Further Warning to Dr. Cara Christ, and Her Underling Staff at Arizona State Hospital.

That'd be you, Dr. Aaron Bowen, underling that you are, and all of your own staff at this time. 

You have all made you own beds, so get on already with lying the hell down.

Arizona Center For Disability Law Settles Suit With State Hospital
         By Kathie Ritchie. Wednesday, November 20, 2019. 

Dr. Cara Christ
Current (yet to flee?) Director
Arizona Department
of Health Services.

Said warning is offered as it always has been. In reasonably good faith, but not in the interest of the state employed health care official with the responsibility of managing ASH, but rather, in a context of the care needs, welfare,  and rights of the patient community at Arizona State Hospital. Care needs specific to Rights that apply to all Americans disabled by serious mental illness, or any other type of disability. As per federal law, these such disabled persons are to be provided care in manner consistent with state and federal laws and established policy standards, including in a context of medical licenses that persons such as Cara Christ and Aaron Bowen have the express privilege of possessing. Yes, privilege and nothing more, the same that any other type of state issued license is produced, such as a driver's license, a dog license, and on it goes. 

Tom Betlach
Former-since fled
ADHS official. 

Plain fact is, Christ, Bowen, and a host of others (such as Tom Betlach, who resigned his position in the state health department not long at all after the law suit specific to above headline was filed- go figure) were behind the varied issues that were central to the filing of this particular legal proceeding. Namely, her willful refusal to acknowledge the critical need for advocacy resources to play  role in ensuring a reasonable degree of quality of care at ASH, and to attempt to shut down the value of such resources, regardless of how this nature of abuse of her power affects ASH patients, patient families, and so on. Just as with her predecessors in the ADHS construct, I contend the Christ  pulls this crap as means for her to maintain a a sickeningly corrupted version of status quo, in patent defiance of the rights and care needs of the ASH patient community. This lawsuit, ergo, just one more example of wasted tax payer money, 100% due to the willingness of the state's highest ranking public health care official to  to ignore the care needs and rights of the patient community at Arizona State Hospital. If Chist and her various counterparts had been able to recognize and value the efforts of advocacy resources such as AZ Center for Disability Law, versus going around the mountain and back in hope of thwarting these efforts, this law suit would never have been needed.  

     

I

PJ Reed. 2012.

It has been nearly ten years since to founder of this blog publication, Paolo Jack "PJ" Reed initiated a process by which to serve the care needs and interests of ASH patient community. This process began due to an event that occurred during Reed's very first moments following his January, 2011, admission to ASH, after ASH staff immediately stole a full, as in unopened, bottle of medication from Reed personal belongings. As per protocol- medication transport- this property in itself was placed on the vehicle EMS vehicle that transported Reed to ASH in what had at the time been a well sealed bag (before said staff' at ASH took control of this personal property, that is, and formally transported in an even more secure way in the  lock box of that vehicle.  

Within one hour of his arrival on the ASH property, longtime ASH psychiatrist  Dr. Laxman Patel forced Reed to be the subject of a strip search on the basis of these meds being "missing" from the property log that was produced by staff at the Tucson hospital that referred Reed to ASH. Reed fullt cooperated in good faith with this process at the time, not having any predisposition in a context of suspecting anything, per se'.  

A week or so later, when Reed inquired what they had been able to find out about the matter, Patel stated that the hospital's investigation had concluded that staff of the transporting vehicle were behind it, a claim that Reed was willing to trust. However, as Reed became increasingly aware of the shortfalls of ASH's care practices over the next few weeks into months, he reported the matter to AZ State Police (state police have jurisdiction over county to county distribution of any form of controlled substances), who went to the company that owned the transporting vehicle and directly looked at on-board camera technology, which confirmed the plain fact that it was someone on the ASH end of it all who had stolen those medications.    

This is how it began, then. Literally, upon his first moments at Arizona's sole long terms public mental health care facility. And soon thereafter, it only continued, in so overt a a way that no person of reasonable intelligence- mentally ill or not- would have missed it.  For only one bright line example, e.g., when Reed followed the basic directives included in the ASH patient manual, talking 1:1 with Patel about staff misconduct-  abuses of patients most specifically- Patel's first response, for only one bright line example:

 "What do you expect? This is the state hospital." 

