He completed his residency training in psychiatry at the University of Texas Medical School at Houston. He completed additional training in forensic psychiatry at the University of California, Davis. Dr. Roof is board certified by the American Board of Psychiatry and Neurology in both general and forensic psychiatry. Dr. Roof has been an expert witness in cases involving the connections between psychiatry and the law and has testified to issues such as bipolar disorder and memory loss. He is part of the Sacramento County Superior Court Expert Witness panel and has completed numerous appointments for them involving competency to stand trial, sanity evaluations and sex offender evaluations. Dr. Roof is the medical student site director for inpatient Jail Psychiatric Services and is the first author on a book chapter for American Psychiatric Press Inc., (in press) involving geriatric criminal offenders.