As to Donna "You are soooo busted!" Noriega, The Chief Executive Officer at the Arizona State Hospital.

I found you, you skank.

".... any oral or written misrepresentation of a fact by a licensee to secure or attempt to secure the issuance of a license..." New data is emerging specific to this woman, who is the acting Chief Executive Officer at The Arizona State Hospital, and who I can attest to via my own personal experiences as being patently dishonest and outright deceitful. 

I finally found a photo of this bitch. This woman is one of the most dishonest figures currently employed at the highest ranks of the operation of Arizona's sole long term public mental facility, The Arizona State Hospital. Patently deceitful, manipulative, and more than willing to put the welfare of ASH's seriously mentally ill and disabled patients far behind the power ridden greed of her staff. She has in fact successfully moved up the food chain at ASH while the various scandals now exposed in popular media- including this blog- have played out over the last 4 years. This, with the full support of the state of Arizona public health czar, Will Humble, Director of ADHS, as well former ASH CEO Cory Nelson, who is now the Deputy Director of Arizona's entire Behavioral Health Service network. Her given promotion, following Nelson's unjustified advancement from ASH to his current position, is 100% on point with the fact that the best and only to get ahead at ASH and beyond is by proving your own willingness to flaunt the law, in blatant defiance of health care standards, at both the state and federal level. Nepotism personified. Indeed, as I see it, and as per my very real experiences, no one individual more matches to ugliness of ASH's grossly substandard conditions than Donna Noriega, unless of course slime bagged professionals such as long time ASH legal counsel Joel Rudd come to mind. But do doubt for one moment that all of these Rat Bastards are in it together, across the board in all senses.

But you don't have to take my word for it. Here is irrefutable data specific to Noriega's misbehavior in recent years:

SOCIAL WORK CREDENTIALING COMMITTEE MEETING MINUTES Friday, March 9, 2012

C. 2012-0047, Donna Noriega, LCSW-10959

Ms. Rinaudo summarized the results of the investigation.
The professional appeared in person and addressed the committee.

Following review and discussion by members, Mr. Mitchell moved, seconded by Ms. Dawson, to find a violation of A.R.S. §32-3251(12)(c)(i), any oral or written misrepresentation of a fact by a licensee to secure or attempt to secure the issuance of a license. The motion passed unanimously.

It is that obvious, it is that bad. This woman willfully lied about the qualifications of an applicant (a personal friend) to ASH's social worker staff at that time when she- Noriega- was the acting Chief Operating Officer at ASH, virtually one notch in the food chain below then acting ASH CEO Cory Nelson. Her promotion, of course, occurred immediately after Nelson was unlawfully promoted in his own right, out of ASH and into one the executive positions in ADHS/BHS, in graphic defiance of the evidence about his own gross wrongdoing as a one year supervisor at the Hospital. So it should be no surprise that rather considering this aspect of the woman's lack of ethics,  Nelson and Humble both worked in concert in order to promote her to the highest position at ASH. What's with that, you might ask? And in response, I will just reiterate the fact that this how it always goes at ASH, and beyond in the executive offices of ADHS/BHS.
You scratch my back, etc. Standard practice that occurs at virtually all levels of employ in these specific agency/operations, in criminal violation of the public trust.

And they are still getting away with it.

paoloreed@gmail.com

As to the Hospital Information Portability and Protection Act (HIPPA), and the willful refusal to abide by the specific standards included therein, as per the role of ASH's executive officers.

(RERUN, SUMMER 2012)

September 2014 Update: It has become increasingly obvious, as per several recent court cases, that the executive administrators in Arizona's sole long term public mental hospital have been abusing their authority in direct association with provisions of the HIPPA document, which is one of the most critically applicable legal treatises with respect for protection the rights and interests of ASH's highly vulnerable patient community. I have also discussed at length the basic fact that ASH's senior ranking clinical staff worked in complicity with administrative staff in order to cover up the May, 2010, escape of former ASH patient Jesus Rincon Murietta, specifically by citing the provisions of HIPPA as an excuse for why they failed to inform the public about Murietta's presence in greater Phoenix, which in short time led to the brutal murder of April Mott. These so called public servants effectively hid behind HIPPA simply in order to avoid accountability, with no regard whatsoever for the underlying findings of the HIPPA document itself, its intended purpose, and actual terms as per the letter of law. And as a direct consequence of this unlawful conduct, which I contend has and is still occurring in gross violation of the public trust, at least one beautiful young woman- who would have had no direct connection to these issues if not for the lack of professionalism indicated herein- is now dead, while a seriously mentally ill man- who was deserving of equal protection and due process under the law as it stood at the time- is now wasting away in prison. That said...

