers, factory workers and a retirement
Wednesday Agenda
community. There are several important land marks
that attract summer tourists, i.e., Grandfather Mountain
and Mount Mitchell. There are several ski resorts that
attract the winter tourists. Two of these are Sugar
Mountain and Beach Mountain. Law enforcement and
mobile crisis respond to a variety of calls involving
mental health issues. These three agencies are the
overseer of mental health services in their perspective
areas.
Wednesday 8:00 a.m. – 9:30 a.m. RM 15
Post-Intervention Follow–up with consumers
and Families–Reducing CIT Recidivism
Presenters: Barry Armfield, Coordinator, St. Louis
Area CIT Program, St. Louis County (Missouri) Police
Department; Richard D. Stevenson, BA, Director of
Special Projects/ CIT Coordinator, NAMI St. Louis;
Wendy Dudek, MS, CIT Family Outreach Specialist,
NAMI St. Louis
Crisis interventions are often the result of less-than-
successful inter-relationships among law enforcement
agencies, individuals in their communities with untreated
Wednesday
severe mental illness, emergency medicine, courts, and
the mental health treatment system. CIT will be most
successful when all those disparate groups work well
together to deliver effective inpatient and community-
based psychiatric care following a successful CIT
intervention. Unfortunately, various obstacles still
impede good treatment. This presentation will review
those obstacles and outline an array of activities
offered by the collaborative, multi-jurisdictional St. Louis
Area CIT Program that improve access to mental health
services for individuals served by CIT.
Wednesday 8:00 a.m. – 9:30 a.m. RM 15
Collaboration with your Local Law
Enforcement
Presenters: Kym Bolado, President/CEO of Advanced
Childhood Learning, President, NAMI-San Antonio;
Ernest Stevens, CIT Mental Health Unit, San Antonio
Police Department
NAMI San Antonio’s collaboration with the San
Antonio Police Department paved the way for the
institution of the department’s first Mental Health Unit.
Hear why NAMI was involved and the importance of
community liaison between your local law enforcement
agency and the community.
First Annual CIT International Conference 27
Wednesday Agenda
Wednesday 8:00 a.m. – 9:30 a.m. RM 16
CIT Expansion in Virginia
Presenters: Patrick Halpern, MPIA, Executive Director,
Mental Health Association of the New River Valley;
Victoria Cochran, J.D., Behavioral Health/Criminal
Justice Services, Coordinator, Virginia Department of
Behavioral Health and Developmental Services; Joseph
Yost, M.S., Jail Diversion Coordinator, Mental Health
Association of the New River Valley
This presentation will focus on the statewide expansion of
crisis intervention team programs in the Commonwealth
of Virginia. CIT was originally developed in Virginia
in 2004 with the advent of the New River Valley CIT
Program (NRVCIT), the first rural, multi-jurisdictional
program in the nation. In 2006 and 2007, the
Virginia General Assembly awarded funding to the
NRVCIT to lead the Commonwealth’s initial statewide
expansion efforts, which led to the development of
other successful programs in the Commonwealth,
including the Thomas Jefferson Area CIT program
(TJACIT) and the Hampton-Newport News CIT program
(HNNCIT). The presentation will discuss subsequent
legislation that codifies CIT in Virginia, the progress of
the Virginia CIT Coalition, the development of minimal
standards for CIT programs, and the utilization of the
three marquee programs for the provision of training,
consultation and mentoring of CIT programs under
development in Virginia.
Wednesday 10:00 a.m. – 11:30 a.m. RM J
Excited Delirium – Taser
Presenter: Jerry Staton, Associate’s Degree from Austin
Community College; Austin Police Department, Master
TASER® Instructor
Jerry retired in 2000 to start his own training business
after 25 years of law enforcement experience with the
Austin Police Department. Jerry spent a good portion
of those 25 years in the tactical arena where he
received extensive training in firearms, combative skills
and police tactics. As the owner of Affordable Realistic
Tactical Training (ARTT) he has passed on much of that
training to thousands of officers, improving their tactical
skills and increasing their odds of winning a physical
confrontation.
Staton has been recognized as a TASER® and Use of
Force expert. He has testified and consulted about the
use of TASERs, Use of Force, and Police Training. He is
a Senior Master TASER® Instructor, an Excited Delirium
28 2010—San Antonio, Texas
& In-Custody Death Specialist, a Certified Litigation
Specialist, a Contract Instructor for Texas Municipal
League and Texas Municipal Police Association.
Wednesday 10:00 a.m. – 11:30 a.m. RM K
Mental Health First Aid
Presenters: Bryan V. Gibb, Director of Public Education,
The National Council for Community Behavioral
Healthcare, Washington, DC; Ms. Carole L. Bernardo,
Training Coordinator, LifeWatch Employee Assistance
Program, Providence, RI; Lieutenant Joseph C. Coffey,
Warwick, Rhode Island Police Department; Chief
Anthony J. Silva, Director, Rhode Island Municipal Police
Academy, Providence, RI
This workshop/panel will present on Mental Health
First Aid (MHFA) - a training and certification program
that introduces participants to risk factors and warning
signs of mental health and substance abuse problems,
builds understanding of their impact, and overviews
common treatments. Participants gain skills, resources
and knowledge to help an individual in psychiatric
crisis connect with professional care.
Wednesday 10:00 a.m. – 11:30 a.m. RM L
The Restoration Center – Center for Health
Care Services
Presenters: Kathryn Jones, LCSW, LCDC, Substance
Abuse Director, Center for Health Care Services;
Melanie Lane, LMSW, LCDC, AAC, Director of
Operations, The Restoration Center, Center for Health
Care Services, San Antonio, Texas
The Restoration Center is an innovative facility that has
been in operation since April of 2008. The program
has at its core the goal of reducing the pressure on
both the Bexar County jail and court systems; as well as
relieving the pressure on community emergency rooms
through the diversion of the chronic homeless serial
inebriants, substance abusers, and injured prisoners to
their location for services.

Wednesday 10:00 a.m. – 11:30 a.m. RM L
Suicide and Law Enforcement – Taking Care
of Your Own
Presenters: Michael Alicea MS, MFT, MSW, Ed. D.
(Candidate), Law Enforcement Officer//Therapist,
Counseling Network; Habsi W. Kaba, MS, MFT,
Miami-Dade County CIT Coordinator, Eleventh Judicial
Circuit Criminal Mental Health Project
The objective of this panel presentation is to identify
the risk factors that are often associated with the
subject of suicide in the law enforcement community
and its explicit impact on society and the family unit.
Variables that have an expressed causal effect on the
law enforcement agent and its attributed secondary
casual effects.
Suicide in general is one of the most prevalent and
burdensome issues of distress, and a contentious issue
within the law enforcement community that impinges a
substantial limitations on the well-being and functioning
of society and the family.
A model that considers an intervention alternative
which is solution-oriented and identifies critical factors
in the prevention of suicide will be introduced.
This model is prescription for developing a constructive
and effective dialogue within the mental health and
the law enforcement community that will facilitate a
partnership invaluable in recognizing and responding
to the “at-risk” law enforcement officer.
Wednesday 10:00 a.m. – 11:30 a.m. RM M
Mental Needs for Returning Veterans
Presenter: Emma Mata-Galan, PsyD., Clinical
Psychologist, Program Director, PTSD Clinical Team
The purpose of this workshop will be to become familiar
with the mental health needs of returning veterans, the
services available at the South Texas Veterans Health
Care System, and to become familiar with the evidence
based therapies for the treatment of chronic Post
Traumatic Stress Disorder.
Wednesday Agenda
Wednesday 10:00 a.m. – 11:30 a.m. RM 1 & 2
No Good Deed…Improving Mental Health
Mental Response to Law Enforcement
Presenter: Dan Abreu, MS, CRC, LMHC
Following several recent adverse incidents involving
law enforcement and individuals with mental illness,
New York State and New York City convened a panel
to develop recommendations to improve services and
promote safety. Among the many recommendations
contained in the June 2008 report issued by the New
York State/New York City Mental Health- Criminal
Justice Panel was that the State should sponsor a
Mental Health-Law Enforcement Summit to “enhance
relationships between law enforcement and the mental
health community statewide.”
This session will describe the outcomes that resulted
from participation in the Summit and the post Summit
technical assistance in area such as:
• Cross system planning
• Cross system communication and information
sharing
Wednesday
• Cross system training
• Development or revision of P&P to improve crisis
response to LE emergency
• Peer participation in MH/LE initiatives.
Wednesday 10:00 a.m. – 11:30 a.m. RM 1 & 2
Criminal Justice’s Collaborative Paradigm
Shift: A Sequential Intercept Model
Presenters: Sgt. Darek Ardoin, B.S., Psychology, CIT
Coordinator Calcasieu Parish Sheriff’s Office, Lt. David
Anders, FBI National Academy, CIT Coordinator,
Lake Charles Police Dept.; Mickey Shannon, M.Ed,
Chairperson of CIT/Crisis Task Force, Executive Director
of Samaritan Counciling Center
Criminal justice systems are better understanding
the difference between a person having a mental
illness crisis and a person committing a criminal act.
Calcasieu Parish in Southwest Louisiana has recognized
the trends and moved to create a paradigm shift in
criminal justice along with developing collaborative
partnerships that are critical to successful best practices
in law enforcement’s response. The collaborative has
developed a sequential intercept model defining a
continuum of care from least restrictive environment to
First Annual CIT International Conference 29
Wednesday Agenda
most restrictive environment responses to consumers in
crisis. Cooperation of media in educating the entire
community has increased awareness and reduced the
stigma of mental illness.
Wednesday 10:00 a.m. – 11:30 a.m. RM 3 & 4
Domestic Violence
Presenter: Jared A. Detter, PsyD, Clinical Psychologist,
San Antonio Police Department
Domestic violence is a widespread societal issue that
has become more and more the purview of police
departments and mental health professionals. Recent
research has shed light on the most at-risk populations,
risk factors for domestic violence, cycles of domestic
violence, causes and warning signs of domestic
violence, and the effects of violence on victims and
children who witness domestic violence. In addition,
common misconceptions have been unearthed, as well
as a better understanding of offender recidivism and
better community options for victims. These topics will
be discussed, and an actual case of domestic violence
will be presented to highlight the devastation that this
form of violence can cause.
Wednesday 10:00 a.m. – 11:30 a.m. RM 7
System and Policy Level Barriers to Full
Implementation of the Crisis Intervention
Team (CIT) Model
Presenters: Michael T. Compton, M.D., M.P.H., Emory
University School of Medicine, Psychiatry and Behavioral
Sciences; Beth Broussard, M.P.H., C.H.E.S., Emory
University School of Medicine, Psychiatry and Behavioral
Services; Amy C. Watson, Ph.D, Jane Addams College
of School Work
It is widely recognized that the CIT model of partnership
between law enforcement and mental health is “more
than just training.” That is, the published Core Elements
of CIT include a number of features extending beyond
the widely replicated 40-hour training curriculum.
Many of these features involve operational elements
that enable officers to facilitate mental health referral.
However, unlike the training aspect, which many
departments have successfully implemented; a number
of systems-level and policy-level barriers commonly
make full implementation difficult in many communities.
In this workshop, three such barriers are discussed:
(1) aspects related to dispatch training, (2) availability
30 2010—San Antonio, Texas
of emergency receiving facilities with “no refusal”
and “minimal turnaround time” policies that serve
as a single point of entry, and (3) problems with
transportation to and from mental health facilities. For
each of these barriers, examples are given, potential
solutions are considered, and research opportunities
are suggested.
Wednesday 10:00 a.m. – 11:30 a.m. RM 7
Beyond the 40 hours: An In-Depth Look
at the Influence of CIT on Behavioral
Health System Development and Program
Transformation
Presenters: James R. Stringham MC, Community
Counseling, VP of Operations Magellan Health Services
of Arizona; Nick Margiotta, Masters of Education, CIT
Coordinator, City of Phoenix Police Department
In Maricopa County, Magellan of Arizona and the
Phoenix Police Department have partnered around
CIT and have expanded well beyond just 40-hours of
training. In a region with the largest behavioral health
contract in the nation, which serves more than 80,000
enrolled individuals and handles more than 20,000
crisis-line calls a month, the partnership has allowed
both parties to move to the next level. In 2007,
Magellan implemented a community governance board,
which gave law-enforcement a direct voice in shaping
the system. This voice directly affected behavioral
health system design. Magellan has implemented a
“no-wrong-door” philosophy and achieved tangible
outcomes the average street-cop can appreciate;
including reducing wait-times from over an hour to
fewer than seven minutes at our psychiatric “drop-off”
center and immediately responding to more than 3,000
police requests for community mobile teams annually.
Even more amazing, Magellan collaborated with CIT
to guide clinical practice – developing an innovative
crisis safety net to break the cycle for those entering
the crisis system and launched a Suicide Prevention
Steering Committee.

