The Corruption Goes On. The Patients Still Suffer.

Stabbing Renews Questions About Patient Safety, Oversight At Arizona State Hospital.

By Will Stone

Published: Wednesday, October 10, 2018

“Obviously, we want to have a culture of transparency and bringing things forward,” Christ said. “If you don’t know about problems, you can’t fix them.” 

Dr. Cara "Nice smile"  Christ
Director, AZ Department of Health Services
Named defendant, case #2:18-cv-02845-BSB,
District Court for the District of Arizona.

INTRODUCTION 

In the opinion of PJ Reed The Arizona State Hospital and Patient Abuse, widespread allegations of sexual abuse in the Catholic Church on a global level, and directly related cover-ups of the issue, are no more horrific then the willingness of highly entrusted state health care officials to cover-up issues that directly pose risk of harm to the most vulnerable adult populations in such systems. 

The primary differences lie not in the extent to which this religious institution has harmed its worldwide trusting followers, but rather in the fact that persons affected by serious mental illness today have far less voice than the Church's victims. For the mentally ill, this problem is older than any established religious institution today (as is mental illness itself); while abuses, negligence,  and discriminations towards mentally ill persons extend far beyond the membership quotas of any such institution.

As such, when we are looking at any state managed mental hospital today, be it ASH or any other, it should be reasonable to presume that this reality is at the forefront of the standards of care in such places. This in consideration of the fact that attending physicians and the like would hopefully choose to serve at such facilities in order to be at the head of mental health care reform. To see this as an opportunity, that is, to be better then the historic horrors that is so well known the experiences of the mentally ill when hospitalized in such settings.

But, as my own experiences have proven to me, this is simply not the case. Rather, shockingly abusive medical staff work in complicity with graphically dishonest administrators as means to ignore most all elements of "progress" in this context. These are individuals- medical professionals-  entrusted by the very citizens who make their jobs possible, who willfully breach that trust as a matter of standard practice and impose harm onto others who are highly vulnerable to such mistreatment. I feel, ergo, that abjectly unethical misconduct internally sanctioned or otherwise furthered by highly entrusted state mental health care providers is just as ugly as what we are learning about with respect for the Catholic Church. 

It is that simple. It is that bad.     

DISCUSSION

From our October 04, 2018 article, entitled Arizona State Hospital: Dateline October, 2018: 

And there it is again, "Center for Psychiatric Excellence". This single phrase is one of the most distorted misrepresentations of reality on the record today. A concept (or whatever) flowing from neither older or far more recent history, but rather from the "minds" of health care officials who dedicate themselves to misleading the public as a matter of standard practice. Conceptualized (or whatever) as a hoped for means to further the substandard conditions and care practices at ASH, instead of actually serving the needs of the patient community. Just more goddamned propagandized baloney to the nth degree, arguably narcissistic in form and clearly  designed to present a warped image of truth.  

What's so "excellent" about willful refusals to disclose as per the law public information that can ensure ASH patients are being provided safe and humane care?

What's so "excellent" about being nearly stabbed to death as a direct consequence of these failures? 

What's so excellent about losing a family member due to a death that, as a consequence of these failures, Hospital staff could have prevented?

What's so "excellent" about allowing a known sexual abuser serve as the Hospital's top doctor?

And what's so excellent about having your constitutionally established civil rights violated by the Hospital's chief executive officer when you (as an actual patient) express concern about this sexual abuser's presence on ASH's medical staff?

The plain fact is that: You have to earn a rating of excellence. You don't just go around calling yourself "excellent" and then expect others to take that for granted. A ten year old knows as much.

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

  

Will Stone, an investigative journalist with the Phoenix area's NPR station, KJZZ 91.5, has been in communication with the staff of this blog since this past August. His October 10, 2018, article (see title above) about a near fatal stabbing at ASH is one that will directly serve to improve the safety of the ASH patient community. It is Will's second article about ASH in recent weeks, his first published about the 2015 preventable death of ASH patient Barbara West. (See: "Hospital Sued For Withholding Records On Patient Death." By Will Stone, September 13, 2018.)  

As always, we wish to extend our deep appreciation for yet another well known journalist's willingness to do the right thing, and take to heart all/any reports of public interest issues deserving of public oversight. Not nearly so severely as public the health care system, the field of journalism is somewhat fraught with shortsighted if not patently unethical practitioners. It is a great thing, indeed, to be able to contribute to Will's work today.  

From Will's latest report about ASH, Cara Christ stated, “Obviously, we want to have a culture of transparency and bringing things forward. If you don’t know about problems, you can’t fix them.” 

"Culture of transparency(?!?)"

Tell Aaron Wallace that, Dr. Christ, or Barbara West, Chris Blackman, Mary Adams, April Mott... Aaron's stabbing one year ago was not even included in ASH's 2017 Annual Report, a document produced under your direct authority, and you know it. That this man actually survived one element of ASH substandard conditions is good for him and all other ASH patients, and quite bad for you and your kind. For unlike these others, Aaron has lived to tell about it. You shall reap what you have sown.  

Knowing as the public does (and you too) about the willful denial to disclose months of incident and accident reports to the ASH Independent Oversight Committee, including but far from limited to the near death stabbing of Mr. Wallace; and further, to refuse providing crucially significant patient records to the Arizona Center for Disability Law? This entire range of public record suppression is a direct violation of law and policy. There is nothing "obvious" about your actual intentions, Dr. Christ, and not a hell of a lot of evidence about anything resembling "transparency" at ASH.

Like it has always been, "What happens at ASH stays at ASH." The staff of this publication have received six separate accounts and testimony from current and former staff since 2016. Central to some of this information is the continuing willingness of ASH managers and administrators to retaliate against lower ranking staff who civilly attempt to report issues detrimental to the ASH patients. Retaliation that I was subjected to, as well- As an ASH patient!- on the basis of my openly reporting such issues, via my very real experiences there.

