Kentucky Statutes 210.365 – Crisis intervention team (CIT) training for firefighters and law enforcement officers — Curriculum — Individual and aggregate reports — Telephonic behavioral health jail triage system
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(1) As used in this section:
(a) “Commission” means the Kentucky Fire Commission;
(b) “Crisis intervention team (CIT) training” means a forty (40) hour training curriculum based on the Memphis Police Department Crisis Intervention Team model of best practices for law enforcement intervention with persons who may have a mental illness, substance use disorder, an intellectual disability, developmental disability, or dual diagnosis that meets the requirements of subsections (2) to (5) of this section and is approved by the commission and the Kentucky Law Enforcement Council;
(c) “Department” means the Department for Behavioral Health, Developmental and Intellectual Disabilities;
(d) “Prisoner” has the same meaning as set out in KRS § 441.005; and
(e) “Qualified mental health professional” has the same meaning as set out in
KRS § 202A.011.
(2) The department shall, in collaboration with the commission, Justice and Public Safety Cabinet, the regional community boards for mental health or individuals with an intellectual disability, and representatives of the Kentucky statewide affiliate of the National Alliance on Mental Illness, coordinate the development of CIT training designed to train firefighters and law enforcement officers to:
(a) Effectively respond to persons who may have a mental illness, substance use disorder, intellectual disability, developmental disability, or dual diagnosis;
(b) Reduce injuries to firefighters, officers, and citizens; (c) Reduce inappropriate incarceration;
(d) Reduce liability; and
(e) Improve risk management practices for firefighter and law enforcement agencies.
(3) The CIT training shall include but not be limited to: (a) An introduction to crisis intervention teams;
(b) Identification and recognition of the different types of mental illnesses, substance use disorders, intellectual disabilities, developmental disabilities, and dual diagnoses;
(c) Interviewing and assessing a person who may have a mental illness, substance use disorder, intellectual disability, developmental disability, or dual diagnosis;
(d) Identification and common effects of psychotropic medications; (e) Suicide prevention techniques;
(f) Community resources and options for treatment;
(g) Voluntary and involuntary processes for hospitalization of a person with a mental illness, substance use disorder, intellectual disability, developmental
disability, or dual diagnosis; and
(h) Hostage or other negotiations with a person with a mental illness, intellectual disability, substance use disorder, developmental disability, or dual diagnosis.
(4) The curriculum shall be presented by a team composed of, at a minimum:
(a) A firefighter, firefighter personnel training instructor, or a law enforcement training instructor who has completed a forty (40) hour CIT training course and a CIT training instructor’s course which has been approved by the commission or the Kentucky Law Enforcement Council, and at least forty (40) hours of direct experience working with a CIT;
(b) A representative from the local community board for mental health or individuals with an intellectual disability serving the region where CIT training is conducted;
(c) A consumer of mental health services; and
(d) A representative of the Kentucky statewide affiliate of the National Alliance on Mental Illness.
(5) (a) The department shall submit the CIT training curriculum and the names of available instructors approved by the department to conduct or assist in the delivery of CIT training to the commission or Kentucky Law Enforcement Council no later than July 1, 2021.
(b) The commission or Kentucky Law Enforcement Council shall notify the department of approval or disapproval of the CIT training curriculum and trainers within thirty (30) days of submission of the curriculum and the names of instructors.
(c) The commission or Kentucky Law Enforcement Council may waive instructor requirements for non-firefighter trainers or non-law enforcement trainers whose names are submitted by the department.
(d) If the curriculum or trainers are not approved, the department shall have an opportunity to revise and resubmit the curriculum and to submit additional names of instructors if necessary.
(6) If the curriculum is approved, the commission or Kentucky Law Enforcement
Council shall:
(a) Notify all agencies employing firefighters, as defined in KRS § 61.315(1)(b), of the availability of the CIT training;
(b) Notify the Department of Kentucky State Police and all law enforcement agencies employing peace officers certified under KRS § 15.380 to KRS § 15.404 of the availability of the CIT training; and
(c) Notify all instructors and entities approved for firefighter or law enforcement training under KRS § 15.330 and 95A.040 of the availability of the CIT training.
