De-escalation is the process of reducing the intensity of an aggressive situation or behaviour. It involves a range of techniques that aim to defuse the situation and prevent it from escalating further. De-escalation is a crucial skill for NHS employees as it can prevent harm to patients, staff, and property. The following are some effective de-escalation strategies that can be used by NHS employees:

In San Francisco, a recent scandal involving racist text messages sent among 14 police officers, including one captain, didn’t come to light until years later because internal affairs investigators didn’t forward the case to the police chief.

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One city, San Francisco, currently is testing Taser’s Axon model for a pilot project, and the mayor has proposed spending more than $3 million to equip police officers with body cameras. The city hasn’t crafted a policy regarding evidence storage. Public Defender Jeff Adachi, whose agency has made headlines by using video to expose criminal conduct by San Francisco officers over the past few years, worries that Taser’s law enforcement ties and privatized evidence storage platform will have negative consequences for the city’s court system.

Elsewhere, donations from Taser to the Los Angeles Police Foundation, and its subsequent purchase and donation of body cameras and cloud services to the Los Angeles Police Department, have raised concern from city officials that the company skirted proper procurement to secure a no-bid, sole-source contract. Police Commission President Steve Soboroff told the Los Angeles Daily News that no donors or foundation officials had any influence on the choice.

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Two former police chiefs, Raymond Schultz of Albuquerque and Ronal Serpas of New Orleans, spoke at Taser’s Ottawa, Canada, sales event in December.

Evident

Gesturing to a presentation on a projection screen behind him, Smith extolled the virtues of his company’s hottest new offering: a body-worn camera system complete with a private cloud-storage service, Evidence.com.

The new technology has boosted the company’s stock price since the beginning of the year and represents less risk than Taser’s controversial stun guns, which have been a magnet for wrongful death lawsuits. Sales of the combined system totaled $57 million last year, compared with $14 million in 2013.

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“We got into this video space to try and change this whole conversation,” Smith told the room. “My personal bias is, you guys get a ton of false complaints.”

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The same day that New Mexico’s auditor filed his report, Taser told Reveal that it had implemented a new policy for former law enforcement personnel. Taser now will wait at least a year before hiring anyone who leaves the force, but will honor agreements already in place.

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Offering choices can help the person feel a sense of control in the situation. It can also help to redirect their attention away from the source of their aggression. For example, offering a choice between two treatment options or two waiting areas can help the person feel empowered.

“It was easier to go into the cloud for cost, but it was also easier for the actual retention and security of the videos. They have a lot of safeguards in place,” said Officer Ed LaValle, who leads the department’s body camera and cloud storage program. Other departments he contacted that use internal storage for camera footage and digital evidence had up to a dozen officers assigned to handle and process that evidence. By contrast, the San Diego Police Department has four people working on cameras and digital evidence storage.

In conclusion, aggression can be a challenging behaviour to deal with, but effective de-escalation strategies can prevent harm to individuals and property. As NHS employees, we must understand the nature of aggression and develop effective de-escalation skills. This involves staying calm, active listening, empathizing, using non-threatening language, offering choices, creating a safe environment, involving others, and following up. By implementing these strategies, we can ensure the safety and well-being of our patients and ourselves, and provide high-quality care in a compassionate and respectful manner.

“Our property room is busting at the seams right now,” LaValle said. “So if we don’t have to store disks, we can put it in the cloud where it’s safe and secure and we can get to it later; we’re ahead of the game.”

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According to Smith’s remarks at the February meeting at California Highway Patrol headquarters in Sacramento, more than 5,000 law enforcement agencies use the company’s Evidence.com service.

Police department spokesman Officer Carlos Manfredi said body cameras will make “for better police-citizen interaction” but would not respond to questions regarding sharing evidence or whether the department has consulted with the San Francisco district attorney or public defender about the new technology.

Listening actively is a crucial aspect of de-escalation. It shows the person that their concerns are being heard and acknowledged. It is essential to maintain eye contact and focus on the person's body language to understand their emotions better.

“What we’re trying to do with body cameras is restore public trust.” — Raymond Schultz, former police chief of Albuquerque, New Mexico

“Originally when we had the cameras, we were hard-lined – the information went through our own lines; you couldn’t hack into it because it was all internal,” Marvel said.

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Schultz’s dealings with Taser later were investigated by the New Mexico state auditor, who pointed to flights, meals, and other benefits Taser lavished on Schultz before he helped the company win a no-bid contract to provide cameras and cloud storage. Schultz also worked as a consultant for Taser before he left the helm of the Albuquerque Police Department, possibly violating conflict-of-interest and public procurement policies.

Taser spokeswoman Sydney Siegmeth told Reveal that Schultz’s travel and consultancy with Taser were above board. “Those are pretty standard practice for having someone come speak at an event, either at a trade show or one of our own events,” she said.

