Cross-intervention Skills Crucial as Mental Health Funding Drops
By Mandy Catoe
4/9/17
Once, when Melanie Odom was at Clemson University, she thought she
had discovered a mathematical way to predict the future, and that the
government was coming to steal it.
As a professor was trying to get her some help, she was in an auto
accident. She ran across four lanes of traffic, still clutching the
sandwich she had been eating.
“Why are you fleeing the scene of an accident!” yelled a police officer
at the scene. As he approached her, she began tearing the sandwich into
little pieces and throwing them at him.
“I was so rattled and so scared,” Odom recalls. “I started speaking
French. He backed up and seemed to figure out that something wasn’t
quite right.”
The EMTs came, restrained and sedated her, and she woke up in a hospital.
Nearly 30 law enforcement officers sat on the edge of their seats at
the Lancaster County law enforcement training facility last Thursday as
Odom told her story. The weeklong crisis-intervention training was
provided by the National Alliance on Mental Illness (NAMI).
“If you encounter a mental patient, an ounce of compassion will go a
long way,” Odom told the officers. “Remaining calm is a huge deal. Those
in an altered state of consciousness will pick up on calmness.”
The officers learned about various mental illnesses, community
resources, body language and verbal de-escalation techniques to better
deal with the mentally ill.
The state of South Carolina has been spending less and less on mental
health resources in recent years, and officers are finding themselves
filling in the gap.
“We are having to deal more and more with people with mental illness or
mental disorders, and we need to be prepared to deal with those
situations,” said Lancaster County Sheriff Barry Faile. “The Department
of Mental Health is underfunded, and that puts a strain on law
enforcement across the state.”
Last year’s statistics show the necessity of educating officers.
“County deputies responded to 251 mentally or emotionally disturbed
persons in 2016 and transported 240 mental patients to a psychiatric
treatment center,” said Major Matt Shaw, chief deputy at the Lancaster
County Sheriff’s Office. “The need for this training is real.”
Shaw attended the training in another county and asked that NAMI bring it to Lancaster.
“We want our officers to be safe, the public to be safe, and we want the person to be safe as well,” Shaw said.
NAMI officials on hand said that across the country, one in four adults
have a mental illness and one in five children suffer from one.
“Do the math,” said Donna Breimann, state coordinator for NAMI’s Crisis
Intervention Team (CIT). “In here with 29 officers, that means seven of
you could one day develop a mental illness.”
Crisis intervention
Last week’s CIT training included law enforcement officers, detention
center officials, and people with mental illness and their families.
Seventeen Lancaster County deputies, four Lancaster Police Department
officers and eight York County officers attended the training.
The first three days were filled with facts and numbers. The other two
days made it real, with testimonies and role-playing. Chris Smith, Joe
Timmons and Deborah Jennings, members of the Community Playhouse of
Lancaster County, volunteered their time for Friday’s role-playing,
reenacting real-life scenarios for the officers.
“I have friends in the Lancaster Police Department and the sheriff’s
department, and they have these type situations on a regular basis,”
Smith said. “The more practice they get in a safe environment, the
better and safer they will be out in the real world. I am proud to
assist them and proud of the Community Playhouse of Lancaster County’s
role in this training.”
Thursday’s training put local faces on mental illness. Two mothers with
mentally ill adult children and two mentally ill women shared their
encounters with a broken mental health system and ill-informed law
enforcement officers.
Odom told the officers about different bipolar disorders and brought
them to life with detailed personal stories. She advised them that manic
behavior can sometimes mimic drug abuse, with dilated pupils and
slurred or altered speech. She encouraged them not to assume it’s drugs,
but reminded them that the mentally ill often self-medicate with
alcohol and drugs.
That often leads to addiction as the uninsured seek relief or those on
prescribed medication look for alternatives with fewer side effects.
Bipolar 1 disorder
Odom, 34, has Bipolar 1 disorder. Her mental illness began at age 14
when she was diagnosed with generalized anxiety. Over the span of 20
years, she has been hospitalized at least 10 times. She once attempted
suicide. She has been stable now since 2012.
