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Home My WebLink AboutAttachment 7.g.v. - Public Comments No 5; PUBLIC COMMENTS NO. 5 Caroline Youn from: Lisa Cohan ri)sa@chwlavistachamber,org> Senn Friday, January 17, 20Z012A2PM To.. Patricia Salvation; Mary: Sales; Jill Gaivez;Mike Diez; jccann@cllulavistaea.gov; Steve C. Pad ila Cc: kbrouhton@chulavistaca.gov; Caroline Young; Eric@mychuiavistalavvyer.com; Marcy Weaver (CV. ConVix); Alicia Ontiveros; Tadd Galarns au; Kristen Byrne Subject; Chula Vista Chamber of Commerce Letterof Support For Scripps Health and Acadia Healthcare —Eastlake Behavioral Health Hospital Attachments: Letter of support for Scripps Health and Acadia Healthcare -Eastlake behavioral Health Hospitalpdf I " " 1 Good morning Honorable Mayor Sales, Deputy Mayor Galvez, Councilmembers and Planning Commissioners, Please see our attached letter of support from our Chula Vista Chamber of Commerce Board of Directors for the future Scripps Health & Acardia Healthcare`s - Eastlake Behavioral Health Hospital. Please let me know if you have any further questions. Warm regards, Lisa Lisa Cohen CEO Chula Vista Chamber of Commerce 233 41h Avenue Chula Vista, CA 91910 Work # 619-420-6603 Fax # 619-420-1269 SETI11 MANFlC;EMEN1INC MOO INNOVnn()N WAY, LAR1.WAp (A 91009 WWW SETHWIANAGE ht@N 1, ;(,M 1116/2020 Mr, Gabe Gutierrez, Chair City of Chula Vista Planning Commission 276 Fourth Avenue Chula Vista, CA 91010 RE: Eastlake Behavloml Health Hospital Dear Chairman Gutierrez: Sethi Management Company Is the owner of property on Showroom Place in Eastlake where the Homewood Suites hotel Is located, We are a neighbor of the property where Salpps Health and Acadia Healthcare have proposed to build a new behavioral health hospital. I am writing today to share our strong support for this Important project. This project will result in a $65 mlllion capital Investment in Eastlake and will develop a property that has been long vacant. The resulting project will be a high quality, stale -of -the -art hospital that will add value to our community. The increase in property value will also Increase local tax revenue. Its one-story profile, quiet operations, extensive landscaping, and attractive design wilt ensure that it will be an asset to the neighborhood. On a more regional scale, this facility is desperately needed to increase our ability to provide behavioral health care to those in need. No community—Including Eastlake —is immune to mental health concerns. The people that need these services could be our parents, kids, friends, and colleagues and right now our community doesn't have the capacity to meet these needs. The 120 -beds proposed for this hospital are an important resource that will provide needed treatment options for adults, adolescents, and seniors In our community. On behalf of Sethi Management Inc, I urge you to support this important project Thank you for your consideration_ Sincerely, Gu ev De`ep SSethi._„ w Ir Vice President, Acquisitions and Development cc' Mayor Mary Sales Councllmember John McCann Councllmember Mike Diaz Councllmember Jill Calves Councllmember Steve Padilla Planning Commissioner Max Zaker Planning Commissioner Michael De La Rosa Planning Commissioner Jerome Tones Planning Commissioner Krista Burroughs Planning Commissioner Javier Nava Planning Commissioner Jon Milburn Kelly Broughton, Director, Development Services Department Caroline Young, Associate Planner/Project Manager, Development Services Department Patricia Salvacion, Planning Commission Secretary SCEDC " t,. a South Comity Ecortmvic Fps=kms- Llevclolrmen(01,11"d f February 3, 2020 `@` Mayor, Couneilmenrbers and Planning Commissioners City of Chula Vista 276 Foarth Avenue Chula Vista, CA 91910 RE: Eastlake Behavioral Health Hospital Honorable Mayor, Councilmembers and Planning Commisd oncrs; Oil January 9, 2020 the South County Economic Development Council (South County EDC) voted to support the Eastlake Behavioral Health Hospital proposed by Scripps Health and Acadia Healthcare. Prior to this vote, the Issue was vetted in a South County H)C Committee meeting which received presentations train both the proponents and opponents of the proposed facility. The Committee recommended approval to the Board of Dlrectora. The proposed Eastlake Behavioral Health Hospital Is an important new. facility For our community and members Found it to be an economic engine for South County. Scripps and Acadia will be investing $65 million to build a stat -oGthe-art hospital and they have committed to hiring a contractor that will utilize local subcontractors for much ofihe work. The increase in property value that will result is expected to generate approximately $1 million annually in local tax revenue. The hospital will also create mucro -needed professional jobs in the South County. Once the hospital is open, it will employ 150 people with more than $20 million in annual wages/salarles/benefus. The hospital will also benefit existing local businesses— they have estimated that about 80% of the vendors serving the hospital will be Iota( busines%er. As a teaching hospital, this facility will also serve as a resource to train future doctors, nurses, medical technicians and more. This Is an important project for South County and we encourage your suplwrt. Thank you for your consideration. Sincerely, Carry Gomplier-Graves President and CBG w: ' Mayor Mary Sales Councilmember John McCann Councilmember Mike Diaz Counel lmember JIII Galvez Councilmember Steve Padilla Planning CmnntlsMoneo Max Zaker Planning Commissioner Michael De La Rosa Planning Commissioner Jerome `tortes planning Commissioner Krista Burroughs Planning Commissioner Javier Nava Planning Commissioner Jon Minion Planning Commissioner Gabe Gutierrez City Mani -pi -Gary Halbert 780 Bay Blvd., Snits 204, Chula Vista, CA 91910 (619) 424.? 143 - Pax (h 19) =12^(5'/38 e•ww.SouthCounty6HC.cmu December 16, 2019 Mc Gabriel Gutierrez, Chair City of Chula Vista Planning Commission 276 Fourth Avenue Chula Vista, CA 91910 RE: Eastlake Behavioral Health Hospital Dear Chairman Gutierrez: I am writing on behalf of the Chula Vista Chamber of Commerce to share our organization's support for the Eastlake behavioral health hospital proposed by Scripps Health and Acadia Healthcare. Our board of directors heard presentations from both project opponents and Scripps and Acadia and voted In support of the project on November 13", 2019. Our community is experlendng a mental health crisis. Suicide rates among young people continue to rise, with one In eleven young people reporting that they had attempted suicide In the last year. Despite this, we do not come close to meeting our community's need for inpatient behavioral health beds. Based on recommendations from the California Hospital Association, 60 beds should be provided for every 100,000 In population. South County should have 246 Inpatient beds available to meet our needs, but currently only 103 beds are provided. This Is a crisis that affects all of us. The 120 -beds proposed for this hospital are an important public health resource that will provide needed treatment options for adults, adolescents, and seniors In our community. In addition to helping us meet our community's behavioral health needs, the Eastlake behavioral health hospital will provide significant economic and community benefits to Chula Vista. It will result In: • $65 million capital investment In the community • 150 new, permanentjobs and approximately 100 jobs during oonstmction • $1 million annually In local tax revenue • Estimated 80% of vendors serving hospital will be local businesses This will also be a teaching hospital and Scripps and Acadia are eager to work with our local colleges and universities to provide hands-on training opportunities for people studying to be medical professionals. We believe that this project will be a positive asset for our community and is worthy of your support. Thank you for your consideration. For more information, visit: www.EnetiakeBehnviorai[{osglfa(Pacte Som. Sincerely, /'p k,A.ow v_gy^ Use Cohen CEO cc: Mayor Mary Sales Deputy Mayor,11I Galvez Councllmember Mike Diaz Councllmember John McCann Councllmember Steve Padilla Planning Commissioner Max Zaker Planning Commissioner Michael De La Rosa Planning Commissioner Jerome Torres Planning Commissioner Krista Burroughs Planning Commissioner Javier Nava Planning Commissioner Jon Milburn Kelly Broughton, Director, Development Services Department Caroline Young, Associate Planner/Project Manager, Development Services Department Patricia Saivacion, Planning Commission Secretary 233 Foonh Avenue €holo Vista, CA 91910. 619.420.6603 fox 619.420.1269 olyw-cht'llVi9tach0In11CCOrg ACADIA HEALTHCARE'S RECENT HISTORY OF PATIENT AND FINANCIAL ABUSE NO. DATE REPORT INCIDENTS I December 6, 2019 Gwinnett County Gny2; -bra Fifty police officers raided Acadia Healtllcare's Behavior Health 90 -bed psychiatric hospital and the local administrative office. Police had been investigating 46 claims of abuse and neglect at Acadia's Lakeview Behavior Health facility atter a patient was Inland in a freezer and another lost a too. Fenner Director of Human Services at the facility said, "lack of training or corporate greed put residents' lives in danger." Police are took into complaints of abuse, over -drugging and fraud at the facility owned by Acadia Healthcare, Ilttps Isiww.ykslrty comlgews/IocnP innyt coulity/13tivpk fnylyd-in-{heezcr- CpdrlIosco-the-++(i yjatms-u6buse-inve5tia, lied-at_mealtd ticlltttd989991. 596; ltt s 4ttivvµ w�bte z<gy7/vidclrvrchotd � 100 r I418G5&vrdcnlrc�sion=I�0 2 November 3, 2019 ...---------------- Tampa Bay, Florida. The CEO of the Acadia Healthcare -owned North Tampa Behavior left the hospital after a scathing report found that the CEO did not "meet the educationor experience requirements" for the position. Inspectors showed up at the hospital after a congressman and state senator made referrals to die Agency for Health Care Administration and to the U.S. Attorney's Office fur the Middle District of Florida following the Tampa Bay Times report on problems at the Acadia psychiatric hospital. In making his referral to the U.S. Attorney's Office, State Senator Lee, a Republican whose district included the hospital, was quoted as saying, "This is fraud." The inspection report documented numerous employees who Were not qualified for their positions, cleanliness issues, and "an ongoing pattern of non-compliance with laws and regulations" The Federal Centers for Medicare and Medicaid Services threatened to withhold public funding if the most serious problems were not immediately fixed. ht Fe�ww�tampnb ]v ugl'ipvash3,icn7si2019 1.. Z//3/foo Init-nfl-�a cr. nsyi- aotu111y_9ualificd to um_h@sail rl leds-f y.<_V; httus%/www.t'amntibaYAtmulinvLLs II iS��O,1�LloLOTLaWlll't)re15_call-fol'- ittyc+tttnlicnv_srnto si c:;Jcy-cit 1put psychit;tru hasll'ttal! 3 October 19, 2019 DruRon Senate Committee nn Human Services. Report on "risk of harm to Oregon children," The report identifies Acadia Healthcare as problematic company, stating "At Acadia, not only are there undisclosed criminal indictments and convictions of former employees for death or assault of patients, but we found allegations that Acadia has: destroyed evidence, falsified documents; duped regulators daring audits; covered up incidents of patient abuse, submitted fictitious billing to the government, tailed to disclose investigations at certain facilities, retaliated against multiple whistleblowers." hlipti3,'nl_IhecS(1ChttnleSCUt1V[lt�fa"(IIl_I51Vi1to1111Chlitt C�CC.,nt�5'1bU5C-Ii1- Cl�inlin CLW--fOste,l (,dl u-taelh8lCS ,1115541; ttx Lohb. le, a. atC DI IIS�I?i�Ql91i /Dt wale%ds/�� lnti�lJ„tjVel�ltC�'[pj,+�eellment/ HCl -K. �ttLuh>_tel,state�o us li712019�R 1/�olntni[tges/Sf iS/?0� 1)-04-I1-I5- ll_Q%Nice[ ngtilW{terials 4 September t$, 2019 Tampa Bay, Florida. Acadia Healthcare's North Tampa Behavioral Health Facility was the subject of a Tampa Bay Times investigative report which found: NO. DATE REPORT INCIDENTS ------------------- ._-.-...-------- • Patients arc held captive and cut off from their families. Then using loopholes. Acadia holds patients longer than allowed, running up their bills while they are powerless to fight back. • Thousands of hospital admission records, police reports, state inspections, court records and financial filing were reviewed by The Tinges. • Since 2014, North Tamps Behavioral, one of Acadi is behavioral -psychiatric facilities, las been cited 72 times for unsafe conditions and code violations. Martha Lenderman, an expert on Florida's mental health taw, described the way North Tamps Behavioral facility routinely extends paticits'stays as a "red flag" and some of the tactics the hospital uses she celled "shocking." • At least six people committed under Florida's Baker Act have been able to escape. In 2014 a mental health technician punched an autistic manand kicked bill] repeatedly in the hcad. Two patients reported sexual assaults at the facility in 2018, l ops/fprcJcet,_,tmn_paLiay,coinranolects/20_19 rnvectigatiuns:/nortli-taml>n- t�ehyv_iornl•h_eplth/ 5 June 30, 2019 Washington D.C. Acadia Healthcare filed its quarterly report with the United Suites Security and Exchange Commission admitting two lawsuits alleging federal securities violation had been filed against the company and that Office of Inspector General issued in 2017 subpoenas to three of their facilities; that the U.S. Attorney's Offrcc for the Middle District of Florida issued a civil investigative demand on another facility in December 2017; and the Office of Inspector General issued subpoenas to six additional facilities regarding regulating violations relating to discharge decisions, length ofstay, admissions eligibility and patient care issues. ache -I OT,20190630.hnn - -- __ - utte 6 June 18, 2019 B. Montana. Acadia Healthcare's Acadia Montana Treatment Center announced it was closing its 108 bed "troubled residential psychiatric treatment center." In April 2019, the Montana Standard in a three part scries, "Kids in Crisis, Care in Question" documented the use of chemical restraints on a nine year old girl who was frequently placed in locked seclusion; cited Montana Department ofPublic Health and Human Services report documenting on September 11, 2018 six residents escaped after breaking five doors and climbing over a fence, four of whom were returned by She police. Latcr on December 7, three other patients escaped on a subzero night. Police had also been called to the facility for reports of assault, including sexual assault. hYtps /m[sl@ndartl uan rnigs'loc it/,? Eltl3lfnpnhtnt1_tu-chase de_i(iu>� item statue blow tri butt0-4conomy4micl u_41"I'�222c-gi4F s7t?-4�? 5t )Qdantl2(t.html; http ?nnstnn ud a nilneroyslluc llkumyletc wyam��,q-1 ids m utsis-cmcin- ckilestintp/co_Ileclion fi4Ua04du:-9340-SIc6 a137_ScS2<tOCOrj)cl2�.ti-{11; lrttps �/mJ s}�tlatd connloews/locsUor egon•som�>tain-rvnam��s,assatdts-pnrent- gempury h_yblcs-Ino-ncwt�tt�cle 3d090cl)b-c80r4c4rt8152- f40coloW 096.land . . NO. - DATE ---------- ---------..._ REPORT INCIDENTS 7 May 6 2019 harheston. Wcsl Vu'einia. Acadia entered into a $17 mullion Health Care Fraud settlement with the United States Attorney, Southern District of West Virginia, through the Department of Justice and Department of Health and Human Services. Itis the largest fraud settlement in the history of West Vu ginia, for "$8.5 million in Medicaid fraud .... to the taxpayers." httjiS /I\VR'tV nuIICV��OV tISaQ l(IW\gip 7ttnited swtes-attolnc agnounces-17,. �� - illi ilt)[1-11t?8�Ih4N1C-IthUt)-SClllelttfr'It 8 April 18, 2019 New Baltimore, Michigan. WXYZ. 7 ABC News documents another assault at Acadia Healthcare's Harbor Oaks Behavioral Hospital, this time of a seven year old boy. This wits atter on October 5,, 2017 ABC News documented that a mental health patient at Acadia's facility was charged by police with sexually assaulting two patients and this was after former employees told ABC News that Oak's was so understaffed it was dangerous, pHarbor r1ll�S-/wW�))1_C�14glrl/llf'Wa/IOC llltew9i111YC{.L �aLi ❑5/iCjy Sq[l-CUll1d•llav<t'r '14d ImQ,----- UiAIIluNvtpEtFO-Cit, 111G'Sy](IYl-{tOtiLlfdl-h)r"-J ,yGil-eldY-IRim'105� }IItpS//VF 4t'ltLWx,�+f ;CUI ne!w_s/�ocal nCw5i'InAt SfifSatl0113, m14,111 _'A11-1menta� ht iX )tit-_ I3 itC4lL ChAI'Cd Wit}I tm-8eX'R6dn}S-a1_haifai oik fittps //www,wxy� ttrn�/newa/loc it Ilews�uwcsugahntig)cx u111>loyees psyCh- hOspl l d-41)-nril-Staffed-tl� InVllt-clyOlj( Gi 5 l[} t 4C�1-R-,CI' 9 March 22, 2019 Tucson, Arizona, Elizabeth Break escaped Sierra Tucson (an Acadia owned facility purchased in late 2014) even though she was in a locked facility and was wearing a tracking bracelet. She has not yet been located. Since 2005, sir people have died at tate facili(y, resulting in several wrongful death lawsuits. http-', //kvomincvn/crilgc hacker e12,019 0412n seh colyhnues-fvl missing- teac c/; Mental Health Inc; Arthur Levine. The Overlook Press, NY 2017 pages 221-225. - 10 March 7, 2019 ----------------- Cook County. Chicago. Illinois, Cook County prosecutors charged a Counselor at an Acadia owned facility, Timberline Knolls, with 62 felony count's for rape and forced oral sex involving the assault and abuse of six patients. 1.,amout police responded to 14 allegations of patient on patient sex crimes and 10 missing persons or runaways, one of which proved fatal. hlgts /lw�giv,4111uagouibuue Coln mvcst�atwu}-4j_ir)ut-hmo4ilmc-4�nalls- itss utItti 20190 (2 storv.hlml; MU I) 'iwww.chtca,qu-i iCl colnhiews/et-01-_ flubielhoe-knot s I Iwsrlisg;2Q19040 t st( html 1 I February 19, 2019 Albuquerque, Now Mexico, New Mexico Children, Youth and Families Department (CYFD) shuts down Acadia's Desert Hills, a 120 -bed facility, because it could no longer keep children safe or provide the level of treatment necessary for the children. On December 6, 2018, CYFD issued a cease and desist order after a two-year investigation regarding serious allegations of assault and batteryat Acadia's facility. In June of 2016, a 15 year old escaped the facility, tried to burglarize a home, and was shot by the homeowner. httfc;'iwtvw tkgb.cotnlalbun ucj_qinI1mys/desert-hilts-rkolith-hums-sltutti=t��- doml-afril-d /5252055/ ; bltps t/www kob corn/alb u �lewslcyfd hsuc� curse md-desist to de.tiet7-hill~ Blot iia al -risk youlh'S,t¢9t76/ ; _ ,_funne hft�/ wtvw k ) wln�mycs�t>,>�� newsicyld children youth l;�mitieo- NO. DATE --._.. ...-..-_ -------------- REPORT INCIDENTS '--------- ---- -.� ----- t t+utcni_grouli borne-admry talti t;Islr,4 tnuil es iut tpa,5 i�ulr.nc.cdptt (,ijlls/46298691 12 February 16, 2019 Louisville, Tennessee. Acadia Healthcare Division President Jeffrey Woods chose to move Village Behavior Health Treatment Center in Louisville; Kentucky to a more remote location after 160 incidents listed in the police log from Jan. 3, 20t6 to Feb. 7, 2019 with 43 such incidents involving missing juveniles. Woods acknowledged in a community meeting that escapes were "going to happen on any campus" jlttpsHwbgw.tirulail}tugs,contJncW>s/luyoSill - h,i4iot by lldt- genet oto'- rclorals atter-alss rutty-nei uhgzld-conecutsl, is s 52.3' e3b2-98cc , eca6- afdf- 024c9410rb9c_huul?tbeli4l-lw aR300'�tIAkf �tsDl<51 I�JASvIcciJll�70n T,iX AOA 2j�yd4Nojgds02g11 13 January 7, 2010 Ada Oklahoma. A 70 year old patient at Acadia Healthcare's 108 -bed Rolling Hills psychiatric hospital admitted for post-traumatic stress disorder suffered two fractured vertebrae, dislocated shoulder, and broken foot and is one of three families who have sued the hospital over injuries to patients. Federal inspection reports from May 2017 showed the hospital had no training for nurses about signs that patients' conditions were getting worse Registered nurses did not assess patients every shift punting them at risk of getting sicker before anyone intervened. In one case a patient may have died because of failure to get timely care. Another patient died two days after transfer to another hospital. On May 13, 2016, the District Attorney for Pontotoc County, Oaktahorna signed an affidavit in Pinglaton v. Rollings Hills documented multiple rapes that had not been reported to the police and the destruction of security camera tapes at the Acadia hospital that were subject to a search warrant at the Acadia Psychiatric Hospital by persons in charge of the facility. http's/olvlahcun nr uJim at I ale/5619558+patiwnts n ltJlliug hulls-hostitl al s -Ji ft'er- as ken bonea.lwad I cries' llltps Jlsscniler at sltvoflle.Carl/ 14 October 7, 2018 — _.------- .----- _.----- _-------_._� Nashville, Tonnessee. St. Clair County Employees Retirement System tiled a complaint against Acadia Healthcare for violations of federal securities laws. The lawsuit lists multiple false and misleading statements and emissions alleged to have been made by Acadia executives. The lawsuit is pending. St. Clair County Employees Retirement System v. Acadia Healthcare Comparry, Inc., Case 3:18-cv-00988 15 October 3, 2018 Little Rock Arkansas, Ascent Children's Health Services, a subsidiary of Acadia, closes 10 sites in Arkansas a year after a child died after being lett in a van resulting in criminal charges being Tiled against the workers at the site and - the health care providers. htgr./rtcstyuk 0. newsnun}cgy sum/thecyennty,lnnc5/g9wy_+?U t b/09/y5�aseent-to- -- �'--- cLrse wevt-nlen�hts n oth�tcatians/ 16 October 2, 2018 Fort Smith Ar ig . Acadia Healthcare, the owner of Valley BehaviorHoalth entered into an out-of-court settlement of a lawsuit alleging Aeadia's negligence in an incident involving the rape of a 10 year old boy by a 14 year, bay. 4 NO. DATE REPORT INCIDENTS --.-. -----111--.—.-_ -- _.- fptps ��NWW.14Qt)nC.Y111C(tQ(�11;1t 4Qllt�lf.tYS)�l)l �i„I Q(�1� cs_]I}� nt.C_�aw'Litt Until tUl f_Ymith b tsed-hca-(� f, l�lof,St ftl'W,1_Qllt')f--GeUI'h' I_ 17 September 22, 2018 Louisville,'fennessee. 'Three teenage boys escaped from Acadia owned Village Behavioral Health Treatment Center and were charged with vehicle theft and aggravated assault and kidnapping of a female facility employee. ,nt tsJlwevw.thed uhtunes.eam. ar+uvenlu cher*.red-in uLLcl. on to iisville; health neggnent conic-ety>klnyf.e/vticL Sc o2h tf-9 1e -577b -8581b- e 577¢-858b- ac3 Jc89¢ll I ml - 18 May 31, 2018 Tucson, Arizona The Acadia owned Senors Behavioral Health Hospital entered into a confidential settlement of a wrongful death lawsuit involving a patient who committed suicide inside the facility by hanging herself. A KOLD news investigation revealed numerous citations, 82 in all against the facility including a uursc working without a valid license, an employee who assaulted a child patient and it nurse accused ofbeing drunk on thejob, h(tps www_krild umr/2019! 106/ltirsgita mptrcy-5tttlu urvcgtig<<tcs_riew- c:(anms ab rut snnm i https-%,4rww kn1d com,stoi„yii83a hos-- Al tted suicide! 19� l9 May 2018 y Franklin Disability hhotl0hno2tlL y 6 investigated and documented "flagrant and ongoing systematic issues at Acadia Healthcare's Ohio Hospital for Psychiatry (OHP). This included substantial allegations of sexual and physical abuse, incomplete treatment and discharge plans and failure to request basic medical records and provide appropriate care resulting in a patient being placed on emergency life support. hwis.Uwwwadis ubilit ,n_i g�itt hie erg assets uloeunlents;diu teport_on orio hose itnl fin,_ps_yclujfy qja 2018,nif 20 February 19, 2018 --._..__--._------- For- Mvers Florida. The CEO of Acadia's Park Royal Hospital stepped down after a patient reported a sexual assault to the police, a federal inspector catalogued problems at the facility including discharging woman without knowing she was recently housed in a hatos ed woman's shelter. Instead of going ]ionic, she went to the home of another hospital patient where site died of a drug overdose. And, after County Sheriffs Office were investigating the deaths of two patients and after the Chief Medical Officer resigned. hr 2016, Acadia's Park Royal hospital entered into confidential settlements on lawsuits Filed by seven patients who accused an employee of sexually abusing them. The accused employee served a five year sentence after pleading guilty in 2014 to two counts of sexual abuse of a disabled adult )ittpy,/(wwewpetts eve, eenr sto, Y nowL017111/,16/p n,k.nYulhosottrl-pu-tt ient_ c cdohciutcies-hifliftled Ccdu +hinypuctionreRgrt_86¢;tIOL)11; jlS1Ds /�wwyv,tLew�i4} ooam tpiclncwsl20i F'Os/19/pay,k ro,0 ul-hn�ttt-fora ]ryci s utilX;gsy�hi ri i n,-hosl>il rl cis-new-Ic t�g]_310u) 53 QQ?%; � h,.twins.1/wcvw.new�ness_uu 11soy /ncw 2012018OZ/19�r,�lk wy;I_I7ts3ptttt-RarL_ lily- ynolily�syehr ori c-hospiCal lew-nws�-lo tdcta409S3110T>; lur 2m—vw1ews gie wuti/son Y/newa'201670GiW)/r)tkrovai_lost) ntil.gexnal- abuserinwsuit„settledd/' Lfi046604! N0. DATE REPORT INCIDENTS 21 February 13,2M Indianapolis. Indiana. News 8 reports Indiana Dopartinettt of Child Services document 35 resident -on -resident assaults a month between January and November 2017 at Acadia Healthcare's Resource Residential Treatment facility. Former employees state facility encourages fights. News 8, in November 2017, repotted residents were escaping from the facility and breaking into a vacant home, hrdianapolis Metropolitan Police Department records showed 10 calls resulting in police handcuffing kids and taking them back to the facility as well 37 calls in six months to the fire department. tas y{hj)S./=�4VWW WISIntt �Otn��n@FVS/follllCl'.e_n11>IQ`L6G SI1,I I-E�i y�1n111 IY�C�)idl[i G _ taoihty encgulg{,ul ti_htsryvtie ti1o1c1u,with kidsP haps /�wHyy,. av,7shtv.eominews i team-8/in,hrm,pohs-tici ,hags-psav l lds- atc cse�3>x7g;;n-yrsyuhi�tr-ic-Ir ihnent-ceptcri 22 December 27, 2017 Acta Oklahoma. In a lawsuit tiled in the District Court of Oklahoma County,it states the City of Ada Police Department undertook an investigation which resulted in the removal of children a,d that Acadia destroyed evidence oFsexual assaults. htip--?drivngg(c,co_mtflerd/IGhSt�hjlil3�. 03—MA /--12%J1J3KvUNsn1 vh iuu 't smshat;ing 23 August 15, 2017 Ari Levine in a book published in August 2017 entitled Mental Health Me.: How Corruption, Lax Oversight and Fallel Rglorms Fndangerr Vulnerable Citizens. Six preventable deaths at Acadia Healthcare's Sierra, Tucson facility. talks �Amvwx alternet.(azo I Sm I,merit, l-hca-10,-itto-lyn7a-ctttrupt4glJ_ lax-_ ov_ui sigh r-a,l- ,nkeo-our most-v_ul-ripl,lle-/. Caroline Youn From: Ian Burgar Sent: Tuesday, December 3, 2019 2:05 PM To: Caroline Young Cc John McCann; Kelly Broughton; Jill Galvez; Mike Diaz; Mary Salas; Patricia Salvation; Steve C. Padilla; montano.monica@scrippshealth.org Subject: Acadia in the news again Z ming:.1 iWirydoes the Scripps team continue to consider this company a partner? It's getting$hly at this point... il httns://www.tanmabavrom/inyestf¢atlbrs 3 1 .t2 03 former-ofl-ui3yer-not-aaYually-aualiflod-to-run-hosnttal-feds- findZ The inspection, however, said there was "no evidence" that the CEO "met the education or experience requirements defined in the position description." He did not have an appropriate bachelor's degree for the job or three to five years of experience in senior healthcare leadership. When inspectors asked for his application for the position, an executive assistant said she couldn't provide one because the application was "electronic, not paper." Coleman confirmed to regulators that he was appointed as CEO even though lie did not meet the minimum requirements Sent from my Whone Former NFJ. player not actually qualified to ran hospital, fed find page I of I I Log in A LI V E Ii t I S E M E PIT Poke say everyone P X should caro this new safety de,ce thot._ SPECIALREPORTS'/ INVESTIGATIONS Farmer NFL player not actually qualified to run hospital, feds find Regulators alsofound widespread problems with patient pare after a Tampa Bay Times investigation into the facility littps://www.tampabay,com/investigations/2019/12/03/former-nil-player-uot-actually-quali... 