Imagine you are training in an immersive law enforcement simulator. The screens darken, then light up with a desert scene as the dispatch relays information on the call you are responding to. Pedestrians give you further information about the event, then point you towards a man sitting on a ledge. It becomes clear: this is a suicide call and you need to carefully persuade the man to seek help, not jump.
This is a difficult situation, but a necessary one to train for, as any officer can be called to prevent suicide. But as important as the training topic is, the method of training is just as important. For officers who train with VirTra’s systems, the scenario will unfold based on the officer’s actions and words, creating real-life training designed to benefit both officers and their communities. Officers can train in the same scenario multiple times, trying new de-escalation tactics or certain phrases, then see how the situation plays out. Does an action cause the man to comply, lash out or jump? Which verbiage best comes into play here? Instructors watch over the trainees and, depending on the officer’s choices, they choose the applicable branch in the situation and thus create a new ending.
The simulator itself is an incredible training tool, but what about combining the classroom and the simulator? VirTra created the V-VICTA® program, which is a series of nationally-certified curriculum that is first taught in the classroom then practiced in the simulator. This all-in-one training solution instills proper training and knowledge transfer, thus helping officers remember their training in the field and utilize it to help those around them.
For example, one V-VICTA curriculum is “Autism Awareness.” This material teaches officers how to identify possible autistic behaviors and the best ways to interact with the subject. Officers who aren’t taught how to recognize and react accordingly to these behaviors could put the subject or themselves at risk. And, according to data from the CDC, 1 in 54 children are diagnosed with autism, making it extremely likely that every field officer will interact with someone on the spectrum. To improve safety for officers and every member of their community, they must first know how to best interact with every member of the community.
Officer training is complex, but it is always centered around safety—for subjects, bystanders, partners and oneself. To learn more about VirTra’s V-VICTA training curriculum, or to try a training simulator at an upcoming trade show, contact a VirTra specialist.
Law enforcement encounter a variety of individuals during their careers. While substance use and mental illness are discussed and trained for, there are also certain medical conditions and diseases that can affect normal communication. These conditions and diseases must also be taught to officers to prepare them to help any and every individual in their community.
For example, neurocognitive disorders (NCD’s) affect memory, understanding, task performance and much more1. The most overwhelmingly common NCD is Alzheimer’s Disease, and in the past all NCD’s were classified as dementia, when in fact there are multiple types and levels. NCD’s are typically associated with the elderly since it is most prevalent in people 65 years of age are older, but it is not exclusive to this age group.
The way NCD’s work is by causing damage to brain cells. The damage gradually makes symptoms more and more noticeable over time. Sometimes it is not immediately apparent that someone has an NCD – at times it takes a few moments for signs to appear. In general, symptoms law enforcement officers may notice and want to look out for include:
Some of these symptoms do not always reflect Alzheimer’s or other similar diseases, but also traumatic brain injury or substance abuse. Law enforcement officers must also be aware that those with NCD’s have the possibility of becoming verbally or physically aggressive.
Officers can strategically communicate with those who have NCD’s by doing the following2:
‘Neurocognitive Disorders’ is a section of VirTra’s “Mental Illness” curriculum. With a 12-page instructor guide, slideshow presentation and testing materials, law enforcement instructors can familiarize trainees with dementia and NCD’s. The coursework is designed to be used alongside simulated scenarios to allow ‘learning by doing.’
The entire “Mental Illness” set of V-VICTA® curriculum contains 15 hours of detailed coursework certified by IADLEST. To learn about how V-VICTA can be incorporated into your department’s training, contact a specialist.
The most recent statistics show an increase in illicit drug use. A survey in 2018 from The National Survey on Drug Use and Health published by SAMHSA shows that 1 in 5 people aged 12 or older used an illicit drug in the year prior. “Illicit drugs” as referred to in the survey include opioids, prescription drugs, marijuana (despite its current legality in several states), cocaine and others. It is also important to note that the same survey found that substance use is more common in individuals with mental health issues than those without.