Wednesday 10:00 a.m. – 11:30 a.m. RM 8
Applying CCIT Skills in a School Setting
Presenters: Ralph A. Garcia, Police Officer, San Antonio
Independent School District Police; Jessica Sepulveda,
Police Officer, San Antonio Independent School District
Police
Since implementing Children’s Crisis Intervention
Team training in 2007, San Antonio ISD Police
have responded to numerous calls for assistance
involving students in crisis. We have learned that often,
these students slipped through the system, labeled
as problematic children. As a result their behavior is
criminalized and the very real need of the student is
unresolved.
Affecting the response to a crisis on campus are the
normal activities of the school day. School personnel
and their respective responsibilities are also factors.
This session is designed to reflect upon actual crises
within the school setting and the application of CCIT
techniques.
We will discuss successes and obstacles we have
experienced and offer insight to address these situations.
Ultimately, our collective goal should be that which is
in the best interest of the child. By properly employing
tools of CCIT, we can better serve those who are
unable to help themselves.
Wednesday 10:00 a.m. – 11:30 a.m. RM 8
Children’s Crisis Intervention Training – for
School Based Officers
Presenters: Terri Mabrito, CCIT Coordinator, Center for
Health Care Services, Stan Slate, Sergeant, San Antonio
Independent School District Police Department
This presentation will explore the unique development
and implementation of the Bexar County Children’s
Crisis Intervention Training (CCIT). CCIT involves 40
hours of intensive training for officers and a 3 day
training for school administrators, including simulations
in which trainees are confronted with realistic student
mental health and behavioral crisis situations on a
school campus, acted out by youth and young adult
volunteers. Children’s Crisis Intervention Training
(CCIT) is the result of the joint efforts of a group of
community service providers. Trainers include officer
instructors and over a dozen children’s mental health
professionals from the partner agencies. CCIT works
closely with law enforcement agencies to promote
Wednesday Agenda
the program and to inform school districts in the
county about CCIT and the importance of community
collaboration. Lessons learned and practical tips will
be presented.
Wednesday 10:00 a.m. – 11:30 a.m. RM 11
Lee’s Story
Presenters: Herbert Cotner, BA Criminal Justice, Senior
Corporal, Dallas Police Department/NAMI Dallas;
Sherry Cusumano, MS, Executive Director of Community
Education and Clinical Dev., Green Oaks Hospital/
NAMI Dallas; Janie Metzinger, MS, Director of Public
Policy Mental Health America
The Dallas CIT Group will present a short film, directed
and produced by the Dallas Police Department that
portrays a real-life crisis episode of a consumer with
severe mental illness. The film, which depicts an
event from the viewpoint of the consumer, the family,
and law enforcement, was coordinated through
NAMI Dallas, NAMI Collin County, MHA Dallas and
the Dallas Police Department. The author portrays
himself, and NAMI parents portray his parents in
Wednesday
the film. Dallas Police officers portray themselves in
the movie, which was filmed in the home of a NAMI
Dallas board member.
The film is used as a starting point for a discussion
about the roles of law enforcement, the family, and the
consumer in a psychiatric crisis. Panelists will present
from each viewpoint and allow time for questions.
Wednesday 10:00 a.m. – 11:30 a.m. RM 12
Development of the SAPD CIT Unit
Presenters: Ernest Stevens, CIT Mental Health Unit,
San Antonio Police Department; William Kasberg, CIT
Mental Health, San Antonio Police Department
It all began with local stakeholder collaboration
which even now continues to play a major part in
the day to day operations of the San Antonio Police
Department’s Mental Health Detail. Officers assigned
to the Detail team up with a CHCS assessor to make
“house calls” in order to make the best determination
of a consumer’s well-being. The Detail’s first priority
is to patrol in order that patrol officers have more
time for more emergent calls. The collaboration with
CHCS, the Mental Health Authority, extends to CIT
training which consists of training police cadets, 911
dispatchers and clerks, local police agencies, school
First Annual CIT International Conference 31
Wednesday Agenda
administrators and school district police officers,
and EMS and Fire personnel. Find out how you can
develop a CIT Unit in your police department.
Wednesday 10:00 a.m. – 11:30 a.m. RM 12
Deputy Mobile Outreach Team
Presenters: Yvonne Vann, Sergeant, Bexar County
Sheriff’s Office, Deputy Ross Garza, Bexar County
Sheriff and Deputy Toni Stanfield-Mims, Bexar County
Sheriff.
This presentation will familiarize people with The Bexar
County Sheriff’s Mental Health Unit. This presentation
will include: The History, Mission Statement, Goals,
Duties and Responsibilities, Initiatives, and what DMOT
consists of.
The Deputy Mobile Outreach Team (DMOT). This
team—consisting of a mental health professional and
a law enforcement officer trained in working with
persons with mental illness—responds to calls from
the community for assistance with persons with mental
illness or mental retardation. The team is available to
respond to calls and is able to make on-site mental
health assessments, consultations, and referrals. The
actions of the DMOT often minimize the need for on-site
arrests.
Wednesday 10:00 a.m. – 11:30 a.m. RM 13 & 14
Community Collaboration: A Successful
Partnership between Law Enforcement,
Mental Health, and County Officials
Presenters: Kathleen Guerra; Panel featuring
representatives from the National Association of
Counties, a CIT officer, mental health, and a county
commissioner. For all contact regarding this application,
please contact Kati Guerra at kguerra@naco.org
Community collaboration and coordination is vital for
successful diversion from jail for persons with behavioral
health issues. Law enforcement, behavioral health
entities, social services, and county officials can come
together to collaboratively create successful diversion
programming. County officials are responsible for
balancing fiscal responsibility, public safety, and
doing what is “right”. Come to this workshop to
learn about a county program that has succeeded in
implementing CIT and connecting people to social
services. Learn how this county program succeeds
through the collaboration of law enforcement, social
32 2010—San Antonio, Texas
services, and county officials. This workshop will
address the important roles county commissioners play
in the support and implementation of CIT and linkages
to social services, as well as how to gain county
commissioner support for your diversion efforts.
Wednesday 10:00 a.m. – 11:30 a.m. RM 15
CIT Response with Cultural Consideration
Presenter: Patti Kresley, Master of Arts - Counseling
Psychology, a retired police, adjunct professor at Argosy
University-Twin Cities, Forensic Psychology Masters
Program, CIT instructor
CIT Officers are often are required to respond to a
mental health emergencies with time and resource
constraints. Often, officers are responding to people
with mental health emergencies who are from culturally
diverse populations. The cultural context is often not
recognized or neglected despite the influence it has on
the outcome. CIT officers can benefit from increased
knowledge of cultural traditions and experiences that
can impact the course of the response. Cultural training
which specifically addresses behaviors and customs
combined with community collaboration will improve
the response of the CIT Officer.
Wednesday 10:00 a.m. - 11:30 a.m. RM 16
The Houston Response to Elder Abuse,
Neglect and Exploitation
Presenters: Barbara Reiley, PhD., Research Manager,
Geriatrics Division, University of Texas Medical School
at Houston. James Booker, Regional Director, Adult
Protective Services, Region VI, Department of Family
and Protective Services. Lynne Parsons, Assistant DA, &
Candice Twyman, Better Business Bureau, JD&LMSW-
AP, Assistant District Attorney & Executive Director, Better
Business Bureau Education Foundation, Harris County
District Attorney’s Office and Houston Better Business
Bureau
Houston, Texas is the 4th largest city in the nation. This
workshop is intended to describe the collaborations
formed between three different but intertwined teams
to stem the tide of elder mistreatment in Harris
County, and to share our insights with others. A
collaboration between Texas Department of Family
and Protective Services (APS), and the medical school
led to the TEAM Institute formed in 1995 to address
elder mistreatment whereby clients are referred by