12/9/2019 Former NFL player not actually qualified to run hospital, feds find Page 2 of 11 North Tainpa Behavioral Health in Wesley Chapel [JOHN PENCYGRAFT I Times] Log in By Neil Bedi Published Dee.3 Updated Dee.4 North Tampa Behavioral Health's quarterback -turned -CEO has left the hospital after a scathing inspection found he did not meet the requirements for running the facility. The hospital's parent company, Tennessee -based Acadia Healthcare, said Bryon Coleman Jr. had accepted another position within the organization. A spokeswoman said the move "bad nothing to do with any regulatory findings." A September investigation by the Tampa Bay Times found that Coleman, 31, had no experience in healthcare when he accepted the hospital's top job in 2018. His resume included quarterbacking the Green Bay Packers practice squad, overseeing sales for a trucking company and managing employee benefits for an insurance company. Coleman could not be reached for comment. The Times investigation detailed broader problems at North Tampa Behavioral, including that the hospital exploited patients held under the state's mental health law, known as the Baker Act. https://www.tampabay.comlinvestigatior sl20l9l12/03/former-nfl-player-not-actually-gmli... 1219/2019 Pmmer NPL player not aetually qualified to ran hospital, Peds find Page 3 of' 1 I The hospital used loopholes in the law to keep patients longer than allowed Cog in atactic that boosted its bottom line, the Tunes found. It also illegally cut patients off front their families. RELATED: Read the Investigation: How one Floiricla psychiatric hospital makes rnitions off patients who have [1e choice After the report, lawmakers called for reviews of Aorth'I nnp<t_Behaviortl. Inspectors showed up in November and documented serious problems, including that the hospital had not ]told its medical staff accountable for poor care and patient complaints, They found that doctors had restricted one patient's telephone use because she was calling her husband and family to complain about the hospital. After her phone privileges were suspended, she had another patient call her husband to got word to him. A psychiatrist confirmed to inspectors that there was no actual, justification for restricting the patient's rights. The federal Centers for Medicare and Medicaid Services threatened to withhold public funding if the most severe issues weren't immediately fixed, according to a letter it sent the hospital. Most of the hospital's revenue comes from the taxpayer -funded insurance programs the agency oversees. Acadia spokeswoman Gretchen Hommrich denied the hospital was at risk of losing public funding and said regulators did not conclude that Coleman lacked qualifications. The inspection, however, said there was "no evidence" that the CEO "met the education or experience requirements defined in the position description." He did not have an appropriate North Tampa 6eham"lil CEO Bryon Coleman it (TvnGer] https://www.tampabay.com/investigntions/2019112/03/former-nil-player-not-aetually-quail.. 12/9/2019 Former NFL player not actually qualified to run hospital, feds find Page 4 of 11 bachelor's degree for the job or three to five years of experience in senior Log In healthcare leadership, When inspectors asked for his application for the position, an executive assistant said she couldn't provide one because the application was "electronic, not paper." Coleman confirmed to regulators that he was appointed as CEO even though he did not meet the minimum requirements. In that role, regulators said, he had "failed to establish clear lines of responsibility and accountability, develop effective communication mechanisms among departments, implement an effective mechanism for responding to complaints concerning patient care and ensure appropriate training for staff" Earlier this year, Coleman told the Times that hospital CEOs are sometimes recruited from other industries. He said he had experience in logistics, financial forecasting and customer service, as well as "valuable, transferable skills and attributes including team leadership, situational analysis and sound decision-making." The CEO wasn't the only employee at North Tampa Behavioral who lacked the required qualifications, according to the inspection report. Only four of the 96 employees who performed urine tests and other laboratory work had the proper training. The lead cook was filling in as the director of dietary services, even though he was not qualified. Meanwhile, the kitchen did not properly make meals for patients who needed special diets including diabetics and suicidal patients who shouldn't use utensils. The hospital's grounds were cited for cleanliness issues. In three of the hospital's four units, inspectors found sink faucets "dripping with buildup of greenish yellow brown" substances and flooring stained with a "black/brown biogrowth." The air filter for the ice machine was coated in a "gray fuzzy residue,' https://www.tampabay.conVinvestigations/2019/12/03/former-nfl-player-not-actually-quali... 12/9/2019 Fortner NFL player not actually qualified to run hospital, f'eds find Page 5 of I I Regulators also referred to a high number of citations in the past 12 months Log in and an "on-going pattern of nun -compliance with laws and regulations." The Times investigation found that since 2014, North'I'ampa Behavioral was cited 72 times for unsafe conditions and code violations — more than all but one other psychiatric hospital in Florida. Ad l� x Ghrlstmas Gifts Ideas for Mom - Infinity Name Necklace in Gold Plating ® MyNantaNecklaae" Visit Site That hospital is also owned byAcadia Healthcare. North Tampa Behavioral Health had until Dec.1 to submit a detailed plan to fix the most severe problems. Federal regulators said they had received the plan and were reviewing it, The letter from the Centers fear Medicare and Medicaid Set -vices said North 'Pampa Behavioral Would lose public funding on Feb. 19 if regulators were not satisfied with the fixes. The federal agency rarely takes that step. Just three hospitals across the country lost funding last fiscal year. North Tampa Behavioral is also under scrutiny from the state Agency for idealth Care Adirinistra'Lion, which licenses hospitals across Florida and checks for compliance with state standards. The agency conducted its own inspections of the facility, but the reports have not yet been made public. https;//ww tampabay,conm/investigations/2019/12/03/fnnnewtt]-player-nut-actually-quali... 12/9/2019 Former NFL player not actually qualified to run hospital, feds find Page 6 of 11 Additionally, the Florida Department of Children and Families has some Log In oversight because it authorizes hospitals and mental health centers to receive patients under the Baker Act. A spokeswoman declined to say if the agency was investigating. NEIL BEEN Investigative Reporter ALSO IN THIS SECTION Former NFL player not actually qualified to run hospital, feds find Dec.3 - Investigations Regulators also found widespread problems with patient care after a Tampa Bay Times investigation into the facility A Trump tax break to help the poor went to a rich GOP donor's superyacht marina Nov. 16 - Special Reports Wealthy donors Wayne HuIzenga Jr, and Jeff Vinik lobbied then -Gov. Rick Scott for the lucrative tax break — and won it. Poorer communities lost out. https://www.tampabay.comlinvestigatioml2Ol9ll2/03/former-nfl-player-not-actually-quati.., 12/9/2019 Caroline Young From: Ian Burgar ___.,_.�,..,_..,..._...- Sent: Monday, December 9, 201916:12 AM To: Caroline young Cc: John McCann; Kelly Broughton; Jill Galvez; Mike Diaz; Mary Salas; Patricia Salvation; Steve C. Padilla; montane.monica@scrippshealth.org; John S. Moot Subject: 50+ officers raid two Acadia facilities. Warning: EMternal In this weeks installment of Acadia in the news: Email Police spent hours searching and seizing patient records and computers, as well as interviewing workers at the administrative office. Detectives said they believe they will find evidence of dozens of crimes. "This is a very large-scale investigation," said Gwinnett County Police Spokesperson Michele Pihera. Officials brought their own truck and van for all the evidence they expected to find. Authorities said they are looking Into complaints of abuse, over -drugging and fraud at the facility owned by Acadia Healthcare, "It appears all the employees are cooperative, they all understand why we are here," Pthera said htt s:, v ww.wsbtvcom/news/local/awinnettmounty/,Sq-officeers-raid local mental-health facf4itles iiy-1 rae-scale nvest Iza tion -/1016165355 Sent from my M one 50a- officers raid mental health hospital after patient found in freezer, other disturbing clai.- Page 1 of 6 6 * LIVE 50+ officers raid mental health hospital after patient found in freezer, other disturbing claims By: Tony Thomas Updated: Dec 6, 201.9.6:19 PM W in GWINNETT COUNTY, Ga. - More than 50 local police officers raided a local mental health hospital. Only Channel 2 Action News was there when detectives pulled evidence and questioned employees, Investigators spent hours going through evidence today at two Lakeview Behavioral Health buildings in Gwinneh County, https://www.wsbty.coinlnewsllocallwinnett-countyl5O-officers-raid-local-mental-health-.., 12/10/2019 501 officers raid mental health hospital after patient found in freezer, other disturbing clai... Page 2 of 6 Content Continues Below LIVE Ad rkoe,ed by Google Stop seeing this ad Why this ad? C,> One is located on Medlock Bridge Road and the other is on One Technology For months, former patients and their families have complained of unexplained injuries after leaving Lakeview. Police spent hours searching and seizing patient records and computers, as well as interviewing workers at the administrative office, Detectives said they believe they will find evidence of dozens of crimes. "This Is a very large-scale investigation," said Owlnmett County Police Spokesperson Michele Plhere. Officials brought their own truck and van for all the evidence they expected to find. Authorities said they are looking into complaints of abuse, over -drugging and fraud at the facility owned by Acadia Healthcare. 'It appears all the employees are cooperative, they all understand why we are here?' Pikers said. Channel 2's Tony Thomas hes been investigating Lakeview for months. RELATED STORIES: • Reality star shot, killed while celebrating birthday in Atlanta • Patient found In freezer, child loses toe: 46 claims of abuse Investigated at mental health facility • 17-year4d arrested In deaths of 2 teens found in car on Thanksgiving Day Beth Tipton said her mother Is a former patient and victim, https:llwww.wsbty,cosnlnewsllocallgwinnett-countyl50-officers-raid-local-mental-health-... t2/1 012 0 1 9 SPONSORED CONTENT yi Las emergencias suceden, est6 listo o no. Porque nos importa,... By San Giago Gas & Electric Police spent hours searching and seizing patient records and computers, as well as interviewing workers at the administrative office, Detectives said they believe they will find evidence of dozens of crimes. "This Is a very large-scale investigation," said Owlnmett County Police Spokesperson Michele Plhere. Officials brought their own truck and van for all the evidence they expected to find. Authorities said they are looking into complaints of abuse, over -drugging and fraud at the facility owned by Acadia Healthcare. 'It appears all the employees are cooperative, they all understand why we are here?' Pikers said. Channel 2's Tony Thomas hes been investigating Lakeview for months. RELATED STORIES: • Reality star shot, killed while celebrating birthday in Atlanta • Patient found In freezer, child loses toe: 46 claims of abuse Investigated at mental health facility • 17-year4d arrested In deaths of 2 teens found in car on Thanksgiving Day Beth Tipton said her mother Is a former patient and victim, https:llwww.wsbty,cosnlnewsllocallgwinnett-countyl50-officers-raid-local-mental-health-... t2/1 012 0 1 9 50+ officers raid mental limalth hospital after patient found in freezer, other disturbing alai... Page 3 of 6 "fie had bruising all over," Tipton told Thomas. "It angers me." @r' LIVE Thomas flew to Arkansas and New Mexico this fall, listening to whistleblowers at other company sites. In Gwinnett County, police confirm they're focusing on 51 former patients. 'They could eliminate some of those cases, but they could also find evidence of more criminal activity,' Mere said, At Lakeview, no one would talk to Channel 2, but group CEO Jim Spruyt emailed saying: "We continue to work collaboratively and transparently with law enforcement as they follow up their investigation of uncorroborated wmplaints." "It's just a matter of going through a lot of paperwork," hirers said. No charges have been fled. Both facilities are still open. Here is the full statement fr'orn Lakeview Behavioral and Acadia Healthcare on today's search warrant by @GwinnettP(i tr7wsbty pic. twitter. corn10QdIzDYH6i — Tony Thomas (@TonyTliomasWSB) December 6, 2019 /tl2pISC1r MCCm Gant, Trending - Most Read Stories https:llwww.wsbtv.cominews/locallgwinnett-comity/SD-officers-raid-local-mental-health-... 12/10/2019 Caroline Youn From: Ian Burglar - Sent: Tuesday, November 19, 2019 5:11 PM To: Caroline Young Cc John McCann; Kelly Broughton; Jill Galvez; Mike Diaz, Mary Salas; Patricia Salvation; Steve C. Padilla; montanodronica@scrippshealth.org Subject: Acadia land and construction nulled Waming: Eztemal They are in the news constantly: Emait ht s•1v�ww,rJwahnme�age.com news knwa land_ruled-for-vouch-trea4nent-center-2 Planning and Community of Development Director Patsy Christie says in 2016, the planning commission gave the green light for construction on the center to start. "If they have not started construction within a year, the plan would be null and void," Christie said. Fast forward three years and other than a little bit of work on stormwater mitigation — no major construction has been done, halting the development. Christie says she hasn't heard from anyone with the healthcare provider in over a year but if they were still interested in building on the lot — they'd have to go through the process all over again. The facility would be like the one in Fayetteville — which is being investigated by the Department of Human Services for allegations of neglect, abuse and sexual misconduct among residents. Sent from my !Phone Caroline Young r From: John Teevan Sent: Friday, November X151 2019 10:53 AM To: Caroline Young Cc: John McCann; Kelly Broughton; Jill Galvez; Mike Diaz; momano,monica@scrippsheaith.org; Mary Sales; Patricia Salvation; Steve C, Padilla Subject: Re: Eastlake Psychiatric Hospital - Proposed at 830 & 831 Showroom Place Wrni Email i: Caroline(copying other Chula Vista staff, the Chula Vista Mayor and City Council and Scripps Health), In addition to all prior correspondence, I wanted to forward three very recent pieces of negative news coverage related to the operator of the proposed Eastlake psychiatric hospital (Acadia Healthcare), including the following: November 10, 2019: Critics say abuse complaints aren't Just limited to Gwinnett treatment center (Georgia) (part 1): tt s://www.wsbty,c�ideo7vldeold=1007145865kI eoVersiori:�,0 48g�ielid=lwAR3QfLbPcafg(vl5tDyYIMRO5wQQ 69P-HUgO-ARDc9iMCXeaNOi6vZL I Mok November 11, 2019: Dozens of families say their loved ones were mistreated at Gwinnett treatment center (Georgia) (part 2): httus://www.wsbtv.com/video?videold=1007537708&videoVerslon=1.0&fbclid=lwAR2inLllWcZUXV4LgkhXflYxgYYQw crnxwm uELuUvZ3xfVZ2BOo48rKwTlkw November 13, 2019: Signal Vice Mayor Says Erlanger Behavioral Health CEO Would Not Let Her Call Police Without Checking With Her; Kept Staffing Too Low (Tennessee): httos://www.chattanooaan com/2019/11/13/399519 Si nal- Vice-Mavor-Says-Erlanaerasox7fbclid=IwARiH evHwnaeIC4QL26EHcorPa KrJ7bA8ZddZKQsa81Z6ih9DMtfPLIE4,s Please let me know If you have any questions about this disturbing coverage about Acadia. Regards, John Teevan Chula Vista, CA 91914 Monitors report neglect, sex, dirt at kids facility in Northwest Arkansas Page t of7 Se¢lons n Sub ... b, ®Today's Paper Search Latest Core values App Traffic In the news Listen k0azelre2og Digital FAO weather News,arre Obis Pr t � So 95 $r)95 $11.95 irnp'15 $Y995 $U9.9Y $"", %"A $69.95 $]9.95 $]9.95 fiil15 $119.99 $5095 $195$ $74115 $1994 $199.19 $59.95 $29.95 5l"" $59,95 $149S $I,i11 Monitors report neglect, sex, dirt at kids facility in Northwest Arkansas Therapy center under review Lt-Iim bnwmiely, lgI.IlI mm.9tt 11 11n" n1fo." Bshnre nopaw httpiaHwww.arkansasonline.cornHTewsl20t9hrov170/utonitors-report-neglect-sex-dirt-kids.., tt/21/2019 Recommended For You Hot Springs doctor acquires iconic riverboat WALLY HALL', 01 vary, but right man to make choice ..¢onv tr_.mm R t regul I ry s ,mins p rat, ssof abuse nogbot F yort dI Memo shows sln tagy for attack on Colton opponent tr r . mentaHlgalthtreadnent renter lortlilitlren, including your suparvL ion MaE leQNsevual r,lWou thA ual mntat— bet, "forced'and "cmmenstml"—running Nle young orldmi,, Chef Doi Ramsay reality show sets up elsabllby RiahtsArkenaas'allegsbiom`oraln9t Piney Rldge TrertmmP Cunmr, based on !,u, outside another oentol Arkansas setatioul Send. 1V20, also ineludo unces5lvo use of physicnl end tfiemlcal r"t-r' L"no mndlHens rrd bice Ofto to Is enlumn realrise Mthont t, i.1, oll.mot how fundrl kln ,,,a d U-atudellre TIieIs snit arfa,nat JA "is g0- tlevelopmentaldisotdels, ahead frum7udge Plooy RidgessArknnaat.1,mdlb,Plot exduslvely tram, rblue,'who leave sexually .ps.••ns.,aa problematic bou'lmrslnaddiion to a malormeMal lllness;'aceeMingto the fm R, i fadllry4 walnio. httpiaHwww.arkansasonline.cornHTewsl20t9hrov170/utonitors-report-neglect-sex-dirt-kids.., tt/21/2019 Monitors report neglect, sex, dirt at kids Facility in Northwest Arkansas Asepal'rte grwlp, a Little Reck wan profit that peRonnsbwesBgdion,far the Arte ondrtned manv of Disability Right,' find ifol, (DOCUM I,LT:Aflmapelemnreport In re,00nor to Dlaal3mro Rights Arker,reenniIa mknnmc.... ""rnn✓11101eperV] In a letter to a Piney Ridge off rlal. the A,hr,,rs Faundehon for Medical Greaten henof allegations of eexen Cirri amen, erlldren and a W le for for, disrepair and very dirty' Tile Iaor,11 tor, tnorpd the faynttwpie relater Orr 14. interviewed 20role, . aryl io tan feather, and reaewetl the hle;nf Hie elld,en and the employ r,mad othm'tuwrdv. 1wr kids reported having sexual coMaet with other dhlldrenwhlie at the tPoatmentWerer, etwrdin,o the oryanlmtirli e.ri.s rt'nosaid tbey lied treats or relief, lmvins sr d, contort. 1000, ]"L:Re"videnI,e're,ltLpntefsInner,toDemncrnt-0iiertbe respond ing la Rlsebllity Nigher Arkanslgnllegatlons.nrhoof nckmny11 V), inov/I One gaff neemto, also reported that sexual behan int between patients okorpiom with no ronrequerues^ The Arkansas Denni Gmxtee abehard the Ark:was Frwfdneenfrr Medical Care; 00. 18 reportand Dlyabllity Rights00 2 alIogatmin, orush Freedom &I efirtierLeroAct regr"( . The 17 -page Atknosys Frorrotloa for Medical Care re,ortis ro letterhead that [,h mntnfns the logo r(the Doparnuem ofHmnan Seri Prudilo, Servkesand pea llryAaorwe" Orentrn The dee o heart fire, ruasptychlatrk(tibiale, Ilke panty kedge Trcetment Centex The tinter of 21105 E. lion Road er Ikaneed to serve 102 patlenis'agre7 to 11. IDOGDMEhtIr Crohn froth oL,ablhty Afoo, AiI ime'toetate regulators daPaP.lnp Iferl trot Ilnpectlop of Piney one Tro AnleotarkeisaSnrii), are) I I lChIlhll l I//I PInCy Rd§tt CEO Adrienne Cetdllel wrote In a letter (it the Lowspri,tr thhk 5ldff members top ... N, children nen tidy, Iarl oiff,fr. Pntelde bedrmm dodl's at of firne, dorm, ter, hours. „., More related headings Sex aeasull salt mamas hehavlorsl health Dentist .f silt In Arkenges Toahnenlcomer, neeirdo to ,orts ........ _ Gam Iwo'ror" Page 2 of 7 ,uv, saea sora., ]Y°6 G3IX 10.. ®tins va , ;11 n' .lets /nM All I'll 11 5ni+} Of 11 "I -08M1 I rest, https://www.atkansasonline,colnlnews/2019/nov/l0/monitors-report-neglect-sex-dirt.kids... 11/21/2019 Monitors report neglect, sex, dirt at kids facility in Northwest Arkansas Page 3 of 7 Catallna'sletter In response to DlsaNifty pill rs dial mtdIrectlyaddress the watchdog group§ claims of "frequent consensual"sexual cmhcts between patients nor the group's dean of fenrced' sexual canbcts. Site wake that any allegatbn of abuse among resldents'is promptly reported to law enforcement,seto a raddles and low aadIan s,Aw allogatlon 4 thoroughly Investlas ted and when INIcood,carrectilon is take) added. Helene, said that physical restraints and chadn"I IphatI. are used xcxdlng tosldtedM federal regulations Shedenied several other Doubt I I byRights allegal Ian sa W dWWt respond taoaers, Dlsablllty Rights' Reagan Stanford told the newspaper that 'general living cwMltices' at Plrey Ridge mtl Ok'nunbar of childranwla are housed together, coupled with Iack otsupervislon' . are lablesofgreatencencern because they have led tosexual asntectammg children. Disability Rlghtstvkansx k nuaprofIt than Is federally aulharlzed to Ranter bealmmtof peoge was disabilities. Any Webb, a spokeswomen far tM Human Services DePartmenq wrote In response to the neMpapaY'S questions that the agency is Monitoring the piney Il center. TFedePdrtmontsent staff tubers Och Taherlhe state recelvM Me Dlabllfty Rlehtslema andagalnon OcL31ltW%handedthec lain Inwetlgatlonbthe Gk sas Fourdaaon for McNall Careao Oct.10. 'Piney RidWdoeshaveworkltmedstcdotoimpfowe f�illty,"n wextNely modteringthelraffwts; sho sok. Thestatehas several Opems,whlch range hon acomatlw xtlonplanto Ilmnse revnaaon. When the departmentaonducts frrvestlgatbnsof thlskiM,offidals who identify prohlems an eitheraskfmaok ofcxrenlonorask Nefxillrytoflxhhepoblmonthespotlf It'smare serleus,Webbsdid. Depending On risk fxtors, the faulty hes between one and 30days to provide the action plan. The stne then monitors to ensure it's follwved IfaserlOus lkerWng vi0latlon edsts, the state can revoke a faollltys license or Wk It on probation, Wedbseia 'NOWAVTHERAPEWIC Ohablllry Rights leaned of purported abuses et Piney Rkge Rom people'wIM firslhark knowledge 0lthefxfllty,"Stanford Bald, After the Sept 19 and 10vlshs,the D'sabillty Rights group mmmdrleed Its gndings In an mall tortes slate's ORlceof Long�Term Care,a braxh of the Human3ervjres Oeparfinent. "Thefadlltyb Indlvepalrand very dirty," the wetchtlo®group Bald In Its OCG Z email toshte regulators,'Thegeneral amlronment is butl and cloollc,dad In no way therapmtic...Tho stdteoftM physical f.11 11, represeatatlye of the are and attention put lot. Al aspects of the program The nonpro{ ..R ahoalleged the fxlllly"Intlhcrlminalety" heuaes'a large poWlunda of ymth waware IOWer functioning and youth with aertbr with all other patimts,'subjeAirg Ihamtothe5a+kchapkic mWronnaentartl'programning�' StanfordaMotM1ers vkttedthetreatment center again n O<toheraMf W rad some cleanup and repairs, but few other changes, she told the newspaper, Piney Ridge residents and stall members also told the Dlseblllty Rights group that the tratmentcenergetswarninguptoq hoursbeforevlsltabystata Inspectors,Stanford Bald. Webb sad all vislts connected has I&ereing and complaint mepome are unanrwrced; Had only time state regulators give warningb whenafarlllty requestsavultfOrtednkal supPorR 'Staff areabsobtsly notalerted,"Webbwrote In en enalltothenewsWper. x 1HOri, https!//www.arkmsasonline.corn/news/2019/noyll 0/monitors-report-neglect-sex-dirt-kids... 11/21/2019 Monitors report neglect, sex, dirt at kids facility in Northwest Arkansas Page 4 of 7 fire Naman5ervicea0apafenotdlepaifind Arksnsas Foendnnonfor Medfc.Ic"o InvaWgIndriffor receiving 0lsahlIity Rig onA,k ansallegetlona. The departmanrs Provider Se Mc ex and glmII tyA4cerancc ONlslon cpntractp air, the nonprofit fool to 60nduct c4nialn ill5pedleni for are F'i le,Pina, Ridge trial have loaents under ace 21 and receive Medicaid epihv'a,acondi, , to Wchh, The noti,'s Pbcen,nt and Warning Unit 11111I.h hclllty fav theirs a year, 111e5aid. The inve418a tors'reRationale, dieref,wswith unnaelad crAde"'door' and etsffmemhals, as wcI as olra, rceofda. TMchildren, whotold lnvestigatme that Working and olhcrsoaual tactical., had happened to therr. were quoted a, r,11 p:'Roommate touched my print, Vart' The MknrunsUelaccot GCmthi Ionic tike to all, whh ,anent and fool porkfi r. kid, Refllveinro al's. and staff of ploy Rid, Tfekacffi C en ter and ether {dwl& keoddd Ntl110a,in Arkmhas. Tho newawPer uwdecatands many of the Isaeea aro 31 st,and inky hxlude porspnal in For fratIon ahoehnire,.if y,u would like 1. 1111111 a rnpol of prri GInny Monk imonlo'cidanew Trn(n (501) 378 3853 4m Hemmersly lire,I ly@xl9new.v'non..om (501) 0993651 Stnft dldn'tlee It because they wcr¢trving tc kenpaorneone .ui pia mem Stridethere duttheywatt for the, t. look owl wa'rnarher nein Eleven children slid they had reaelved at losst.na phvacal Ur fiemigl reztnLC several salt theyrecelved morathana n chemical kopcdon. "2 sMt,'said onz comment "Yo, noWnpltt..bI,,knp,dle and n iffiIna hl "Ener 111,11 the tint nine second (in 1p ldst two show:' .Aevdn filters ialso told if not "tllk'la net feel sate-atPirr Won heeoulel.I other chihdren'I bullying and fighting of staff menJpeirrya ing and"ahamMng"rnshdi Into walls ancon,,, acoclan, to for, i, Up 00112 kid, day ire the o me art at a ting, olld InNto,arni nwjthdo r,,adIN6.5e pin Piney Ridge kind ecu said they herded more won eoi, it Me faiity. One added that mnpioy,es"cro t handle all dog All 20 dhildi en fntrviewed reportnd for they showered dally, although two sj clean tleNes varen'tal'on, avall.hle. for Into, fir. with Pimry Rldgesfair nor kr, line anti them iii ,,k'R iysnlisned" with no rempialnts. Othi cited i1 nes such as sg ual hehavlar taking phaco, inadcgpate schoolln,, too little food No fro Ofic on end peer he ho, Arkansas Fbuml.tnn kl' Mledlcnl Cele lnape@pl'1III" f,wld lnnatIMdfen III "III 'y quleP" claoro.msduring that, visit and hal with d,aew.rk" Certaln palrglwol'k such as psychosexual exa n, Wrie in place fol' all ehlldren checked, https://www.aikansasonline.cotnAtcws/2019fi1ovl l0/monitors-report-neglect-sex-di rt -kids... 11/21/2019 Monitors report neglect, sex, dirt at kids facility in Northwest Arkansas Page 5 of 7 The reporteontalned acopy of a 2006welverfroa the Human Services Department allowing Pinny RNge to Muse es aanyasslachlldmn per bedream.The state normally allays. more than four. Wee In the Arkansas Foundation for Medical Care report were seven pages of photographs of the faculty, some shown, dirt or dlsrepalr. "Bath on tire Hidings tram this focused hymbgation; the Oporteooeirdes,'AFMC mocManends a fI up flip imps tions of Care at Piney Ridge Treatment Conlin within the n"tarl 'PRONETOOMURM' Piney Ridge Treatment Center Is 'a specialized program thatwarks with abrlsk W uth," Its chief egagtIW waote totM Democrat-Gamtto'They are yeryvularable chlldmil and often xtcut beugseorCMlrprydwlogiml aM MaIMMxlarlea' AJl rhlldrenthere oe'IMIvNuallyevaluated prbr to adMssion"aM given individual bmatmentas needed, CatallnatM CFO,wTae, Thoyaro,raRHdbasedouage,fenckonand ellacal needy TM fall lty does allow children ON different levels of funtlon to l nbcm t, we wrote, to Iwroye'th,outcomes of natural trachl ng methods and poslth,peltInteractione,- Com linadidn't respond to questlons a bout deanllness of are foollity, but xiRmAyodgod that propertydamage does nor., "The KNIAtlon of youth we two for here are prone to outh,,t,,M property d.tmotion aM damage..., There iso r.neistolt.,M .,In plXe to make reps rx' Her letter also nines thatthefaellRy is%uryeed mgulolybylMepeMtsatm, tory agencles am Wawa such sell As essential to its goal of contlmswxly IMMIIM pedant care" Catalina didn'tanswerfollow-up queatbns. PInW kid,,, which crooned In 1996 es asmaller facllitg hes been thesublerk of news arucloe in recent years about a right among MllI and efforts by Springdale resldenta W prevent the Fayattevllle treatment center from puttlrg up a new bunting in thelrsrdghborheod. Torn PIMY Apple emplayenwere plXed en RUYe In 2016 after the allR,wIPra surfacoo that they all awed the fight at the center, according to newspaper arddyes. Springdale residents that came year fought the propmed new buildirl mNng request wan A,rmmd Its net clear where that Prefect Stands Piney Ridge parent company Acadia Healthcare Inc. h a publ"I held, multinational behavioral health care operator with 595 foehIdes Indo states, tM united Kingdon and Puerto Rico, according W the mmppry's website Its heodquarters we In FrarnkllnTenn. AadU operatesalx NOIties In Arkansas. In Fayetteville, In All loon to Piney Rldge, is Vantage Point of Northwart NIuncas, Others are Milloreek Behavioral Health, Fordyce; Conway Behalloral Health Hosphel, Co.,; Rlvervlew Dwo,loral Health,Teaarkana; AM Valley Beha*rnl Health System, Bodin, PouMed In 2005, Aa adlA Hoskins. has facilities that have been Me target of lawsuits aM allegations of patient abuse in recent months, according to Pebile records AM news reports. The publicly held company also has eaperil m"XecutNe W moser and slldingstock calces. shares trah¢I at mere ah $80 1. 2015.Its stock pr ice dosed Friday At $W.74. A 2016 dI s Xtlon shareholder lav uk Infedaral court alleged that top Acadia offidals took part In an Imlder-trading scheme to Inflate the performance and owutlook for the caapany, artificially raisingthe Value of stack shares, According to the U.S, Department of lrntla,A wIncel11 pay $17 all I" In the largest health care fraud settlement In the histery ofwast Vlrglnla, The settlement in Mwwas from a lawsuit xcuslng Aoadla ofdefrsuding Medlrald of $35 minion through ago m nng scheme https://www.arkmsasonline.com/news/2019/nov/10/monitors-report-neglect-sex-dirt-kids... 11/21/2019 Monitors report neglcet, sex, dirt at kids facility in Northwest Arkansas Page 6 of 7 Inxvandu'-IddIsI ouIsvia,enl milers, acrvrdins N,his N,,r past an Dolls,, news ..crvlm In Tenn©see. New Moxiw rifts IN thisdownan Arai put h tratmi Mito ria Alhuquniyut eatrip oris tire' after abuse ollepailons.",r,, I'weuh n and lass of rtffie car t! fisanoe Dai Hit I, ofNaw Mest's,"saceused of folilne Vs motors Inputs Fri Ilii anduexual It use htv✓orkers mtd It[,,, i'III law.aults also litetl lrfel niufimt dubs"fuldgvled us, Volf rumel... .r,r bC4Wne0, ruff member,and teunefTdt n@5, undle ked smrad of I IN amara potiph and oecesalva use of rsetelms ml them , tho Nashville pmt rei wn su'amesser. is. art• 1Lu...