(7) Any firefighter training entity or law enforcement training entity approved by the commission or Kentucky Law Enforcement Council may use the CIT training model and curriculum in firefighter or law enforcement in-service training as specified by subsection (1) of this section that is consistent with the Memphis CIT
national model for best practices.
(8) No later than one (1) year after June 26, 2021, the department shall submit to the commission and Kentucky Law Enforcement Council a CIT training instructors’ curriculum and the names of available instructors approved by the department to conduct or assist in the delivery of CIT training instructors’ training. Additional instructors may be submitted on a schedule determined by the commission or Kentucky Law Enforcement Council.
(9) All CIT-trained firefighters and law enforcement officers shall report to his or her agency on forms provided with the CIT curriculum on encounters with persons with mental illness, substance use disorders, intellectual disabilities, developmental disabilities, and dual diagnoses. The firefighter and law enforcement agencies shall aggregate reports received and submit nonidentifying information to the department on a monthly basis. Except for information pertaining to the number of firefighter or law enforcement agencies participating in CIT training, the reports to the department shall include the information specified in subsection (10) of this section.
(10) The department shall aggregate all reports from firefighter or law enforcement agencies under subsection (9) of this section and submit nonidentifying statewide information to the Justice and Public Safety Cabinet, the Criminal Justice Council, the Cabinet for Health and Family Services, and the Interim Joint Committee on Health Services by December 1, 2008, and annually thereafter. The report shall include but not be limited to:
(a) The number of firefighters or law enforcement officers trained per agency;
(b) Firefighter or law enforcement responses to persons with mental illness, substance use disorders, intellectual disabilities, developmental disabilities, and dual diagnoses;
(c) Incidents of harm to the firefighter or law enforcement officer or to the citizen;
(d) The number of times physical force was required and the type of physical force used; and
(e) The outcome of the encounters that may include but not be limited to incarceration or hospitalization.
(11) To implement the requirements of subsections (2) to (5) and (8) to (10) of this section, the department may use public or private funds as available and may develop a contract with a nonprofit entity that is a Kentucky statewide mental health advocacy organization that has a minimum of five (5) years of experience in implementation of the CIT training program in Kentucky.
(12) The Cabinet for Health and Family Services shall create a telephonic behavioral health jail triage system to screen prisoners for mental health risk issues, including suicide risk. The triage system shall be designed to give the facility receiving and housing the prisoner an assessment of his or her mental health risk, with the assessment corresponding to recommended protocols for housing, supervision, and care which are designed to mitigate the mental health risks identified by the system. The triage system shall consist of:
(a) A screening instrument which the personnel of a facility receiving a prisoner
shall utilize to assess inmates for mental health, suicide, intellectual disabilities, and acquired brain injury risk factors; and
(b) A continuously available toll-free telephonic triage hotline staffed by a qualified mental health professional which the screening personnel may utilize if the screening instrument indicates an increased mental health risk for the assessed prisoner.
(13) In creating and maintaining the telephonic behavioral health jail triage system, the cabinet shall consult with:
(a) The Department of Corrections;
(b) The Kentucky Jailers Association; and
(c) The regional community services programs for mental health or individuals with an intellectual disability created under KRS § 210.370 to KRS § 210.460.
(14) The cabinet may delegate all or a portion of the operational responsibility for the triage system to the regional community services programs for mental health or individuals with an intellectual disability created under KRS § 210.370 to KRS § 210.460 if the regional program agrees and the cabinet remains responsible for the costs of delegated functions.
(15) The cabinet shall design into the implemented triage system the ability to screen and assess prisoners who communicate other than in English or who communicate other than through voice.
(16) The cost of operating the telephonic behavioral health jail triage system shall be borne by the cabinet.
(17) Records generated under this section shall be treated in the same manner and with the same degree of confidentiality as other medical records of the prisoner.
