"THERE IS A DUTY TO WARN…. A REQUIREMENT WE ALL LIVE WITH." Barry Rose, manager, Salt Lake County/University of Utah Neuropsychiatric Institute (see below, as quoted in an Associated Press article written by Paul Foy, published in The Washington Post newspaper on Setpember 24, 2013)
The following article, published only yesterday, September 24, 2013, confirms my contention that administrative staff at The Arizona State Hospital did in fact violate established law and policy specific to their required obligation to do everything within their power to protect the public from threat posed by Jesus Murietta, at that point in time and in the subsequent days/weeks following his violent escape from the ASH, in late May, 2011. Not only were these persons aware of the fact that Murietta is a very violent and potentially lethal threat to others, but as importantly, that he has history of serious suicide attempts. Throughout the entirety of his treatment at ASH (as well as per in terms of his prior mental health records), Murietta's established behavioral characteristics were known to include psychotic breaks that would generally lead to him physically attacking others (patients and staff, alike); and in fact, on one occasion less than 30 days prior to his escape from ASH, Mureitta very violently assaulted and beat a female ASH patient, who is in fact restricted to a wheel chair, an incident with undeniably clarifies his instability at the time. In the initial 7-10 days after his escape, and the willful coverup of the escape by ASH administrators, Murietta was positively identified by ASH administrators as having stalked and verbally threatened the life and family of a female member of ASH's housekeeping staff, who for some reason failed to report that incident in her own right to police, and instead reported it to ASH administration, effectively asking them to do whatever they felt reasonable under those circumstances. I feel safe in presuming that the housekeeper was afraid for her job, and that this is why she chose to take this highly critical information to ASH administration, rather than Phoenix police. In any case, instead of following through on even that specific dynamic of the cycle of violence as it played out, ASH administrators again refused to share these details with Phoenix police, or any other like public resource upon whom the greater public rely when such issues arise in relation to the corrections system, the behavioral health system, and so on. As the excerpts below prove, ASH staff as whole have a very real duty to report any such threats posed to the public, in general; but as per the data that I and other like public information sources have clearly illustrated to date, as matter of standard practice, the one's running ASH and caring of the well being of Arizona's most seriously mentally ill adults have an established history of refusing to meet this most fundamental element of their given responsibility(s).
Man accused of plot to shoot up Salt Lake mall
By paul foy
associated press
09/24/2013
Police first learned of the plan Aug. 12 when a West Valley police officer was dispatched to Pioneer Valley Hospital by a crisis worker. At that point, investigators began looking into Stiles' background. Family members told investigators the man had a history of mental illness and making threats, the district attorney said….
Barry Rose, who manages Salt Lake County's crisis line at the University of Utah's Neuropsychiatric Institute, said the crisis worker handled the situation correctly.
"Confidentiality goes out the window when somebody makes a credible threat to hurt others….
….There is a duty to warn. It is a requirement that we all live with."
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IN TERMS OF THE COVER UP OF JESUS MURIETTA'S VIOLENT ESCAPE FROM THE ARIZONA STATE HOSPITAL IN MAY, 20122- THERE YOU HAVE IT:
"Confidentiality goes out the window when somebody makes a credible threat to hurt others.
"There is a duty to warn… a requirement that we all live with…"
This is an established standard of care that applies throughout the American mental health
care system, and has common sense merit that extends beyond the presence of formal edict and policy. At this point in time, the American public is reeling from the lingering impacts of several mass shootings that share the dynamics underlying the murder of April Mott. But in this specific case, we precisely know who is at fault, due oversight and accountability, and subject to all aspects of applicable law. And yet, in relation to ASH and management level staff in the ADHS/BHS construct, each and every one of these individuals is still employed by the taxpayers, highly paid and functioning in relation to public mental health care in Arizona.
As a matter of practicality, I will restate my primary concerns that arose as soon as I learned that Jesus Murietta had violently escaped ASH in late May, 2011, and in the following 2 days. There were three, as such, and they were very specific, as follows:
1) I had immediate concern for Murietta's safety, for along with his known violent behavioral characteristics, he also has a very real history of lethal suicide attempts, which are readily evident in the form of deep scar tissue directly across his throat and both of his wrists; likewise, the simple fact that he had fled ASH at night, and into the very dangerous environment of central Phoenix with nothing but the clothes on his back- literally- also led me to worry about Jesus' safety and basic well being at that very time that I first learned of his escape (the previous night).