� f a Pb.'spa0.Mlre Tle.JaaeI Center rwcfirmxls tr"'v 0 f." Iwodmups Tapirs Gl<'Yi4ffi75PmWYl4aPl4. N%A41i3i.C©WL e14Mao3L^iPJFLL01.Ail&eC411P11fd.1➢ffiL43iYLlti93ML. 2J. .aJm L✓eye. o: naU1Ir^meap.sesi rar s1fuVV. Related Articles sex asseull soft neem Treatment centar responds behavioral health site In to raparh from two groups Arkansas Sponsor Content E f, 1 IPhetosj saltation Make 40 of the Democratic aO Vietnam Warm Irrcredible Discovery Presidential Cersaimes and Photographs That Were senents Akalraa Thi Significant Others Wllhheld From The Pts is or'sItu v6om'sesmer al an even nun,aeumm� rnmo<.ell,wa1-1-a'a 'ow Recommended For You https;//wtvw.arkansasonline.cominews/26t9/novlt6hnonitors-report-neglect-sex-Birt-kids... 11/21/2019 Signal Vice Mayor Says Erlanger Behavioral Health CFO Would Not Let Her Cal Police... Page 1 or 5 I H F Hera Kept SWffmg 70o Low • I. r Wedmsday, November IE, 2019 GHATTANGGGAN.00ra ' face mel¢v red.darn net lac he, oll ponto itha.t checking.111, het Ili and she kept differs, levels low In [ F` too order to make fire Willy proaw. p�1Rgtl Any, Speak, who is the vital, mayor par the [owe of All MoanUlry sped Erlanger Legacy Funeral,000 lorrecre,—and and -a.,, Healthcare In chancery Card. �j IuaNAvnee Ms. Speak salt side wound up being thrown auossa dark by a patient She is asking ";'R'.��p�eirarceSP ompensatory and ponl[Ive damage., up to 3250,000, e cepa b an„Nt pan Inrm Piep sure, epr,nrly tnc memo rt cin„' rms nrrw nd.. nxa TbmsdxY. NovemLcr LL, N19 chairs, mBnt for oW patients, We stongr, select In any allCJatlie, that ant hrratel 1, GLLP ilOX ......a.°. fin.h°F Ovxrexa �u rcv �oorcn Breaking News Signal Vice Mayor Says Erlanger Behavioral Health CEO Would Not Let Her Call Police Without Checking With The and, fish by attorneys Frank partial, and Eric pounds, says As Speak was hired as a purse manager on April 2a, 0018, and was "to start spnradens of a fpllsomke mental health hospital under the Erlanger umbrels of fanlllsas In the Chatteal areal In says In July 2018, the hospital second the lolnt Commiszlo l and opened and Unh of In patient beds, Thesolt says, "Almost Innmedlataly Uganing approval of the Joint Consoled. , plalnHtf was Instructed by CEO Cars Ratio to all reducing staffing numhers to Increase proilt" It stator, "Namomus parents or defendanthospital were known to have Yinlent ,intensities, 'Plalnbff rvna provided a staffs, matnk arks w.dld allow the hpspltl to be profl[ab , However, she was verbally addrutted to further di staffing [a Inareasa hospital piers b Process known In the Industry as low census' " It say' In September 2118 the Ideal c.pantled to Iroffi e a getlatld Unit en the fast near and an andeft Ooons' atilt as kids sd,ord One, https://weNrvv.chattanoogan,com/2019/111131399519/Signal-Vice-Mayor•Says-Grlangei.as... 11/21/2019 Hera Kept SWffmg 70o Low • I. r Wedmsday, November IE, 2019 This person hbee to help sae up the Erlanger echa.ioral Fadrty an nplteaaw Avenue says ' face mel¢v red.darn net lac he, oll ponto itha.t checking.111, het Ili and she kept differs, levels low In [ F` too order to make fire Willy proaw. p�1Rgtl Any, Speak, who is the vital, mayor par the [owe of All MoanUlry sped Erlanger Legacy Funeral,000 lorrecre,—and and -a.,, Healthcare In chancery Card. �j IuaNAvnee Ms. Speak salt side wound up being thrown auossa dark by a patient She is asking ";'R'.��p�eirarceSP ompensatory and ponl[Ive damage., up to 3250,000, e cepa TYIa, tlakc t LEU of Crageer Bele,onal Hak),hundred, IJ We d'sagra. wet the doll hadc,1J tin Indeard and will vl9arop.lydf.dthe U1 s. Erlanger cal Craltl Fra lel beb hall pollCles an nng that our rise, insets all Special Refold It Reedgers adalabl lay, end addition, ad is appropriate to durable a sed, lheynchnc Attorneysat unity chairs, mBnt for oW patients, We stongr, select In any allCJatlie, that ant hrratel 1, GLLP ilOX ......a.°. indeucciff d." The and, fish by attorneys Frank partial, and Eric pounds, says As Speak was hired as a purse manager on April 2a, 0018, and was "to start spnradens of a fpllsomke mental health hospital under the Erlanger umbrels of fanlllsas In the Chatteal areal In says In July 2018, the hospital second the lolnt Commiszlo l and opened and Unh of In patient beds, Thesolt says, "Almost Innmedlataly Uganing approval of the Joint Consoled. , plalnHtf was Instructed by CEO Cars Ratio to all reducing staffing numhers to Increase proilt" It stator, "Namomus parents or defendanthospital were known to have Yinlent ,intensities, 'Plalnbff rvna provided a staffs, matnk arks w.dld allow the hpspltl to be profl[ab , However, she was verbally addrutted to further di staffing [a Inareasa hospital piers b Process known In the Industry as low census' " It say' In September 2118 the Ideal c.pantled to Iroffi e a getlatld Unit en the fast near and an andeft Ooons' atilt as kids sd,ord One, https://weNrvv.chattanoogan,com/2019/111131399519/Signal-Vice-Mayor•Says-Grlangei.as... 11/21/2019 Signal Vice Mayor Says Erlanger Behavioral Health CEO Would Not Let Her Call Police... Page 2 of S The soIt says, 'At times heIElff was in tructed to reduce staffing dhal fig pre flight,Hitt tip are rare, thrthe 24-patlent hnd and an Will only to, the giber petlnnt colt, In violu0e, of mman , prevled, given to pl ilii by perennial ,der "I' ration. 'Plaln[iO received text messages and other mmmunkation from nurses shot were scheduled M work this sldR slating "bat they Armed for their eatery due to the underslafling of the shift. '0.9 a feFlll of (11159%Panflgn and to fit the inism PS glmetfar hands, defoodgmL' began to hi during furlherTo violation of Teoeessee Siete antard of Nursing Med and unholiness with reg'a rd to staffing and supordided requirements. For example, on many oulaslons, there was only one ON oa duty who w.a... igned "o two cliff floors,' Ms. Speak data she los tend can illusions Accused, that she les not peadd ed to call he polleeregarding Pliant gloomier, w11➢6V0 prior eu monenteme from die CEO. The domplalnt seek, 'i plaintiff quoaboned this dlredivs, aheyms told that in the event that a patient escalated to violent behavior sh, ooW4 simply cell the CEO or the CNO for guidance on how to handle the situation, however, in order to call the police, the CEO had to approve. 'TMs Policy Ifnomcossarlle d ikohlyred the End, Ole patients and the public In violation of "he doer i n ill policy of lila aline Of Truddly ee.' Mic Spook said during her deet month of line faulty she "began ,aloin, underftaflln9 keys, and the lack of adequate security a, both Issues related W paOenP, Staff end politic safety because of the Canada with a propensity for ,blanc,,' She Said Silo'axpdreflOd groat dilhculty schadupng ower. willing 0walk because of bre fall safety cmcemc.' it says rhe wed allouldnd that '.he was n0" permitted to address any of Nets orcein. to the doctors that were offending to the mission at the hearing, and than on, table concerns should a,(, be discussed wltb line CEO.' Ms. Speak ,aid curl ng the [attar part of domain 3018 she was assaulted by a patient when the hmaidel was under -staffed with an all -(goody staff, She Bald she called the CEO, alta was cammuflng to New York, for permission to call holm,, The sari says, 'The delay in being able to to11 police unreasonably placed be pnh ifs, If, hospital Stafford the Publk In danger,' M.. Speak said rO RMIng the Incident end her Continued ecmplelets about his lack of 9fNdtY, she WA, Called Into A heads, fifth the chief more... bffltetwho ImdurRed he, that the CEO had told him ttl "wale he, up,' Aided file banns for the write no, the chief ,mi di said he did not know the bods, It was stated. fie said he was hold that Mc. Speak needed 'to change her face,' Me. $,ask kind on lo,. ll, 2018, when are tlaid its hadutal wee again undwstar ed, a patlent began exhibiting Aslant and erratic behavior She said she and others tried mouccossfWly t0 defuse the situation. She told she tried ounler0us limes fd roach Hie CFO, but Wa, unable Co maraud be, tip at ter permenion to all pence The seat.... Ms. Speak "Wmntuelfy tolled police (without ptrmllame.) In efroul er of Link company polhy In an atfempp t0 petro the staff and hgve,IP.' It says here. pal Could gel there, file patlent picked Me. Speak up ,,it threw Befacmes the nurses' Italian desk She said she I.Ferse a tarn rotator if Wet mnwmd surgery. no Speak rind she req owing the next it,,, off, but was told to gone In to dfrcuse the incident, She sold the an day firesept a letter t0 Hllman Rossi idefelhag file .,a,,, of the Previous day and pointing out the lack of a loquate security as well a, the staffing or It says M& Speak Wes celled Into a meson, on Nov. 12, 2018, and told she was placed 0n adminlshaturs laevo wiWoe" hey mandli g an Intwnol Invyetlyabon She said sue was diegnosud with CoNlcalpla and left shoulder pain and told not to IId anything over 10 pounds. She laid she was then placed do personal meeical leave. The salt mys be March 23, 2019, whore her medldel leave explretl, she wee offered A ISO paadbn, https://www.eliattanoogan.eoml2019/11/ i 3/399519/Signal-V ice-Mayor-Says-Eclanger.as... 11/21/2019 Signal Vice Mayor Says Erlanger Behavioral Health CEO World Not Let Her Call Police... Page 3 or 5 It say, she "was ¢worn that It was deandents' moLos operan{II t0 Placa ¢mployees or: a PRN stays and simply not schedule lire employee for any ships when defendants wanted to Nrminnle as employee and food the flaunty of unemployment teeffi " re Speak said She wads e£e0mally abla to find a fob making agent W percent less than the hospital cornice. uw eo Aveet Share2ld �y/(I.I11I��irv, - Oe Ho Nen taunt 2Yxb� wuarmge rewNsd £ Cr gleam �VSEME:s': Ihry1 4Pumlat Mm. \Mb a N ¢ " Nr Or a 6Lllnau 11 a tta'OPR6et speaking NO.. opnlon Sports New $4 Million fecund Railway Cars Are In Production The blahrl[ dm0.oue Moontaln fnalma Railway will be Bening pro Mantl spanking new ran al ones.stupe In 190.9, OARTA o luels said the beavy are are bang bona at @a0kmeq Pa, In, noted IS roerg $4.lingo. CARTA rtmlved giants to pay for the cors that dh to .In, on and dawn farm the 9C Elmn atatlon CO She Bute, station sown the stmn nem (,link for inure) Infusing God Into The Schools And Response If YOU ask 1,000 people what the signal aid sperpole,.11"been V.a will probably yet 11000 veryl 1, (If art ompletat ylltefe h aawers, TM uc a rq £(mple[Moon for such a friction BSo6.I am Iurt one Me, "an opinion ark, rorturately, chathmoo0@nc nl allows spe@ for avn,-daY people like me to voice It. $.I as it fertile, of rear 'hoppl , one 15 oda maps opinlnu. (11.01. nmro) Chattanooga Rod WOIY.a Name Iimmy Obada As Head Coach Tha CliencraWga RBtl Wolves Soccer Club lad Thursday R has hur a n Told ,nam mW Tinburm Courser. nmmy Obleaa w101¢od ole team In da second conege al piny m tin ended s.a, League's Laague One. "Tire brablelnn roma Inaugural teim to a tllampli n ht, tear, will bn, a cen'Yed .,.do, Glace CLicho a alre[aog,^ naw snap eacent, president add as neral manage' .- (cb[k on dope) Local lOYear-Old Redefines The The Value Of Teachers Florida State pulls Away To Beat Lego Building Experience UTC 89-53 bacipsedo are pi In has day ona age, hotel 10 -,it In entrOpuroat aid fort- conal l four, they have Thar battles The CFS6@notWa MOC9 cored not over,.., r.Inrmed ,an. te..In, Zaciiwy Ledh.rd 14n kw pay. Winona hones, perdR donna and, wudaesday olden, the mallmtl£nal lnry wap finish, when Issues, and blare that Yal Of be, u, Omurld b Tucker Chic Center. Tile Moei tell thatenng his brick one, 111, sdu00ry Or n. a of wM[M1 is dad. an l ars. doodn'd 59-53 On......... momtum enInto reale in immercle. evperlenu fa Tock why my Mends ealrer M.es[houl their nelR.me. The MU[s eW..If, aady aur aWtl@re of all a,. she the invenaM 01 allltlmn a, send Nerr chlldran t0 pelvale form momentum hear Back to -back 3 angsinnel boo-etepoloy bMkprrndv s@ool£ per the. Merge, listed agave that balled Ly 0avld hanadireetecut Or, had that are as. con venom types of Ballon Is libeaningre border, need mgr, in US 25. oMIn Oplooll saran oa F9U'i toll. arkkpr0ps nackd.ps emo.pass a mgnayf yea,.,Crack ou,r ) end reeWill bprom N. Caltlwell9 rpt maaRun s 11 _, (tock to, mom) was neither mark,,. (,rick for naval day Exu.: Tae ...ad .1 TM1e ROpue latest ..they County Ahead 0.epart an Fleaen M<mary Of Mfamurl The Coleco EP.tamic 9M10om @e Ideas Routs Inspiring V01£ Former be. son.£¢mpha.E05 fill Of Slate Leeubture in Lpud@n[e m Of Coplete coast$ Up[a .n. Year Chattanooga Tract Club Garer, Up count Por 11£ 50th fu nlvertary Year Nave A beer Fell seek Instead Of Thank£glver, Par.[0agls And ResNone< stands gnllfM1WIC Pi[MS Wnek 13 lit(ps://www.chattaiioog,,tti.coin/2019/11/13/3995 19/Signal-Vice-Mayor-Says-Erlanger. s... 11/21/2019 11 E, 0 P 1, E 5 me LU41 C 1 IIY APd IIUHL I'i,il l -I 1'I, n n, a 4,det"CEOl ;; I'll U t pI of"Tolb¢ Navnnber L,lal9 PmMtt 31, 3¢l9 n¢vemeeR1.3a1P M."'11111 1 Inc11ng Rail Way Care Are Local 10 -Year -Old ReEeSne£Tbo Logo Ut t&aaey County AMdL Report 1. prWucHon Beating Equalooco The hlstmk Lookout Mountain denied Local 1,0-yeauldd entrepreneur and Cock here for the latest &aNny County Railway will be 'etre, two broad salt andelood In,. greatlO, Zepbary rilectieport.(Nck Por mm.) spbnk.n9 newcas.....Icahn arms Ledford reelland apmeder, was.1... a, forfeited In 1987. CARTA bfOdals said when bullding his brick sets. His the heavy COI are being built at sofutlon, to create an Inge sed Bmokollsr r(cllck for mor¢) certitude far .(click formore) �y/(I.I11I��irv, - Oe Ho Nen taunt 2Yxb� wuarmge rewNsd £ Cr gleam �VSEME:s': Ihry1 4Pumlat Mm. \Mb a N ¢ " Nr Or a 6Lllnau 11 a tta'OPR6et speaking NO.. opnlon Sports New $4 Million fecund Railway Cars Are In Production The blahrl[ dm0.oue Moontaln fnalma Railway will be Bening pro Mantl spanking new ran al ones.stupe In 190.9, OARTA o luels said the beavy are are bang bona at @a0kmeq Pa, In, noted IS roerg $4.lingo. CARTA rtmlved giants to pay for the cors that dh to .In, on and dawn farm the 9C Elmn atatlon CO She Bute, station sown the stmn nem (,link for inure) Infusing God Into The Schools And Response If YOU ask 1,000 people what the signal aid sperpole,.11"been V.a will probably yet 11000 veryl 1, (If art ompletat ylltefe h aawers, TM uc a rq £(mple[Moon for such a friction BSo6.I am Iurt one Me, "an opinion ark, rorturately, chathmoo0@nc nl allows spe@ for avn,-daY people like me to voice It. $.I as it fertile, of rear 'hoppl , one 15 oda maps opinlnu. (11.01. nmro) Chattanooga Rod WOIY.a Name Iimmy Obada As Head Coach Tha CliencraWga RBtl Wolves Soccer Club lad Thursday R has hur a n Told ,nam mW Tinburm Courser. nmmy Obleaa w101¢od ole team In da second conege al piny m tin ended s.a, League's Laague One. "Tire brablelnn roma Inaugural teim to a tllampli n ht, tear, will bn, a cen'Yed .,.do, Glace CLicho a alre[aog,^ naw snap eacent, president add as neral manage' .- (cb[k on dope) Local lOYear-Old Redefines The The Value Of Teachers Florida State pulls Away To Beat Lego Building Experience UTC 89-53 bacipsedo are pi In has day ona age, hotel 10 -,it In entrOpuroat aid fort- conal l four, they have Thar battles The CFS6@notWa MOC9 cored not over,.., r.Inrmed ,an. te..In, Zaciiwy Ledh.rd 14n kw pay. Winona hones, perdR donna and, wudaesday olden, the mallmtl£nal lnry wap finish, when Issues, and blare that Yal Of be, u, Omurld b Tucker Chic Center. Tile Moei tell thatenng his brick one, 111, sdu00ry Or n. a of wM[M1 is dad. an l ars. doodn'd 59-53 On......... momtum enInto reale in immercle. evperlenu fa Tock why my Mends ealrer M.es[houl their nelR.me. The MU[s eW..If, aady aur aWtl@re of all a,. she the invenaM 01 allltlmn a, send Nerr chlldran t0 pelvale form momentum hear Back to -back 3 angsinnel boo-etepoloy bMkprrndv s@ool£ per the. Merge, listed agave that balled Ly 0avld hanadireetecut Or, had that are as. con venom types of Ballon Is libeaningre border, need mgr, in US 25. oMIn Oplooll saran oa F9U'i toll. arkkpr0ps nackd.ps emo.pass a mgnayf yea,.,Crack ou,r ) end reeWill bprom N. Caltlwell9 rpt maaRun s 11 _, (tock to, mom) was neither mark,,. (,rick for naval day Exu.: Tae ...ad .1 TM1e ROpue latest ..they County Ahead 0.epart an Fleaen M<mary Of Mfamurl The Coleco EP.tamic 9M10om @e Ideas Routs Inspiring V01£ Former be. son.£¢mpha.E05 fill Of Slate Leeubture in Lpud@n[e m Of Coplete coast$ Up[a .n. Year Chattanooga Tract Club Garer, Up count Por 11£ 50th fu nlvertary Year Nave A beer Fell seek Instead Of Thank£glver, Par.[0agls And ResNone< stands gnllfM1WIC Pi[MS Wnek 13 lit(ps://www.chattaiioog,,tti.coin/2019/11/13/3995 19/Signal-Vice-Mayor-Says-Erlanger. s... 11/21/2019 PATIENT ABUSE & POTENTIAL FRAUD IN THE UK FOR-PROFIT BEHAVIOURAL INDUSTRY— The Need for Effective & Accountable Oversight August 2019 0 A public interest report by Citizens Commission on Human Rights International & United Kingdom A 50 -year Mental Health Watchdog CCHR International 6616 Sunset Blvd., Lon Angeles, CA, USA 90028 Tel: 001-323-4674242 • Website: www.cohrint.org • Email: humanriehtsCcchr.ora For Citizens Commission on Human Rights (UK) PO Box 188, East Grinstead, RH19 4RB Tel: +44 (0)1342 313926 • Web: Ynymochr.or¢.uk • E-mail: Info@cchroreuk INTRODUCTION: SYSTEMIC PATIENT ABUSE & FRAUD WARNING For five decades, the Citizens Commission on Human Rights (CCHR), an international non-profit mental health Industry watchdog, with a national group founded In England in 1969, has investigated widespread patient abuse and fraudulent billing scams in the for-profit behavioural -mental health system. To encapsulate what has been happening in both the UK and US, one law firm put it this way: "When patient care in hospitals takes a backseat to corporate profits, patients always lose. They not only lose in overall quality of care, but also when it comes to personal safety. In addition to just plain poor medical attention, some patients become the victims of various forms of criminal abuse, including sexual misconduct by doctors, assault, and rape by ... doctors, non-medical staff, and even other patients."' Since November 2015, CCHR has brought evidence of patient abuse to the attention of the Care Quality Commission (CQC), the National Health Service (NHS), the Competition and Markets Authority (CMA) and the Parliamentary and Health Service Ombudsman in relation to two U.S. corporations: Universal Health Services (UHS) and Acadia Healthcare that have significant Investments In the UK psychiatric hospital market UHS owns Cygnet Healthcare, the Danshell Group and the Adult Services Division (only) of theCambian Group. Acadia owns the Priory and Partnerships in Care (PIC). "When patient care in hospitals takes a backseat to corporate profits, patients always lose. They not only lose In overall quality of care, but also when it comes to personal safety. In addition to just plain poor medical attention, some patients become the victims of various forms of criminal abuse, including sexua I misconduct by doctors, assault, and rape by ... doctors, non-medical staff, and even other patients." - Law firm CCHR reported serious incidents of abuse and fraud associated with UHS and Acadia Healthcare facilities in the U.S. to the UK agencies as a warning; for example: • In UHS behavioural hospitals, there were reports of patient suicides, restraint deaths, falsification of records, body -slamming patients Into walls and sexual assault of patients that U.S. state authorities or the U.S. Centers for Medicare and Medicaid Services (CMS) had Investigated and acted upon. • Many patients and families alleged Incidents of misconduct against Acadia Healthcare faculties in the U.S., including wrongful death, sexual assault, and abuse/neglect of patients, some of whom were under 18.2 Despite these warnings, recent media has shown that these companles appear to have repeated the alleged U.S. modus operandl in the UK that CCHR alerted UK authorities to: • Patients sustaining serious injury through self -harm; inadequate safety measures, thereby keeping sulcidal patients in unsafe conditions'3 • Patients having "access to screws in fixtures and fittings, which had led to repeated incidents of self-harm..14 For example, one patient was able to swallow objects such as screws and wire. 6 • Allegations of inhuman and degrading treatment and cruelty to vulnerable people.e • A staff member assaulting a patient? and • Physical and psychological abuse of patients.8 A CULTURE OF PUTTING PROFITS BEFORE PATIENTS: U.S. BEHAVIOURAL CARE COMPANIES SET THEIR SIGHTS ON THE UK CCHR alerted the UK agencies five years ago that UHS executives had met with investors in December 2014. It pointed out the profitable venture in moving into the UK, where there had been a one per cent decrease in National Health Service (NHS) beds between December 2013 and March 14, 2014, with such closures "expected to continue." As such, it could be predicted, UHS said, that this could lead to a 'continuing trend towards more outsourcing to independent sector provision" (i.e UHS), "partnershlps with the NHS" and "contracting opportunities" for the company.9 In September 2016, CCHR also filed similar complaints to the same UK agencies about Acadia Healthcare's acquisition of PiC and its earlier purchase of The Priory Group that added 300 new facilities and more than 7,200 beds to its network.lo Acadia took advantage of what was reported to be Britain'sS16 billlon mental healthcare market and the rise in NHS outsourcing. The £1.33 billion price tagforthe Priory Group represented more than 10 times Acadia's earnings before interest, tax, depreciation and amortisation.11 The market for behavioural care in the UK had grown at 9.2 per cent annuallyfrom 2004 to 2014, largely due to a decline in NHS funding for government clinics, Acadia said. It reported that private operators controlled about 8 per cent of the £19.8 billion (US $25 billion) market.12 "What we hope does occur Is that they [NHS] continue to close beds and have a need to outsource those patients to the private providers. We would be the big winner there." - Then CEO, Acadia Healthcare, owner of The Priory In October 2018, The Daily Mail quoted Joey Jacobs, then CEO of Acadia, saying he hoped the NHS would axe more NHS -funded psychiatric facilities: "What we hope does occur Is that they continue to close beds and have a need to outsource those patients to the private providers. We would be the big winner there,"13 UHS officials told Investors that reducing staffing costs and keeping occupancy rates high in its behavioural health division, helped generate robust profits 14 Internal financial reports showed that in 2014, one UHS facility in the U.S. projected a more than 50 per cent profit; however, while it increased its revenues, it continued to cut staff, according to a BuzzFeed News Investigatlon.16 UHS (owner of Cygnet) officials told investors that by reducing staffing costs and keeping occupancy rates high In its behavioural health division, this helped generate robust profits. Consider also that on April 10, 2017, the state of Massachusetts flied a lawsuit against UHS in U.S. federal court, accusing it of illegally charging government Medicaid insurance for outpatient mental health care by unqualified staff. Modern Healthcare reported; "UHS this year has faced scrutiny" over allegations that the "for- profit hospital operator kept psychiatric patients longer than necessary to milk their insurance." Massachusetts asked for treble damages on the just over £74.5 million ($94.2 million) in reimbursements It made to UHS between 2005 and 2013, as well as civil penalties, or a total of more than £223 million ($282 mlllion).16 This has been a contentious issue in the U.S. where UHS has been accused of putting "profits over patient needs," the effects of which can be disastrous," according to the Lown Institute, a non-profit organisatlon that addresses healthcare issues 17 In July 2019, U.S. agreed to pay £105.3 million ($127 million) to settle a U.S. Department of Justice investigation into its billing fraud (while admitting no wrongdoing).18 In 2019, UHS agreed to pay £105.3 million to settle a U.S. Department of Justice billing fraud investigation, while Acadia Healthcare agreed to pay£13.4 million to settle U.S. Federal healthcare fraud claims. Add to that the potential waste of taxpayer/government funds. For example, in May 2019, Acadia Healthcare agreed to pay L13.4 million ($17 million) to settle U.S. Federal healthcare fraud claims related to fraudulent billingfor tests ordered in its drug treatment centres. The settlement represented the largest healthcare fraud settlement In the history of West Virginia. United States Attorney Mike Stuart stated, "This is a strong message and a massive penalty. The message is clear—if you are cheating the system and we find you, you'll not only pay for the damage done but far more. This is a message of deterrence to other would-be fraudsters."19 CCHR's complaints had urged the UK age ncles to ensure stringent oversight of these for-profit hospital chains, including for potential billing fraud. Given the massive financial Investment of UK NHS/taxpayer pounds into this private sector, it would have behooved them to do so. This was further supported by UK media exposure of this: On 10 November 2018, UK media exposed both Acadia and UHS as being part of seven providers described as a "cluster of 'fat cat' private operators" that are "creaming off hundreds of millions of pounds from the NHS after muscling in on the cruel but lucrative trade in locking up people with autism and lea rning disabilities." "Furious families" told The Dally Mail of staff helping to make decisions on sectioning In 2015 and 2016, CCHR's complaints to UK agencies urged them to ensure stringent oversight of U.S. owned for-profit hospital chains in the UK, including [involuntarily detaining] people under mental health laws and private providers were "profiteering from misery," milking the NHS of more than £14,000 ($18,000) a week.zv In December 2018, The Daily Mail further exposed how "U.S. healthcare firms, hedge funds and fat -cat charity chiefs have been accused by parents of viewing patients as 'cash cows' after muscling in on the lucrative sector. The NHS has paid these operators more than £100 million in the past year."21 In 2018, UK media exposed Acadia and UHS as part of seven providers described as a "cluster of Yat cat' private operators that are "creaming off hundreds of Seven providers were "charging taxpayers up millions of pounds from the to £730,000 ($913,000) a year for each NHS after muscling in on patient held in controversial and secretive the cruel but lucrative trade secure psychiatric units." £7.5 million ($9.4 in looking people Up...' million) was reportedly taken home by the Chairman and CEO of Acadia, which in 2016 - Dally Mall bought the Priory Group, with 10 UK hospitals "holding people with autism and learning disabilities," according to The Daily Mail. 22 The Priory made £62,2 million ($79.9 million) in 2017. m THE NEED FOR AcooUNTABILIIY AND PROTEONON CCHR is providing this report on behalf of consumers, including children --some forced Into "mental health" treatment—and their families, because inadequate protections and oversight of the mental health -behavioural hospitals is putting patients at serious risk. Greater accountability with commensurate penalties where violations occur is needed to curb further abuse. This is reinforced by the evidence presented to the UK Parliamentary Joint Committee on Human Rights hearing into the treatment of people with learning disabilities and autism in Assessment and Treatment Units (ATUs) and other inpatient units in 201.8-2019. 