Dr. Steven "Hyper-sexual" Dingle, ASH's longtime chief medical officer, was centrally involved in one core aspect of this willful retaliation against me. His documented and undeniable action(s) put me at heightened risk of bodily harm and exacerbation of my given struggles with serious mental illness.  See this blog, April 09, 2012: Fact #3) Willful unlawful retaliation; criminal abuse of administrative authority; abridgments of internal codes of policy and procedure; blatant denial of patients' rights, privileges, and liberties as defined by federal and state law; willful exposure to undue threats to safety; complicity and intent to do harm.

    

For the entirety of her time as the Director of Arizona Department of Health Services (ADHS, 2015-present), Dr. Cara "Nice smile" Christ has touted about how far more improved the care practices and conditions are since her being appointed to this position by AZ Governor Doug Ducey. Christ did, in fact, directly contact me via email in the first few months of her taking ASH over and made such a statement, although I found it difficult to understand how this could be true. Any number of actions needed to assuredly improve upon the known history of ASH (a state managed health care facility that has been repeatedly subjected to federal intervention over the last 20 years on the basis of substandard practices and conditions) were not in fact put into motion.  

No ASH psychiatrists, for example, were directly held accountable to their role in the proven substandard medical practices at that time, individuals who I knew to be no less directly responsible for this scandal than the ASH CEO(s), etc., who taken out in early 2015 (including Dr. Steven "Hyper-sexual" Dingle, a known sexual abuser of women working under his direct authority. See this blog September 29, 2018: "Hypersexual" Dr. Steven Dingle).

But it goes much farther than that, this pattern of negligence in relation to the evidence found via federal investigation and oversight and the consequent requirements of the fed in context. Shortsighted if not outright unlawful incompetence negatively impacting ASH patients reaches well into the broader construct of ADHS, including in the Department's Office of Grievances and Appeals, where senior ranking ADHS officials required by established state law to ensure that patient generated reports about staff misconduct routinely fail to abide by the terms of said state law. (See the blog Wednesday, May 30, 2012: "RERUN: As to Margery Ault and Kara Burke, longtime senior staff in ADHS Office of Grievances and Appeals.") 

We have provided myriad documented evidence in this publication about how deeply the issues most at stake extend into the state's greater system of public mental health care, and have also discussed the plain fact that state agency bureaucracy is what most contributes to granting incompetent or otherwise unqualified individuals safe haven in ADHS. 

But regardless of this, ADHS officials and their underlings at ASH have utterly refused of the opportunity to take good faith advantage of our varied articles, while continuously rejecting all other such resources, including but not limited to concerns provided by the ASH Independent Oversight Committee, and actual patient reports to that Committee; Indeed, this abject obstinance stretches back to my actual time as an ASH patient (where I at one point directly encouraged former-since fired ASH CEO Cory Nelson to simply "Do the right thing." Nelson's verbatim response? "You have your prerogatives, Patrick, and I have mine."), and into the very first months following my February 21, 2012, discharge from ASH (wherein the first 120 or so articles were published online in this blog, with no effect whatsoever, outside of threats posed to the comments section of some of those article).     

Dr. Aaron Bowen, ASH's current CEO (2015-present), meanwhile, has willfully failed to conduct himself in accordance with state law, by refusing to disclose crucially needed data specific to the conditions at ASH. Public information that is required to be disclosed as one means to ensure that ASH patient's be provided with safe and humane treatment. This misconduct poses undeniable risk of harm to the welfare and interests of ASH patient community. He has further refused to provide required patient medical records to a public resource that exists under state and federal law. As such, Bowen has proved and is still proving today that he is no more able or willing to meet his overall responsibilities as the ASH CEO then former-since fired  Cory Nelson and Donna Noriega were. 

  

Christ again: “If you don’t know about problems, you can’t fix them.” No kidding! It sure ain't rocket science... 

So, then. How is it, Dr. Christ, given your statement to the effect that lack of transparency has (and is still) contributed to apparently unknown problems at ASH, that you have so willingly trumpeted your belief of these alleged improvements over these last three plus years, if you yourself have no legitimate flow of information from ASH's current administrators? Are you merely blabbing so called facts as a matter of propaganda? Or is it actually the case that you, too, have willfully contributed to denying knowledge about such issues as a means to suppress the realities at ASH, to the detriment of the patients? 

    

Whatever the actual case, it is- all of it- shameful to the Nth degree. For while I was willing not so terribly long ago to presume you may be generally ethical and up to the task of improving the conditions and practices at ASH, it's now obvious to me, my staff, and a host of others dedicated protecting the rights and interests of ASH patients, that you do, in fact, possess such attributes.

I think you may well be cooked, Dr. Christ. And it is your own damn fault. Word speak and a nice smile won't get you out of this. 

And don't say you were not advised, as in warned. Because you were, more than once, in both diplomatic terms, or not. Since the day you replaced the last dimwit to run ADHS. And he- Will "Yea team!" Humble- wasn't even a doctor! 

IN CLOSING:

As stated at the beginning of this article, when we are looking at any state managed mental hospital today, be it ASH or any other, it is reasonable to presume that the longstanding realities negatively affecting the mentally ill are at at the forefront of the standards of care in such places. I feel, ergo, that abjectly unethical misconduct internally sanctioned by highly entrusted state mental health care providers is just as ugly as what we are learning about with respect for the Catholic Church.

Arizona State Hospital is still one of the most incompetently managed mental health care facilities in the nation. This is plain as day to the staff of this blog publication. We have formerly researched the contemporary histories of such facilities, and the founding author himself has had to spend time in several such places in direct relation to his struggles with mental illness. 

