Thursday, November 21, 2019

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

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

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


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



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

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


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

I
PJ Reed. 2012.
It has been nearly ten years since to founder of this blog publication, Paolo Jack "PJ" Reed initiated a process by which to serve the care needs and interests of ASH patient community. This process began due to an event that occurred during Reed's very first moments following his January, 2011, admission to ASH, after ASH staff immediately stole a full, as in unopened, bottle of medication from Reed personal belongings. As per protocol- medication transport- this property in itself was placed on the vehicle EMS vehicle that transported Reed to ASH in what had at the time been a well sealed bag (before said staff' at ASH took control of this personal property, that is, and formally transported in an even more secure way in the  lock box of that vehicle.  

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

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

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


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


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

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



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

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



Do not say that you were never warned!


PJ Reed. 2017.

paoloreed@gmail.com

Friday, July 5, 2019

Center of Psychiatric Excellence.

My Ass. 


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

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


Dr. Cara Christ, June 02, 2016:  
     "Many of you know that the Arizona Department of Health Services (ADHS) operates the Arizona State Hospital, where we provide inpatient psychiatric care to persons with serious mental illness who are in need of long term behavioral health care. ASH personnel provide state-of-the-art inpatient psychiatric and forensic care to patients with the highest acuity of behavioral health needs. Interdisciplinary care is delivered in collaboration with community providers, with a focus on recovery and a goal of reintegrating patients back into the community. This Center of Psychiatric Excellence provides a continuum of services to those with significant behavioral health needs. "    

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

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

    


Why Not A Center Of Excellence - Dilbert by Scott Adams
Measuring Excellence - Dilbert by Scott Adams

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


Dr. Cara Christ, Director.
Arizona Department of Health Services.

2015-the present.

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

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

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

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


Likelihood to recommend Dr. Christ:

1.0

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


Dr. Christ's Performance:

  • Trustworthiness: ONE STAR
  • Explains condition(s) well: ONE STAR
  • Answers questions: ONE STAR
  • Time well spent: ONE STAR
  •   Office & Staff Performance: ONE STAR
It all gets potentially gets worse when one considers the smiles of several other arguably, equally deceptive women.

Aileen Wournos

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


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

Image result for karla homolka images
Karla Leanne Homolka

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

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


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

And/or that of Will Humble.

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

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


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

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

Will these people ever learn? 

Center of Psychiatric Excellence. 

MY ASS.   

paoloreed@gmail.com

Friday, June 28, 2019

Oldham

Dateline June 27, 2019. Of Jesus Rincon Murietta.

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


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

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

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

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


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

"That's a great tip!"

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

1) Jesus' safety (he had escaped into central PHX in the middle of the night with nothing but the clothes on his back, for example, a seriously mentally ill 23 year old man). 
2] The safety of the general public (I was aware of Jesus' potential threat to others due to his given psychosis). 
3] And on the basis of my suspicion that this information had not been shared with outside resources, such as PHX police, etc., and that public safety across the board was at the bottom of ADHS' and ASH's priorities, whereby they willfully failed to report this issue as required by state and federal law so as to preserve their own selfish interests.
Sadly, very sadly, when an AZ Republic journalist named J.J. Hensley contacted ASH's administrative office in order to confirm my report, they categorically denied that any such escapes had occurred. Hensley was thus forced to drop his investigation of this story at that point in time, early June, 2011.
In the following few months, Murietta had several run-ins with PHX police, who only released him each time due to their having no direct knowledge of the fact that he had escaped from ASH that May. Then- tragically and near predictably- eighty eight (88) days after this covered up escape, Murietta brutally murdered a young PHX woman named April Mott in late August, 2010. I was informed of this by a well intentioned and basically ethical ASH security guard the day after Ms. Mott was killed. I then immediately called Hensley and stated, this too verbatim: "Hey, remember that dude I had told you had escaped from ASH last May? You know, the escape they denied when you contacted them? Well, he is on the front page of your paper this morning."
Murietta now sits- presuming he is not dead- rotting away somewhere in the bowels of the AZ prison system, when he should have been returned to ASH at those points in time when he had had run-ins with the cops prior to Mott's death: and now April Mott is dead, her family in perpetual mourning, and on the list of direct impacts of this scandal goes.