24 Compare the evidence heard in this hearing to those exposed In Winterbourne View in Hambrook, South Gloucestershire In 2012. The facility was owned by Castlebeck. In 2011, BBC's Panorama showed some staff at Winterbourne View Hospital slapping and hurting patients—patients were kicked, punched, mocked and mistreated.25 The CQC was criticised for not acting when initially contacted by whistleblowers about the abuse?5 There were investigations and subsequently staff prosecutions and convictions in relation to the abuses. Eleven staff pleaded guilty to a total of 38 charges of ill treatment under the Mental Health Act. Sentences ranged from 6 months to two years. Six out of 11 care workers were jailed. Judge Neil Ford QC said there was a "culture of cruelty" at the care home. "What happened was a gross breach of trust," he said. 27 CCHR is seeking support for regulations that will provide better oversight and accountability, with greater criminal and civil penalties for continued violations of standards of care, Including patient safety infringements where patient suicides occurred while patients were not property supervised. Every patient restraint death should be subject to police investigation and prosecution. Tougher penalties are needed for fraudulent billing practices, Including hospital closures for repeated abuse and/or fraud. Yet, the cruelty continued and begs the question whether the staffs' prosecutions were not a sufficient deterrent. BBC's Panorama went undercover again between December 2018 and February 2019 to find similar abuses at Whorlton Hall in County Durham, owned by Cygnet (UHS). Joe Plomin, BBC Panorama producer/dl rector wrote, "The government should have fixed these issues eight years ago."2a The documentary uncovered staff abusing patients with learning disabilities with care at Whorlton Hall branded as'tantamount to psychological torture' by the Labour Party. Staffs were filmed mocking, intimidating and repeatedly restraining patients. Once again, the CQC apologised after having rated the hosphal'good' following inspections of the facility in 2015 and 2016.29 Cygnet took over the running of Whorlton Hall at the end of 2018 and said it was "shocked and deeply saddened" about what Panorama found—but the point is that it should not take undercover reporting and filming to enforce oversight of and protections in anyfacility.ac CCHR is seeking support for regulations that provide better oversight of this industry and accountability; (1) Greater criminal and civil penalties for continued violations of high standards of care, Including patient safety Infringements, Including for patient suicides occurring whllo not properly supervised and damage inflicted from dangerously administered treatment, includingfor electroconvulsive therapy. (2) Police investigation and prosecution of every patient restraint death, as indicated; (3) Tougher penalties for fraudulent billing practices, including cancellation of NHS or other government funding with hospital closures for repeated abuse and/orfraud. !an Eastgate, President, Citizens Commission on Human Rights International for Brian Daniels Executive Director Citizens Commission on Human Rights UK SUPPORTING INFORMATION UNNERSAL HEALTH SERVICES (CYGNET, CAMDEN, DANSHALL) CCHR warned UK agencies against approval of new acquisMons by Acadia Healthcare and, in particular, UHS, due to ongoing U.S. Federal Department of Justice (DOJ) investigations into about 20 of UHS's behavioural facilities in nine states and its headquarters for potential bl III ngfraud. UHS is discussed here first A BUZZFeed News investigation alleged that one UHS facility in the U.S. had billed health insurance for putting movies in a DVD player and taking patients on longer smoke breaks passed off as "group therapy."31 There was concern that similar activities might occur in the UK, especially as NHS accounted for 87 per cent of independent mental health hospitals' revenue, generating £1.14 billion in 2012 alone. Cygnet Healthcare was among the four largest providers at the Ume.37 In 2016, UK was already facing abuses In its psychiatric system.33 This included more than 6,000 instances of physical restraint used on patients In England, who were Increasingly being hurt as a result of the restraints, and rape or sexual assault of patients in hospitals, significantly 'mental health units,' was also rife 34 As reported to U.S. agencies, the rate of physical restraints use in UHS facilities has been high. For example, in an Illinois UHS facility, restraint use was nearly eight times the median for all state facilities. 35 On 29 January 2016, David Behan, Chief Executive of CQC wrote to CCHR saying the allegations were "serious" and "We are very concerned to read aboutthe issuesthat have been identified In UHS in America and we note your concerns about these In relation to the services provided by Cygnet Healthcare since they were acquired by UHS."36 With 6,000 Incidents of physical restraints used in England's mental health system in 2016, CCHR warned UK authorities of the high rate of restraints use in U.S. for-profit psychiatric hospitals. In one UHS behavioral facility In Illinois, restraint use was nearly eight times the median for all state facilities. "We are very concerned to read about the issues that have been identified in UHS in America and we note your concems about these in relation to the services provided by Cygnet Healthcare since they were acquired by UHS." CQC response to CCHR complaint, January 2016 He said Cygnet, owned by UHS, had 19 psychiatric facilities and two care homes. He assured CCHR that inspections had been carried out on nine of the Cygnet facilities in 2015, and two of the care homes were found to be "good" overall. "We have taken approprlate action against services managed by Cygnet Healthcare whenever we have found them to have breached regulations," the letter stated. Mr. Behan said he had forwarded a copy of CCHR's letter to NHS England and assured CCHR that CQC "takes all information received about services seriously..... On 5 December 2016, the announcement of UHS's acquisition of the Adult Services division of Gambian was made and by December 28 it was finalised. This was despite the ongoing exposure of concerns about UHS in the U.S. For example: A 7 December 2016 BuzzFeed News expose had reported that "Current and former employees from at least 10 UHS hospitals in nine [U.S.] states said they were under pressure to fill beds by almost any method — which sometimes meant exaggerating people's symptoms or twisting their words to make them seem suicidal — and to hold them until their insurance payments ran out "3'/ • Two dozen current and former employees from 14 UHS facilities told BuzzFeed News that the rule was to keep patients until their insurance ran out In orderto get the maximum payment 33 "Current and former employees from at least 10 UHS hospitals in nine [U.S.] states sold they were under pressure to fill beds by almost any method — which sometimes meant exaggerating people's symptoms or twisting their words to make them seem suicidal — and to hold them until their insurance payments ran out." - BuzzFeed News, December 2016 In May 2017, CCHR filed another complaintto the CQC and other agencies following UHS's acquisition of the Adult Services Division of the Camblan Group.39 At that time, the number of UHS facilities under U.S. Department of Justice Investigation had Increased from 21 to 26. The new complaint detailed even more examples of concerns from U.S. federal and state legislators regarding the "troubling allegations of misconduct, negligence and employee intimidation" at UHS facilities. Further, "Additional reports detail claims of violence, sexual assaults, patient runaways and lack of security staff at UHS facilities In Illinois and Ohio, as well as company efforts to threaten employees who speak up about these conditions."40 The Washington Post reported that a 15 year old had died in November 2017 after he was restrained at UHS's North Spring Behavioural Healthcare In Leesburg, Virginia. The prosecutor filed involuntary manslaughter charges against a mental health technician, for which he was convicted 41 This should have put UHS's UK faclllties under greater scrutiny over potential poor and hazardous practices, yet there appeared to be no effective action even on Inspections, as reported in a 2017 BuzzFeed News article that said Cygnet Health Care had been 'accused of falling to properly care for vulnerable young patients by their families." Aseries of official inspection reports had rated the safety of patients at one of the hospitals as 'requires Improvement,' and another as'inadequate."'42 BuzzFeed's investigation findings included: Several families alleged their relatives sustained serious injury through self -harm while under Cygnet care. • On one occasion, a 16 -year-old patient placed as many as five metal items in his arm but was not taken to the local hospital for emergency care, his family claimed. • A doctor with knowledge of Cygnet hospitals described an environmentthat was unsafe. • Two young patients at one hospital told the CQC Inspectors that some staffs were "unsympathetic and vindictive towards them." Its report rated the hospital "inadequate in terms of safety and effectiveness."43 i U.S. LEGISLATORS REPEATEDLY CALLED FOR ACnON ON UHS rACILmEs: Several families alleged their relatives sustained serious injury through self -harm while under Cygnet care. On one occasion, a 16 -year- old patient placed as many as five metal items in his arm but was not taken to the local hospital for emergency care, his family claimed. A doctor with knowledge of Cygnet hospitals described an environment that was unsafe. - BuzzFeed News, December 2017 The CCHR complaints to UK authorities had also put them on notice of U.S. legislators actions taken over abuses reported in UHS behavioral facilities, which have continued. For example: • June 2015: U.S. Congressmen Joe Kennedy III from Massachusetts and Danny Davis from Illinois Jointly wrote to the Acting Administrator for the U.S. Center for Medicare and Medicaid Services requestingthe agency speed up investigation into UHS.44 Congressman Kennedy's press release stated there had been "troubling allegations of misconduct, negligence and employee intimidation" at UHS facllities 45 • April 2017: Senator Grassley, head of the U.S. Senate Judiciary Committee, raised serious allegations against UHS's Shadow Mountain behavioural hospital in Tulsa, Oklahoma. Police records, state inspection reports, lawsuits, and more then 15 current and former employees, revealed that Shadow Mountain was "a profoundly troubled facility where frequent violence endangers patients and staff alike, where children as young as five are 10 separated from their parents and held In dangerous situations, and where wards lack adequate staffing...:146 • April 2017: Oklahoma's Governor MaryFallin and Senator Jim Inhofe asked the Oklahoma Department of Human Services to investigate Shadow Mountain Behavioural Health over the allegations of systemic abuses of patients.47 November 2017: Alabama State Representative Terri Sewell said that allegations of patient assault and abuse at UHS's Hill Crest Behavioural Health Services in Birmingham, Alabama, were "disturbing and appalling." He stated: "These allegations should be thoroughly investigated by law enforcement and the appropriate licensing boards so that those responsible are held accountable and patients will be cared for in environments that are safe."48 [Emphasis added] "These allegations should be thoroughly investigated by law enforcement and the appropriate licensing boards so that those responsible are held accountable and patients will be cared for In environments that are safe." - Alabama State Representative Terri Sewell speaking about UHS Hill Crest facility, November 2017 • December 2017: Senator Gmssley called for a Federal probe into UHS's psychiatric hospital sector stating, "The contlnued reporting on UHS facilities shows a disturbing trend of behaviour," and "The most recent allegations cause significant concern about whether UHS has the ability to adequately manage the facilities under its control."49 [Emphasis added] ALLEGATIONS OF $ANAL ABUSE OF UHS BEHAVIDURAL PATIENTS RIFE: Factor in also that the following abuses in the U.S. were publicised and, therefore, easily found. Any UK agency allowing U.S. behavioural health industry ownership of UK mental health hospitals could—should—have appraised itself of this information. As an example; • 2014: the U.S. Centers for Medicare and Medicaid Services had cited UHS's Brentwood psychiatric facillty after uncovering six Instances of sexual misconduct that had occurred over a period of nine weeks. One of the incidents involved a boy just eight years old so 2014: UHS's National Deaf Academy (NDA), a behavioural health facility in Florida thattreated autistic patients came under scrutiny after police reports showed that of ten alleged abuse incidents reported to the police department, three were for sexual abuse. Allegations also included a patient allegedly being 11 punched by a staff member and another child having hair pulled out by a staff member, Other patients were neglected 51 CCHR also documented whistleblower complaints from former NDA staff that were forwarded to the FBI. In January 2016, NDA closed following years of complaints and media exposure of alleged abuse. September 2015: A lawsuit was filed against UHS's Rock River facility In Illinois on behalf of five adolescent females, who alleged sexual abuse and rape bystaff.62 A Chicago Tribune Investigation found there were dozens of claims of sexual abuse at Rock River: "The staff was having sex with whomever they could have sex with... whoever was vulnerable," Fayshawn Petty, a former Rock River Academy resident was quoted as saying. 53 Rock River closed down after it was put on a government hold. August 2017: The Massachusetts Department of Mental Health closed UHS's Westwood Lodge psychiatric hospital due to "issues concerning patient safety and quality of care," amid a sexual assault investigation.54 Westwood's psychiatric unit for children had earlier been ordered shut down following a surprise inspectlon s5 September 2017: UHS's Anchor Hospital in College Park near Atlanta, Georgia was accused of negligence after a 16 -year-old sexual assault victim said she was raped. "The staff was having sex with whomever they could have sex whh...whoever was vulnerable." Fayshawn Petty, a former UHS Rock River Academy resident (In 2015 Rock River closed after a government hold on admissions to it.) This (rape] can't happen to anyone else. The place needs to be shut down.' -Father of 13 year -old -girl raped while a resident at UHS' Tlmberlawn Hospital. UHS voluntarily closed the facility In 2018 after Texas state officials threatened to shut it down as too dangerous. Her mother's attorney, Chris Stewart said: "Once we started digging into It, we just saw how bad their history Is over there." The lawsuit said the hospital had a history of failing to have adequate staff and has been cited by the federal U.S. government for violations. People who are abused "shouldn't be tortured at a place that they go to get help," Stewart stated5e • February 2018: UHS's Timberlawn Behavioural Hospital in Texas closed after state officials threatened to shut it down because It was too dangerous for patients.57 This included the rape of a 13 -year-old girl at the facillty,sa Timberlawn's chief executive inexcusably told The Dallas Morning News, "We Wave our rate of serious Incidents [of sexual abuse] associated with the 12 patient population treated at Timberlawn is within industry norm."69 But as the girl's father stated: "This can't happen to anyone else. The place needs to be shut down."60 As should any facility where sexual and other abuse Is found. A review of lawsuits and allegations against about 20 UHS facilities in the U.S. between April 2017 and October 2018 revealed: The rape of two teenage girls; a 12 -year-old boy was sexually assaulted; a sexual abuse patient was roomed with a known sex offender; there was an assault and battery of an 11 -year-old girl and the restraint death of a 15 -year-old boy. Child abuse, including abuse of foster care children was alleged, while Internal surveillance videos showed foster children beingtackled, dragged, and choked by staff members; At least three UHS feel IIty staffs were convicted of sexual abuse of patients, including a child, with two staff serving a combined 35 years In jail. In fact, the Milton Girls Juvenile Residential Facility in Florida was shut down by the Florida Department of Juvenile Justice, citing significant health, safety and security concerns. The facility's supervisor and "mental health technician," Shannon Abbott, was charged with and convicted of felony child abuse 81 "The most recent allegations cause significant concern about whether UHS has the ability to adequately manage the facilh7es under its control.' U.S. Senator Charles Grassley, December 2017 I am 'deeply worried about the ablllty of Cygnet to provide adequate and safe health care to patients who are clearly some of the most vulnerable individuals In our society." - Louise Haigh, MP October 2017 And even more abuses have been uncovered which should have raised an alarm: • Allegations that involuntary commitment laws, such as the Baker Act In Florida, were used to detain patients longer in order to milk their Insurance.62 In 2018, WFAA News in Texas did a series, "Against Their Will," which alleged that a mother took her 11 -year-old son to UHS's Millwood hospital seeking help but the hospital then detained him without her consent. As detailed: "[T]he door locks behind you. You're told you can't leave. Stripped of your clothes, given a new bed. You have no idea when you'll see your family again." The facility billed his mother's insurance company more than £8,790 ($11,000) for the unwanted stay.63 A lawsuit filed against UHS In 2018 alleged: 13 "The enterprise works to admit people to facilities, whether they need to be admitted or not Then, once admitted, the enterprise goes to extraordinary lengths to ensure that a patient is kept as long as a payer will pay or, upon suspicion and belief, until such time as a replacement patient or set of patients can be obtained. In furtherance of this scheme, admission documents are forged; documents to secure that a patient will remain in a facility are falsely notarised and then filed into the state court system; and, In some cases, a person's medical record is written to reflect that services were provided or that certain events occurred, when, In fact, they did not occur." Further: "UHS and its affiliates will enter in clandestineJoint ventures with physicians, predicated upon increasing referrals, increasing admissions and increasing lengths of stay.064 Allegations include: "[A]dmission documents are forged; documents to secure that a patient will remain in a facility are falsely notarised and then filed into the state court system; and, in some rases, a person's medical record is written to reflect that services were provided or that certain events occurred, when, in fact, they did not occur." - U.S. Lawsuit filed against UHS 201E • On 12 April 2019 Becker's Hospital Review in the U.S. reported that UHS "can't dodge claims It held patients illegally, Investors say." Shareholders have been in a legal fight with UHS since 2017 (amended In November 2018) and argued that UHS can't dismiss claims it fueled revenues by, for example, Involuntarily committing patients to its psychiatric hospitals.85 To date, UHS has set aside $123 million for the U.S. DOJ investigations into its billing practices involving now 30 behavioural facilities and its headquarters.ss All of which supports concerns expressed by Louise Haigh MP, a representative for Sheffield Heeley and a shadow minister in 2017. She stated: "The NHS should not be placing patients in Cygnet hospitals if CQC inspectors were to judge that they have 'inadequate' safety." After Haigh mel with NHS and CQC officials in October 2017, she wrote to both bodies to say she was "deeply worried about the ability of Cygnet to provide adequate and safe health care to patients who are clearly some of the most vulnerable individuals in our soclety.1167 24 "The NHS should not be placing patients in Cygnet hospitals If CQC inspectors were to j udge that they have 'inadequate' safety." - Louise Haigh 12017 • Two years later in February 2019, a CQC Inspection of Thors Park, a faciIityfor men with learning disabilities owned by Cygnet Health Care (UHS), resulted in the centre being rated "inadequate" and a subsequent report in April disclosed there had been a number of allegations of abuse. m May 2019: A police investigation was started into assault allegations at Thors Park. Christian Girboan, a 34 -year-old member of staff at Thera Park, was due to appear in Colchester Magistrates' Court to answer a charge of assault by beating which had occurred on 22 September 2018. Cygnet said it had dismissed the staff member. 89 June 2019: The Health Service Journal reported that a multi -agency investigation was launched into UHS's Cygnet Hospital Maidstone in Weavering, which had opened in October 2018, over its already disproportionate number of safeguard alerts for patient -0n -patient assaults in April. 70 These are not "isolated" incidents but indicate systemic abuse and one that should not be allowed to spread Into the UK by UHS-owned or any other for- profit mental health care facility. ACADIA HEALTHCARE (THE PRIORY) In June 2019, the Health Service Journal reported that a multi -agency investigation was launched into UHS's Cygnet Hospital Maidstone in Weavering, which had opened in October 2018, over its already disproportionate number of safeguard alerts for patient -on - patient assaults in April. CCHR also warned UK agencies against approval of new acquisitions by Acadia Healthcare. There has been abuse in both UK and U.S. Acadia facilities. In 2016, The Financial Times reported, "U.S. companies Acadia Healthcare and Universal Health Services entered the UK market for the first time last year, helping to fuel a deal -making spree in the sector. The number of takeovers of mental healthcare providers rose from 16 In 2014 to 22 in 2015." Acadia accounted for about a third of the UK's private behavioural services?1 For the year ending 31 December 2015, Acadia received 20 per cent of its revenue from the NHS. 72 In a September 2016 presentation to investors, Acadia displayed a pro -forma pie chart showing that revenue from UK facilities for the 12 months ending 31 March 2016 was 44 per cent of total revenue. 19 15 As CCHR's 2016 and 2017 complaints to UK authorities had detailed, "While Acadia grew Its revenue by acquisition, it grew its profit by significant cost cuts that could be linked to reduced quality of patient care and safety. Staffing problems and patient -safety issues often crop up in for-profit mental-health facilities.1174 In response to the Acadia complaint, Philip McCormick from the Competition and Markets Authority responded on 1 June 2017 that "We always welcome information, but unfortunately we are not able to respond in detail to individual complaints or concerns." But serious allegations had been raised about Acadia. Until a recent management shakeup, since 2012, all but one of the corporate officers of Acadia in the U.S, had been previous owners and/or officers of another psychiatric hospital chain, Psychiatric Solutions Inc. (PSI), a company which UHS bought out in 2010 for £2.4 billion ($3.1 billion) 75 The Dallas Morning News featured a story about state actions In response to allegations against PSI's Texas Hospitals, such as: Staff members falsified records to show that a patient who committed suicide had been monitored properly: fined £124,000 ($155,000). A hospital failed to implement safeguards to "We always welcome information, but unfortunately we are not able to respond in detail to individual complaints or concerns." Competition Markets Authority response to 01 concerns about Acedia aoqulsltlons In the keep at -risk geriatric patients from falling multiple times: fined £7,985 ($10,000) A male patient, using a razor blade given to him by staff, slit his wrist in the shower. Investigators found that 15 patients went unchecked by staff for a nine -hour period 76 UHS purchased PSI in 2010 accepting its then legal liabilities, which Included a lawsuit against PSI facilities alleging incidents of restraint -caused brain damage, dangerous prescription practices, sexual abuse of patients and medical neglect along with fines for endangering patients.77 A lawsuit filed on 21 September 2009 on behalf of purchasers of PS t stock, alleged that PSI had deceived Investors about the quality of care it delivered to patients, and manipulations of Its malpractice reserves. PSI felled to sufficlently staff its facilities, resulting in alarming incidents of abuse, neglect, and even death of its patients, and downplayed the significance of these events when they became public. The case settled for nearly L52 million ($65 million) In 2015.78 16 Allegations of abuse have plagued Acadia In the U.S. • Acadia bought Rolling Hills Hospital in Oklahoma in 2012. As reported In 2019, since the purchase, three families had sued over injuries to loved ones who were patients there. Government inspection documents reported allegations of sexual harassment and physical abuse. The hospital didn't Investigate to determine if the reports were legitimate, according to inspection reportsJe • Circa 2017: A Disability Rights group investigated Acadia's Ohio Hospital for Psychiatry (OHP), a 130 -bed, inpatient psychiatric hospital located in Franklin County. The group found substantiated allegations of sexual and physical abuse and the use of seclusion in an unsafe manner, among other abuses. 80 2017: A Capital Forum magazine Investigation into Acadia Healthcare uncovered "a pattern of patient care and safety violations at its behavioural health facilities that could putthe company at risk of federal Investigation or losing Medicare or Medicaid Insurance funding. The company's strategy of rolling up [becoming larger by successive accumulations] new facilities then slashing costs may make it difficult at many of its locations to ensure that patients are managed safely and given adequate care." Its review of state Inspection records for Acadia facilities revealed a history of violations in safety procedures, medical care, and patient rights. Capitol Forum had obtained Inspection records for nine of the 12 A 2017 Capital Forum magazine investigation Into Acadia Healthcare in the U.S. uncovered an alleged "pattern of patient care and safety violations at its behavloural health facilities that could put the company at risk of federal investigation... The company's strategy of rolling up new facilities then slashing costs may make R difficult at many of its locations to ensure that patients are managed safely and given adequate care." facilities which were cited for violations leading to lapses In safety or direct patient harm81 • According to Capital Forum, "Acadia and/or its facilities have been the target of lawsuits over injuries and deaths occurring at the facilities." • October 2018: Acadia announced the closure of 10 of its childcare facilities in Arkansas, claiming budgetary reasons, yet the announcement came after manslaughter charges had been filed against several of Its staff for leaving a five-year-old boy strapped in a car that reached temperatures of 141 degrees that killed hlm' 82 17 February 2019: The Capitol Forum reported It had obtained 373 pages of Arizona Department of Health Services (ADHS) documents regarding Investigations into Acadia's Oasis Behavioural Health near Phoenix, Arizona. These detailed how between January 2014 and September 2018, the facility had been investigated dozens of times after reports of poor care and dangerous conditions. Complaints included physical and sexual assaults, forging of documents, shortstaffing, runaway patients, and failures to prevent injuries and suicide attempts. "Things were dangerous," one former employee said. "There were broken vents that kids could cut themselves with. Nothing was locked up that could be broken and used for self -harm. Staff were hurting children. A child was escorted to the hospital because he was punched in the face by a staff member. I directly observed a staff member screaming at a kid with severe trauma "w Acadia: USA Allegations 2019 Desert Hills behavioral facility closed following allegations of abuse and safety issues, including chemical restraints use on children. Six lawsuits filed claiming abuse and safety issues at Timberline Knolls in Lemont, Illinois, following a staff counselor being charged with sexual assault and abuse. A shareholder lawsuit was filed In federal court which alleged $1 billion of insider trading proceeds to top officials. • April 2019: Acadia was reported to be closing its Desert Hills facility in New Mexico, following allegations of abuse and safety Issues. A spokesman admitted that workers at Desert Hills used chemical restraints on children regardless of The New Mexico Children, Youth and Families Department's requestforthem to stop ea April 2019: The Chicago Tribune reported that six lawsults had been filed claiming abuse and safety issues at Acadia Healthcare facility Timberline Knolls in Lemont, Illinois. The lawsuits were in connection to counselor Michael Jacksa who has been charged wrth sexual assault and abuse. The six separate lawsuits alleged that the high-end facility for women and girls showed reckless disregard for patient safety by hiring and failing to supervise therapist Michael Jacksa as well as "intentional infliction of emotional distress" on patients who sought treatmentfor psychological and behavioural disorders as • May 2019: Nashville Public Radio reported that in the U.S., Acadia was facing a shareholder lawsuit in federal court which alleged $1 billion of insider trading proceeds to top officials. The shareholders cited a litany of news articles from around the country highlighting understaffing and regulatory 18 violations at some of its nearly 600 facilities as top executives gave Investors a rosier outlook, artificially inflating share prices. 