“Police departments will have to dot their I’s and cross their T’s to document their evidence collection and gathering procedures in the cloud and ensure a timely response,” said Ed Imwinkelried, a professor emeritus at the UC Davis School of Law who is an expert on scientific evidence and technology. “These cases require careful tracing of the chain of custody in civil matters, and the problems on the criminal side with cloud storage will mirror this.”

On a February morning, Taser International CEO Rick Smith paced in front of a crowd of hundreds of law enforcement officers from across California. Known for its electronic weapons, the ubiquitous stun guns used by law enforcement around the world, Taser is banking its future on recording and documenting what police do in the field.

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“With the cloud-hosted model, we have a full-time information security team that’s monitoring the software stack, that’s doing security training with our people, with customers,” Smith said. “Amazon has an even bigger security team; because of the high-profile nature of our application, we work very closely with them.”

However, the report also notes that the cloud currently is not accepted by law enforcement agencies as a standard method for storage, and the pace of that technology’s adoption could hurt the firm’s “revenues, profitability and financial condition.”

“Utilizing our cloud-based solution allows agencies to rapidly adopt new technology without the cost and complexity of managing the hardware or software in-house,” Taser said in its 2014 annual report.

The use of private services to store digital evidence will not change law enforcement agencies’ legal obligation to retain evidence that either could be exculpatory for defendants or impeach the testimony of law enforcement officers, a precedent set in the 1963 landmark case Brady v. Maryland. The private sector is obliged to follow the same standard of evidence preservation and access as the law enforcement industry.

However, now both the city attorney and the district attorney’s office have access to the San Diego Police Department’s evidence system for prosecutions. He also raised the question about what procedures exist for dealing with potential leaks of body camera footage.

Taser’s aggressive move into the body camera business amid this debate, and those of other companies, represents a sea change in the law enforcement industry and raises questions about whether police agencies should be handing over evidence to a private company. There also are questions about Taser’s tactics to secure contracts for its new products. An Associated Press report earlier this year highlighted the company’s practice of hiring former police chiefs to pitch Taser’s body cameras to departments.

“We’ve had a lot of problems in California, and across the nation, with prosecutors and police not providing evidence. The result of it is that innocent people get convicted,” Adachi said. “Now they’re saying, ‘Oh, we’re going to give Evidence.com, this private-sector, profit-driven company that makes Tasers, the opportunity to hold the evidence.’ I think that’s hugely problematic.”

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Ali Winston is a freelance reporter, covering surveillance, privacy and criminal justice. His writing has won awards from the National Association of Black Journalists, the New York City Community Media Alliance, the City University of New York's John Jay College of Criminal Justice, the Association of Alternative Newsmedia, the San Francisco Peninsula Press Club and the Northern California chapter of the Society of Professional Journalists. Originally from New York, he is a graduate of the University of Chicago and the University of California, Berkeley.

Luis Robles, an attorney for Schultz, disputed the report’s findings, arguing that the “investigation was not an audit of the Taser contract, but rather an attack against my client.”

But legal scholars and public defenders have expressed concerns that Taser and law enforcement agencies now must share the burden of safeguarding and sharing evidence with defense attorneys in a secure, impartial manner. Currently, there are no national standards for the use of police body cameras and the storage of video obtained by such devices. State legislatures around the country, including California’s, are considering bills that would establish standards for how departments use such devices.

Axonevidencecom

Aggression can stem from various factors, including fear, frustration, or a perceived threat to one's autonomy or dignity. It can also be a result of underlying mental health issues such as anxiety, depression, or personality disorders. It is important to recognize that aggression is not always a deliberate act of violence but rather a response to a perceived threat or challenge.

Taser’s cloud-based evidence strategy is central to the company’s plan for profitability. The company is focusing on increasing annual Evidence.com subscriptions, which range from $15 to $109 per month, or up to $1,200 per year per camera – that’s up to three times the $399 price tag of the hardware itself. For large departments, this carries a hefty price tag: The Los Angeles Police Department’s purchase of cameras for its patrol officers is expected to cost $7 million a year. In San Francisco, adoption by police has been dogged by concerns over the spiraling costs.

Empathy is the ability to understand and share the feelings of another person. It is important to empathize with the person and acknowledge their feelings. Using phrases such as "I understand how you feel" or "I can see that this is upsetting for you" can help the person feel heard and understood.

Not everyone in San Diego is comfortable turning over evidence to a third-party company. Brian Marvel, president of the San Diego Police Officers Association, said that while cloud storage saves money, he has questions about access and security of the data.

Body camera footage – along with audio, pictures, documents, location data from GPS devices and license-plate readers, and other information gathered by law enforcement – would be uploaded to servers maintained by Amazon Web Services. The company already claims to house a petabyte of digital evidence for thousands of police departments across the country.