Chief culprits in terms of the specific details about ASH are on par with the norm: Assistant Attorney General/ASH's long time primary legal counsel Joel "Prince of Darkness-The Mortican" Rudd; current ASH CEO Donna "You are soooo busted! Noriega; former ASH CEO Cory "Meathead" Nelson (serving today via unjustified promotion as the current Deputy Director of the entire Arizona Behavioral Health Services network); former ASH Chief Medical Officer Dr. Stephen Dingle (serving today via unjustified promotion as primary Chief Medical Officer for the entire Arizona Behavioral Health Services network); and my own former primary ASH psychiatric physician Dr. Pervaiz "Please don't hold it against me that I am from Pakistan" Akhter.

FLASHBACK TO SUMMER, 2012.

       Refusal to Abide by the Provisions of HIPPA Wherein clinical and administrative staff at the Arizona State Hospital grossly violate federal law as a matter of standard practice by willfully denying patients access to medical records in order to hide their misconduct and criminal behavior.

      The Hospital Information Portability and Protection Act requires that hospitals release a patient's  own medical records anytime the individual requests such, and hospital administrations are expressly forbidden from refusing to release the records, as follows;

     Section 164.524: ACCESS OF INDIVIDUALS TO PROTECTED HEALTH INFORMATION. (a) Standard (1) Right of Access: Except as otherwise provided in paragraph (a)(2) or (a)(3) of this section, an individual has a right of access to inspect and obtain a copy of protected health information about the individual in a designated record set, for as long as the protected information is maintained in the designated record set... except for: (i) psychotherapy notes.

     There are a handful of related clauses to the above HIPPA standard, and it is a bit technical, classic policy mumbo-jumbo. But in the end, none of it amounts to granting the Arizona State Hospital any excuses whatsoever in terms of having denied me access to my medical records. State operated facilities such as the Arizona State Hospital are subject to the direct authority of several federal agencies in terms of issues relating to such enactments, including the above HIPPA document. I formally requested designated aspects of my personal medical records time and time again while hospitalized at the Arizona State Hospital, following all applicable procedures in this context, but my requests were flatly refused by a social worker named Megan Mischner on one occasion in spring 2011, Dr. Perviaz Ahkter in early summer, 2011, and by my last assigned social worker, by Mr. Robert Washington, in February, 2012. These refusals were mandated by ASH administrative officers, although in Dr. Ahkter's case, I believe he may have acted alone in the decision. 
     The most obviously criminal denial of my right to review records relating my care and treatment at the Arizona State Hospital arose in early April, 2011, when Dr. Ahkter made comments at one of my monthly inpatient treatment team conferences to the effect that nursing staff on the unit I was housed in at the time had reported my behavior in standard day to day notes as being (amongst other things) combative, grandiose, and generally in violation of hospital rules. At the time, I requested to see these nurses notes, because in my opinion at the time (and today), I am a civil and non disruptive individual in any reasonably legitimate setting, and I was very concerned to hear that unnamed nurses were making statements about me that I felt were patently untrue. Following the conference, I submitted a standard Arizona Department of Health Services records request form to Megan Mischner, as per applicable procedure, and was informed three weeks later by my assigned social worker at the time, Megan Mischner, that Dr. Ahkter had denied my request. In issuing this denial, Dr. Ahkter did not follow basic hospital and state procedures in his own right; and  it is my contention that he issued the denial because the notes either did not exist in the first place (and that Dr. Ahkter had flatly lied about the existence of such notes), or that any said notes alleging negative behavior on my part had been reported by nurses who I had ongoing issues with relating to patient abuse (and would thus stand out from other nurses notes who both understood my concerns as well as offered their full moral support for my efforts in relation to reporting patient abuse). In any case, I had the express right to see these notes, as nurses notes are not a form of health information protected by any provisions of applicable law and policy, and Dr. Ahkter's refusal to cooperate with my good faith and lawful request was/is a direct violation of such law and policy. Bottom line. As such, Dr. Ahkter should have been held fully accountable at the time, because I went to a lot of trouble in the subsequent months to further my basic request through the appropriate channels, including the ASH patient advocate/ombudsperson, Sonya Serda, and then the  Arizona Department of Health Services Office of Grievance and Appeals, but each of these so called resources flatly refused to support my rights in this instance.
        In my experience as a patient who spent 13 full months at ASH and attempted on multiple occasions to participate in the clearly established process of participating in my own treatment ad representing myself in relation these sorts of matters, this sequence of events pretty clearly reflects standard practice at ASH, as well as throughout the affiliated agencies at the Department of Health Services. As such, I am today calling for a meaningful investigation of these matters by an objective authority, and I believe that anything short of a federal inquiry is bound to fail. Patients at the Arizona State Hospital will continue to be abused by nurses and technicians of the floors of the various units there and the in-hospital administrators will continue to look the other way, while any patient with the wherewithal to request assistance from the state agencies will run into the same brick walls that I ran into while hospitalized at ASH and am still running into today. This is how it is at ASH, it is wrong in every sense, and it needs to stop today.    
       I put in many long hours of dedicated effort in the hope of securing meaningful support for my concerns while a patient at ASH, from federal resources and beyond, and I cannot easily describe how deeply despairing it is to experience one closed door after another when one is being subjected to a constant barrage of clinical and administrative abuse. At various times during my "treatment" for depression at ASH, I experienced high anxiety, fear, and deep dismay for the welfare of not only myself but for all of us- the patients- and my depression in general was without doubt aggravated, for who wouldn't find graphic abuse of vulnerable adults depressing, frightening, and so on? The absolute lack of meaningful response to my expressed concerns while I was hopsitalized (at ASH) underlies the reality that mentally ill persons in state hospitals like ASH are systematically and unlawfully disqualified from receiving the same privileges and liberties that all American and human beings are due. It is blatant marginalization and patent discrimination. Bottom line.
      Now, I did at one point receive a little bit of assistance (in relation to accessing my own personal health records) from an "equal opportunity specialist" with United States Department of Health and Human Services Office of Civil Rights (Region 9, San Francisco, CA) after I submitted a formal complaint with them in late 2011, which at the time was pretty encouraging; but to date, I've not heard anything more about it. Other past efforts to communicate with federal agencies and organizations while I was still hospitalized, including the United States Department of Justice, The American Civil Liberties Union, and The Joint Commission, all came to naught. The typical response from these agencies amounted to rejections that fell along the lines of scarce resources, and related advisement's that my clearly documented reports of administrative misconduct have no legitimate standing to because I was (and am still) alone in my expressions of concern about the conditions at ASH,. Please note that due to given circumstances of the high majority of ASH patients, wherein by virtue of their mental illness and related legal status they have no express right to engage in their own right in any sort of self advocacy, it was (and is today) virtually impossible for a patient like myself to include other patients in my own advocacy efforts.
            Fact) Inter-office memos and e-mails between all/any staff at public entities/institutions like the Arizona State Hospital are not protected from open public scrutiny. In my case today, these sorts of records are central to some of my own investigative efforts, and ASH administration is refusing to release any of these records to me.
          Fact) Specific (personal) personal medical records, including nurses and physicians notes (with very few exceptions- formal "psychotherapy notes" for example) are not to be withheld from any individual desiring such personal records, lest there be clear threat posed to the involved patient's health and wellbeing. Here, too, I have very good reason to believe that I will find evidence in support of some of my fundamental allegations of clinical misconduct, but ASH administration is refusing to release any of these records to me. And they are doing in clear violation of the applicable protocol, wherein the alleged justification of any such refusals be fully explained in writing, which simply did not happen in my case.    
         Fact) By refusing to release my records (none of the records I requested were formal "pscyhotherapy notes", nor of the nature to threaten my health and wellbeing), ASH is directly interfering with my effort to adequately prepare for this hearing, which amounts to blatant abridgments of my constitutional  rights in the context of due process and equal protection, and which is in violation of HIPPA and other fundamental federal standards of law and civil rights.
        Fact) I am currently trying to get the state to issue a subpoena in order to force the Arizona State Hospital to release aspects of my personal medical records that I intend to research and potentially utilize as evidence in support of allegations that I will be presenting against ASH in an upcoming (May  17, 2012) administrative hearing in Phoenix. I am testing the waters, as it were, and will before long know more about the quality of services in terms of the Arizona Office of Administrative Hearings (www.azoah.com)