APS to a team of medical providers for comprehensive
geriatric assessment and intervention of chronic and
acute health problems. Later, the Harris County Elder
Abuse Fatality Review Team (EFFORT) was formed
to investigate suspicious elder and disabled death
cases. This team, comprised of law enforcement, the
medical school, the district attorney’s office, the medical
examiner’s office and others are charged with making
recommendations to the Harris County Commissioners
Office. The Financial Abuse Specialists Team is led by
the Better Business Bureau and consists of Medicaid
investigators, elder attorneys, banking institutions,
health professionals, and others. These groups do not
work in silos and a significant overlap in membership
enables a uniformed and coordinated approach to
elder mistreatment as these groups also educate the
public, health professionals and the community at
large, including the CIT.
Wednesday 2:00 p.m. - 3:30 p.m. RM J
Suicide by Cop
Presenters: Yvonne Vann, Sergeant, Bexar County
Sheriff’s Office, Deputy Ross Garza, Bexar County
Sheriff, Deputy Toni Stanfield-Mims, Bexar County Sheriff,
and Deputy Rafael Williams, Bexar County Sheriff
This presentation will help officers and individuals
understand the characteristics, warning signs, the
indicators for either a peaceful or deadly resolution, the
impact of suicide by cop, as well as personal situations
that officers encounter in a suicide by cop situation.
Wednesday 2:00 p.m. – 3:30 p.m. RM K
CIT and Veterans: Support and Community
Collaboration
Presenters: Sally Miller, MHA, Chair NAMI Veterans
Council; Thomas Kirchberg, Ph.D., Chief, Psychology
Section, VA Medical Center; and Ron Bruno, Detective,
Salt Lake City Police Department
Veterans are not only military people, but are citizens
of the communities they live in. Whether they are still
on active duty, in the National Guard or Reserves, or
veterans separated from service, they have earned our
respect and support. Mental illness or re-adjustment
issues, called the hidden wounds of war, cause a
variety of service and recovery needs which may land
them in the criminal justice system. As public agencies
and community mental health advocates, we have
Wednesday Agenda
an obligation to explore and provide appropriate
intervention and follow up support for these veterans
and their families. CIT has many answers and the
programs developed for people with mental illness in
the general population also are valid for veterans and
their families. This workshop will explore how to bring
CIT and veterans programs together and how to form
community collaborations of support and follow up. If
you are already involved with CIT or just starting to
build a program, come talk to some people who have
made it happen.
Wednesday 2:00 p.m. – 3:30 p.m. RM L
Integration of Safety & Defensive Tactics into
Advanced CIT
Presenter: Sgt. Michael Yohe, BS, MA, Akron Police
Department
Although perhaps overly simplified, one of the main
purposes of CIT is to improve community and officer
safety. While this seems obvious, some in CIT imply
that it is not our job to teach “safety”, that our officers
already know theses skills and will know when to “switch
Wednesday
hats” between safety and CIT. It is the purpose of this
workshop to address and develop concepts that would
allow CIT to integrate safety, defensive tactics and less
lethal weapons systems into what is typically taught as
stand-alone de-escalation skills. While we must prioritize
the training time, segregating safety from CIT can lead
to the perception that they are two separate techniques.
If our purpose is safety, then we must teach officers how
and when to switch hats if you must use that analogy…
or better yet wear both hats at the same time.
Wednesday 2:00 p.m. – 3:30 p.m. RM L
Increasing Safety Means Decreasing Violence
Through Positive Behavior Supports
Presenters: Terrance P. Stanton, Training Officer, Bexar
County Juvenile Probation Departmen; Sally Phipps,
Registar, Mandt System, Inc.
Abstract: The Bexar County Juvenile Detention Center
has incorporated training in The Mandt System®
into their overall approach to increase the safety of
correctional officers and juveniles. The unique blend of
a relationally based Positive Behavior Support training
program and a restorative justice model has resulted in
a significant decrease in rates of physical aggression
and injuries to officers and juveniles.
First Annual CIT International Conference 33
Wednesday Agenda
Wednesday 2:00 p.m. – 3:30 p.m. RM M
Emotional CPR for De-escalating Emotional
Crisis common medications while incorporating interviews
Presenters: Daniel Fisher, MD, Executive Director,
National Empowerment Center; Lauren Spiro, MA,
Director, National coalition Mental Health Consumer/
survivor Organizations
The purpose of this workshop is to teach the skills and
attitudes that enable non-mental health workers to
assist people through emotional distress. This process
enables people to assist each other in a way similar
to how physical CPR enables the non professionals to
assist persons in a cardiac crisis. The participant will
learn how people often emotionally disconnect and feel
powerless during emotional distress. The participant
will learn how to connect with compassion and concern
in order to communicate. This will enable the person in
distress to feel empowered to experience their passion
and purpose so they can begin planning to revitalize
their life in the community through re-establishing
relationships, routines and rhythms with important
people in their life.
Wednesday 2:00 p.m. – 3:30 p.m. RM 1 & 2
CIT for Telecommunications and Cadets
Presenters: Emile Clede, Communications Training
Coordinator-San Antonio Police Department; Lauri
Berkman, MS LPC, Team Leader-Crisis Care Center;
Melissa Graham, PhD San Antonio Police Department;
Officer Justin Stepanik and Officer Sean Preyor-Johnson,
San Antonio Police Department.
Much CIT training and education has been developed
for police officers and other emergency responders.
However, very little training has been developed for
the public safety communicators who are not only
the primary source of information for the responding
officers, but are often the first available to calm the
situation to which the officers are responding. This
presentation describes the solution to this problem, as
well as the development of a CIT curriculum for the
cadets at the San Antonio Police Department.
Wednesday 2:00 p.m. – 3:30 p.m. RM 3 & 4
Just Take Your Meds result, the CT General Assembly codified Public Act
Presenter: Corey Nooner, Sergeant, Oklahoma City
Police Department
34 2010—San Antonio, Texas
This class will provide a unique way to review the
common topic of medications used to treat mental
illness. The presentation will incorporate a review of
from consumers, family members and doctors. The
interviews will focus on the side effects, financial burden
and other issues related to the use of medications to treat
mental illness. All of this will be used in an effort to help
persons better understand why the issue of medication
compliance is so difficult for some consumers. This
class will help agencies think of unique ways to teach
about issues related to mental illness while also helping
students to understand medication related issues.
Wednesday 2:00 p.m. – 3:30 p.m. RM 7
MHMCT: An Example of a Co-Response
Model of Mental Health and Policing
Presenters: Mary Pyche, MSW, Health Service
Manager, Mental Health Mobile Crisis Team; Angela
Balcom, Constable Halifax Regional Police; Susan Hare,
BScOT, Program Leader Crisis Support Portfolio
The Mental Health Mobile Crisis Team (MHMCT)
established in 2006 is a co-response model of a
joint police/mental health team based in a mental
health system. It offers a collaborative and consistent
intervention response to individuals across the age
spectrum experiencing a mental health crisis in the
community. Plain clothes police officers are designated
to respond to calls triaged by the crisis team in an
unmarked police car partnered with a mental health
clinician. This presentation will highlight the development,
implementation, and lessons learned, as well as, the
results of a research project studying this program.
Wednesday 2:00 p.m. – 3:30 p.m. RM 8
Helping the Helper: Peer Support
Presenter: Sgt. Troy Anderson, CT State Police; Louise
Pyers, MS Executive Director
Sergeant Troy Anderson is the State Coordinator for
the Connecticut State Police STOPS Program (State
Troopers Offering Peer Support). In 2005, following
several tragic events in the State Police, he authored
a letter detailing the inherent benefits of an evidence-
based peer support network within his agency. As a
(PA) 06-188 authorizing the formation of a pilot peer
support program for the Connecticut State Police.

To date, the program has assisted 881 personnel
during times of personal and professional stress, and
developed off-shoot programs to address Military
Support, Family Support, and CISM. This presentation
describes the development of the STOPS Program.
A basic training curriculum will be shared with the
participants. A discussion of obstacles faced while
implementing such a program will be described to
give participants a realistic portrait of the challenges of
instituting such a program.
Wednesday 2:00 p.m. – 3:30 p.m. RM 11
911 High Utilizer Committee
Presenters: Karen Hogan; Judge Polly Jackson-Spencer,
Bexar County Probate Court
Bexar County began a program to identify frequent
911 callers who overuse the system who do not
have true police, fire or health emergencies. Some
high utilizers have been found to be incapacitated
persons and have had guardians appointed who have
changed the living arrangements for the individual,
who now no longer overuse the system. The program is
collaborative of Police and Fire Department of the City
of San Antonio, the local Adult Protective Services staff,
the local Mental Health agency and the local mental
retardation authority who share information and work
on creative solutions to reduce the over users calls to
the 911 system in Bexar County, Texas.
Wednesday 2:00 p.m. – 3:30 p.m. RM 11
Chronic Consumer Stabilization Initiative: A
Systems Approach
Presenters: Kim Kornmayer, LCSW Assistant Deputy
CPEP; Miles Lee, MS, Director of Mental Health Unit;
Ann McLeod, MS, Clinical Team Leader; Sgt. Patrick
Plourde, BS, Houston Police Department.
The Chronic Consumer Stabilization Initiative (CCSI) is
collaboration between the Houston Police Department,
the MMHRA of Harris County and the City of Houston
Health and Human Services Department. This program
was designed to identify, engage and provide services
to those diagnosed with a mental illness, which have
had frequent encounters with the police. The main goal
of this program is diversion from repetitive encounters
with police, reduce excessive calls for service, and
provide clients with opportunities to lead a more stable
life. This pilot program success will be discussed.
Wednesday Agenda
Wednesday 2:00 p.m. – 3:30 p.m. RM 12
CIT in Idaho: Turn Around Time in the
Emergency Department
Presenters: Kim Jardine-Dickerson, MSN, RN, MSN,
BC, CADC, Clinical Assistant Professor Idaho State
University, School of Nursing; Pete Snyder, MS,
Administrator, Behavioral Health Center, Eastrn Idaho
Regional Medical Cente; Captain Sam Hulse, BS,
Captain Bonneville County Sherriff Office, Bonneville
County Sheriff Office
It is problematic for law enforcement transporting and
waiting with the mentally ill patients in crisis for hours
in the emergency department (ED). There is a desire
for medical clearance taking less time. When mentally
ill patients in crisis are transported by law enforcement
to the (ED) there is a medically safe, ethical and
professional assessment, treatment and discharge is
possible with shorter time taken. A regional medical
center in rural Idaho has implemented such a program.
Triage as well as discharge planning originated from
a community partnership aim for shorter time in the ED
and discharge transportation to hospitalization, crisis
housing or back into the living environment for these
patients. Utilization of CIT Officers, ED personnel and
Wednesday
community case management has become an effective
solution in one region of Southeastern Idaho
Wednesday 2:00 p.m. – 3:30 p.m. RM 12
Peer Crisis Respite: Recovery Based Crisis
Intervention
Presenters: Janet Paleo, ED Prosumers International; Anna
H. Gray M.Ed, Co-Owner PRO International
Consumer-run Peer Crisis Respite is an emerging
model that empowers consumers to develop their own
crisis plan and provides a placement that bypasses
the traditional intervention process. Specially trained
Peer Crisis Navigators work with consumers likely to
use crisis services and develop a plan that is mutually
negotiated for crisis intervention. This is a recovery
based model in which the individual determines the
services needed and provided during a crisis.
First Annual CIT International Conference 35
Wednesday Agenda
Wednesday 2:00 p.m. – 3:30 p.m. RM 13 & 14
The Brain Injury Epidemic and Its Impact on
Law Enforcement
Presenter: Elizabeth Bilderback, MA, Program
Coordinator, Health South Rehab Institute of San Antonio
Brain injuries are a major cause of disability in our
society, and have received recent media attention
due to our returning soldiers with brain injuries. This
presentation reviews causes of brain injury and how
such injuries impact behavior. Scenarios taken from
real life events will be utilized to clarify how such a
health problem can cause behavioral problems that
might result in a confrontation with a police officer.
Cognitive, physical, and psychosocial/behavioral
problems following brain injury will be discussed.
Problems officers may face in the field will be discussed.
Suggestions regarding how to best approach and
interact with someone with a brain injury will be
presented.
Wednesday 2:00 p.m. – 3:30 p.m. RM 15
An Innovative Community Collaboration to
Enhance the Continuum of Care
Presenters: Cecil Tebo, LCSW, Crisis Transportation
Services Program Administrator, NOPD; Lisa Romback,
MA, Program Director, NAMI New Orleans
The New Orleans Police Department has operated
the Crisis Transportation Service (CTS) for the past
28 years. It is the only program of its kind staffed
by auxiliary civilian volunteers and supervised by a
police Sergeant and a mental health professional.
Following Hurricane Katrina in 2006, calls for service
increased dramatically, so the program extended its
community collaboration to the NAMI New Orleans
Assertive Community Outreach (ACO) Program which
is funded by the human services district. Details of this
program will be discussed.
36 2010—San Antonio, Texas
Wednesday 2:00 p.m. – 3:30 p.m. RM 15
Building Collaboration In: What’s Our
Problem?
Presenters: Mark Anderson, MA, Executive Director,
Barbara Schneider Foundation; Charles Jensen, MA,
consumer Advocate and Board member, Barbara
Schneider Foundation; Renee Jenson, MA, Community
Collaboration Coordinator, Barbara Schneider
Foundation
13 minute DVD, “What’s Our Problem?” will be
followed by panel presentation with the following
participants:
1. Charles Jensen, Board Member from the Barbara
Schneider Foundation will discuss his experience
talking to law enforcement as a consumer with 89
arrests, (7 felonies, 12 years of homelessness with
the last 7 years in recovery).
2. Renee Jenson, Community Collaborator, Barbara
Schneider Foundation: discusses her experience
facilitating community collaboration with local and
state government, law enforcement, mental health
providers, consumers and advocates; keeping
consumer perspective and involvement always at
the table.
3. Mark Anderson, Executive Director, Barbara
Schneider Foundation: discusses growing the
Memphis model CIT in the Upper Midwest by
building the Mental Health Crisis Response Institute:
training the whole community with specialized
trainings for each profession; using trainings as a
door opener and platform for collaboration building;
creating comprehensive CIT programs with inter
and intra agency collaboration; collaborating with
diverse community based initiatives and including
them in CIT.
Wednesday 2:00 p.m. – 3:30 p.m. RM 16
Rural Maine CIT: The Case for
Collaboration
Presenters: Richard Brown M.ED., CEO Charlotte White
Center; Elizabeth Carolin, MSW, Clinical Coordinator
Charlotte White Center
In rural Maine collaboration is key to success. For
over six years the Piscataquis Regional CIT program
has engaged all public safety stakeholders in creating
a wide net of informed CIT practitioners. A regional
Community Corrections Advisory Committee also