86 CCHR's letter sent to UK authorities about Acadia quoted a UK clinical negligence lawyer who had written in June 2016: "As we see increasing numbers of NHS contracts won by private organisations, we need to acknowledge thattheir - primary duty is to their shareholders with profits in mind. This could potentially impact upon standards of care .... The treatment received by patients in private hospitals is a much neglected area of patient safety that will only get worse as increasing numbers of private hospitals are contracted to carry out NHS functions."87 The letter specified concerns for minors because Acadia's interests in the U.S. had been largely children. According to an Acadia Securities and Exchange Commission filing in the United States; "Management believes that children and adolescents are a patient class that is less susceptible to reductions in reimbursement rates."m To pursue referrals, Acadia deployed a network of "relationship managers" who met with doctors regularly to "make the medical community aware of their capabilities."e9 "As we see increasing numbers of NHS contracts won by private organisations, we need to acknowledge that their primary duty Is to their shareholders with profits in mind. This could potentially impact upon standards of care .... The treatment received by patients in private hospitals Is a much neglected area of patient safety that will only gat worse as increasing numbers of private hospitals are contracted to carry out NHS functions." - CGHR letter to UK authorities regarding Acadia, June 2016 It is not known what percentage of The Priory patients are children and adolescents. Given the examples of abuses uncovered In U.S. Acadia facilities, it is not surprisingthat a similar culture of patient abuse might be occurring in the UK. Since Acadia's takeover of The Priory in the UK, patient deaths have been reported,e • Anne Morris was treated at Priory Hospital Ticehurst House and died in 2017 after being discharged to a friend's house without relatives being told. The Priory failed to Identify anyone responsible for her ongoing care, according to the Mirror. 91 • Will Jordan was only 16, when he was found hanging in his room at The Priory Hospital, London, after being left unattended. A coroner said logs "were entered to create impression" of observation carried out. 92 19 On 12 July 2018 Hannah Bharaj from Bolton walked off a balcony—an act of suicide—suffering catastrophic brain Injuries that proved fatal. She had been admitted to Oaktrees Ward, an eating disorder unit at Clatterbridge Hospital In the Wirral, where she had remained for nearly six months. 93 She was discharged in May 2018, sent home with a month's supply of antidepressants. Within days, Hannah had taken an overdose and was admitted to an acute psychiatric ward at the Royal Bolton Hospital, then transferred to the Priory at Cheadle. She was placed on an acute psychiatric ward which was described as "scary" and "frightehing" for a young woman, surrounded by older patients. Over the course of her stay at the Priory, Hannah made very little progress and In July 2019, Coroner Allson Mutch recorded how her sense of "hopelessness" had increased. She was allowed to leave the Priory once a day to spend time with her parents. It was during one of these visits that she lost her life 94 Dr. Ty Glover, a consultant psychlatrist at the Priory, told the inquest that in allowing Hannah to leave he °didn't seethe danger" despite being classed at "high risk" of suicide.95 Then there are the December 2018 and February 2019 House of Commons hearings on the deplorable treatment and involuntary commitment of children in psychiatric facilities, some operated by Acadla Healthcare. Families gave shocking testimony about children being locked away, isolated and fed through holes—stirring calls for immediate reform. 96 Allegations included: • Parents revealed horrifying stories of how their autistic sons and daughters have been 'locked up, force-fed drugs and abused.' 9r Tom and Paula McGowan told the Daily Mirrorthey had been battling for justice over the death of their son, Oliver. He died after being given the Evidence presented to House of Commons Hearings (2018-2019) Parents revealed horrifying stories of how their autistic sons and daughters have been 'locked up, force-fed drugs and abused; Parents battlingforjustioe overthe death of their son who died after being given the antipsychotic olanzapine (Zyprexa) against his will, because he'd suffered adverse effects previously from the drug. Children locked away, isolated and fed through holes. antipsychotic olanzapine (Zyprexa) against his wishes, because he'd suffered adverse effects previously from the drug.98 • On 13 February 2019, the CQC Issued a report stating that the Priory Hospital High Wycombe in Buckinghamshire that treats 13-17 year olds had been placed under "special measures" after being rated as "Inadequate."99 • The CQC reportfurther stated there had been four incidents where nurses had administered the wrong dose of medication. 100 And a staff member allegedly assaulted a pationt.101 Karen Bennett -Wilson, Head of Hospital Inspection, said: "Following the Inspection, the Priory Group has decided to transfer the young people who were being treated there and have applied to de -register the hospital. In line with our policy the unit will remain in special measures until such time that the registration is cancelled."lot • February 2019: The Priory announced It would close High Wycombe Hospital?03 • May 2019: ASunday Mirror investigation found suicidal patients were left unattended In Priory hospitals, with materials that could be used to take their own lives. Falsified records were identified as matters of concern in two deaths. 104 • lune 2018: Acadia's UK interests came under scrutiny when psychiatrists were alleged to be taking kickbacks as a reward for referring rich patients to one of its drug rehab facilities, Life Works, part of The Priory Group acquired by Acadia. Dr. Bhaskar Punukollu, a psychiatrist who specialises In drug and alcohol addiction at the private Nightingale Hospital in central London owned by The Priory, told The Sunday Times he had been paid referral fees on many occasions to pass on his patients to Life Works. "Believe me, I loved it I used to send quite a few people to Life Works and they'd pay me £80 or £90 a day, which worked very well because we didn't have to see the patients." The Priory Group, as owner of Life Works, denied paying referral fees. Such payments, which are prohibited under General Medical Council (GMC) rules, were blamed for increasingthe cost of private. care in the UK. (The Priory Group denied it paid referral fees.) 105 • Acadia has announced it is considering selling The Priory.lm 21 HARMFUL ELECTROSHOCK & PSYCHOTROPIC DRUG CosTs Any stringent monitoring of the for-profit mental health sector—and, indeed, even state-run psychiatric facilities—must Include the amount of electroshock treatment (ECT) and psychotropic drugs administered. ECT, especially, is a potentially lucrative area, The adverse effects of ECT can prolong the length of a hospital stay; thus, its delivery can increase profits. 107 ECT delivers up to 460 volts of electricity through the brain causing a grand mal seizure, with adverse effects that include: cardiovascular complications, stroke, cognitive and memory Impairment, prolonged seizures; worsening of psychiatric symptoms and death. los In October, 2018, Somatics LLC, the U.S. manufacturer of the ECT device, the Thymatron—a device also used in the UK—warned of "permanent brain damage" as a potential risk 1w It is estimated from Freedom of Information (FOI) requests that from 2016 to 2018, 5,165 patients, aged 18 - 98, were given electroshock in the UK. 110 More than 22,600 individual ECT treatments were carried out in 2015-16, a rise of 11 per centfrom four years earlier, when about 20,400 were carried out. The data collected through FOI by The Guardian covered 44 NHS trusts that provided comparable data, Figures for private clinics were not Included. 111 • Five out of 29 NHS Trusts who responded to a survey on ECT admitted administering it to under -18s. M Any stringent monitoring of the for-profit mental health sector— and, indeed, even state-run psychiatric facilities—must include the amount of electroshock treatment (EM and psychotropic drugs administered. In October, 2018, Somatics LLC, the U.S. manufacturer of the ECT device, Thymatron--a device also used in the UK— warned of -permanent brain damage' as a potential risk More than 22,600 individual ECT treatments were carried out in the UK in 2015-16, a rise of 11% from four years earlier. Five out of 28 NHS Trusts who responded to a survey on ECT admitted administering itto under -18s. At least 11 of 26 Priory facilities listed on their websites treatment for "treatment resistant depression" (TRD). ECT is named as one of the treatments for TRD.113 • In 2017, a British Medical Journal article said, "Coercion in Its various guises has always been central to psychiatry, a legacy of its institutional origins." In England, the rate of involuntary psychiatric hospital admission had increased 22 by more than a third in the previous six years. And more than half of admissions to psychiatric hospitals in England are now involuntary.114 This Is a breeding ground for administering drugs and ECT without a patient's consent and In potential violation of international treaties and conventions. The administration of involuntary treatment—endorsed through the Mental Health Act—violates United Nations conventions against torture. AJuly2018 UN Human Rights Council report on "Mental health and human rights," called on governments to recognise thatforced psychiatric treatment, including ECT, are "practices constituting torture or other cruel, inhuman or degrading treatment or punishment...."115 On 16 February 2013, a reportfrom the UN Special Rapporteur on Torture and Other Cruel Inhuman or .AJuly 2018 UN Human Rights Council report on "Mental health and human rights," called on governments to recognise that forced psychiatric treatment, including ECT, are "practices constituting torture or other cruel, Inhuman or degrading treatment or punishment...." Degrading Treatment or Punishment defined procedures such as electroshock without the consent of the patient as a form of torture."" • Indeed, Australian psychiatrist, Niall McLaren wrote that any psychiatrist who says, 'You need ECT' is really only saying, 'I don't know what else to do.' I will repeat: No psychiatrist needs to use ECT."117 • In fact, the use of electroshock in any mental health facility should be banned, As for psychotropic drugs, in the U.S., numerous psychiatrists affiliated with UHS and other for-profit behavioural health care facilities have been disclosed as top national and state prescribers of psychotropic drugs?15 • In 2015, the Chicago Tribune found that staff In UHS's now closed Rock River hospital had also administered psychotropic drugs such as the powerful antipsychotic, chlorpromazine, at dosages which were far higherthan doses at similar youth facilitles. Residents said they were knocked out for hours from the drugs.119 • The John Costlgan Center in Illinois (part of UHS's Streamwood Behavioural Healthcare System) was closed after being ranked for many years as being among the top two Illinois facilities in the rate of dispensing emergency tranquillisers?20 23 A critical review of the prescription of psychotropic drugs in for-profit psychiatric feel lhies compare to state-run institutions is recommended. Costs to the country generally area I ready high (albeit profitable for them an ufacturers.) • Estimated total NHS spendingonmedicines inEngland has grown from £13 billion in 2010/11 to £17.4 billion In 2016/17.1 • Between 2006 and 2016, the numberfor the central nervous system drugs increased by 60.1 per cent to about 207 million. • Antidepressants, analgesics and antiepileptic drugs were the reason for about 88 per cent of the volume increase in the central nervous system clinical area, with antidepressants seeing the largest numerical growth—the number of prescriptions issued in 2016 was up 33.7 million (108.5 per cent) on 2006.122 • In 2016, it was reported that the NHS spent £780,000 a day on antidepressants, according to the Health and Social Care Information Centre (HSCIC)—more than £284 million a year. 12$ • A 2011 analysis reported the cost of brand name antipsychotics in the UK was around £264 million and $231 million for generic antipsychobcs.124 `These private hospitals are Institutions that have no place in society. It Is clear that their only purpose is to make money off the back of abusing vulnerable people.' Steve Sellers, father of Sam, allegedly abused at Winterbourne View, When you add the costs for treatments that may very well be failing patients because of latrogenlc adverse effects to the abuses that are rife within the mental health -behavioural industry with Insufficient accountability, it is a recipe for disaster— at high cost to the state and risk to patients' health and safety, West Palm Beach County, Florida State Attorney Dave Arenberg's views reflect CCHR's concerns about both the U.S. and the UK for-profit mental health field: "This Is an entire Industry that's been corrupted by easy money. Unscrupulous actors have taken advantage of well -intended federal law and a lack of any good law at the state level, to profit off people at the lowest stages of their lives.IU5 Sam Sollars was admitted to Winterbourne View and abused. His father, Steve, sums up what still remains of the situation today: "These private hospitals are institutions that have no place in society. It is clear that their only purpose is to make money off the back of abusingvuInerable people."126 24 SUMMARY: ACCOUN-rADILnY NEEDED How many more patients are to be restrained, abused and tortured or children and adults sexually assaulted in for-profit "mental health" facilities? How many more patients are to be damaged by electroshock or dangerously high doses of psychotropic drugs before effective action is taken and workable care implemented? More stringent accountable oversight systems with greater penalties as a deterrent are necessary. Legislation should make facilities and treating doctors culpable for patient damage, accountable both criminally and civilly. Increased safeguards should be put in place With a penalty for violation includingjall, hefty fines and the loss of NHS contracts and funding. More stringent accountable oversight systems with greater penalties as a deterrent are necessary. Legislation should make facilities and treating doctors culpable for patient damage, accountable both criminally and civilly. Increased safeguards should be put in place with a penalty for violation including jail, heftyfines and the loss of NHS contracts and funding. Strong measures, such as those 'L. �s� ■i �„�.. recommended atthe beginning of this report must be taken to thwartthe level of abuse, fraud and malpractice that is so widespread, In doing so, we can ensure protection and better and accountable health care. 25 ABOUT CITIZENS COMMISSION ON HUMAN RIGHTS: The Citizens Commission on Human Rights (CCHR) was established in 1969 by the Church of Scientology and Dr. Thomas Szsaz, professor of psychiatry at the State University of New York Upstate Medical University in Syracuse, New York, to investigate and expose psychiatric abuses committed under the guise of mental health care. Today, it has hundreds of chapters in over 30 countries, its board of advisors, called Commissioners, includes doctors, lawyers, educators, business professionals, and clvll and human rights representatives. CCHR has inspired and helped orchestrate many hundreds of reforms by testifying before legislative hearings and conducting public hearings into psychiatric abuse, as well as working with media, law enforcement and public officials the world over. MISSION STATEMENT: CCHR Investigates and exposes psychiatric vlolations of human rights. It works shoulder -to -shoulder with like-minded groups and individuals who share a common purpose to clean up the field of mental health and secure human rights within lt. We shall continue to do so until psychiatry's abusive and coercive practices cease and human rights and dignity are returned to all. Chris Brightmore Former Detective Chief Superintendent, Metropolitan Police, UK 'I am acutely aware of the evil that malicious, or even misguided, psychiatrists are capable of if their activities are not carefully monitored. This is the crucial role that CCHR so heroically performs. I had the great pleasure and privilege of opening the Fraud Section of CCHR's exhibit in Los Angeles. After touring the exhibition, which I must say Is one of the most Impressive I have ever seen, and looking over the accomplishments of CCHR, I can see why some psychiatrists regard the organization's growing strength with considerable apprehension.' Prof. Lothar Krappman Fmr Member, UN Committee on the Rights of the Child I closely cooperated with representatives of CCHR during my membership in the UN Committee on the Rights of the Child. CCHR provided solid, comprehensive and enlightening information on mental health issues with a strong emphasis on children ... [1] found CCHR obviously makes available in-depth research results... The chapters in a lot of countries have impact on the political debates and legislation." U.S. Congressman Ron Paul "CCHR efforts have been crucial to raising public awareness of the threat to liberty posed by the scheme to subject all children to Intrusive screening without parental consent. I congratulate CCHR for its efforts to protect Individuals from cruel, inhumane, and degrading treatment." 26 The Hon. Raymond N. Haynes Former California State Assemblyman "CCHR is renowned for its longstanding work aimed at preventing the inappropriate labeling and drugging of children.... The contributions that the Citizens Cotnmisslon on Human Rights International has made to thelocal, national and international areas on behalf of mental health issues are invaluable and reflect an organization devoted to the highest Ideals of mental health services." For more information, contact: Citizens Commission on Human Rights International 6616 W. Sunset Boulevard Los Angeles, CA 90028 Tel: 001-323 467-4242 Fax: 001_323) 467-3720 Website: www.cchrirH org; E-mail: humanrights@echr.org Citizens Commission on Human Rights (United Kingdom) PC Box 188 East Grinstead RH19 4RB Tel: +44 (C)1342 313926 E-mail: Info@cchr ora uk Web: www.cchr.org.uk REFERENCES: ' haps:/Nerdictvicmry.cotnNlag/wheo-hosplhls-put-prnfi�-bafure-pndwtlal "Acadia Healthcare: very Seery Findings From A 14 -Month Investigation" Seeking Alpha, 16 Nov. 2016, httpsl/seekingatphaeoiiVarticle/4222786-ncadia.healthcnre-scary-fmd'mgwt4-month-invevdgation "A Chain OC Private Psychunt is Hospitals Has Been Accused Of Failing Vuhtcrabla Young Patients," HnaxN'aad,Vervvs, 15 Dee -2017, https:/hvww.burzfted.ocnn/patnekvmitlilcygnet.health- carc?ubn term-.opcoeRgg2ftbgQNlRXkn.O. Ibid. "A Cdiain Of Private Psychiatric Ilospitals Hae Becn Accused Of Failing VuhreraMe Young Patients". High Wyeomhe Priory mental health hospitalinadequate'," BBC Nens, t3 Feb 2019, haps:/Avww.hbc cont/newVuk-englnnd-beds-bucks-hens-47229641 a "Whorlton Hall CQC denies publishing "whitewash' report of hospital accused ofabuslug patients," BM1 2019; 365 that: hltps:/abr.org/10.1136/pn11.14228 (Published 13 June 2019), Idtps://www.bmj.cont/ounlenU36.5/bnij,14228.('ull; Jasmine Andersson, "Whorlton Hall. BBC Panorama it vetigatlon shows cure stuff abusing vulnerable adults in County Durham hospital," ihlews, 23 May 2019. "Priory N Close 'Inadequate' High Wycomhe Hospital," The Gum dran, 13 Feb. 2013, hltpsa/www.lhegunrdtan.comlsociety/2019Ifebll3/priory-ro-close-inadequate-high-wywmbe-hospital ' "Stan filnrad bragging of assaulting and abusing vulnerahie patients at care home run by U.S. mul tinabonal," i'he btdepandrm, 22 May 2019 haps^;hvww.Indapendeutco.uklnz<w/healtlilwhodton-hnl I-nh,00ygnet-abuse-lennilug-Alsabllities-amn`-[hreab private-0925841.html 27 a URS Investor Presentation, Dec. 2014, brio://ir.uhsinc.com/ohcenix zhtml?c=1O5R17&o=irol-IRHeme; https://www.cchrint,orOO17/01/16/psychiatricrohain-under-invesiigation-fraud-abux-buys-uk-behavioral- facilities/ 10 "Why Acadia Healthcare Company Inc. Dropped 10.4% in February," The Motley Fool, 6 Mar. 2016, Bealtheare to buy UK's Parmerships in Cate for $660 min," Reuters Business Wire, 3 June 2014, at rehab clinic to the stars including Bate Moss as probe reveals claims over behaviour by workers," The Daily Mail, l7 Feb. 2018, at RBC Capital Conference, 3/9/11, URS at J.P. Morgan "Rosalind Adams, "Intake: Locked in a Psych Ward, Bua;teadNews, 7 Dec, 2016, hfpsdlwww.b=feed,com/"alindadems/intakc?atm term=.vbWyDAJb9V#.wgIMYlp39. ""Massachusetts Medicaid program sacs OHS for false claims," Modern Healt/Ware, I t Apr, 2017, http://www.modemhealtheere.cora/artiole 20170411/NEWS/170419986 tl "Unethicel psychiatric hospital practices, health benefits of a universal basic income, and the value of caro eoordinafion," Lown Institute, 15 Dec, 2016, " https✓/www.bi4ou.als.com/philadelphia/nms(2019/07/26/universal-health-services-agrees-to-pay-doj- 127cahtml "U.S. Department of Justice, Attorney's O47oe, Southern District of West Virginia, "United States Attorney Announces $17 Million Healthcare Fraud Senlement," Press Release, 6 May 2019, hitps://www.justicegovA=o-sdwv/pr/united-states-attomey.a ounces-17-miltion-healthcare-fraud-settlement S0 "Profiteers of Misery: Parents slam health latest; in UK and US who arc taking In as much as £730,000 annually for every autistic child they 'look up' in secrelive secure psychiatric units," Me Dolly Mal{ 10 Nov. 2018, "Ian Bircel, "Stop the state from stealing our childrenl More parents reveal horrifying stories of how their autistic sons and daughters have been 'lacked up, force-fed drugs and abused,"' Daily Mail, 22 Dec. 2018, https://www.dai Iymait,w.uk/news/orticle-6523715/Stopatate-stealing-ohildmn.html xs "Profiteers of Misery: Parents slam health fat cats in UK and US who are raking in as much as £730,000 annually for every autistic child they 'lock up' in secretive secure psychiatric units,' The Daily Maid, 10 Nov. 2018. aslen Bhrel, "Stop the state from stealing our childrenl More parents reveal horrifying stories of how their autistic sans and daughters have been 'looked up, force-fed drugs and abused,"' Daily Mail, 22 Dec. 2018. "Joe Plomin, "WhorRon Hall hospital abuse and how it was uncovered," BBC Panorama, 22 May 2019, https;//www.bbc.com/newAcWth-48369500 os "Wintarboume View abuse: last staff member pleads guilty," Tic Guardian, 6 Aug, 2012, hops://www.theguwdian,com/society@012/aug/06/winterbmme-view-abuse staff-vilty?mh mp=239 "Ibid. "Winterbourne View: Care workersjailed for abuse," BBC News, as Joe Plemin, "WhorRon Hall hospital abuse and how it was uncovered," BBC News, 22 May 2019, https://www.bbe.com/newAcalth-48369500 as"Whorluin Hall abuse: Care watchdog publishes report," BBC News, 10 June 2019, bttps://tvww.bbe,mm/news/uk-england-tees-48585903; Kale Buck, Ton arrested over 'abuse of vulnerable patterns' at WhorRon Hall," MetroUK, 24 May 201), https://metm.w,ukj2019/05/24/ten-arrested-over-abuse-of-vulnemble- �0mimts-al-whorlton-hall-9683556/. "Whorllon Hall: Hospital 'abused' vulnerable adults,"BBC News, 22 May 2019, httpsJ/www.bbo.com/news/health-48367071 3101" oft., Rosalind Adams, "Intake: Looked in a Psych Ward, BueetseedNews,7 Dec, 2016, K httpsV/www.laingbuissm.co,uk/MediaCentm/PrmRelwses/Menta]HmlthRcportPrmRelmw,aspx 28 ""'What hope is there'?': five readers on being failed by mental health servieos," no Guardian, 17 Fob 2016, https://www.theguudian.com/wmmentisfTm/2016/febil7/reedem-failed-mental-health-services; https://www,echrint.org/2017/01/16/psychiatric-chain-ander-investigation-fraudabuw-buys-uk-behavioral- facihdes/# edn10 3° `Spike in mental health patient deaths shows NHS 'struggling to cope'," The Guardian, 25 Jan. 2016, hops://www.lbeguudiamwm/wciety/2016/Jan/26/rise-mental-health-patient-deaths-nhs-sWggling-to-cope; "Mental health patient'abuse' feam," Wigan Today, 30 Sept. 2016, http://www.wigmtoday.net/newsimmial-health patient -abuse -fears -1-8156481; "Sexual violence soars in UK hospitals: Records show 50% rise in reports of sexual attacks, with more than 1,6001n past three years," The Guar&aN 31 Dec. 2014, troubled gids will close, cites decision by DCFS, "Chicago Tribune, 28 Jan. 2015, " David Behan, Chief Executive of UK Care Quality Commission, letter to Mr. Brian Daniels, Citizens Commission on Human Rights, UK, 29Jan . 2016, httpsJ/www.uhrint.oq/pdfs/cam-qualityamadsion-tepon-uhs-jKu- 2016.pdf. " "INTAKE: Locked On The Psych Ward,"BuzzFeed News, 7 Dec. 2016, https://www.bunfee<t.wm/rwal[ndadms/intake?utm tcnm.ul3dvZ5NM#ujNvT,7qZQ, as Rosalind Adams, "Intake,"B=FcedNews, 7 Dec 2016, https://www.bu=feed.wmhosalindad=sAntakc?utm_tcnn-.fgZb9127n#.amO6oY3PL; hqs://www.cchdnt.orOO17/01/16/psych!aHc-ehain,undet,investigation-fraud-abuse-buys-uk-behavioral- fecilities/ ss hltps://www.pmewswire.com/news-releases/univertal-health-services-itto-canpletes-the-acquisition-of-cambian- group-plea-adult-services-division300383892.html, Outside of the adult services, Cambian Group continued as itself until it was acquired by CamTech Holdings PLC ("CareTech") in October 2018. an "CONGRESSMAN KENNEDY PUSHES HHS ON RWESTIGATION INTO MENTAL HEALTH NETWORK," Press Release, 23 June, 2015, https-J/kemody.house.govhnedia/press-releusas/congrc smamkennedy- pushes-hhs-on-investigation-iuto-mental-health-network Ellie Silverman, "Behavioral healthcare worker charged in teen patient's death," The Washington Pest, 16 Jan, s' "A Chain Of Privak Psychiatric Hospitals Has Been Accused Of Failing Vulnerable Young Patients," Bu.FeedX"s, 15 Dec, 2017, haps://www.bu:xzfmd.wni/paMcksmith/cygnet-health- care'?utm-term=.ope Xgg2#.bgQMRXKzO; haps://www.cebdnt.org/2017/l2/201pmient-abuse-potential-fraud-in- n "A Chain Of Private Psychiatric Hospitals Has Been Accused Of Failing Vulnerable Young Patients," BuzzFeedNervs, 15 Dec. 2017, hops://www.bu=feed.wrWpatdcksmith/cygnet-health- story.html ss "CONGRESSMAN KENNEDY YUSBES HHS ON INVBSTIGATION INTO MENTAL HFALTH NETWORK;' Press Release, 23 June, 2015, hllpsl/kennedy.house.gov/media/press-releases/wngressman-kennedy- zusheahhs-on-Investigation-into-mmtal-health-network Rosalind Adams, "THE TRASH CAN UNIT: A Psychiatric Hospital and its Director under State Investigation. Riots that End with Pepper Spray. Staff who can't Begin to Contain the Violence. And Patients as Young as Five. Secret Videos Show the Dark Side of Shadow Mountain," 11 Apr. 2017, https://www.b,L zf=8.com/rwalindadamslshadow-mountain?utm_term=.oj2lyJyoF#.wgdnOnYj, 29 ar "Shadow Mountain loses court bid to halt SoonerCam contract termination; "Report: Shadow Mountain presented a'threat to life' during recent inspection, slips in accreditation status: Shadow Mountain was deemed a `threat to life' during recent inspection," Atka World, 30 May 2017, http://www.tulmworld,coni/news/hmItl✓repoit-shadow- "Lawmakers Slam Violence At UHS Hospital In Alabama,"BuzzFeed News, 14 Nov. 2017, LIHS," B.FeedNews, 18 Dec. 2017, FBI Probing Alleged Abuse of Deaf, Autistic Rids,"NBC News, 14 Sept. 2015, s2 Lorrain Salley, "Seven Abuse Alleged at Illinois Home for Girls," Courthouse News Service, 10 Sept, 2015, courthousenews.com72015/09/10/severo-ebuso-alleged-at-Illinois-home-for-girls.htm; (Case No. 2015-1009253, Cook County Circuit Court, Elinols, Filed 9/912015) 's "Honors Behind Tless Walls; Stories Of Alleged Physical, Emotional, And Sexual Abuse At Rack River," MI Newman, "Sexual Assault Investigation At Now -Shuttered Westwood Psychiatric Hospital: Westwood are investigating an alleged sexual assault a<Westwood Lodge, which state officials permanently closed ," The Weshrood Patch, 30 Aug. 2017 shut down amid sexual assault investigation,"Mass Live, 29 Aug. 2017, Rome News-2Nbena. 57 Sue Ambrose, Sarah Mervosh, Miles Moffeit ;"Timberlawn psychiatric hospital to close Feb. 16 after safety violations;' 18 Jan, 2018, DallarAews, bttps://www.dailmnews.com/news/invemiptimal2018/01/18/dmn- J° "Dallas police Investigating sexual assault of 13 -year-old girl at Timberlawn hospital," Dalhu MomingNews, 13 Oct.2017,hhps://www.dallamews.com/news/crime/2017/10/12/13-ywa id-girl-sexually-assaulted-timberlawn- psychiatric-hospital-dallo 9 Sarah Mervosh and Sue Ambrose "Raped, fondled, Oashod: What female patients say happened to them at Timberlawn psych hospital;' Dallas Morning News, 25 Oct, 2017, hhps://www.dallasnm,,wni/news/lnvo,,tigations/2017/10/26/timberlawn-history-sexual-mmult.rcporis-1 3-year- oldo:casa-surfaced COSue Ambrose, "PAT ILL, OF GIRL, 13, SAYS SIZE WAS RAPED AT TIMBERLAWN BYTE", MALE PATIENT," Dallar Morning News, 18 Oct. 2017, https://www.dallasnmg.com/nows/orime/2017/10/13/father-girl-l3-says-rTed-dmberiawn-im male -patient m Sara Herres and Lynne Hough, "Girls Juvenile residential facility shutdown," Sana Rose's Press Gazette, 28 Dec 2012,http://www.sVsgazeac.coMnewwgiriquvmile-residergial-facility-shui-down-1,70931; https://www.new Tapem.com/nowspage/l101Oi432/ 6z Jeans Bourne, "Jacksonville mental health facilities dodge questions about fraud allegations; Action News Jax, 8 Dn, 2016, httpt//www.eetiomewsjax.non/newsAoeal/jaeksonville-mental-health-facilities-dodge-questlons-about- f mauFallegations/474443651 63 Charlotte Huffman, Mark Smith, Jason Trahan, "Against Their Will: Looked away In a mental hospital after voluntarily seeking help," W£AA News 8,29 Jun. 2018, copy PH, 30 s' `RUTS can't dodge claims it held patients illegally, investors say," Becker's Hospital Review, 12 Apr, 2019, https://www.bwkershospitalmview.00mAegal-regulatorydimucs/uhs,can-tdodge-claims-it-held-pationts- il legally-investors-say.hi ml. 0 Tara Bannow,'TJHS grows profit, even as DOJ settlement fund hits 890 mil➢on," Modern Healthcare, 25 Oct. 2018, https://www.modernhealthcere.cot&artietc/20181025/NEWS/181029936/uhs-grows.profit-even-asdoj- settlement-fund-hits-90-million. 