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? Download Fit, unfit or misfit? : how to perform fitness for duty evaluations in law enforcement professionalsFrom Charles C Thomas Pub Ltd

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Fit, unfit or misfit? : how to perform fitness for duty evaluations in law enforcement professionalsFrom Charles C Thomas Pub Ltd

Fit, unfit or misfit? : how to perform fitness for duty evaluations in law enforcement professionalsFrom Charles C Thomas Pub Ltd



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Fit, unfit or misfit? : how to perform fitness for duty evaluations in law enforcement professionalsFrom Charles C Thomas Pub Ltd

This book is the product of a decade of clinical practice, research, and collaboration with a variety of professionals. It presents an overall perspective on the reasons for performing FFD evaluations and understanding of the process, why such evaluations are performed and the expectations of the professionals conducting such evaluations. Stress in law enforcement personnel and the reasons why law enforcement professionals experience difficulty is explored. Common causes of unfit officers are examined, including major psychiatric syndromes, personality disorders, and interesting findings regarding family psychiatric history in officers found fit or unfit for duty. Many of the myriad of structured psychological tests that can be used in FFD evaluations are discussed. Medication issues in FFD evaluations are explored as well as the potential impact that medications may have on officers' fitness. Another section of the book explores police officers' expectations of mental health professionals and outlines stereotypes and expectations that law enforcement personnel have regarding mental health personnel. For evaluators, an understanding of the lack of information and misconceptions that officers have may assist them with interacting and educating officers and referring departments. Other sections consider gender and ethnic issues in hiring, stress, and FFD evaluations; duty death and the nature of the stress experienced by law enforcement personnel; police suicide and FFD; how to manage misfit officers; and legal considerations involved in the conduct of FFD evaluations. It is hoped that by reading this book, mental health professionals will be better able to understand and treat the difficulties that law enforcement professionals encounter in the performance of their hazardous and stressful public service. Law enforcement executives may also benefit from understanding how psychological experts determine fitness. In addition, to quote Deputy Chief Brian J. Wilson, 'It's very helpful to understand how police officers' gut instinct about these issues is supported by literature research.'

  • Sales Rank: #7025610 in Books
  • Published on: 2006-08-01
  • Original language: English
  • Dimensions: 10.00" h x 7.25" w x .75" l,
  • Binding: Hardcover
  • 259 pages

Most helpful customer reviews

6 of 8 people found the following review helpful.
Unfit. Thanks for Asking.
By Pen Name and That A
This book is appauling. I am litterally embarrassed that I belong to the same profession as the person who wrote it. Normally, I summarise a book and have a small section of criticism. In this book there was too little information to make it worthwhile to summarise. Below are a list of chapter headings and a list of some of the specific problems in each chapter. The biggest problem with the book was that it simply did not provide information to help with with writing a fitness for duty report. I spent a day reading this book and I want my day back.

I have not read other books on Amazon about fitness for duty evaluations of police officer, such as A Handbook for Psychological Fitness-For-Duty Evaluations in Law Enforcement. If you want to start to do examinations of police officers I can recommend Writing and Defending Your IME Report: The Comprehensive Guide and A Physician's Guide To Return To Work. These latter two books are so much better than Decker, that to make any comparison between them and Decker is grating to me.

1. Introduction to Fitness-for-Duty Evaluations in Law Enforcement Personnel
=========================================================
The cover of the book is unprofessional. The conclusion to the first chapter contains information that was not in the body of the chapter.

2. Stress in Law Enforcement Personnel: Sources and Manifestations
=================================================
Terms are introduced in this chapter but are not defined. They include compassion fatigue and duty death. The author takes not account of the fact that what someone thinks stresses them and what actually does stress them are not necessarily the same thing (Ref: Telling more than we can know. De Climente and Wilson, 1976). The author also puts random sentences with bold italics for no good reason. There is a typo on page 32, where the same sentence is repeated.

This chapter lacks the sophistication that authors such as Peter Cotton bring to the subject. Cotton, for example, considers morale and stress as two separate issues. The author also ignores the issue of anger at mistreatment exacerbating injury, and focuses only on causes of injury. This is in spite of attempting to address organizational stressors in this chapter.

The author states that 48% of retirements were related to back injury and 4% to psychological injury and notes (in bold italics) that "only 4 percent of disability retirement were related to psychological conditions." This ignores the relationship between back pain and psychological injury. I know this is a difficult topic, but that's not excuse for being simple minded when you write and entire book.

Officers who reported higher cynicism used more force: but cynicism is not defined.

The author appears to endorse compulsory debriefing after traumatic incidents (with supervisors and/or mental health professionals). In general trauma, compulsory debriefing of traumatised civilians began to be discredited in the early 1990s and has become more discredited since then. The author fails to address this contradiction in her book. She might be right, but how do I know she has even covered the basics of compulsory debriefing. (I know that this in not about writing reports, but most of the book is not about writing reports.).

The author quotes "planful problem-solving" but does not bother saying what is meant by that, as usual.

3. Common Causes of "Unfit" Officers
=============================
Why is `Unfit' in quotation marks? The author does not know how to punctuate, as I will further demonstrate later. There is a typo on the table on page 47 where the two right-hand columns are mislabeled. On page 51, the author states (yep, in bold italics) "The reader is cautioned that the hypothesis presented above is novel and is untested." Well, leave it out of your book then, it is clear that you are not an authority, as I will demonstrate later.

