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PREPARED BY:

CRISIS INTERVENTION TEAM TRAINING

YEAR IN REVIEW

2019

Managing mental health, substance abuse andintellectual/developmental disabilities services in

Anson, Guilford, Harnett, Hoke, Lee, Montgomery, Moore, Randolph and Richmond counties in central North Carolina.

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For 11 years, Sandhills Center has cosponsored Crisis Intervention Team (CIT) training for first responders within our nine-county region. In 2019, we held classes at least once in eight of those counties, with Randolph County CIT being coordinated by Randolph Community College.

Participating in 2019 classes were 130 sworn officers, 15 telecommunicators, 26 emergency medical services (EMS) personnel, five North Carolina Depart- ment of Public Safety officers, and one firefighter. Included amont the sworn officers were campus police, airport security personnel and school resource officers.

In total for the year, Sandhills Center coordinated 14 classes and graduated 177 participants who represented 36 departments and agencies. This is the largest number of classes Sandhills Center has coordinated in any given calendar year.

CIT is an international program that was created to prevent arrest and incarceration for “nuisance” or mis-demeanor crimes, and to connect people with treatment resources instead of trips to hospital emergency departments. Sandhills Center and our community partners strive to give first responders tools and resources so they can effectively interact with people who have mental illness, their families and providers.

CIT for law enforcement officers is a rigorous 40-hour program. For EMS certification, 32 hours of intensive instruction are required. CIT is taught by subject-matter experts. In addition to classroom training, first responders also participate in simulation and role-playing activities, and engage in meaningful conversations with community residents who have lived experience.

CIT in the Sandhills Center region is cosponsored by local community colleges and NAMI chapters, as well as various law enforcement agencies and network providers. CIT in Randolph County is coordinated exclusively through Randolph Community College with assistance from Sandhills Center.

CIT was founded in 1988, in Memphis, Tenn., following the police-involved shooting death of a man with mental illness. In North Carolina each year, it is estimated that tens of thousands of people with severe mental illnesses are incarcerated. Encounters between these individuals and law enforcement personnel can some-times end tragically. CIT training plays an important role in educating officers to respond effectively in such situations. The success of the Tennessee CIT program has inspired communities throughout North Carolina and the United States to start similar programs.

CIT is recognized as a best practice by multiple organizations including the National Alliance on Mental Illness (NAMI), the U.S. Department of Justice, the U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration (SAMHSA) and the White House Conference on Mental Health. Communities that subscribe to the CIT program model have higher success rates in resolving crisis situations, national research has shown.

Since 2008, Sandhills Center has cosponsored 80 classes and has graduated about 1,500 participants.

In North Carolina, CIT training was launched in 2005. The NC Department of Health and Human Services has estimated that 51 percent of law enforcement officers throughout the state had been certified as of Jan. 1, 2019 (the latest figures available).

SANDHILLS CENTER COHOSTS RECORDNUMBER OF CIT CLASSES IN 2019

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544 hours of instruction, including42 hours of role-playing exercises

14 CIT classes � January 14-18 -- Richmond County � February 4-8 -- Anson County � February 18-22 -- Guilford County � March 4-7 -- Guilford County EMS � April 22-26 -- Guilford County � June 10-14 -- Harnett County � July 28-August 2 -- Hoke County � August 5-9 -- Montgomery County � Sept. 16-20 -- Moore County � Sept. 23-27 -- Lee County � Oct. 7-11 -- Guilford County � Oct. 14-18 -- Richmond County � Oct. 28-31 -- Guilford County EMS � Nov. 4-8 -- Anson County

177 graduates

� Sworn officers -- 130 � Probation/parole officers -- 5 � EMS personnel -- 26 � Telecommunicators -- 15 � Firefighters -- 1

Sandhills Center is grateful for the many host officers who serve as liaisons between the participants and instructors. Host officers are CIT certified and instrumental in planning the classes. Sandhills Center and our cosponsors recognize the following outstanding first respon-ders for their support of CIT in 2019:

