Tactical Psychiatry - CIT International Conference

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Tactical Psychiatry
Nils Rosenbaum, MD
Matthew Tinney, Detective
Albuquerque Police Department
Crisis Intervention Team
Objectives
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APD’s CIT Structure
Case Examples
Benefits
Obstacles
Productive Communications
Misconceptions
Safety and Tactics
Albuquerque
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Largest City in New Mexico
Population 545,852
Metro Area 887,077
32nd Largest City in the US
International Balloon Fiesta
APD CIT Structure
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1046 Officers
125 CIT Fields Officers
6 Crisis Specialist- Civilian
6 CIT Detectives
1 CIT Sergeant
1 CIT Lieutenant
1 Psychiatrist
Case Example
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“King of All Doctors”
35 Year Old Caucasian Male
Homeless and Flight Risk
Found at UNM
Paranoid
Persistence
Assistance
Benefits to the Community
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Psychiatric home evaluations
Direct line for families
Education to families and the community
Unencumbered communication between
families and mental health providers
 Informing Policy
 Less intimidating
Benefits to the Mental
Health Profession
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Direct line to police
Translator
Peace of mind and direct follow up
Credible on site evaluations
-APS
-Social Services
-Hospitals
 Education
Benefits to Law
Enforcement
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Expert Opinion
Translator
Credibility
Public Relations
Pick Up Orders
Education
Direct Line to Mental Health
Obstacles
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No position existed
Volunteering
Departmental vision
Position Funding
Stigma
HIPAA
Case Example
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“Whispering Winds”
28 Year Old Hispanic Female
Conducting Surveillance on Strangers
Believed being followed
Ineffective doctor
Pattern of crisis tracking
From Law Enforcement to
Health Care Providers
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Don’t give diagnosis
Give first hand knowledge
Don’t question medical decisions
Present witness/collateral information
Complete In-take forms, medical record
Don’t take things personally
Ask for their names
From Health Care
Professionals to Law
Enforcement
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Don’t use medical jargon
Avoid unnecessary language
Make sure what you say is understood
Don’t questions laws or procedures
Don’t say “Can’t you just arrest him”
Trust the information given
Example
 Staffing cases with each other
Misconceptions
No “wing shots”,weapons
Cops too lazy to take them to jail
How often we pull our weapons
Doctors don’t give shots
If LEO brings someone they will get
admitted
 Psychiatrist vs. Psychologist
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Safety and Tactics
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Radio communication
10 Code
Safety distances
Safe places to stand
Objects in hands
Case Example
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“Jumper”
26 Year Old Male
Stabbed Throat and Jumped
Psychotic
Substance abuser
Report and follow up
Questions?
• Nils Rosenbaum, MD
[email protected]
• Matthew Tinney, Detective
[email protected]
• Albuquerque Police Department
Crisis Intervention Team
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