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Children’s Crisis
Intervention Training
  Bexar County Judges’
   Children’s Diversion
         Initiative
Formation of the Children’s
    Diversion Initiative
   Judge Nelson Wolff & former Mayor Hardberger
    convened community leaders to form Children’s
    Diversion Initiative
   Modeled after very successful Adult Jail Diversion
   Judges Specia & Mireles provided initial
    leadership to focus the community stakeholders
   Judges remain involved, pulling together schools,
    service providers, CPS and Juvenile Probation
   70 % of youth referred to JP are brought by
    school police
Children’s Crisis Intervention
      Training Oversight and Planning
   Community partners involved in the Diversion
    Initiative begin planning to develop training for
    school based police officers
   Planning partners include mental health
    treatment providers, school districts, school
    district police departments, mental health
    advocacy organizations, hospitals, adult CIT
    liaison, local law enforcement , BCJP/D
   Colorado Children in Crisis model observed
   Partner with Alamo Area Council of
    Governments for TECLOESE cont. ed. credit
CCIT For School Officers- 40 hour
                       Free Training
       2/3 didactic - 1/3 reality based
   Officer tactics and safety in school campus environment
   Active listening and de-escalation techniques
   Mental, learning, developmental disorders and
    substance abuse in children and youth
   Psychotropic medications
   Family perspective and Community resources
   Legal issues relating to school environment and minors,
    emergency detention
   Role play scenarios – active listening, de-escalation
    techniques specific to students experiencing a crisis
    specific to various diagnosis including suicide
CCIT Community Partner Support
   Mental health professionals, school district
    officers and staff, local law enforcement, BCJP,
    advocacy and community members volunteer to
    present and provide role play experience
   Oversight meetings and activities, training
    development and coordination, breakfast and
    lunch during training, all materials and training
    site sponsored/underwritten by local MH
    providers and community partners
Role Play Scenarios
   Students or young adults volunteer provide the crisis scenario
   Students are, thus far, the children of some of our CMH presenters
    and an ISD partner - high school criminal justice explorer post.
   Training is provided by CMH professionals and our officer partners
   Parental permission is obtained
   Care is taken to screen out student volunteers who may have a
    mental health diagnosis or recent trauma
   Young adults enact the suicide role play
   CMH professional volunteers monitor psychological safety of the
    students who can opt out at any time
   Officer Mentors and CMH professionals assist the students during
    the role play to increase or decrease the intensity as needed to
    enhance the trainees experience
   Have more role players than needed just in case
Other officer training highlights
   Officer trainees are graded on:
        Completion of Emergency Detention paperwork
        Role play – use of active listening, de-escalation
         techniques and MORE PIE
        Written test which conforms to TECLEOSE
         standards.
        If trainees do not pass either written or role play
         section, they are mentored and retested
MORE PIE
 Minimal Encouragers
 Open Ended Questions
 Reflective Mirroring
 Emotional Labeling
 Paraphrasing
 “I” messages
 Effective Pauses
CCIT for other School Staff
 Tailored training to administrators, vice
  principals
 First time went well
 Mixed audience was a bit difficult
 Surprisingly most said they would like a
  longer, more in-depth training
Materials/items used in CCIT
   Training binder with all power points and handouts
   Resource materials from partners and community
    providers
   Evaluations, Written Tests, Role play grade sheets,
    blank ED forms
   COP CARDS
   Food is provided – breakfast, lunch and snacks
   “Goodie bags” – freebies from providers
   Perks - Coffee Bar
Challenges of CCIT Collaboration
   School police and city/county local law enforcement
    culture
   Herding 40 or so volunteers from many different
    agencies
   Scheduling – school officers can attend mainly in the
    summer when volunteers are vacationing
   Christmas holidays and spring break – school PD’s have
    other required training
   Presenters and volunteers sometimes cancel at the last
    minute
   Unique environment/space needed – a church or school
    is ideal – especially for role play
Strengths of CCIT
   Community investment just makes sense and is
    valued by all
   Community based means relationships are built
   Trainees become the next CCIT volunteers
   Can develop into a roundtable for problem
    solving crisis/safety net and service coordination
   Retreat feel
CCIT in the Future
 Seek funding and expand partnerships to supplement
  community in-kind resources
 Increase number of trainings offered per year
 Tailor training to other school based responders – school
  counselors, nurses, teachers
 Expand training to local law enforcement, college
  campus officers
 Create Toolkit/DVD
 Campaign for CCIT for MHPO
Certification
 Data Collection Research
Children’s Crisis Intervention Training


