Thursday, February 28, 2013

Under Their Skin: An Update of Sorts.

   "Defectors and whistle blowers, as it were, will really help this cause."         

Any writer feels a certain sense of satisfaction when indications appear to the effect that their work is in some way appealing to a reading audience, this in the context of any genre of literature and text. So I cannot deny the simple pleasure that I experience when the reader visits to this blog site spike through the roof whenever I add new material to it. It is, in fact, quite remarkable to observe this as a writer dedicated to disseminating information that is anything but fun to read (I should think). Watching the number of "hits" to the site go from 30, 45, 70 and so on, steadily up through the lunch hour, and then by dinner, to see those numbers transcend into the hundreds, definitely has its positive effect, and I always get a shout out from either my editor in New Orleans, or my publisher in Dallas (or both) whenever this happens, which sort of makes it exciting, in a way. 


(NOTE: As of September 2014, the total visits

Said spike(s) don't come easy, especially given that I don't publish much on here anymore, for it is largely all going into the book. When I do publish something on this blog nowadays, it typically flows directly from news and other like data that emerges thorough the popular press, as illustrated by the intensity of last weeks investigative articles in Phoenix's major newspaper, the Arizona Republic, feature news reporting specific to the Arizona Department of Health Services (ADHS) repulsive failure(s) to protect juveniles who are undergoing residential mental and behavioral health treatment in ADHS numerous Level I facilities for people in that age group, which are located all around the state. I know that the staff at these media outlets drop in and extract data from my writing, too, but in truth (obviously) I am not a trained journalist, and the basic tone of my voice was honed via my experiences as an abused patient at ASH (versus via standard journalistic investigation, which has its own fundamental requisites); thus, in terms of my most recent blog entries, my gratitude for the work of reporters such as JJ Hensley, Craig Harris, and Rob O'dell (as well as Wendy Halloran at KPNX television, Channel 12 in Phoenix) runs deep, and I owe them far more than they owe me. 



It's also somewhat satisfying to know that a marked degree of my "business" (readers) is coming right out from the war zone, as it were, where individuals at the helm of ADHS, as well as administrative staff at The Arizona State Hospital (ASH), are doing whatever they can to deflect attention from the realities of their misconduct. But this satisfaction has no joy to it in the classic sense. It is, rather, a bittersweet experience in all possible ways, because generally speaking, the process that I am engaged in is anything but alluring, and I am only dragged back into the filth characterized by my first person knowledge of how inhumane the conditions at ASH actually are. And while I can only suspect that the wrongdoers at ASH perceive my work to be spiteful and reflective of simple angst, I can attest to the fact I am not compelled to produce data reflecting my experiences and knowledge base in relation to the substandard conditions at ASH by a spirit of actual resentment (towards these rat bastards), nor have I ever been; which is to say that my investment in this matter doesn't flow from a need to impart revenge on anybody. Vengeance, as such, may well have its place in certain processes not unlike this one (particularly given the very real harm that these people have caused in my life), but there is far more at stake than a need to vent my resentment towards anybody, per se'. Indeed, the task at hand is aimed at rooting out the underlying causation(s) by which the graphic discrimination against the seriously mentally ill patients at ASH so vividly occur, for it is undeniably due to this discrimination that the substandard conditions at ASH occur in the first place. This is the case across the board, endemic and unshakeable prejudice that emanates from deeply rooted stigma, and utter disregard for the needs of people as vulnerably needful as the seriously mentally ill. In this sense and this sense only, the ones most centrally responsible for the dismal conditions at ASH occupy executive offices at the facility itself (ASH, 2500 East Van Buren St., Phoenix, AZ, 85008 [602-244-1331] ), as well in the main office of ADHS (150 North 18th Avenue, Phoenix, AZ 85007 [602-542-1025] ); and taking these particular rat bastards to task is just something that has to happen if the far more meaningful redress and reform that I and my supporters are dedicated to can ever come about, for as long as the state of Arizona's most seriously mentally disabled citizens are left in the care of such people, there is no point in advocating for change. 



The bigger task, then, is to bring Arizona up to speed in terms of participating in a broader national movement that I can only describe as too late and long forgotten, whereby an increasing number of states are recognizing the dysfunction of public mental health care policies that in recent years have directly contributed to our nation's greatest domestic tragedies. There is arguably no state at this time more qualified in the context of illustrating the egregious impacts of these dysfunctional policies than the state of Arizona, and I contend that the Arizona public health care system itself needs to be entirely rebuilt (from the top down), so that the greater public can be assuredly provided with the performance levels expected of such systems. As I have illustrated to date in this blog, those performance levels are the direct responsibility of high ranking state officials such as ADHS director Will Humble, as well as a number other executive and administrative staff in ADHS and at ASH, individuals who have grossly failed in their jobs in direct violation of the public trust, and who consequently need to be removed from this process altogether. Therein, the nature of the "satisfaction" that I feel when I observe the appearance of these sorts of people whenever they visit my blog, straight out of the aforementioned "hornets nest", because I am willing to believe that by making it clear to these people that the time has come for them do the right thing in the greatest possible way specific to the heart of this mission, we may jostle one or two of them out of their roosts there atop the junk pile. Defectors and whistle blowers, as it were, will really help this cause.         