Patterns of similar ineptitude arose as Reed's time at ASH passed, leading him to take further steps (beyond Patel, that is), always in good faith as this process began, in the simple hope of seeing that ASH patients were not subject to abuse, and that abusive staff not be granted opportunity to carry on or get away with this such misconduct. But no matter who he went to there at ASH, Reed learned the hard way that no persons in any sort of authority at ASH, from doctors to executive officers, were willing to do anything about this crap. 

In fact, as a consequence of his right and willingness to report issues detrimental to the care needs of both himself and his patient-peers at ASH,  Reed was formally, overtly retaliated against by the by former-since fired ASH CEO, Cory Nelson, and by Dr. Steven Dingle, who has long and is still the chief medical officer at ASH, as well. Forcing Reed from the appropriate treatment unit specific to diagnosis and established behavioral characteristics- major depressive disorder, and no history of violence or actual psychosis- and onto one of ASH's most dangerous treatment units, a unit designated in the hospital'n protocol to treat individuals affected not just psychosis, but by acute psychosis. It takes no  stretch of consideration to realize that all hospitals are required to provide a wide variance of specific diagnoses and treatments.Which is only to say: 

You wouldn't put a cancer patient onto an orthopedic surgery unit , would you!?! 

This was nothing less then an abuse of power, and an action forbidden by the provisions of the Americans With Disabilities Act.  Mistreatment and abuse of this type compelled Reed- begrudgingly, at best- to go to a degree of effort ridiculously beyond what any patient-consumer should have to go to, in merely reporting these such issues, 100% consistent with simplest of civic duty. 

He did this because he had to, only to run into brick walls throughout all aspects of the operation of ASH, and more so the administrative offices of the AZ Department of Health Services. Which, quite obviously, is continuing even today, as I write this, in December, 2019.

Do not say that you were never warned!

PJ Reed. 2017.

paoloreed@gmail.com

Dr. Cara Christ, Yet Again: You don't say!

I have said it well before now: "Do not let the smiles fool you, these type people are poisonous peas in a stomach turning pod.

Societally Sanctioned Sociopathy. 

Personified Yet Again.

In early 2015, only weeks after being appointed, the current director of the Arizona Department of Health Services, Dr. Cara Christ, contacted this publication as means to dissuade our dedicated mission in ensuring that the Arizona State Hospital, (ASH, the operation of which ADHS is 100% responsible for), is consistently operated as per its given licensure as the state's sole long term public mental health care facility. Said licensing is overseen by the federal government.

In that early 2015 contact, Christ stated: "Things at ASH are far better then they were...." This statement was made in response to the fact that- via long overdue federal inspections and oversight in the years immediately previous to her appointment- ASH was found to be grossly mismanaged and in violation of various laws and policy. We subsequently replied in good faith, expressing that we would be willing to trust her in this critical position.   

Plain fact: Cara Chirst as since failed in any number of unknown- as well as known- ways, failing as such to meet her very real responsibilities and obligations, which are established in accordance with the public trust, and by which she is employed. Several preventable patient-consumer deaths at ASH, for example, have occurred since 2015, and regardless of this very disturbing fact, no one person in the current ADHS/ASH construct have exhibited any ability to do any better then one's who were responsible for the operation of ASH circa 2010=2015.

The following is yet another such example of this crap.  

Arizona failed to investigate some nursing home complaints, report finds.

Stephanie Innes, Arizona Republic.
Published September 26, 2019.

From the article:

State health officials failed to adequately investigate complaints of abuse

and neglect in Arizona nursing homes, a new Arizona Auditor General’s

report says.

In the letter, Arizona Department of Health Services director Dr. Cara
Christ writes that the report makes “sweeping statements about public
health and safety risks” while failing to provide context about the findings.

The Auditor General’s Office, in a written response, said Christ’s statements

misrepresent the findings and ”attempt to deflect that attention from the

Department’s failure to investigate, or timely investigate or resolve” some

complaints about long-term state managed care facilities.    

  

Dr. Cara Christ
Director, AZ Dept. of Health
Services (ADHS)
2015-present.

