Monday, April 14, 2014

My turn: Looking back, moving forward: Avoiding tragedy

From page A4 | November 14, 2012 | 7 Comments

Most days pass without much special attention or reflection. Yet it is part of the human experience that certain events are branded into our memory, whether good or ill.

A day that is seared into my memory is June 5, 2007. That is the day when I — a relatively new reporter with the Mountain Democrat — and a photographer, returning mid-morning from an assignment in Cameron Park, veered off Highway 50 at Ponderosa just moments after hearing on the scanner of a shooting nearby. We arrived at property on South Shingle Road. As the photographer snapped pictures of an EMT attending a fatal gunshot wound inflicted on the victim, I began taking in the surroundings, wondering who would shoot this man and why.

We soon learned that the victim, Art Mies, had been shot by his beloved but seriously mentally ill son Eddie Mies, who was still on the property. By the time noonday had passed, Eddie Mies also was dead, shot at the hands of an EDSO deputy.

This was not a solo event. Within a year, three other people known to have mental illness were dead at the hands of law enforcement: Rajan Vaid, 23, El Dorado Hills, (killed Sept. 11, 2007); Matthew Zaiser, 26, El Dorado Hills (killed May 24, 2008); and Mark Moody, 41, Camino (killed June 12, 2008).

The last shooting incident involving a mentally ill individual — in what the 2010-2011 Grand Jury report called a “disturbing trend” — occurred on March 28, 2010 when a 5150 detainee from Folsom, 39-year-old Linda Clark, escaped from Marshall Hospital in an ambulance whose keys had been left inside the vehicle. Clark was killed by Placerville police officers after a slow chase from the hospital to a driveway off Cedar Ravine, where the shooting occurred.

These events were tragic. For the families, certainly, but also for the officers involved in the shootings. I had occasion to interview three of these officers — one of the shooters and two others, each of whom were acutely impacted by the incidents. One officer later took her own life; the other two were forever scarred mentally and emotionally … all from performing their sworn duty to protect and serve the community.

Tragic indeed. But what would make these events even more heartbreaking is if we as a community did not learn from them new ways to handle these fragile individuals, the mentally ill in our midst, to try and avoid such catastrophes in the future.

I returned to freelance writing in late 2008 determined to learn what our local law enforcement agencies were doing to address this “disturbing trend” of shootings involving the mentally ill, as well as what other communities and agencies are doing across the country. I interviewed then-sheriff Jeff Neves, who also was deeply troubled by the rash of shootings and had assigned Sgt. Todd Hammitt the task of looking into what could be done.

I met with Sgt. Hammitt, who was in charge of officer training and had initiated a specialized training program called Crisis Intervention Training (CIT) for EDSO officers. (To date, eight deputies have attended an 8-hour CIT training workshop, with more slated to attend in the future. After the Linda Clark shooting in 2010, Placerville Police Chief George Nielsen attended the training. Since then most of the police force have also attended the 8-hour workshop.)

CIT originated in 1988 in Memphis, Tenn. through collaboration between the University of Memphis and the local police department in an attempt to fill the void in typical police academy mental health training. While recognizing that police officers are not social workers, the program acknowledges that law enforcement by and large are first responders in a crisis where someone is experiencing a psychotic episode, and families depend on these officers to know how to respond appropriately to their loved ones to help prevent fatal outcomes. The CIT program met with such success that it quickly spread nationwide.

The goal of CIT field officer training is to de-escalate tension at the scene between the officer and mentally ill individual, and reduce the need for use of force during the encounter to improve the likelihood of a safe and successful resolution.

This type of learned response is in contrast to the usual way officers might handle the average individual they encounter. This person might submit to the authority of the officer, or become ambivalent or belligerent, but at least he is capable of rational thought and behavior. Decades of academy training has taught officers to exercise a progressively firmer hand (e.g., louder voice, rougher language, more physical contact) in situations dealing with people who do not immediately obey their commands.

Mentally ill individuals, however, are not in control of their faculties. Their nervous system is not sending the proper signals to the brain, or the brain is scrambling the information. They may be suffering a psychotic break — a period of impaired functioning, or a distorted or complete lack of sense of reality — and may not be capable of responding appropriately to what is happening around them.