That said, while all state mental hospitals need to improve, often to a marked degree, the number of preventable patient deaths at ASH stand as evidence to this effect (and as does the tragic death of April Mott in 2011, which only occurred in the greater community as a direct consequence of corruption at ASH; cover-ups specifically speaking).  

ASH is horrible in far, far too many ways. And there is no excuse or justification on earth for persons such as Cara Christ, Aaron Bowen, or Steven Dingle (and on the list can go) to allow for this reality.

Point in fact: In defiance of public sentiment and very standards by which they are entrusted and licensed to practice,  by engaging in issues once again in the limelight, the administrators of ASH are furthering the presence of discrimination against and abuse of mentally ill persons across the board, including and yet beyond the actual patient-clientele at ASH. And they do it with overt intent and impunity.

Just like the Catholic Church: ASH and the bureaucratic construct of ADHS' Behavioral Health division are in dire need of a thorough overhaul in the interest of the disabled patient-consumers who are lawfully subject to treatment at ASH- it cannot be in the interest of the bureaucracy. 

This action must include clearing out all of the Rat Bastards and incompetents who have long been behind ASH's substandard care practices and conditions, beginning with ASH psychiatrists such as Dingle and company, and extending to any/all state offices directly associated with the operation of ASH. 

This action must not be limited to holding just the most obvious wrongdoers "accountable" (for lack of a better word), as we saw in spring, 2015, but an action that reaches far deeper into this bureaucratic monstrosity, ADHS. 

It is that simple. It is that bad. 

paoloreed@gmail.com

    

Arizona State Hospital: Dateline October, 2018.

INTRODUCTION

Cara "Nice smile" Christ

Patients at the Arizona State Hospital (ASH, "Hospital"), patients' families, and the general public rely on the Hospital and the Arizona Department of Health Services (ADHS) to provide accurate disclosures of incident and accident reports as one means to ensure that ASH is providing safe and humane care practices and conditions in the interest of the ASH patient community as a whole, in accordance with state and federal law. 

Likewise, public resources such as the Arizona Center for Disability, which functions under state and federal guidelines, are to be provided with patient medical records and reports upon request. This, too, a means to protect the interests of ASH patients as a whole. 

Any willingness of state employed health care officials to violate this area of law and policy needs to be promptly addressed, bottom line.

Over the last 6-8 months, Dr. Cara "Nice smile" Christ has increasingly engaged in ignoring these such documented issues, which are known to negatively impact the ASH patient community; if not- in fact- directly participating in these matters as a means to suppress the presence of such issues. Christ's recent effort to defend the depraved history of longstanding ASH CMO Dr. Steven Dingle basically alerted we, the staff of PJ Reed The Arizona State Hospital and Patient Abuse, of her given lack of character as the most highly entrusted public health care official in the state of Arizona.   

As to Dingle, than, and his kind. Recent attention directed to individuals such as actor Bill Cosby and newly appointed United States Supreme Court justice Brett Kavanuagh, have been based in part on allegations, versus actually documented physical evidence. Dingle's's record, on the other hand, is documented in the records of the Arizona Board of Medical Examiners (See: Arizona Board of Medical Examiners investigation #9412, May 1997.) Proof beyond doubt that Dingle is not one proven as capable of being relied upon in terms of granted authority over persons of lesser power.

It would be nice, perhaps, to believe that the twenty years of time which has passed since Dingle's documented conviction in this matter stands as evidence to the effect that he can actually be trusted. (This is the basis of Christ's defense of the man). But in terms of sexual abuse in general, its long lasting impacts on victims (I can attest to this, as a person sexually abused approximately fifty full years ago; related, as to the incompetence of ASH psychiatrist's in a context of harms related to sexual abuse, please see this blog: "Laxman Patel Is Now The Chief Medical Officer at the Arizona State Hospital" (April 04, 2013), and the underlying psychological characteristics of persons who engage in such depraved misbehavior, I contend that it is patently unsafe to the public interest to put disabled persons under his kind's direct care.

It is more then difficult to grasp why or how a man known for sexually abusing other persons (women, so far as we know, as per the record) who are disabled or otherwise vulnerable to abuse, negligence, or exploitation, would even be entrusted to oversee the care needs of one of Arizona's most at-risk populations. And yet, there we have it, just one more pattern central to the practices of Arizona's public health care system.   

DISCUSSION

Patterns have emerged over the last year that clearly suggest a willful attempt of Hospital administrators and state health care officials to suppress such information. Suppressions or this kind are not only an arguable violation of numerous state and federal laws, but also stand as a very disturbing threat to the welfare of the ASH patient community. It is the opinion of the staff of PJ Reed The Arizona State Hospital and Patient Abuse that all elements of this matter are occurring to the detriment of ASH patients, and represent a clear willingness of ADHS Director Dr. Cara Christ and her immediate underling, ASH CEO Dr. Aaron Bowen, to ignore the rights and wellbeing of ASH patients in favor of their own selfish interests.

This, of course, is nothing new in terms of the full body of this blog publication, originally founded in early April, 2012, less then six weeks following my (primary author and editor PJ Reed) discharge from ASH on February 21, 2012. Nothing new, as well, with respect for my overall experiences as an ASH patient. Over a period of thirteen (13) full months, I attest to having been emotionally, psychologically, and on a least one occasion, physically abused by both lower ranking Hospital staff, as well as ASH administrators (several of whom have since been fired). And when I, as an ASH patient and consumer of services from ADHS, lawfully took action to report issues that I knew to be of harm to myself and my patient-consumers, I was patently retaliated against by ASH administrators, including Dr. Steven "Hypersexual" Dingle. 

During that time, Hospital administrators working in direct collusion with senior medical staff willfully manipulated disclosures of information about ASH which, in one horrific case, directly contributed to the murder of a young Phoenix woman, who would have had no actual connection to those Rat Bastards if not for their sickening selfishness. 

It was that bad then. Is it really any better today?

