Berkeley.prc.Lindstrom Findings.1991

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    City

    of Berk

    eley

    REPORT

    OE

    FINDINGS

    OF

    POLTCE

    REVIE

    COMIITISSION

    BORD

    OR

    TNQT]IRY

    EERING

    HELD,.MAY

    21

    A 22,

    1997

    Board

    of

    Inquiry

    Members:

    Police

    Review

    Commission

    2121

    McKinley

    Avenue,

    Berkeley,

    California

    94704

    Complaint

    Number:

    Aggrieved

    person

    Complainant:

    Subjects

    of

    Complaint:

    Dat.e

    of

    I nc

    ident

    :

    L.,ocation

    of

    f

    ncident:

    g15l

    6/'44716

    1-?0?

    rw

    (41st

    w.6e15

    co&t$r

    Commissioner

    D.

    Edwards

    Commissioner

    f'1.

    Hicks

    Commissoner

    A. fl

    ando

    Commissioner

    B.

    Kel

    ly

    Comnissioner

    O.

    Neumann

    Commigsioner

    S.

    power

    (

    Chair

    )

    1253

    James

    Martin

    Lindstrom

    Marc

    Krizack

    Sergeant

    Daubenspeck

    Sergeant

    Houpt

    Officer

    Eoughton

    Officer

    Mansfield

    Officer

    Wong

    January

    29,

    799I

    160

    0

    University

    venue

    (

    Kregan's

    Parking

    Lot

    )

    Exce,gsive

    Forc

    -

    fmproper

    llse

    of

    Baton

    (i.e.,

    Use

    Avoidable

    an

    Thereafter

    Nunber

    of

    Blows

    to

    Eead)

    -

    Sergeant,

    Daube

    n

    speck

    Exceesive

    Force

    -

    fnproper

    Use

    of

    Hands

    (i.e.,

    Repeated

    St.rikes

    to

    Face

    fter

    Separaed

    From

    Sergeant

    Daubenspeck)

    -

    Officer

    Wong

    fmproper

    Phyeical

    Contact

    -

    physical

    Force

    (i.e.,

    physicaL

    Restrain

    applied

    Fndinqs

    Vote

    Exonerated

    5

    Not,

    Sustained

    I

    Exonerated

    3

    Not

    Sust,ained

    3

    Not

    Sustined

    6-0

    ,

    15

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    When

    Breathing

    Stopped

    While

    on

    Stomach

    In

    Hospital

    )

    -

    Officers

    Mangfield

    and

    Houg

    h

    ton

    Inadequat.e

    fnveatigation - Failure

    to

    Make

    Police

    Report

    (i.e., Failure

    to

    File

    Use

    of

    Baton

    Report per

    pR

    31g)

    -

    Sergeant

    Daubenspeck

    Inadequat.e

    Inveatigation

    (i.e.,

    Failure

    to

    Specifically

    Report

    to

    paramedic,/

    MedicaL

    Staff

    That

    According

    to

    the

    Family,

    Mr.

    Lindstrom

    Had

    Altempted

    Suicide

    by

    Taking

    an

    Unknown

    Quntity

    of

    His

    Regular

    prescription

    Antiipsychoiic

    Medication)

    -

    officer

    ought,on

    .id/o.

    Sergeant

    Houpt

    Inproper

    Police

    procedure

    -

    Making

    FaLe

    Statement,

    (i.e.,

    Verbal

    Stalement

    to

    BFD

    Paramedic

    That

    fnjury

    Occurred

    When

    Head

    Hit

    cround)

    -

    fficer

    Mansfield

    Improper

    Police

    procedure

    -

    Making

    FaLse

    Statement

    (i.e.,

    Statement

    in

    Report

    That

    Saw

    James

    Lindst.rom

    "Hitting

    Sergeant

    Daubenepeck

    With

    Both

    Fists,')

    -

    Officer

    Mansfield

    Failure

    to

    Report

    fnfornat,ion

    About

    ctual

    Cause

    of

    lr.

    Lindgtromre

    Head

    fnjuriea

    Which

    Relevant

    to

    Medical

    lreatment,

    -

    Failure

    to

    Notify

    Sergeant

    Houpt

    Before

    Ambulance

    Left

    he

    sene

    That

    Ead

    Struck

    Mr.

    Lindstrom

    in

    Head

    With

    Baton

    (setgeant,

    Daubenspeck

    )

    Failure

    t,o

    Report

    Infonoation

    bout

    cual

    Cause

    of

    ltr

    .

