Building Positive Building Positive RelationshipsRelationships

Between Mental Health Between Mental Health Consumer/Survivors and Consumer/Survivors and

Public SafetyPublic Safety

Building Positive RelationshipsBuilding Positive Relationships

Welcome and IntroductionsWelcome and Introductions

Workshop OverviewWorkshop Overview– Goals: to improve communication, Goals: to improve communication,

collaboration, and cooperation between collaboration, and cooperation between police, consumers, and the communitypolice, consumers, and the community

– Improve public safetyImprove public safety– Improve understanding between consumers Improve understanding between consumers

and law enforcementand law enforcement– Learn about e-CPRLearn about e-CPR

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Building Positive RelationshipsBuilding Positive Relationships

Public Safety Requires Understanding Public Safety Requires Understanding and Communication to:and Communication to:– Reduce incidents of traumatic/negative Reduce incidents of traumatic/negative

interactions between consumers and law interactions between consumers and law enforcementenforcement

Honoring those who have lost their lives Honoring those who have lost their lives during a crisis eventduring a crisis event

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Building Positive RelationshipsBuilding Positive Relationships

Building Understanding and Positive Building Understanding and Positive Relationships- where we go from hereRelationships- where we go from here

IACP’s National Policy Summit, 2009IACP’s National Policy Summit, 2009– Continuing Initiatives:Continuing Initiatives:

CIT National Curriculum Development InitiativeCIT National Curriculum Development Initiative

e-CPR – Another tool you can usee-CPR – Another tool you can use

e-CPR- a Bridge to Understandinge-CPR- a Bridge to Understanding

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What Challenges Are You Facing What Challenges Are You Facing in Building Relationships?in Building Relationships?

With specific persons?With specific persons?With specific organizations?With specific organizations?With specific mental health system With specific mental health system partners?partners?With others?With others?

What tools do you think you need?What tools do you think you need?

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What Successes Have You Had What Successes Have You Had in Building Relationships?in Building Relationships?

With Individuals?With Individuals?

With Organizations?With Organizations?

With Mental Health System Partners?With Mental Health System Partners?

With Other Important People or With Other Important People or Groups?Groups?

How do you maintain those relationships?How do you maintain those relationships?

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In Emotional Crisis Response; In Emotional Crisis Response; What are the Concerns?What are the Concerns?

Public Safety MemberPublic Safety Member

1) Keeping Everyone Safe 1) Keeping Everyone Safe (including self)(including self)

2) Resolving the event2) Resolving the event3) Following all policy / 3) Following all policy /

procedure / lawsprocedure / laws4) Assessing - what is the 4) Assessing - what is the

appropriate responseappropriate response5) Decisional Framework: What is 5) Decisional Framework: What is

best for the Community? best for the Community? Force?Force?

6) Few therapeutic tools 6) Few therapeutic tools 7) Time sensitive (possibly)7) Time sensitive (possibly)8) Others?8) Others?

Person in crisisPerson in crisis

1) Getting immediate needs met 1) Getting immediate needs met (e.g.. Safety, food, etc)(e.g.. Safety, food, etc)

2) Resolving the pain / discomfort2) Resolving the pain / discomfort3) Feeling scared and powerless 3) Feeling scared and powerless 4) Disconnected - thinking shuts 4) Disconnected - thinking shuts

down; emotions are in down; emotions are in protective /survival mode. protective /survival mode.

5) Not focused on community 5) Not focused on community needs due to immediate crisis needs due to immediate crisis needs; need to feel validatedneeds; need to feel validated

6) Need support to access 6) Need support to access personal strengths to make personal strengths to make good decisionsgood decisions

7) Take time to connect to ensure 7) Take time to connect to ensure safetysafety

8) Becoming a victim or a criminal8) Becoming a victim or a criminal77

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Emotional CPR (eCPR)

National Coalition for Mental Health Recovery

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eCPR What is eCPR? a public health education program which prepares members of the public to assist a person who is experiencing an emotional crisis.

Why eCPR: • There is a vast and compelling need for the general public as well as law enforcement personnel to learn how to assist any person who is experiencing an emotional crisis.• Just as a person’s physical heart needs attention in a cardiac crisis, a person’s emotional heart needs attention in an emotional crisis.• Just as CPR trains people to help someone in cardiac crisis, eCPR trains people to help others in emotional crisis.

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The three elements of the practice of eCPR:

C = Connecting with Compassion and Concern to Communicate

P = emPowerment to experience Passion, Purpose and Planning

R = Revitalize through Reestablishing Relationships, Routines and Rhythms in the community

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eCPR is Based on the Values of a Healthy Community

1. Respectful, trusting relationships2. Recovery is possible for everyone, centrality of hope3. Self-determination (dignity of choice) is vital, especially

for persons in crisis4. Connecting on a mutually respectful emotional level 5. Validity of emotional expression6. Cultural attunement and inclusion across diverse groups7. Every individual is appreciated as a healthy person

inside who has encountered trauma

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Being Prepared to Provide eCPRBeing Prepared to Provide eCPR

A.A. Taking care of ourselves, being centered, grounded, relaxed, in Taking care of ourselves, being centered, grounded, relaxed, in touch with our emotions.touch with our emotions.-Are we balanced? Tactically / Spiritually / Physically / Emotionally

Take good care of yourself so you are prepared to support someone Take good care of yourself so you are prepared to support someone through an emotional crisisthrough an emotional crisis

• • Wellness practices: meditation, exercise. Wellness practices: meditation, exercise. –What really heals you?–What really heals you?• • Participating in a loving community Participating in a loving community –Who are your real supporters?–Who are your real supporters?

