Offic e r I nvo lve d Bla c k live s ma tte r, Blue live s ma tte - PDF document

APNA 30th Annual Conference Session 3046: October 21, 2016 Assumptio ns  T his to pic c a n b ring up a lo t o f e mo tio ns Offic e r I nvo lve d  Bla c k live s ma tte r, Blue live s ma tte r, All live s ma tte r  Altho ug h the va st ma jo rity o f o ffic e rs a re we ll Sho o ting s—Why so inte ntio ne d , a s with a ny pro fe ssio n (inc luding nursing ) the re a re so me pe o ple who do no t b e ha ve pro fe ssio na lly a nd the y ne e d to b e a c c o unta b le fo r the ir ma ny? b e ha vio r—I do no t se e k to c o ndo ne the ir b e ha vio r  Unive rsa l pre c a utio ns—a ssume e ve ryo ne ha s b e e n e xpo se d to tra uma in life a nd tha t it impa c ts de c isio n DR NI NA BE AMAN ma king (tra uma info rme d c a re ) CO-CHAI R F ORE NSI C ST E E RI NG COMMI T T E E  Psyc hia tric me nta l he a lth nurse s c a n ma ke a diffe re nc e with this issue Disc lo sure s Me tho d  I  No c o nflic t o f inte re st to re po rt nte rvie we d o ffic e rs a nd fo rme r o ffic e rs to a sk the m if the y ha d b e e n a b le to b e he re , wha t wo uld the y ha ve wa nte d yo u to kno w in o rde r to unde rsta nd the issue o f o ffic e r invo lve d sho o ting s.  Ca se studie s will b e use d to  I will pre se nt b a c kg ro und re se a rc h  We will b re a k into g ro ups to b ra insto rm stimula te tho ug ht a nd disc ussio n  Re po rt b a c k with pro po se d so lutio ns a nd a re no t a n a tte mpt to dia g no se o r pro po se tre a tme nt T he re a l he ro e s a t T ime Sq ua re Ob je c tive s Pho to c o urte sy o f Dig na Ve ra  1. Afte r a tte nding the inte ra c tive se ssio n, pa rtic ipa nts will b e a b le to use e vide nc e to ide ntify wa ys to re duc e o ffic e r invo lve d sho o ting s, suppo rt o ffic e rs a nd fa milie s a fte r OI S, a nd impro ve c o mmunity me nta l he a lth a fte r OI S.  2. Pa rtic ipa nts will b e a b le to use c a se studie s to ide ntify wa ys to re duc e o ffic e r invo lve d sho o ting s, suppo rt o ffic e rs a nd fa milie s a fte r OI S, a nd impro ve c o mmunity me nta l he a lth a fte r OI S.  3. I de ntify b e st pra c tic e s a nd a c tivitie s to impro ve re la tio nships b e twe e n o ffic e rs a nd c o mmunitie s the y se rve , to impro ve o ve ra ll c o mmunity me nta l he a lth. Beaman 1

APNA 30th Annual Conference Session 3046: October 21, 2016 Whic h inc ide nts c o me to mind Why so ma ny? whe n I sa y  Offic e r I nvo lve d Sho o ting s? L e t’ s lo o k a t Ba it a nd T a c kle 1991-2013 a c c o rding to F BI in USA Sc e na rio in L o uisia na T o da y (OI S da ta OI S no t g a the re d we ll)  Ca st: “Ho me le ss ma n with c e llpho ne ,” ma n fa milia r to pe o ple in tha t c o mmunity fo r se lling CDs o utside sto re , two re spo nding o ffic e rs  Sc e na rio : Pho ne c a ll “He pulle d g un o n me ? ” = b ra ndishing a fire a rm, Re sisting a rre st, Wre stle d to the g ro und , Gun e xpo se d in so me wa y, Sho t b y o ffic e r  Disc ussio n: Ho w c o uld we ha ve he lpe d c ha ng e o utc o me ? Da lla s Why so ma ny? DOJ e stima te s 400 OI S a nnua lly (O’ L e a ry, 2015)  Ca st: Pe o ple ma rc hing , ve te ra n with g un, po lic e o ffic e rs  T ha t is no t so ma ny whe n yo u c o nside r-- 40 millio n pe o ple ha ve e nc o unte rs with la w e nfo rc e me nt a nnua lly  With le ss tha n 2% invo lving fo rc e re la te d inc ide nt like  Sc e na rio : Pe o ple ma rc hing to pro te st pre vio us sc e na rio re stra int, ha ndc uffs, o r e ve n ve rb a l thre a ting a nd o the rs, so me with a uto ma tic we a po ns, g a s ma sks,  0.0001% will b e invo lve d in a fo rc e -re la te d inc ide nt tha t a nd b ulle t pro o f ve sts; Arme d snipe r to o k a dva nta g e o f la rg e po lic e pre se nc e to sho o t po lic e o ffic e rs a nd re sults in de a dly fo rc e c ro wd. Snipe r c o rne re d a nd kille d b y b o mb o n ro b o t.  (L a nd e rs, 2015).  Ho we ve r, if it is yo u o r a lo ve d o ne invo lve d , it is o ne to o  Ho w c o uld we he lp the m? ma ny! Beaman 2

APNA 30th Annual Conference Session 3046: October 21, 2016 Mo st like ly vic tims? Also  Gra ha m vs. Co nno r (1989) SCOT US No t 20/ 20 hindsig ht.  Ca n yo u g ue ss the mo st c o mmo n Re a so na b le ne ss o f o ffic e r o n the sc e ne a t the time re c ipie nts o f o ffic e r invo lve d  Suppo rts o ffic e rs who ma ke split se c o nd de c isio ns a c ting in g o o d fa ith witho ut ma lic io us o r sa distic inte nt to c a use sho ts? ha rm, a tte mpting to ma inta in o r re sto re o rde r, a nd who we re justifie d in the ir a c tio ns Ma n’ s b e st frie nd—(Bla ne y, 2014) Do the y wa nt to sho o t? Do g is Bo b o Be a ma n in Ha wa ii 5 Bo b o o utfit Pho to c o urte sy o f Nina Be a ma n  Se pa ra te d fro m b uddie s, c a nno t b e with lo ve d o ne s  We a po n ta ke n a wa y, fe e l strippe d / c a stra te d (Jo ne s, 1989) o f the ir pro fe ssio na l ide ntity  I so la te d a lo ne in a ro o m with a pa pe r a nd pe nc il  Se c o nd g ue ssing -F e e ling s tha t will b e re prima nde d , suspe nde d , fire d, o r e ve n trie d a nd se nt to ja il  Mo ra l se lf-q ue stio ning --Do no t fe e l like a he ro , do no t fe e l like a c o mmunity se rva nt, fe e l like a kille r. L e t’ s lo o k a t the L a ws Do the y wa nt to sho o t?  F  T e nne sse e v. Ga rne r (1985) SCOT US Must b e thre a t a tig ue o fte n pre c ipita te s (Bla ke & Cume lla , 2014). Give n nic o tine a nd c a ffe ine to stimula te .  “T he use o f de a dly fo rc e to pre ve nt the e sc a pe o f  Physic a l sympto ms c a n inc lude invo lunta ry urina tio n a nd fle e ing misde me a na nts a nd no n-da ng e ro us fle e ing de fe c a tio n, c rying , b lurre d visio n, spe e c h impa irme nt, fe lo ns vio la te d the Co nstitutio n a nd wa s unre a so na b le dizzine ss, tre mo rs, n/ v, ha lluc ina tio ns. Ma y no t re a lize d b ut “Whe re the o ffic e r ha s pro b a b ly c a use to b e lie ve wo unds (Jo ne s, 1989). tha t the suspe c t po se s a thre a t o f se rio us physic a l ha rm,  No te the ANA c a lle d in Ja nua ry 2017 fo r pe e r suppo rt e ithe r to the o ffic e r o r to o the rs, it is no t c o nstitutio na lly a fte r a dve rse o r stre ss-pro duc ing e ve nts—the y do no t unre a so na b le to pre ve nt e sc a pe b y using de a dly fo rc e .. a lwa ys g e t this. (T ro utma n, 2016). . And if, whe re fe a sib le , so me wa rning ha s b e e n g ive n. “  T he se inc ide nts a re tra uma pro duc ing in a nd o f the mse lve s Beaman 3