And when I say "almost enjoyable", I mean it in the sense that I and "my people" find satisfaction in knowing that we have caught the attention of such individuals, for only through such success will the requisite wheels begin to turn in direct benefit to the needs and rights of ASH's highly vulnerable and seriously mentally disabled patients. "We" (my people) are not concerned about how well anything I publish sells, per se', because the only market that we are dedicated to targeting at the onset exists in the realms of major health care institutions, including universities, legal forums, and other like havens of scholarship and critical discourse, and that market is a given, for (if nothing else) my publishing house is well established in those realms of intellectual contemplation and discussion. While my editor, meanwhile, has successfully tended to the evolution of a variety of books written by noted medical authorities, including physicians, academics, and public health care officials (including the late C. Everett Koop, who just passed away on Monday of this week). This is why I feel so fortunate to be working with the ones who are supporting my work at this time at the formal editorial and publication level; in our earliest discussions (which occurred following direct references), I learned quite that they are all dedicated to contributing directly to meaningful resolution of the central issues that I have identified in terms ASH being as graphically substandard as I allege it to be, and the experience of both my editor as well as the management staff at my publishing house is exemplary. Historically, these folks have a long history of briskly stirring the pot in a context specific to medical ethics and commonly recognized sentiments in this sense, and have in their own respective right brought a range of  powerful and invigorating literary supplements to ongoing public health care discourse and debate in the United States, and elsewhere. 


IN CLOSING: And when I say "almost enjoyable", I need to clarify as well that no part of this process is enjoyable, in fact. It is as painful a process as I have ever dedicated myself to, and in this sense, it is equally  nonsensical and seemingly without clear purpose to many of my friends. This is just how it is, though. The state of affairs at The Arizona State Hospital is horrifyingly out of sorts with anything that the high majority of my closest friends could ever imagine. This applies across the board, I feel, with respect for the American public, for nobody of reasonable conscientiousness and related awareness about the world we live in would ever easily believe that a modern health care facility could ever be so dismally mired down in practices that were officially abolished years ago. As I said, this is just how it is, for I was there, and I saw these things, and I was subjected to these things, and it hurt me and fucked me up in very real ways, and these things only I can I know. Likewise, I mentioned already that my main writing project is being edited by a woman who was for a period of years close to the late C. Everett Koop, and she has done a great job in reminding me that I need to care to my own needs as we go through this process, which will likely take years, and may require the writing and publication of more than one book. She does this because as an experienced professional, she knows that if I am not on top of my game, the primary objective of our working relationship is at risk; she is also a genuinely nice person, in my humble opinion, and the mere presence in her history of someone as esteemed as Koop grants me something beyond simple inspiration, something more akin to reverence for the trade of writing, as it lays before me today. My good friends, meanwhile, are people I have known for up to three or four full decades, and they care for me outright and simply, and they know me to be a fighter, and a survivor, and a good man, so with guarded tones of blessing, they support me. I will cross this puddle, and I will wade out once the crossing is done, and they will still be there, as they are today, and have always been.

paoloreed@gmail.com
    

Monday, February 25, 2013

Prosework

I wrote a boat load of prose during my 13 months of hellacious hospitalization at The Arizona State Hospital, generally specific to my experiences as they were occurring there, and I have continued to produce poems and other like literary expressions specific to ASH since my February, 2012, discharge. The following three poems are included in this blog as indicated below, and are due to published in print in 14 days. Black on Red are blog article title and publish date in the blog itself (for full poems see blog directory and locate by publish date); and Purple are poem title and date/place of creation.



Prose. RE: Abusive Staff At The Arizona State Hospital (05/31/11)

       aggressive aldo (January 11, 2012, ASH)

Prose: Of Friends In Hell The kindest were the patients, the honesty was founded in the needy, the integrity rested in the eyes of the wounded, and the truth relied upon the presence of evil. (02/24/2012)

     early morning sailors/we came together (2012, Flagstaff)


Prose: On Leaving Arizona (07/12/12)

     travel (May, 2012, Greyhound bus, AZ to Louisiana)

paoloreed@gmail.com

Sunday, February 24, 2013


RERUN: Do not forget who this is all about. I mean that.

Prose: Of Friends In Hell The kindest were the patients, the honesty was founded in the needy, the integrity rested in the eyes of the wounded, and the truth relied upon the presence of evil.

As always, friends emerge in the strangest of places. This piece is dedicated to Albert, Philip, Ruth, Tim, Ruby F., Devon, Janice, Josh V., Josh two, William, Jasmine, Joe G., Tyrone, Theo, Clyde, Kris, Melissa A., Edward, Virginia, Lucy, Ken M., Noreen & Iris, Brian one, Brian two, Rodney A., James M., Andy B., Thomas B., Elaine, Thomas (two), Talina, Carl, Donny P., William, Michele, Brian, Francesca, David A., Constance, Jesus M., Wendy, George one, Vince, Mark, Roberts one-three, Steve one, Abigail, David H., Randy, Natalie, Pete, Larry, Amber L., Alexandra, Rich, Janice, Chris T., Jerry, Mr. Director, Rosy, George two, Steve two, Tim, Franky-Mary P., Pete, Edmond L., Larry, Roger B., Cathy, Rich, Mike…. And too many names sadly forgotten. 