From the pasted smiles to the full range of identified failures to adhere to the terms of their employment contracts, they are like peas in a pod, these two.

Clear evidence, yet again, to the effect that we are now forced to witness grossly undue misconduct from the current ADHS director (Dr. Cara Christ, photo above), just as we had to under the directorship of her immediate predecessor (Will Humble, photo below).

Point being that these two state employees, who share(d) the level of ultimate authority over the Arizona's enture public health care system, also share an identical lack of medical ethos that can, will, and does impose direct harm onto the welfare of vulnerable state citizen-consumers deserving of optimum health care services to be provided by the state, all of whom are individuals relying upon these highly entrusted and rather well paid public employees to adhere to established medical practices and standards.

Indeed, during the tenure of former since fled ADHS director Will Yea, team!" Humble, we saw his repeated refusals circa to  respond to extensive reports of abuse and neglect in the state's sole long term public mental hospital, Arizona State Hospital (ASH). The man's abject lack of character, while working on taxpayer funding, employed as such, through the public trust, did lead to preventive deaths of several ASH patients, as well as persons with no affiliation to ADHS or ASH beyond the impacts of his ineptitude.

Will Humble
Former-since fled Director,
Arizona Department
of Health Services.

Not a surprise, not at all. But also nothing that we as a society can ignore. Whether it comes the state's responsibility to care for vulnerable populations across the board, be it at-risk children, the elderly, or those affected and disabled by serious mental illness, these patterns of administrative negligence and bureaucratic ineptitude are utterly, very disturbingly consistent with the negligence and abuse that these such populations have regularly been forced to deal with for time immemorial. 

Shame, shame, shame. But not a shame that individuals affected sociopathic tendencies are capable of feeling. Smiling their way into hot water, holding out right to the very end, patently denying all elements of evidence in context, as means to maintain status quo, and in hope avoiding due oversight and accountability.

Rather then simply doing the right thing, this is precisely what sociopathy is. 

And just as it only five+ years ago,

don't say we didn't warn you.

Thanks to investigative news reporter Stephanie Innes for getting this most recent information out of the bowels of the state department of health, and bringing into the public's awareness.

paoloreed@gmail.com

Center of Psychiatric Excellence.

My Ass. 

Dr. Steven Dingle,
Chief Medical Officer, 
Arizona State Hospital,
proven sexual predator.

(See this publication: "Of Dr. Cara Christ and Hypersexual Dr. Steven Dingle." October 02, 2018; "Hypersexual Dr. Steven Dingle. The Document...." December 14, 2017.)

Dr. Cara Christ, June 02, 2016:  

     "Many of you know that the Arizona Department of Health Services (ADHS) operates the Arizona State Hospital, where we provide inpatient psychiatric care to persons with serious mental illness who are in need of long term behavioral health care. ASH personnel provide state-of-the-art inpatient psychiatric and forensic care to patients with the highest acuity of behavioral health needs. Interdisciplinary care is delivered in collaboration with community providers, with a focus on recovery and a goal of reintegrating patients back into the community. This Center of Psychiatric Excellence provides a continuum of services to those with significant behavioral health needs. "    

Zoe Barnard, Montana Division of Addictive and Mental Disorders, as heard at Montana State Hospital, January, 2017.
      "Well, as some of you may know, we are a hospital, and that we are supposed to follow certain rules, regardless of how much sense they make to those of you who actually work here." This, in a formal presentation, when Barnard was attempting to explain just why MSH was facing possible termination of its' license to operate.

Also heard, at MSH less then one month later, by a hospital administrator to one of her subordinates.:
      "Jeff, I need you to try and capture examples of progress." This, less then six weeks following the Notice of Jeopardy from the Centers for Medicare and Medicaid Services (CMS), which was in large part compelled by the staff of this publication alerting two elected state representatives about the fact that MSH was operating in violation of its' respective licensure, during that period of time when the facility was still being scrutinized by CMS in the interest(s) of the MSH patient community. 
                

Dilbert. By Scott Adams.Tuesday, July 02-Thursday, July 04, 2019.