APNA 30th Annual Conference Session 3046: October 21, 2016 T he OI S Re po rt T o da y we will b e lo o king a t 3  Me mo ry ve ry fo c use d during hig h stre ss e ve nt, tunne l q ue stio ns visio n  T he y re me mb e r o nly wha t the y a re pa ying a tte ntio n to ,  1. Wha t c a n psyc hia tric nurse s do to PRE VE NT OI S? we a po n po ints to wha t the y a re fo c using o n (Ga vin,  2. Wha t c a n psyc hia tric nurse s do to CARE F OR a n 2008). o ffic e r o f the fa mily a fte r OI S? (o the r o ffic e rs ma y b e  Ba se d o n pa st e xpe rie nc e s inste a d o f a c o nsc io us c o nside re d “fa mily”) a ppra isa l o f e ve nts, intuitive a nd ho listic inste a d o f  3. Wha t c a n psyc hia tric nurse s do to COL L ABORAT E with a na lytic a nd lo g ic a l, time disto rtio n, no t a “fla wle ss o ffic e rs to he lp the c o mmunity re c o ve r fro m a n OI S? vide o ta pe ” (Artwo hl, 2002).  By wa iting a minimum o f 24 ho urs, up to 72 ho urs until c o nduc ting a n inte rvie w inve stig a to rs will ha ve a n ide a o f wha t a c tua lly ha ppe ne d , b a se d o n o the r witne ss sta te me nts, a s we ll a s c a n ha ve c o nduc te d a wa lkthro ug h o f the sc e ne . Afte r-e ffe c ts T o inc lude o ffic e r’ s pe rspe c tive , I inte rvie we d a b o ut the se q ue stio ns  “T he me dia is no t a no n-pro fit o rg a niza tio n”  Withdra w fro m spo use to pro te c t him o r he r—ma y b e  Prima ry Pre ve ntio n inte rpre te d inc o rre c tly a s la c k o f lo ve  Se c o nda ry Pre ve ntio n  De nia l, so c ia l withdra wa l, survivo r’ s g uilt, impa ire d  T e rtia ry Pre ve ntio n me mo ry o r c o nc e ntra tio n, ina b ility to ha ndle re minde rs o f the sho o ting , se lf-punishme nt, g uilt, fe a r o f future inc ide nts, a vo ida nc e o f the sc e ne , wa king fla shb a c ks, ulc e rs, sub sta nc e a b use , ina b ility to to le ra te no ise , c hro nic te nsio n, e tc .  Mig ht le a d to thrill-se e king b e ha vio rs  (Jo ne s, 1989). Mo st stre ssful e ve nts fo r o ffic e rs So me issue s—Prima ry Pre ve ntio n  1. Vio le nt de a th o f pa rtne r in line o f duty  2. Dismissa l  3. T a king a life in the line o f duty  E xc ite d de lirium—10% re sult in de a th in  4. Sho o ting so me o ne in the line o f duty c usto dy (Da vis, 2012).  5. Suic ide o f a n o ffic e r in the line o f duty  Our pa tie nts do no t a c t pre dic ta b ly  6. Vio le nt de a th o f a no the r o ffic e r in the line o f duty  (Da vis, 2012). 2(Da 012)..  7. Murde r c o mmitte d b y a po lic e o ffic e r  8. Duty-re la te d vio le nt injury (sho o ting )  9. Vio le nt jo b -re la te d injury to a no the r o ffic e r  10. Suspe nsio n  Se we ll (1981) Beaman 4