(18) Unless the prisoner is provided with an attorney during the screening and assessment, any statement made by the prisoner in the course of the screening or assessment shall not be admissible in a criminal trial of the prisoner, unless the trial is for a crime committed during the screening and assessment.
(19) The cabinet may, after consultation with those entities set out in subsection (13) of this section, promulgate administrative regulations for the operation of the telephonic behavioral health jail triage system and the establishment of its recommended protocols for prisoner housing, supervision, and care.
Effective: June 29, 2023
History: Amended 2023 Ky. Acts ch. 25, sec. 18, effective June 29, 2023. — Amended
2021 Ky. Acts ch. 114, sec. 1, effective June 29, 2021. — Amended 2019 Ky. Acts ch. 128, sec. 3, effective June 27, 2019. — Amended 2012 Ky. Acts ch. 146, sec. 75, effective July 12, 2012; and ch. 158, sec. 37, effective July 12, 2012. — Amended
2007 Ky. Acts ch. 49, sec. 1, effective June 26, 2007. — Amended 2005 Ky. Acts ch.
99, sec. 326, effective June 20, 2005. — Created 2004 Ky. Acts ch. 137, sec. 2, effective July 13, 2004.
Legislative Research Commission Note (6/26/2007). 2007 Ky. Acts ch. 85, sec. 335, instructs the Reviser of Statutes to correct statutory references to agencies and officers whose names have been changed in the Act, as it confirms the reorganization of the Justice and Public Safety Cabinet. Such a correction has been made in this section.
Legislative Research Commission Note (6/26/2007). Under the authority of KRS
7.136(1), the Reviser of Statutes in codification has changed the internal numbering system of subsection (2) of this statute. The meaning of the text was not altered.
(a) “Commission” means the Kentucky Fire Commission;
Terms Used In Kentucky Statutes 210.365
- Attorney: means attorney-at-law. See Kentucky Statutes 446.010
- Cabinet: means the Cabinet for Health and Family Services. See Kentucky Statutes 210.005
- Contract: A legal written agreement that becomes binding when signed.
- Joint committee: Committees including membership from both houses of teh legislature. Joint committees are usually established with narrow jurisdictions and normally lack authority to report legislation.
- State: when applied to a part of the United States, includes territories, outlying possessions, and the District of Columbia. See Kentucky Statutes 446.010
- Statute: A law passed by a legislature.
- Treatment: when used in a criminal justice context, means targeted interventions
that focus on criminal risk factors in order to reduce the likelihood of criminal behavior. See Kentucky Statutes 446.010 - Trial: A hearing that takes place when the defendant pleads "not guilty" and witnesses are required to come to court to give evidence.
- Year: means calendar year. See Kentucky Statutes 446.010
(b) “Crisis intervention team (CIT) training” means a forty (40) hour training curriculum based on the Memphis Police Department Crisis Intervention Team model of best practices for law enforcement intervention with persons who may have a mental illness, substance use disorder, an intellectual disability, developmental disability, or dual diagnosis that meets the requirements of subsections (2) to (5) of this section and is approved by the commission and the Kentucky Law Enforcement Council;
(c) “Department” means the Department for Behavioral Health, Developmental and Intellectual Disabilities;
(d) “Prisoner” has the same meaning as set out in KRS § 441.005; and
(e) “Qualified mental health professional” has the same meaning as set out in
KRS § 202A.011.
(2) The department shall, in collaboration with the commission, Justice and Public Safety Cabinet, the regional community boards for mental health or individuals with an intellectual disability, and representatives of the Kentucky statewide affiliate of the National Alliance on Mental Illness, coordinate the development of CIT training designed to train firefighters and law enforcement officers to:
(a) Effectively respond to persons who may have a mental illness, substance use disorder, intellectual disability, developmental disability, or dual diagnosis;
(b) Reduce injuries to firefighters, officers, and citizens; (c) Reduce inappropriate incarceration;
(d) Reduce liability; and
(e) Improve risk management practices for firefighter and law enforcement agencies.