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

Following, herein, is a summary of issues that we have been paying close attention to since early fall, 2017. All of which portray beyond doubt that things at ASH have not much if at all improved since my time there. 

Very, very disheartening to be forced to believe this. But it is what it is.      

- In late November, 2017, the Hospital's CEO, Dr. Aaron Bowen, (ASH) flagrantly interrupted a current ASH patient's expressed concern about the highly questionable record of longstanding Chief Medical Officer Dr. Steven Dingle during a meeting of the (ASH, "Hospital") Human Rights Committee ("HRC"; now known as the ASH Independent Oversight Committee, "IOC"). Specifically, Dingle has a known public record of sexually abusing women working directly under his authority (See this blog, June 24, 2015, "Of Dr. Steven Dingle"; and, "Arizona State Hospital top doctor has a history of sexual misconduct, harassment." David Biscobing. KNVX/ABC Ch15, December 13, 2017.) In reaction to the involved patient's attempt to express this concern, Bowen cut the patient off mid-sentence by stating "I can't have folks calling my CMO a sexual predator in public." In our opinion (and we are far from alone), this action was and still stands as a gross violation of the involved patient's first amendment right to free speech. Of equal concern is that, by attempting to suppress this flow of communication in a public setting (as per Arizona law, all meetings of IOC are a matter of public record), Bowen's clear intent was to limit the public's right to know of issues that may threaten the welfare and interests of the ASH patient community. Dingle is as a matter of plain fact, a known sexual abuser of women. No amount of time diminishes this, bottom line. 

- A short time after the above incident, following the unwillingness the Arizona Department of Health Services (ADHS), under the authority of ADHS Director Dr. Cara Christ, to provide media sources information in context, an ADHS statement about the matter was issued in a formal announcement of sorts. This statement included, in part, "Dr. Aaron Bowen, Arizona State Hospital Chief Executive Officer, did not prevent anyone from sharing comments or concerns during the Human Rights Committee meeting." This statement- as per the actual audio recording of that meeting- is patently untrue. Christ justified Bowen's action by characterizing the patient's expressed concern as "inflammatory," despite the patient having nothing other than reasonable concern- expressed in actual comments- about an issue that is of no less critical today then it was at the time that Dr. Dingle engaged in this greatly disturbing misbehavior. As such, and beyond seeking to diminish the significance of Dingle's sordid history, Christ willfully violated the involved patient's constitutional rights in no less significant a way then Bowen had in previous days. Standing as one more clear bit of evidence specific to suppressions of public information, an issue that poses direct threat to the welfare of the ASH patient community. 

- Near simultaneously, ADHS attorney Greg Honig, willfully attempted to demand that Committee members strike the patient's expressed concern from the formal minutes of the related Committee meeting, overtly seeking to limit what patient's have to say during the public comment portion of such meetings, and effectively engaging in the same pattern of denying public access to information that Bowen and Christ had previously engaged in specific to the care practices and conditions at ASH. For state employed attorneys, all of whom function under the authority of the Office of Arizona Attorney General, to engage in violating any citizen's constitutional rights is a blatant violation of the terms of the license by which they are permitted to practice law. Herein, we also see that the attempt to suppress public information about the operation of ASH extends well into the construct of the state of Arizona's greater administrative construct. 

- In March of 2018, ADHS issued a statement entitled "Arizona Department of Health Services Strengthens Privacy Protection for State Hospital Patients Policy Ensures Compliance with State Law." This action was and still stands as  an overt action to stymie the good faith and lawfully required efforts of IOC to serve the interests of ASH patients. Christ characterized this action by stating that "these new procedures will allow Hospital and the Human Rights Committee to work more collaboratively and efficiently within the requirements of state and federal law for the rights and best interests of of our patients...." Classically propagandized baloney designed to distort truth and reality. Herein we again see clear indications of highly entrusted state officials trying to thwart dissemination of public information about issues the care practices and conditions at ASH.

- In April, 2018, Arizona Senator Nancy Barto, the current Chairman of the Arizona legislature's Committee on Health and Human Services, subsequently acted in support of the lawful function of the ASH Human Rights Committee by introducing Arizona Senate Bill 1450. This bill was passed in the following weeks, and signed into law by the state's governor, Doug Ducey, in part renaming the the ASH Human Rights Committee as the ASH Independent Oversight Committee. Of central concern to Senator Barto, as well, are several other issues, including but not limited to the state's denial of IOC members to meet with ASH patients being treated for mental illness on the Hospital's forensic wing. All ASH patients, regardless of being on the forensics side or not, are affected and disabled by serious mental illness, and as such, are consumers of public services to be provided by ADHS. The general flow of these services are to be monitored by both IOC as well as ACDL, and in this context, there is no justification in denying forensics patients access to the services provided by IOC and ACDL.  

- Much more recently, and- as I see it- as an undeniable consequence of her lack of character as the state of Arizona's most highly entrusted public health care official, Cara Christ has been identified as the central defendant in a lawsuit, filed less then one month ago by the Arizona Center for Disability Law (ACDL). The formal filing in this matter includes the following allegations: "On September 12, the Arizona Center for Disability Law (ACDL) filed a lawsuit against the Arizona State Hospital (ASH) and the Arizona Department of Health Services for refusing to provide access to the facilities and patients of the ASH system. Under the Protection and Advocacy for Individuals with Mental Illness (PAIMI) Act, ACDL is required to monitor the conditions of facilities housing individuals with mental illness, and investigate incidents of abuse and neglect in those facilities. ACDL alleges that ASH has impeded their ability to accomplish this mandate by denying them unaccompanied access to the facility and its residents." (See: District Court for the State of Arizona case #2:18-cv-02845-BSB.) Herein, ACDL has provided direct evidence specific to the willful intent of Christ and Bowen (and on that list goes) to ignore the welfare of ASH patients and the interests of patients' families, as well that of the public, in order to preserve their own selfish interests. 

