Register for POLICING THE MENTALLY ILL

PUBLIC SAFETY ALLIANCE REGISTRATION FORM FOR:

POLICING THE MENTALLY ILL

Wednesday, April 28 - Thursday, April 29, 2021

0800 - 1700

Location: Chino Police Department

Directions: 5450 Guardian Way, Chino, CA 91710

Prerequisite: Students must be full-time or part-time peace officer, reserve, custody, corrections, probation or parole, or civilian acting under the umbrella of a law enforcement agency. One student per registration ONLY! NO certificates will be issued for "group" attendance without prior approval from Nick Ramos. Please contact Public Safety Alliance if you have questions.

Course Description: Our two-day course, develops an understanding of the multitude of mental illness categories from the National Alliance on Mental Illness, and places them into four response categories. This training easily allows students to employ the lessons learned here, into your agency's already established policies that protect the officer and the agency. This is a course NO ONE can miss!

As our student, you are trained to appropriately identify cues of mental illness and introduce risk-reduction methods to diffuse an often tense, or deadly situation. New techniques and considerations are learned when you enter the world of Post-Traumatic Stress Disorder and regarding response to trained combatants. You will also fine-tune your responses to alcohol or drug induced psychosis, and understand the "personal crisis" of suicide and suicide-by-cop. Other special modules include: OIS with the Mentally Ill, Managing the Madness, Mental Illness in Schools, and The winning Scenario. This tiered training concludes with over four hours of student participation during active-scene scenarios, where your responses are tested and refined.

Also added to this training package is PSA's Street Sheet, which provides an at-a-glance view of mental illness indicators, and a high/low risk evaluation and responses. You are also provided with categorized Active Listening responses, positive Reflecting/Mirroring postures, Encouragers and Diffusing drills.

Who Should Attend: Public servants who make "first contact" with our mentally ill community: First-line supervisors, Patrol Officers, Jail/Prison Officers, School Police, 911 Call Takers, Dispatchers, Social Services, and more...

Dress Code: Uniform, business casual or the uniform of the day.

Contacts: If you are running late to the course or have other problems or questions, please contact:
Director of Training, Nick Ramos
nickramos@trainPSA.org or (505) 573-9672
Office, at info@trainPSA.org

APPLICANT INFORMATION *required
Name will appear on certificate of completion
First Name: *

Last Name: *

Position/Title/Rank: *

Agency/Organization Name: *

State (2 characters e.g. TX): *

COMMENTS
Provide any specific information regarding registration

CONTACT INFORMATION
(for registration purposes only)
Phone Work: (include area code) *

Mobile Phone: (include area code)

Student E-mail: *

Alternate E-mail Address:*

TRAINING COORDINATOR / SUPERVISOR
Full Name

Phone:

Training Coordinator Email Address: (if applicable)
(Will receive copy of confirmation)

AFFILIATION INFORMATION*
Staff from an STC participating agency may attend this event at a
contracted rate. Please contact PSA to inquire about contracting options.

I am NOT an STC Member - $260

I am from an STC participating agency
PSA Association number IF assigned:
Note: NOT ALL AGENCIES ARE ASSIGNED AN
ASSOCIATION NUMBER.

TOTAL COST

Method of Payment:
Check / Pay at Door Credit / Debit Card

Credit / Debit Card Information (all fields required)

Card Type

Cardholder's First Name

Cardholder's Last Name

Credit Card Number

Exp Date
(e.g.: 05/2022)
Security Code

Cardholder's Billing Street Address

Billing City

Billing State
(2-digit state code)
Billing Zip Code

Billing Country
(2-character country code)

I AGREE TO THE FOLLOWING HOLD HARMLESS RELEASE AGREEMENT

I know that participation in some of the Public Safety Alliance projects can be potentially hazardous and I agree that my participation in this activity is entirely voluntary. I know I should not enter this activity unless I am medically able to participate and completing this PSA process attests that I am medically fit to participate.

I fully recognize and appreciate the dangers and hazards inherent in the activity, which I have had a full opportunity to investigate through any questions I wished to ask of the responsible person(s). I agree to assume all the risks and responsibilities arising out of my participation in the activity and any other activities undertaken as an adjunct thereto.
That in consideration of my participation in this activity, I hereby waive, release and forever discharge and agree to indemnify and hold harmless Public Safety Alliance and its trustees, officers, employees and agents, of and from any and all action, causes of action, suits, damages, claims and demands whatsoever, which the undersigned, may not have or may acquire arising from or in any way relating to the undersigned’s participation in the aforementioned event/activity.
I recognize and understand that Public Safety Alliance does not provide any Accident or Medical Insurance.
I have obtained the age of 18 and am legally competent to understand this document and agree to this release as my own free act.
I hereby consent to any publicity, including the use of my name and likeness, in connection with my participation in this activity for Public Safety Alliance publications.
I understand that Public Safety Alliance reserves the right to cancel or reschedule the course with no prior notification to students. Submitted registrations will be returned to the payee in full.
I have read and understand the terms of this Release and agree to all terms and conditions.

Your email provider MAY block any sender who is not in your address book/contact list. In order to ensure you receive your certificates, course materiel and course notifications add these addresses BEFORE registering: NickRamos@trainPSA.org; Info@trainPSA.org; Training@trainPSA.org