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Wine Country 5150s or They’re Coming To Take Me Away*

By Gerry Goldshine

Mental health
Mental health

In his most recent ramblings, Hal has been talking about 5150s, so I thought I would continue the topic but from the perspective of a much smaller police department. There were times that it sure seemed like Petaluma, with a population of just over 33,000 in 1980, was the 5150 capital of the San Francisco Bay Area. From my very first call with Petaluma Police to the completion of my “rookie” year, I was convinced that the dispatchers had conspired to assign me every 5150 call the department received including one where the bipolar lady forgot all her English and would only speak in Italian.

(In 1983, one of my sergeants insisted that there was a giant tuning fork under the city. He might have been right–Thonie)

That first call came in while my FTO and I were still in morning briefing. Our sergeant wanted us to Petaluma Valley Hospital and relieve a graveyard shift officer, who had been standing by an injured suicidal man who was on a 5150 hold. The man, in his mid–twenties, and went by the name of Raincloud Mudball. I’ve only slightly changed the name that was on his Driver’s License. Bear in mind, this is the San Francisco Bay Area after all.  He had declared to those who would listen, that he was Jesus, or something like that. He was having the urge to visit his father in Heaven. In order to do this, he proceeded to strip off all his clothes and then flung his body at passing cars on Highway 101 until one inevitably hit him. Surprisingly, he sustained relatively minor injuries, considering a car going 55 MPH had struck him.  While he was being treated in the Emergency Room, Raincloud was completely lucid, refusing any pain medication or local anesthetic while the doctor stitched him back together. He even called his mother, who told us that her son was a schizophrenic and had obviously stopped taking his prescribed medications. Our job was to follow the ambulance carrying Raincloud to the psychiatric facility at Napa State Hospital just in case he got the urge to visit heaven again. It was our good fortune that he did not.

 

Patients in an Insane Asylum--February 1946, Ohio, USA
Patients in an Insane Asylum–February 1946, Ohio, USA

Back in the 1980s, all law enforcement agencies in Sonoma County took those being held under 5150 WIC to the county psychiatric facility in Santa Rosa, known as Oakcrest. While much smaller in size compared to the University of Southern California Medical Center’s psych ward, the attitudes of the people working at Oakcrest were similar to those Hal described. I got to know a lot of dedicated Psychiatric Technicians and some of the Psychiatrists. Sad to say, because of funding cuts, staffing shortages and an overload of patients, many of these dedicated people suffered from job burnout. Some of them no longer cared about what was best for the patients, while others made due the best they could but just went through the motions.

Far worse, were those arrogant techs and doctors who viewed police officers as ignorant, uneducated “jack-booted thugs” who couldn’t possibly have an intelligent inkling of what constituted mental illness. They were the ones “outraged” when it took four of us to bring in a combative person in the violent throes of some type of a mental breakdown. Usually, they would purposely delay us by rejecting the 5150 paperwork we had completed, either because they discovered some picayune mistake or because they just felt like it. They were also the ones who insisted we immediately remove the handcuffs from a “patient”. I learned the hard way before developing Hal’s mindset; the cuffs don’t come off until the combative patient is in a secured room, all the paperwork is approved and I’m on my out the door.

Unfortunately, many of these “patients” were released well before the 72-hour hold period had expired. Sometimes, this was a result of someone deciding that they were no longer a danger to themselves or others, based on a 5-10 minute intake interview. On other occasions, they simply walked out the front door because there had been insufficient staff on duty to watch over them. More than once did I discover that in the 20 to 30 minutes it took me to get back to Petaluma, someone had released a 5150 I had just taken to the facility or they had walked out the front door. It was frustrating, not only to me and other officers but to the subjects’ family as well. In many cases, the family had exhausted all means to get their loved one help and the 5150 hold was their last refuge.

In the case of a “walk-away”, sometimes the good folks at Oakcrest would actually take the time and notify the Santa Rosa Police or us. More often than not, they didn’t and before the individual could make their way back to Petaluma, their behavior would bring them to the attention of law enforcement in whatever jurisdiction in which they happened to be. That department would then have to initiate a completely new 5150 hold. Sadly, once and awhile an early release, regardless of how it came about, would have tragic consequences.