People who touched me so strongly, as being angels somewhat hidden in the closet of their respective mental complications; each of whom, via the influence of stabilizing medications or whatever else was keeping them stable (at times, sometimes oft', sometimes not) within the realm of The Arizona State Hospital, set themselves as far higher beings than the evil mongers who have been granted by their relatively superficial professional qualifications- vs. ethical character- the absolute privilege to impose themselves on the needs of our loved ones. For that's what it is, you know, nothing short of privilege to be allowed by family or morally balanced citizens or state policy or the very air of our planet to share the thoughts and hearts of Arizona's most at risk adults

…. and so it was told, 
below the house
and outside the garage
above the stone stairway,
by the moldy old trellis
with its long dead grape vine….

the little girl reached for the stick
but it struck her instead
so she died from snake bite:
copperhead- going for the eggs.

                  (from"orchard" self pjreed 1989)

early morning sailors/we came together

they came by
day after day
often announced
my welcome was taken for granted
by me, so I always made my way in
to their respective houses
as though we had been there for time
eternal is the strength of pain
and happiness is the price of love
which came to me there                                     
in the strangest of places                                                
but in truth, no farther from home
than my three lakes down the hill-
birchwood, crystal, mountain-
any one of the them
long ago defined 
whence the trail 
our eventual meeting. 
                          (self pjreed 2012)

notes:
  -Beth O. 1993 Britanny Slager 
  -Orchard (partial) 1989
    Trout Creek Press, Ashland, OR
    (originally published 1990 Fish Review #4
     Trout Creek Press, Ashland, OR

NOTE: the poem "Early Morning Sailors/We Came Together"
was originally published in Fern and Prune 1989
Prescient Press, Birmingham, UH
1st ed. Kriss Roth/Solvang

paoloreed@gmail.com






DAY SIX: Let The Games Begin. Wherein, the media coverage of negligence and related administrative corruption in the Arizona Department of Health Services continues.

As discussed in my recent article about the failure of the state agency overseen by ADHS director Will Humble, to meaningfully protect the interests and care needs of Arizona's mentally and behaviorally troubled juveniles, the Arizona Republic newspaper has actually been publishing daily coverage of this investigation and the related exposure of this matter. Please take a moment to review the details of this reporting, for in terms of the lapses in protocol and related violations of procedural law and policy specific to the state's obligation to fully protect the rights and care needs of its public health system clients, this matter illustrates  patterns identical to the issues that I have been working to address in relation to the substandard conditions at The Arizona State Hospital, which is also one of Will Humble's responsibilities. 

TO READ THE FULL ARTICLE(S), VISIT AZCENTRAL.COM. THE ARIZONA REPUBLIC NEWSPAPER WILL HAVE A FULL UDPATE EACH DAY OF THIS WEEK.


UPDATE: Indeed, the Arizona Republic published not five, but six days of feature reporting specific this investigation, which concluded this weekend with the following article information. At this time, all of the articles are available in full and on-line at: 
                       azcentral.com  

Troubled Teens:At Risk and Overlooked

DAY 6F E B R U A R Y 23, 2012
TROUBLED TEENS: PROMISING ALTERNATIVE FOR TREATMENT
By Rob O’Dell and Craig Harris The Republic | azcentral.com 
Sat Feb 23, 2013 11:42 PM

Arizona spends tens of millions of dollars each year to temporarily institutionalize troubled youths while a growing number of states get better results at a lower cost by leaving children in their homes and bringing the services to them, experts say.


An Arizona Republic investigation has found that allegations of abuse and other problems inside juvenile residential treatment centers are common, but the reports go largely unaddressed by state regulators. Given these issues, and the high cost of such care, experts say it might be time for Arizona to look at a different approach to treating youths with emotional, behavioral or addiction problems — one that’s shown promise elsewhere.


Known as wraparound services, this approach to intensive treatment sends only the most problematic children to institutional treatment centers for short-term stabilization in crisis situations. Otherwise they remain at home, where they see counselors who can provide a variety of services ranging from therapy and crisis intervention to respite care for parents.


Arizona children, meanwhile, can spend years in treatment centers, sent there either by family members or by court orders intended to get them treatment for emotional, behavioral or substance-abuse problems.