� Lt. Steven Kelly (Anson County), Wadesboro Police Department

� Chris Wilson (Guilford County), Guilford County Emergency Medical Services

� Capt. Demarr Inman (Guilford County), Guilford County Sheriff’s Office

� Lt. Holly Pate (Guilford County), Greensboro Police Department

� Katie Bowers (Guilford County), Guilford County EMS

� Lt. Scott Jeffries (Harnett County), Harnett County Sheriff’s Office

� Lt. Jennifer Lewis (Hoke County), Hoke County Sheriff’s Office

� Capt. Greg Deck (Lee County), Sanford Police Department (Lee County)

� Deputy Larry Johnson (Montgomery County), Montgomery County Sheriff’s Office

� Sgt. Todd Maness (Moore County), Moore County Sheriff’s Office

� Lt. Bryan Monroe (Moore County), Moore County Sheriff’s Office

� Lt. Clyde Smith (Richmond County) Richmond County Sheriff’s Office

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HOST OFFICERS

Pictured, at left: Capt. Demarr Inman of the Guilford

County Sheriff’s Office receives a certificate of

appreciation from Sandhills Center. Capt. Inman was

instrumental in introducing CIT training in Guilford

County, and she volunteered as host officer for many

years. Capt. Inman retired from the sheriff’s office in

October 2019. She will be greatly missed for her

hard work and dedication to CIT in Guilford County.

Photo by Heather Odendahl, Sandhills Center.

2019 STATISTICS

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� Erica Alford, Daymark Recovery Services

� Julie Antonelli, Guilford Co. Chief Magistrate

� Capt. Aaron Back, NC Highway Patrol

� Roger Bailey, Stevens Center

� West Barefoot, Harnett County EMS

� David Barrington, Hoke County Magistrate

� Tammy Barrow, Guilford County Magistrate

� Michelle Bennet, NC Dept. of Public Safety

� Katie Bowers, Guilford County EMS

� Amy Brown, Daymark Recovery Services

� Melanie Bunn, Dementia Alliance of North Carolina

� Cassandra Byers, Daymark Recovery Services

� Leslie Campbell, Cumberland County EMS

� Madonna Campbell-Greer, NAMI-Guilford

� Carolyn Cardwell, Veteran’s Administration

� Dr. Talula Cartwright, Mount Eagle Institute

� Lt. Josh Christensen, Harnett Co. Sheriff’s Office

� Lauren Costello, Brain Injury Association of NC

� Michael Crowder, FirstHealth of the Carolinas

� Bennita Curtain, Partners Ending Homelessness

� Dr. Chris Davis, Wake Forest Baptist Health

� Cristina De Aguilar, Carolinas Healthcare System

� Capt. Greg Deck, Sanford Police Department

� Jeff Dorsett, Montgomery Co. Magistrate

� Judy Duke, Cone Behavioral Health

� Jerry Earnhardt, Daymark Recovery Services

� Emily Everest, Lee Co. Assistant District Attorney

� Michael Fox, U.S. Military Veteran

� Al Frye, Sandhills Center

� Kelly Frye, FirstHealth of the Carolinas

� Dr. Tammie Gainey, Sandhills Behavioral Care

� Boris Garrett (Ret.), NC State Highway Patrol

� Shatavia Giles, Good Hope Hospital

� Marilyn Gilliam, Sandhills Center

� Jack Glenn, NAMI-Guilford

� Daphne Graham, Cone Behavioral Health

� Dr. Kelly Graves, Kellin Foundation

� Melissa Greer, Guilford County EMS

� Deputy James Hamby, Richmond Co. Sheriff’s Office

� Quanesha Hansley, Harnett Health

� Suzanne Hart, Therapeutic Alternatives

� John Harvel, Moore Co. Magistrate

� Teresa Hinkle, Caring Services

� Lt. Latoya Howell, Guilford Co. Sheriff’s Office

� Barry Hoyle, Harnett Co. Magistrate

� Hallie Huffman, Morse Clinics

� Elizabeth Hunter, The Salvation Army of NC and SC

� Kyle Hyduke, Good Hope Hospital

� Cpt. Demarr Inman, Guilford Co. Sheriff’s Office

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Sandhills Center relies on a variety of behavioral health and law enforcement subject-matter experts to deliver classroom instruction during CIT classes throughout the region. Following is a list of people who contributed their expertise during 2019:

� Lt. Scott Jeffries, Harnett Co. Sheriff’s Office

� Dr. Jason Jerry, FirstHealth Behavioral Services

� Gayla Jones, NC Veteran’s Treatment Court

� Chris Judge, Cone Behavioral Health

� Lt. Rachel Juren, High Point Police Department

� Lt. Steven Kelly, Wadesboro Police Department

� Dr. Bob Kurtz, NC Dept. of Health & Human Services

� Christy Land, FirstHealth of the Carolinas

� Jessica Laube, Central Carolina Hospital

� Danny Leonard, NC LEAP

� Det. Joshua Leviner, Rockingham Police Department

� Deputy James Lewellen, Montgomery Co. Sheriff’s Office

� Lt. Jennifer Lewis, Hoke County Sheriff’s Office

� Chris Laughlin, Sandhills Center CFAC

� Dr. Mary Mandell, FirstHealth of the Carolinas

� Suzanne Maness, Families United/Sandhills Center

� Det. Sgt. Ronald Martin (Ret.), NC Harm Reduction Coalition

� Suzanne Matthews, Harnett Co. District Attorney’s Office

� Cynthia McSwain, Kellin Foundation

� Steven Money, Lee County Magistrate

� Lt. Bryan Monroe, Moore Co. Sheriff’s Office

� Dr. Joel Monroe, FirstHealth Moore Regional Hospital

� Wanda Moon, Senior Resources of Guilford

� Kellie Moran, Sandhills Center

� Curtis Morrow, Fayetteville VA Medical Center

� Stephanie Mueller, Daymark Recovery Services

� Robert Nelson, Sandhills Center

� Lt. Holly Pate, Geensboro Police Department

� Harold Pickett, Sandhills Center

� Victoria Plybon, World Relief

� Kenya Proctor, American Foundation for Suicide Prevention

� Jeff Pruett, Project Lazarus

� Vickie Rhodes, Therapeutic Alternatives

� Sally Rickard, Brain Injury Association of NC

� Sarah Roethlinger, Youth Focus/Alexander Youth Network

� Mary Silverman, FirstHealth Behavioral Services

� Lt. Clyde Smith, Richmond Co. Sheriff’s Office

� Edward Smith, Daymark Recovery Services

� Kenneth Smith, Carolina Communicare

� Theressa Smith, Richmond Co. Dept. of Social Services

� Dr. Kim Soban, Mental Health Associates of the Triad

� Dr. Meredith Stanton, FirstHealth of the Carolinas

� Tyler Talbert, Daymark Recovery Services

� Robert Taylor, Richmond Community College

� Heather Trevarrow, Sandhills Community College

� Caleb Turmel, Kellin Foundation

� Carolyn Uhlin, Guilford County EMS

� Deidra Walker, Harnett Health

� Anthony Ward, Sandhills Center

� Chief Scott Waters (Ret.), Hamlet Police Department

� Thomas Weaver, Anson Co. Magistrate

� Victoria Whitt, Sandhills Center

� Eric Wilford, Therapeutic Alternatives

� Bruce Womble, Therapeutic Alternatives

� Angela Woodburn, Anson Co. Magistrate

� Jason Yates, Caring Services

INSTRUCTORS

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THANK YOU

Below: Dr. Robert Kurtz served as an instructor for the Lee County CIT class inSeptember 2019. Photo by Kellie Moran, Sandhills Center.