So, what exactly is substance use? It refers to recurrent use of drugs or alcohol that can cause impairment, addiction, intoxication and withdrawal. Key common factors include dependence on the substance and continued use despite problems. People addicted to a substance often spend a lot of time obtaining it and use it in greater amounts over time.
Trained professionals typically know the signs that an individual is suffering from substance use disorder. Depending on the type of drug abused and how much the subject used, signs range from slurred speech and dizziness to delusions and violence. Additionally, there is a risk of overdose and short- or long-term negative health effects. Even withdrawal symptoms experienced can be severe and lead to erratic behavior.
A dual diagnosis refers to a person experiencing a mental illness and a substance use disorder simultaneously. A 2017 study found that 8.5 million adults suffered from both a mental illness and a substance abuse disorder simultaneously.
In the past, treatment centers treated one issue at a time, believing that the substance use needed to stop before the mental illness could be addressed. Now, newer treatment called integrated intervention treats both simultaneously.
It is important to remember that law enforcement officers should not attempt to make a diagnosis, but familiarizing oneself with the signs of both substance use and mental illness is vital to ensuring proper handling of the situation.
VirTra’s Mental Illness V-VICTA™ curriculum has a module that focuses exclusively on substance use. Not only are trainees able to learn how to recognize signs of both mental illness and substance use, but are also able to practice the skills they’ve learned within the simulator.
VirTra has several scenarios including “Party Pooper” and “Misery Mountain” that correlate well with this section of the Mental Illness curriculum and expose trainees and officers alike to situations they may deal with in the real world.
To learn more about how VirTra can help law enforcement officers understand and prepare for interactions with the mentally ill and those suffering from substance use disorder, contact a VirTra specialist.
Substance Abuse and Mental Health Services Administration. (2018). Key Substance Use and Mental Health Indicators in the United States: Results from the 2017 National Survey on Drug Use and Health.
Suicide by cop, often abbreviated to SBC, is an event that has two victims: the suicidal subject and the officer. These calls are incredibly difficult for everyone involved and officers must be prepared to handle any outcome. At the end of the day, law enforcement are forced with two major situations: maintaining safety and trying to de-escalate the subject.
SBC occurs when a suicidal individual engages in criminal behavior in an attempt to elicit lethal use of force from law enforcement. A 2019 article by The Washington Post estimates that about 100 fatal police shootings per year are SBC events. While occasionally some SBC subjects are armed with a firearm, many times they possess a knife or feign weapon possession.
There are different strategies used by individuals attempting SBC. Some of them plan ahead and orchestrate the situation while others occur due to a minor event that became escalated. For an integrated response, officers must take each call seriously and secure the scene appropriately. Only after can they determine the main problem and assess the risk of suicidality.
There are ways to talk a subject down and possibly prevent escalation:
While it may seem like common knowledge, it must be remembered that a person attempting SBC is suffering from a mental illness or experiencing some type of crisis. De-escalation and crisis de-escalation training can be of great assistance during SBC calls.
VirTra offers multiple scenarios as well as V-VICTA™ NCP-certified curriculum to help officers prepare for harrowing calls. These are designed by VirTra’s subject matter experts and certified by IADLEST to ensure knowledge takeaway. Some courses that focus on SBC and related situations include De-Escalation, Crisis De-Escalation and Mental Illness.
To allow your agency to experience a higher standard in training, contact a product specialist.
It is an incredible story. Recently, the San Francisco Police Crisis Intervention Team 2020 Police Commission Report was published, featuring some attention-grabbing facts and figures. One of the most notable: out of almost 50,000 crisis-related calls for service, San Francisco officers used force only 51 times. Percentage-wise, this is 00.1%—an astronomically low number.
This sort of success comes from many different factors. One attributing factor is the SFPD CIT Unit completing a 20-hour Force Science De-Escalation Course, which is an IADLEST nationally-certified course delivered through two days of instruction. The Force Science Institute offers this, and multiple other certified courses, in their mission to develop and spread high quality, scientifically-grounded education and training.