---------------------------------------------------------------------------------
THIS IS ONLY A PARTIAL ASPECT OF THIS ARTICLE. I HIGHLY ENCOURAGE ALL OF MY READERS TO READ THESE ARTICLES IN FULL. THEY CAN BE VIEWED AT:
 AZCENTRAL.COM

This article, which is only a segment of the full article, goes farther than the entire history of the Arizona Department of Health Services has under the leadership of director Will Humble. It offers an alternative, suggesting nothing more than a need for change on the basis of well founded and undeniable evidence that proves the fact that Arizona's highly vulnerable and mentally or behaviorally ill juveniles are being subject to a range of criminally depraved treatment. Will Humble, on the other, offers nothing than knee jerk denials founded upon no such evidence, while simultaneously declaring that there is no evidence in support of the full range of issues presented by two very well qualified investigative journalists, Rob O'Dell and Craig Harris. In other words, Humble's only willing to debate these matters, rather than admit on any level at all that irrefutable evidence in conflict with his position has any merit. This is precisely how my work specific to The Arizona State Hospital has been handled by Humble and his staff, patent denials and utter refusals to consider evidence to the contrary. It's goddamn ridiculous, it really is, and either this man is as thick skinned and unscrupulous a state official as the entire history of Arizona has ever seen (and that's a deeply grave history, too, as anyone conscientious Arizonan knows), or he is just plain stupid. Really stupid. I have already alluded to his status as a sold down the river bureaucrat, but as these last details from the AZ Republic investigation play out, it is clear that the problem goes far behind that basic characteristic. But for any highly ranked and far more than reasonably paid state official to snub the implications of such reporting, wherein the most seriously mentally ill and disabled juveniles and adults are begin subject to highly criminal forms of emotional, psychological, physical and sexual abuse, is simply beyond understanding. I could hardly care, of course, why these people are so miserably below par in terms of their obligations specific to their job descriptions. All I care about are the patients, and seeing to it that these people no longer get away with this shit. It has to stop now.   

The significance of this situation cannot be overstated at this time. The relationship of the issues arising via these media reports and the issues specific to my reporting about the substandard conditions at The Arizona State Hospital is one and the same. As such, the work of the Arizona Republic's reporters in this case has immediate bearing on the evolution of my work specific to ASH, enough so that I see great potential in terms of this process as it stands today. I have always been very aware of the fact that the presence of graphic patient abuse at ASH, and administrative failings of ASH's executive officers and senior clinicians to do anything about it, has everything to do with related problems in the state agency (ADHS) obligated to oversee the practices at ASH, and I have, in fact, personally experienced grossly substandard responses from various officials in the ADHS Office of Grievances and Appeals ever since I first turned to them not long after my admission to ASH in January, 2011. And thanks to these articles in Republic, I somewhat get the feeling that it is only a matter of time before these rat bastards go down, at all levels of authority at ASH and in the Arizona Department of Health Services/Behavioral Health Services.       

paoloreed@gmail.com



Will Humble's Blog: Herein, the czar of public health and wellness in the state of Arizona does his best to lambaste an excellently conducted investigation of client-patient abuse in ADHS/BHS's mentally ill juvenile care facilities, and the equally outstanding reporting of two very highly qualified investigative journalists. 

Additional Note: Please visit www.adhs.gov. This is the main web page of Arizona's Department of Health Services, which is parent agency responsible for the state's immense behavioral health care system, including The Arizona State Hospital, as well as the Level I juvenile care facilities featured over this past week by the AZ Republic newspaper. Click on the main page for ADHS, and look for the prompt to the DIRECTOR'S BLOG, WHICH IS WHERE ADHS DIRECTOR WILL HUMBLE DOLES OUT HIS NEWSPEAK ABOUT THE GENERAL STATE OF AFFAIRS SPECIFIC TO HIS DIRECT RESPONSIBILITIES TO THE CITIZENS OF ARIZONA AS A WHOLE. 

The rest of this article will give you an idea of why I am asking you to peruse the materials included in ADHS director Will Humble's official blog. Thanks.   

It is late, and I am tired after an unusually long day. So I will put off stripping the following information down to its core until a later time. For the moment, suffice it say that no one thing better establishes the arrogance and audacity of our state's out of control public behavioral health care system than does the director of the Arizona Department of Health Services, Will Humble's, below the belt attempt(s) to discredit one of the most critically vital news reports in 2013. Who in holy hell does this man think he is? Are we, the public, who have reviewed this moderately extensive body of information and found it's underlying research methods and related data to be far more than convincing, ill qualified by his standards to form our own opinions in situations like this? Why must this bastard defend his station so mercilessly, when the very lives of Arizona's most disenfranchised and underrepresented citizens are at stake? 

I will give you the short answer. Will Humble is a die-hard bureaucrat. And like any tech-savvy die hard bureaucrat of the modern era, Will Humble has a blog. It is on the ADHS website (www.adhs.gov), and very easy to locate once you are there. Take a look at it as soon as you can, and you will find the article that I have included below, which he wrote and posted to his blog on Tuesday, February 19, 2013. It is his first reaction to the Arizona Republic's featured reporting specific to this investigation, written and posted on day two of the full five days of articles published in the Republic between Monday and Friday of last week (Feb. 18-Feb. 22, 2013), and one has to wonder if he even knew at the time he wrote it that were still three or four more days of data to hit the newsstand. So do, read the thing, and if you are inclined, no pressure from my end, go ahead and offer your comment(s) where indicated at the bottom of the article itself. (You will have to go the website to do this, it cannot be done here, from this publication). Offer your comments- again, if you so choose- and I will guarantee you one thing: 

If you find yourself feeling the need to question his position, or criticize it in any way, even if in the most civil and circumspect of ways, and constructively to the ends of the earth, your comments will not appear. 