- Most recently, during the September 20, 2018, meeting of IOC, records were presented showing significant gaps in the required flow of ASH incident and accident reports and records. It is also apparent that there may have been willful deletions of some elements of these records. This- all of this- is on point with the misconduct of former-since fired ASH administrators Cory Nelson and Donna Noriega, and former-since fled ADHS Director Will Humble. And it is all equally consistent with described patterns provided above, wherein current ASH administrators (Bowen) are colluding with current state health care officials (Christ) in order to further unlawful denials of patient rights and care needs. 

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IN CLOSING

We would have to go back to 1998 or so in order to determine who in the ADHS system actually/idiotically hired Dr. Steven Dingle to serve as a primary care provider in the state's sole long term public mental healt care facility. Whoever the hell it was (!), this occurred in defiance of Dingle's 1997 record as a sexual abuser. Frustratingly, this is of little matter today. For the fact is, Dr. Cara Christ and Dr. Aaron Bowen are effectively acting in the same manner today, turning a blind eye to Dingle's known history in context, putting client-consumers of ADHS' overall services at risk of harm. Herein the issue at stake, to see that these people are not granted opportunity to further Dingle or any other such dirtbag's presence in the ADHS system of care. 

On another note, then: An article came our way just yesterday, produced by Mariana Dale of the Phoenix area KJZZ 91.5 radio network, and entitled "Lack of Proposals Slows Addition of Health Services to Arizona State Hospital Campus." This matter relates to the hope of ADHS to shift the operation of ASH into a for-profit entity. This is 100% on par with the privatization of prisons. ASH is and shall not be a prison.  But in AZ, profit oriented restructuring of such institutions is as common as cacti, and every bit as a highly potential threat of harm should that threat not be taken seriously; while on a national level, very much considered to be in defiance of the welfare of both prisoners and patients alike. We have written already about Aaron Bowen's history in the Arizona corrections industry, very on par with the pre-ASH history of former-since fired Cory Nelson. 

For this reason alone, I contend that neither of these men hold legitimate qualifications in a context of the care needs of any disabled population, and most particularly, perhaps, persons affected and disabled by serious mental illness. 

Bowen's comments on the matter: "Frankly, I'm surprised there wasn't a bigger response than there was.... We kind of came up with this vision of having a Center for Psychiatric Excellence which would really in our minds provide a continuum of behavioral health services ranging anywhere from outpatient services, supportive housing up to the highest level of care."


And WTF?!? "Kind of came up with (really-kind of, or just sort-of-kind of?) this vision (hallucination?) of having a Center for Psychiatric Excellence which would really (really-really, or just sort-of-really?) in our minds (sociopathy?).....", and on I could go.

Frankly speaking in my own right, where is the surprise? Who in the hell would want to do business with as whacked an operation as ASH? What, you think all the shit hitting the fan today is out of the limelight, Bowen? Or that ASH's far longer history has been buried, just as you'd like to see current information buried? Think again.

"And there it is again, "Center for Psychiatric Excellence". This single phrase is one of the most distorted misrepresentations of reality on the record today. A concept (or whatever) flowing from neither older or far more recent history, but rather from the "minds" of health care officials who dedicate themselves to misleading the public as a matter of standard practice. Conceptualized (or whatever) as a hoped for means to further the substandard conditions and care practices at ASH, instead of actually serving the needs of the patient community. Just more goddamned propagandized baloney to the nth degree, arguably narcissist in form and clearly  designed to present a warped image of truth.  


What's so "excellent" about willful refusals to disclose as per the law public information that can ensure ASH patients are being provided safe and humane care?

What's so "excellent" about being nearly stabbed to death as a direct consequence of these failures? 

What's so excellent about losing a family member due to a death that, as a consequence of these failures, Hospital staff could have prevented?

What's so "excellent" about allowing a known sexual abuser serve as the Hospital's top doctor?

And what's so excellent about having your constitutionally established civil rights violated by the Hospital's chief executive officer when you (as an actual patient) express concern about this sexual abuser's presence on ASH's medical staff?

The plain fact is that: You have to earn a rating of excellence. You don't just go around calling yourself excellent and then expect others to take that for granted. A ten year old knows as much.     

Willful failure to provide accurate disclosures of incident and accident reports is extremely wrong, as in unlawful. This is the bottom line, and all involved parties know it. And to know as we do as per the discussed lawsuit, willful efforts to hide patient records are 100% on par with this form of wrongdoing.   

You have been outed (again). You were warned long ago (again). 

And you will reap what you sow (again). 

paoloreed@gmail.com

Of Dr. Cara Christ and "Hypersexual" Dr. steven Dingle.

Dr. Cara Christ

This is a follow up to yesterday's discussion of the ongoing resistance of the Director of The Arizona Department of Health Service (ADHS) to take seriously the fact that Arizona State Hospital's (ASH) Chief Medical Officer, Dr. Steven Dingle, has documented and well known record as a sexual abuser of women. 

The women included in this record are all in their own right medical professionals, who were working as residents at a private psychiatric facility, aspiring as such to attain the qualifications required to serve society as licensed physicians. Dingle at that time held very critical authority over these women's futures, acting as one of their official overseers in terms of this phase of their aspirational challenges. Direct authority of this nature is only one core factor to how and why persons such as Dingle make the choice to sexually abuse such women, exploiting the fact that he would play a further role in their hoped for future(s) as a means to avoid the same consequences that the greater public would face should they- we- engage in such depraved misconduct.

Which is precisely why we today have no idea who these women are, despite the fact that Dingle was formally sanctioned by the Arizona Board of Medical Examiners in context. This board shares the same authoritative authority that Dingle held at the time, posing direct risk the career hopes of the involved women, in other words.