We appreciate the many individuals, clinicians, law enforcement officials,providers and other professionals

who volunteered to offer instructionfor all of the CIT classes in the

Sandhills Center region in 2019. CITis a success, in part, because they are

willing to share their expertise. Weare extremely grateful for their enduring commitment to CIT.

Pictured, at left: Det. Sgt. Ronald Martin (Ret.) of the North Carolina Harm Reduction Coalition provided extensive CIT instructionthroughout the Sandhills Center region in2019. Photo by George E. Reynolds Jr., NAMI-Moore County.

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� NAMI Cumberland, Harnett and Lee Counties � NAMI Guilford � NAMI Moore County

� Daymark Recovery Services � LeeCAN Mental Health Partners � Lee County Health Department � Therapeutic Alternatives Mobile Crisis

� Central Carolina Community College � Guilford Technical Community College � Sandhills Community College � South Piedmont Community College � Richmond Community College � Carolinas Healthcare System � Central Carolina Hospital � FirstHealth of the Carolinas � Good Hope Hospital � Harnett Health System

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Each year, CIT training covers a variety of topics related to mental health, substance use disorders andintellectual/developmental disabilities. The curriculum is chosen based on CIT International standards and current issues facing each unique community. Topics presented by our CIT partners and instructors in 2019 included:

� Mental Illness 101

� Behavioral Health System Overview

� Military and PTSD

� Developmental Disabilities

� Special Concerns with Adolescents

� Personality Disorders

� Psychiatric Medications

� Psychiatric Emergencies

� Cultural Diversity

� Addiction

� Opioids

� Drug Epidemics

� Trauma

� Hunger

� Homelessness

� Alzheimer’s Disease and Dementia

� Involuntary Commitment and other legal

issues.

� Wellness in Law Enforcement

� Harm Reduction

� Stress Management

� Officer Discretion

� Suicide Risk and Assessment

� Trauma -- Risk and Resilience

� Excited Delirium

� Schizophrenia

� De-escalation

� Role-Playing

� Simulation Exercises (“Hearing Voices”)

� Traumatic Brain Injuries

� Trauma-Informed Care

� Active Listening

� Human Trafficking

� Testimonials from individuals and families

� Site Visits to behavioral health treatment

facilities.

THANKS TO OUR 2019 COMMUNITY PLANNING PARTNERS

CIT TRAINING CURRICULUM

FIRST RESPONDER PARTNERS � Dunn Police Department � Erwin Police Department � Greensboro Police Department � Guilford County EMS � Guilford County Sheriff’s Office � Harnett County Sheriff’s Office � Hoke County EMS � Hoke County Sheriff’s Office � Lee County Sheriff’s Office � Montgomery County Sheriff’s Office � Moore County Sheriff’s Office � Raeford Police Department � Richmond County Sheriff’s Office � Sanford Police Department � Wadesboro Police Department

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In addition to classroom instruction, CIT participantsvisit behavioral health facilities to meet people withlived experience, and they hear testimonials duringindividual and family panels. CIT students participatein extensive role-playing activities, as well. Role playing involves conducting realistic scenarios such as those they might encounter while performing theirregular duties.

During role-playing, people who are experiencing crises are compassionately portrayed by behavioralhealth professionals and advocates. Scenarios may include suicide prevention, calming persons exper-iencing paranoia, de-escalating potentially violent situations, or interacting with individuals havingmanic episodes that cause them to behave inappro-priately. Role-playing activities are facilitated andevaluated by mental health professionals and CIT-certified law enforcement officials who provide constructive feedback on multiple levels. One of the many benefits of role playing is that it allows law enforcement officers and first responders to practice empathy and de-escalation techniques in a safe, real-life environment.

Also as part of the CIT curriculum, first responders are exposed to activities that simulate auditory hallucina-tions, called “Hearing Voices,” and they learn about autism and psychosis. These exercises build familiaritywith the challenges individuals sometimes face.