        It should not be difficult in any capacity for patients in American hospitals to voice concerns about abuse or administrative misconduct. In the 13 months that I was a patient in the Arizona State Hospital, my experiences in this context were fraught with criminal abuses of authority and gross violations of established medical practice, as described in this account. I attest to the truthfulness of my statements, and am more than happy to share my documented evidence with anyone interested in learning more about the wrongdoing at ASH.
        It should likewise not be difficult for the citizens of this state and nation to come to the aid of the patients in the Arizona State Hospital by seeing that the ones responsible for their care operate within the law and respect fundamental standards of medical practice and health care. And yet here I am still, writing away over 12 months after I first began trying to advocate for myself, and still without any meaningful support. I am continuing my heartfelt mission to provide such aid in the only way I can today because it the right thing to do, and nobody else seems willing to take part. Please, if you can do anything: paoloreed@gmail.com.   
       MY NEW DISCLAIMER: I CLAIM NOTHING THAT I DO NOT HAVE SOLID DOCUMENTATION OF.

COMING SOON: WHAT I KNOW OF THE ILLICIT SUBSTANCES TRADE AT ASH, WHERE STAFF SMUGGLES IT IN AND SELLS IT TO THE MENTALLY ILL PATIENTS AT EXORBITANT PROFIT, WHICH ADMIN FULLY KNOWS ABOUT AND DOES NOTHING ABOUT (SECURITY HAS FREE LICENSE AT ASH- NOTHING ABUSIVE ABOUT THAT, HUH?). ALSO, I'VE NOT EVEN BEGUN TO APPLY THE VIOLATIONS OF THE AMERICANS WITH DISABILITIES ACT TO THIS ACCOUNTING. 