    

Gotta' love it. Or not, depending on how seriously one might take such humor seriously. In our case, however, this fairly hilarious yet disturbingly accurate example of bureaucratic jargon designed in the manner of a Macheavellian despot. Wherein, by simply creating such a self-titled designation, persons in trusted public authority willfully exploit language as means to twist the truth. Patent lying by management/administrative officers, in other words, and  deceiving the public in order to portray their given performance in any way they want to, regardless of fact.


"Capture progress?" As though progress is a zoo animal that has escaped its confines, or some other such nonsense? No more clear example of how far certain administrative officers are willing to go as means to avoid accountability, all of which leads to harm of patients and risks of harm to direct care staff, namely those at the bottom of  the given food chain, technicians and nursing staff.


"Center of Psychiatric Excellence?" On what basis was this fairly ludicrous expression created? Numerous and preventable patient-consumer deaths, two of which were close friends of mine, Chris Blackman and Mary "Franky" Adams, specifically speaking? Formal violations of any patient-consumer's civil rights, this in reference to Dr. Aaron Bowen (ASH CEO) demanding that an ASH patient-consumer not openly express their legitimate concern over the fact that the long standing chief medical officer there, Dr. Steven Dingle, has an established and public record of sexual predation of women working directly under his given authority. A status avidly defended by Cara Christ, as well.


We might ask as well why in hell Bowen would choose to protect a degenerate such as Dingle. Could it be that they both have this same nature of history in their professional careers to date? Given the varied facts provided via the emergence of the "Me, too!" movement in recent years, this would certainly be no surprise. Likewise, knowing as we all do the horrific history known to state mental hospitals, it is reasonable to consider the possibility that even a man in so high a position as a chief executive officer is in so some way lacking in commonly expected moral fabric (we saw this at ASH, in fact, as recently as 2011-2015, and the presence of since fired ASH CEO Cory Nelson.) It is known fact that such mental facilities offer safe haven to individuals who would otherwise have little hope of succeeding in the medical profession in America today (such as foreign trained doctors who come to America from 3rd world nations such as Pakistan, India or the Philippines under the J-1 program, also known as the "Alien Medical Licensing" program), and even worse yet, individuals with appalling criminal records (such as now incarcerated Roger Forney, who successfully acquired employment at ASH despite having been convicted of sexual abuses of children well before even applying for said employment.) 

Dr. Aaron Bowen, CEO.
Arizona State Hospital
2015-the present.

Dr. Cara Christ, Director.
Arizona Department of Health Services.
2015-the present.

Zoe Barnard.
Chief Administrator,
Montana Department of Health
Division of Addictive and Mental Disorders.

Sure, a nice smile or two... But that hardly matters. As follows:

At this time (July 2019), the very reputable web site, healthgrades.com, offers a specific record of patient-client satisfaction (or- again- a lack thereof) when Christ was functioning as obstetric and gynecology specialist in the realm of privately managed health care. Go figure? I think not.   

"Dr. Christ's Reviews" (www.healthgrades.com) 

Likelihood to recommend Dr. Christ:

1.0

5 Stars		(0)
4 Stars		(0)
3 Stars		(0)
2 Stars		(0)
1 Star		(2)

Dr. Christ's Performance:

• Trustworthiness: ONE STAR
• Explains condition(s) well: ONE STAR
• Answers questions: ONE STAR
• Time well spent: ONE STAR
•   Office & Staff Performance: ONE STAR

It all gets potentially gets worse when one considers the smiles of several other arguably, equally deceptive women.

Aileen Wournos

   Aileen Wuornos, a former prostitute who killed seven men she picked up while working the highways of the state in 1989 and 1990. In 2002. The state of Florida made Wournos the tenth woman to receive the death penalty in the United States since the 1976 reinstatement of capital punishment, executed October 09, 2002. 

Kristen Gilbert

    Gilbert is a former Veterans Administration (a bureaucracy if ever there was one) nurse who was found guilty of murdering four VA patients in the early 1990s. She was also convicted of attempting to murder two other hospital patients and has been suspected in the deaths of dozens more. 