oversees the delivery of an effective CIT model.
By involving Emergency Medical Services, Dispatch,
County Patrol, Corrections, local Law Enforcement,
ER staff, Chaplains, Fish and Wildlife Officers, and
Crisis workers we demonstrate how collaborative CIT
training acts as a “force multiplier” and improves
the de-escalation techniques skill set for many key
stakeholders in the crisis response network. We present
a brief film examining the impact of multi-disciplinary
training within these various sectors and a video
discussion of a successful CIT engagement in a rural
police department. We return with our popular “Rural
CIT Grant Starter’s Kit” which provides an overview of
how to apply and start up a rural CIT training.
Wednesday 2:00 p.m. – 3:30 p.m. RM 16
Reaching Beyond CIT Westchester’s Police
Mental Health Outreach and Coordination
Presenters: Mark Giuliano, LMSW Program Director
Community Support, Westchester County Department
of Community Mental Health; Sgt. Brian Mc Cormack,
Yonkers Police Department, 4th Precinct
Westchester County in New York uses a model
that expands on the traditional Crisis Intervention
Team. Both the City of White Plains Department of
Public Safety and the Yonkers Police Department have
embraced a model of intervention that includes CIT
trained officers as well as clinical support and case
work follow-up. The Department of Community Mental
Health provides a mental health clinician to these
Police Departments to co-respond and provide follow
up on those calls involving people in emotional crisis.
Using this model we have been able to increase officer
safety, the safety of the person in crisis, decrease
repeated calls for services and offer people hope
in working towards their recovery. For people that
come in repeated contact with law enforcement, we
offer intensive outreach through Care Coordination, a
program with a person centered approach to recovery.
This presentation will provide an overview of these
interventions and their outcomes.
Wednesday Agenda
Wednesday 4:00 p.m. – 5:30 p.m. RM J
Addressing the needs of Veterans in
Crisis
Presenter: Juanita Buck, MS, MHT, Kern County Mental
Health
As we see more war veterans coming home, the need
is greater to be aware of the special problems that
the community faces regarding these heroes. It is not
enough to understand mental health and the course
of mental illness with veterans. Theirs is a unique
situation, with a unique language and culture. As first
responders, law enforcement is often the first line of
defense when a VET is in crisis. There are strategies
to be learned from past experiences, and much to
understand with this special population. This lecture
will address the special needs of this population, with
dignity, respect and honor as they deserve.
Wednesday 4:00 p.m. – 5:30 p.m. RM K
Stalking: When are you really in danger?
Presenter: John Price, Ph.D., Psychologist, San Antonio
Wednesday
Police Department
Stalking is an old problem but a new crime, despite
evidence that stalking often has a devastating impact on
victims; the first stalking law was not enacted in 1990.
A study by the National Institute of Justice and Center
for disease Control and Prevention found the lifetime
risk for stalking victimization is 8% for women and 2%
for men. Twenty five percent of stalking victims are
assaulted and 2% are killed. The length of pursuit by
stalkers is measured in months or years and most victims
suffer major disruptions in their lives. Mental disorders
are evident in the majority of stalkers and substance
abuse is frequently seen in this group. Stalkers are
older than most criminals but frequently have a history
of prior criminal behavior. This presentation will discuss
scope of the problem, characteristics of stalkers and the
differences in stalkers who pursue public figures vs.
acquaintances. A typology of stalkers and the mental
health issue common among stalkers will be discussed.
Strategies for identification and management of stalkers
will be presented.
First Annual CIT International Conference 37
Wednesday Agenda
Wednesday 4:00 p.m. – 5:30 p.m. RM L
The Wilco Way…Collaborative Emergency
Mental Health Response
Presenter: Annie Burwell, LBSW, Director, Williamson
County Mobile Outreach
This session will use three actual psychiatric emergency
incidents to demonstrate the operation of our award
winning Mobile Outreach Team (MOT). Each case
will highlight different aspects of our collaborative
approach – joint CIT and MOT response, field
assessments, expediting psychiatric admissions, the
use of technology, telemedicine, working with EMS and
911 dispatchers, facilitating respite care, and follow-
up services. This multi-media presentation will include
911 tapes and a demonstration of the department’s
web-based patient database. Administrative concerns
such as flex funding, logistics, data collection, and
multi-jurisdictional and interdepartmental collaboration
will also be discussed. Over the past four years,
the Williamson County Mobile Outreach Team and
Williamson County Sheriff’s Office Crisis Intervention
Team have saved our county government over four
million dollars by diverting mentally ill persons from jail
and hospital emergency rooms to clinically appropriate
services. Learn how your department can achieve the
same in this practical case driven session.
Wednesday 4:00 p.m. – 5:30 p.m. RM M
Will Hearing Voices that Are Distressing:
A Simulated Training Experience living with mental illness. Stigma reduction research has
Presenters: Daniel Fisher, MD, Executive Director,
National Empowerment Center; Lauren Spiro, MA,
Director, National Coalition Mental Health Consumer/
Survivor Organizations; Ron Bruno, Detective, SLCPD,
CIT Training Director
This workshop is an introduction to a program used by
the State of Utah Police Department CIT Program as
a special law enforcement adaptation of a program
developed by the National Empowerment Center. In
this program, the participants will hear a talk about
hearing voices program, and will also experience
some of the simulations of what it is like to hear
voices. The presenters will demonstrate how this voice
simulation can be effective in CIT training programs.
This workshop teaches the officers how difficult it is
for people hearing voices to communicate in the usual
manner with officers. The training also gives tips to
officers about new and improved ways to communicate
with persons who are hearing voices.
38 2010—San Antonio, Texas
Wednesday 4:00 p.m. – 5:30 p.m. RM 1 & 2
Acute Episode of Illness Is a Family Crisis
Presenter: Yolanda Ortega, BA, Management of Human
Resources, Newspaper Journalist
Role of the Family
Former journalist and NAMI member Yolanda Ortega
has been an advocate for consumers and families since
the mid-1980s, first in Michigan and now in Bexar
County. Her mental health network includes family
members, consumers and mental health and community
service professionals. Because of her involvement
with NAMI and her leadership with the Faith-based
Mental Health Initiative, she has received many calls
from families in crisis before and after police has
been called. Her presentation will focus on including
the family in jail diversion efforts. She believes family
support is crucial in preventing homelessness, suicides,
substance abuse and the repeated incarceration of
consumers.
Wednesday 4:00 p.m. – 5:30 p.m. RM 1 & 2
The Contributions of Family Members &
Consumers to the Teach
Presenters: Suzanne Andriukaitis, MA, LCSW; Michael
& Marcia Schumacher
CIT training is designed to inform and influence law
enforcement officers in their encounters with persons
demonstrated conclusively that face to face encounters
are the most powerful tool to reduce stigma. Family
members and consumers sharing their personal stories
bring home the message that persons with mental
illness are not to blame for these illnesses. Shifting
officer’s perceptions to viewing individuals as being ill,
changes encounters and outcomes. Personal accounts
of symptoms during episodes of illness and current
in-person functionality enhances officer’s motivation
to assist in bringing about recovery. Family members
and consumers find presenting at CIT trainings a very
satisfying experience.

Wednesday 4:00 p.m. – 5:30 p.m. RM 3 & 4
Building New Partnerships for Youth:
Implementing CIT Programs for School
Resources Officers
Presenters: Ron Honberg, J.D., Director of Policy and
Legal Affairs; Major Ginny Higgins, Special Services
Bureau Chief, St. Martin Parish Sheriff’s Office; Lt. David
Anders, Lake Charles Police Department
The workshop will introduce participants to CIT for Youth,
an evolving and emerging program that is growing
nationally with a major focus on training school resource
officers. CIT for Youth brings together law enforcement
personnel, mental health and other social service
providers, consumers and family advocates, school
personnel and juvenile justice leaders to effectively
address youth in psychiatric crisis. NAMI will share
results from a focus group with School Resources
Officers (SROs) from southwest Louisiana who received
CIT for Youth training and will be joined by law
enforcement personnel from that region who will talk
about the development and implementation of CIT for
Youth in Louisiana, lessons learned and feedback they
have received from SROs.
Wednesday 4:00 p.m. – 5:30 p.m. RM 3 & 4
School Resource Offenders and CIT
Presenter: Scott Davis, CIT Coordinator,Montgomery
County Department of Police
This workshop stresses the importance of having CIT
trained School Resource. SRO’s are often the first line
of defense against school violence and can serve as an
important preventive resource to the school incident/
crisis management team. This lector will focus on training
considerations, threat assessment, cooperative between
school and police administration.
Wednesday 4:00 p.m. – 5:30 p.m. RM 7
Family Perspective on Mental Health Tragedy
– A Video Documentary
Presenters: Richard Stevenson, B.A., Director of Special
Projects, NAMI St. Louis; Sgt. Barry Armfield, CIT
Coordinator, St. Louis Area, St. Louis County Police
Dept.
In 1994, the son of a typical middle-class suburban
family was fighting paranoid schizophrenia. Voices
Wednesday Agenda
convinced him his parents were the enemy, that their
death could prevent World War. The young man took
those tragic steps to “prevent the war”. Thankfully, most
people with mental illness are not violent, but when it
occurs, police are first to respond. This documentary,
used in St. Louis Area CIT training courses, provides
insight into events leading to and subsequent to that
tragedy. It highlights the benefits that can result for
even the most profoundly ill individuals when he or she
receives the benefit of strong support from a loving and
understanding family, plus aggressive psychiatric care. 
Wednesday 4:00 p.m. – 5:30 p.m. RM 8
Updates in Police Emergency Commitment
and Connecticut’s Response
Presenter: Marshall Segar, Deputy Chief, City of New
London, CT
My presentation is on the recent updates and events
in the law of emergency committal.  Currently in the
state of Conneticut we have a U.S. District Court
case which  has passed summary judgment on an
emergency committal case.  To summarize, the plaintiff
Wednesday
is challenging our commitment statutes and claiming that
she was seized in violation of the Fourth Amendment. 
She has conceded that she needed psychiatric help, but
challenges the police officers reasons and articulation
of the seizure.  The court has decided to  let the case
go to trial.
Wednesday 4:00 p.m. – 5:30 p.m. RM 11
Emergency Mental Health Services
Presenter: Wayne Unger, Police Officer, Mobile Crisis
Response Team, Victoria, BC, Canada
IMCRT is a crisis response team, not to be confused
with the first response of patrol officers or with a
service providing ongoing follow-up. The goal of the
team is to collectively triage calls for service, involve
the most appropriate staff based on discipline, gender,
sub-specialty, etc., provide consultation and where
necessary direct intervention to resolve the crisis in
the least intrusive manner possible while maintaining
safety. The team may provide very short-term follow-
up as a bridging mechanism to other services that can
provide longer-term and more intensive support.
First Annual CIT International Conference 39
Wednesday Agenda
Wednesday 4:00 p.m. – 5:30 p.m. RM 12
Got Consumers? How to maximize
consumer contributions in CIT training Outreach, Access and Recovery)
Presenter: Mark Creekmore, Ph.D.,Lecturer,University of
Michigan
Our experience has been that consumer participation
in CIT training has been productive and important to
the consumers, the trainers and the trained (i.e. police
officers). We will relate our experience and provide
data from police officers, trainers and consumers about
their perceptions of consumer participation in training.
Is our experience similar to other CIT programs?
We will provide new information from five diverse
police agencies with regular CIT training programs to
answer these questions: 1. In what ways do consumers
participate in CIT training? 2. Do different modes
(models) exist for consumer participation? 3. How
is consumer participation organized and sustained?
4. How do officers receive and assess consumer
participation? 5. How important do trainers assess
consumer participation in CIT training programs? We
will make recommendations that might be applied to
all training programs about the benefits, difficulties and
practical feasibility of consumer participation in CIT
training programs.
Wednesday 4:00 p.m. – 5:30 p.m. RM 13 & 14
Applied Crisis Intervention & De-escalation –
Safety Plans and Resources
Presenter: Oren Skurnik, Lead Instructor, Applied CID
The Safety Plan and Resources course gives the
student an understanding of an effective tool that can
be utilized in any work environment & how to create
it. A Safety Plan is a step by step plan that guides a
person’s actions, statements and decisions in order to
help them to respond to a crisis situation. This will help
in trying to insure a safe outcome for everyone involved
using applied training and skills. This will also provide
an opportunity to learn from the incident to adapt and
update the plan to the needs of the individual entity/
office/organization. This course provides instruction
in a concept created by the founders of Applied CID
utilizing their substantial years of experience in Law
Enforcement as well as their personal prior experiences
in running and managing retail businesses.
40 2010—San Antonio, Texas
Wednesday 4:00 p.m. – 5:30 p.m. RM 15
Accessing Entitlements Using SOAR (SSI/SSDI,
Presenter: Cindy Schwartz, MS, MBA, Project Director,
Eleventh Judicial Criminal Mental Health Project
Stakeholders in the criminal justice and behavioral
health communities consistently identify lack of access
to public entitlement benefits such as Supplemental
Security Income (SSI), Social Security Disability Insurance
(SSDI), and Medicaid as among the most significant
and persistent barriers to successful community
re-integration and recovery for individuals who
experience serious mental illnesses and co-occurring
substance use disorders. In order to address this
barrier and maximize limited resources, the Eleventh
Judicial Criminal Mental Health Project (CMHP) in
Miami-Dade County developed an innovative plan to
improve the ability to transition individuals from the
criminal justice system to the community. Toward this
goal, all participants in the program who are eligible to
apply for Social Security entitlements are provided with
assistance utilizing a best practice model referred to
as SOAR (SSI/SSDI, Outreach, Access and Recovery).
Wednesday 4:00 p.m. – 5:30 p.m. RM 15
HIPAA Laws
Presenter: Frank Webb, Police Office Houston Police
Department
HIPAA Laws. Are you confused about the HIPAA
laws? Are you frustrated with HIPAA confidentiality
restrictions that interfere with your job as a CIT officer?
Have the HIPAA laws ever been explained to you?
Do you know what information you can and cannot
obtain or divulge regarding individuals with mental
illness? If you would like answers to these questions,
this presentation is for you. The HIPAA laws will be
explained once and for all!
 Wednesday Agenda