Terri Mabrito
Community Liaison
The Center for Health Care Services

210-299-8139 x 228

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CCIT Staff Trustee Training

  • 1. Children’s Crisis Intervention Training Bexar County Judges’ Children’s Diversion Initiative
  • 2. Formation of the Children’s Diversion Initiative  Judge Nelson Wolff & former Mayor Hardberger convened community leaders to form Children’s Diversion Initiative  Modeled after very successful Adult Jail Diversion  Judges Specia & Mireles provided initial leadership to focus the community stakeholders  Judges remain involved, pulling together schools, service providers, CPS and Juvenile Probation  70 % of youth referred to JP are brought by school police
  • 3. Children’s Crisis Intervention Training Oversight and Planning  Community partners involved in the Diversion Initiative begin planning to develop training for school based police officers  Planning partners include mental health treatment providers, school districts, school district police departments, mental health advocacy organizations, hospitals, adult CIT liaison, local law enforcement , BCJP/D  Colorado Children in Crisis model observed  Partner with Alamo Area Council of Governments for TECLOESE cont. ed. credit
  • 4. CCIT For School Officers- 40 hour Free Training 2/3 didactic - 1/3 reality based  Officer tactics and safety in school campus environment  Active listening and de-escalation techniques  Mental, learning, developmental disorders and substance abuse in children and youth  Psychotropic medications  Family perspective and Community resources  Legal issues relating to school environment and minors, emergency detention  Role play scenarios – active listening, de-escalation techniques specific to students experiencing a crisis specific to various diagnosis including suicide
  • 5. CCIT Community Partner Support  Mental health professionals, school district officers and staff, local law enforcement, BCJP, advocacy and community members volunteer to present and provide role play experience  Oversight meetings and activities, training development and coordination, breakfast and lunch during training, all materials and training site sponsored/underwritten by local MH providers and community partners
  • 6. Role Play Scenarios  Students or young adults volunteer provide the crisis scenario  Students are, thus far, the children of some of our CMH presenters and an ISD partner - high school criminal justice explorer post.  Training is provided by CMH professionals and our officer partners  Parental permission is obtained  Care is taken to screen out student volunteers who may have a mental health diagnosis or recent trauma  Young adults enact the suicide role play  CMH professional volunteers monitor psychological safety of the students who can opt out at any time  Officer Mentors and CMH professionals assist the students during the role play to increase or decrease the intensity as needed to enhance the trainees experience  Have more role players than needed just in case
  • 7. Other officer training highlights  Officer trainees are graded on:  Completion of Emergency Detention paperwork  Role play – use of active listening, de-escalation techniques and MORE PIE  Written test which conforms to TECLEOSE standards.  If trainees do not pass either written or role play section, they are mentored and retested
  • 8. MORE PIE  Minimal Encouragers  Open Ended Questions  Reflective Mirroring  Emotional Labeling  Paraphrasing  “I” messages  Effective Pauses
  • 9. CCIT for other School Staff  Tailored training to administrators, vice principals  First time went well  Mixed audience was a bit difficult  Surprisingly most said they would like a longer, more in-depth training
  • 10. Materials/items used in CCIT  Training binder with all power points and handouts  Resource materials from partners and community providers  Evaluations, Written Tests, Role play grade sheets, blank ED forms  COP CARDS  Food is provided – breakfast, lunch and snacks  “Goodie bags” – freebies from providers  Perks - Coffee Bar
  • 11. Challenges of CCIT Collaboration  School police and city/county local law enforcement culture  Herding 40 or so volunteers from many different agencies  Scheduling – school officers can attend mainly in the summer when volunteers are vacationing  Christmas holidays and spring break – school PD’s have other required training  Presenters and volunteers sometimes cancel at the last minute  Unique environment/space needed – a church or school is ideal – especially for role play
  • 12. Strengths of CCIT  Community investment just makes sense and is valued by all  Community based means relationships are built  Trainees become the next CCIT volunteers  Can develop into a roundtable for problem solving crisis/safety net and service coordination  Retreat feel
  • 13. CCIT in the Future  Seek funding and expand partnerships to supplement community in-kind resources  Increase number of trainings offered per year  Tailor training to other school based responders – school counselors, nurses, teachers  Expand training to local law enforcement, college campus officers  Create Toolkit/DVD  Campaign for CCIT for MHPO Certification  Data Collection Research
  • 14. Children’s Crisis Intervention Training Terri Mabrito Community Liaison The Center for Health Care Services 210-299-8139 x 228