60 "A Chain Of Private Psychiatric Hospitals Has Been Accused Of Failing Vulnerable Young Patients," BtacrFee&Ve , 15 Dwc 2017,hdps://wwwbuzzfeed.com/paHckmith/cygnet-fiealth- carelturri term=.opcwXgg2#.bgQMRXKzO. es "Second care home for vulnerable people run by US multinational under criminal Investigation as staffmember charged with assault," The Independent, 11 May, 2019, https://www.independent.co.uktnews/ukThomc-news/care- °Y`Second care home for vulnerable people ran by US multinational under criminal investigation as charged with assault," The Independent, 11 May, 2019, https://www.indeNndent.co,ukinews/uk/hot "°"Investigation launched into safeguarding at psynldairic unit," HSJ, 4 June 2019, https://www.hsj.w.uk/quality- and-performmecAnvesligation-launched-into-safeguarding-a4-psychiatric-uniG7025221 article 71 "US investors lead dcalmakIng spree in British mental hcaltheare, Acadia's purchase of Priory to unleash wave of consolidation," The Financial 77mes, 7 Feb 2016, httla;Wwww,fi.corn/wntent/3752d50&o8e3-I1 e5-be0b. https;//www.s .gov/Archives/edger/data/1520697/000119312516478707/d117665dl0k.htm n Available at hap://www.aeadiahealtheare.cora/investors/presen[afons. 04uAcedia Healthcare grows as mental health treatment soars," Fortune, 29 Oct. 2015, http:/ifortune.coni/2015/10/29/acedia-boalthcare-growth-mental-iliness-addictien-spending/ n hltp://www.acadiahMtl cM.CoMinvestorsrex"uflve-management; https://www.sea.gov/Archivesledgu/data/829M8/000095012310050556/g23476cxv99,htm "hitp://www,dallwnews,com/sharedcontmt/dws/spe/2009/state of neglwKimages/Ol Upsimap.pcif n `Psychiatric care's perils and profit,"Los AngTun els, as, 23 Nov. 2008. r" "Shareholders Obtain 865 Million Settlement in Psychiatric Solutions," Robins Geller, Rudman and Dowd, LLP, 17 Jan. 2015. n "Patients at Rolling HWS Hospital in Ada suffer broken bones, head injuries,"NewsOK, 7 )an 2019, ""Acadia Healthcare: A Clave Look at Alleged Abuses and Violations at Acadia Facilities; Use of PSI Piaybwk May Expose Company to Legal and Regulatory Risk," Capitol Forum, Vol. 5., No. 400; 28 Nov. 2017. o http:/Iwww.wmmetimnms5.wm/story/35647605/6,yovr id-founddead-onlay-eare-bus). n "Acadia Healthcare: ADHS Documents Reveal Violence and Understaffing at Oasis Behavioral Health," Capitol Foram, Vol. 7, No, 32,4 Feb, 2019; httpsl/www.cohrint.orOO19/02/13/acedia-healthcare-mato-abuse-more-need- ew.ceMnnorg2019/04/26/a-z-update-on-far-profit-psyeldatdo-indus4ry-abuse/# ednl5 citing; who live near Desert Hills Hospital are happy it's closed,"XOATActlnn Neave, 1 Apr, 2019, " hdps9/www.ochrint.org/2019/04/26/a-z.update-on-far-profit-psychlatrio-industry-abuse/#_edn1 S citing: "6 lawsuits claim abuse, Safety lapses at Timberline Knolls treatment facility," no Chicago Trihune, 4 Apr. 2019, https:/iw .chieagotribune,cam/news/ct-met-timberlino-knolls-lawsuits-20190404-story.html. Ss "Franklin -Based Psychiatric Hospital Operator Accused Of Insider Trading," Nashville Public Radio, 30 May 2019, https://www,nmhvil topublicrAo.org/post/fmnklin-based-psychiatric-hospitalopemtor-accused-insider- trading#streaod0 " "Recent deaths at Priory hospitals mise considerable questions at the role of private providers in the NHS," Hodge Jones & Allen, 16 lune 2016,httpel/www.hiamet/recent-deaths-odorv-hospitals-reisoeonsidemhle- 19312515069793/d854534d10k'.htm 31 ""Acadia Healthcare grows as mental health treatment soars;' Fortune, 29 Oct. 2015. 90 "`My daughter is one of 12 who died in the Pmiry as It makes millions from NHS"' The Mirror, 11 May 2019, hftps://www.mfnot.co.uk/newsluk-newsimy-daughter-one- 12 -who -1 5246974 91 "'My daughter is one of 12 who died in the Prairy as it makes millions from NHS"' The Mirror, 11 May 2019, https:/Av".mirror.co,uk/nows/uk-nmslmydaughter-one-12-who-15246974 My daughter is one of 12 who died in the Proiry as it makes millions from NHS"' Jire Mirror, t I May 2019, httpsJ/www.mirror.co.uk/aews/uk-newslmydeughtcr-one-l2-who4 5246974 9° hltp://anddepaware.co.ulJnews-and-commenU 95 "Psychiatrists who treated student who fell to her death at a John Lewis store says he'didn't we the danger."' Manchester Evening Nows, 3 July 2019, https://www.mmeheNtercvmingnews.w.uk/nem/greater-manehmter- news/ps'ychiatd. l-treating-ammxic-studen4who- 16527867 � Penn Little, "Kids As `Cash Cows': Abuses At U.K. Mental Hcalth Confers, Including Aeadia's," Seeking Alpha, 13 Dec. 2018, https://seekiugalpha.com/article/4228230-kids-eeshtows-abuses-u-k-me(al-healthemters- includingacadou. stlan Birrel, "Stop the state from stealing our children) More parents reveal horrifying stories of how their autistic sons and daughters have been locked up, force-fed drugs and abused,'" Daily Mail, 22 Dec. 2018, '° "Grieving parents forced to tum detective at Feb. 2019, haps://www.mirrar.co.uk/news/uk. 99 httpsJ/www.cgo.org.ukinews/relemeslp6oq 100 "High Wycombe Priory mental health hoop haps://www.bbc.com/newshrk-england-beds-t 10. 'Priory to Close 'Inadequate' High Wycore haps://www.thega"im.com/wciat '2019/fel im httpsJlwww.cgo.org.uk/nows/releases/pdoi im "Priory to Close'Inadequate' High Wyeorr haps://"w,thegumdion.com/society/20,19/fel is "`My daughter is one of 12 who died in the http"://www.mirtonco.uk/news/uk-news/my-d "' Arthur Marlin, "Psychiatrists accept kickba top clinics," DallyMall UK, 3 Jun. 2018, http; a cover-up over son's death," The Daily Mirror, 10 -parents-forced-hire-detective-13977167 i-wycombe-rated-inadequate-ec e c'," BBC News, 13 Feb. 20t9, 229641 The Guardian, 13 Feb. 2013, The Guardlan, 13 alose-inadequata4 ekes millions from as a reward for referring rich The Mirror, 11 May 2019, fromaddictionsto Modern Healthcare, 4 Jan. 2016, h4://www.modernhealthcare.cmn/articte/20160104/NEW S/160109986. 10a "Acadia Wants To Sell Off UK Division, Be More Selective About Future Growth;" Nashville Public Radio, 30 May 2019, https://www.nashvillopublieradio.org/post/acadia-wants-sell.uk-division-be-more-selwive-about-futwe- FowlMistream/0 °r Draper B, Luscombe G, Quantification of factors contribming to length of stay in an acute psychogerimrie ward, International Journal ofGerrarric Psychiatry 1998; 13:.1-7. to hltpsl/www.fdagov/downloadwMedicalDevlem/.../OCM478942.pdf, p. 14 109 httpOAvww.madinamerica.com/2018/11/mt-manufacturer-wams-permanent-braindamage/; www.thymafron.wm/main home,asp t 10 "Teenagers with mental health issues given brain electric shock therapy on NHS;' DallyMlrror, 12 Jon, 2019. n "Elecimconvulsive therapy on the rise again inEngland," The Guardian, 13 Apr. 2017, https://"w,thcgmdian,com/society/2017/8pril7/electroconvulsive-therapy-on-dwe nglmd.eat-nho t ¢ "Teenagers with mental health issues given brain electric shook therapy on NHS,' Daily Mirror, /2 Jan. 2019, hrtpr: //www.mirror.ca.uk/news/ubnews/wlnerab(e-reenagerswubfecred-brain-alreJro-17848319 haps://www.pd"ygroup.coMMental-heahhAT=tment-resistant-depression-trd `9s Psychiatry Becoming More Coercive," Editorial, BMJ20f7: 357 doi: httns•//doi orpJ101136/bm' i2904 t(Publlehed 22 June 2017); httpsJ/xww.bmJ.com/content/3574mij J2904/related is"Mentalhealthandhumaarights: Promodonand protection ofall human fights, civil, political, economic, social and cultural rights, including the right to development," Annual report of the United Nations High Commissioner for Human Rights and reports of the Office of the High Commissioner and the Secretary-General, Human Rights Council, 10-28 Sept, 2018, p. 14, point 46, hrtpsJ/documents-dds- ny,muorg/doGUNDOC/GEN/GIS/232/93/PDF/G 1823293,prIPOpenElement; (In Arabic, Chinese, English, French, Russian and Spanish) 32 ... A/HRC/22/53,'Report of the Special ltapporte tr oa torture and osher cruel, inhuman or degrading treatment or punishment, Juan E. M6ndez," United Nations, General Assembly, Ihlman Rights Council, Twenty-second Session, Agenda Uem 3, 1 Feb, 2013, p, 21, para 85, us These Walls: Stories Of Alleged Physical, Emotional, And Sexual Abuse Al Rook River," My -of-uhss-closed-facilities/ citing"Violenceat Rook River Tribgune, 12/7/14, http://www.ohim-Nribune.com/newsbt- ""'The rising cast of medicines to IheNHSHow Is NHS spending on medicines changing and why?," p. 15, haps9/www,kingsfund.org. uk/sites/default/f'des/2018A4/Rising-cost-of-medioincapdf '''NHS spends £780,000 a day on antidepressants," Phu aTimes, 15 July 2016, httpl/www.pharmarimes.eom/newa/nhs spends 780,000 a day on antidepressants 1073193 1Q4 https9/www.bmj.comlbmj/wction=pdf/I 86177?path--/bmj/342/7787/Analysls.full,pdf Pam Little, "Acadia Healthcare: Very Scary Findings from A 14 -Month Investigation," Seeking Alpha, 16 Nov. 2018, Mips://s kingalphacoMarticlet4222788-Acadia-healthcare-scary-findings-14-month-investigation M "My son was looked away and abused by people who were supposed to care for him,"Metro, 26 May 2019, https://metro,co,uk/2019/05/26/my-son-wm4mkod-away.and-abused-by-people-who-wao-supposed-to-care-for- him-9680O78Rltc—ebshare 03 Oregon Memorandum Details Abuse in Commercial Poster Core Facilities Pago 1 of 9 THE EPOCH TIMES Ira What mortgage amount do you need? $225,000 ._ _----_-__---__--------------------� Calculate Payment The Oregon state capitol. (M.O. Stevens/Public Domain) U5 NEWS -.. .. .. Oregon Memorandum Details Abuse in Commercial Foster Care Facilities BY PATRICK HOWLEY October 21, 2019 Updated; October 23, 2019 hltps://www,tlieepochtimcs.coin(oregon-memorandum-(Ietaits-abuse-in-commercial-foste... 10/29/2019 Oregon Memorandum Details Abuse in Commercial Foster Care Facilities Page 2 of 9 A memorandum submitted to Oregon Senate Committee on Human Services Chaitwoman Sara Geiser this year warred that the state's Department of Human Services (DHS) is putting foster children at risk by sending them to out-of-state residential neatntenl facilities operated by companies with it history of overseeing alleged physical and sexual abuse, including the alleged cover-up of assaults. The memo, which was leaked to The Rpoch Times, is titled "Risks of harm to Oregon children in out-of-state placements` and was prepared at Gelser's request by Ronald fl. Davidson, who served for 20 years as director of the Mental Health Policy Program at the psychiatry department at the University of IIllnois�'hicago. Davidson cited problems with all three corporations operating residential treatment centers that are employed by Oregon DIIS, which is facing public scrutiny for its child removal policies. Oregon's child welfare director Marilyn Jones resigned in June, rollowing Oregon Gov, Kate Brown's April executive order giving herself oversight powers relating to the agency, which she deemed to officially be ht "crisis," Ten plaintiffs, represented by the organization A Better Childhood, filed a class-action lawsuit in April against the state, alleging that children were drugged and physically restrained or forced to bounce between unstable homes after being taken into Child Protective Services (CPS) custody. Advocates say that children are routinely institutionalized or shipped out of state to dangerous foster care situations. Davidson's report, submitted prior to Jones's resignation, stakes it clear that children nationwide are at risk. "While the list of recent and/or current o u -Of -State RTCs (Residential Treatment Centers] utilized by the Department of Human Services includes 86 DHS clients distributed across 21 facilities and 13 states, the ownership of dtese facilities includes only tfueo corporations, each with performance histories that ought to be of concern to Oregon officials," Davidson wrote, identifying three problematic companies: "Acadia Healthcare (10 clients)," "IJniversat Health Services (2 clients)," and "Sequel Youth and Family Services (74 clients)." "As shown in previous reviews conducted by federal and state healthcare investigators or law enforcement agencies, as well as in accounts by news media organizations, each of these national corporations have presented an array of troubling performance histories —often involving substandard quality of care, physical and SCEr181 abuse, and ineffective or worthless treatment https:l/www.theepoelttimes.comloregonanemoranduni-details-abuse-in-commercial-foste... 10/29/2019 Oregon Memorandum Details Abuse in Commercial Foster Care Facilities Page 3 of 9 services. Moreover, in several well-doeumented cases, incladingreviews that were condueted on behalf of DCFS and the ACLU by my, UIC program, investigators also found evidence of a pattern of unlawful activities or healthcare Gaud," Davidson wrote. The concerns raised by Davidson about the three companies aren't parochial; they are national or international organizations. Acadia Healthcare operates 593 facilities, including 240 in the United States, according to its website. United Ilealth Services operates 380 health centers worldwide, including in 37 U.S. states and the District of Columbia. Sequel Youth and Family Services operates in 17 states, sci ving clients from 41 different states or territories, its website states. Gelser is trying to get Oregon kids out of these companies' htcilities. "When I started hearings in April, Nye had 88 children in out-of-state placements. At the last official count, we had 36," Geiser told The Epoch'Pimes. However, sir more children are scheduled to be seat to Sequel -run facilities, she said. "We're at less than hah`of whore we are when we started the process. Some of those facilities have been shut down," Geiser said, retirring to the out-of-state treatment facilities. Acadia announced that it would be shuttering its Butte, Montana, site after a 9 -year-old girl was injected with Benadryl as a chemical restraint. "In April, atter we had a 9 -year-old get chemically restrained (in an out-of-state Acadia facility). DIIS promised not to send any more kids to Acadia. "The rest of the placements are all Sequel. I have significant concerns about those as well." turps://www.tlteapodttimes.Dorn/oregnn-memorandum-details-abuse-in-commeccinl-festa... 10/2912019 Oregon Memorandum Details Abuse in Commercial Foster Cate Facilities IPage 4 of 9 Acadia Healthcare "Acadia Healthcare, based in Tennessee, is operated by the same corporate senior management team that formerly headed Psychiatric Solutions Inc. (PSI), which was acquired by UHS [Universal Health Services] in 2010.... At Acadia, not only are there undisclosed criminal indictments and convictions of former employees for the death or assault of patients, but we found allegations that Acadia has: Destroyed evidence Falsified documents Duped regulators during audits Covered up incidents of patient abuse Submitted fictitious billings to the government Failed to disclose regulatory investigations at certain facilities Retaliated against multiple whistleblowers." The report delves into further detail on the problematic companies. "DRO [Disability Rights Ohio] investigators also discovered a pattem of substandard quality of care at the Acadia -operated Ohio Hospital for Psychiatry, including sexual assaults, physical abuse, and other harmful incidents and quality -deficit problems within the hospital," Davidson wrote. https:liwww.theepochtimes.cotn/oregon-memorandum-details-abuse-in-commercial-fosle... 10/29/2019 Oregon Memorandum Details Abuse in Commercial Foster Care Facilities Page 5 of 9 "Relevant DRO findings can be summarized in the following comments from their published report: 'substantiated allegations of sexual and physical abuse'; `failure to provide treatment in a trauma -informed setting for survivors of sexual abuse'; 'failure to request basic medical records and provide appropriate care, resulting in one case of a patient being placed on emergency life support'; 'using seclusion in an unsafe manner and outside of licensure requirements'; 'Incomplete treatment and discharge plans, placing patients and the public at risk'; [and] 'using hurtful, outdated, and stigmatizing diagnostic language (e,g, retarded) in patient records.' "On March 7, 2019, the Chicago Tribune published a Page -1 article on an Acadia RTC new Chicago—headlined'6 women sexually abused by counselor at women's rehab center Timberline Knolls, prosecutors say' which detailed a longstanding pattern of sexual assaults and abuse of patients at the facility, including reports by prosecutors that Acadia administrators actually delayed notifying law enforcement officials of these incidents for several weeks --and then only after Acadia officials learned that police already were investigating complaints by patients. "According to the Tribune: 'A police detective asked a Timberline administrator why Timberline had waited at least the three weeks since July 16 to report [the employee's] potential crimes. The administrator explained to police that administrators of individual Acadia facilities 'have to contact corporate with these matters and corporate tells them to investigate and investigate more before they are allowed to call police,' according to a police report released to the Tribune under open records laws." PSI The Oregon report also examines Psychiatric Solutions, which is now owned by Universal Health Services, "Exhibit 91 is an internal PSI corporate document, written by the CEO of a Chicago psychiatric hospital that was then under review by my UIC team after children referred by DCFS were found to have suffered harm at the facility. bttps://www.theepochtimes.con/oregon-memomndutn-details-abuse-in-commercial-foste... 10/29/2019 Oregon Memorandum Details Abuse in Commercial Foster Care Facilities Page 6 of 9 "Among the shocking allegations memorialized by the CPA in this account to her corporate -level manager, Exhibit 91 listed the following: The CEO identified the hospital as 'a fagade peppered with deceit'; the hospital had `not reported allegations' of harm to patients to DCFS or the police; administrators `tampered with evidence on reported rape cases'; video evidence of serious incidents was often 'not being reported' or shown to DCFS; `poor quality' of patient care existed `from top to bottom.' "Moreover, the CEO charged that PSI's corporate president—identified by name in this 2008 memo, and the same person who later started Acadiawas'infuriated' by the news media coverage of violence and rapes, saying that he 'refuses to see the problems,' and indicating that he and other PSI corporate officials were deliberately `ignoring the risks,' "It is worth noting that the defendants and their representatives in this case [a 2008 lawsuit in Illinois] ultimately chose to settle with plaintiffs for $100 million, a sum that included $35 million in legal fees, rather than risk going to trial in open federal court. "In fact, had they chosen that option, Exhibit 91 and other such evidence—which clearly indicated a reprehensible practice of knowingly placing vulnerable children in harm's way in order to increase corporate profitswouldthen have become unsealed at trial, thereby revealing the. sort of business model that likely could not withstand the glare of public scrutiny. "Stated bluntly, child welfare officials need to understand that there is a compelling body of evidence indicating that certain types of corporations simply cannot be relied upon to tell the truth, especially when adverse events occur in institutional settings where children have been entrusted to their care by agencies like Illinois' DCFS or Oregon's DHS. https://www.theepochtirnes.coniloregon-memorandum-details-abuse-in-commercial-foste... 10/29/2019 Oregon Memorandum Details Abuse in Commercial Foster Cue Facilities Page 7 of 9 "Finally, as I noted in the attached 2018 memo on Acadia to the ACLU, two years before Exhibit 91 was written, Virginia moved to revoke the license of a PSI facility in Charlottesville after health officials found `multiple violations constituting neglect' of children in care, including `sexual abuse by staff.' The revocation letter cited 'inadequate staffing' as a direct cause of patient harm in a serious incident of violent assault (in which a young boy was beaten so badly that he reportedly stopped breathing temporarily and suffered a seizure). "Virginia investigators later concluded that `in spite of the concerns nursing staff voiced about the severity of his injuries, administrative staff directed nurses not to call emergency services. According to nursing staff, in a meeting held the day after the assault, [the PSI] administrators stated that they did not want 911 called because of concerns that the State might find out.'" UHS Davidson's report also details problems with United Health Services, another company managing out-of-state placements for Oregon DCS. "Universal Health Services, based in Pennsylvania, is the largest operator of private, for-profit, psychiatric hospitals in the United States. Additionally, the company operates a large number of behavioral health RTCs, including a facility where the DHS list indicates two Oregon clients were placed: Provo Canyon School. "UHS was charged by the U.S. Department of Justice and the Attorney General of Virginia with health care fraud at one of its residential treatment centers, Keystone Academy, In that case, the government alleged a scheme that included poor quality of patient care, record falsification, and keeping youths unlawfully confined in the facility for extended lengths of stay in order to maximize financial profits. "Nor was this the only UHS facility where child welfare systems learned that their clients were receiving substandard or even dangerous care. In fact, I informed the Department of Justice about evidence of a similar pattern of harm to patients and record falsification that the UIC team uncovered during a 2011 review at a large UHS hospital in Chicago. https://www.theepochtimes.com/bmgon-memorandum-details-abuse-in-commercial-foste... 10/29/2019 Oregon Memorandum Details Abuse in Commercial Foster Care Facilities Page 8 of 9 "DOJ officials subsequently requested all of the data and patient records that my UIC team had gathered on UHS's operations in Illinois, and we turned over 20 boxes of such evidence to the FBI in 2012, DOJ later opened a nationwide criminal investigation of UES in Illinois and a dozen other states, and that probe is still ongoing. "Among the findings that the UIC team detailed in the reports to DCFS and the ACLU about the UHS hospital in Chicago were: a consistent pattern of physical and sexual assaults on patients; inadequate staffing levels to ensure patient safety; poor quality of direct -care nursing staff training and supervision; falsification of medical records to conceal harm to patients; withholding information or lying to DCFS as part of the efforts to cover up or minimize adverse events at the hospital." . Sequel "In its previous corporate incarnation, Sequel Youth & Family Services was known as Youth Services International (YSI), a for-profit company that specialized in residential programs for juvenile justice populations. Some of the YSI programs were located in Florida, Maryland, Nevada, Georgia, and Texas -facilities where federal and state investigators later identified a pattern of physical and sexual abuse of youths who had been placed for treatment by juvenile justice and child welfare agencies around the U.S. "Further, among the lawsuits brought against YSI officials, one in particular-D.M. vs. Youth Services International and JFS Holdings -a federal civil rights complaint alleging harm to youths in care, including sexual abuse by administrators and staff, is perhaps most instructive for any discussion of how state agencies have often failed to exercise effective due diligence when placing children in out -of --stats settings that are not easily monitored for quality of care. "In fact, more recent news media reports about a Sequel -operated RTC in UtahRedRock Canyon School, where DIES placed 28 clients -clearly suggest that Clarinda Academy is not the only Sequel facility where Oregon children may be at risk of harm.... "Such was the case with the family of a 12 -year-old rape victim sent to an earlier version of Red Rock, as detailed in a Utah federal court complaint: "Red Rock was dangerous and debauching. Defendants allowed other students to beat and berate [name of 12 -year-old victim redacted], even to urinating on his clothing and effects. [The victim] hftps://www.tbeepochtimes.comlomgon-memorandum-details-abuse-in-commercial-foste... 10/29/2019 Oregon Memorandum Details Abuse in Commercial Faster Care Facilities page 9 or begged his mother for frecdom and his mother asked Defendants to release him. Defendants talked her out of it by promising to move him to a safer place. "Defendants moved [the victim] in with two much older boys who were adjudicated sex offenders, one of whom, [name redacted], that night raped [the victim I while Defendants slept. Defendants concealed the attack and covered it up while trying to talk [the victim] out or reporting it, "NOTE.: Since the list of Oregon children in out-of-state placements indicates that DNS made one referral each to the Kingston and Norris facilities, It would seem reasonable to inquire whether Tetmassce officials notified their Oregon counterparts of the emergency decisions regarding this Sequel program. The same question ought to be raised about whether Sequel officials notified Oregon DI IS of'ren nessee's actions in this facility," None of the three identified companies responded to requests for comment by 'Fire Epoch'l'imes; Oregon DHS also didn't respond to a request far comment. Follow Pnlniek Howley on Tiviner GflowleyReporter Follow Patriek on Tivitter: i yFrowdu?wr•zporfex littps:llwww.theepoclnimes.com/oregon-memorandum-details-abase-in-commercial-foste... 10/29/2019 wQd,Fnfi l .1: San Diego tlwM ANi,vrtaen Mmilvl„lu, . November IS, 2019 Mr, Gabe Gutierrez, Chair Chula Vista Planning Commission 276 Fourth Avenue Chula Vista, CA 91910 RE: Proposed behavioral health hospital in Eastlake Dear Mr. Gutierrez On behalf of the National Alliance on Mental Illness (NAMI) San Diego, I am writing to express our - strong support for the behavioral health hospital proposed in Eastlake by Scripps Health and Acadia Healthcare. Our community is experiencing a crisis right now in our ability to meet the needs for behavioral health care and this inpatient behavioral health hospital will provide critically needed inpatient beds. NAMI San Diego is the community's voice on mental illness. Weare a part of grass-roots, nonprofit, national NAMI organization, and also an affiliate of NAMI California. At the heart of NAMI San Diego's mission is the sharing of information and striving to end the stigma associated with mental illness. Acadia is the largest healthcare provider in the 11.5. focusing solely on behavioral health. They provide compassionate, quality care to more than a million patients each year. NAMI has partnered with Acadia facilities across the country to provide services to patients and their families as they work to get well. Unfortunately, behavioral health patients also are often subject to stereotypes and stigma about theirillnesses, and thesestigmas lead to challenges in siting new facilities. While we understand that residents in the community adjacent to the proposed location for the hospital have expressed concerns about their safety, the fact is that most patients experiencing serious behavioral health conditions are neither dangerous nor inherently prone to violence, and are actually more likely to be the victims ofviolence. What they need is professional, compassionate treatment In structured and therapeutictripatient or outpatient settings. 5095 Murphy Canyon Pearl, Salta 320 • San Dego, CA 92123 •858-634-6580 • Email: infgm>gpga yt81,UL5_ci,Qry NAMI San Diego's Family & Peer Support Helpline: 800-523-5933 www.namisandiego.org NAMI W dry?I5 uflIIWW Ah the N.1..1 Mlknrep M.tdl 111. 3,, NAMI CNOr,h A lcg , IARM Way NOW, One in four adults has a mental health need - this means that nearly 850,000 adults in our region are in need of mental health care. Yet San Diego County currently has fewer than half of Lite inpatient beds that we need, based on recommendations from the California Hospital Association. 'Phis is a public health crisis that needs to be addressed. While the proposed hospital in Eastlake will not solve this problem on its own, it will snake a significant stride forward to meeting our community's needs. 