GILBERTSONInvestigations Inc. (239) 571-1840
Gilbertson Investigations Inc. · Training · Supervision · Organizational Practices

Failure to Train
Is an Organizational Question

$42M
Plaintiff settlements & judgmentsSecured by retaining counsel in matters since 2014 · See the case file

Direct line: (239) 571-1840  ·  GregoryGilbertson@proton.me

Attorney and law-firm inquiries only

Training · Supervision · Discipline · Monell

Individual misconduct can have organizational fingerprints on it. This practice examines how the agency trained, supervised, disciplined and retained its officers, and whether written policy matched actual practice, in support of pattern, practice and custom analysis.

From the Bench
U.S. District Court Western District of Washington

Ruling on a motion to exclude his testimony in Alvarez v. King County, No. C16-0721RAJ, 2017 WL 3189025 (W.D. Wash. July 27, 2017), Judge Richard A. Jones entered the following opinion.

“Mr. Gilbertson’s qualifications demonstrate extensive experience in policing. His expansive work as a police officer in Georgia, with assignments as a SWAT team officer, juvenile court investigator, school resource officer, stakeout squad officer, senior patrolman, and patrolman; then a career as a tenured college professor and university lecturer teaching criminal justice courses to degree-seeking students at colleges and universities, and as a licensed private investigator conducting felony pretrial investigations for attorneys in Washington State in dozens of criminal cases, makes him unique in the field of police expert witnesses. The Court finds that, based on his experience, Mr. Gilbertson’s testimony can be expected to have a reliable basis in knowledge and experience of police practices.”

The Hon. Richard A. Jones United States District Judge
At a Glance

The facts counsel cite.

  • Professor Gregory Gilbertson (Ret.): thirty-eight years across policing, the Army, the classroom, and investigative casework. Independent consultants are retained case-by-case where the record calls for a second discipline.
  • Retained in more than 220 civil rights and criminal cases across 42 states and the District of Columbia; expert practice since 2014.
  • Retained by plaintiff’s counsel and by the defense alike, in civil and criminal matters.
  • Fees are published: a $9,000 flat fee covering discovery review and the written expert report; the full schedule is on For Retaining Counsel.
  • Attorney and law-firm inquiries only; conflicts are checked before any substantive discussion. (239) 571-1840.
The Scope

What the analysis covers.

Individual engagements are scoped with counsel. Go deeper: Supervision & Discipline · Monell Pattern & Practice · Hiring & Retention.

Organizational analysis

  • Failure-to-train analysis
  • Failure-to-supervise analysis
  • Failure-to-discipline analysis
  • Policy adequacy and written policy versus actual practice
  • Municipal and Monell-related police-practices support
  • Pattern, practice or custom analysis

Personnel systems

  • Officer hiring and background screening
  • Negligent officer retention
  • Prior complaints and disciplinary history
  • Early-warning systems
  • Command review and corrective action
  • Internal-affairs procedures
  • Officer accountability systems

Training practices

  • Police academy training practices
  • Officer report-writing practices
  • Officer use-of-force training analysis

Opinions address police practices and standards; ultimate legal conclusions on liability remain for the court.

The Engagement

Same discipline, every case.

01 · Conflicts & scope

Conflict check and a written scope with retaining counsel before substantive discussion.

02 · Retention

A non-refundable $9,000 flat fee covering discovery review and the written expert report.

03 · Record & report

The complete record against national standards, set out in the written report.

04 · Testimony

Deposition, hearings and trial, nationwide from RSW.

Full fee schedule and counsel FAQ: For Retaining Counsel →

Incident first

Every organizational finding starts from a documented departure.

The organizational opinion is built on the incident analysis, not beside it. That analysis reads the whole encounter against agency policy and generally accepted police practices, on what was known at the time and without hindsight, and it ends with the departures it documented, each cited to the record. The work of a failure-to-train expert witness starts from those departures rather than from the agency's training program at large. That gives the reading a fixed target: an agency's files on training, review and discipline reach well beyond any one encounter, and Professor Gilbertson reads them for the conduct the departures name.

A departure here means conduct the incident analysis found inconsistent with agency policy or with accepted practice. It is a practices finding, not a finding that a right was violated or that the agency is liable, and setting it beside the agency's systems yields practices findings of the same kind. Nothing in that reading reopens the incident findings, and a gap found in the agency's systems is recorded beside the officer's departure, never folded into it. A departure from a written directive is documented the way a police procedures expert witness documents one: the requirement the directive states, the conduct the record shows, and the point where the two part.

Each departure is then set beside three agency systems, and the record is read for what each one did about that kind of conduct before the incident. The first is the system meant to prevent the conduct: the training the officer received. The second is meant to detect it: supervision, the review of force and, where the agency keeps one, an early warning system. The third is meant to correct it once detected: discipline, retraining and the decision whether the officer stays in the assignment.

The agency's oversight and accountability systems are examined on their own terms in supervision and discipline; this reading asks only what each did about the conduct in question. Where the officers met a circumstance no written directive reached, the departure is recorded as one no directive governed, and it is set beside the same three systems. How the incident analysis records such a departure is set out in policies and procedures.

Prevent, detect, correct

Each system answers one question about the same departure.