Odom said she was the valedictorian of her graduating class at Chester
High School in 2001 and earned a psychology degree in 2005 from Clemson
University with top honors.
“My bipolar condition is characterized by mania and depression,” she
said. “I sometimes have hallucinations, and my ideas come at warp speed
with racing thoughts that I can’t control.”
Another face with mental illness was Katie Jo Carter, 36, who has a
diagnosis of bipolar disorder with attention deficit and obsessive
compulsive disorder. She said she has a nursing degree and hopes to
return to school this fall to pursue a counseling degree.
Carter shared clues for the officers to look for such as hygiene
issues. Ask the person when he last ate or had a good night’s sleep, she
suggested. Above all, she said, be patient with someone in crisis.
“Sometimes you can’t even explain yourself, because you don’t even understand what is going on in your head,” she said.
Carter threw her “dirt on the table” and shared details of where her
illness had carried her. Some behaviors occurred in a fugue state, a
temporary amnesia. That often caused problems in her marriage. She
developed an eating disorder in her teens and later coped with alcohol
and drugs, which is common among the mentally ill, she said. Sadly, she
told the officers, the best treatment for anxiety is marijuana.
Her most recent breakdown was sparked by sleep deprivation, exhaustion
and stress. She encouraged the officers to ask questions about those key
triggers. Like Odom, she credits NAMI and and her faith in God for her
continued recovery.
Carter and Odom, both members of NAMI, have implemented the NAMI
program “Ending the Silence” in York County middle and high schools.
They matter-of-factly teach warning signs of mental disorders to raise
awareness and remove the stigma of mental illness. They hand out
business cards with signs of mental conditions and NAMI contact
information, a suicide hot line, and a 24/7 crisis text line. Text
“NAMI” to 741741.
Parents suffer too
Two other faces of mental illness were mothers of adult children
suffering with bipolar depression and schizophrenia with paranoia. One
mother, asking to remain anonymous, said mental illness affects the
whole family and relatives can provide key information. She encouraged
the officers to talk with family members of someone having a mental
crisis.
Lena Wallace, who led the effort to bring NAMI to Lancaster, talked
about her daughter who lives with a bipolar disorder and has attempted
suicide several times. She told the officers she has two daughters with
illnesses, one with juvenile diabetes and one with mental illness.
“They are equal,” Wallace said. “That is what mental illness is, a
disease of the brain, and the stigma needs to be removed so people will
seek help.”
Both mothers told the officers their worst fear was for a police
officer to knock on their doors and tell them their child was dead.
A scheduled break followed the faces portion of the training. Rather
than taking a break, most officers approached the presenters.
Deputy Davey Hendrix insisted on hugging Odom and Carter together.
Lancaster County Detention Center officer Stacy Hatfield said the training was very helpful.
“We deal with a lot of inmates who do have some type of mental illness,” he said.
“Life is difficult enough when you are incarcerated. It helps when you
have people who understand what your issues are and will work with you.”
Odom has a semicolon and the word “grace” tattooed on her right wrist.
“A period marks the end of a sentence,” she explained, “and the
sentence is your life. I have chosen to place a semicolon in my sentence
and continue my story. And the word ‘grace’ represents that my story
continues because of God’s grace.”
NAMI support groups meet
The National Alliance on Mental Illness (NAMI) holds support-group
meetings each month for adults living with mental health conditions and
their loved ones. NAMI’s Connection is for adults living with mental
health conditions, and NAMI’s Family Support Group is for their loved
ones.
NAMI’s Connections and Family Support groups meet the first Monday and
third Thursday of each month at First Presbyterian Church, 700 N. Main
St., Lancaster. NAMI’s Family Support Group also meets each month from
7-8:30 p.m. in room 203 at Transformation Church, 8978 Charlotte
Highway, Indian Land.
For details, visit www.namipiedmont.com.
Follow Reporter Mandy Catoe on Twitter @MandyCatoeTLN or contact her at (803) 283-1152.
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