One October, about three or four days before Halloween, a very despondent man walked into the garden section of a local “Paymore” Drug Store. He opened a bottle of Malithion insecticide and proceeded to drink the contents. Fortunately, someone witnessed what he had done and had the store manager call 911. Police and Fire responded and took the man to the local hospital. In the Emergency Room, he told everyone that he had been trying to commit suicide, the reasons for which I no longer recall. I think most would agree that anyone doing what this guy had done, was in need of some serious mental health treatment. He obviously met the criteria for a 72-hour 5150 WIC hold, assuming that he survived, which to everyone’s surprise, he did. Before the day was over, he was well enough for an officer to take him to Oakcrest. However, someone at the facility, made the decision that downing a Malathion cocktail in a drug store was insufficient evidence that someone posed a danger to himself. They released him well short of the 72 hours.

Come Halloween night, at around 10 PM, dispatch sent Officer T and me to check the welfare of a male subject whose family had been unable to contact him; however, we were to call dispatch on the telephone before responding. Officer T and I met up near a payphone – this was in the dark times before cell phones. We learned that the man whose welfare we were supposed to check was the same individual who had swallowed the Malathion a few days earlier.

The man’s house was a run-down old Victorian with a large detached garage; both were completely dark. Naturally, there was no response to our knocking at the front door, which was locked. As we started around to the back of the house, several kids who were Trick or Treating asked us if the house was haunted. That’s how creepy the place looked. Luckily, the back door was unlocked. Being the smaller officer, I did not relish having to climb through a window. None of the lights inside worked and the “décor” was in a state that you would expect from someone seriously depressed. It was a two-story house and of course, every damn tread on the staircase creaked loudly with each step we made. I half expected to find Elvira, Mistress of the Dark, Freddy Krueger or Bela Lugosi around one corner or another.

I can’t say we were tremendously relieved at finding nothing inside the house, because that still left the garage, which was even more dilapidated than the house. The back door to it was open with the obligatory cobwebs all around the frame. Stacks of boxes, scraps of lumber, furniture, auto parts and parts of old wooden shelving blocked the view from outside the door. Officer T discovered a light switch just inside the door but, as was the case inside the house, it didn’t work. As we made our way around inside and past one stack of boxes, we both looked at each other wide-eyed when we suddenly heard a long low creaking emanating from the darkened unseen depths of the garage. Finally, our flashlight beams played over the corpse of a man, hanging from the rafters by a rope tightly noosed around his neck. At his feet was a car battery and it was gruesomely evident that he had drank its liquid contents before hanging himself. Clearly, this man had really wanted to die.

Of course, this begs the question; would a longer stay at Oakcrest have prevented this from happening? For several years afterward, I thought so; however, with experience on the job, I gradually came to understand there are some people, whose minds are so broken, that no amount of psychiatric intervention is going to help. These people see death as the only solution and their only salvation.

I never did learn what ultimately happened Raincloud Mudball. Napa State Hospital has long since closed its doors. I hoped that once he regained an even keel, he continued to take his medications. At the risk of corniness, I like to think that the world is a much more colorful place with someone going by the name of Raincloud Mudball, in it.

______________________

*Apologies to: Napoleon XIV – They’re Coming to Take Me Away

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Man Down

By Gerry Goldshine

Very early in my police career, one of my training officers hammered home a crucial aspect of officer safety. When an encounter devolves into a physical altercation and fists are flying, it is essential to remember there is always at least one gun available to the attacker and that’s my own gun. This is one of the primary reasons that when an officer becomes embroiled in a fight, as Hal so eloquently stated it in one of his recent stories, “we don’t fight fair—we fight to win as fast as possible.” There is no greater mortal fear than having a suspect gain control of your weapon. When that happens, the outcome is usually fatal to one or both parties involved and perhaps others as well. This is why an officer treats every fight as being for all the marbles.