I know this, because I have experienced this on at least 7 occasions in the last 10 months, or so. Patent censorship. Not one of my comments, at least some of which were tame in all senses, and politely submitted to the best of my ability (I know how to be polite), garnered so much as a thank you, and much less an actual response of substance. Humble's blog page claims to function as a tool for communication between us, the public, and he, the author of the blog, and the director of Arizona's immense public health care system. As such, it reflects a character of openness and free dialogue. But it is anything but that. Look at this way: I am a well spoken, recently discharged client of Arizona's sole long term mental health care facility, and if he is not willing and able to include my experiences and related contributions to a discussion about issues relating to my very real experiences in his system of responsibility, than who might we expect him to deem as beneficial to this conversation?  

In researching the comments to Humble's blog over the past couple of months, I have found that the few comments that ever appear are always very short, and they never contain anything outside of flat footed praise ( as in, sterile and unpretentious in any way, while questionable in every way). I can't easily surmise how much input Humble refuses to bring to the table, besides my own, but it is my theory, too, that not many people even visit this man's blog. I mean, he works for the department of health (not a exactly a hot-bed for stimulating intellectualism), so it's not as though it's sexy, or controversial, or cutting edge, or mind expanding, or educational, or any of the other things that my blog is. But what it is in my learned opinion at this stage of the process, is a hoax, and little more. It is face time, and false advertising, and just one more tool of the trade when you are a sold down the river bureaucrat. But I greatly encourage all of you to take a look for yourselves, for I am nothing if not desperate to include all of you in this process. Only through a dedicated sense of community will we ever identify our own best salvation in the context of these matters. Patient abuse is inhumane, criminal, and yet at ASH, and in the juvenile facilities we recently heard about, patient abuse is occurring, and they are all getting way with it…. For the moment.    

TO READ THE FULL ARIZONA REPUBLIC ARTICLE(S), VISIT AZCENTRAL.COM. THE ARIZONA REPUBLIC NEWSPAPER HAD A FULL UDPATE EACH DAY OF LAST WEEK ABOUT ADHS/BHS's HORRID PERFORMANCE SPECIFIC TO OUR STATE'S MOST TROUBLED JUVENILES, AND THEY ARE TITLED AS FOLLOWS HERE:  
Troubled Teens:At Risk and Overlooked

THAT SAID, BELOW AND IN RED IS WILL HUMBLE'S OFFICIAL REACTION TO FIVE DAYS OF BULLET PROOF INVESTIGATION INTO THE ABUSE OF ARIZONA'S MENTALLY ILL CHILDREN…. INGENIOUS TITLE, DONT YOU AGREE? HE'S SHARP AS TACK, ALRIGHT, RIGHT OFF THE FLOOR OF THE PROVERBIAL TACK ROOM (OR, CONVERSELY, THE FLOOR OF THE LITTLE BAR OF THE SAME NAME IN THE CONGRESS HOTEL, TUCSON, AZ.)
--------------------------------------------------------------------------------
Troubled Teens: At Risk and Not Overlooked
February 19th, 2013 by Will HumbleNo comments »
Our Vision at the Arizona Department of Health Services is ”Health and Wellness for all Arizonans”. Part of that Vision for folks living with behavioral health issues or a mental illness means achieving and maintaining self-reliance and independence.  To get there, some individuals simply need outpatient services occasionally.  Some need wrap-around community or home-based services.  Others need more intensive treatment in a licensed residential setting.  Our goal is always to provide the most effective kind of evidence-based treatment for that person.
For example, our home and community-based wrap-around services have been so effective that we’ve reduced care in licensed high-level Residential facilities by 75% in the last couple of years in Maricopa County.  We did this by building up home- and community-based wrap-around services like in-home counseling, high needs case management, home care training, peer support, respite, family support, and skills training.  However, outpatient treatment and home and community based services can’t always provide the level of treatment folks need, and some people need the more intensive treatment that only a  licensed and regulated residential facility can provide. 
A series of reports in the Republic this week suggests that some residential treatment facilities in our state are substandard.  While no regulated facility is perfect, our teams of inspectors are well-trained and highly-motivated to ensure each of our licensed residential treatment facilities meets our standards. Those that don’t must implement an immediate corrective action plan. Additionally, the DHS team has been overhauling many of its regulations to make sure our standards focus on the most important components of care.
We inspect residential treatment facilities once a year, and more often than that when there are complaints. When we’re inspecting facilities, our teams make decisions based on evidence. We talk to the residents and the staff; we look at patient and personnel records (including videotape); we observe facility practices and examine physical evidence. We require two forms of evidence to substantiate an issue. This practice helps us separate legitimate complaints and concerns from those that are baseless or intentionally fabricated.
We also receive dozens of reports every day as part of our regulatory oversight of all of our licensed facilities. We carefully and promptly evaluate each report and respond accordingly. Many of the reports that we receive are routine and pose no health or safety problem. When we receive a report that could pose an immediate safety concern, we send staff to the facility immediatelylike we did with an assisted living facility over the weekend.
Successful residential treatment facilities are pro-active, follow their policies and procedures without fail, are meticulous in reporting and documentation, and seek ongoing education. They’re not afraid to admit a mistake. Our job is not just to ensure that facilities comply with our standards, but also to maximize their effectiveness. That’s why our licensing teams also focus on ways to improve our licensed facilities.
Unlike newspaper reporting, our actions as an agency must be based in fact and rooted in the evidence demonstrated by a comprehensive review of the facility. Folks can view factual information about the more than 7,400 facilities licensed by the Arizona Department of Health Services by visiting www.azcarecheck.com.