    Iindst.rom

    I

    g

    Head

    fnjures

    hlhich

    Relevant

    t,o

    lledical

    Treatment

    -

    Faiure

    to

    Assute

    fnformation

    That

    Mr.

    Lindstrom

    Stuck

    in Head

    With

    Baton

    Relayed

    to

    Berkeley

    Fire

    Depart,ment

    Ambulance

    Crer{

    (

    Sergeant

    Houpt)

    Failure

    to

    Report

    Infornation

    bout

    Acual

    Cause

    of

    M.

    Lindstromrg

    Eead

    Injuries

    Which

    ReIevant.

    to

    Medical

    Treatment

    -

    Fai.l.ure

    to

    Communicate

    to

    Highland

    Hospital

    Medical

    Staff

    the

    Fact

    That,

    Mr,

    Lindstrom

    Struck

    in

    the

    llead

    With

    Baton

    (Officer.

    Houghton

    and/or

    Officer

    Mansfield

    )

    Not

    Sustained

    6-0

    Not

    Sustained

    6-0

    Not

    Sustained

    6-0

    Not

    Sustained

    5;1

    Not.

    Sustained

    6-0

    Sustained

    6-0

    Not

    Sustained

    6-0

    10

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    testimony

    presented

    to us.

    Covering up

    something

    that

    does

    not

    require

    covering

    up

    ony

    serves

    to

    throw

    a

    cLoud

    f suspicion

    khere

    othenrise

    none

    roight

    be

    .

    Having

    taken

    this

    lengthy detour

    vie

    can

    now

    Look

    at. the

    specific allegations.

    TAE

    AIJLEGTIONS

    Note

    on

    the difference

    between

    exonerated

    non-sustained:

    rrNot

    sustainedrr

    means

    that

    there

    is not

    enough clear and.

    convincing

    evidence

    to

    find that

    the officer

    acted ixproperLy.

    rrExoneratedrr

    means

    that

    by

    the same

    standard

    there is enugh

    evidence

    to

    find that

    the officr's

    conduct

    ,as

    justified.

    i

    E:

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    commands.

    He

    hits hin

    sorne

    nore

    with

    his

    eLbows

    and

    brinqs

    hiru

    to

    the

    ground

    hen

    officer

    Mansfield

    arrives.

    Civil_ian

    witnesses

    confiro

    that

    Mr.

    Lindstron

    continues

    to struggle

    even

    after

    being

    brought

    to

    the

    ground.

    In the

    circuostances

    e Board

    did

    not

    sustain the

    excessive

    force

    aJ.Iegation.

    Improper

    PhysicaL

    Cotact

    -

    pbysical

    Force

    (i.e.,

    Pbysical

    Restrailt

    pplied

    [theD

    Breatbing

    Stoppeal

    rhi].

    on

    gtonach

    Ia

    Eospital)

    -

    officers

    ltaDsfield

    ad

    Eoughtou

    Not

    gustained

    6-0

    Dr.

    Iocco's

    tstinony

    leads

    to

    the

    conclusion

    that

    the

    0edical

    consequences

    of

    restraining

    injured

    prisoners

    do not

    appear

    to

    be

    sufficientLy

    understood

    or

    consdered

    by

    police

    departnents.

    Ho$rever

    Officer

    Mansfield

    and Houghton's

    conduct

    seerned

    to

    be

    tithin

    standard practice.

    As

    soon

    as

    it was

    noticed

    that

    breathing

    stopped,

    Officers

    attenpted

    to

    cornply

    with

    the

    counand

    of the

    doctor

    to loosen

    the

    restraints. Therefore

    r,e

    could

    not

    sustain this

    aJ.legation.

    IDadequato

    IDvegtigatioD

    -

    FaiLure to

    Not

    gustaiedt

    6-0

    uake

    Police

    Report

    (i.e.,

    Failure to

    File

    gse

    of

    Baton Report

    pet

    pR

    31S)

    -

    Segieaat

    Dau

    eDspeck

    The

    departnental

    representative

    testified

    that the oral reports

    nade

    by

    Sgt.

    Daubenspeck

    to

    Inspector

    Maloney and

    Muller

    fufilIed

    the

    departnen

    report writing

    requirernent under

    pR

    319.

    Lt.

    De

    Latour

    conceded

    that PR 318 seened

    to read as

    reguiring

    that the

    officer

    hinself

    nake

    the

    hrritten

    report.

    He

    says this

    abiguity

    is to

    be

    corrected. civen

    his testinony

    re couLd

    not

    sustain

    this

    cornplaint.