Wednesday 4:00 p.m. – 5:30 p.m. RM 16 Wednesday 6:30-7:30 p.m. Grand Ballroom
Steps to Successful Community Collaboration CIT International Board Meeting

Presenters: Artie Williams, LCSW, MSSW, Director Q & A Night

of Mental Health Intensive Services, MHMR of Tarrant
County; Sonja Gaines, BA, Chief of Mental Health
Services, MHMR of Tarrant County

Community collaboration is the hallmark of successful

program development and sustainability. Strong
partnerships provide opportunities to know what
resources are available in the community but also
assist with identifying service gaps. This workshop
will provide the participants with concrete and concise
steps to building and maintaining a strong and active
community stakeholder base. Topics will include but
are not limited to: “How to identify stakeholders”,
“How to gain buy-in from the community”, “Sustaining
meaningful collaborations,” and when the partnership
goes south. The presentation will include a video
which shows how a successful collaboration worked
to fill crisis services gaps in Tarrant County, Texas
and how continued support and input have shaped
these services to provide the exact services that the
community needs.

Wednesday
Wednesday 4:00 p.m. – 5:30 p.m. RM 16
Knocking on Doors, Peeping Through
Windows

Presenter: Denise Curiel, Criminal Justice Liaison, Adult

Services/CPSA.

Do you want to establish a better relationship with the

Courts, Law Enforcement, or Jail? Having trouble getting
buy-in, or even getting people to come to the table?
No matter how advanced any community’s mental
health and criminal justice collaboration is, there will
always be organizations that are slow to get involved
due to the fact that they see little advantage to their
agency. This session will address various techniques
and strategies one can use to get partners to the table,
including potential cost savings, liability abatement,
and positive community image. This presentation will
assist conference attendees with techniques needed to
get criminal justice, law enforcement, and treatment
providers to work together to create a viable crisis
intervention training. The presentation will demonstrate
a win-win outcome for all involved.

First Annual CIT International Conference 41

Thursday Agenda

Thursday Agenda
Thursday 8:30-10:00 a.m. Grand Ballroom
Closing Session

Thursday 12:00-7:00 p.m. Rm 17 & 18

Mental Health First Aid Course (Part 1)

Brian Gibb-National Behavioral Health Council

Class pre-registration required.

Class also on:

Friday 8:00 a.m.-3:00 p.m. Rm 17 & 18

Mental Health First Aid Course (Part 2)

Brian Gibb-National Behavioral Health Council

Class pre-registration required.

42 2010—San Antonio, Texas

 Poster Presentations

Kym Bolado
National Alliance on Mental Illness

Beth Broussard
Implementing a Crisis Intervention Team (CIT) Force in a Large International Airport Setting

Michael Compton
Use of Force Preferences and Perceived Effectiveness of Actions among Crisis Intervention Team
(CIT) Police Officers and Non-CIT Officers in an Escalating Psychiatric Crisis Involving a Subject with
Schizophrenia

Brian Garrett
Hearing Voices that are Disturbing - A Simulation Experience

Oren SkurniK
Applied CID: Safety Plans and Resources

John Wallschalaeger
Role Play Scenario “Parallel Process”

Bexar County Sheriff’s Office

Deputy Mobile Outreach Team

The Center for Health Care Services

Diversion Initiatives

Haven for Hope

Homeless Campus

Restoration Center CHCS

San Antonio Crisis Intervention Team

First Annual CIT International Conference 43

Additional Resources
Blogs
2010
Diversion Initiatives Blogs
1. Criminal Justice Meets Behavioral Health: An
Exchange between Attorney General Eric Holder
and NACBHDD’s Leon Evans
http://www.diversioninitiatives.net/2010/04/
criminal-justice-meets-behavioral.html
2. Leon Evans video: Mental Health Issues on
Healthcare Debate National Gains Conference
March 18, 2010
http://www.diversioninitiatives.net/2010/03/
leon-evans-videomental-health-issues-on.html
44 2010—San Antonio, Texas
2009
Diversion Initiatives Blogs
1. Developing an Integrated Response for Veterans
in Bexar County Texas
http://www.diversioninitiatives.net/2009/12/
developing-integrated-response-for.html
2. Police 3x5 Crisis Intervention Quick Referral
Cards
http://www.diversioninitiatives.net/2009/11/
police-3x5-crisis-intervention-quick.html
3. Facility Saves People and Money
http://www.diversioninitiatives.net/2009/10/
facility-saves-people-and-money.html
4. Drug Czar Recommendations 9-23-09
http://www.diversioninitiatives.net/2009/10/
drug-czar-recommendations-9-23-09.html
5. Documented and Immediate Cost Avoidance
Report 1 of 2
http://www.diversioninitiatives.net/2009/09/
documented-and-immediate-cost-avoidance.html
6. The Restoration Center
http://www.diversioninitiatives.net/2009/09/
restoration-center.html
7. American Psychiatric Association’s Gold Award
http://www.diversioninitiatives.net/2009/09/
american-psychiatric-associations-gold.html
8. Out of Jail and Into Treatment-
http://www.diversioninitiatives.net/2009/09/
out-of-jail-and-into-treatment.html
9. Short Video on Bexar County Jail Diversion
Program
http://www.diversioninitiatives.net/2009/09/
short-video-on-bexar-county-jail.html
10. The National Council article on “Bexar County’s
Center Offers Alternatives to Jail and the Streets
http://www.thenationalcouncil.org/galleries/
NCMagazine- gallery/NC%20Mag%20
Criminal%20justice%20Web-Email.pdf

Reprints
Criminal Justice Meets
Behavioral Health:
An Exchange between
Attorney General Eric
Holder and NACBHDD’s
Leon Evans
By Gilbert Gonzales, Director of Communications and
Diversion Initiatives, CHCS (Excerpt in full from April
2010 Newsletter)
Leon Evans is a bear of a man. That’s a good thing for
Bexar (pronounced “Bear”) County, Texas, and its 1.6
million citizens. Attorney General Eric Holder is a tall
and gracious man, our Nation’s “top cop,” who we are
fortunate to have in that position. Both men met for the
first time on March 8, 2010. What follows is a story
about what came before and what occurred at that
meeting on a cold Washington morning.
First, a bit of history. A decade ago, Leon began the
transformation of Bexar County’s mental health and
substance abuse systems. The local mental health
authority, the Center for Health Care Services, is
the mental health services provider of last resort, a
challenging task, to say the least. As a result, Bexar,
as other counties across the country, struggles to treat
a population whose illnesses are so debilitating that
their health-seeking capacity is virtually non-existent.
As a result, as Evans points out, many people with the
most serious mental illnesses are found, not in county
treatment programs, but rather in overflowing county
jails and congested emergency rooms. The jail and
prison systems now include a significant number of
individuals with a history of treatment for mental or
substance abuse disorders by state hospitals and or
county mental health clinics. Probation and parole
systems are bursting at the seams with such individuals,
many of whom lack community-based care. “We are
criminalizing so many who could and should receive
treatment,” Evans observes. Moreover, the costs of
inappropriate incarceration, inappropriate emergency
room utilization, and for minor medical treatment in
emergency departments are staggering, far outstripping
the costs of known-effective mental health care. The
costs of untreated mental and substance abuse disorders
burdens not only families, but also neighbors, law
enforcement, employers, and tax payers alike.
Additional Resources
It’s been said that “involving many lightens the load”. That
is particularly true when it comes to helping people with
serious mental and substance abuse disorders navigate
a complex network of local behavioral health care,
supportive services and income maintenance programs.
While Leon has done a lot of heavy lifting and has even
wrestled bears (yes, that’s plural), even he needed lots
of help. That help came in the form of county and city
stakeholders from law enforcement, private hospitals,
the courts (civil and criminal), the local hospital district,
probation/parole plus many more, all on the path to
develop an effective and efficient system of care. A key
component has been working with and providing training
for law enforcement to promote early identification/
intervention, increased access, and effective continuity
of care in providing mental health and substance abuse
treatment. Crisis Intervention Training (CIT) for law
enforcement partners mental health, substance abuse,
developmental disabilities, and advocacy stakeholders
in a joint county wide effort to increase officers’ skills
and expand knowledge and awareness of local county
resources for persons with mental illness. Since 2003,
the Center for Health Care Services has engaged in CIT
training with proven cost-effective outcomes.
That background brings us to the present. For the past
year, at the request of an international constituency, the
Center has been in the throes of advance work for the
first International Crisis Intervention Training Conference
to be held on June 1-3, 2010. This upcoming gathering
of personnel from 1,000 CIT programs in the U.S. and
a broad array of law enforcement professionals from
around the country and the world led Evans on a new
path pointed right to the center of national behavioral
health and criminal justice policy: Washington, DC.
The trip to Washington, DC, from San Antonio takes
about three hours or so. It’s a trip Leon has taken many
times both to present testimony before Congress or to
attend White House events. But this trip was different.
When one is convening a first-of-its-kind, international
conference at the intersection of law enforcement and
behavioral health, it’s natural to reach out to the nation’s
top officials, such as Attorney General Holder, to provide
words of encouragement and support to the estimated
2,000 conference attendees. No stranger to the ways of
Washington that is precisely what Evans did.
That is why, in the middle of the NACBHDD’s legislative
meeting on March 8, 2010, Evans absented himself to
First Annual CIT International Conference 45
Additional Resources

medical services, advocates, family, and behavioral

health consumers themselves.

Evans also pointed out the value of service co-location

Leon Evans & Attorney General Eric Holder
attend a one-on-one meeting with Attorney General
Holder to discuss the continued ‘criminalization’ of
people with mental and substance abuse disorders.
With an attentive Holder, Evans outlined the challenge
facing local mental health and criminal justice
authorities, suggesting alternatives to incarceration
and their effectiveness from both human and economic
perspectives. He spoke of the county’s work to divert
people with mental illness from jails and emergency
rooms into treatment programs that engages courts,
judges, law enforcement, hospitals, and emergency
that not only brings together physical and behavioral
health together in a single mental health environment but
also brings in adult and juvenile probation and parole
activities, social support, and employment and housing
assistance, providing a one-stop approach. In San
Antonio, to that very end, the Center has been diverting
around 900 individuals with mental or substance abuse
disorders to the “Haven for Hope,” a new $100 million,
1,000-bed facility for individuals who are homeless.
The majority of these individuals historically would have
found their way to incarceration in jail or prison, to
hospital emergency rooms, or to the streets with little
treatment, limited support and little hope. He invited
Holder to visit the county to see just what collaborations
that blend local, state and Federal resources can do for
people with serious mental illnesses.
As the meeting drew to an end, Attorney General
Holder told Evans, “You are doing great work; this
is legacy work.” And, oh yes, the Attorney General
will be sharing a “few words” at the CIT International
Conference. What are they? Come to the conference
and hear them for yourself.