Karla Leanne Homolka

     Karla Homolka is a Canadian serial killer who acted in tandem with her husband Paul Bernardo... Homolka seemed like a normal child: pretty, popular, and loved by everyone around her... At a Christmas party, they served Homolka's sister Tammy drinks spiked with Halothane on it to keep her unconscious while they raped her, which then caused Tammy's gruesome death.

Or, for that matter, the smile of Cory Nelson. 

Cory Nelson
Former-since fired
ASH CEO, 2011-15.

And/or that of Will Humble.

Will Humble
Former since-fled
Director, ADHS,
2009-15.

---------------------------------------------------------------------------

IN CLOSING: Food for thought. While it would be deeply wrong to assume that Cara Christ, M.D., actually has murderous intent as the queen of Arizona's public health care system, it is nonetheless reasonable to consider her public record when she was in private practice prior to taking over ADHS in 2015. Likewise, just how and why she would ignore the very real history of Arizona State Hospital, the details of which basically remain in effect today. This is no more personified then by the fact that ASH's longtime chief medical officer, Dr. Steven Dingle, has an established public record of sexual abuse of women under this immediate authority, and who Christ avidly defended in 2017. (See this publication, Of Dr. Cara Christ and Hypersexual Dr. Steven Dingle." October 02, 2018; "Hypersexual Dr. Steven Dingle. The Document...." December 14, 2017.)

More so, to take into account why Christ would rely on the same degree of propagandized language that her immediate predecessor, Will Humble, utilized  by declaring the conditions at ASH as a "Culture of Care", despite his having direct awareness that, during his tenure as ADHS' czar, ASH was being operated in defiance of the public's deserved expectations. 

Will these people ever learn? 

Center of Psychiatric Excellence. 

MY ASS.   

paoloreed@gmail.com

Oldham

Dateline June 27, 2019. Of Jesus Rincon Murietta.

"A mother's frightening story highlights concerns over mental-health care in Arizona prisons."

By Greg Oldham. Arizona Republic. June 27, 2019. 

INTRODUCTION

  The above article was published in national media. An issue specific to just why individuals affected and disabled by serious mental illness should never be placed in any standard form of corrections facility. It is common knowledge that these such institutions are incapable of providing humane conditions when a person is so affected, largely due to the same indifference that all mentally ill persons experience in relation to a vast majority of the greater public, as well as when it comes to state managed mental hospitals and prisons. Of note, too, that in terms of privatized corrections facilities, which are increasingly becoming more and more common, treatment of inmates is potentially going to be even lower then that in public prisons.   

The following is a summation of information that the authors of this blog publication shared beginning in May, 2011. A preventable tragedy that only occurred due to the abjectly administrated Arizona Department of Health Services, most specifically in terms that state agency's authority over the management of Arizona State Hospital. 

Ongoing. As extensively reported in my first blog project, beginning in February, 2012, a seriously mentally ill and disabled patient-consumer (of services to be provided by AZ's health dept., ["ADHS"]) named Jesus Rincon Murietta violently escaped from the AZ State Hospital ("ASH") in late May, 2011. Less then one week after this happened, I personally alerted PHX area media- the editorial desk @AZ Republic newspaper specifically speaking- of the fact that Murietta was at large in the community, and that I had good reason to suspect that ASH administrators had formally decided to keep this critical information out of the public eye as means to avoid accountability. 

The verbatim response to my sharing this with the paper at the time: 

"That's a great tip!"

My concerns about the matter had arisen in the following order as soon as I learned that Jesus' had escaped ASH: 

1) Jesus' safety (he had escaped into central PHX in the middle of the night with nothing but the clothes on his back, for example, a seriously mentally ill 23 year old man). 

2] The safety of the general public (I was aware of Jesus' potential threat to others due to his given psychosis). 

3] And on the basis of my suspicion that this information had not been shared with outside resources, such as PHX police, etc., and that public safety across the board was at the bottom of ADHS' and ASH's priorities, whereby they willfully failed to report this issue as required by state and federal law so as to preserve their own selfish interests.

Sadly, very sadly, when an AZ Republic journalist named J.J. Hensley contacted ASH's administrative office in order to confirm my report, they categorically denied that any such escapes had occurred. Hensley was thus forced to drop his investigation of this story at that point in time, early June, 2011.