    IDaalequate

    hvestigatio

    (

    i.

    e.

    ,

    FaiLure

    Not

    gustained

    6-0

    to

    Specf,ica11y

    Report

    to

    paramedic/

    {edical.

    Etaff

    Tbat

    ccordg

    to the

    Famly,

    Ur.

    LiDdstron

    Eacl

    ttenpteal

    suicide

    by

    lakiug ar

    lIkornr

    Ouantity

    of

    Eis

    Regular

    PrescriptioD

    ti-psycbotic

    Uedication)

    -

    Of,ficer

    Eoughton

    anl/or

    sergeant

    Eoupt

    When

    Officer

    Houghton

    left the

    Lindstron

    home

    he

    did not

    know

    that

    the

    piIls

    Mr.

    L

    j.ndstrorn

    had

    taken

    \,/ere

    his stelazine.

    Ile

    did

    know

    that

    according to the

    family

    he

    had

    attenpted suicide.

    It was

    conveyed

    to the

    pararnedics

    that

    he had taken

    a handfu

    of

    pills,

    and had

    been

    acting

    bzzarely

    and was

    nissing

    from

    hone.

    This infornation

    presunabLy

    hras

    transnitted

    by

    Officer

    Houghton.

    Sgt,.

    Houpt,,

    had the

    responsibility to see

    that infornation nas

    conveyed

    ,

    but

    not

    necessarly

    to

    convey

    it

    hinself

    . fn the

    circumstances,

    the

    Board

    did not

    sustain

    this

    cornpJ.aint.

    2{+

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    fDproper

    police

    procealut

    -

    Uakiug

    Not

    gustaiDed

    6-0

    FalEe

    gtatoE$at

    (i.8,,

    Vebal

    gtatet[et

    to

    Btr'D

    Para.uedlc

    That

    lrjury

    occurred

    Whe

    Eead

    El.t

    crouDd)

    -

    Of,ficer

    Uatsfi

    $

    Iat

    As

    indicated

    above,

    we

    beLieved

    th

    probl-em

    was

    not that Officer

    Mansfield

    told

    the

    paramedics

    that

    Mr.

    Lindstrou

    hit his

    head on

    the

    ground,

    but

    that

    neither he

    nor anyone else

    told

    then

    Sgt,

    Daubenspeck

    had

    hit him

    on

    the

    head with

    his

    baton.

    I{e

    therefore

    coud

    not

    sustain

    this aLlegation.

    fEproper

    police

    ptoceclure

    -

    UakiDg

    FaIE

    Stateuent

    (i.e.,

    gtateret

    i

    Not Sustained

    5-1

    Report

    That

    Ee

    gar.

    ,tanes

    Lindstron

    trEitting

    Serg'eaDt

    DaubeDspeck

    Fith

    Both Fists't)

    -

    officer

    ,tansf

    ield

    The majority

    of the

    Board

    voted

    not

    to

    sustain

    this

    allegation

    because

    they

    believed

    Officer

    MansfieLd

    rea1ly

    thought

    he

    sar+

    Mr.

    Lindstrom

    hitting

    sgt.

    Daubenspeck

    hrith

    tr

    filts.

    one

    menber

    (

    osha

    Neumann)

    voted

    to

    sustain

    this

    al-Iegation

    because

    Officer

    I'tansf

    ield

    admitted to the

    Board

    that he did

    not

    see

    Mr.

    Lindstrom

    make

    contact

    with

    both

    fists.

    aur

    to Report

    fnforatioD

    About

    Not sustained

    6-0

    Actual

    Cause

    of, 'fr.

    Lindstromr s

    Eeail

    Irjuries

    lghcb

    Relevat

    to

    NedicaL

    Treatmetrt

    -

    Fa1ur

    to

    Notify

    gergeaBt

    Eoutrrt

    Before

    mbulaDce

    Left

    tbe scene

    That

    Ee

    Ead

    gtruck

    {.

    IJiDdstron in

    Eead

    Witb

    BatoD

    (Sergeart

    Daubenspeck)

    Sgt.

    Daubenspeck

    and

    Sgt.

    Houpt

    both

    testified that

    Sgt.

    Daubenspeck

    reported

    that he

    had

    hit

    Mr. Lindstrom in the

    head

    with

    his baton.