Police 3x5 Crisis

Intervention Quick
Referral Cards

A set of nine 3x5 cards

are provided to our
CIT Officers during thier
initial 40 hour training.
They are provided as
handy reference tools
and updated before
every new class.

46 2010—San Antonio, Texas

 Additional Resources

Providing Jail Diversion for People with Mental Illness

Crisis and Diversion Technical Assistance

Findings:

 More than one in every 100 adults is now confined in an

American jail or prison. According to figures gathered and
analyzed by the Pew Public Safety Performance Project, the
number of people behind bars in the United States continued to
climb in 2007, saddling cash-strapped states with soaring costs
they can ill afford and failing to have a clear impact either on
recidivism or overall crime.
 In recent years, an increasing number of people with severe
mental illness have come in contact with the criminal justice
system
 Among the mentally ill, approximately 75% have an ongoing
substance abuse disorder.

Benefits of Diversion:

 Diversion programs have been shown to have positive impacts

on decreasing incarceration time for the severely mentally ill,
while increasing access to, and utilization of, comprehensive
psychiatric services (Dr. Michael Johnsrud, Medical Economist).
 Reduced inappropriate use of ERs and hospitalizations
 Reduction of inappropriate incarceration of persons with
mental illness
 Length of stay in jail is shortened in lieu of increased access to
treatment
 Greater efficiency in the use of law enforcement resulting in
increased public safety
 Violence and victimization is reduced
 Costs incurred by taxpayers when a person with mental illness
is arrested, incarcerated, and/or hospitalized is addressed

Proven Resources and Tools available:

 Learn How to Create Community Collaboratives

 Consultation on site
 Leveraging funding to maximize opportunities
 Integrating, blending and braiding local, state and federal
funding
 Training materials
 Materials (program background, plan, job descriptions etc)
 Planning and Implementation Guidelines
 Data and Forms
 Program Design
 Community Input; Governance and oversight
 Evaluation process
 Teleconference, video conference and follow-up

For additional information or to arrange for a consultation please contact:

Leon Evans, President and CEO, CHCS at 210 731-1300, or by Email: levans@chcsbc.org

First Annual CIT International Conference 47

Additional Resources
Bexar County’s Restoration Center Offers Alternatives
to Jail and the Streets
gilberto rendon gonzales, Director, Communications and Diversion Initiatives, The Center for Health Care Services, Bexar County Mental Health
Authority, San Antonio, TX / ggonzales@chcsbc.org
1,158
individuals admitted to the
Restoration Center instead
of the municipal court
detention area saved
taxpayers $2,657,610.
469 people taken to the
Restoration Center instead of
to a hospital emergency room
before incarceration saved an
additional $703,500.
A ddressing the silos dividing substance abuse treat-
ment and mental health services is a monumental
task. The Restoration Center, started in 2007 by The
Center for Healthcare Services, Bexar County’s Mental
Health and Mental Retardation Authority, seeks to ad-
dress this problem by providing integrated substance
abuse services. In combination with its sister Crisis
Care Center, a 24-hour psychiatric emergency unit, the
Restoration Center sees 900–1,000 people a month.
Working closely with the Crisis Care Center, the Res-
toration Center provides law enforcement with quick
access to treatment for nonviolent misdemeanor of-
fenders with substance abuse problems and also of-
fers substance abuse services to homeless persons in
the community.
48 2010—San Antonio, Texas
In establishing the Restoration Center, CHCS worked
closely with local government and public and private
stakeholders and drew upon lessons learned from the
nationally recognized, award-winning Bexar County
Jail Diversion Program, started in 2003. Earlier, stake-
holders had sought to address the community’s pub-
lic safety needs by developing the Crisis Care Center
with medical clearance for law enforcement officers
so that drop-offs take about 15 minutes, compared
to an 8-14 hour wait in emergency rooms earlier. The
Crisis Care Center’s success in returning officers to
service prompted community stakeholders to address
the gaps in substance abuse treatment through the
Restoration Center.
The Restoration Center includes a substance abuse
court and features three distinct programs:
>> The public safety unit, which provides injured
prisoner medical clearance and treatment and a
sobering unit (40+ person capacity) that enables
safe sobering of persons brought in by law enforce-
ment for public inebriation.
>> The medical detox unit, which provides 27-bed
capacity with a 3- to 5-day stay.
>> Intensive outpatient substance abuse services —
specialized day care treatment with intensive and
supportive counseling programs.
County Judge Nelson Wolff and business leaders such
as Bill Greehey won the support of the Bexar County,
Texas, legislative delegation for a special funding ap-
propriation to establish the Restoration Center.
The Restoration Center is proving to be cost-effective.
In its first 180 days of operation, it served 395 home-
less people who were diverted from jail, saving tax-
payers $766,530. The sobering unit admitted 1,627
individuals in 162 days — 1,158 of them would oth-
erwise have been admitted into the municipal court
detention area at a cost of $2,657,610. An additional
$703,500 was saved when law enforcement officers
took 469 people to the Restoration Center instead of
to a hospital emergency room before incarceration.
Officers are spending less time in emergency room
waiting rooms, which allows them to return to com-
munity policing.
Admissions to the Restoration Center’s detox unit
stem from multiple referral sources such as courts,
the sobering unit, the crisis care unit, Haven for Hope
partners, and walk-ins by people who are homeless.
The Restoration Center is a stakeholder partner in
the $100 million, 37-acre, 962-bed Haven for Hope
homeless facility. Located just across the street from
the Restoration Center, Haven for Hope is scheduled
to be fully operational in June 2010. The ability to pro-
vide 24-hour access to psychiatric crisis assessment,
sobering services, minor medical clearance services,
pre-employment services, and housing — all in one
area — exponentially enhances the possibility of treat-
ment success.
CHCS President and Chief Executive Officer Leon
Evans attributes the Restoration Center’s success to
community collaboration. “We were able to accom-
plish this because we addressed a compelling need,”
he explains.
Catherine Jones, director of Addiction Recovery Ser-
vices at CHCS says, “We made it a point to provide
information to each of our stakeholders, we moni-
tored outcomes, we showed our collaborative pro-
gram partners what was working and what wasn’t, we
showed that we were saving money, and we showed
that this approach was a good doorway into treatment
as well.”
Melanie Lane, director of the Restoration Center, at-
tributes success to persistence and staff serving as ef-
fective role models. She explains that they were able
to introduce real change — in the past, persons could
not access substance abuse services unless they were
sober but the Center knows you can’t get sober until
you get services.
Lane, having once been homeless herself, says, “I’m
glad someone was willing to take one more chance
on me.”
NATIONAL COUNCIL MAGAZINE • 2010, ISSUE 1 / 37
 program.
Quick
Cards
Police

Referral
3x5 Crisis

your current information.

Intervention

your community’s CIT

These cards are provided
Please detach for your use.

these cards quarterly with

CRISIS INTERVENTION TEAM GUIDELINES
1. Safety and tactics are and will always be your No. #1 priority!
2. Have a cover officer with you and never cancel your cover.
3. Utilize the three (3) minute assessment of the subject.
4. Determine the possibility of violence/further violence.
5. Gather as much information as possible.
6. Focus on the subject. (Let your cover provide for safety/security.)
7. Utilize your active listening skills.
8. Listen to the subject when he/she speaks.
9. Avoid orders that will escalate hostility.
10. Develop rapport.
11. Influence the subject by giving choices.
12. Explain how you want to help. July 2009
We suggest you update
as a template for use in
MEDICAL CLEARANCE FOR LAW ENFORCEMENT
UHS EXPRESS MED SAPD Dispatch . . . . . . . . . . . 207-7484
527 N. LEONA SAPD-CIT Officers . . . . . . . . . 358-9697
M-F 8AM TO 8PM Fax . . . . . . . . . . . . . . . . . . . . 358-6903
SAT 8AM TO 4PM SAPD INFO CHANNEL . . . . . . 207-8939
. . . . . . . . . . . . . . . . . . (210) 358-3611 or . 207-7484
Key Pad Code: 9191* BSCO Dispatch . . . . . . . . . . . 335-4630
Mental Health Deputies . . . . . 358-6947
EVENING HOURS Fax . . . . . . . . . . . . . . . . . . . . 358-6943
PUBLIC SAFETY UNIT Magistrate . . . . . . . . . . . . . . . 207-7535
601 N. FRIO Community Court . . . . . . . . . 246-1340
. . . . . . . . . . . . . . . . . . (210) 246-1360 Bexar County Jail . . . . . . . . . 335-6271
M-F 8PM TO 8AM or . 335-6417
SAT 4PM TO SUN 8AM July 2009

“CRISIS INTERVENTION” PUBLIC SAFETY UNIT

When a consumer with mental retardation exhibits symptoms of mental illness 24/7 Hours Of Operation
and requires psychiatric intervention, the consumer CAN be brought to 527 Public Intoxicants
N. Leona Crisis Care Center on a voluntary basis, or if the consumer meets 601 N. Frio
criteria for an emergency detention, as an emergency detention. The need for (210) 246-1360
psychiatric intervention will be established on the same legal and clinical basis Admission Criteria
as for the general population with special attention to the communication and • Adults 18 Years And Up
or expressive difficulties that this special population may have. The consumer • Voluntary ( Facility Not Secured)
may require medical clearance when necessary. • Under The Influence Of Alcohol Or Drugs Or History Of Substance Abuse
In sum, the doors of the Crisis Care Clinic are open to the mentally retarded Exclusion Criteria
population in crisis, with special interest and understanding for their specific • Pregnancy
handicap. • Unstable Medical Condition (See Referal To ER Card)
• Active Seizures
527 N. LEONA (210) 225-5481 (24 HRS / 7 DAYS)
• Danger To Self Or Others / Aggressive Behavior
PLEASE CALL AHEAD July 2009
• Found Down—Unresponsive July 2009

First Annual CIT International Conference 49

 REFER TO ER IF :
CRISIS INTERVENTION TEAM GUIDELINES (CONTINUED)
Psychiatric patients may show behavioral problems because of medical/surgical conditions.
CRITERIA FOR REFERRAL OF PSYCHIATRIC PATIENTS TO A MEDICAL /SURGICAL 1. Be as honest as possible/ never lie.
EMERGENCY ROOM. 2. Do not use analogies.
3. Do not argue or question their delusions.
1. The Patient Was “Found Down” Confused/Disoriented, or
2. Evidence That The Patient Has Taken An Overdose
4. Do not play into their delusions or allow yourself to be manipulated.
3. Was In A Fight (Physically Assaulted:rape) or 5. Do not threaten arrests falsely.
4. In A Motor Vehicle Accident or 6. Do not negate their feelings or seriousness.
5. Unstable Medical Condition 7. Do not overreact to insults of any type: Don’t take it personally.
6. There Are Injuries (Head, Etc) Unable To Move Any Parts Of His Body or 8. Never trivialize a request or the subject, nor patronize.
7. The Patient Is Combative, Violent Requiring To Be Restrained or
9. Do not draw attention to any victims.
8. The Patient Has Seizure or
9. Has Chest Pains/Severe Abdominal Pain/Severe Head Pain/Short Of Breath/ 10. Never place a deadline on yourself and never accept a deadline.
Wheezing or 11. Time is the KEY!
10. Attempted Suicide By Hanging/Strangulation. 12. If you think suicide is possible, ask about it.
11. Pregnant Patients Should Go Directly To Uhs Ob/Gyn-Er or Other Er. July 2009 July 2009
RESOURCE HOSPITALS
Express Med Clinic (527 N. Leona) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 358-3614 ACTIVE LISTENING SKILLS
(B) San Antonio State Hospital (6711 S. New Braunfels) . . . . . . . . . . . . . . . . . . . . . . 532-8811 M – MINIMAL ENCOURAGERS
(B) University Hospital (4502 Medical) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 358-2524 The use of phrases that encourage the subject to continue talking.
(B) Methodist Specialty And Transplant (8026 Floyd Curl) . . . . . . . . . . . . . . . . . . . . . 575-8168 (Hmm, U huh, Then What, or What else).