In the following few months, Murietta had several run-ins with PHX police, who only released him each time due to their having no direct knowledge of the fact that he had escaped from ASH that May. Then- tragically and near predictably- eighty eight (88) days after this covered up escape, Murietta brutally murdered a young PHX woman named April Mott in late August, 2010. I was informed of this by a well intentioned and basically ethical ASH security guard the day after Ms. Mott was killed. I then immediately called Hensley and stated, this too verbatim: "Hey, remember that dude I had told you had escaped from ASH last May? You know, the escape they denied when you contacted them? Well, he is on the front page of your paper this morning."

Murietta now sits- presuming he is not dead- rotting away somewhere in the bowels of the AZ prison system, when he should have been returned to ASH at those points in time when he had had run-ins with the cops prior to Mott's death: and now April Mott is dead, her family in perpetual mourning, and on the list of direct impacts of this scandal goes.

Since that time, there have been no less then three preventable deaths of individuals hospitalized at ASH (these are only the ones we actually know about right now). One (Barbara West, 2015), a suicide in a common day room setting when she was to have been afforded close monitoring on the basis of her known suicidal tendencies (less then 10 days after she was admitted to ASH); another (Mary Baker, 2014), who died after staff had forced a horse pill into her throat, choking her to death when she was suffering a crisis in relation to an attendant physical condition, COPD specifically; and the third (Chris Blackman, 2013), who died due to ASH staff's refusal to transfer him to an emergency room despite knowing that Chris had ingested a broken up CD case (this- ingesting such stuff- only one bright line aspect of his mental diagnosis and condition).

While in 2015, seven state employees functioning in association with the operation of ASH- including several who were directly involved in enabling the preventable murder of April Mott, namely Cory Nelson (CEO at the time) and Donna Noriega (CQO at the time)- were summarily fired on the basis of far overdue oversight and accountability. These individuals had been focused upon since the earliest days of this blog as individuals with no legitimate sense of ethics, as well as a number of highly entrusted medical doctors- psychiatric staff, in particular- who were not subject to oversight despite being 100% involved in the issues at stake in that time period.  

Indeed and very disturbingly, persons such as then and still ASH chief medical officer Dr. Steven Dingle and virtually all other senior ranking medical staff at ASH and any number of individuals working at the helm of the ADHS system, avoided being held response despite the fact that they were all well aware of all decisions made in a context of this scandal as it initially arose. Sitting on their hands, flaunting their given responsibilities, while Jesus Rincon Murrieta was at large in the greater Phoenix community. 

And it is equally crucial to realize that a then acting representative of the Office of the Arizona Attorney General, Joel Rudd, who did at the time function full time and on-site at ASH, was equally involved in this scandal. Rudd has since moved into the private sector, very possibly due to my having contacted his superiors in 2012 and informing them of his role in it all. 

Bottom line. Could not make any of this chit up if I had to.

There is no excuse whatsoever for we the American people to not take these issues seriously. All persons in state managed mental hospitals are human beings, as are all as persons incarcerated in American jails and prisons whether mentally ill or not; all of them with families, and all of whom posses the same degree of human rights that we all have coming to us in USA today. This is spelled out in the constitution (the 8th amendment, e.g.), and other such treatises designed to preserve our general well being and status as American citizens.I have never meant anything more sincerely then this in my adult life.

This, we do.

IN CLOSING

Currently employed individuals in the the highest aspect of the Arizona public agency construct, namely those working in association with the state's prison system, the administrative offices of AZ Department of Health Services, and as it follows via the text of Greg Oldham's investigative article, "A mother's frightening story highlights concern over mental health care in Arizona prisons", Arizona Governor Doug Ducey, all share the same degree of responsibility in terms of ensuring that human and reasonably lawful care practices be provided to any person incarcerated or otherwise included in the state's overall public agency network/system.  Why, in fact, these such officials are willing to flaunt the dictate of American and international human rights law and policy, is no less a mystery to me, Paolo Jack Reed, then it was when this blog project founded. 

Abject lack of ethos, arguable contempt of law, and gross dereliction of duty in relation to the public trust. Period. End of story. 

   paoloreed@gmail.com