SFPD’s training department also has a VirTra training simulator. Their department utilizes the V-300®, a 5-screen immersive training environment that takes into account every detail, from the smallest pre-attack indicators to the most cognitive overload stimuli situations imaginable. These simulators offer scenarios containing training in de-escalation, situational awareness, judgmental use of force and other critical topics for the most well-rounded officers.
In addition to numerous training topics, each simulator comes equipped with nationally-certified curriculum, which spans topics such as: autism, mental illness, human factors, high risk vehicle stops and more. Each curriculum is created in conjunction with subject matter experts and nationally-recognized partners, including the Force Science Institute, for the best training possible. VirTra takes these extra steps because other’s modern research and professional insight create more powerful quality teaching materials which officers benefit from.
This is especially true in regards to crisis calls. VirTra’s Mental Illness for Contact Professionals curriculum covers how to recognize and interact with subjects suffering from: anxiety, dementia, depression, PTSD, schizophrenia, traumatic brain injury and more. Knowing what symptoms to look for and knowing the best communication technique for the situation can make all the difference to how the situation ends.
As a result of better training, departments see better officer responses. While the San Francisco Police Crisis Intervention Team’s success is likely due to multiple factors, VirTra is proud to call them a customer and training partner and share their good story along with Force Science Institute. To read the entire article in its entirety, please click here.
To learn more about the V-300 simulator, or our nationally-certified curriculum, please contact a VirTra representative.
It is no surprise: we live in a time of ever-changing curriculum standards, training topics and law enforcement technologies. In regards to training, events in the past few years have stirred up nationwide discussions, which have further contributed to the redesign and rebuilding of our training programs.
As an instructor, it is your job to stay up-to-date with these trends and supply your officers with the much-needed training. TJ Alioto, VirTra Subject Matter Expert, broke down some of these topics in his 2021 ILEETA Presentation:
This is arguably one of the most requested (and demanded) tactics in the history of police training. De-escalation is complicated, as it encompasses many factors: words/phrases used, tone, body language, etc. Teaching officers to correctly read the situation and know the best form of de-escalation is a critical, though complicated, ability to teach.
While de-escalation may result in no force being used, minimal use of force focuses on using the smallest amount of force to achieve the desired result: control over the situation, a subdued subject, etc. This helps officers to learn the best form of force to use, in addition to times when lesser uses of force would actually be inadequate.
One difficulty as an instructor is deciding if there are even issues that need to be trained. One way to test implicit bias is by utilizing a training simulator, such as VirTra’s simulators. Officers can run through the same situation with the only change being to the subject(s) race and gender. Provided scenario metrics can be tracked to determine if an officer or agency is treating people differently based on race or gender.
Currently, there are record numbers of homeless and mentally ill people living on the streets. As this number rises, officers need to be armed with knowledge of how to best answer these calls. Training simulators can teach officers to recognize various mental illnesses and the appropriate responses, while providing them with scenarios to practice these newly developed skills.
To learn more about current trends and policing, download VirTra Subject Matter Expert TJ Alioto’s 2021 ILEETA presentation.
What officers may not realize is how incredibly common mental illnesses are within the United States. According to the National Institute of Mental Health (NIMH), nearly 1 in 5 American adults live with a mental illness. To put this in perspective, in 2019, this was approximately 51.5 million adults.
The gravity of this situation is heavy, as it guarantees officers will often interact with individuals suffering from mental illnesses throughout their career. However, do note that the severity of one’s condition will range from little/no impairment to severe impairment, meaning it will not always be noticeable.
MIMH breaks down mental illness into two categories: Any Mental Illness (AMI) and Serious Mental Illness (SMI). AMI is defined as “a mental, behavioral, or emotional disorder” and encompasses all recognized mental illnesses. These include: depression, anxiety, dementia, PTSD, etc., ranging from little/no impairment to moderate.