    Failure

    to

    ReE

    ort

    IDformation

    out

    Actual

    Cause

    of

    Ur.

    liDdstrours

    Eead

    Iujuries

    Wlicb

    RelevaDt

    to

    rledcal

    TreatmeBt

    -

    FaiLure

    to Assure

    fnfomation

    That

    Ur.

    tDdstron

    Stluck

    in Eead

    rith

    Batou

    Relayed

    to

    Eerkeley

    Fite

    Departnent

    Dbu1aDce

    Crei

    (Setgeant

    Uoupt)

    Sgt.

    Houpt

    was

    the

    supervising

    officer

    at the

    scene

    in Kragenrs

    parking lot.

    The

    departmental

    representative

    at the

    hearing

    indicated

    that

    it

    wouLd

    be anong the

    responsibilities of

    the

    supervising

    officer

    at the

    scene

    to assure that

    reLvant

    oedical

    infornation

    was

    relayed

    to

    paranedics.

    ft

    r./as

    clearly

    relevant

    nedicaL

    information

    that

    Mr. Lindstrorn

    had been

    struck on the

    SustaiDed 6-0

    25

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    read

    nunerous

    times

    by

    Sgt.

    Daubenspeck

    . s clearly,

    Sgt,

    Houpt

    did not

    assure that

    infornation

    vJas

    conveyed.

    He

    assumed

    that

    officers

    Mansfield and Houghton

    would

    convey the infornation, but

    he

    did

    not

    assure

    it, Therefore the

    Board

    sustained this

    al

    l

    egation

    .

    Failure

    to Report

    IforDatioD

    lot Sustaiecl

    6-0

    ReLevat

    to

    .{

    $

    dicaL TteatmeDt bout

    Actual

    Causo

    of l,ll.

    IJiDdstroEr

    s Eeaal

    Iajuries

    Which

    -

    Failure to

    Comuicate to

    Eighla1d

    Eospitl

    uedical staff the Fact

    Ithat

    u.r.

    Li.Ddstrod

    Sttuck

    iD

    the

    Eead

    Witb

    BatoD

    (Officer

    Eougbtotr

    aal/or

    off,icer

    Maasfieldl

    )

    Officer

    Mansfield

    testified that

    he did not kno ,

    that

    Sqt.

    Daubenspeck

    had struck Ur.

    Lindstron

    on the

    head

    with his

    baton.

    He

    v/as

    not

    specifically

    instructed by

    Officer

    Houpt

    to

    gather

    rel-evant

    nedical-

    inforoation.

    Therefore

    r/e

    couLd

    not

    sustain

    the

    allegation

    based

    on

    failure to

    convey

    infornation

    he

    didntt

    know

    and had

    not

    been

    ordered to find out.

    CONCI,I'DTNG

    REI,,RKS RE POI,TCY

    Sone

    of the

    policy

    issues thich

    we

    beLieve should be

    exanined

    are

    :

    1.

    The

    need

    for cLear departmental

    policy

    regarding

    the

    respons5.bilty

    for

    and the

    nanner

    in

    which

    nedical

    infornation

    is

    collected

    and

    conveyed

    to

    paramedics

    and

    other medical

    professionals.

    2.

    The

    need to examine

    presented

    by

    Dr. Iocco,

    the

    agitated,

    suspected of

    drug

    are

    restrained.

    in

    the

    light of

    the infornation

    manner

    in

    which

    prisoners

    rho

    are

    overdose,

    or who

    have

    suffered

    trauma

    3. The need

    for training in

    recognizing and

    handling

    mental

    d i sasbi

    I

    ity .

    The

    tragedy

    in

    the

    facts

    presented

    to the Board in

    this

    conplaint

    is that

    the

    fanily of Mr.

    Lindstron

    called the

    police

    to help

    hirn,

    but

    instead

    of finding help,

    he

    found

    death.

    We can not say

    that

    anythinq

    that

    happened

    to Mr.

    Lindstron

    in his

    encounter

    vith the

    police

    necessarily

    contributed

    to his

    death. the

    qedical

    information

    compiled

    by our

    investigators

    indicated

    that

    Mr,

    Lindstrom

    had

    taken

    a dose of

    Stelazine

    that

    rnight

    have kiLled

    him

    in any

    case.

    However,

    the fail-ure to

    convey

    relevant

    rnedical

    inforuation

    to the

    pararoedics,

    and the

    nanner

    in

    vhich

    lfr.

    Lindstron

    was

    restrained, might

    have been

    a factors in his

    death

    and

    raise

    policy

    questions

    that

    need

    to

    be

    exanined to

    ninimize

    the

    risks to

    peopLe

    in custody

    in

    the

    future.

    OSH

    NEUMNN

    for

    the Board of

    fnguiry

    10

    2L