50 2010—San Antonio, Texas

(A) Metropolitan Methodist (1310 Mccullough Ave) . . . . . . . . . . . . . . . . . . . . . . . . . . 757-2280 O – OPEN ENDED QUESTIONS
Methodist Behavioral Medicine Inquiry Line . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 575-0500 Questions phrased in a manner designed to encourage further discussion by the subject rather than a question
(B) Nix Behavioral Health Services (4330 Vance Jackson) . . . . . . . . . . . . . . . . . . . . . 579-3800 that can be answered with a yes or no response.
(G) Nix Heritage Unit (414 Navarro St.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .579-3800 R – REFLECTING/MIRRORING
(A) VA Hospital (Veterans Only – 7400 Merton Minter) . . . . . . . . . . . . . . . . . . . . . . . 617-5300 REFLECTING MEANING – Mirroring both content and feelings plus the future implications.
(G) St. Luke’s Baptist Hospital (7930 Floyd Curl Dr.) . . . . . . . . . . . . . . . . . . . . . . . . . 297-5440 MIRRORING – The other person’s feelings in succinct form.
(A) Southwest General Hospital (7400 Barlite Blvd.) . . . . . . . . . . . . . . . . . . . . . . . . . 921-3255 E – EFFECTIVE PAUSES
(A & G) Mission Vista (14747 Jones Maltsberger) . . . . . . . . . . . . . . . . . . . . . . . . . . . 497-0004 The use of pauses that encourage the subject to continue talking.
(B) Laurel Ridge (17720 Corporate Woods Dr.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 491-9400 P – PARAPHRASING
A concise response to a person that reflects the essence of the speaker’s content in the words of the listener.
(C) Southwest Mental Health Center (8535 Tom Slick) . . . . . . . . . . . . . . . . . . . . . . . 616-0300
I – “I” MESSAGES
(G) La Paz Community MH Center . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 558-8744
Putting an “I” before the CIT Officer’s statement to make it clear that what follows are the CIT Officer’s thoughts,
Opc County Clerk Mental Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 335-2536
feelings or opinions.

July 2009
Roy Maas Youth Alternatives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 340-8077 E – EMOTIONAL LABELING
(A) Solara Day Treament . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 299-1152 Identifying the subject’s feelings (You sound happy, or sad, or frustrated)
(A) – Adults Only (B) – Both Adults & Children (C) – Children Only (G) – Geriatric July 2009

Police
3x5 Crisis
Intervention
Quick
Referral
Cards
Please detach for your use.
These cards are provided
as a template for use in
your community’s CIT
program.
We suggest you update
these cards quarterly with
your current information.
July 2009
July 2009
CPS/APS LAW ENFORCEMENT ONLY
1-800-877-5300
RESOURCES APS LAW ENFORCEMENT ONLY (8-5, M-F)
CENTER FOR HEALTH CARE RESOURCES
CRISIS CARE CENTER (527 N. Leona)………… . . 225-5481
337-3107
CRISIS LINE 24/7 . . . . . . . . . . . 223-7233 or 1(800)316-9241 Psychiatric Hospital contact Info
Downtown Baptist Admissions 297-7610
Mobile Crisis Outreach Team . . . . . . . . . . . . . . . . . 223-7233
Eligibility & Intake (1200 Brooklyn St. Ste 300) . . . 223-4061 Downtown Baptist Psych Unit 297-7040
Public Safety Triage Facility (601 N. Frio) . . . . . . . 246-1360 Laurel Ridge 491-9400 fax 491-3550
Methodist Hospitals Admissions ph 575-0500 fax 575-0523
DETOX CENTER (601 N. Frio) . . . . . . . . . . . . . . . . . 246-1360
Intensive Outpatient Substance Abuse . . . . . . . . . . 246-1303 Methodist Specialty Psych Unit 575-8376
Harvard Place (1920 BURNET) . . . . . . . . . . . . . . . . 227-3401 Metropolitan Methodist Psych Unit 757-2465
Northwest Clinic (9502 Computer Dr. Ste.100) . . . 615-5700 Metropolitan Methodist Medical Records 757-2984
Zarzamora Clinic (806 S. ZARZAMORA) . . . . . . . . . 434-7001 fax 757-2554
FACT Unit (5802 S. Presa) . . . . . . . . . . . . . . . . . . . 436-8018 Mission Vista 527-1444
Jail Diversion Clinics (2711 PALO ALTO Rd.) . . . . . 533-2577 Nix Heritage (admissions go thru Nix Specialty)
Mentally Ill Offenders Facility . . . . . . . . . . . . . . . . . 628-1833 Nix Heritage Psych Unit 579-3800
Nix Specialty 341-2633 fax 341-3083
Forensic ACT Team Pager . . . . . . . . . . . . . . . . . . . 258-0251
Telecare South . . . . . . . . . . . . 225-0152 or 1 (800) 673-8336 Northeast Baptist Psych Unit 297-2880
San Antonio State Hospital 532-8811 fax 531-7830
Telecare North . . . . . . . . . . . . . . . . . . . . . . 1 (800) 673-6947
Children’s Services (711 E. JOSEPHINE) . . . . . . . . 299-8139 Southwest General Psych Unit
UHS EC Triage 358-2488
Juvenile Services (711 E JOSEPHINE) . . . . . . . . . . 531-1927
Mental Retardation Authority . . . . . . . . . . . . . (800)832-5020 UHS EC EM-1 (MD) 358-0682
(8700 Tesoro Ste.) UHS PCC (RN Supervisor) 358-0683
Mental Retardation (104 STORY LANE) . . . . . . . . . 533-9515 UHS PES 358-2524
UHS Inpatient Unit 358-1260
D.O.B. _________AGE____ GENDER ____ETHNICITY____SSN#_____________________
COUNTY______________ZIP CODE (MUST HAVE)________TELEPHONE______________
July 2009
July 2009
HEIGHT_______WEIGHT_______DESCRIPTION__________________________________
DOCTOR’S NAME / TELEPHONE NO#__________________________________________
NAME CONSUMER / PROPOSED CONSUMER_____________CONSUMER NO._________
ADDRESS_________________________APT#______CITY________________STATE___
DOES THE CONSUMER HAVE INSURANCE? Y/N____INSURANCE CARRIER__________
NAME / TELEPHONE OF LEGAL GUARDIAN (IF APPLICABLE______________________
2. THE OFFICER BELIEVES THE MENTAL ILLNESS IS CAUSING IMMINENT
TODAY’S DATE________________
3. THE OFFICER BELIEVES THERE IS NO TIME TO GET A WARRANT
1. IF THE OFFICER BELIEVES THE PERSON IS MENTALLY ILL, AND
CRITERIA FOR EMERGENCY DETENTION
RISK OR HARM TO HIM/HERSELF OR OTHERS, AND
REFERRAL INFORMATION
First Annual CIT International Conference 51
 EMERGENCY ROOMS COMMUNITY RESOURCES
Downtown Baptist ER ………………………...297-7000
CPS/APS Protective Services – Reporting Abuse or
Main Methodist ER …………………………...575-4444
Neglect Line . . . . . . . . . . . . . . . . . . . . . . . 1-800-252-5400
Metropolitan Methodist ER …………………..757-2280
Battered Women’s Shelter . . . . . . . . . . . . . . . . . . . 733-8810
Methodist Specialty ER ……………………….575-8168
S.A. AIDS Foundation . . . . . . . . . . . . . . . . . . . . . . . 225-4715
Nix Downtown Hospital ER …………………..272-1741
AL-ANON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 829-1392
North Central Baptist ER ……………………..2.97-4650
CHILD SAFE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 675-9000
Northeast Baptist ER ………………………….297-2650
Alcoholic Rehab Center (MEN) . . . . . . . . . . . . . . . . 633-0201
Northeast Methodist ER ……………………….757-5009
ALPHA Home (WOMEN) . . . . . . . . . . . . . . . . . . . . . 735-3822
St. Lukes Baptist Hospital ER ………………...297-5660
Audie Murphy Memorial Hospital . . . . . . . . . . . . . . 617-5300
Santa Rosa ER ………………………………...704-2880
Baptist Child and Family Services . . . . . . . . . . . . . . 832-5000
Southeast Baptist ER ………………………….297-3650
D.A.’s Family Violence Unit . . . . . . . . . . . . . . . . . . .335-2865
Southwest General ER ………………………...921-3255
Protective Order . . . . . . . . . . . . . . . . . . . . . . . . . . . 208-6824
Stone Oak Methodist ER ……………………...638-2000
Juvenile Probation Office . . . . . . . . . . . . . . . . . . . . 531-1000
Brooks Army Medical Center . . . . . . . . . . . . . . . . . 916-4141
Council on Alcohol and Drugs . . . . . . . . . . . . . . . . 225-4741
Express Med
Family Violence Prevention Services . . . . . . . . . . . 930-3669
(527 N. Leona) for Minor
Family Service Assoc. (Counseling) . . . . . . . . . . . . 226-3391
Medical Clearance….. …………………..358-3611
Red Cross . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 224-5151
358-5975 or 358-3614 or 358-3462
El Centro Del Barrio (Out Patient Medical Clinic) . . 922-0103
Family Resource Center psychiatry . . . . . . . . . . . . . 927-1816
Bexar County Jail…….. 335-6271 or 335-6417
National Alliance for the Mentally ILL NAMI . . . . . . 734-3349
Mentally Ill Offenders Facility….. 628-1833
24/7 Homeless Outreach . . . . . . . . . . . . . . . . . . . . 859-5146
Forensic Act Team ..pg 285-0251 ph 436-8018 fax 531-0175
Davidson Respite Home (Autism) . . . . . . . . . . . . . . 260-3557
July 2009

July 2009
Mobile Crisis Outreach Team please call the Crisis Line 24/7
CRISIS LINE – (210) 223-SAFE (7233) OR 1-800-316-9241
TELEPHONE- (210) 225-5481 FAX# - (210) 358-6907
527 N. LEONA, SAN ANTONIO, TEXAS 78208
THE CENTER FOR HEALTH CARE SERVICES
CALL FIRST FOR INSTRUCTIONS:

______________________________________________________________ July 2009

______________________________________________________________________
NEEDED): ______________________________________________________________
PRESENT PROBLEM (DESCRIBE BRIEFLY WHAT THEY ARE DOING & WHY C.I.T. IS

______________________________________________________________________
ANY KNOWN MEDICAL CONDITIONS/ PROBLEMS? _____________________________

IS THE CONSUMER SUICIDAL? Y/N____ IS THE CONSUMER DELUSIONAL? Y/N _____

IS THERE ACCESS TO A WEAPON? Y/N______ IS THE CONSUMER VIOLENT? Y/N____

IF NOT, WHY?___________________________________________________________

IS THE CONSUMER CURRENTLY TAKING THEIR MEDICATIONS?Y/N ______________

______________________________________________________________________
WHAT MEDICATION IS THE CONSUMER PRESCRIBED?
CRISIS CARE CENTER
July 2009

52 2010—San Antonio, Texas

 program.
Quick
Cards
Police

Referral
3x5 Crisis

your current information.

Intervention

your community’s CIT

These cards are provided
Please detach for your use.

these cards quarterly with

We suggest you update
as a template for use in
Screening Questions For SAPD Referrals or Patients on Emergency Detention

1. IS the person being violent NOW?

2. IS the patient threatening violence NOW?

Crisis Line.
3. IS the patient pregnant? IF YES—GO to UHS ER

4. IS the person having CHEST PAIN?

psychiatric symptoms.
5. IS the person exhibiting a FEVER?
6. IS the person VOMITING?
7. IS the person SHORT OF BREATH?
8. IS the person suspected of taking an OVER-
DOSE?

Monday – Friday, 8:30 AM to 8:00 PM

the influence of any drug or alcohol.

9. HAS the person attempted to HANG
IF YES—Go to the most appro-

THE CENTER FOR HEALTH CARE SERVICES

THEMESELVES?