Troubled Teens: At Risk, and Not Overlooked.
I MEAN, HONESTLY, DOESN'T IT SEEM TO YOU THAT THIS GUY COULD COME UP WITH SOMETHING OTHER THAN A DUST HOLE CHEAP SPIN OFF OF THE ALREADY PUBLISHED TITLE SPECIFIC TO THESE MATTERS? IS HE REALLY THIS BIG OF A BOZO? OH, WAIT,  WHO AM I KIDDING- OF COURSE HE IS! I SOMETIMES FORGET EVER SO SLIGHTLY HOW RADICALLY OUT OF WHACK THE CONDITIONS AT THE ARIZONA STATE HOSPITAL ARE, AND IF I AM NOT CAREFUL, I RISK LOSING SIGHT OF THE UNDENIABLE TRAIL OF CRUMBS THAT DENOTES PRECISELY HOW AND WHY SUCH A STATE OF SUBSTANDARD HEALTH CARE COULD POSSIBLY EXIST AT THIS DAY IN AGE.

ONLY A BOZO COULD SIT AT THE TOP OF SUCH A DISASTER SCENE.

IN CLOSING: The Arizona Child Protection Services (CPS) agency, which operates under the authority of the state's department of economic security, took a barrage of serious hits following the tragic deaths of a number of at risk children whom that agency had failed to, well, failed to protect. Pretty ugly stuff at the time, and the final details on that whole comedy of tragedies have yet to come in. Well, sometime last summer, I wrote a letter to Mr. Humble specific to an intuitive sense of anticipation that I felt when reading about the problems in CPS, as well as posted comments on his blog in the same regard, as follows: I humbly warned Mr. Humble that if he did not want to find himself immersed in the same ocean of hot water that CPS's director (Clarence Carter) is in, then he (Humble) might want to rethink his unwillingness to meaningfully respond to the numerous reports flowing his way from people like myself (a former ASH patient), ASH staff (current and former, many of whom have been vocal in providing Humble with feel detailed concerns about their own safety), state level advocates such as John Gallagher (formerly with the ADHS Office of Human Rights), and so on. But did he so much as flinch at the time? Of course he didn't! It is not in his nature. It is not in the nature of any of these people, and this is precisely why they can no longer be trusted. Will Humble and every other administrative employee of ADHS/BHS/ASH who I have to date identified by name are in compete violation of the public trust at this very time! There is no room anymore for their denials, no allowance on the table for continued bullshit thrown in the faces of Arizona's tax paying citizens, for they have disqualified themselves from being trusted. It is, simply stated, too late, and no degree of backpedaling or trail covering is gong to get these bastards out of it this time. 




paoloreed@gmail.com


Friday, February 22, 2013

expo |ˌekspōˈzā|
nouna report of the facts about something, esp. a journalistic report that reveals something scandalous: a shocking exposé of a medical cover-up.   
   For the last six days (Monday Feb. 18- Saturday, 23, 2013) the Arizona Republic newspaper featured an intensive journalistic investigation of abuse in Arizona's juvenile mental health facilities and related administrative negligence in the Arizona Department of Health/Behavioral Health Services. The investigation was thorough, extremely revealing, and will greatly serve the citizens of Arizona in terms of awareness of the crookedness underlying ADHS's utilization of state revenues specifically allocated for the care of Arizona's most vulnerable and at risk population(s). 
   Kudos to work well done by AZ Republic reporters Craig Harris and Rob O'dell.

TO READ ALL SIX OF THESE ARTICLES IN FULL, PLEASE VISIT: AZCENTRAL.COM  AND SEE:
TROUBLED TEENS: AT RISK AND OVERLOOKED

The data found in these six articles offers an outstanding platform by which to understand how and why the conditions at The Arizona State Hospital could possibly be just as substandard as I have described them to be in this blog, to date. There is little difference between the satellite entities referred to in the newspaper articles as Level I residential juvenile care facilities and The Arizona State Hospital, the only marked difference being that ASH houses seriously mentally ill and disabled adults, versus juveniles of the same description. And just so that one other  fact is crystal clear at this time, these juvenile facilities operate under the auspices and authority of the same agency branch of Arizona state government as does ASH. Any and all data included in the articles specific to the grossly inept mismanagement of these juvenile facilities applies to the conditions at ASH. This is a simple fact, and there is no way to get around it. 