It is that simple. It is that bad. 

From yesterday, a direct statement to ADHS Director Dr. Cara Christ: 

"I know that you, as a licensed medical doctor, are fully aware of these factors. I find it very difficult to understand how you, in your position as the most entrusted public health care official in the state of Arizona, would willingly contribute to the historic patterns of denial by which sexual abuse has been present in human culture across the board. And yet here we have it, documented on the official record at this time, your direct defense of known sexual abuser who under your authority has been granted opportunity to care for highly vulnerable adults." 

The staff of PJ Reed The Arizona State Hospital and Patient Abuse has repeatedly asked the Dr. Christ deviate away from the bottlenecked bureaucracy she is employed by, surrounded as she is by men of near equal authority, and play a role in holding Dr. Steven Dingle accountable for his known history of sexually abusing females working directly under his authority. Keep in mind we've no idea just how many others have been victimized by Dingle over the years and not to mention in his youth, particularly given that rape is the most highly underreported form of criminal misconduct on the books today.   

Rather then responding to this request, Dr. Christ and several other highly entrusted employees of Arizona's public health care construct- including ASH CEO Dr. Aaron Bowen- have in recent months actively trivialized or otherwise attempted to deny the significance of this matter as it stands. Acting, as such, as contributors to a deeply sickening element to criminal misconduct that is known to most likely be imposed on all persons vulnerable to abuse, from women, to children, the elderly, and yes the mentally ill.   

Ironic perhaps, but in no way coincidental, that Pulitzer Prize winning author and columnist Leonard Pitts, Jr.'s weekly editorial, published in over forty three major newspapers across the nation, includes the following plea to all Americans of reasonable conscience: 
   
"This obtuseness is unique to no party- or person. It belongs to us as a nation.... It's the reason one woman in six is the victim of an attempted or completed sexual assault, the reason hundreds of thousands of rape kits gather dust in warehouses. It is the reason only six of every thousand rapes results in a prison sentence. And it is one reason for why almost 70 percent of rapes are never reported... We should find this abhorrent, but not all us do. Some say the right things about sexual assault, but when it comes time for accountability, they flinch, distorting morality so as to create sympathy for perpetrators while survivors live in guilt and shame. " (See: "We should all find sexual assault abhorrent, but not all of us do." Miami Herald/Associated Press. September 25, 2018.)

This is you, Dr. Christ. A core part of the reason. I am certain you disagree my opinion on this, but that- to me- is only one more element to abject denial about this issue. If you continue with your willingness further this horrific aspect of health conditions, I promise that you, as a licensed medical doctor, will be able to forget it. We will continue to follow your path as may apply once this scandal settles, as we have in the context of former ADHS staff who were exposed for their garbage in 2012-2015. 

That is all for now. 

paoloreed@gmail.com

"Hypersexual" Dr. Steven Dingle.

This is one of several partial revisions of a prior article, published in its original form on December 08, 2014. 

INTRODUCTION SEPTEMBER 2018

This is about one man working in what is largely a man's world; the bureaucracy of the Arizona Department of Health Services construct (ADHS), that is, and most every other form of modern systems of government and administration. I herein call again on Dr. Cara Christ to stand alone and away from the men who surround her- above and below- and in a manner consistent with her most sincere sense of conscience, that SHE take direct action in support of the care needs and rights of the ASH patient community. Refuse for once to allow these men to run your show. 

This will be tough. We all know this. But it is your show, it is your direct obligation beyond anyone else's, and trust me when I say that these Rat Bastards are not going to come to your aid when it is truly needed. 

Nor will I, beyond these writings. Unless- perhaps- if you were to ask, for as always, I welcome direct communication. For I am not- do not have to be- an enemy, in fact. 

So stand up and be a woman, already. 

Dr. Cara Christ
2015- September 2018 Director.
Arizona Department of Health Services.

DISCUSSION SEPTEMBER 29, 2018

Given the highly intensive attention directed towards men in power who as a matter of cultural routine sexually abuse women, personified by not only by the at-last(!) conviction of comedian Bill Cosby or the controversy surrounding President Donald Trump's latest pick for the US Supreme Court, Brett Michael Kavanaugh (while Trump too is an alleged sexual maniac, as per numerous testimony provided by women over the years), we are again compelled to direct focus in our own right on long time chief medical officer at Arizona State Hospital (ASH), Dr. Steven Dingle. 

I would ask that ADHS Director  Dr. Cara Christ consider the testimony provided by a number of  women in recent months specific to the long lasting harm and impacts imposed upon women victimized by sexual harassment and abuse by men. Such women have not only put their given careers and reputation at stake, but in some cases, have risked the very lives of themselves and their families in good faith attempts to see that the issue of sexual abuse meaningfully addressed. 

This itself is a very critical health issue affecting women, children, and even men who in any way have been exposed to the depraved misbehavior of such men, who for whatever reason have no understanding of how deeply sexual abuse of others damages the emotional and psychological well being of victims. The period of how long ago such misbehavior may have occurred, in fact, is irrelative to the fact that these abusers are at minimum lacking empathy for others, and are most generally affected by sexual preoccupation and self-regulation problems. While trauma and negative emotions suffered by victims range from shame, guilt, depression, anxiety, post-traumatic stress, personality disruptions, attachment issues, and addiction.

I know that you, as a licensed medical doctor, are fully aware of these factors. I find it very difficult to understand how you, in your position as the most entrusted public health care official in the state of Arizona, would willingly contribute to the historic patterns of denial by which sexual abuse has been present in human culture across the board. And yet here we have it, documented on the official record at this time, your direct defense of known sexual abuser who under your authority has been granted opportunity to care for highly vulnerable adults.