2) Given Murietta's established behavioral characteristics specific to violence directed towards other , which I had witnessed in a Tucson area mental facility prior to ASH, as well as at ASH itself in the months before the escape, I had immediate concern for the general threat posed to the greater public.
3) At that time that I learned of the escape (the following morning) I had every reason to expect that the administrators of ASH were up to the fundamental task of alerting the police and providing them as much relevant information as possible in terms of Murietta's known state of mind and related behavioral characteristics. But within 48 or so hours of the escape, I learned that ASH administrators had failed to meet this most basic of obligations to the public, and therein I sensed the presence of a very real cover up, which I knew to be 100% against the law. I sensed, as such, that these people were intending to avoid the required oversight that applies to such events (escape(s) of violent patients, etc.), which compelled me to contact the editorial staff of the Arizona Republic newspaper on the the 3rd day after the escape.
NOTE: In the subsequent 4-6 days after my contacting the newspaper in order to report Murietta's escape, when reporter J.J. Hensley contacted the administrative staff at ASH in order to confirm this, he was advised that:
NO ESCAPE HAD OCCURRED.
- The entirety of my account is a matter of record, including this last detail ("Note"). Consequent to the fact that reporter Hensley was lied to in this context, he was unable to confirm my report, and my credibility as a citizen seeking to report such critical information was thrown in question. I was, after all, JUST ANOTHER ASH PATIENT. Thus, as per the undeniable presence of stigma and associated discrimination towards seriously mentally ill persons, the reality of this issue was shrouded by the willingness of ASH administrators to defy the public's due need in this context, which further violated my status as an American and person in terms of voice, equal protection, and self determination, as spelled out in state, federal, and international human rights law.
THE SHARED RESPONSIBILITY AND RELATED ACCOUNTABILITY IN THIS MATTER CANNOT BE OVERSTATED, FOR AT THAT POINT IN TIME THAT THE SENIOR CLINICIANS, ADMINISTRATORS, AND ASSOCIATED EXECUTIVE STAFF WERE IN A POSITION TO PROVIDE REASONABLE PROTECTION TO THE GREATER PUBLIC, IMMEDIATELY FOLLOWING THE VIOLENT ESCAPE OF A PATIENT UNDER THEIR CARE, EACH AND EVERY ONE THEM WILLFULLY CONCEALED THE FACT THAT THIS HIGHLY DANGEROUS PERSON WAS AT LARGE IN THE GREATER PHOENIX COMMUNITY. AS SUCH, THE WELFARE OF BOTH THE PUBIC, AS WELL AS THE PATIENT, WAS ILLEGALLY PUSHED ASIDE IN ORDER FOR THESE PEOPLE TO AVOID ACCOUNTABILITY. AS A GROUP, THESE PEOPLE PUT THEIR OWN SELFISH INTERESTS BEFORE THAT OF THE PUBLIC, WILLING AS SUCH TO ACCEPT WHATEVER CONSEQUENCES WOUDL ARISE IN RELATION TO THIS SELFISHNESS, AND I CONTEND THAT EACH AND EVERY ONE THEM KNEW EXACTLY WHAT THEY WERE DOING AT THE TIME. IN TERMS OF THE CRIMINALITY THAT I CONTEND APPLIES IN THIS CASE, THE UNDENIABLY WILLFUL NATURE OF THEIR ACTION(S) EXTEND BEYOND NEGLIGENCE, FOR AS I HAVE STRIVED TO EXPLAIN IN NUMEROUS ESSAYS AND ARTICLES TO DATE, THOSE PERSONS AT ASH WITH THE MOST DIRECT RESPONSIBILITY OVER THE FACILITY'S GENERAL OPERATION- RESPONSIBILITY AFFORDED THEM THROUGH THE PUBLIC TRUST AS PER THEIR CLAIMED QUALIFICATIONS, INC. EDUCATION AND PROFESSIONAL EXPERIENCE- DID DELIBERATELY DISTORT THE FACTUAL DETAILS UNDERLYING THIS MATTER AS IT OCCURRED AND CONTINUED TO PLAY OUT, WHICH IS TANTAMOUNT TO AN OBVIOUS MANIPULATION OF THE EXPRESS INTENT AND PURPOSE OF STATE AND FEDERAL LAW(S) SPECIFICALLY DESIGNED TO PROTECT AMERICA'S PUBLIC AS A WHOLE. THESE INDIVIDUALS FURTHER WENT SO FAR AS TO HIDE BEHIND SUCH STANDARDS OF LAW, INCLUDING THE HOSPITAL INFORMATION ACT (e.g.