Originally Posted by
Lost River
That is actually a smart move by the guy with the mental health problems. Probably knows that eventually he will have a relapse and not be in his right mind. That piece of info on his driver's license may be massively important for a first responder, especially a newer, younger officer who does not have much experience dealing with such folks. The schizophrenic has likely been down the rabbit hole a few times, and is trying to plan ahead.
It is extremely hard to differentiate between paranoid schizophrenia and meth psychosis. Deep into a psychosis, a person suffering may have no way to communicate rationally their personal situation.
I had one older female who had some very serious long term mental health issues, and was extremely violent when suffering from her delusions. She actually believed that people she may encounter were honest to God, Demons.
I was the only person who had had any success with her. She was phenomenally trying on a guy's patience, and probably the single most frustrating person I had dealt with in years. More than a few times we had to physically subdue her, basically hogtie her, so she wouldn't kick windows out of a patrolman's car. We would then take her to the ER, where a nurse or doc would give her a shot of Haldol in her ass. She would even try to urinate on first responders. I think the technical diagnosis by an ER doc friend was "Batshit crazy".
One thing that really worked (sometimes) with her, was that I had a sticky note on my computer at work, and would call her every week after a morning meeting and check on her. This was mostly so she would recognize my voice. During a moment of lucidity, I had her sign a waiver that allowed me to look at her medical records and discuss her condition with her regular docs/therapists.
Believe it or not, I had to get over some barriers with the medical folks in order to convince them that I was actually an advocate for her, and not trying to lock her up, or put charges on her.
One thing I did, and subsequently taught (I used to teach an annual 40 hour CIT crisis intervention team academy) was that I had given "Dorothy" my business card, that she kept tacked up on her fridge. On the back of the card, I had written "Friend/Advocate". This helped sometimes to convince her that I was trying to help, instead of harm her.
Schizophrenics/ schizo affective types can be a phenomenal challenge, and there is often very little reward. That said, I am convinced that every department needs a few experienced officers who are willing to deal with such headaches and learn how to deal with the folks who suffer, the medical community, and the legal aspects. It is a royal pain, and not nearly as glamorous as swat, or other "look at me" specialties. It is also a thinking person's skill set, that requires constant, continuing education.
Dorothy ended up being a rare success story. Working with prosecutors and docs, I ended up making her a ward of the state. In a very brief interim, I ended up being legally in charge of her, which I told everyone involved (including the judge) that I was morally and ethically opposed to an LEO or LE agency filling such a role, as it set a bad precedent, and it was a role better served by a person in the medical community. The problem was that nobody wanted to deal with her. I was told by that same judge that that was exactly why he was making me her interim charge.
Through hurdles we transferred that authority to the state. Start to finish, I want to say that part took a bit over a year. Neither myself or anyone in the prosecutor's office had ever done something like that before, so we had to learn how to do it along the way.
It all finally worked out, and now she has a person who visits her and makes sure she takes her medicines every single day. Before she would get feeling better and stop taking her meds, thus spiraling down the rabbit hole.
We went from dozens of calls a month from/involving "Dorothy" to no calls for over a year and a half.
I was exceptionally relieved to be done with that case.