(3) The CIT training shall include but not be limited to: (a) An introduction to crisis intervention teams;
(b) Identification and recognition of the different types of mental illnesses, substance use disorders, intellectual disabilities, developmental disabilities, and dual diagnoses;
(c) Interviewing and assessing a person who may have a mental illness, substance use disorder, intellectual disability, developmental disability, or dual diagnosis;
(d) Identification and common effects of psychotropic medications; (e) Suicide prevention techniques;
(f) Community resources and options for treatment;
(g) Voluntary and involuntary processes for hospitalization of a person with a mental illness, substance use disorder, intellectual disability, developmental
disability, or dual diagnosis; and
(h) Hostage or other negotiations with a person with a mental illness, intellectual disability, substance use disorder, developmental disability, or dual diagnosis.
(4) The curriculum shall be presented by a team composed of, at a minimum:
(a) A firefighter, firefighter personnel training instructor, or a law enforcement training instructor who has completed a forty (40) hour CIT training course and a CIT training instructor’s course which has been approved by the commission or the Kentucky Law Enforcement Council, and at least forty (40) hours of direct experience working with a CIT;
(b) A representative from the local community board for mental health or individuals with an intellectual disability serving the region where CIT training is conducted;
(c) A consumer of mental health services; and
(d) A representative of the Kentucky statewide affiliate of the National Alliance on Mental Illness.
(5) (a) The department shall submit the CIT training curriculum and the names of available instructors approved by the department to conduct or assist in the delivery of CIT training to the commission or Kentucky Law Enforcement Council no later than July 1, 2021.
(b) The commission or Kentucky Law Enforcement Council shall notify the department of approval or disapproval of the CIT training curriculum and trainers within thirty (30) days of submission of the curriculum and the names of instructors.
(c) The commission or Kentucky Law Enforcement Council may waive instructor requirements for non-firefighter trainers or non-law enforcement trainers whose names are submitted by the department.
(d) If the curriculum or trainers are not approved, the department shall have an opportunity to revise and resubmit the curriculum and to submit additional names of instructors if necessary.
(6) If the curriculum is approved, the commission or Kentucky Law Enforcement
Council shall:
(a) Notify all agencies employing firefighters, as defined in KRS § 61.315(1)(b), of the availability of the CIT training;
(b) Notify the Department of Kentucky State Police and all law enforcement agencies employing peace officers certified under KRS § 15.380 to KRS § 15.404 of the availability of the CIT training; and
(c) Notify all instructors and entities approved for firefighter or law enforcement training under KRS § 15.330 and 95A.040 of the availability of the CIT training.
(7) Any firefighter training entity or law enforcement training entity approved by the commission or Kentucky Law Enforcement Council may use the CIT training model and curriculum in firefighter or law enforcement in-service training as specified by subsection (1) of this section that is consistent with the Memphis CIT
national model for best practices.
(8) No later than one (1) year after June 26, 2021, the department shall submit to the commission and Kentucky Law Enforcement Council a CIT training instructors’ curriculum and the names of available instructors approved by the department to conduct or assist in the delivery of CIT training instructors’ training. Additional instructors may be submitted on a schedule determined by the commission or Kentucky Law Enforcement Council.
(9) All CIT-trained firefighters and law enforcement officers shall report to his or her agency on forms provided with the CIT curriculum on encounters with persons with mental illness, substance use disorders, intellectual disabilities, developmental disabilities, and dual diagnoses. The firefighter and law enforcement agencies shall aggregate reports received and submit nonidentifying information to the department on a monthly basis. Except for information pertaining to the number of firefighter or law enforcement agencies participating in CIT training, the reports to the department shall include the information specified in subsection (10) of this section.
(10) The department shall aggregate all reports from firefighter or law enforcement agencies under subsection (9) of this section and submit nonidentifying statewide information to the Justice and Public Safety Cabinet, the Criminal Justice Council, the Cabinet for Health and Family Services, and the Interim Joint Committee on Health Services by December 1, 2008, and annually thereafter. The report shall include but not be limited to:
(a) The number of firefighters or law enforcement officers trained per agency;
(b) Firefighter or law enforcement responses to persons with mental illness, substance use disorders, intellectual disabilities, developmental disabilities, and dual diagnoses;
(c) Incidents of harm to the firefighter or law enforcement officer or to the citizen;
(d) The number of times physical force was required and the type of physical force used; and
(e) The outcome of the encounters that may include but not be limited to incarceration or hospitalization.