The Arizona State Hospital facility itself is just one of many "satellites" in the overall ADHS system, but it is unique in that it employs a very high number of state employees (no outside health care contractors), while also functioning to care for several hundred seriously disabled Arizona citizens. ASH is the state of Arizona's only long term public adult mental health facility. ASH is a locked down Level I facility, much like a prison, and the myriad events that occur behind the walls and barb wire topped fences of ASH (whether good or bad in nature) occur 100% out of the public's view and earshot. The one's running ASH are fond of referring to the inner workings of ASH as a city within a city, but unlike any community in the free world, there are no outside resources available for the full time residents of ASH to turn to when crisis arises, such as crime of any kind, including episodes of patient abuse in any form. In this sense, ASH's patients are profoundly isolated. And due to the fact that the patient experience at ASH is characterized most pronouncedly by unabridged abuses of power, wherein a majority of staff at all levels of employ systematic methods of intimidation and coercion designed to suppress dissent or language and expression falling along the lines of protest, the patients are forced to adapt as best they can to a realm that is utterly void of safe haven in this context. This is how it is, day in, and day out, and I attest to the fact the atmosphere at ASH is, at times, terrifying for these very reasons. 

The disturbing array of shortfalls detailed in this weeks investigative newspaper articles gives rise to the fact that there is arguably no more vulnerable a population of Arizona citizens than those of us who just so happen to be institutionalized in an ADHS Level I behavioral health facility, and in my learned opinion today, there is no more neglected facility in Arizona's public health system than The Arizona State Hospital. Given the findings of these news articles as they relate to ASH, I contend that ASH is an extremely dangerous environment in terms of the care needs and related human rights of Arizona's most seriously mentally ill and disabled adults, for it functions 100% out of the public' mind and eye. Out of mind and out of sight, a condition that virtually eliminates any reasonable guarantee that ASH's patients be provided with the optimum care that they deserve; and much further, one that grants the administrative staff and senior clinicians the opportunity to maintain a literal shroud over the realities specific to the patient experience at ASH, as a whole. It is by way of the Hospital property's profound isolation that these highly paid state employees can go about ignoring the ground level episodes of emotional, psychological, and physical abuse that ASH patients are subjected to day in and day out, while simultaneously practicing grossly substandard medical-mental health care, and engaging in willful dereliction of public duty at the administrative level.

It is important to note that if and when a meaningful investigation into the substandard conditions at ASH comes about, there simply has to be
discourse specific to reforming the manner in which ASH operates, including an immediate allowance for direct public participation in all imaginable ways. Transparency at a level never seen in Arizona's sole long term public mental health care facility is critically necessary at this time, because the patients at ASH are in crisis, and the only way this can assuredly come into fruition is thorough the establishment of an independent oversight committee, unaffiliated with state government, and derived of public welfare advocates who have a proven dedication to the furthering of human rights specific to the mental heath community. 
A structure comprised as such, so that the administrators at ASH are held accountable and available for direct public inquiry; and no more of this carte blanche acceptance of one or two high ranking state officials' statements to the effect that everything is fine; an abolishment, as such,   of the condition whereby state agency officials such as ADHS director WILL HUMBLE maintain the expectation(s) that their verbal claims about things along the lines of improvement, oversight, restructuring, and so on, are going to suffice in terms of the public's right to know precisely what the truth is in this context. For never have we seen so glaring an expose' of the shortsighted and unlawfully substandard flow of behavioral-mental health care in Arizona is, as we have seen in these recent newspaper articles.

In a nutshell: These people cannot be trusted to do their jobs as we might expect them to. They have failed to abide by the public trust, and the time is upon us all to bring transparency and public oversight into the realm of public mental health care. It is, indeed, all about us, the greater public, and it always has been. 

To the extent that I have dedicated myself to bringing boatloads of testimony, documented evidence, and other like data to light in this blog, I could have saved us all a lot of trouble if simply making that very statement about my experiences at ASH could have possibly sufficed. 


THESE PEOPLE CANNOT BE TRUSTED! 

For that is the sum of my experiences at ASH, and as such, has direct applicability to all of the professional misconduct and depraved misbehavior that I witnessed and was subjected to firsthand during my time at ASH. Keeping in mind the specific  roles that ASH staff are obligated to serve, from the roles of the highest ranking executive officers and senior primary care providers (psychiatric doctors), to that of the nursing staff, and the behavioral health technicians (who by far spend the most time in direct contact with ASH's patients), I attest to having encountered staff whose most basic and obvious behavioral characteristics revealed nothing short of utterly fraudulent and arguably psychopathic traits.


 IT IS THAT BAD, AND I ATTEST TO IT AS SUCH. 

I again will encourage all of you to take a good long look at the details of this past week's Arizona Republic articles. You can read all of them in full at azcentral.com. Simply go to that site and google/search via the phrase troubled teens, and the articles should be readily accessible. The articles are displayed as Day One through Day Six (M-Sat. of this past week, Feb. 18-23, 2013). 