RECAP SEPTEMBER 2014: As described above, I did go to great length in terms of seeking meaningful redress as the above violations of my rights were playing out. I did so by completing numerous ASH/ADHS grievance reports, as well as by filing formal complaints with state and federal authorities. None of these efforts prevailed. This simple fact highlights the realities of what it is like to be identified as person affected by mental illness- ongoing disregard that most definitely amounts to abject neglect and underlying discrimination that extends into virtually all state and federal agencies. I was not diagnosed/identified as a man affected by mental illness until I was 47 years old, by which time I had accrued a wide range of professional and educational life experiences, but only thereafter have I ever witnessed or experienced such discrimination. This is plain fact. 

paoloreed@gmail.com

Prose 

someone else's twilight stole my child oct #2

"I have done the best I know how all my life, but it didn't amount to much in the end."  (margaret bourke-white 1937)

oh christ to rewrite

the history of a life,
walking on a lake
looking for bullfrogs
might do the trick, 
be it mine. 

how many by now,
how far, and if so,
   "why oh why, why
   did he, did she, did we
   turn our faces so far far
   far away from the window,
   oh, the sky there...
   the sky."

i am looking today
at farm country roads
lush with ferns, and cows
who almost say howdy
through the brownness
of their eyes, 
older than stars.

these ferns know cotton
and cotton knows evil
and evil takes no quarter;
in seminar after seminar
lecture after lecture
tour after tour, these things
i had already seen in a lake
in all lakes....

all lakes are connected by the seas
and all islands are eroded as one: 
the coast of b.c., to baikal
the banks of the columbia
the shoreline of great slave
the dunes of rhode island sound
the beaches of nital, argentina,
the sands of guatemala, thailand, 
elephant butte, erie, and the salt  
all the more the same, until

when we placed our toes,
all twenty of them
into prudhoe bay, fat jack
spun his ears to fight bugs

and as north slope 
rednecks tore tonsils
hooting at my wife, 
a single white tern 
settled on my heart.

these things 

have touched my feet 

the same as they would

your own, had you the talc

to have gone this way, too
before learning the hard way
that the pickens men
never 
ever 
fuck around, and rarely 
die lying down. 
   

the red river with its garbage
may yet have alligators,
and one might run a risk
if they do as i am today
diving each night into a bayou
just short of stoner boat ramp:
   i hardly care anymore
   i hardly care anymore
   i hardly care anymore,
   
but damn them all the more
as such for thus stripping me,
my bony white legs, high cheeked   
chickasaw memories, and the blessings
of a dog named jack. 

i feel i may have seen things 

those people would never believe

   "attack ships on fire off the    

    shoulder of orion..

    c-beams glittering in the dark 

    near the tannhauser gate...

    all those moments will be lost in time

    like tears in rain... time to die."    

but my eyes have seen the blood red stare
of neo-machiavellian's very offspring, evil incarnate
standing as though it is just
another tuesday, or a night out
to the smokey bar
at williams and harvard
streets. 

standing there, smartly dressed
wishing of, poorly fit
expecting all, strangely familiar
and believing anything,
the insanity of their surrounds
so beautifully distorted
that they won't even see it
coming- wham bam
thank you ma'am. 

so, it is obvious, yes? 
that they are coming at me still
in my dreams, in the gut
in my writings, in my future
one misstep at a time,
and will soon be leaving
one conviction at a time:
dripping incarnate
as though they aren't deserving,
with the same old story, 
every time, 
the who me? line of bullshit,   
     "what these people don't understand
      is that i would never do these things"
  
next time you hear about it 
ruddy my man, ugly gray suit
it will be in front of a federal jurist
i promise you as much
you and your signatures
and your fat ass secretary
for every time, each and
every time: 
   you do remember how to count,
   mr. rudd, is this not correct?

                                  (self pjreed 2011)   

                          






notes 
   -pic margaret bourke-white: self portrait 1933
   -pic fat jack: e-modern 1994
   -pic night louisiana woods: self pjreed 2012
   -pic theodore r. cowell (t. bundy): hexel.jay 1979
   -pic immigrant at dawn: a. ortega c/o pan left prod. tucson 2004
   -quote: from "you have seen their faces" margaret bourke-white 1937
   -quote: from "god's little acre" erskine caldwell 1933
   -quote: from the film bladerunner 1982
   -quote: utah court transcript theodore r. cowell (t. bundy) 1976


paoloreed@gmail.com

Societally Sanctioned Sociopathy: This kind of evidence is rapidly emerging in almost every established area of public discourse specific to corruption and associated administrative immorality. No one explanation better serves in terms of coming to understand how and/or why the one's most directly responsible for overseeing The Arizona State Hospital have gotten away with defiantly rejecting their obligations to ASH's patient community, to date.

(RERUN: Originally published in 2012. As the one's most responsible for engaging in blatantly unethical misbehavior in the highest ranks at ASH and in the Arizona Department of Health/Behavioral Health Services continue to deny, defer, and otherwise fail to do the right thing with respect for the rights and care needs of ASH's seriously mentally ill and disabled patients, it is paradoxically becoming evident that these highly entrusted state employees have some very grave psychological issues in their own right. Issues that underlie their common misbehavior as highly entrusted state employees. In essence, how else can it be that persons in a position to meaningfully better the life experiences of highly at-risk human beings instead choose to aggravate the affects of serious mental illness?)