- BY REFUSING TO ACKNOWLEDGE THAT NO PERSON/PATIENT'S PRIVACY RIGHTS TAKE PRECEDENCE OVER THE INTERESTS OF THE GENERAL PUBLIC) IN ORDER TO AVOID REQUIRED OVERSIGHT, WHICH WE THE PUBLIC REASONABLY EXPECT TO BE CONTINUOUSLY IN EFFECT. AND AS ILLUSTRATED IN ALL FACETS OF CURRENT MEDIA REPORTS, AS WELL AS MY OWN SHARED DATA SPECIFIC TO THESE ISSUES, EACH AND EVERY ONE OF THESE PEOPLE ARE 100% GUILTY OF DEFYING THE ABOVE CITED CRITERIA, WHICH INCLUDES THE EXPRESS DUTY TO REPORT ANY KNOWN THREAT(S) TO THE PUBLIC. THE DELIBERATE DISTORTION DESCRIED HEREIN IS DECEPTION THROUGH AND THROUGH, AND IS LITERALLY MAINTAINED ON A DAILY BASIS BY THE ENTIRE EXECUTIVE STAFF AT ASH- IS IN FACT A MATTER OF STANDARD PRACTICE THERE. FOR AS PROVEN BY THE REOCRD AS IT STANDS TODAY AND CONTINUES TO EVOVLE, THE ONE'S DIRECTLY ASSOCIATED WITH UNLAWFUL COVER UP OF MURIETTA'S ESCAPE ARE STILL ACTING AS SENIOR LEVEL CLINICIANS AND ADMINISTRATIVE STAFF AT ASH, AND BEYOND IN THE AHDS/BHS SYSTEM- INCLUDING BUT NOT LIMITED TO:
-(then) interim ASH Supervisor Ann Froio;
-(then) ASH Chief Medical Officer Dr. Steven Dingle (since promoted within the ADHS/BHS framework!);
- ASH Chief Operating Officer Donna Noriega (who is at this very time the acting Supervisor at ASH!);
- long time on-site ASH legal counsel Joel Rudd (who works at ASH in his capacity as a staff attorney with the Arizona Office of Attorney General);
- Jesus Murietta's primary attending psychiatrist Dr. Steven Morris (who as per the practice was most directly familiar with and responsible for establishing Murietta's state of mind, and who I believe is now in private practice in the Phoenix area: 8151 E Indian Bend Rd, Set 105B, Scottsdale, AZ 85250 [this is the man's purported operating business address, available online at www.vitals.com);
- and not to be forgotten, former short time ASH Supervisor Cory Nelson, who willfully engaged in furthering the highly inaccurate information specific to this issue following the horrific slaying of April Mott, by characterizing the cover up process itself as a matter of Murietta's "civil rights" (and who has since been promoted to excessively high position of Deputy Director of the entire BHS network!);
- and finally, any number of other like administrative representatives, senior clinical staff (including current ASH Chief Medical Officer Laxman Patel), and any associated staff who had/have the common sense to recognize the critical nature of this matter as it played out in May-September, 2011; all of whom willfully chose to deny the public of their due rights in this context- which did undeniably cost April Mott her life.
I feel deeply compelled, as per my own legal background and deep respect for the legal field in itself, that ASH's onsite formal legal representative, Joel Rudd, must have been aware of this issue at the time that it initially arose, in the hours and days immediately following Murietta's escape. As such, I feel that it is critically important to realize that Rudd functions in his position at ASH as a staff attorney with the Office of the Arizona Attorney General (under the authority of current Arizona AG Tom Horne), which is one the most trusted positions of trust existent in contemporary state government. Herein we have one more bright line example of how extensive the wrongdoing at ASH is, in fact, for the implication is clear: The criminal conduct that ASH's senior staff are increasingly being to shown to have engaged in has occurred under a guise of legal protection from the state of Arizona's most powerful law firm, in effect. Due to this clearly criminal complicity between Rudd and various administrative staff at ASH, complicity which began immediately following Murietta's violent escape from ASH, and which continued to play out over the summer months of 2011, an innocent young Phoenix woman was brutally murdered less by Murietta less than 12 full weeks after that covered up escape. Which, again, ASH administrators blatantly covered up, including in terms of their knowledge that Murietta had threatened to murder the family of an ASH housekeeper in the days following the escape. It is- all of it- as unspeakably disturbing an exhibition of ineptitude and outright criminality as one might witness today in terms of mental health care and related public interest.