Page 53 contains an egregious error. "Obsessive-compulsive traits are very frequently seen in law enforcement applicants (Decker, unpublished), but the full-blown disorder would be crippling for a police officer. For example, imagine a police officer who could not drive his/her patrol area without counting signs on the road!" The author repeats the same error later in the book. The fact is that OCD and OCPD are two different disorders. For example, someone could have severe OCPD where they are obsessed with rules and details and someone else could have mild OCD where they spend 10 minutes leaving the house each morning. One authority (? which) says that the comorbidities between the two disorders is only 5%, but I recon its probably higher.

On the same page, she makes a lot of diagnosis of PD in those with an axis I disorder and takes not account that this is a fraught thing to do.

Page 56 gives a case history that is repeated later in the book.

Page 58 typo: top paragraph ends without a full stop

Page 58 again: author discusses treatment of panic disorder without discussing talking treatment. This kind of stuff is the reason psychologists can think psychiatrists are dumb. The author also describes antidepressants using trade names.

Page 62: The author states that bipolar affective disorder occurs in 15% of the population. She says that twice in the book. The true incidence for all bipolar spectrum disorders is about 5% (ref: Sadock and Sadock, 8th).

4. Psychological Tests for Fitness in Law Enforcement Personnel
==============================================
Page 68: "It is extremely important for ... evaluations to understand the specific job tasks..." No, evaluations might take something into account but they do not understand anything.

Page 69: "...peace [police] officer."

Page 73: The author refers to the K scale of the MMPE-2 but does not say what it is. She does this more with this chapter.

Page 77: She puts `transparent' in double quotes; why?

This chapter refers to detection of malingering but does not mention trauma scales with reliability scales built in. Some include the SIRS, the TSI and the M-FAST.

Page 80: Exclamation marks galore!

Page 82: In bold: "There is no single test that provides a quick answer." Yeah, but there are authors who will recommend test(s) for different purposes. No synthesis of tests here and no mention of some important tests.

5. Medication Issues in Fitness for Duty Evaluations
======================================
Page 86: Confuses cause and effect of sleep disturbance was disregarded. On the same page, back pain is treated as a purely physical issue and referred to as "back strain."

Page 92 and 95: Egregious error: The author stated that there are no medications specifically for PTSD and that SSRIs are used to treatment of associated depression. But it implies that there are not medications that indicated in PTSD. The reference for this was not from an authoritative source but from a trial of EMDR. It is as if Decker took a psychoolgy study's swipe at medication for PTSD and used it for her literature review. PTSD is an anxiety disorder, so SSRIs work well. The author makes not mention of antipsychotic for nightmares, either.

She says on page 99: "For example, the antidepressant are generally safe, well-tolerated, and some specific studies have been conducted that suggest these medications may be safely used in individuals in law enforcement." See, dear reader, this is why you should not buy this book. The above is about a close as the author goes to sticking out her neck and making a specific recommendation. She even uses passive language to distance herself from her own, weak recommendations.

Page 103: Embarrassing error: Author writes the generic names of drugs with capital letters. Ugh. There is a typo on the same page with a comma without a space after it.

Page 110: The author says (twice in the book) that sedating antidepressants should be used for agitated, depressed people and stimulating antidepressants should be used for slowed down patients. This is a common practice, but, I understand, contradicted by the outcome of studies of it.

Page 113: Likewise the author says that BPAD II should be treated with low doses of a mood stabiliser and an antidepressant. This is not referenced. Some psychiatrists treat BPAD II like BPAD I and some like major depression. I am not saying she is wrong, but she has no reference. Maybe subtherapeutic doses of stabilizers do no good at all?

Page 114: "A complete discussion of the pros and cons of retaining law enforcement personnel who have been diagnosed with bipolar disorder is beyond the scope of this book and is controversial." This is why you should not buy the book. It talks a lot about generalities but dodges the specific questions.

Page 117: One of the references is Decker K.P. (2006) Medications a[e]ffecting fitness for duty in law enforcement professionals. FBI Bulletin, submitted. I could not find the reference and I wonder if it was accepted for publication. None of the articles in this journal seemed detailed.

6. Police Officers' Expectations of Mental Health Professionals
=============================================
This chapter makes the book bigger, I suppose. Why else have it here?

7. Gender and Ethnic Issues in Police Hiring, Stress and Fitness for Duty Evaluations
============================================================
Page 149: "...police officers in the Australian state police force." There is no such thing as the Australian state police force. There are several Australian state police forces, however.

Page 160: Puts double quotes around `torn' because it is used as a metaphor.

8. Duty Death: A Major Stressor
=======================
Page 171. The other place in the book were compulsory debriefing with a mental health practitioner is endorsed.

9. Police Suicide and Fitness for Duty
===========================
Risk factors: "Sex!", "Alcohol!", "Guns!" Thank you, captain exclamation mark.

10. The Management of Misfit Officers
============================
Page 199: "... burnout is a major problem for veteran law enforcement personnel." Elsewhere in the book burnout is referred to as a term that is not often used by psychiatrists and refers to depression. Another undefined term.

Page 200. Describes, as an example of introversion, how it would be problematic for an officer to speculate on the past history and psychodynamics of a bank robber with a hold-up in progress. This is wrong on two accounts: it misrepresents the concept of introversion and it misrepresents the benefit of any information about an offender's mental state.

11. Legal Considerations: Discipline Versus Illness
=====================================

Appendix I: Sample Notes and Reports
===========================
Don't use the sample reports as samples.

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