1 hope thatyou will join NAMI San Diego in supporting this important public health resource. Thank you for your conslderatimt. With gratitude and many thanks, Cathryn Nacario, CEO NAMI San Diego cathrynnacano@7namisd.or? 858-634-6580 ext. 103 cc; Mayor Mary Salas Coancihneriber John McCann Councilmember Mike Diaz. Councilmember ]III Galvaz Councilmember Steve Padilla Planning Commissioner Max Zaker Planning Commissioner Michael De La Rosa Planning Commissioner Jerome Torres Planning Commissioner Krista Burroughs Planning Commissioner Javier Nava Planning Commissionerlon Milburn Kelly Broughton, Director, Development Services Department Caroline Young, Associate Planner/Project Manager, Development Services Department Patricia Salvation, Planning Commission Secretory 5095 Murphy Canyon Road, Suite 320 • San Dlego, CA 92123 -858-634-6580 . E-mail: lOtgrinaCon�dnemLsdgrg NAMI San Diego's Family & Peer Support Helpline: 800-523-5933 www.namisandiego.org NAMI 9n rAPpo Is aRIta W in the NaNn al Nlarcq on MB,ds doo5 and NPMI CWIonaa, A Mary Ondo WaYA9e,Rp Caroline Youn From: John Teevan Sent: Sunday, November 17, 2019 7:26 PM To: Caroline Young Cc: John McCann; Kelly Broughton; Jill Galvez; Mike Qiaz; montano.monica@scrippshealth.org; Mary Salas, Patricia Salvaclon; Steve C. Padilla Subject: Re: Eastlake Psychiatric Hospital - Proposed at 830 & 831 Showroom Place Warning:. External Caroline (again with copies to other Chula Vista staff, the Chula Vista Mayor and City Council and Scripps Email ' Health), Good evening. I wanted to forward two additional recent disturbing articles from today and last week, this time centered on 2 Acadia -owned facilities in Arkansas: 11/17/19: Sex assault suit names behavioral health site in Arkansas: htt SJJwww arkansasonline com/news 2019 nov Y7 sex-assault-guit-namaS-behavloral-heal t! 11/10/19: Monitors report neglect, sex, dirt at kids facility in Northwest Arkansas: htts: www.arkansasonli re cpm/rows/2019/nov/10/monitors-report-reelect-sex-dirt-kids-facllit /. Are settlements with confidential terms as mentioned in the first article expected to inspire confidence or project a sense of Innocence on the party writingthe check? Thank you for considering mycomments. Sincerely, John P Teevan Chula Vista, CA 91914 Sex assauh suit names behavioral health site in Arkansas Page I of 6 Sertlons 0 ® Today's Paper Search Latest Core values App Traffic In the news Listen 46azatta200 Digital FA novrert,nrvwur Expert Insights for Workforce Housing Investors Ad by Key6ank Real Estate Capital Sue Wove Sex assault suit names behavioral health site in Arkansas try trsu HanvnsrriY, ulnny Mankl NuvenlUzr 1?..:c]snt?; iG oen. 11$hare Follow ,I napfII-, th, bMua,I pl Mlll,a, I11,111-0 I'M I I A psychlatrlc treatment center for children In Fordyce has been accused of negligence leading to youth -on -youth sexual assaults, according to a Iawsult In U.5, District Court in Pine Bluff. https://www.zirkansasojiline.coiii/news/2019/nov/1 7/sex-assatilt-atiit-names-behavioral-lie... 11/21/2019 Sex assault snit natures bollavloral health site in Arkansas Page 2 of 6 A couple filed a lawsuit against Millcreek Behavioral Flea Ith of Fordyce, saying their 7�yearold daughter was digitally raped ran Ithole horns in August 2018 by her roommate while at the center. Attorney Jered Medlock filed the lawsuit on the couple's behalf in March, Wvle1191NG' The Arkansas DernocrnbCozeda would like to talk with current and former patlent5, their family members, and staff at Piney Ridge Treatment Center and other Acadia -owned facllitles in Arkansas. The newspaper understands many of the Issues are sensitive and may Include personal Information about minors. If you would like to talk with a reporter, contact: Gary Monk vmonk(hbadgnewsroonixom (501)378-3853 Lisa Hammersly IhzmmcvslyQadBnewsroom.cana (501)399.3651 The lawsuit asks for Che company to pay the daughter's medical bills that occurred w a resul t of the assaults and other punitive and exemplary damages "so as to prevent Habilitation Center LLC, Acadia and others from this type of behaviorin the future," AeVI ills 11 ill A2 I c[ FiONr11x0F5 Hil More related headlines https://www.arkai)sasotiline.coin/newsl2014/nov/17/sex-assault-suit-mines-belurviorat-hc,,, 11/21/2019 sponscrad by Conneilx Millcreek is operated by Acadia Healthcare of FranM. iflt company that operates five more mental health treatment facllitles for children and '�Arka, amdreds across the United 5tates. Accusations of lax oversight that allows so patients so been lodged by a watchdog gicap against an Acadia treatment center in Faye eoffidals are e. ungating those complaints. In court filings, lawyers for Millcreek Behavl Healr` - Habilitation Center LLC, denied the allegations In Ryan and Michelle Eagles lawsult,F assaults Involving their daughter. The Arkansas DernocrnbCozeda would like to talk with current and former patlent5, their family members, and staff at Piney Ridge Treatment Center and other Acadia -owned facllitles in Arkansas. The newspaper understands many of the Issues are sensitive and may Include personal Information about minors. If you would like to talk with a reporter, contact: Gary Monk vmonk(hbadgnewsroonixom (501)378-3853 Lisa Hammersly IhzmmcvslyQadBnewsroom.cana (501)399.3651 The lawsuit asks for Che company to pay the daughter's medical bills that occurred w a resul t of the assaults and other punitive and exemplary damages "so as to prevent Habilitation Center LLC, Acadia and others from this type of behaviorin the future," AeVI ills 11 ill A2 I c[ FiONr11x0F5 Hil More related headlines https://www.arkai)sasotiline.coin/newsl2014/nov/17/sex-assault-suit-mines-belurviorat-hc,,, 11/21/2019 Sex assault suit names behavioral health site in Arkansas Page 3 of 6 Monitors report neglect, sex, dirt at kids facility in Northwest Arkansas Treatment center responds to reports from two groups This is Mer lock's second lawsuit against Acadia owned facilities In Arkansas. The first, filed by Kimberly Lopez in Sebastian County Circuit Court in 2016, Included allegations that a 17 -year-old girl was raped by a male patient, who was also a minor. The male patient stayed across the hall from the girl In March of that year, and the lawsuit argued that Valley Behavioral Health System was negligent In its protection of the girl. The lawsuit was resolved In August 2018, Medlock said. Terms were not disclosed. In an emalled response. Gretchen Hommrich, a director of investor relations for Acadia, denled the lawsuits' allegations and said the Incidents in question had been reported to the state and the children s guardians. She added that regarding the Eagles' lawsuit, the allegations were investigated and weren't substantiated. "Unfortunately, despite clinically approprlate policies and procedures and careful monitoring of aor residents, isolated incidents do occur," Hommrich wrote in the company's statlement. The residential treatment facilities have "multiple policies ensuring appropriate training of employees and staffing of care units," she continued. "Ensuring that we maintain a consistently safe, therapeutic, and compassionate care environment for al I patients is and always wil I remain the top priority for our treatment facilities," the statement read. Calls to MiI creek; officials were not returned, lawyers for M illcieek did not respond to requests far comment about the Eagles' lawsuit, and Acadia officials did not respond to questions regarding patient supervision by late Saturday. Last Sunday, the Arkansas Democrat -Gazette reported that Piney Ridge Treatment Center of Fayetteville, another Acadia Healthcare facility, Is under state Investigation over allegations that Include sexual contact among children residing there. Disability Rights Arkansas, a federally authorized member of the treatment of people with disabilities, sent an Oct.2 letter to the Department of Human Services that alleged 14 issues at the facility, Including dirty conditions, disrepair and inadequate supervision for mentally ill children there. The Disability Rights group alleged that the lack of supervision at Piney Ridge led to youth -on -youth sexual contact -- Loth "consensual"and "forced." A separate nonprotit that performs inspections for the state confirmed many or Disability Rights' findings. https://www.arkansasonline,com/news/2019/iiov/171se-x-assault-suit-names-behavioral-he,.. 11/21/2019 Sex assault suit names behavioral health site in Arkansas Page 4 of 6 The CEO of Piney Ridge responded Ina letter to the newspaper that staff members supervise children constantly, including standing outside their bedrooms at night. The rooms house one to six children, according to the letter by Adrienne Catalina. Piney Ridge treats children ages 7-17 who exhibit sexually Inappropriate behavior. It is licensed for 102 beds. The Eagles initially sued Millcreek Behavioral Health instate court In Dallas County on Feb. 11. The lawsuit moved to federal court March 18, where it is before U.S, District Judge James Moody Jr. Millcreek, which Is Ilcensed for 61 beds, provides long-term residential treatment for youths ages 6-17 who have intellectual or developmental disabilities. Achild treated there "must experience significant deficits in the abilities to learn, take proper care of oneself and communicate with others effectively," the facility's website says, They also "have challenges with soc[a[ization, self- directlon, mobility and living Independently," The Eagles' lawsuit alleges that Millcreek staff members should have known before the assaults started, on Aug. 25, 2018, that the girl's roommate "had serious mental health Issues that prevented her from being an unsupervised member of society." The alleged assaults were "only investigated as a result of the bad actor's braggadocia through the all Inn and to other patients," according to an amended complaint filed In August Millcreek staffers "unreasona bly delayed " notifying the child's guardians to instead "make Internal investigation and reports" to parent company Acadia Healthcare, the lawsultrontinued. "Defendant Acadia knew, by virtue of other assaults and rapes across their.., facilities that these types of assaults are likely to occur, yet they continue to be less than diligent In their protection of their patients," the Eagles' lawsuit alleges. The lawsuit says Mil [creek's negligence involves housing children likely to comm it assaults In the same area with others, including the same bedroom; failing to Instruct workers on how to supervise residents; and understaffing. Medlock said that even after the girl reported the assaults to staff members, they left her In the same room with her assail ant for 24 nights. " It's just egregious," he said. "These are avoidable circumstances, so I'm really glad that we did decide to take this one." Acadia Healthcare I ne, is a publicly held, multinational behavioral health care operator with 595 facilities 1n 40 states, the United Kingdom and Puerto Rice, accord[ngto the company's website. Feel Iity staffers are among Ihose required by state law to report instances of child maltreatment to state police, but If sex ads between children are deemed consensual, the cal I will be screened out, said BIII Sadler, a state police spokesman. Millcreek and Piney Ridge are classified as Psychiatric Residential Treatment Facil ities that are paid by Medicaid to treat eligible children and youths under age 21, according to Department of Human Services officials interviewed by the newspaper. Dlsablllty Rights Arkansas visited Piney Ridge on Sept. 19 and 20, The group's 14 allegations also included excessive use of physical and chemical restraints. https://www.arkansasorline.com/nows/2019/nov/17/sex-assault-suit-names-behavioral-he.., 11/21/2019 Sex assault suit names behavioral health site in Arkansas Page 5 of 6 The Arkansas Foundatlon for Medical Care, which inspects facilities for the Human Services Department, visited in October and also found. al legations of sexual contact among children and a facility"in extreme disrepair and very dirty," The foundation's report didn't substantiate all allegations that Disability Rights listed. The rights group found noise and commotion during education times, while the foundation found quiet classrooms. Piney Ridge has "work it needs to do to Improve its facility," said Human Services Department spokeswoman Amy Webb. The agency is monitoring the work. The state's options range from a correction action plan to license revocation. Millcreek has also been the subject of several complaint Investigations by the Human Services Department, according to documents the newspaper obtained through open records requests. Those Investigations, which include documents from 2014 to this year, found that the Millcreek staff did not report to state officials instances of serious physical Injury, Center staff members told state Investigators that they only report cases of serious Injury if the use of restraints contributed to the injury. The documents also show Instances of injury from use of restraints, including breaking a 9-year-old's arm in 2014. The facility staff reported the breaking of the child's arm to the Arkansas State Police's child abuse hot line, The state I up to make sure those issues were resolved, documents show Disability Rights and the Foundation for Medical Care also found instances of excessive use of physical and chemical restraints at Piney Ridge, Catalina said In her response that all use of restraints complies with federal and state laws, SundayMondayon 1111712019 Topics 6oJa, sabasdan County Ck,11 Lour, Arkansas State,Ue Dlaticl Cwrt Plnn Rdw Treatment Cente James MoalLJr, oeoerhnenl of Numan aervkas, Human Services Deoeriment P Kansas Foundatlon Aoedl Hellh ,An,mbb, BNl Badler, bellas county Related Articles Monitors report neglect, sex, dirt at Treatment center responds to kids facility In Northwest Arkansas reports from two groups Sponsor Content https://www.arkansmonline.cominewsl2Ol9/nov/171sex-assault-suit-names-behavioral-he.., 11/21/2019 Caroline Young From: John Teevan a _ Sent: Wednesday, November 6,2W9 6:24 PM To: Caroline Young Cc: John McCann; Kelly Broughton Subject: Re: Eastlake Psychiatric Hospital - Proposed at 830 & 831 Showroom Place Attachments: Patient-Abuse-Potential-Fraud-in-the-UK.pdf Warning: 6, ernai . Caroline, Email Hello, I wanted to forward another Acadia -related article which was published today, this from the United Kingdom, who are also scrutinizing the Industry, to forward to the Planning'Commission, and my member of the City Council (Councilmember McCann) has also been copied on this email: https://wwweinnewscomlpr news/S01285877/uk-legislators-asked--m-increase-overslRhC_and-c,�minal-acmurrtability- m -u -s -own ed -for -n rof ltybeh avlo ra i- hospjtalstf1aiclid=lwAR2sKfe,- 6s PEGwvVKLlrDIDz1k7EhRRot ttBFsSlUy 10 0C4r6JNOYCz4 A white paper linked in the article is also attached, Sincerely, John P Teevan & Kristen Loupassakis Chula Vista, CA 91914 UK Legislators Asked to Increase Overslgbt and Criminal Accountability in U.S. Owned ... Page I of 10 Questions? +1 (202) 335-3939 =1 (https://w .einnews.comllogin) Set Up FREE Account (/account/signup_new) Submit Release (http://www.einpresswire.com/why-us) About � (/about) ( News by Country - (https:llworld.ainnews.com/all—countries) Thursday, November 21, 2019 - 602,873,794 (llive_teed) Articles - 3+ Million Readers Trusted News Since 1995 Got News to Share? Send 2 FREE Releases 1 (haps://www.einpresswire,com/pricing?promo=1501) News Search I All News Topics ; Press Releases by Industry Channel PRESSWIRE (https/A~.elnnewswnilpr_archive) UK Legislators Asked to Increase Oversight and Criminal Accountability in U.S. Owned For -Profit Behavioral Hospitals CCHR's mission is to eradicate abuses committed under the guise of mental health and enact patient and consumer protections. lhttps:llwww.einnews.comlpt_news/501285877luk-tegislators-asked-to-incroasu-oversight.. 11/21/2019 UK Legislators Asked to Increase Oversight and Criminal Accountability in U.S. Owned— Page 2 of 10 CCHR recommends police investigations, prosecution of patient deaths, tougher penalties for fraudulent billing as well as cancellation of government funding. CLEARWATER, FLORIDA, UNITED STATES, November 5, 2019 fEINPresswire,com (hffp://www.elnpresswire.com)/-- Hundreds of UK legislators have been sent a White Paper on Fraud and Abuse (https:/Avw .whdnt.org/pdfs[Patient-Abuse-PotentiaFFmud-In-the-UK.pdQ in the UK's for-profit behavioral industry, calling for tighter oversight and accountability of facilities owned by U.S companies, Acadia Healthcare and Universal Health Services (UHS). The mental health watchdog, Citizens Commission on Human Rights (CCHR) International wants regulations that ensure greater criminal and civil penalties for continued violations of patient care, patient suicides and damage inflicted from dangerously administered treatment, including electroshock therapy (ECT). They also recommend police Investigations and prosecution of patient restraint deaths; tougher penalties for fraudulent billing practices as well as cancellation of National Health Service (NHS) or other government funding and hospital closures. As it has done in the United States, since 2015, CCHR has brought evidence of patient abuse to the attention of UK government authorities, including its Care Quality Commission (CQC), NHS, the Competition and Markets Authority (CMA) and the Parliamentary and Health Service Ombudsman in relation to UHS and Acadia that have significant investments in the UK psychiatric hospital market. UHS owns Cygnet Healthcare and Acadia owns The Priory Group. The Daily Echo recently reported that Priory Hospital Blandford in Blandford Forum, England Is closing In mid-December following admissions being suspended in July 2019 after it failed an inspection. As reported, "Young people told inspectors they felt unsafe on the wards and that there had been a number of Incidents where young people had assaulted." The Care Quality Commissioners found that staff frequently used physical restraints. Not all incident"anicularly around physical assault and rectal abuse --were reported, according to Inspectors. [11 CCHR's 2018 and 2017 complaints to UK authorities detatfed, "While Acadia grew its revenue by acquisition, it also grew Its profit by significant cost cuts that could be linked to reduced quality of patient care and safety. Staffing problems and patient -safety issues often crop up in for-profit mental-health facilities." (2] UHS-owned facilities have also come under scrutiny in the UK. Between December 2018 and February 2019, BBC Panorama, had found horrific patient abuses at Whorlton Hall in County Durham, awned by Cygnet (UHS). [31 The undercover documentary recorded staff abusing patients which the Labour Party branded as "tantamount to psychological torture." [4] In May 2019, Whorlton closed as a result of the Investigation which revealed staff claiming to have deliberately harmed patients. [5] CCHR told UK allthodfies about the problems Acadia and UHS were facing in the U.S. Most recently, media has reported on abuses at Acadia's North Tampa Behavioral Health We want regulations that ensure greater penalties for violations of patient care, patient suicides and damage inflicted from dangerously administered treatment, Including electroshock therapy (ECT)." https;//www.eitmews.coni/pr__news/501285877/uk-legislators-asked-to-incrome-oversight... 11/21/2019 UK Legislators Asked to Increase Oversight and Criminal Accountability in U.S. Owned ... Page 3 of 10 — Citizens Commission on Human Rights International (https://projects.tampabay.WnVproieCt$12019/investigations/north-tampa-behavioral-heafthl) which is alleged to be making huge profits by exploiting patients under Florida's Baker (involuntary commitment) Act. [6] Referring to other Acadia owned U.S. facilities, Capital Forum reported: "Acadia and/or its facilities have been the target of lawsuits over injuries and deaths occurring at the facilities." In October 2018, Acadia announced the closure of 10 of its childcare facilities in Arkansas after manslaughter charges had been filed against several of its staff for leaving a five-year-old boy strapped in a car that reached temperatures of 141 degrees that killed him. (7] In April 2019, New Mexico Children, Youth and Families Department forced Acadia's Desert Hills facility to dose, following allegations of abuse and safety Issues. A spokesman admitted that workers used chemical restraints on children regardless of The New Mexico Children, Youth and Families Department's request for them to stop. [8] Then in April, The Chicago Tribune reported that six lawsuits had been fled alleging abuse and safety Issues at Acadia Healthcare facility Timberline Knolls In Lemont, Illinois. The lawsuits were in connection to a counselor who has been charged with sexual assault and abuse. Six separate lawsuits alleged that the high-end facility for women and gins showed reckless disregard for patient safety by hiring and falling to supervise the therapist as well as "Intentional infliction of emotional distress" on patients who sought treatment for psychological and behavioral disorders. [9] The following month, the company agreed to pay $17 million (£13.1 million) to settle accusations of fraud, representing the largest fraud -related settlement in the history of Virginia, according to a settlement agreement with the state. [10] To encapsulate what has been happening in the UK and U.S., one law firm wrote: "When patient care in hospitals takes a backseat to corporate profits, patients always lose. They not only lose In overall quality of care, but also when it comes to personal safety. In addition in just plain poor medical attention, some patients become the victims of various forms of criminal abuse, including sexual misconduct by doctors, assault, and rape by ... doctors, non-medical staff, and even other patients,' [11] CCHR UK and CCHR International collaborated on the White Paper sent to Parliamentarians hoping for greater patient protections and criminal and or financial accountability to be implemented, CCHR Florida is also calling for the closure of those Acadia and UHS behavioral facilities found to be consistently abusing patients and violating the Baker Act. CCHR wants to see regulations that provide better oversight with (1) Greater criminal and civil penaltles for violations of patient rights and fraud, Including patient safety Infringements; (2) Police investigation and prosecution of patient restraint deaths; and (3) Tougher penalties for fraudulent billing practices, including cancellation of federal and state funding and hospital closures for repealed abuse and/or fraud. Report psychiatric abuse or fraud to CCHR (https:11www.cchr.orgRake- actionlreport-psychiatric-abuse.htm I). https://www.einiiews.00m/pr_newsl5O t 285877luk-legislators-asked-to-inereme-oversight... 11/21/2019 UK Legislators Asked to Increase Oversight and Criminal Accountability in U.S. Owned ... Page 4 of 10 About CCHR: Initially established by the Church of Scientology and renowned psychiatrist Dr. Thomas Szasz in 1969, CCHR's mission Is to eradicate abuses committed under the guise of mental health and enact patient and consumer protections. L. Ron Hubbard, founder of Scientology, first brought psychiatric imprisonment to wide public notice: "Thousands and thousands are seized without process of law, every week, over the Was world' tortured, castrated, killed. All in the name of 'mental health,'" he wrote in March 1969. For more Information visit www.ochrflorida.org (http://www.cchrflodda.org) or call 727-442-8820. Sources: [1) "Unsafe' Blandford child psychiatric hospital to close after just a year," Daily Echo, 25 Oct. 2019, https:/Aw .bournamouthecho.m.uktn"s/17995202.unsafe-blandfordchild-psychiatric-hospital- close-just-year/(httpsYAvww.bournemouthecho.co. uklnews/17995202. unsefe.blandford-chikl- psych latrlc-hospitalclose-Just-year/} [21 "Acadia Healthcare grows as mental health treatment soars,* Fortune, 29 Oct. 2015, http://ibrtu ne. com/2015/1029/acadia-healthcare-growth-mental-illness-addiction-spending/ (http://fortune.wmt2Ol5/1029/aced ia-heafth care-growth-mental-il iness-addic#on-spen d i ngq [3] Joe Plomin, "Whorkon Hall hospital abuse and how it was uncovered," BBC News, 22 May 2019, https:IA w .bbo.com/news/heafth-48369500 (https:/Amw.bbo.com/nms/heafth-48369500); Jasmine Andersson, "Whorlton Hall: BBC Panorama Investigation shows care stuff abusing vulnerable adults in County Durham hospital," fNews, 23 May 2019, https:/fnews.co.uk/newshvhorlton-halFpanorama- bbc-county-durham-hospital-abuse-vulnerable-adults-video-501520 (https:l/i news,co,uk/n ews/whodton-half-pa noremabbc-county-du rham-hospital-abuse-vul nerable- adufts-video-501520) [4] "Whorlton Hall abuse: Care watchdog publishes report," BBC News, 10 June 2019, https:/Avww.bbo.wm/news/uk-england-tees48585903 (https:/Avww.bbc.com/news/uk-england-lees- 48585903) [5) "Whorkon Hell hospital doses as Panorama screens abuse allegations," The Northern Echo, 22 May 2019, https:/!www.thenorthernecho.00.tik/news/17657520.whodton-hall-hospltakobws-as- delailsemerge-of-alleged-abuse/ (https:Avww.thenorthernecho.co.uk/nowsJl765752O.whortton-beIV hospital -closes -as -details -emerge -of --al legedabuse/) (6) https://projects.tompabay.00nVprojects2019/investigations/north-tampabohaviomi-health/ (https://projects.(ampabay.mm/projectst2Ol 9/Investigations/north-tampa-behavloral-heakM [7] http:/tv .wmcactlonnews5,corn/story/35647605/6-year-old-found-deadon day-care-busJ (http:/Avww.wmcaction news5.com/slaty/35647605/6-year-old-found-dead-on-daycare-bu 0. [8] https:/Avww.cohdnt.org/2019/0428/a-z-update-on-for-profit-psychlatric-Industry-abuseNk_edn15 (https://www.ochdnt.org/2019/0426/a-z-update-on-for-pro%-psyaiatdc-industry-abuses ednIS) citing: "Neighbors who live near Deserl Hills Hospital are happy Its closed," KOAT Action News, 1 Apr. 2019, https:/Mwww.koat.coMertiole/neighbors-who-live-near-desert-hills-hospdal-are-happy-fts- closed27011248 (hftps:/Mv .koat.conVarfrAe/neighbors-who-live-neardesert-hills-hospitaFare- happy-its-closed27011248). [91 "6 lawsuits claim abuse, safety lapses at Timberline Knolls treatment faclllty," The Chicago Tribune, 4 Apr. 2019, https:/lwww.chicagotribune.00m/newstct-met-timberline-knolls-lawsuits- 20190404-story.html (https:/Aww.chicagotdbune.corn/newslet-met-timbedine-knoll lbwsuits- 20190404-story.html). [10] "Acadia Healthcare to pay $17 million In settlement of Medicare fraud case: Medicaid paid Acadia's facilities a much higher amount for blood and urine tests than its lab had charged for the https:llwww.einnews.corn/pr_newsl5Ol285877luk-legislators-asked-to-inerease-oversight... 11/21/2019 UK Legislators Asked to Increase Oversight and Criminal Accountability in U.S. Owned ... Page 5 of 10 analysis," Healthcare Finance, 8 May 2019, https://v .heafhcareflnancenews.com/news/ecadia- heaithcare-pay-l7-m Ililon-settlement-med scare -fraud -case (hftps://www,healthwa financenewacoMnews/acadia-healthcare-pay-l7-mIIIlon-settlement- med (care -fraud -case) [11) httpsJNerdictvlctory.conVblogAvhen-hospilals-put-profits-before-patients/ (https://verd ictvictory.mni/blog[whan-hospitals-put-profits-before-patients/) Diane Stein Citizens Commission on Human Rights of Rodda +1727-422-8820 email us here (http://v ,einpresswire.coMmntact_author/501285877) Visit us on social media: Facebook (https:/Avww.facebook.00m/Cohrflodda) Twitter (https://twltter.conVochr_florida) Linkedln (https:/Avww.linkedin.mmAn/dianedstein) Who Commits More Healthcare Fraud and Abuse? -'The Qua' - CCHR Who Commfts More Healthcare Fraud an... https://www.einnews.com/pr_news/501285877/uk-legislators-asked-to-increase-oversight... 11/21/2019 aa"-lOtlgy r�D�ie'l h� `Y F'kd(yl^' CITIZENS COMMISSION ON HUMAN BIGHTS INTERNATIONAL GstriMAW in 1964 by rh., P....rk pfkiw,Wl Py 10 i.. ,qw, and a,,o a pgrnhialric Mdaf wss pfh+unan Hvu, October 23, 2019 Mr. Gary Halbert Chula Vista CityManager 276 Fourth Avenue Chula Vista, CA 91910 RE: COMPLAINT AGAINST ACADIA BUILDING A PSYCHIATRIC FACILITY IN CHULA VISTA Dear Mr. Halbert, I am writing to follow up on the documentation that I sent to you on the 23rd of September of this year. I eeallyjust wanted to ensure that you did indeed receive it and to see if you had any questions pertaining to the referenced material. Please let me know how I can be of further assistance in this matter. Thank you, Ver truly �yours, Nana Foley Legal Coordinator Citizens Commission on Human Rights International References: 6616 SUNSLSr BOULEVARD. IAS ANGLiL FS, CALIFORNIA 90028 . (323)467-42,0, . FAX (023) 467.1720 lnrerrsm (Iddnsnsr blips//www.cuhrininrg . Cbb(14ddress. humwvlpJes([rccEe«R Caroline Youn From: Webmaster Sent; Thursday, October 24, 2019 10:47 AM To; Caroline Young Subject: Proposed psychiatric Hospital Message submitted from the aCity of Chula Vista> website. Site Visitor Name: Sara Femando Site Visitor Email: sam( Hi Caroline, I am a business owner and Board Member of Venture Commerce Center- Eastlake Condominium Association. I just became aware of this proposed project and would like to be notified of upcoming meetings. I am very concerned about the impact this project poses to the public safety and Infrastructure in the area Sara Fernando Chula Vista, CA 9191 Caroline Young From: bibi luko , Sent: Tuesday, October 29, 201912:22 PM To: John McCann; Samantha Trickey Subject: Wanted to share this. news... M In case you had notyet read it Both articles are recent and are about Acadia facilities: "Acadia Healthcare, based in Tennessee, is operated by the same corporate senior management team that formerly headed Psychiatric Solutions Inc. (PS[), which was acquired by UHS [Universal Health Services] in 2010. -.. AtAcadia, not only are there undisclosed criminal indictments and convictions of former employees for the death or assault of patients, but we found allegations that Acadia has: • Destroyed evidence • Falsified documents • Duped regulators duringaudlts • Covered up incidents of patient abuse • Submitted fictitious billings to the government • Failed to disclose regulatory investigations at certain facilities • Retaliated against multiplewhistlehlowers.