As for SMI, it is defined as “mental, behavioral, or emotional disorder resulting in serious functional impairment, which substantially interferes with or limits one or more major life activities” and encompasses a much smaller, though more severe subset of AMI. In being more severe, it is especially important for officers to recognize various mental illnesses and know the best methods of communication. After all, the right actions can protect the life of the responding officer, the life of the subject and the well-being of the community.
Due to an increase in mental health awareness—and unfortunately, incidents between the mentally ill and officers which end up as headlines—VirTra created the nationally-certified V-VICTA “Mental Illness Training: A Practical Approach” curriculum. This progressive curriculum covers multiple common mental illnesses and disorders officers must be conscious of, including:
• Substance Use
• Traumatic Brain Injury
While this curriculum is not meant to train officers to diagnose disorders, it instead provides tools to recognize symptoms and knowledge to deploy the correct communication techniques for the situation.
In addition to symptom awareness and recognition, implementing this curriculum in training helps officers to break stigmas, show empathy and know when/how to stage medical personnel. The mental illness curriculum consists of presentations, lesson plans and corresponding scenarios, allowing officers to learn each mental illness before engaging with it in the simulator—thus learning to correctly identify mental illnesses while building connections with various subjects on-screen.
Guided by this nationally-certified curriculum, officers increase the probability of having mental illness encounters end on a positive note. Start implementing this curriculum into your training regime by contacting a VirTra specialist.
Earlier this year, VirTra submitted and received certification on the curriculum “Mental Illness: A Practical Approach.” This curriculum covers the signs and symptoms associated with different mental illnesses as well as communication and intervention techniques. Most importantly, officers will learn how respond to the specific behaviors a person displays instead of focusing on the mental illness itself. People should be treated as individuals and not as their diagnosis.
One of the mental illnesses covered in the curriculum is Schizophrenia. Schizophrenia is a serious mental illness that affects about 1% of the national population. Schizophrenia can interfere with a person’s ability to think clearly, make decisions, manage emotions and relate to others. The severity of unmanaged schizophrenia can be extremely debilitating and disabling.
Depending on the severity of the schizophrenia, an individual may experience hallucinations or delusions. Hallucinations are false perceptions and experiences absent certain stimuli and can manifest as visual, auditory, olfactory or tactile. Delusions are false beliefs that conflict with reality. Hallucinations and delusions are common with schizophrenia, but that does not mean that person has a schizophrenia diagnosis.
A person with schizophrenia may also experience psychosis. Psychosis describes a condition where an individual has lost touch with reality, usually aligned with severe disturbances in behavior, cognitive processing and emotional regulation. The disturbance in perception makes it challenging for an individual to determine what is real and what is not. This can be especially challenging for officers.
Instead of focusing on a diagnosis, officers will learn to respond to the behaviors and clarity in thought process an person exhibits at the time of contact. This allows officers to coordinate an intervention response that is as safe and effective as possible for everyone involved. Each section of VirTra’s “Mental Illness: A Practical Approach” goes further in-depth in recognition of signs and symptoms as well as effective and safe intervention techniques.
For each curriculum, instructors are given slide presentations, booklets, pre- and post-tests, evaluation forms and simulator scenarios. This allows officers to learn the material in the classroom, then implement their new training in a real-life situation displayed in the simulator. Training in this manner ensures officers are well-rounded and skills are easily transferred to the field.
VirTra’s “Mental Illness: A Practical Approach” is part of V-VICTA, is NCP certified and meets rigorous quality training standards for the curriculum. This includes extensive research, citations, correct knowledge retention format, comprehensive testing materials and more.
