Crisis Intervention Team (CIT) Mental Health Awareness & De-escalation Training for Police/Fire/EMS

NAMI New Hampshire is presenting the Crisis Intervention Team (CIT) Program to law enforcement and first responders in NH began as part of a 3-year grant from the Substance Abuse and Mental Health Services Administration (SAMHSA). We are now in the beginning of an expansion grant that will allow us to continue to deliver CIT to our first responders for five years. We are also working with the Police Standards and Training Council to deliver four CIT programs. We will also be delivering CIT refresher classes for any law enforcement that have been previously trained.

The 40-hour CIT program originated in 1988 in Memphis, TN after an officer-involved shooting of an individual with mental illness. CIT highlights best practices, improves community partnerships, and helps communities develop processes to serve people affected by mental illness with respect and dignity.

CIT History, Updates, and Outcomes

Is CIT Evidence Based?

Participants from the September 2022 CIT Program
12 DOC staff graduated the latest Crisis Intervention Team Program made possible by Commissioner Helen Hanks at the NH Department of Corrections and Julianne Carbin at the Bureau of Mental Health Services for partnering with NAMI New Hampshire.

NH CIT Program Feedback

“You need to know all the training you have been doing is making a difference. Incident here at my home with a mentally ill former neighbor. I am fine. NPD sent 2 officers here. They removed, carefully, the woman from my home. The male officer gently handed her a NAMI NH card and kindly suggested she could call them for help and resources. He later shared with me; he recently completed a course taught by no other than YOU"
“I wanted to reach out and extend my gratitude to you and all the volunteers of NAMI NH for facilitating the CIT training last week. I personally absorbed so much from this course and am looking forward to applying what I’ve learned throughout my career. I will be sending out an email to my coworkers (Police & Dispatch) recommending this course to all. You all are doing great things, and I can assure you that anyone having taken this course will be able to put the skills and knowledge learned to use very regularly. Thank you again! “
"Everything was incredible. Thank you for putting this instruction together and working endlessly to improve the mental health field - Everything was great."
"What I took is we can do more than just drive them to the ER. We can do more so we don't just act as a taxi - Excellent training I feel that this training would be most beneficial for young officers. Should be taught in the police academy - Great training! It is great working and learning from individuals with life experience. - This would be a good training for new officers."
"I feel that this is an excellent training. Every first responder should take this class. This training should be taught at the police academy - Having people who have experienced a mental health crisis. Whether first hand or as a family member was extremely beneficial"
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Topics covered during the 40-hour trainings include:

  • Rights and Civil Commitment Laws, Mental Health/Drug Courts
  • Disabilities
  • Suicide Intervention
  • Alzheimer’s Disease & Other Forms of Dementia
  • Borderline Personality Disorders
  • PTS, Veterans, and Individuals Experiencing Homelessness
  • Psychopharmacology
  • Child & Adolescent Mental Health Issues
  • Substance Use and Co-occurring Disorders
  • Cultural Issues, Resettlement Areas, and Approaching Mental Illness
  • Introduction to Verbal Techniques
  • Stages of Escalating Crisis
  • Basic De-escalation and Intervention Strategies
  • Advanced Verbal Techniques
Former NAMI NH Exec. Dir. Ken Norton pictured with CIT Founder Maj. Sam Cochran

In addition to in-classroom training, participants also visit community locations like New Hampshire Hospital and community mental health centers. NAMI New Hampshire is conducting several trainings over the 3-year project period.

Through the Crisis Intervention Training for New Hampshire’s First Responders Project, NAMI New Hampshire and its partners will train 435 NH State Police (NHSP) and Fire/Emergency Medical Services personnel (Fire/EMS) to recognize signs and symptoms of mental illness, provide them with the skills to effectively de-escalate situations and make appropriate referrals to community mental health services in order to ensure the safety of individuals with mental illness, First Responders and the general public.

WMUR - NH first responders learn how to help people in mental health crisis

Mental Health First Aid for CIT

On December 1, 2022 NAMI NH certified 15 new Mental Health First Aiders (MHFA) in our first responder community.

WHY MENTAL HEALTH FIRST AID? Mental Health First Aid for Fire/EMS/Public Safety teaches you how to identify, understand and respond to signs of mental illnesses and substance use disorders. This training gives you the skills you need to reach out and provide initial support to someone who may be developing a mental health or substance use problem and help connect them to the appropriate care.

Mental Health First Aid for Fire/EMS focuses on the unique experiences and needs of firefighters and EMS personnel and is a valuable resource that can make a difference in their lives, their coworkers’ and families’ lives, and the communities they serve.

Mental Health First Aid for Public Safety focuses on the unique experiences and needs of public safety personnel and is a valuable resource that can make a difference in their lives, their coworkers’ and families’ lives, and the communities they serve.