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

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

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

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

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

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

IN CLOSING


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

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

   paoloreed@gmail.com

Thursday, April 25, 2019


Of Patient Safety (Or Lack Thereof), Administrative Negligence, and the Preventable Death of Yet Another Patient-Consumer.


IN MEMORY OF APRIL MOTT, CHRIS BLACKMAN, MARY ADAMS, BARABARA WEST, DONALD FAY PRATHER. 
       PAOLO JACK REED.

"PD: Patient kills another patient over loud music at Arizona State Hospital." Catherine Meija.  Arizona Family, April 23, 2019.


Dr. Cara Christ.

It has been far too recent, and far too often that ASH patient-consumers have died preventable death due to the abject lack of skill, character, and inability of the administrative officers at the Arizona State Hospital to maintain reasonably a safe environment there. And yet here it is, again, April, 2019. 

Circa the period 2011-2016, no less then the following did in fact die in direct relation to these failings: April Mott, Chris Blackman, Mary Adams, Barbara West. And as disturbing as this weeks murder of patient Donald Fay Prather is, in itself, is the fact that Arizona State Hospital has one of the most disturbing records in the nation at this time, specifically in a context of preventable deaths of individuals forced by the court to rely on the ones running the damned place. No one state mental hospital shares this degree of preventable death statistics, and while it is the practice of state employed health care officials to patently deny- in Pavlovian knee jerk- any suggestion that these deaths were the fault of the state, there are records to the effect that each of these four persons did, in fact, suffer preventable deaths.

And it need be noted that,  only when it comes to death, be it that of actual patients or anyone else impacted in this sense (April Mott, e.g., who had no history in relation to ASH, outside of the consequences of administrative malfeasance there), are we the public made aware of arguably questionable issues at there. "What happens at ASH stays at ASH." Which is to say, day to day abuse of patients does potentially occur there without anyone outside of ASH staff and/or patients knowing about it. I saw it and experienced in it firsthand- day in, day out for the entirety of my thirteen months hospitalized at ASH. Psychological abuse, physical abuse, administrative abuse (of power), and on the list goes. As a matter of standard practice.


Center of Psychiatric Excellence My Ass.
  
FACT: Shortly after being appointed as the Director of Arizona's Department of Health Services (ADHS), in a July, 2015, email sent to this blog publications website (paoloreed@gmail.com), in reference to the the care practices and conditions at that point in time, Dr. Cara Christ stated  "Things at ASH are much better now." Christ's reference in this context related to the deeply scandalous misconduct of various ASH staff members immediately previous to her appointment, much of which was exposed circa 2012-2015 in this blog, as well as Phoenix area news media. Corruption and ineptitude extending from the level of direct care staff (technicians, nurses) and on up through the offices of ASH's senior psychiatric staff and directly into the executive offices, and well into the ADHS construct as well. I attest to this. Period. 

Choosing to claim, as she did, that things at ASH were in any way better then they were prior to her authority without providing so much as a shard of evidence to that effect, Christ willfully fell into the same pattern of disseminating abjectly inaccurate propaganda that her predecessor Will Humble sought to rely on circa 2010-2015, blatantly  as means to avoid oversight, accountability at ASH. Preserving the status quo in the Hospital's overall employee pool, in other words, and to hell with the harms that ASH patients are subject to in context.

I feel for damn good reason that there has been little to any improvement in the treatment of the ASH patient community in Christ's four+ years as the top ranking official in Arizona's public health care system. And I far from alone in this belief. The fact is that, at no point in time has Christ provided any evidence to the effect that things at ASH are much better today then they were circa 2010-2015, in blatant contradiction to her statements in that correspondence. For since that time, summer 2015, a range of equally wrongful misconduct at ASH has come to light, including with respect for the refusal of ASH's current CEO, Dr. Aaron Bowen, to release public records specific to incident reports, which are required to include incidents of patient on patient violence. 

As per the very real record, Bowen's misconduct in this context occurred in violation of state and federal law and policy. But has Cara Christ taken any steps to formally address this specific issue? 

Hell no, she hasn't. Go figure. 