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Sandhills Center is grateful to the many staffmembers, cosponsors, CIT alumni, advocates

and behavioral health professionals whovolunteer to participate in the role-playing

segments of CIT. We appreciate your ongoing support and guidance.

We also wish to thank the Sandhills Center providers who host our CIT participants

during visits to the behavioral health facilities. We especially thank those who

have told their personal stories during the individual and family panels so that first responders can gain greater awareness.

WE APPRECIATE YOU

MORE THAN JUST CLASSROOM TRAINING

FOR MORE INFORMATION ABOUTCIT IN THE SANDHILLS CENTER

REGION, VISIT THE CIT-DEDICATEDPAGES ON OUR WEBSITE:

www.sandhillscenter.org/about/crisis-intervention-team

www.sandhillscenter.org/about/crisis-intervention-team/crisis-intervention-team-training-news-briefs

www.SandhillsCenter.org

Pictured, at right: Sheriff Landric Reid providedopening remarks during the November 2019Anson County CIT class. Anson County also hosted a CIT class in February 2019. Photo by George E. Reynolds Jr., NAMI-Moore County.

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2019 CLASS PHOTOS

JAN. 14-18 RICHMOND COUNTYPhoto by Heather Odendahl, Sandhills Center.

FEB. 4-8 ANSON COUNTYPhoto by Kellie Moran, Sandhills Center.

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MARCH 4-7 GUILFORD COUNTY EMSPhoto by Heather Odendahl, Sandhills Center.

FEB. 18-22 GUILFORD COUNTYPhoto by Heather Odendahl, Sandhills Center.

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APRIL 22-26 GUILFORD COUNTYPhoto by Heather Odendahl, Sandhills Center.

JUNE 10-14 HARNETT COUNTYPhoto by Kellie Moran, Sandhills Center.

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JULY 29-AUGUST 2 HOKE COUNTYPhoto by Kellie Moran, Sandhills Center.

AUGUST 5-8 MONTGOMERY COUNTYPhoto by George E. Reynolds Jr., NAMI-Moore County.

SEPT. 16-20 MOORE COUNTYPhoto by George E. Reynolds Jr., NAMI-Moore County.

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SEPT. 23-27 LEE COUNTYPhoto by Heather Odendahl, Sandhills Center.

OCT. 7-11 GUILFORD COUNTYPhoto by Heather Odendahl, Sandhills Center.

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OCT. 14-18 RICHMOND COUNTYPhoto by George E. Reynolds Jr., NAMI-Moore County.

OCT. 28-31 GUILFORD COUNTY EMS AND FIREPhoto by Heather Odendahl, Sandhills Center.

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Sandhills Center is a Local Management Entity (LME) and a Medicaid-funded Managed Care Organization (MCO) that acts as an agent of the North Carolina Department of Health and Human Services. We assure that people have access to publicly-funded mental health, substance abuse and intellectual/developmental disabilities services in Anson, Guilford, Harnett, Hoke, Lee, Montgomery, Moore, Randolphand Richmond counties.

As an LME-MCO, our goal is to promote behavioral health, wellness and recovery. Sandhills Center offers a provider network that is culturally competent and respectful, and a collaborative approach to problem-solving and resource development. Our involvement in CIT is just one of the many ways we work in partnership with community stakeholders to produce better outcomes for individuals and their families. CIT also is among ways in which Sandhills Center reinvests savings into valuable communityinitiatives that have a long-term impact.

Sandhills Center operates a 24-hour Call Center where mental health counselors are always available totake phone calls and connect people to the best care provider of their choice.

NOV. 4-8 ANSON COUNTYPhoto by George E. Reynolds Jr., NAMI-Moore County.

Toll free: 1-800-256-2452For more information, go to:

www.SandhillsCenter.org

Sandhills Center Administrative OfficeP.O. Box 9

West End, NC 27376

Sandhills Center is nationally accredited.