Trauma Debrief Prior to Release of Body-Worn Camera Footage

By Adam Bloom, Psy.D., Lokesh Reddy, M.D., and Eli Kleinman, M.D., M.P.H.

A stock image of a man listening to a female talking to him.


In 2019, a New York appellate court ruled in favor of public access to body-worn camera (BWC) footage, deciding that the recorded material “is not a personnel record covered by the confidentiality and disclosure requirements of [NY Civil Rights Law] § 50-a.1 The purpose of body-worn-camera footage is for use in the service of other key objectives … such as transparency, accountability, and public trust-building.”2

The police commissioner of the New York Police Department (NYPD) supported the ruling, saying it was an important step forward for promoting transparency and affirming the department’s beliefs. Not only is the public entitled to the information but the footage overwhelmingly shows how brave, skilled, and dedicated the agency’s officers are in serving their community.3

In April 2017, the NYPD began equipping all its police officers, detectives, sergeants, and lieutenants regularly assigned to patrol duties with BWCs. Within two years, all officers in specialized units who performed patrol-oriented or support functions and executive officers responsible for leading commands were also equipped with cameras. The program began to fill a void in the burgeoning field of BWC policies, now being implemented in police departments nationwide.

Policy

The NYPD operations order on BWC footage indicates that recorded material must document a critical incident to be publicly released. A critical incident can be defined in two ways.

  1. Use of force by one or more officers that results in death or serious physical injury to another
  2. Any incident, determined by the police commissioner, for which the release of BWC footage will address vast public attention or concern or will help enforce the law, preserve peace, and/or maintain public order4

Footage that may violate privacy rights is evaluated prior to its release. This includes material showing:

  • the interior of residences and other places where there is a reasonable expectation of privacy;
  • intimate images;
  • a member of the service or a private citizen receiving medical attention;
  • a serious physical injury or a deceased individual; and/or
  • the location of a domestic violence program.5

Collaborative Model

When BWC footage of NYPD officer-involved shootings was first released, the department’s trauma counseling team immediately recognized the need to support the involved officers. The team is staffed by the chief and deputy chief surgeon of the NYPD’s Psychological Evaluation Section and other licensed/certified mental health professionals.

Uniformed or civilian members of the service are referred to the counseling team when they are involved in a shooting incident, disaster, or other violent occurrence resulting in death or injury. Counseling is also available to members who experience personal or family tragedies (e.g., violent criminal incidents, death of a loved one).

Dr. Adam Bloom (rev)

Dr. Bloom is a board-certified forensic psychologist and director of the New York Police Department’s Psychological Evaluation Section.

Dr. Lokesh Reddy

Dr. Reddy is a board-certified psychiatrist and the New York Police Department’s deputy chief surgeon.

Dr. Eli Kleinman

Dr. Kleinman is a board-certified diplomate of internal medicine and hematology and the New York Police Department’s chief surgeon.

The NYPD Force Investigation Division (FID) standardizes how to report and investigate each department use-of-force incident, to include discharge of a firearm. FID releases BWC footage of critical incidents to the media within 30 calendar days of the event. Additional time may be required if an investigation is more complex, there are court orders preventing or delaying the release, or involved members and/or civilians have not yet viewed the video.

Once FID announces a BWC video release date, the NYPD’s trauma counseling team conducts a trauma debrief with the involved officer. This debrief begins with a department psychologist viewing the footage alongside the involved officer. Afterward, the officer receives counseling, which is confidential and not a fitness-for-duty evaluation. If additional sessions are necessary, the officer returns within 48 hours to two weeks after the initial meeting.

The main purpose of the trauma debrief is to allow the officer to process, defuse, and reflect on the traumatic event and regain personal control in anticipation of the media release. A department psychologist is uniquely qualified to identify and/or monitor adverse reactions and symptoms in personnel, thereby reducing the stigma associated with seeking mental health counseling.

These sessions help the psychologist to better understand the officer’s perceived sense of safety and level of security before the footage is released. The debrief provides a safe, nonjudgmental space for the officer to reflect upon their feelings and emotions. Further, the psychologist can help the officer process their individual experience and reassure them that their emotions are normal and appropriate.

Psychologists on the trauma counseling team also provide officers with immediate mental health support, education, and resources. Officers are informed of possible reactions to the BWC media release. Specifically, they learn about maladaptive coping strategies, including alcohol/substance misuse and expressions of anger, avoidance, and withdrawal. Resources provided include the department on-call psychologist, referrals to other qualified mental health professionals, familial and peer support services, employee assistance, and a chaplain.

The goal of the collaboration is to help the officer have a sense of security, safety, and well-being that allows them to remain full-time and reduces the potential need for a formal fitness-for-duty evaluation.

Process Review

Since the inception of the collaborative program in 2019, the NYPD has deployed over 24,000 cameras to patrol officers and specialized units. Approximately 80 BWC incidents have been released to the media, and NYPD psychologists have conducted an estimated 450 trauma debrief sessions.

In all but four of these sessions, officers have demonstrated no mental health impairment. The four affected individuals exhibited symptoms associated with post-traumatic stress disorder (PTSD) and were proactively identified and referred for monitoring and continued treatment with a behavioral health specialist.

“The main purpose of the trauma debrief is to allow the officer to process, defuse, and reflect on the traumatic event and regain personal control in anticipation of the media release.”