Making matters worse, people suffering from mental illness often self-medicate with drugs (illegal or prescription) and/or alcohol, which can enhance the feeling of normalcy while in fact hampering even further their ability to function.

CIT training includes learning to identify some basic signs and symptoms of mental illness (bipolar, schizophrenia, etc.); stabilization and de-escalation techniques, including the effective use of language in line with the mentally ill person’s heightened sensitivities; and hands-on experiential learning as well as role play and group problem-solving exercises.

Editor’s note: This is part I of a three-part series of My turn columns by Denise Marie Siino. 

Denise Marie Siino is a former writer for the Mountain Democrat and a current freelance writer. You can find her writing online at

Denise Marie Siino


Discussion | 7 comments

  • CatherineNovember 14, 2012 - 8:08 am

    Denise, Thank you for your informative column. There is so much that is broken, yet fixable, in how people with psychosis spectrum disorders, and their families, are forced to live. I don't know how you'll cover it all in three columns, but I hope to see information on anosognosia and Laura's Law. Police and criminal courts would be needed less if the law allowed a family member to demand that a very ill person (who doesn't known they're ill, and may not believe that their parent is their parent) receive supervised treatment in the community. Currently, the LPS additions to the Welfare and Institutions Code actually prevent adequate care. We've made a costly mess of how people with neurological disorders receive health care, often with tragic results. Improving the law could also reduce the number of what the press loves to call "rampage" killings.

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  • Denise Marie SiinoNovember 14, 2012 - 8:26 am

    Catherine, Thank you for your comment. I intend to address Laura's Law and what families can do at a future time, as they are equally important topics.

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  • Jim RiordanNovember 15, 2012 - 10:30 am

    Denise, Please let us not forget that our Deputies’ sworn duty is to protect our citizens. While I feel sorry for those folks who have mental disorders I believe you must take into consideration the fact that law enforcement in many cases, perhaps a majority, face hostile encounters especially where weapons are involved, in which immediate action is, perhaps rightfully, considered the only response to avoid a greater escalation of violence or increased chance of injury to innocent persons. Further, your scenario describes situations wherein there is a close enough encounter with a mentally ill person to be able to communicate or observe odd behavior suggesting mental disorders. I may be wrong but in the cited Mies case, I do not recall our Deputies having the chance to get close enough to communicate or observe actions of the shooter such that they could tell the difference between mental illness or pure armed hostility. I understand both sides of that picture and am grateful that our local law enforcement Deputies volunteer to put themselves in harm’s way on our behalf. I also agree with Catherine's point that families who KNOW they have persons with mental disorders, should make a public record of that, such that Law enforcement on their way to an address or potential crime scene could be alerted, in advance, while enroute.

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  • Levy WalkerNovember 15, 2012 - 11:05 am

    Hey Jim, Is that you on the catheter TV commercial? I think I've probably seen it about 500 times on MSNBC. You must be doing well with the royalties.

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  • CatherineNovember 15, 2012 - 12:29 pm

    The thing is, Jim, if a person in your family has a serious psychosis disorder, and falls into the 50% of people who have lost the neurological ability to know they're ill, plus the very small percentage of ill people who become violent, legally the family is left completely vulnerable. The police won't intervene until there is actually danger, as in knives, guns drawn, bludgeoning in progress, etc., and that danger can arise cometely unexpectedly. We need laws that allow family to go to a civil court and say, my family member is ill and needs supervised medical care. Right now, this can't be done against an ill person's wishes. Everyone should support implementation of Laura's Law, AB1421, in the county, as this allows for early intervention. When a person is delusional, they are absolutely incapable of being responsible for their actions, and we currently treat mad dogs better than neurologically impaired humans.

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  • Tail Wags The DogNovember 15, 2012 - 5:41 pm

    I ran across a You Tube Video that has a striking resemblance to the above article.

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  • Johnny RebbNovember 15, 2012 - 11:32 pm

    ^^^ Bwahahaha!! That's classic!

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