In a hypothetical matter, the incident analysis documents one departure from the agency's own policy: force that continued after the person had stopped resisting. A failure-to-train expert witness follows it through the three systems in order, asking one question of each about that conduct in this officer's history, rather than about the agency's training on force in general. The same sequence runs for any documented departure, from a search outside the governing directive to a report that left out the force used.

The first question is whether the officer was trained on that conduct before the incident, and when. A general academy block on force does not answer it; the finding needs instruction on force after resistance ends, located in the officer's own training history, with the date it was last delivered. How that file is read is the subject of what training records reveal, and the report gives the date rather than a characterization of the program. Instruction delivered only after the incident is noted, but it does not answer this question.

The second question is whether any review of the officer's earlier incidents of that kind identified the conduct. The documents are the first-line supervisor use-of-force reviews written after earlier uses of force that resembled this one, and a board's finding where the agency convened one. The finding is what each review said about that conduct, not merely whether a review was filed.

The third question is what followed once a review had identified the conduct. The answer sits in dated entries: retraining ordered and completed, a disciplinary action, a changed assignment, or a review that closed with nothing recorded after it. Where no review did, this question has nothing to attach to and the finding stays with detection. The decision to leave the officer in the same assignment belongs to this answer as well; hiring and retention reads it with the agency's other decisions to keep the officer.

The officer's own prior complaints, dispositions, discipline and early warning entries are read in internal affairs review and are cited here rather than read again. Where the incident analysis documented several departures, each runs through the same three questions, and the answers are reported departure by departure and system by system, never averaged into a single verdict on the agency.

Handoffs

Two questions the opinion routes rather than answers.

The first is the pattern question. A departure that also turns up in other officers' incidents raises that question, which is worked at Monell pattern and practice from the records listed in the Monell record checklist. Its scope is set with counsel, because it reaches files the incident record does not hold.

The second is the legal question. Whether a gap in training, review or correction caused the officer's conduct or the injury, and whether it amounts to a policy, a custom or deliberate indifference, are questions for counsel under the rule stated in what a Monell claim is. Legal conclusions remain counsel's, so the report sets what each system required beside what it did and leaves the vocabulary of the claim to the briefing.

Professor Gilbertson, retained by both sides, asks the same three questions of the record for an agency's counsel, and the answers can show training delivered before the incident, a review that identified the earlier conduct and a correction that was completed. Each finding about the agency names the departure it was set beside and the dated record it rests on, which keeps the organizational opinion tied to the conduct this case is about. Where the agency is a sheriff's office, the chain of command generally runs up to the sheriff, and how that shapes the organizational record is set out under sheriff's office cases.

From the Record

Related casework.

Case accounts as published by retaining counsel. Outcomes depend on their facts; no result is promised for any other matter.

Questions

Asked before the record is sent.

What is failure-to-train analysis?
A record-based examination of what the agency trained, when, and against which standards, compared with what its officers actually did, covering supervision, discipline, retention, early-warning systems, and the gap between written policy and practice.
Does this support Monell claims?
The analysis provides municipal and Monell-related police-practices support: pattern, practice and custom review grounded in agency records, training files, complaint histories, and national standards. Legal conclusions remain counsel's domain.
What does retention cost?
A non-refundable $9,000 flat fee covering discovery review and the written expert report, with a bullet-point outline approved with counsel before writing begins. The full published schedule is on the For Counsel page.
What if the officer acted against training the agency actually delivered?
Then the training record answers the prevention question, whether the officer was trained on the conduct at issue before the incident, and the report states that finding with the dates the instruction was delivered. Detection and correction are read from other records. A trained officer can still have earlier incidents of the same kind in which no reviewer identified the conduct, or a correction that was ordered and never completed, and those findings stand or fall on their own documents.
Is an organizational opinion possible when the incident analysis documents no departure?
Not from that incident. Nothing from it is set beside the agency's systems, and the report notes the absence of a documented departure. An organizational opinion is not assembled without a departure to anchor it, and a weakness found elsewhere in the agency's training or supervision is not attached to an incident that did not show it. What that means for the claims pleaded against the agency is a question for counsel.
Does the analysis cover training delivered by an outside academy or instructor?
Yes. The prevention question asks what the officer was taught about the conduct at issue before the incident, and instruction counts whoever delivered it: a state or agency academy, an outside instructor, or the agency's own in-service classes. Each is read as part of one training history, dated and matched to the conduct. Whether the agency is answerable for instruction it relied on but did not deliver is counsel's question, not a practices finding.
Retain

Send a training and supervision record.

Attorney and law-firm inquiries only. Conflicts are checked before anything substantive, and you will hear about a conflict immediately.

Failure to train & Monell inquiry

For counsel building or defending a municipal-liability claim.

Inquiry sent.

You will hear back directly. If the matter is urgent, call (239) 571-1840.

(239) 571-1840Direct line, Naples, Florida GregoryGilbertson@proton.meDirect email, prefilled for this matter.
Nationwide practiceRetained in 42 states and D.C. · Based in Naples, FL

Conflicts are checked before any substantive discussion. Please do not send privileged material with a first inquiry; after retention the record is exchanged on physical media. Gregory consults for attorneys and their staff only, and does not provide legal advice or attorney referrals to individuals.