Below is a revised and again published 2014 article exposing the plain fact that Dingle was found guilty of and sanctioned for having sexually women working directly under his authority. As with the vast majority of information shared in this blog publication to date, this is factual and in no uncertain terms a continually ignored reality specific to the depraved character of the one ASH primary physician with more responsibility than any other, outside, that is, of current ASH chief executive officer, Dr. Aaron Bowen.

A related fact of deep concern is that, as recently as fall, 2017, Bowen willfully acted in a manner to diminish Dingle's indisputable recond in context, by aggressively violating the first amendment right of an ASH patient who voiced their own given concern about the issue in formal meeting of the ASH Human Rights Committee (now referred to as the ASH Independent Oversight Committee; IOC). Bowen did state at the time, by blatantly interrupting this patient as they civilly expressed this concern, "I will not allow anyone to call my CMO a sexual predator in public!" 

This singular action is on point with more recent evidence to the effect that Bowen has been denying IOC access to incident and accident reports. Such data is not only public record (as is Dingle's record as a sexual abuser of women), but further and as per state law, to be provided to IOC on a monthly basis. Likewise, in the 2017 ASH "Annual Report," (released in December, 2017) Bowen failed to include a near death assault (a stabbing) by one ASH patient on another. Such incidents are of critical form, as such, may represent any range of shortfalls in the operation of ASH, and do pose grave risk to the general safety of the ASH patient community as a whole. By willfully omitting this particular detail, Bowen has arguably furthered such potentially fatal incidents in his own right. 

Consistent with the unlawful misconduct of  Bowen over the last eight or so months, the record at this time also includes Dr. Cara Christ's willful role in suppressing public record. Christ, of course, is the current director of Arizona's entire public health care system. Specifically, immediately following Bowen's attack on the above mentioned patient's first amendment right, Christ and at least one state employed attorney in her office complicitly sought to strike the patient's expression in the public record. What, may we ask, was the purpose of all involved parties in this matter? Nothing short of the hope that, regardless of direct impact on the ASH patient community, such unlawful misconduct be condoned, in patent defiance of all related law and policy at both the state and federal level.  

I almost hate to say it, given its horrific theme, but this is all 100% on point with the willingness of ASH administrators (including Steven Dingle) in May, 2011, to deny the public knowledge of former ASH patient Jesus Rincon Murrieta's presence in greater Phoenix area following his having violently escaped ASH; which did, in fact, directly contribute to the tragic and very preventable death of April Mott in August of that same year. Wherein, even though local Phoenix media was made aware of Murrieta's actual escape only days after it occurred, ASH administrators flagrantly lied when a reporter from the Arizona Republic newspaper inquired about the incident. Allowing Murrieta to run amok in Phoenix for over ten full weeks, at which point, he murdered Ms. Mott in her own apartment. 

Back to Dingle himself, then, who was hired by ADHS following have been found guilty of abusing women working under his direct authority, in violation of state and federal law. (See Arizona Board of Medical Examiners investigation #9412 below). This highly questionable employment occurred in a manner on point other such diminishments of the significance of sexual abuse.  

The May, 2018, issue of National Geographic, for only one example, includes an article entitled "Rid the Sciences of Harassars," which was written by University of Illinois anthropological professor, Dr. Kathryn Clancy. Dr Clancy has conducted formal research on sexual abuse in the sciences for close to decade, and this article, delves into the plain fact that, despite the emergence of the #METOO movement and other such efforts of address sexual abuse of women over the last few years,  male scientists most often avoid the same degree of oversight and accountability that other members of society face when identified in context, including in the professions. 

Medicine is science, and Bowen, Christ and Dingle are all scientists. Any coincidence, then? I think not. 

The relation of this fact to current issues about sexual abuse is glaring. Ad yet, here we have it.

But what is most disturbing about Dingle's history,  perhaps, is the willingness of Cara Christ to snub the significance of this issue; effectively furthering the issue as it has long stood in American society and as it still stands today. Bad enough, in other words,  that males are behind the gist of this matter, without even considering that at least some professional women of authority are basically on board with underlying realities most at stake. To my knowledge at this time, Christ is the sole female directly involved in defending/denying Dingle's known depravity.

If this is how she wants, then so be it. One can only question whether or not Christ in her own experience has ever been subjected to sexual abuse. Or, conversely, whether she has a daughter or daughters of her own. Whatever the case, her attempt to defend Dingle's indisputable status as a sexual abuser of women shocks my basic sense of jurisprudence and conscience. She has directly contributed to a furthering of this issue in American society, and for this, she should be ashamed. 

Shame? Remorse? Sense of duty? Not one of these elements of human character apply to the behavior persons affected by sociopathic tendencies. While I am not in any sort of position to formally determine (diagnose) the psychological status persons historically involved in the corruption at ASH of any other like public mental health care facility, I have every right to suggest that something is deeply fishy going on when we consider the patterns that I have discussed today, and in numerous other articles published herein since April, 2012. 

We are talking here about highly educated, highly entrusted members of public society. Persons granted a great degree of responsibility and authority in direct relation to the needs and rights of individuals disabled by serious mental illness; and who may well appear in all other settings to be of reasonable character of ethos, including in terms of family and community. No matter much a lay person I may in relation to medical diagnosis, these baseline characteristics do meet a significant aspect of the profile(s) of sociopaths.  

Adding to this baseline, the bare bones fact is that, only when such persons are granted access to overtly secretive settings such as ASH, do they willfully engage in disregarding the standards by which they are licensed and employed. Safe haven in no uncertain terms for persons fully aware that their depravity would never survive in the public milieu,  as exemplified by former-since incarcerated ASH security guard, Roger Forney, who even upon being hired by ADHS was already a known sexual abuser of children. 

The extent to which they wrongfully utilize such employment is extensive,  and includes exploitation of laws that protect patient privacy as one means to get away with willful breaches of of common decency. Misbehavior in its ugliest form, which can and does effectively contaminate the possibility of patient recovery. 