Very akin to the willingness of one of the world's most horrific tyrants, North Korean president Kim Jong-Un, to deny any awareness of details specific to the recent death of Otto Frederick Wambier, I contend that there is no possible way that Christ is unaware of such misconduct. It is, in fact, only one of her varied formal responsibilities to be fully cognizant of the quality of care at ASH and the behavior of all ASH staff, all of whom- including Bowen- work under her authority. 

May seem a stretch, sure. Jong-Un, Christ. But is it, really? I think not.

As only one bright line example of the ongoing corruption that Christ has failed to reasonably acknowledge, we need only look to a October, 2017, stabbing at ASH. Wherein one patient known for be extremely violent was not being reasonable monitored and as such allowed to roam with no staff oversight, which did lead to the patient stabbing of another patient as he lay in his bed. This singular incident is of crucial importance with respect for the public's right to information about ASH, very much in terms of patient safety. 

However, in the official ADHS/ASH 2017 Annual Report,  Bowen and company- who I contend acted in complicity with persons such as Cara Christ as means to avoid accountability and oversight-  failed to include the occurrence of this violence and near fatality. This was and still is an utter breach of the public trust by which Bowen and Christ are employed. (See in this publication, July 09, 2018: "The Arizona State Hospital's ANNUAL REPORT. Of Ongoing Mistruths in the Official Record, and Complicity between Hospital administrators and State Employed Officials In Furthering Corruption in Arizona's Public Health Care System."

The patient who was nearly killed in that stabbing has since been represented by an attorney named Josh Mozell, who on December 03, 2018, stated the following:

"The place is not better. Things have not changed.
And for our clients, it's becoming more dangerous."

   (See in this publication, December 07, 2018: "As to Dr. Aaron Bowen's refusal to provide records to lawfully established mental health advocacy resources.")

Again, in July, 2015 (and we have it in our records), Dr. Cara Christ did send an email to this blog stating that "Things at ASH are much better now." How glaring can it possibly be? How tweaked a misunderstanding about a health care facility that Christ is responsible for? And just how does this negligence impact the ASH patient community?  

   "PD: Patient kills another patient over loud music at Arizona State Hospital." (Catherine Mejia. Arizona Family. April 23, 2019.)


And as we see today, April, 2019, with concern over yet another preventable death at ASH, the ones most responsible for current shortfalls at ASH are continually engaging in attempts to water down the significance of such incidents. This was depicted in the following  response of ADHS about this event:

  "The Arizona Department of Health Services notified the Phoenix Police Department about an incident involving two individuals at the Arizona Community Protection and Treatment Center (ACPTC) and is cooperating with authorities as they conduct the criminal investigation. The ACPTC provides treatment and housing for individuals who have committed a sexually violent offense, completed their mandatory sentence with the Arizona Department of Corrections, and are deemed unsafe to return to the community based on their status as a sexually violent person with a high likelihood to reoffend. These individuals are court ordered to our facility through a petition process by the county prosecutor." 

Any such formal statement by ADHS also falls under Christ's authority. But as we wee, no aspect of this statement refers to the plain fact that an eighty three year old ASH patient named Donald Fay Prather died in this event. No offering of just how and why so violent an incident was even possible, in a hospital setting, for crying out loud. Christ's statement has so deep a void in terms of critical information about Prather's death that it turns the stomach, and contains no useful information at all to those of us who are concerned about the occurrence of such a tragedy. As in, just who is this man, Robert Wayne Fleming (the alleged murderer)? Where were staff members at the time of this assault, and how long did it take for staff to intervene?(Presuming they did intervene in the first place.) And on this list of inquiry can go. 

No details whatsoever about the conditions and care practices at ASH that most necessarily have bearing on this tragedy, and so many others in recent years at Arizona's sole long term public mental health care facility. All of it, standard practice. Which does have undeniable relation to ASH's far longer history as a substandard health care facility. 

I am of learned opinion that the victim in this case, at his given age, very likely has little if any remaining family directly involved in his affairs. And that it is the hope of Bowen, Christ, and all the other Rat Bastards involved with direct association to the ASH operation, that Prather's killing will go with relative lack of public concern. And it is true, as well, that this may turn out to be the case; this, the ongoing lack of public sentiment about just what goes on in places such as ASH.

We should all be ashamed. Bottom line. 




paoloreed@gmail.com