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Tactical Psychiatry

Tactical Psychiatry. Nils Rosenbaum, MD Matthew Tinney, Detective Albuquerque Police Department Crisis Intervention Team. Objectives . APD’s CIT Structure Case Examples Benefits Obstacles Productive Communications Misconceptions Safety and Tactics. Albuquerque.

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Tactical Psychiatry

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  1. Tactical Psychiatry Nils Rosenbaum, MD Matthew Tinney, Detective Albuquerque Police Department Crisis Intervention Team

  2. Objectives • APD’s CIT Structure • Case Examples • Benefits • Obstacles • Productive Communications • Misconceptions • Safety and Tactics

  3. Albuquerque • Largest City in New Mexico • Population 545,852 • Metro Area 887,077 • 32nd Largest City in the US • International Balloon Fiesta

  4. APD CIT Structure • 1046 Officers • 125 CIT Fields Officers • 6 Crisis Specialist- Civilian • 6 CIT Detectives • 1 CIT Sergeant • 1 CIT Lieutenant • 1 Psychiatrist

  5. Case Example • “King of All Doctors” • 35 Year Old Caucasian Male • Homeless and Flight Risk • Found at UNM • Paranoid • Persistence • Assistance

  6. Benefits to the Community • 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

  7. Benefits to the Mental Health Profession • Direct line to police • Translator • Peace of mind and direct follow up • Credible on site evaluations -APS -Social Services -Hospitals • Education

  8. Benefits to Law Enforcement • Expert Opinion • Translator • Credibility • Public Relations • Pick Up Orders • Education • Direct Line to Mental Health

  9. Obstacles • No position existed • Volunteering • Departmental vision • Position Funding • Stigma • HIPAA

  10. Case Example • “Whispering Winds” • 28 Year Old Hispanic Female • Conducting Surveillance on Strangers • Believed being followed • Ineffective doctor • Pattern of crisis tracking

  11. From Law Enforcement to Health Care Providers • 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

  12. From Health Care Professionals to Law Enforcement • 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

  13. Example • Staffing cases with each other

  14. 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

  15. Safety and Tactics • Radio communication • 10 Code • Safety distances • Safe places to stand • Objects in hands

  16. Case Example • “Jumper” • 26 Year Old Male • Stabbed Throat and Jumped • Psychotic • Substance abuser • Report and follow up

  17. Questions? • Nils Rosenbaum, MD narmd123@gmail.com • Matthew Tinney, Detective MTinney@cabq.gov • Albuquerque Police Department Crisis Intervention Team

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