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Responding to Psychological and Behavioral Emergencies
A Resource for Police, Fire and EMS

ISBN 978-1-933373-05-8
Published 2008
by Laurie Cyr-Martel

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Mental illness, crisis, suicide, death, and other topics discussed in this text are inherent in our lives. However, for those individuals in emergency services, encountering death, violence, trauma, crisis, and those with mental illness is an everyday occurrence.

This publication is intended to bring information to the emergency services community about dealing with those individuals who present to them in distress. It is not intended to replace the need for professional therapeutic and/or psychiatric assistance. And, it is definitely not intended to create counselors or social workers out of emergecy responders! Rather, it provides another “tool” for officers or the emergency service provider to throw into their never-ending “bag of tricks.” Tools that will hopefully dispel the myths surrounding mental illness, assist officers and emergency service workers when confronted with psychological situations, and bring forth an awareness of health and wellness for all involved as to end a potential lethal or dangerous situation positively.

Material in this 248 page text includes:

    Chapter 1 -- Historical Issues

    Chapter 2 -- Defining Mental Illness

    Chapter 3 -- Indications of Mental Illness

    Chapter 4 -- Childhood Issues
    • Attention Deficit Disorder
    • Oppositional Defiant Disorder
    • Conduct Disorder

    Chapter 5 -- Anxiety Disorders
    • Generalized Anxiety Disorder
    • Panic Disorder
    • Obsessive Compulsive Disorder
    • Post Traumatic Stress Disorder

    Chapter 6 -- Disturbances of Mood
    • Clinical Depression
    • Bipolar Disorder

    Chapter 7 -- Personality Disorders
    • Borderline Personality Disorder
    • Antisocial Personality Disorder
    • Treatment of Personality Disorders

    Chapter 8 -- Schizophrenia
    • Causes of Schizophrenia
    • Hallucinations
    • Delusions
    • Disordered Thinking
    • Emotional Expression
    • Substance Abuse and Schizophrenia
    • Schizophrenia and Violence
    • Treatment of Schizophrenia

    Chapter 9 -- Substance Abuse
    • Prevention and Treatment

    Chapter 10 -- Developmental Disabilities
    • Mental Retardation
    • Autism
    • Aspergers Syndrome

    Chapter 11 -- Crisis
    • Levels of crisis
    • Cutting as a Self Harming Behavior

    Chapter 12 -- Suicide
    • The Myths of Suicide
    • Warnings of Suicide
    • S.L.A.P.
    • Contributing Factors
    • Suicide Pacts
    • Suicide Clusters
    • Suicide By Cop

    Chapter 13 -- Abuse Issues
    • Indications of Abuse
    • Child Abuse
    • Elder Abuse
    • Domestic Violence

    Chapter 14 -- Death Notifications
    • Preparation
    • Survivor Information
    • Conducting the Notification
    • Assessing the Situation
    • Providing Referrals
    • Ending the Notification

    Chapter 15 -- Violence
    • Motivations For Violence

    Chapter 16 -- Communication, Diffusing, and De-Escalating
    • Body Language
    • Listening Techniques
    • Encountering Specific Situations
    • Keys to Effective Communication
    • Blocking Effective Communication

    Chapter 17 -- Self Care for Emergency Service Personnel
    • Burn Out

    Appendix
    • Stages of Human Development
    • Toddler Through Preschool
    • Violence in Children
    • Potential Warning Signs for Violence in Children
    • The Warning Signs of Violence
    • Determining Characteristics of Violence
    • Risk Factors
    • Suicide Among the Elderly
    • Suicide Among the Young
    • Attempted Suicide
    • Signs of Depression
    • Level of Risk
    • Highest Risk
    • Questions for Assessment of Suicide and Violence
    • Drugs
    • Famous People With Mental Illness

    Bibliography

    References and Resources

    Suicide Resources

    Organizations

    Glossary
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About the Author

Ms. Cyr-Martel began her work with Emergency Systems in 1974 working with a volunteer ambulance and search and rescue team in CT. After obtaining MICU Paramedic Status in California, she located to Maine and worked for several years as a paramedic before seeking a Bachelors degree in Social and Behavioral Science and her Master's in Counseling Psychology. She has worked as a therapist with high risk children, a crisis counselor, and Clinical Coordinator of a local Mental Health Crisis Mobile Outreach Team. From 2000 -2008, Laurie was employed by the Department of Health & Human Services / Behavioral and Developmental Services for the State of Maine, and assigned to the Lewiston Police Department as a Forensic Behaviorist. Ms. Cyr-Martel was sent to the Maine Criminal Justice Academy to complete the Police Reserve Training. With over twenty-five years of mental health and emergency services experience, she provided behavioral, psychological, and crisis management services for the community on a nightly basis. February of this year (2008), Ms. Cyr-Martel accepted her current position as Manager of a Crisis Unit for one of the State's Mental Health Agencies.

Ms. Cyr-Martel is a member of the New England Crisis Negotiators Association, the American Counseling Association, and the International Critical Incident Stress Foundation. She has served on a State Crisis Debriefing Team for the past 10 years. Laurie also works with the Juvenile Firesetters Program in conjunction with police and fire departments, and is a member of the Maine Association of Arson Investigators.

Ms. Cyr Martel provides numerous trainings throughout New England and consults through out the United States for Law Enforcement and Correction Agencies, Paramedic, Fire and Rescue and Emergency Service Providers. Laurie is also a part time faculty member for the University of Southern Maine in the Social & Behavioral Science Program.

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