Substandard mental-medical health care,
and they are getting away with it.
End of story, more than enough said. The main point that I am seeking to make by restating my concerns about this specific issue, is simply that I know for a fact that this sorts of misconduct does occur at ASH on a regular basis. This one particular incident, in other words, is not exclusive or unique, but the fact is, the vast majority of staff wrongdoing that is directly harming ASH's patient community never gains attention. It should be of no surprise to any reasonably informed person that only the most graphic events make the news, as it were; and for this reason , I only ask that my readers consider the implications of this matter, as follows: If these sorts of high ranking individuals are willing to so blatantly defy established law and policy specific to the public trust, you can only imagine how far the extent of unreported patent abuse reaches.
FUNDAMENTAL ETHICS DICTATE THE FACT THAT THIS ISSUE PLAYED OUT WELL BEYOND THE PARAMETERS OF ACCEPTABLE PROFESSIONAL CONDUCT. IN THIS SENSE, THE UNDENIABLE FACT REMAINS THAT IF THE ONE'S CENTRALLY INVOLVED IN THIS CYCLE OF DECEPTION ARE NOT HELD ACCOUNTABLE AS PER ANY ALL PROVISIONS OF LAW, THERE IS NOTHING KEEPING "THEM" FROM, CARRYING ON WITH THIER HIGHLY QUESTIONABLE MISBEHAVIOR, WHICH I CONTEST YET AGAIN GOES ON AT ASH ON AN DAY IN-DAY OUT BASIS. AND THEY KNOW WHO THEY ARE, DOWN TO THE LAST ONE OF THEM.
NELSON, DINGLE, RUDD, MORRIS, NORIEGA, AND THE REST.
Even outside of the highly restricted conditions at The Arizona State Hospital, seriously mentally ill and disabled persons commonly experience deeply embedded forms of discrimination and prejudice which effectively limit their given power of speech, and on the basis of these inherent challenges in direct relation to the affects of any patient actual mental disability/wellness, most/many ASH staff willfully abuse patient rights in ways that I know would shock the sensibility of the public today. These ASH staff do so by taking inordinately bad faith advantage of any ASH patients' mental condition in order to get away with highly illegal and unethical misbehavior. Specifically, due to the very real affects of mental illness, many of my former patient-peers are deemed legally "incompetent", and I attest to the fact that on this basis, anytime an ASH patient chooses to openly report staff misconduct in any form or fashion, accused staff and their supervisors willfully characterize the patient's expressions and concerns as "delusional", or otherwise due to the affects of mental illness. I know this because it happened to me on a number of occasions, imparted as such by my own primary attending psychiatrists (Laxman Patel, Pervaiz Akhter), in spite of my never being diagnosed as psychotic, schizophrenic, or otherwise subject to delusion, hallucination, and so on. It happened as a matter of standard practice- this is simply how these Rat Bastards operate, with no concern whatsoever as to the impacts on any patients welfare- and should be of no surprise to anyone familiar with the conditions in places like ASH. State mental hospitals, that is. But that is not a justification, by any means, and in contemporary times, I strongly believe that most Americans are not willing to accept such misconduct, anywhere, in any context.
In terms of this one sickeningly outrageous example of delinquency, I respectfully demand that elected members of Arizona's representative state government utilize their given authority and take the grossly unlawful unlawful misconduct of each and every involved employee of Arizona Department of Health/Behavioral Health Services into account at this time. There is already some momentum generating in terms of light now being shed on the issues that I have dedicated myself to sharing with the public since my February, 2012 discharge from The Arizona State Hospital, and I ask that any one taking formal interest in my writing, or other like data now emerging in this context, keep in mind the simple fact that the taxpaying citizens of our state have fulfilled our duty on terms of providing these state employees with far more than reasonable salaries, etc. Civic action, as such, that creates clear and reasonable expectations that any reasonably conscientious citizen fully understands.
paoloreed@gmail.com
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I would really love input of any kind from anybody with any interest whatsoever in the issues that I am sharing in this blog. I mean it, anybody, for I will be the first one to admit that I may be inaccurately depicting certain aspects of the conditions
at ASH, and anonymous comments are fine. In any case, I am more than willing to value anybody's feelings about my writing, and I assure you that I will not intentionally exploit or otherwise abuse your right to express yourself as you deem fit. This topic is far, far too important for anything less. Thank you, whoever you are. Peace and Frogs.