Front lawn at Petaluma Valley Hospital
Front lawn at Petaluma Valley Hospital

One fall evening, dispatch sent me to check a report of a man down in front of Petaluma Valley Hospital. When I got there, I found a young man, who appeared to be in his early twenties, lying on the grass right by the hospital’s sign. He had no obvious injuries that I could see and though he seemed conscious, he was unresponsive to any external stimulus. I didn’t smell any odor that would indicate he was drunk, so that left some type of medical, mental or pharmaceutical issue. As the saying goes, “The lights were on but nobody was home.” I requested an ambulance to have the paramedics evaluate him.

Once they got there and checked the young man, they radioed the Emergency Room to consult with the on-duty physician. Since it was unclear what was causing his condition, we loaded him into the ambulance. All these years later, I can’t recall precisely why, but I locked up my patrol car and rode in back of the ambulance while it covered the short distance to the back of the hospital, where the ER entrance was located. As safety protocol dictated, the paramedics restrained him to the gurney with its safety belts. No sooner had the back doors to the ambulance closed and we got underway than the kid began trashing about and let loose a series of inhuman shrieks. I had seen this sort of reaction in people with severe head trauma but there wasn’t a mark on him.  

Suddenly, he did a great impression of King Kong, ripping free one of the gurney straps from its anchor point. I immediately suspected he might be on PCP, a very nasty drug that hyper stimulates you, often instilling unbridled aggression and super-natural strength. In seconds, he freed his other arm and began swinging wild punches at us while trying to free his legs from the other straps. Much of what happened in those next few moments is still a bit of a blur. I vaguely recall hearing the driver call for more police units. I remember being alarmed at the number of things in the ambulance he could use as weapons. I was about to find that was the least of my worries.

Petaluma Fire Department ambulance
Petaluma Fire Department ambulance

My adrenaline spiked after when a well-placed kick connected, bouncing me off one of the equipment cabinets. An instant later, he was tugging on my Beretta, trying to pull it out from the holster. Words cannot convey to you what I felt at that moment. In a flash, everything appeared to be moving in slow motion. I was experiencing time compression, a phenomenon that frequently occurs in such critical incidents. I realized that not only was my life in danger but so were those of both paramedics; I was responsible for their safety. As my mind raced to formulate a strategy, instinct and training took over. I yelled a warning that he was trying to pull my gun from my holster. The driver slammed on the brakes thinking that would be helpful. All it did was add to the chaos. The ensuing tangle of bodies eliminated any chance of reaching my back-up gun in my ankle holster.

Thankfully, I was wearing a state of the art safety holster, designed to prevent someone from pulling my pistol out, particularly from the front, which was exactly what he was trying to do. That bought me time. I don’t recall making the conscious decision to do so but I put all of my 140 pounds of brawn behind a punch that I delivered to the left side of his jaw. It was the first time I had ever punched someone in the face and it stunned him just enough that he released his grip on my gun. All three of us piled on top of him and held him down on the gurney. About then, the back doors opened and two more officers jumped inside. The five of us quickly trussed him up better than any Thanksgiving turkey, using every strap we could find.

He was still shrieking and violently thrashing about when we delivered him to the ER a few minutes later. The doctor put him in a darkened, quiet room, still strapped to the gurney. Reducing all external stimuli was the recommended way to treat someone reacting violently to PCP. I honestly don’t recall what happened to him after that.

Fortunately, I had a hell of a good Sergeant that night. He had me park my car at the hospital and then drove us to Denny’s. I had a very bad case of motor mouth – I couldn’t stop talking and my hands shook seeming to move about of their own volition. It took a while for all that adrenaline to bleed off. I was also lucky in that I was about to go on my days off. With that in mind, my Sergeant told me to write up my report of the incident and then go home; he would take care of everything else. Three days later, I was back on the job.

So yes, when cops fight, the Marquis of Queensbury rules go out the window. Absent a Taser, the most effective and safest tactic to neutralize a physically combative suspect is pretty much along the lines of General Schwarzkopf’s  strategy in the first Gulf War; use overwhelming numerical superiority to make the opponent realize his position is untenable and more importantly, unwinnable.