Emotional Challenge

Often lost in the tempest of an intense police action under investigation are the emotions of involved officers, both during and following the event. Anxieties arising from the often-life-threatening nature of violent encounters, various necessary investigative debriefs, public reactions, and media attention can all be overwhelming.

These emotions are too often swept under the rug only to manifest later after the frenzy of the event has died down. Officers are at home with their families or alone with their “could’ve, should’ve, would’ve” thoughts, experiencing insomnia, agitated depression, or a variety of other somatic symptoms. The cumulative effect of these symptoms can exact a heavy toll on officers’ family lives and careers.

The American Psychiatric Association lists 10 common reactions in adults after a disaster or critical incident.

  1. Trouble falling or staying asleep
  2. Sadness, depression, hyperactivity, irritability, or anger
  3. Numbness or a lack of feelings
  4. Perpetual exhaustion or lack of energy
  5. Changes in appetite
  6. Difficulty concentrating or confusion
  7. Social isolation or a reduction/restriction in normal activities
  8. Thoughts that no one else is having the same reactions
  9. Headaches, stomachaches, or other body pains
  10. Misuse of alcohol, tobacco, drugs, or prescription medications6


According to the commanding officer of the NYPD’s Force Investigation Division, addressing mental health and wellness should be at the forefront of policing, especially in today’s challenging times. Police officers tend to disguise or “bottle up” their emotions as they confront stressful situations daily. Having this program in place allows officers to consult with a trained medical professional and learn coping mechanisms to address situations they may not immediately perceive to be stressful.7

Recommendations

Most officers will respond to a traumatic event well and quickly return to their prior level of functioning. Some, however, may experience distressing thoughts, physical symptoms, or difficult emotions, especially after the BWC footage is released to the media.

“The goal of the collaboration is to help the officer have a sense of security, safety, and well-being that allows them to remain full-time and reduces the potential need for a formal fitness-for-duty evaluation.”

Information and emotional support from the trauma debrief equips officers to preemptively face these challenges from their inception. This assistance will help ward off the unwelcome consequences of allowing such anxieties to fester and prevent officers from succumbing to the stress of their experiences. The psychologist’s presence can mitigate the potential for signs and symptoms related to psychiatric disorders, such as depression, anxiety, and/or PTSD that can severely impact officers’ ability to return to work.

The International Association of Chiefs of Police encourages law enforcement agencies to be aware that not everyone reacts the same to a traumatic incident. Some officers might not have an initial reaction, while others may try to minimize or hide their responses from their colleagues or supervisors. For this reason, police departments should develop procedures for recognizing negative stress reactions in impacted personnel.8

Recommendations for expansion to the trauma debrief program include follow-up sessions at 6- and 12-month intervals. Additionally, the program should promote officer safety, wellness, and resiliency.

Conclusion

The New York Police Department has a wide range of support services for officer-involved shootings. Its unique interagency collaboration gives officers the opportunity to view body-worn camera footage with a mental health specialist in a safe space to process and regain a sense of control over their unique circumstances.

By debriefing personnel prior to the release of their BWC footage, the psychologist can ensure that appropriate mental health resources are provided. Ideally, the officers leave with a reestablished sense of hope, a recognition that their feelings and reactions are normal and temporary, and the psychological information they need to return to work full-time.

“By debriefing personnel prior to the release of their [body-worn camera] footage, the psychologist can ensure that appropriate mental health resources are provided.”

Dr. Bloom can be reached at adam.bloom@nypd.org, Dr. Reddy at lokesh.reddy@nypd.org, and Dr. Kleinman at eli.kleinman@nypd.org.


Endnotes

1 “NY Civil Rights Law §50-a provides that ‘personnel records used to evaluate performance toward continued employment or promotion…shall be considered confidential’ and not subject to public disclosure absent the officer’s consent or a court order.” “Civil Rights Law 50-A,” New Yorkers United for Justice, accessed July 6, 2023, https://nyuj.org/issues/civil-rights-law-50-a/.
2 Patrolmen’s Benevolent Association of the City of New York, Inc. v. Bill De Blasio, etc., et al., 169 A.D.3d 518 (N.Y. App. Div. 2019), 4, https://www.nycourts.gov/courts/AD1/calendar/appsmots/2019/February/2019_02_19_dec.pdf; and Pariss Briggs, “Court Rules in Favor of Public Access to NYPD Bodycam Footage,” Reporters Committee for Freedom of the Press, February 21, 2019, https://www.rcfp.org/court-rules-in-favor-of-public-access-to-nypd-bodycam-footage/.
3 Augusta Anthony, “NYPD Can Publicly Release Body Cam Videos After Court Ruling,” CNN, February 20, 2019, https://www.cnn.com/2019/02/19/us/nypd-body-cam-ruling/index.html.
4 City of New York Police Department, Public Release of Body-Worn Camera (BWC) Footage of Critical Incidents, Operations Order No. 46 (2019), https://www1.nyc.gov/assets/nypd/downloads/pdf/public_information/oo-46-19-bodyworn-camera-footage.pdf.
5 Ibid.
6 Joshua Morganstein, “Coping After Disaster,” American Psychiatric Association, November 2019, https://www.psychiatry.org/patients-families/coping-after-disaster-trauma.
7 Inspector Anthony Marino, interview by authors, New York, August 2022.
8 International Association of Chiefs of Police, Employee Mental Health and Wellness (Alexandria, VA: IACP Law Enforcement Policy Center, 2020), https://www.theiacp.org/sites/default/files/2020-05/Employee%20Mental%20Health%2005-06-2020.pdf.