(photo above: Dr. Pervaiz Akhter, native Pakistani, educated in Pakistan, etc., and only one such senior ranking, foreign trained [in nations such as India and the Philippines, where commonly recognized human rights are minimal at best] primary care psychiatrist at The Arizona State Hospital, who I attest via my own experience have no interest in adhering to contemporary medical standards.)

For that is precisely what is going on at ASH today. Endemic exhibitions of graphic emotional, psychological, and physical abuse- imparted on ASH patients by some proportion of ASH staff at virtually all levels of employ- that would shock the conscience of any reasonably compassionate person. I attest to this, for by being subjected to the deeply unjust mistreatment of such individuals when I was hospitalized at ASH [Jan. 2011-Feb. 2012], my own sense of self and the associated elements of my mental disorder [major depressive order and associated suicidal ideation) were at times most definitely exasperated, causing obvious- even to myself at the time- deterioration of whatever progress I had acquired in the Tucson facility that referred me to ASH in the first place; and the reoccurrence of suicidal ideation that most definitely had me considering offing myself there within the confines of ASH. That said, I will today introduce my sincere belief that the ones running ASH, and their various lackeys at the clinical and operational level [psychiatrists, senior level nursing staff, technicians, security, etc.] all exhibit the most basic behavioral characteristics suggested in the following data.  

Confessions of a Sociopath: A Life Spent Hiding in Plain Sight

        M.E. Thomas2013 Random House, Inc

Sociopathy is a personality disorder that manifests itself in such traits as dishonesty, charm, manipulation, narcissism, and a lack of both remorse and impulse control. In 1980, criminal psychologist Robert Hare developed the Psychopathy Checklist-Revised (PCL-R), the universally heralded method for diagnosing psychopathy—used most often to determine whether a criminal is suitable for parole or poses such a danger to society that he deserves the death penalty. But Hare doesn’t believe psychopathy is confined to the prison system. In fact, quite the opposite: 

“You’re four times more likely to find a psychopath at the top of the corporate ladder than you are walking around the janitor’s office.”

It follows without any doubt that these perversions can and will occur in settings wherein highly vulnerable and arguably defenseless persons are kept under virtual lock and key, well out of the publics' line of sight, for people possessing traits specific to sociopathic and/or psychopathic mentality thrive on the thought of acquiring access to weaker individuals who have no meaningful way to defend themselves. And in terms of high functioning sociopaths, (such as we might find at the top of the corporate ladder [above]), it a matter of recognizing the fact that these sorts of people purposefully seek clear and unfettered opportunities by which to wage their sadistic practices with as little risk of being exposed as may be possible. Today, it is still a reasonably recognized fact that public mental health care facilities are rife with patient abuse and related clinical depravity; and in certain terms, such facilities serve as one of the last secure vestiges in existence today for society's most perverted sociopaths to find highly vulnerable persons on whom to prey, with little to no fear of exposure.

(2014: Keep in mind the arrest of conviction of ASH security guard Roger Allen Forney in late 2012, a man with an established criminal record and prior conviction as child sexual abuser [pedophile-predator]. See this blog "One Example of Filth II", November 4, 2013. A gravely depraved man who was attracted to and then granted full time employment in a medical facility required to protect and preserve the health/wellbeing of highly vulnerable adults, hired in fact by the administrative staff at ASH in graphic defiance of his known criminal nature. This, again, a matter of standard practice at ASH, which is also reflected throughout the much broader history of mental institutions in general.)

In this specific context, no setting more thoroughly includes the relevant elements than The Arizona State Hospital. My contention applies to certain staff at all levels of employ at ASH, but it is most horrifyingly in effect through the illegal and immoral practices of ASH's senior psychiatric physicians and administrative medical staff, who have the full support and protection of both the facility's executive staff, as well as the state's attorney general. It is as graphic a recipe for disaster in terms of sociopathic abuses of power and related sadistic abuses of ASH's highly vulnerable patients as can be imagined, right there smack dab in the middle of Arizona's largest city, and it is ongoing. 

AS A MATTER OF STANDARD PRACTICE.  

My very real experiences at ASH, as well as in terms of my attempts to shed light on these issues, have proven to me that these issues not only exist at ASH, but also extend well into the highest offices of authority specific to overseeing ASH, including but not limited to the Arizona Department of Health/Behavioral Health Services, and (as stated already), the Office of the Arizona Attorney General. The very structure of these administrations and their related status in the state power system directly supports this premise, and I know that this can be proven. 