711 E. JOSEPHINE, SAN ANTONIO, TX 78207

10. HAS the person caused SERIOUS BODILY priate ER OR call EMS

Children’s Crisis Services

HARM to THEMSELVES? i.e., Deep Lac-

TELEPHONE: (210)299-8139 FAX: (210)212-8128

The Children’s Crisis Services Unit provides crisis

to provide services to a youth who is medically

The Children’s Crisis Services Unit is NOT equipped
erations, Stab Wound etc.

intervention and support to youth under the age of

11. IF person is intoxicated—are they UN-

18, diverting them to the least restrictive environment

Crisis situations involve those in which the youth poses

cause serious harm to themselves or others may be at

CRISIS LINE: (210)233-SAFE (7233) OR 1-800-316-9241
ABLE TO WALK and ANSWER QUES-

displays behavior that is escalating in severity and may

necessary. After 8:30 PM and on the weekends call the

risk of disruption of the preferred living situation due to

a threat to their own safety or that of another individual,
July 2009 July 2009

compromised, pregnant, and violent person who is under

TIONS?

Antipsychotics Antidepressants Sleepers Antianxiety

Old Drugs Old Drugs Brand Name . . . . . . . Generic Benzodiazpines
Brand Name . . . . . . . Generic Brand Name . . . . . . . Generic Buspar . . . . . . . . . . Buspirone
Loxitane . . . . . . . . . Loxapine Elavil . . . . . . . . . . . Amitriptyline Valium (Bz) . . . . . . . Diazepam Antiparkinsonian Agents
Moban . . . . . . . . . . Molindone Ascendin . . . . . . . . . Amoxapine Ativan (Bz) . . . . . . . . Lorazepam Brand Name . . . . . . . Generic
Navane . . . . . . . . . . Thiothixene Tofranil . . . . . . . . . . Imipramine Klonopin (Bz) . . . . . . Clonazepam Cogentin . . . . . . . . . Benztropine
Thorazine . . . . . . . . Chlorpromazine Norpramin . . . . . . . . Desipramine Serax (Bz) . . . . . . . . Oxazepam Benadryl . . . . . . . . . Diphenhydramine
Trilafon . . . . . . . . . . Perphenazine Pamelor . . . . . . . . . Nortriptyline Librium
12. (Bz) . . . . . . . Chlordiazepoxide
IS the person ELDERLY (>60 Artanie . . . . . . . . . . Trihexphenidyl
IF YES— go to the most
Stelazine . . . . . . . . . Trifluoperazine Sinequan . . . . . . . . . Doxepin Restoril (Bz) . . . . . . . Temazepam appropriate ER
years) ?
Mellaril . . . . . . . . . . Thioridazine Anafranil . . . . . . . . . Clomipramine Tranxene (Bz) . . . . . . Chorazepate Methodist Specialty & Transplant Geri Psych
Serentil . . . . . . . . . . Mesoridazine Ludiomil . . . . . . . . . Maprotiline Xanax (Bz) . . . . . . . . Alprazolam
Haldol . . . . . . . . . . Haloperidol Luvox . . . . . . . . . . Fluvoxamine Dalmane (Bz) . . . . . . Flurazepam
Unit
Orap(for Tourettes) . . . Pimozide Vivactil . . . . . . . . . . Protriptiline Sonata . . . . . . . . . . Zaleplon Northeast Baptist Geri-Psych Unit
Prolixin . . . . . . . . . . Fluphenazine Ambien . . . . . . . . . . Zolpidem Nix Downtown Heritage Geri-Psych Unit
New Current Drugs MAOI’s( multidrugs&foodinteractions/ Noctec . . . . . . . . . . Chloral Hydrate
Brand Name . . . . . . . Generic Hypertensivecrisis) Halcion (Bz) . . . . . . . Triazolam
Geodon . . . . . . . . . Ziprasidone Vistaril/Atarax . . . . . . Hydroxyzine
Risperdal . . . . . . . . . Risperidone Nardil Phenelzine Lunesta . . . . . . . . . Eszopiclone IF YES—REFER TO
Zyprexa . . . . . . . . . Olanzapine Parnate Tranylcypromine Prosom (Bz) . . . . . . . Estazolam
Seroquel . . . . . . . . . Quetiapine Marplan Isocarboxazid Doral13. IS the person a CHILD (<18
(Bz) . . . . . . . . Quazepam
CHCS Children’s Crisis Services …….299-8139
Abilify . . . . . . . . . . Aripiprazole Emsam SelegilinePatch years)?
Versed (Bz) . . . . . . . Midazolam 711 East Josephine M-F 830-2000
Clozaril . . . . . . . . . . Clozapine (Transdermal) Periactin . . . . . . . . . Cyproheptadine Southwest Mental Health Center …….616-0300
Invega . . . . . . . . . . Paliperidone Rozerem . . . . . . . . . Ramelteon Laurel Ridge Hospital ……………….491-9400
Saphris . . . . . . . . . . Asenapine July 2009 July 2009
Methodist Specialty and Transplant ...575-8168

First Annual CIT International Conference 53

Flanapt . . . . . . . . . . Iloperidone
Nix Specialty ………….341-2633 fax 341-3083
University Hospital EC PES ………...358-2524
4. IS the person having CHEST PAIN?
5. IS the person exhibiting a FEVER?
6. IS the person VOMITING?
7. IS the person SHORT OF BREATH?
8. IS the person suspected of taking an OVER-
DOSE?
9. HAS the person attempted to HANG
THEMESELVES? IF YES—Go to the most appro-
10. HAS the person caused SERIOUS BODILY priate ER OR call EMS
HARM to THEMSELVES? i.e., Deep Lac-
erations, Stab Wound etc.
11. IF person is intoxicated—are they UN-
ABLE TO WALK and ANSWER QUES-
TIONS?
12. IS the person ELDERLY (>60 IF YES— go to the most
years) ? appropriate ER
Methodist Specialty & Transplant Geri Psych

Mental Health Deputies 358-6947 fax 358-6943

FORENSIC RESOURCES
PEACE OFFICERS AND
Unit

SAPD Dispatch ………………….207-7484

Bexar County Sheriff Dispatch ….335-4630
SAPD MH Unit ………………….358-9697
Northeast Baptist Geri-Psych Unit
Nix Downtown Heritage Geri-Psych Unit
IF YES—REFER TO
13. IS the person a CHILD (<18 CHCS Children’s Crisis Services …….299-8139
years)? 711 East Josephine M-F 830-2000
Southwest Mental Health Center …….616-0300
Laurel Ridge Hospital ……………….491-9400
Methodist Specialty and Transplant ...575-8168
Nix Specialty ………….341-2633 fax 341-3083
University Hospital EC PES ………...358-2524
July 2009
July 2009
Mood Stabilizers Seizures
Brand Name . . . . . . . Generic
Eskalith/Lithonate . . . . Lithium Carb.(mood) Brand Name . . . . . . . Generic
Depakote (both) . . . . . Divalproex Celexa . . . . . . . . . . Citalopram
Benzodiazepine (both) Remeron . . . . . . . . . Mitazapine
Lamictal (both) . . . . . Lamotrigine Wellbutrin/Zyban . . . . . Buproprion

54 2010—San Antonio, Texas

Neurontin . . . . . . . . Gabapentin Serzone . . . . . . . . . Nefazodone
Tegretol (both) . . . . . . Carbamazepine Effexor . . . . . . . . . . Venlafaxine
Trileptal (both) . . . . . . Oxcarbazepine Prozac . . . . . . . . . . Fluoxetine
Topamax (both) . . . . . Topiramate Paxil/Pexeva . . . . . . . Paroxetine
Keppra (sz) . . . . . . . Levetiracetam Zoloft . . . . . . . . . . Sertraine
Gabitril (sz) . . . . . . . Tiagabine Cymbalta . . . . . . . . . Duloxetine
Zonegram (sz) . . . . . . Zonisamide Symbyax . . . . . . . . . Fluoxetine & Olanzapine
Depakene/Stavzor . . . . Valproic Acid Lexapro . . . . . . . . . Escitaloprom
Desyrel . . . . . . . . . . Trazodone (Used mainly as a sleeper)
Stimulants: ADHD Meds
Brand Name . . . . . . . Generic
Ritaline/Concerta/Metadate/ Methylphenidate
Dexedrine . . . . . . . . Dextroamphetamine
Adderrall . . . . . . . . . Dextro/Amphetamine
Focalin . . . . . . . . . . Dexmethylphenidate
Provigil/Attenance . . . . Modafinil
Strattera . . . . . . . . . Atomoxetine
July 2009 Vyvanse . . . . . . . . . Lisdexamfatimine July 2009
Intunir/Tenex . . . . . . . Gucinfacine
First Annual CIT International Conference 55
 Hotel Map

56 2010—San Antonio, Texas

 2010 Conference Committee

Co-Chairs:

Sgt. Yvonne Vann- Bexar County Sheriff’s Office

Sgt. Romana Lopez- San Antonio Police Department
Jeanie Paradise– The Center for Health Care Services
Gilbert Gonzales–The Center for Health Care Services

Steering Committee Members:

Homer Arias
Marco Cabrera
Barbara Campbell
Angela Diehl
Dr. Melissa Graham
Terri Mabrito
Justin Marshall
Luis A. Mendez
Susan Mercado
Sara Moreno
Roger Morin
Jesse Sanaseros
Veronica Tailes
Lupe Torres

Additional Committee Members not listed were also a vital key in bringing the
First Annual CIT International Conference to you. We thank them all.

First Annual CIT International Conference 57

 Conference Exhibitors
Exhibitor Times:

Tuesday, June 1, 8 a.m. – 5p.m.

Wednesday, June 2, 8 a.m. – 6p.m.

Thursday, June 3, 8 a.m. – 10:30 a.m.

Acadia Health Care Services Laurel Ridge

Aftermath Maguire Publications, LLC

Anasazi Software The Mandt System

Applied CID Meridell Achievement Center

Astra Zeneca Pharmaceutical (2 Exhibitor Spaces) NAMI San Antonio

Barbara Schneider Foundation Nardis Public Safety

Bexar County Sheriff’s Office NIX Health Care System

The Center for Health Care Services Patience Home Health

DAPA Behavioral Health San Antonio Chapter of HAPCOA

Eli Lilly San Antonio Police Department

Elisa Fashion Jewelry Serenity House Drug and Alcohol Treatment Centers

Hillcrest Behavioral Health/Psych Solutions Inc Southwest Mental Health

Janssen Pharmaceutical (2 Exhibitor Spaces) Telecare Corporation

La Paz Behavioral Health The Wood Group

58 2010—San Antonio, Texas

 Conference Sponsors
THANK YOU TO ALL OUR SPONSORS FOR YOUR SUPPORT!

THE WOOD GROUP

The
National Center
for
Behavioral Health
Solutions

First Annual CIT International Conference 59

 My Notes

60 2010—San Antonio, Texas

My Notes

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 My Notes

62 2010—San Antonio, Texas

My Notes

First Annual CIT International Conference 63

 My Notes

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My Notes

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 My Notes

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My Notes

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68 2010—San Antonio, Texas

 Proud Supporters
of Crisis Intervention

Deputy Sheriff’s Association

of Bexar County
816 Camaron #214
San Antonio, Texas 78212
Office: 210 223 2213
Fax: 210 225 7606
www.dsabc.org

Laurel Ridge
T R E A T M E N T C E N T E R

Serving Children, AdoleSCentS & AdultS

Substance Abuse • Psychiatric • Dual Diagnosis • Detox

Military Specific Programs
Day Treatment / Partial Hospitalization
Residential Treatment Programs (Child / Adolescent)

210.491.9400 / 800.624.9897 | www.laurelridgetc.com 17720 Corporate Woods Drive

 From the moment you arrive you
will be embraced by the personal
touch that generations of Texans
have experienced at the NIX. We
bring together the finest physicians
and the latest technology with an
unrivaled staff dedicated to your
personal attention.

Complete continuum of care

including:
• inpatient and outpatient
medical/surgical
• behavioral health
• physical rehabilitation
• home care services
Excellent primary care
physicians and specialists*
Five convenient locations

NIX Medical Center • 414 Navarro

NIX Alamo Heights • 5307 Broadway
NIX Specialty Health Center • 4330 Vance Jackson
NIX North Orthopaedic Center • 9150 Huebner Road
NIX Primary Care Center • 700 S. Zarzamora

For more information call (210) 271-1800

or visit www.nixhealth.com
* Physicians are independent practitioners and active members of the Nix medical staff.