(11) To implement the requirements of subsections (2) to (5) and (8) to (10) of this section, the department may use public or private funds as available and may develop a contract with a nonprofit entity that is a Kentucky statewide mental health advocacy organization that has a minimum of five (5) years of experience in implementation of the CIT training program in Kentucky.
(12) The Cabinet for Health and Family Services shall create a telephonic behavioral health jail triage system to screen prisoners for mental health risk issues, including suicide risk. The triage system shall be designed to give the facility receiving and housing the prisoner an assessment of his or her mental health risk, with the assessment corresponding to recommended protocols for housing, supervision, and care which are designed to mitigate the mental health risks identified by the system. The triage system shall consist of:
(a) A screening instrument which the personnel of a facility receiving a prisoner
shall utilize to assess inmates for mental health, suicide, intellectual disabilities, and acquired brain injury risk factors; and
(b) A continuously available toll-free telephonic triage hotline staffed by a qualified mental health professional which the screening personnel may utilize if the screening instrument indicates an increased mental health risk for the assessed prisoner.
(13) In creating and maintaining the telephonic behavioral health jail triage system, the cabinet shall consult with:
(a) The Department of Corrections;
(b) The Kentucky Jailers Association; and
(c) The regional community services programs for mental health or individuals with an intellectual disability created under KRS § 210.370 to KRS § 210.460.
(14) The cabinet may delegate all or a portion of the operational responsibility for the triage system to the regional community services programs for mental health or individuals with an intellectual disability created under KRS § 210.370 to KRS § 210.460 if the regional program agrees and the cabinet remains responsible for the costs of delegated functions.
(15) The cabinet shall design into the implemented triage system the ability to screen and assess prisoners who communicate other than in English or who communicate other than through voice.
(16) The cost of operating the telephonic behavioral health jail triage system shall be borne by the cabinet.
(17) Records generated under this section shall be treated in the same manner and with the same degree of confidentiality as other medical records of the prisoner.
(18) Unless the prisoner is provided with an attorney during the screening and assessment, any statement made by the prisoner in the course of the screening or assessment shall not be admissible in a criminal trial of the prisoner, unless the trial is for a crime committed during the screening and assessment.
(19) The cabinet may, after consultation with those entities set out in subsection (13) of this section, promulgate administrative regulations for the operation of the telephonic behavioral health jail triage system and the establishment of its recommended protocols for prisoner housing, supervision, and care.
Effective: June 29, 2023
History: Amended 2023 Ky. Acts ch. 25, sec. 18, effective June 29, 2023. — Amended
2021 Ky. Acts ch. 114, sec. 1, effective June 29, 2021. — Amended 2019 Ky. Acts ch. 128, sec. 3, effective June 27, 2019. — Amended 2012 Ky. Acts ch. 146, sec. 75, effective July 12, 2012; and ch. 158, sec. 37, effective July 12, 2012. — Amended
2007 Ky. Acts ch. 49, sec. 1, effective June 26, 2007. — Amended 2005 Ky. Acts ch.
99, sec. 326, effective June 20, 2005. — Created 2004 Ky. Acts ch. 137, sec. 2, effective July 13, 2004.
Legislative Research Commission Note (6/26/2007). 2007 Ky. Acts ch. 85, sec. 335, instructs the Reviser of Statutes to correct statutory references to agencies and officers whose names have been changed in the Act, as it confirms the reorganization of the Justice and Public Safety Cabinet. Such a correction has been made in this section.
Legislative Research Commission Note (6/26/2007). Under the authority of KRS
7.136(1), the Reviser of Statutes in codification has changed the internal numbering system of subsection (2) of this statute. The meaning of the text was not altered.