(UPDATE 2014: Consider if you will the impacts of a nurse(s) willing to scream at a person who is suffering the affects of post traumatic stress disorder and associated depression/suicidal ideation due to having been abused as a child by a mother- the most trusted individual in most anyone's developmental stages as a human being- who could not control herself and similarly screamed at you for no justifiable reason, setting off the manifestation of mental and emotional instability that in time led you to attempt suicide. This is only one example of what I experienced as an ASH patient, with diagnostic features to my mental disability matching the above example. A technician named Elaine Traylor (Palo Verde east), known by all (staff and patients alike) to be highly aggressive and subject to high voltage temper tantrums that only an unstable adult is capable of, did verbally and physically attack me in May, 2011 in this exact fashion; as did a senior level charge nurse named Mary Anne (also Palo Verde east at the time), not so much a physical attack in her case, but most definitely a verbal one, explosive to the nth degree and so far out of line that I each time this occurred (at least 5 times to my recollection), I was struck by terror rooted in my childhood history, when another individual/woman I was willing to trust turned on me- my mother, that is. Both of these incidents so triggered my most personal fears that I was literally left sick to my stomach, and the attendant anxiety became one core aspect of what it was like for me as an ASH patient. These are only two such examples that I was subject to, but far from the only, for this is how most staff at ASH behave. Not all by any means, just most. It is that bad.)

THIS WILL PROVEN IN DUE TIME. 
  

I am not adding any new data to this journal for the time being, and I cannot divulge why that is at this time, beyond referencing my broader writing project and the related legal dynamics of that process, which- I am happy to say- is coming along spectacularly. But I am still very much involved with investigating the graphically unlawful administrative misconduct at The Arizona State Hospital, and each and every one of the primary suspects whom I have to date worked to expose in this context (and repeatedly named in the blog itself) are still very much in the spot light. My research at this time does include treatises flowing from medical journals and related data bases, and contemporary revelations specific to socially sanctioned forms of ineptitude and immorality are of particular interest to me, such as the very recently published book that I cite at the begin of this post, "Confessions of a Sociopath: A Life Spent Hiding in Plain Sight", and psychologist Robert Hare's comments about societally sanctioned sociopaths. The fact is, I am still dumbfounded by the things I witnessed while hospitalized at ASH, and when it comes to the manner in which ASH's highest ranking staff systematically suppress all attempts to report these issues while also rejecting the presence of directly applicable rules, regulations, and law, I am more than convinced that we are looking at people so sickeningly addicted to power that they simply are not able to do the right thing, no matter what the cost(s). Herein reside some of modern society's most dangerous members, engaging in their wrongdoing with no understanding of how dismally out off sorts they are with common law and policy, at the expense of the state's taxpayers, and to the direct detriment of Arizona's most seriously mentally ill citizens. And they are getting away with it.

Peace and Frogs.

(Update 2014: DISHONESTY, CHARM, MANIPULATION, NARCISSISM, AND A LACK OF BOTH REMORSE AND IMPULSE CONTROL. Enter the mindset of the following ASH staff, who I attest from very real experience each exhibited some if not all variations of the characteristics underlying sociopathic behavior: Joel Rudd [egoist, dishonesty, manipulator of legal standards/facts, lack of remorse/sense of ethos/duty], Cory Nelson [dishonesty, charm, narcissist, manipulator of facts/records, lack of remorse/sense of ethos/duty], Donna Noriega (charm, dishonesty, manipulator of facts/records, lack of remorse/ethos/duty] Dr. Steven Dingle [narcissist/egoist, manipulator of facts, lack of remorse/ethos],  Dr. Laxman Patel [dishonesty, manipulator of facts], Dr. Pervaiz Akhter [dishonesty, narcissist, manipulator of facts, lack of remorse and impulse control], Dr. Lynn Lydon [charm, manipulator of facts/patient-clients, lack of ethos/duty], Dr. Ruby Ramos-Roxas [dishonesty, manipulator  of patients, lack of remorse/ethos] , Dr. Sylvia Dy [dishonestycharm, lack of duty/ethos]; nurse Peggy 1 and Peggy 2 [dishonesty, charm, manipulator patient-clients], Mary Anne [charm, lack of sense of ethos/duty and impulse control], all Palo Verde east 2011-12; behavioral health technicians Rick Tong [dishonesty, charm, manipulator of facts/patient-clients, narcissism, lack of sense of duty and impulse control] Elaine Trailor [dishonesty, manipulator of patient-clients, lack of remorse/sense of duty and impulse control], Saeed  [dishonesty, charm, manipulator of facts, lack of remorse and impulse control], all Palo Verde east 2011-2012..... And on the list goes as per my records. But do keep in mind, I was only exposed to one specific section of the much larger facility, indicating that there are many more such rat Bastards currently carrying on with their depraved misbehavior as a matter of standard practice. It is that bad.) 

paoloreed@gmail.com

Of Joel Rudd, assistant Arizona Attorney General. As to his perspective on tragedies relating to The Arizona State Hospital.

(This is rerun/updated article originally published in June, 2012.) 