“The final decision to implement the Taser cameras was made by the successor of Chief Schultz,” he told Reveal in an emailed statement.

Aggression is a common human behaviour that can manifest in various forms, ranging from verbal threats to physical violence. As NHS employees, you are often exposed to situations that can trigger aggression in our patients or clients.

Axon

The national conversation over police brutality and accountability has raged since a grand jury decided not to indict Officer Darren Wilson in November in the killing of Michael Brown in Ferguson, Missouri, and it has been stoked by last month’s in-custody death of Freddie Gray in Baltimore and the ensuing protests in other cities. In December, President Barack Obama announced a program to provide $75 million in federal funds over three years to purchase body cameras for law enforcement officers nationwide.

Taser’s 2014 annual report characterized 2015 as “our Superbowl” and the year when the company intends to “win the largest accounts in the United States in on-officer video and Evidence.com to enable our platform to become the first technology platform that is ubiquitous across the public safety community.”

“Taser is a company that essentially markets to law enforcement. If you look at their website, they say, ‘We make things that put bad guys in jail,’ ” Adachi said. “It’s one thing to sell Tasers to law enforcement, and you can see why they’d market it that way. Quite something different if they’re talking about collecting evidence that’s going to be used in a criminal case. If you’re going to be partisan and only help one side, how is that going to affect the fairness of the criminal justice system?”

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“What are the protocols and standards for protecting that data? Now you’re dealing with a whole new element on the chain-of-custody issue,” Marvel said. “If somebody hacks into body camera footage, the chain of custody is completely ruined. How are the courts going to address that?”

After the situation has been de-escalated, it is essential to follow up with the person. This can involve checking in on their well-being, providing additional support, or following up on any concerns or complaints they may have. Following up can help to build trust and prevent future incidents.

These situations can include long waiting times, difficult diagnoses, or simply a lack of understanding about the treatment process. Therefore, it is essential for us to understand the nature of aggression and develop effective de-escalation strategies to ensure the safety of both you and your patients.

But Smith acknowledged: “At the end of the day, no one is safe. It’s like terrorism – you can’t ever say you’re 100 percent safe.”

“The more data you get, the more police departments face the same problems as private corporations.” — Ed Imwinkelried, professor emeritus at the UC Davis School of Law

If the situation is escalating, it may be necessary to involve other staff members or security personnel. It is important to have a clear protocol in place for when to involve others and how to communicate effectively in a crisis.

In a crowded office on the fourth floor of San Diego police headquarters, the Operational Support Division oversees the downloading, uploading, dissemination and maintenance of the rapidly growing repository of digital patrol officer camera footage.

Myevidence

“The more data you get, the more police departments face the same problems as private corporations – they don’t have the in-house capacity. But the duties of evidence preservation are nondelegable,” Imwinkelried said.

At sales events in Canada and California last winter and in an interview with Reveal, Taser CEO Smith said Evidence.com benefited from the sophisticated security services provided by Amazon Web Services.

It is essential to use non-threatening language when communicating with an aggressive person. Avoid using aggressive or accusatory language, and instead, use neutral and non-judgmental language. This will help to de-escalate the situation and prevent further aggression.

The San Diego Police Department has the largest deployment of Taser’s body cameras, with 600 units distributed to officers since June. The department purchased body-worn cameras to address racial profiling concerns from the city’s communities of color, as well as in response to several officers’ highly publicized cases of sexual abuse allegations while on duty. According to Taser’s $3.9 million contract with San Diego, the police department will receive 400 more cameras by 2016. The department also bought a five-year subscription to Evidence.com with a ceiling of 35 terabytes for storage. As of late April, the department had 15 terabytes of footage and information stored on Evidence.com.

“What we’re trying to do with body cameras is restore public trust,” Schultz told law enforcement officers at the Ottawa event, which was attended by Reveal. “If we don’t have events from our perspective – and our perspective is the most important perspective – we’re not doing our personnel any favors. Now we can control the message and the news – through body cameras.”

It is important to remain calm and composed when dealing with an aggressive individual. The person may be feeling overwhelmed, and responding with aggression can escalate the situation further. It is important to maintain a non-threatening posture and tone of voice.

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Taser’s Axon body camera system rapidly is becoming the market leader. Police in Albuquerque, New Mexico; Los Angeles; New Orleans; Miami; Pittsburgh; Fort Worth, Texas; London and elsewhere currently are testing the system or have decided to buy it. Evidence.com would provide a one-stop shop for digitized evidence and get municipalities around the cost and hassle of maintaining and securing their own servers.

Creating a safe environment is crucial when dealing with an aggressive person. If the person is in a public area, it may be necessary to move them to a private area. It is also essential to have a clear escape route in case the situation escalates.

Police Dash-Cams in Ontario and Quebec. Before discussing my experience with dash-cam cases, I wanted to reiterate that most police forces do not currently use ...