Table 8

Scenario Challenges

Depressed female
    Immediate arrest and ambulance called
    No time taken to talk to the individual
    Solution: If an arrest is made immediately, informing the officers that the ambulance will not arrive for 10 minutes will instigate communication with the subject.
Alcohol intoxication with likely medical problems
    Officers did not believe that they needed to be aware of alcohol withdrawal and claimed not to be doctors
    Solution: Inform officers that it is crucial that they know about this medical problem, as it could save lives if caught early enough.
Possible psychosis
    Deciding whether to take the individual to the hospital
    Actor feedback about how an individual with schizophrenia feels versus how an actor feels was questioned
    Solution: Have a constant facilitator in this scenario.
Depressed and actively suicidal individual
    Immediate arrest, even though individual was in an enclosed corner with a barricade in front
    Solution: suggest that this individual cannot escape and therefore there is no need to arrest immediately and cause further stress in the situation.
Mania with possible drug use and physical symptoms
    Immediate arrest, more experienced officers handcuffed sooner because of the threat that the subject was walking in the street
    Solution: Change the scene to a different location following the complaint of walking on the street.
Domestic dispute precipitated by problem gambling
    Complaint that the scenario was unrealistic, since the couple would re-escalate following all the attempts to de-escalate
    Immediate arrest
    Lack of solution
    Solution: Active listening and patience can divulge more information than if the situation is aggravated by an arrest.