Even if such persons lack meaningful awareness of applicable law and policy (which Bowen has exhibited more then once), we must remember that they are healthcare professionals; doctors, who are well educated in relation to healthcare ethics and the most fundamental precepts of civil behavior, and not to mention the Hippocratic Oath in itself. 

While the lawyers, the goddamned health department lawyers who do possess reasonable awareness of applicable law and policy, engage in defending this misconduct as a matter of standard practice, as personified by Joel Rudd.   

This is, has to be sickness of some kind. To the extent that each one of these people has no justification whatsoever to oppose these facets of required conduct; knowingly, willfully, openly and at times so brazenly that I find it vicious, going about repeated exhibitions of patient abuse in all its forms.

It is not enough to have witnessed and experienced actual physical and psychological abuses of ASH patients, as I have. It is not enough to discern the breadth to which such misbehavior reaches in terms of human rights, as I have since familiarizing myself with applicable law and policy. It requires the ability of entrusted state officials and employees to admit their own shortfalls. 

But these people, the ones I am identifying today.... They are sick... No less so then persons who cannot control their sexual behavior, be it Cosby, Kavanaugh, Forney, and so on.

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

  

"Hypersexual" Dr. Steven Dingle: The Document.

Arizona Board of Medical Examiners Investigation #9412.
Mark R. Speicher, Elaine Hugginin presiding. 

The following is a partial reprint of an article originally published on December 08, 2014. In the original, we were unable to bring up the formal hearing report specific to sexual predator Dr. Steven Dingle's being found guilty of sexual abuse and harassment in May, 2997. Thanks to the good folks at ABC Ch 15 (Phoenix), however, we are now able to share that document in full. 

"Oh, never mind... I was just being my normal hyper sexual self."

Dr. Steven Dingle.  

Wherein, on May 8, 1997, the long running chief medical officer at Arizona State Hospital was found guilty of violating state and federal law. This after having sexually abused no less then four women under his authority at a Phoenix Hospital. When the stove got too hot for this dirt bag in 1995, he resigned his position at a private Phoenix hospital, and holed up like so many other rapscallions (Cory Nelson, Donna Noriega come to mind) in the Arizona Department of Health Services.
   

As I have clarified more then once in past articles, Dr. Steven Dingle was party to all aspects of wrongdoing and associated substandard conditions at Arizona State Hospital circa 2010-2015. As the chief medical officer, assigned as such to be fully aware of all of ASH's day to day operational features, this is simply the case.

The breadth of this wrongdoing is expansive. But I am willing to point to the covered up escape of ASH patient Jesus Rincon Murietta in 2011 as a glaring example of what some of these people have gotten away with; wherein Dingle and his associate medical and administrative staff blatantly failed to meet the psychiatric medical standard of Duty to Warn the public. By allowing this fact to be shrouded in the corrupted minds of ASH's medical staff, their behavior did as a matter of plain fact contribute to the subsequent death April Mott. Given his status as chief medical officer, wherein he has full authority over all formal medical operational decisions, no one such staff person has as much responsibility as Dingle does in this context.

Forney's 2013 mug shot.

Similarly, oh so much so, we only have to look at the fact that ASH employed a known- as in convicted prior to his employment at ASH- child sexual predator, one Roger James Forney (2010-2013- he is now in prison);  as well as more recent data about sexual assaults and other like issues that ABC Channel 15 has produced on the public light. I could not make this up if I had to. It is still... beyond me, these people.

Even today, Dingle is avoiding reasonable accountability.  Because his immediate supervisor, Aaron Bowen, for whatever reason doesn't feel that any of these facts matter when it comes to the welfare of ASH's patient community.  Which is precisely what Dingle and his kind desire, seeking places such as the Arizona State Hospital to engage in their nefarious misbehavior, where the vast majority of what goes on is kept secret.

"What happens at ASH stays at ASH"

......As I heard it said by staff on far more then one occasion.

Dingle and company love this shit. It gives them the opportunity to inflict, inflict, inflict. He is an abuser, and this pattern of conduct is 100% consistent with known abuser behavior across the board.

I would ask that ASH chief executive officer Dr. Aaron Bowen and Arizona Department of Health director Dr. Cara Christ take into account the fact that in this day in age, the presence of abusers such as Dingle are being taken to account, in government, media, and on the sordid story goes. Knowing all we do about Dingle's abject lack of character, what grants these highly entrusted state employees the right to turn a blind eye to the risks associated with this Rat Bastard?

Do the right thing. While you can.

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

IN CLOSING SEPTEMBER 29, 2018.

Paolo Jack Reed.

I have made clear my sincere wish that Cara Christ take a stand as a woman in her own right. I have made clear how that can be made so, though it is hardly an easy thing. That I do not have to be the enemy.

Instead, then, if it helps... Please, all of you, in unison, cooperatively, as a team, whatever.... Just do the right thing for a change. 

Remember where you come from, what you have been taught. Turn a cold shoulder to the failures of bureaucracy when it comes to the needs of your clientele. Look to your own, your children, your family, your community for uncolored guidance. Read your bible, review your manuals of conduct, do whatever it takes. 

Just try to make doing the right thing a matter of standard practice. At all times, in all circumstances. 

Just try it. You might like it.  

I'll say up front, that I am hardly perfect myself. That I too have run afoul of the law. That I too have failed more than once to do the right thing. But I seek to do better at all times, day in, day out. Can you, too? 

It this really too much to ask? I mean, really! You are all reasonably intelligent. You must possess some ability to make good choices. You must have some sense of civility in relation to others. Where in this emerging scandal are you actually going to knock off your shit? How much more evidence will pile up before you are awakened from your slothlike mentality? 

And where will you go when it all hits the fan?

It is a matter of choice, all of it, and the choice is yours today. 

As it always has been.  

paoloreed@gmail.com