B. Learning to "be" with the strong emotions expressed by the person B. Learning to "be" with the strong emotions expressed by the person in distress and staying grounded and centeredin distress and staying grounded and centered

• Open our heart and our mind to what the person in distress is Open our heart and our mind to what the person in distress is expressing. expressing. –Can we empathize?–Can we empathize?

• Encourage self-expression - it is an essential component of the Encourage self-expression - it is an essential component of the healing process.healing process.

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CConnectingonnecting

Why is it important to be real?

Genuineness helps rapport and relationship building.If you are not listening, and not authentic then you are not

connecting. The person in crisis is aware of this, and it is not helpful.

Your being real may be the most important tool you bring. •It is a way of being.• It gives the other person permission to calm down, feel safe, feel seen, feel validated.•We can be with people so their real selves are comfortable.•They get to focus on you the person, not the badge, uniform and gun belt.

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Some Connecting Proficiencies

a. Cultivating a hopeful and positive attitude towards the future (setting groundwork for moving forward)

b. Creating an emotionally safe relationship and communicating care

c. Listening fully and actively, and staying present on a deep level so you can support the person (use your investigation skills)

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emPowerment

The responder needs to be positive and hopeful and understand that:

1) If people in emotional crisis are effectively encouraged by the responder, they can access their power to make good choices.

2) People in emotional crisis are more capable and resourceful then they may appear.

As the individual in emotional crisis begins to feel safe and is able to communicate they begin making plans and thinking more clearly.

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Some emSome emPPowering Proficienciesowering Proficiencies

a. Demonstrating a capacity to enter into a collaborative “power a. Demonstrating a capacity to enter into a collaborative “power with” as opposed to “power over” with” as opposed to “power over”

b. Facilitating the other person’s access to his or her inner wisdom b. Facilitating the other person’s access to his or her inner wisdom c. Sensitively reframing crisis as opportunityc. Sensitively reframing crisis as opportunity

d. Facilitating the person’s planning abilityd. Facilitating the person’s planning ability

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It’s crucial that the planning stage be focused on specifics. Some It’s crucial that the planning stage be focused on specifics. Some examples of what you might asking the person:examples of what you might asking the person:

How can I help you feel safe? How can I help you feel safe? What would help you feel better?What would help you feel better? What do you do to take good care of yourself?What do you do to take good care of yourself? Who can I help you connect with or talk to?Who can I help you connect with or talk to? What’s the next important thing you or I can do now?What’s the next important thing you or I can do now?

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R = Revitalize

Encourage the person to begin to engage in relationships, to resume or begin roles in their family, with friends, or in the community.

You may have the opportunity to engage with people after the crisis, when s/he is no longer in crisis. This is an opportunity to continue to build a positive, trusting relationship. This relationship will assist in a future crisis response.

Emotional distress provides people with an opportunity to make a change in their life.

It may be a time of searching for new meaning or purpose which may help them stay in a positive (non-crisis) state of being long-term.

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Revitalizing Proficiencies

a. Meaning: Helping people to identify the vital center that brings meaning and purpose to their lives.

b. Dreams: Encouraging people to take small steps in the direction of their dreams and goals.

c. Relationships: Facilitating connections in the community to enhance or re-establish roles, relationships, and routines.

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Comparing the eCPR Approach with the Traditional Law Enforcement Approach

eCPR ApproacheCPR Approach Law Enforcement Law Enforcement ApproachApproach

AccessibleAccessible Lay language, culturally Lay language, culturally attunedattuned

Professional terms, cultural-Professional terms, cultural-centriccentric

Uses of Uses of PowerPower

Power with; we can figure this Power with; we can figure this out togetherout together

Power over; I am going to fix Power over; I am going to fix the person or problem.the person or problem.

BeliefBelief The person is a whole human The person is a whole human being and with assistance can being and with assistance can figure it outfigure it out

Belief that person is broken, Belief that person is broken, and can not figure out what and can not figure out what to do without professional to do without professional help.help.

Use of Use of labeling and labeling and categoriescategories

AvoidedAvoided RecommendedRecommended

CoercionCoercion Minimizing trauma, typically Minimizing trauma, typically seen as not necessary. seen as not necessary.

Exercised, seen as Exercised, seen as necessary necessary

FearFear Fear is diminished by being in Fear is diminished by being in relationshiprelationship

Fear is managed by LE via Fear is managed by LE via exercising presence of being exercising presence of being in charge.in charge.

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““The Take Away”The Take Away”You have a lot stacked against you when responding to You have a lot stacked against you when responding to a person in crisis or critical organizations.a person in crisis or critical organizations.Use opportunities and tools to be proactive in developing Use opportunities and tools to be proactive in developing positive relationships with Consumer / Survivors positive relationships with Consumer / Survivors wherever and whenever they occur.wherever and whenever they occur.Listening, addressing concerns, and showing openness Listening, addressing concerns, and showing openness can gain you support, goodwill, and improved outcomes can gain you support, goodwill, and improved outcomes with individuals and groups.with individuals and groups.

““Boldly go where few police professionals have Boldly go where few police professionals have gone before!” gone before!”

You, your agency and your community will benefit greatly!You, your agency and your community will benefit greatly!

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Contact InformationContact Information

Elaine DeckElaine Deck

International Association of Chiefs of PoliceInternational Association of Chiefs of Police

703-647-6843; 703-647-6843; decke@theiacp.org

Ed RiddellEd Riddell

Department of Mental Health – VermontDepartment of Mental Health – Vermont

802-241-2303; 802-241-2303; edward.riddell@ahs.state.vt.us

Lauren Spiro, Lauren Spiro,

National Coalition for Mental Health Recovery, National Coalition for Mental Health Recovery, www.ncmhr.org;;

www.emotional-cpr.org, 703-862-6512; Laurenspiro1@gmail.com, 703-862-6512; Laurenspiro1@gmail.com

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