In reviewing these articles, take note of data illustrating the fact that ADHS officials have failed to respond to extensive good faith reports about horrifically criminal acts, including sexual abuse of Arizona's mentally and behaviorally juveniles, and consider the implications therein as they relate to the rights and needs of the seriously mentally ill and disabled patients at The Arizona State Hospital. Out of sight, out of mind. A profoundly isolated environment where such good faith reporting is virtually impossible and all but nonexistent. The patients at ASH are 100% cut off from the public eye, and they cannot do a thing about it. It does not matter how severe the mistreatment is. Nobody of objective character from "the outside world" has reasonable access to the interior of ASH, which means that for the bulk of any given 24 hour period, patients are effectively defenseless against the effects of grossly substandard conditions and related patient abuse. In terms of ASH staff, in combination with the willingness of ASH administration to put ASH workers at fear of their given job security, nobody seems to have the balls or ethical foundation to do anything about it, and the attendant "What happens at ASH, stays at ASH" mentality prevails over all. 

This is what the patients experience, day in and day out, as they also struggle to bear the pain and related complications of serious mental illness, and even their doctors have little compassion for them (for the psychiatric doctors at ASH are the worst of the worst- I attest to this, as well).


IN CLOSING: Patients at The Arizona State Hospital have no means by which to directly communicate with outside resources- most to the time, that is. I humbly express that I was a rather unusual patient-client at ASH. My given education, professional background, and overall life experiences, in relation to my relative lucidity as a seriously mentally ill person, amount to a mindset and voice that the rat bastards at ASH would never have granted access to, had they known more about me. This fact  become clear early on in my treatment when my first primary care physician, Dr. Laxman P. Patel, advised me that based on my attitude about the state of affairs there, "ASH is not the right hospital for you". Subsequently (throughout my 13 months at ASH), I engaged in a concerted good faith effort to report and address each and every aspect of the substandard conditions that I witnessed and was subjected to firsthand, and my efforts came to naught. I directed these reports to every state authority imaginable (beginning with the in-Hospital system), but most critically, I adhered to the specific protocol of Arizona's public health care system in the context of exercising my right to engage in such reporting by completing dozens upon dozens of official formwork and directing those materials to the one's in the health department who are 100% responsible for overseeing the emergence of such reports. And for this, I was granted nothing in terms of response, redress, and so on. I was ignored. The details of the AZ republic recent articles illustrates how this can be. I cried "Foul!" time and time again, and they heard me, there at ASH, and in the offices of the Arizona Department of Health Services. They heard me but they refused to respond. These issues are precisely what the AZ Republic has exposed over this past week specific to the ADHS/BHS juvenile system, and in terms of my ability to prove my experiential data:


                I have copies of everything.  


paoloreed@gmail.com







   







     























mmmm
DAY FIVE: Let The Games Begin. Wherein, the media coverage of negligence and related administrative corruption in the Arizona Department of Health Services continues.

As discussed in my recent article about the failure of the state agency overseen by ADHS director Will Humble, to meaningfully protect the interests and care needs of Arizona's mentally and behaviorally troubled juveniles, the Arizona Republic newspaper has actually been publishing daily coverage of this investigation and the related exposure of this matter. Please take a moment to review the details of this reporting, for in terms of the lapses in protocol and related violations of procedural law and policy specific to the state's obligation to fully protect the rights and care needs of its public health system clients, this matter illustrates  patterns identical to the issues that I have been working to address in relation to the substandard conditions at The Arizona State Hospital, which is also one of Will Humble's responsibilities. 

TO READ THE FULL ARTICLE(S), VISIT AZCENTRAL.COM. THE ARIZONA REPUBLIC NEWSPAPER WILL HAVE A FULL UDPATE EACH DAY OF THIS WEEK. 

Troubled Teens:At Risk and Overlooked

FEBRUARY 22, 2013
DAY 5: Funded but not monitored
Arizona taxpayers spent $78 million the past three years for troubled children to receive 
help for addictions and behavioral problems at nine residential centers without measuring 
the effectiveness of their treatment.




The Republic
The six biggest receivers of state money.
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I HIGHLY ENCOURAGE ALL OF MY READERS TO READ THESE ARTICLES IN FULL, WHICH CAN BE VIEWED AT AZCENTRAL.COM 

The significance of this situation cannot be overstated at this time. The relationship of the issues arising via these media reports and the issues specific to my reporting about the substandard conditions at The Arizona State Hospital is one and the same. As such, the work of the Arizona Republic's reporters in this case has immediate bearing on the evolution of my work specific to ASH, enough so that I see great potential in terms of this process as it stands today. I have always been very aware of the fact that the presence of graphic patient abuse at ASH, and administrative failings of ASH's executive officers and senior clinicians to do anything about it, has everything to do with related problems in the state agency (ADHS) obligated to oversee the practices at ASH, and I have, in fact, personally experienced grossly substandard responses from various officials in the ADHS Office of Grievances and Appeals ever since I first turned to them not long after my admission to ASH in January, 2011. And thanks to these articles in Republic, I somewhat get the feeling that it is only a matter of time before these rat bastards go down, at all levels of authority at ASH and in the Arizona Department of Health Services/Behavioral Health Services.       

paoloreed@gmail.com