Nicole Florisi started her public safety career in 1999 as a communication specialist. In 2002, she became a certified peace officer for the state of Arizona. She has been a law enforcement trainer and instructor for the past 15 years. Her areas of expertise are in crisis intervention and de-escalation, crisis negotiations, child abduction response, domestic violence, and human trafficking. She was also a Drug Recognition Expert and Instructor, Standardized Field Sobriety Test Instructor, and forensic phlebotomist. Nicole was the lead negotiator for the regional SWAT team for 12 years.
Mental Illness training is no longer important knowledge: it is crucial knowledge.
Now more than ever, officers must know how to properly recognize and interact with every member of their community. VirTra makes teaching this curriculum easy and effective by providing instructors with 15 hours of nationally-certified training material and professionally filmed simulation training scenarios.
Our Mental Illness Training: A Practical Approach curriculum includes training manuals, slide presentations, pre and post-tests, evaluations and real-life scenarios to help instructors teach the concept in the classroom, then cement the teachings by practicing the concepts in a simulator.
This training also includes interviews with individuals that have experienced mental illness and what they feel law enforcement should know from their perspective. These insightful videos are critical in helping with empathy and understanding.
Through this curriculum, officers learn to recognize a variety of mental illness symptoms—including depression, suicide, anxiety, trauma, PTSD and schizophrenia—and communicate and engage in the proper techniques for the situation.
Learn more about our Mental Illness training here.
Or watch officers engage in real Mental Illness scenarios below:
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Recently, VirTra’s “Mental Illness Training: A Practical Approach” training was nationally-certified through IADLEST’s NCP program. This unique V-VICTA curriculum contains 15 hours of nationally-certified training material that contains 10 lessons, an in-depth instructor booklet and corresponding training slides.
One of the topics covered in this Mental Illness training for law enforcement is Traumatic Brain Injury, or TBI. While this may seem out of place in the Mental Illness curriculum, TBI is in fact a big risk factor for conditions such as neurocognitive disorders, substance abuse and more.
Simply put, TBI is caused by a sudden injury to the head that causes damage to the brain. This can be classified as one of two injuries: closed head or penetrating injury. These are fairly self-explanatory; closed head injuries are caused by a blow bump or jolt to the head while penetrating injuries are caused by an object penetrating the head.
Since the definition is wide, TBI can be sustained in many places and among any age group. This includes head trauma caused during intense sports such as football or soccer, falling, active duty combat or car accidents. Penetrating injuries are more intense and caused by more extreme actions, such as shrapnel, being hit by weapons such as hammers or baseball bats, or other injuries powerful enough to cause bone fragments to penetrate the skull.
TBI symptoms can range from mild to severe, depending on the injury and degree of severity. A good example of mild TBI are concussions, which many people have experienced and recovered from. However, the more intense forms and symptoms of TBI include serious physical and psychological symptoms, comas or even death.
Symptoms of Mild TBI: These include brief loss of consciousness, headaches, confusion, lightheadedness, dizziness, blurred vision and trouble with memory, concentration, attention and thinking.
Symptoms of Severe TBI: Just as the cause is more severe, so are the symptoms. Officers can look for: worsening headaches, repeated nausea and/or vomiting, larger pupil(s), slurred speech, loss of coordination, weakness and/or numbness and increased confusion, restlessness and agitation.
As an officer, you cannot diagnose a subject with TBI or any other mental illness unless you have the proper training and credentials. Instead of teaching officers to diagnose, VirTra’s Mental Illness curriculum is designed to teach officers how to recognize a variety of potential mentally ill subjects, the best forms of interaction and how to maximize officer and subject safety.
Through these 15 certified hours and corresponding real-life scenarios, officers learn appropriate verbalization techniques, can demonstrate they recognize the different behaviors displayed and how to implement the best response through every step of the interaction. Learn more about our Mental Illness training here or view the list of V-VICTA law enforcement curriculum here.
If your department could benefit from our Mental Illness curriculum, contact a VirTra specialist today.
“Traumatic Brain Injury | TBI.” MedlinePlus, U.S. National Library of Medicine, 30 July 2020, medlineplus.gov/traumaticbraininjury.html.