(UPDATE SEPTEMBER 2014: It has become clear, as per all elements of the various investigations into the substandard conditions and care practices at ASH, that administrative staff have engaged in "cooking the books" in order to further flaunt the standards of law, even as this relates to a very serious federal investigation that went down earlier this year (see "Former employee says Arizona mental hospital in getting worse, reveals new details in patient's death." Dave Biscobing, ABC Ch15, Sept. 2014). I am convinced that any deep investigation into possible manipulation of Hospital records in virtually all areas of concern would expose this pattern of grossly unlawful misconduct, for I attest to the fact that in my own very real experiences as an aggrieved ASH patient, I did witness patent untruthfulness and related gaps in the flow of protocol each and every time I submitted good faith reports of staff misconduct at ASH- and I did this at least 30 times, all told. The indications of this issue were exhibited by literally all involved senior ranking ASH staff, as well as in terms of the role that the ADHS/BHS Office of Grievances and Appeals play in such processes; and I of course have all records to the effect. That said, I will reiterate my very deep disdain over the associated fact that the one man most obligated to ensure that the operation of ASH adheres to the letter of law, attorney Joel Rudd, has for no less than 18-20 years been utterly complicit in furthering these issues by fallaciously abusing his authority in this context. No one form of professional I most abhor than dirty dealing attorneys, and I know more than a few. Arguably, however, no such legal official more rocks my sense of conscience than Joel Rudd, for well within the scope of his responsibilities are almost 300 of Arizona's most at risk and vulnerable to abuse citizens, the patient community at ASH, that is, all of whom and disabled under state and federal law by the affects of serious mental illness. This man needs to be brought before the appropriate authorities and required to explain precisely how and why it is that he has turned a blind eye to the rampant presence of unlawful staff misconduct at ASH- and I am referring to some employees at all levels of employ, most markedly I will add in the senior ranks and administrative offices of the facility itself- in defiance of his obligations as a member of the Bar.) 

    As discussed at length in several previous articles (see A Modern Horror Story: Wherein the Administrators of the Arizona State Hospital Willfully Put the Safety of the Greater Phoenix, AZ, Community at Risk In Order to Avoid Scrutiny, Leading to the Brutal Murder of a Citizen, April 05, 2012), and as reported in a four page feature news paper article (see Phoenix victim's family questions why man was free. "Mental hospital halted search; escapee now a murder suspect.", by JJ Hensley, Arizona Republic [newspaper], Sept. 27, 2011), a young Phoenix woman named April Mott was brutally beaten unconscious and stabbed to death in late August, 2011, by a man who had violently escaped from The Arizona State Hospital three months earlier. That escape was never reported to the public by ASH, in direct defiance of the facility's express duty to the public, a deliberate action designed to avoid scrutiny and accountability and which directly contributed this tragedy. For, in the subsequent months of June, July, and early August, the killer had literally been running amok in the greater Phoenix metropolitan district, but when in custody of phoenix police on at least 3 occasions, the authorities had no idea about the fact that he had violently escaped from ASH in late May. Had the administrators and senior clinicians at ASH merely issued a clear report to the effect that a violent mentally ill man was at large in the Phoenix area, the late August murder of April Mott would not have occurred. Bottom line.  

     April Mott was a beautiful, kind, and 100% innocent bystander of sorts to the details of this tragedy, with a loving family and many friends. All bystanders, in effect, until the day that April was murdered. At that point in time, her life was horrifically introduced to the criminally substandard conditions at ASH, and the related incompetence of ASH's administrators (including the interim hospital supervisor at the time, Ann Froio, and ASH Chief Operating Officer, Donna Noriega) and senior clinicians (including former ASH Chief Medical Officer Dr. Steven Dingle); as well as any other officials of ASH who are directly involved with such affairs, such as Joel "the mortician- Prince of darkness" Rudd, ASH's representative legal advisor and staff member of The Office of the Arizona Attorney General.

      At one point in this past Monday, December 17, 2012, legal hearing (see Of Retaliation, Intimidation, and Criminal Abuses of Authority: The Hearings Continue, December 07, 2012, and An Update, December 18, 2012), I referred to the above described tragedy in citing the motivations of ASH administrators to utilize highly unlawful methods of intimidation and coercion in order to forcefully manipulate patient behavior, including direct retaliation imparted on patients who exercise their lawful right to report staff misconduct. In the above legal hearing, I explained  to the assigned judge that I had in fact reported both the escape described above as well as its connection to the killing of April Mott to the reporter, JJ Hensley, who published the newspaper article I mention (above); and the simple fact that I was subsequently subjected to overtly clear retaliation, including but not limited to an unlawful transfer from the most peaceful unit ASH to one of the most violent, where I was consequently subjected to ongoing violence that at times was imparted on me by staff themselves. The transfer itself was forced on me against my express wishes, and was not implemented in accordance with hospital policy, under the direct authority of then ASH Chief Medical Officer Dr. Steven Dingle  and former ASH CEO Cory Nelson (both of them signed the formal document ordering the transfer, an order that again, occurred in patent contradiction to hospital protocol.) It was clear to me that the transfer occurred in order to cow me into silence as an outspoken critic of staff misconduct and administrative wrongdoing, and I emphasized this to the judge at that time.