A group of first responders attending a Mental Health First Aid training.
Almost 10% of police calls involved someone with a mental illness in 2014. National Public Radio (NPR). Nearly 1 in 4 police officers thinks of suicide at some point in their life. National Alliance on Mental Illness via 2009 Centers for Disease Control and Prevention Report. 1.2 million individuals living with mental illness are in jail and prison each year. Mental Health America.
In 2017 103 firefighters died by suicide; more than the 93 firefighters who died in the line of duty. USA Today. A survey of 7,000 North American firefighters revealed 27% have struggled with substance use challenges. NBC Washington.
The instructor and a group of first responders at a Mental Health First Aid training.

Resources

NH CIT Resource Booklet

Involuntary Emergency Admissions (IEAs) in NH – A Judicial Primer on Navigating the Process

NH Rapid Response Access Point Webinar

NH Rapid Response Access Point Brochure

NH Women in Law Enforcement

Protecting the mental health of first responders during a pandemic – Amy Morgan, MSC, CFRC(D), TECC-LEO

Police officers stigmatize seeking help for mental-health issues. It could be damaging for the communities they’re supposed to serve and protect – Insider.com

New Training Brings Together NH First-Responders and People with Mental Illness – NHPR

Officer Talks Despondent Man Off I-95 Bridge – Union Leader

Upcoming Trainings

Registration is required for all of the sessions below. Links for registration are updated as they go live.

The programs hosted by PSTC are strictly intended for local law enforcement. If you have any questions, contact Sallen@naminh.org.

March 2023

CIT
Audience: PSTC-Law Enforcement
Location: NHNG-Edward Cross Training Complex
722 Riverwood Drive, Pembroke NH
multi-purpose room (117A,B,C)
Date: March 27-31, 2023
Time: 8:00am-4:00pm
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April 2023

CIT
Audience: PSTC-Law Enforcement
Location: NHNG-Edward Cross Training Complex
722 Riverwood Drive, Pembroke NH
multi-purpose room (117A,B,C)
Date: April 10-14, 2023
Time: 8:00am-4:00pm
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April 2023

CIT-Refresher
Audience: Previously Trained CIT Responders
Topic: Panel Discussion on The Unhoused/Houseless/Homeless Population and the connection to Mental Health/Substance Use/Misuse Panel discussion with Jackie Carroll,  Waypoint Runaway and Homeless Youth Program, the Karen Jantzen Concord Coalition to End Homelessness and Melissa Hatfield, Bureau Chief, Bureau of Homeless Services
Location: PSTC
Date: April 20, 2023
Time: 8:00am-12:00pm, 1:00pm-5:00pm
Law Enforcement Registration: Secure.benchmarkonline.app/login
Fire/EMS/Other Responders: Registration not open yet

May 2023

CIT
Audience: PSTC-Law Enforcement
Location: NHNG-Edward Cross Training Complex
722 Riverwood Drive, Pembroke NH
multi-purpose room (117A,B,C)
Date: May 8-12, 2023
Time: 8:00am-4:00pm
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June 2023

CIT-Refresher
Audience: Previously Trained CIT Responders
Topic: Inside the Box – The morning will begin with updates on other services such as Rapid Response Access Point and the rollout of 9-8-8. Chief Douglas Wyman (Retired), Chief of Police for the Town of Sandwich and Chief Monaghan (ret), Law Enforcement Consultant for the Center for Policing Equity will guide participants through the course which is designed to challenge the ways in which law enforcement has typically viewed mental health and well-being. The course begins with a short film made by The Nantucket Project. Using this visual prompt, the class starts with some self-reflection on the film’s meaning before moving into statistical information on the importance of mental health and wellbeing.
Location: PSTC
Date: June 2, 2023
Time: 8:00am-12:00pm, 1:00pm-5:00pm
Law Enforcement Registration: Secure.benchmarkonline.app/login
Fire/EMS/Other Responders: Registration not open yet

June 2023

CIT
Audience: Law Enforcement
Location: Conway PD
35 E. Conway Rd, Center Conway, NH
Date: June 12-16, 2023
Time: 8:00am-4:00pm
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July 2023

CIT
Audience: Law Enforcement/Fire/EMS
Location: Tilton PD
Date: July 10-14, 2023
Time: 8:00am-4:00pm
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Fire/EMS/Other Responders: Registration not open yet

September 2023

CIT
Audience: Law Enforcement/Fire/EMS
Location: Canaan PD
Date: September 25-29, 2023
Time: 8:00am-4:00pm
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Fire/EMS/Other Responders: Registration not open yet

October 2023

CIT
Audience: Law Enforcement/Fire/EMS
Location: Londonderry Fire Department
280 Mammoth Road, Londonderry, NH
Date: October 23-27, 2023
Time: 8:00am-4:00pm
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Fire/EMS/Other Responders: Registration not open yet

For more information on the Crisis Intervention Team (CIT) Program, contact NAMI New Hampshire’s Susan Allen-Samuel, CIT Coordinator at sallen@NAMINH.org.

This training is made possible through a grant from the Substance Abuse and Mental Health Services Administration (SAMHSA).