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
Albuquerque Police Department
Crisis Intervention Team