     In response to my testimony in this context, with direct respect for the brutal death of April Mott and the willingness of Hospital administrators to conceal the escape of murderer Jesus Rincon Murietta, Joel "the mortician- Prince of darkness" Rudd stated the following:

          "You testify that because of this man having escaped from ASH in late May, 2011, a 'bad thing' happened. Is this correct?"
   

     I could hardly believe what I was hearing at the time, this astoundingly crude debasement of April Mott's death. A bad thing? What a Bastard! Referring to the tragic loss of this young woman, and the impacts of her brutal death on her loved ones and friends, as a bad thing…. The plain fact of the matter stands, that if ASH administrators had merely granted the public- including Phoenix police, etc.- fundamental knowledge to the effect that a very dangerous and known to be seriously mentally ill man was at large in the greater Phoenix metropolitan district, April Mott would be alive today. It is clear that Rudd has no regard for the wellbeing of the public, which flies in the face of his explicit responsibilities as a member of Arizona's state funded legal authority, the Office of the Attorney General.

     Believe me, I felt more than a twinge of anger at these words- a bad thing- for as per my own legal training, I recognized the simple fact that Rudd was willfully downplaying the significance of this tragedy in order to methodically condone the criminal practices of his client, the Arizona Department of Health/Behavioral Health Services and the staff of their subordinate facility, The Arizona State Hospital. Rudd, a highly paid public legal professional charged with the responsibility of seeing that Arizona's citizens as a whole are provided with the full protections afforded by every law in the book; and his client(s), the public employees of ADHS and the staff at ASH. As I see it, they are all representative of America's most perverted discord, and I cannot say strongly enough how critical it is today, with the Newtown tragedy still simmering on the forefront of our national conscience, for we as a people to stand up against these forms of corruption and administrative misconduct.  

     At that point in time when I heard Rudd's statement, had I been feeling more surly and or otherwise less civil in my behavior, I would have immediately drawn the courts' attention to the tragedy that befell the citizens of Newtown, Connecticut. For one has to wonder: How might have Rudd characterized the murders of 27 innocent persons were the defendant his client? As a "worse bad thing"….?

      The cold hearted characteristics of Joel "the mortician- Prince of darkness" Rudd was overwhelmingly evident to me at the time (yet again), and my stomach fairly well turned as I was reminded as well of the equally cruel conduct of various ASH staff who I had the distinct misfortune of having to interact with during my thirteen full months of hospitalization at ASH, including but not limited to primary attending psychiatrists such as Dr. Pervaiz Ahkter, Dr. Sylvia Dy, and Dr. Ruby Ramos-Roxas, and numerous ASH nurses and technicians (orderlies, they know who they are….). 

     To date, the ASH administrators and senior clinicians most centrally involved in this matter have not been held accountable in any sense of term, and each and every one of them is still drawing high salary paychecks provided to them by the public payroll system. Dr. Steven Dingle, as a matter of fact, was promoted to a higher position of responsibility within the Arizona Department of Health Services system, and in the last two hearings that that I have been involved with in the AZ Office of Administrative Hearings, his testimony has been deemed factual and accepted as truth in the form of affidavits, with little to no consideration for my request(s) to be granted the opportunity to cross examine him. It is a sham, through and through. Only in Arizona, further personified. To view the full in-line Arizona Republic article about the April Mott killing, see: 

http://www.azcentral.com/community/phoenix/articles/2011/09/27/20110927phoenix-victims-family-questions-jesus-murrieta-free-april-mott.html

(UPDATE SEPTEMBER 2014: Not only was Dingle granted a major promotion under the authority of ADHS Director Will Humble.... No, it gets even worse, for during the period 2012-2013, both  Cory Nelson and Donna Noriega were also bumped farther up the proverbial food chain, in graphic defiance of the established history specific to their utter lack of ethos, abject ineptitude, and associated criminality as supervisors of the ASH operation when these events going down. Under the equally inept authority of Humble), former ASH CEO Nelson is now the Deputy Director of the entire Arizona Behavioral Health Services network, while former ASH Chief Operating Officer Noriega is now ASH's CEO! IT IS THAT BAD, AND THEY ARE STILL GETTING AWAY WITH IT. ALL OF THEM.)  

    IN CLOSING: l have heard from and am now in contact with an actual patient at ASH, a man who I had never met until now, but who has struck me as a very nice and reasonably intelligent man. I am constantly thinking about my former patient-peers at ASH, many of whom I sincerely miss, and I most definitely worry about the crisis at ASH. In terms of this new contact, I am going to do what I can to see that his needs are met in an optimum manner; and while I obviously cannot divulge anything more specific about this communication, in large part due to the very real peril that I would put this patient in were ASH staff to learn that he is in communication with me at this time, I can state that he has several very serious concerns about specific issues at ASH and that he shares my willingness to see that the matters are addressed in accordance with established law and policy. It- this first contact from within the hospital itself- is the beginning of something very special, I feel, as my work slowly but surely advances and the exposure of the substandard mental-medical conditions and practices at ASH broadens. 

paoloreed@gmail.com