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

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

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

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

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

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

Obstacles No position existed Volunteering Departmental vision Position Funding Stigma HIPAA

Case Example “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 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 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

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

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

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