° http¢;/-(www.kheeoachtimes.-mni oreeommemgrandual cLetards- abuse -In-commercial-fnster-rare- fadlities_ 3123554.htin l>fbdid=lwAR1P29rkeRRHGd18i2BG8Th6annRDXNL6DeuVnJLz2fehzc Patient found in freezer, child loses toe: 46 claims of abuse investigated at mental health facility httus://www.wsb(y,_cant[news/local/rzwinne;�-count patlent-fauntl-tn-freezer-Chlid-loses-koe-<}6_c r s-rof-abuse- investigated -at-trren tal _facility/989991596 Bibi Luko Lead Organizer CV SAFE CV SAFE Caroline Young From: Bibi luko , __.,. -_ Sent Tuesday, October 29, 2019 11:53 AM To: Caroline Young Oe: Ian Burgar; bill stellim Relocatehospital@gmail.com Subject; Supportive Services Lacking for Proposed Eastlake Behavioral Hospital Follow Up Flag: follow up Flag Status: Flagged M Hl Caroline, Yesterday San Diego District 4 Supervisor Nathan Fletcher has announced pla as for a Regional Behavioral flea] th Hub on 4307 Thi rd Avenue in Hillcrest. Supervisor Fletcher explains that the HMerest location Is optimal because it is walking distance train Scripps Mercy Hillcrest and UC San Diego Hospitals, dose to Integrated continuous care, close to emergency services to ease transfers, it will he a one stop shop with an array of services that are co -located and coot d inaited. Including a step down facility, care coordination long term care plan, to help keep people out of the hospitals and jail, i t will achieve better long Perm outcomes, close to mass transit, a nel most importantly it follows the new blueprint for mental health reform model the county developed to fix the currently broken heal llhcare system. Speaking plainly - the proposed Eastlake standalone psychiatric hospital lacks all of the above supportive services that have been deemed best practices and therefore is not setup for success Without the supportive services the psychiatric hospital will follow in the footsteps ofa falling mental bea]thcare system and create an dangerous cavh'onment for those neighboring it. Additionally, the proposed cost of the Eastlake Psychiatric Hospital with 120 inpatient beds costing $50M and the Hillcrest Location with a planned 60 beds costing $115M (remember the land in free in Hillcrest because It's county owned). Are they cutting corners? What the extremely large cost difference? Why is Scripps going against the blueprint for mental health reform plan and pminering with a notoriously troubled company? These are all reasons that the city should reject the CUP. Hear it for yourself and watch the video below ol'Supervisor Fletcher's press conference. Watch it here: 115�1f+:lLwwy_vruptz�tsk,suttuSup<rv�qushls itlttf.Sn/yltlen�/6c 64n9 t4Z1,�L1r�4 L Or here: 6LLnv //www,yjyuLiy�tas ifi?I E;j.Iwstpl ishan]. f_it f-417eS,tnnmtlncesey*iuna -bc tpyjop1{ tical {ly-htt(?-[o I Xhcr�ltt i?: tu�ialal-helthcal:u �7zncicl Blueprint for mental health reform:11tt}73. vyyh;yliylavjstasa fe,nLg�P.!1: tjt:jtt611IAUA.fOL-t>apl 11t" h-r-ftEUl1 Nathan Fletcher proposal and best practices for siting: {ttHlir:(ly,!w.Lv.Oh.til.ivlrf3sstCc,.f?Ck:�R.{tst(nt�th�a»-{]y�rr L1elrlyiyi�J_Lie;7lth-hy'y4_lil actives Bibi Luko Lead Organizer CV SAFE Caroline Young From: John Teevan Sem: Monday, October 28, 2019 2:37 PM To: John McCann Cc: Kelly Broughton; Caroline Young Subject: Re: Eastlake Psychiatric Hospital - Proposed at 830 & 831 Showroom Place Follow Up Flag: Follow up Flag Status: Flagged M Councilmember McCann (and the Planning Commission), In addition to last week's message, I wanted to forward you another article from today to add to the pile of negative media related to Acadia Healthcare, the proposed operator of the psychiatric hospital in Eastlake: https://bangordailvnews coin/2019/10/28/news/bangor/the-former-director-of-a-bansnr-methadone-clinic-Is-suing after-he-was-fired/7fbclid=lwAROUVOsvRUe W BNk20dklly3nF028RK8AKI-ra4s18yLfx9BKN3B800V3vvC1U Here is an excerpt: "The former program dfrectorof a Bangormethadone clinic plans to sue the facility's parent company after a state panel found reasonable grounds to believe that he may have been fired in retaliation for raising concerns about the clinic's operations. Before he was fired from hisjob at Discovery House of Bangor Comprehensive Treatment Center, Brent Miller raised multiple concerns with the increasing numberof patients counselors were expected to serve, and with the clinic's adherence to state and federal regulations." If not already established, I would highly recommend a (daily) news alertvia Google or a similar platform to keep abreast of the continual coverage of leas than flattering news about Acadia. Thank you for considering my comments. Sincerely, John Teevan & Kristen Loupassakis 805 Hawksview Place, Chula Vista, CA 91914 On Tue, Oct 22, 2019 at 4;50 PM John Teevan <jptru¢ger@gmailmcom> wrote: Thank you for your email Councilmember McCann (and Mr Broughton and Ms Young). In relation to this issue and the proposed operator (80% stake), I wanted to pass along today's most recent article featuring Acadia, a company regularly in the news with less than flattering coverage: }9ttps:/M�ww.theeoochtimes,com ore on-inemora rydum-details-abuse-tn-cummerelal-foster-care- facilities 312355411t n 7fbdld=lwARORkMGtcWJNsA@T-72gbhGvXkSakOpCHawOww3296COp4MzhY9gFs0rHg I have also attached the official letter from the Rolling Hills Ranch HOA formally objecting to this proposed facility, Thank you for considering my comments. The former director of a Bangor methadone clinic issuing after he was fired—Bangor ... page t of 7 The Master's University `S,Ila nsIft,. C0.•U14, banyw The former director of a Bangor methadone clinic is suing after he was fired ,IAI, k coif I Boo BI-WMe* '-I1a0111-IrryI-Iv sIahadimae4Mcln roselrm shawls i111111 10111111 111ba ma III ip Apnl 2017, By Charles Elobackec BBN Staff • October 2e, 20191.00 en, Updatad OUober 28, 2019 4:88 pm The former program director of a Bangor methadone clinic plans to MKOMW sue the facility's parmnt company after a state panel found reasonable grounds to believe that he maq have been fired in retaliation for raising concerns about the Clinic's operations. Before he was fired from his job at Discovery House of Bangor Comprehensive Treatment Center, Brent Miller raised multiple concerns with the increasing number oCpatients counselors were https:llbangordailynews.con/2019/10128/newslbangorlthe-formet-director-of-a-bangor-m,,, 11/21/2019 The flamer director of Bangor tnethadone clinic is suing after he was fired -- Bangor ... Page 2 of 7 expected to serve, and with the clinic's adherence to state and federal regetations. In his October 2019 filing with the Maine Human Rights Commission, Miller said he should have been protected under Maines Whistleblower Protection Act for making those complaints. Miller, who was 63 when he was tired ht April 2017, also suggested age discrimination played a role in his termination by Acadia Healthcare, Discovery House's Tennessou based parent company. Ahriman rights commission investigator did notfind reasonable grounds for either of Miller's complaints, and Acadia Healthcare has disputed his allegations, saying that Miller was tired for potentially fraudulent behavior after husigned a colleague's name on an incident report that was sent to state officials. But in August, the Maine Human. Bights Commission partly sided with Miller, It voted q -o that there were reasonable grounds to believe Acadia Healthcare may have violated the Whistleblower Protection Act, That was a fairly unusual nttomne. In both 2019 and 2ot8, the commission found reasonable grounds in 13 percent of all cases that reached the investigation stage. Xge https:Hbangordailynews, c -0m/2019/ I0/28/news/bangor/the-famierdiredor-of-a-bangor-m... 11121/2019 The former director of a Bangor methadone clinic is suing after he was fired—Bangor ... Page 3 of 7 With that finding, Miller now plans to file a civil lawsuit against Acadia Healthcare, according to one of his attorneys, Ali Tozier of Portland. His case is now in a stage called conciliation in which both parties have a chance to work out a resolution. But that process is nearly over and they have been unable to reach an agreement, Tozier said. In his nine -page complaint, Miller suggested that problems arose after Acadia Healthcare bought Discovery House's parent group late in 2015 and hired a new regional supervisor in March or April of 2016. The Tennessee company employs more than rq,000 people and runs nearly 60o behavioral health treatment centers across the country. The Discovery House is one of three methadone clinics in Bangor. the other two are Penobscot County Metro Treatment Center and Northern Light Acadia Hospital. ( Acadia Hospital is affiliated with a Maine -based entity called Northern Light Acadia Healthcare, and both entities are part of the statewide hospital network called Northern Light Health. They are not connected to the Tennessee -based parent company of Discovery House that Miller named in his complaint.) In the late spring of 2016, Miller raised his concerns about a new intake procedure that he worried could violate patients' confidentiality by directing their initial calls to a centralized location. He first mentioned his concerns to a regional supervisor. Then, when he did not think his concerns were being addressed, he sent them to a vice president at Acadia Healthcare. On multiple occasions between early solo and 2o17, Miller also expressed concern that staff were being asked to treat too many https:llbangordailynews.coml20l9/10/28lncwslbangorlthe-former-director-of-a-bangor-m... 11/21/2019 The former director of a Bangor methadone clinic is suing after he was fired—Bangor ,.. Page 4 of 7 patients, and that the clinic was not complying with state counseling and documentation requirements. The human rights commission investigator confirmed that Miller made those complaints and also that his regional supervisor became frustrated with him after the one in the spring of 2or6. The investigator said there was evidence that the regional supervisor .was hostile toward [Miller] and treated him unprofessionally after he made the that report about intake." But the investigator also found that the clinic was in compliance with some of the rules Miller suggested it might be violating. In an emailed statement, Briko Farnsworth, the clinic director at Discovery House of Bangor, disputed Miller's complaints. "Discovery House strongly disagrees with the allegations made by me, Miller," Farnsworth said. "Our clinicians strictly adhere to our policies and procedures and provide medication -assisted treatment and counseling services that are fully compliant with all applicable laws and regulations." Farnsworth added, "Because we are in litigation with Mr. Miller, we cannot comment further." https:ilb ngordailynews,coml2019/l0/281newslbangorlthe-former-director-of-a-bangor-m... 11/21/2019 The former director of a Bangor methadone clinic is suing after he was fired — Bangor _ Page 5 of 7 The human rights commission investigator also outlined the incident that Acadia Healthcare said was its reason for firing Miller: when he signed for another employee an an incident report that was sent to state officials, Miller, who led the Bangor clinic for a decade, at one point delegated the job of reviewing and signing incident reports to a clinical supervisor but retained the ability to sign them himself, according to the investigator's report So on March 1, 2017, when he found a report about a patient's death that was due to be submitted to the state, he signed the clinical supervisor's name and wrote his own initials next to the signature. About a month-and-a-half later, state officials reviewed the report and found that Miller's actions "could be perceived as fraud," the investigator said. Administrators at Acadia Healthcare also grew concerned that the clinical supervisor could in turn take legal action against the company. On April 27, a supervisor told Miller that he was fired because he had put the company at legal risk, While the investigator did not find there were reasonable grounds to believe that Acadia Healthcare fired Miller because he raised https://bangordailynews.com/2019ll Ol28/naws/bangorlthe-former-director f-a-bangor-m.., 11/21/2019 The former director of a Bangor methadone clinic is suing after he was fired—Bangor ... Page 6 of 7 complaints, the appointed members of the Maine Human Rights Commission ultimately reached the opposite conclusion. The panel does not record what commissioners say before they vote on a complaint. Amy Sneirson, the commission's executive director, said she could nut recall their whole discussion of Miller's complaint. But as part of the discussion, they questioned how clear it would have been to Miller that he should not have signed for his colleague, Sneirson said. RECOMMENDED FOR YDD wabrsme h.'Ro suiferaltegetay touehedpatient vhth utuonsentdudng unneeded ultrasound Nu 210' MID UM swdeau repartndlyfound metre nvsiu pudding Nw l0. All OveofMdne'elast ehomnakers uses vankee iug®mty w Niall amltitious gmwlh pews NII x.11 DrhsrinfatslA dia Dash S. Maud test woe iIlegW W 1.1069 Mi"ing nackswrt womwfoandin O and 00393ML µw 10 ]919 T ...0 din Cherryfield after ageou find hemin, maaine and $U,UUa Nov@.11 https:/Poangordailynews.com/2019/10/2R/news/ban,gor/the-former-drector-of-a•bangor-m... 11/21/2019 Rdhng+ffi Ranch A mntlm,plm�nxd,wrvi,tmi['uf M[f3�tNp I eWWu,hn October 17, 2019 RE: Rolling Hills Ranch Community Association ( Behavioral Health Hospital at Showroom Place To whom it may concern: The Rolling Hills Ranch Community Association ("Association") is committed to serving the best Interests of the homeowners within the Rolling Hills Ranch development. It is i n the spirit of this commitment that the Association voices its opposition on behalf of the Rolling Hills community to the proposed Behavioral Health Hospital at Showroom Place, As part of its due diligence, the Association has reviewed available information regarding the proposed healthcare facility as well as Acadia Healthcare, the 80%majmrity owner of the proposed facility. Based on its investigation, the Association has concerns which include but are not limited to the following: Operator: Scripps Health is partnering with Acadia Healthcare, a for-profit Tennessee based company which operates a network of 595 behavioral healthcare facilities will, approximately 18,200 beds in 40 states, the United Kingdom and Puerto Rico. Acadia provides behavioral health and addiction services to its patients in a variety of settim, including inpatient psychiatric hospitals, specialty treatment facilities, residential treatment centers and outpatient clinics. Me Association's research revealed that Acadia has been the subject of numerous lawsuits, including actions brought by governmental regulatory agencies, alleging billing fraud, negligence, wrongful death, sexual assault, and abuse/neglect ofpatients. • Potential Decrease in Rolling Hills Hone Values: The proposed location for the healthcare facility is directly adjacent to the Rolling Hills development. White the Association is not an expert in this held, the ,proximity of the healthcare facility to the Association could negatively impact the home values or the conwuttity based on data reports for homes near similar sites. The safety concerns associated with the healthcare facility, proximity to nearby schools, and potential for increased traffic, loitering, and homeless set forth below may drive away faints homebuyers (or present owners) who otherwise would purchase homes or reside in the Rolling Hills Ranch community. • Safety Concerns: The Association believes the proposed healthcare facility will likely pose a public health and safety tisk to those who live, work, play, go to schools, and are cared for in the community. There are 10 Eastlake schools new the proposed healthcare facility in addition to numerous other children's activities and facilities. Allowing the proposed healthcare facility to be so close to a high concentration of vulnerable people is not only likely to be unsafe, but likely irresponsible. Release Concerns: Patients admitted involuntarily canrefuae treatment, leave on their own without a treatment plan in place, or demand a premature discharge. This raises safety concerns for Rolling Hills Ranch residents as these patients may lack housing, access to additional medical care, or a family/support system to assist them The release and/or elopement ofpatients from this facility has the potential to cause increased traffic, loitering, and homelessness in or around the common areas and individual homes. Io addition, the Association is concerned that the community clubhouses and pools will attract individuals released from the healtbcare facility who may have no ahernative living arrangements and who have no right to be within the community. Limited Emergency Services Available: The Association is concerned the facility will require increased police patrol and enforcement from the already limited police resources. Statistics show that similar facilities generate increases in calls and issues due to release concerns and elopement risk. Due to the sheer size of the Chula Vista Police Department's response territory, increased public safety demands, and budget constraints, the police department's response times for issues in and around Eastlake are already less than desirable. In addition, in the event of a medical emergency, the nearest hospital is over 5 miles away, with limited access to public transportation and only more quickly accessible via toll road. For at least the reasons set forth above, the Association is opposed to the currently proposed Behavioral Health Hospital at Showroom, Very truly yours, Board of Directors Rolling Hills Ranch Community Association Caroline Young From: lahn McCann Sent: Wednesday, October 9, 2019 2:39 PM To: Caroline Young subject: FW; Eastlake Psychiatric Hospital From: Zabrina Benitez Fong [mailto;aa., Sent: Wednesday, October 09, 2019 1:57 PM To: Mary Salas; JIII Galvez; Steve C. Padilla; Mike Diaz; John McCann; Kelly Broughton; Patricia Salvacion; Caroline Young; montano.monica@scrippshealth.org Subject: Eastlake Psychiatric Hospital {yarning: External Email Hello, I am an Eastlake resident. I have a number of safely concerns that I would like to have addressed regarding the Psychiatric Hospital Proposed for 830 & 831 Showroom Place. This facility will be 30 miles away from Scripps Mercy Hospital in Hillcrest, far removed from much of the population it currently serves. How will patients get to this location with limited public transportation and quick accessibility only available via toll road? What will happen to patients when they are released and refuse help from a social worker? What happens when patients lack housing, access to additional medical care, or a family/support system to assist them? Patients who refuse treatment and walk out of the facility and those who are discharged without a ride pose risks for the many schools, parks, and daycares centers that are in the neighborhoods surrounding the facility. How will this be addressed? What about Jessica's Law? This hospital may violate Jessica's Law given the close proximity to the Montessori Preschool. Does this hospital plan on verifying whether employees and patients are registered sex offenders? Adding a new facility of this scale will cause an Increase in call volume resulting In an Increase in response time from ambulances, fire, and police, Chula Vista currently does not have enough police and Eastlake has the fewest patrols assigned to handle Issues arising from the facility or from those released. How will this be addressed? We have acquired police reports to many psych facilities in San Diego County and noted the high volume of calls to those facilities. Given that your facility will have a substantially larger bed count data shows that the police call volume will likely also be double. 830 & 831 Showroom Place is NOT an appropriate site for this facility. Acadia Healthcare's track record speaks for itself and cements the communities concerns that negligence will lead to unfortunate situations for patients, employees, and the surrounding community. Concerned Resident, Zabrina Benitez Fong Caroline Youn From: Zabrina Benitez Fong Sent: Wednesday, October 9, 20191:57 PM To: Mary Salas, Jill Galvez; Steve C. Padilla; Mike Diaz; John McCann; Kelly Broughton; Patricia Salvation; Caroline Young; montano.monica@scrippshealth.org Subject: Eastlake Psychiatric Hospital Warning; External Email Hello, I am an Eastlake resident. I have a number of safety concerns that I would like to have addressed regarding the Psychiatric Hospital Proposed for 830 & 831 Showroom Place. This facility will be 20 miles away from Scripps Mercy Hospital in Hillcrest, far removed from much of the population it currently serves. How will patients get to this location with limited public transportation and quick accessibility only available via toll road? What will happen to patients when they are released and refuse help from a social worker? What happens when patients lack housing, access to additional medical care,. or a family/support system to assist them? Patients who refuse treatment and walk out of the facility and those who are discharged without a ride pose risks for the many schools, parks, and daycares centers that are In the neighborhoods surrounding the facility How will this be addressed? What about Jessica's Law? This hospital may violate Jessica's Law given the close proximity to the Montessori Preschool. Does this hospital plan on verifying whether employees and patients are registered sex offenders? Adding a new facility of this state will cause an increase in call volume resulting in an Increase in response time from ambulanoes, fire, and police. Chula Vista currently does not have enough police and Eastlake has the fewest patrols assigned to handle Issues arising from the facility or from those released. How will this be addressed? We have acquired police reports to many psych facilities in San Diego County and noted the high volume of calls to those facilities. Given that your facility will have a substantially larger bed count data shows that the police call volume will likely also be double. 830 & 831 Showroom Place is NOT an appropriate site for this facility. Acadia Healthcare's track record speaks for itself and cements the communities concerns that negligence will lead to unfortunate situations for patients, employees, and the surrounding community. Concerned Resident, Zabrina Benitez Fong Caroline Young From: Richard Wynne_...�...._�— > Sent: Sunday, October 6, 2019 9:43 AM To: Caroline Young Subject: Psychiatric facility Warning: External Email Iii My name is Richard Wynne and'I live in the northeast section of Eastlake. I have a few comments about the proposed psychiatric facility. I used to live in New York not far from a psychiatric facility. On two occasions that I know of, a patient walked out of the facility and attacked a person on the street. On one of the occasions the patient ran into a restaurant, stole a knife from the kitchen, ran into the street and stabbed an elderly woman walking her dog. She survived because the kitchen staff ran after the attacker and stopped him. The other incident involved an elderly woman who lived in my building. She was sitting with a friend on a bench near our building. A woman who had been in the neighborhood for several days talking to herself came up to my neighbor and punched her in her face.. I understand that there are people that need psychiatric help and medication. We must have facilities to provide that help. If the proposed Eastlake facility is approved what assurances will we have that incidents similar to the ones I described will not happen here? Perhaps a more commercial area will be better than a residential neighborhood for the facility. Thanks, Richard Wynne Caroline Young From: 1 T Sent: Thursday, October 3, 2019 4:49 PM To: Caroline Young Subject: Psych Hospital Warning; ExternaY. Dear Caroline Young: Email I'm following up our conversation last week at the psych hospital event in Eastlake. As i mentioned, I'm extremely opposed to the construction of that facility in this neighborhood. It doesn't make sense for several reasons: It's too far from transit. It's unsafe for its family-oriented surroundings. We don't have enough of a police presence in the neighborhood to deal with the issues this facility will create. The company chosen to manage this facility has a horrendous reputation, as I'm sure you're aware, but it's not a good fit for our community even if it were the hest -managed psych hospital in the world. Consider me strongly opposed. Thank you for adding this to your collection of community opinion emails, Respectfully, Jamie T Gold Property Owner/Resident Windingwalk Caroline Young From: Tessa Walkup.,,,,.,,.,,_ Sent: Wednesday, October 2, 2019 6;47 PM To: Caroline Young; John McCann; Mary Salas Subject: Eastlake Behavioral Health Hospital Warning: External: Hello, Email My name is Teresa Walkup and I am a resident of Eastlake. In 2018, 1 moved to the community of Rolling Hills Ranch from the Allied Gardens portion of San Diego to raise my young children in a safe and quiet neighborhood for the benefit of my family. Never, In my wildest dreams, did I ever imagine the city would entertain the idea of approving a LARGE psychiatric hospital within walking distance of my home. I am deeply concerned due to a couple of reasons: #1: The company collaborating with Scripps, Acadia appears to have a long history of poor management of behavioral health facilities. I have read numerous articles regarding suicides, wrongful deaths and many concerns about negligence. #2: This location is within walking distance of the routes my children will take by themselves to go to Eastlake Middle and Neischa' s Dance Academy. In addition, we routinely visit the attractions for children in the Design Center. Remember, I moved to Eastlake for the safety of my children and kid friendly Institutions in the community and now this behavioral hospital is jeopardizing everything. My old neighborhood surrounded Kaiser Hospital on Zion Avenue. It was often surrounded by loud ambulances at all hours, homeless people and cars overflowing Into the neighborhood. #3: 1 attended the meeting on September 26th In regards to this facility and was deeply disturbed that this was an event to promote the hospital, not a town meeting held by our city leaders. I did not see any city leaders present at this meeting. I do not approve of this hospital near the Design Center. This hospital needs to be located in a hospital district, not in the backyard of our community surrounded by schools and businesses geared towards families. The last thing I want to happen is for mentally III Individuals voluntarily releasing themselves from a massive hospital where numerous kids frequent. Please include me on all meeting communication regarding the proposed Eastlake Behavioral Hospital Regards, Teresa Walkup Chula Vista, CA 91914 Caroline Young From; zack rattfay = Sent: Tuesday, October 1, 2019 11:30 PM To: Caroline young Subject: Fwd: Psychiatric Hospital Location r ---------- Forwarded message ------- Prom: zack rattray <zack.rattray9gmail.com> Date: Tue, Oct 1, 2019, 11:28 PM Subject: Psychiatric Hospital Location To; gnsalasCalchulavistaca eov>, <ImccamtConchulavistaca gov>, < m aive�t,)_ulzyi3taca,eov>, <spadillaPchulavistaca eov>, « youna(tchulavista,eov>, <mdlaziuchulavistaca aov>, <montano.monica@scriposhealth ora>, <kbroughton0chulavistacti >, <psalvackm C@chulavStaca. ov>, <cvouna@chulavistaca aov> Dear Mayor Salas, Members of Chula Vista City Coundl and Members of the Chula Vista Planning Commission: We are residents of Rolling Hills Ranch and we oppose the building of the Psychiatric Hospital atthe currently proposed site 830 & 831 Showroom Place. We would like the following questions answered: Does this hospital plan on verifying whether employees and patients are registered sex offenders? Was a feasibility study conducted on 830 & 831 Showroom Place to understand what services would be needed? If so, please send it so we can review it. If not, why not? What will unit 3A and unit 3B as listed In the conditional use permit application be used for? Currently, It states "patient mix to be determined." Can Acadia provide a document showing the number of elopements per facility in 2018? Why isn't Scripps/Acadia moving forward with the parcel of land on 4307 Third Avenue that is 0.9 miles away from Scripps Mercy and has been designated by the city to be used as a behavioral health facility? Why isn't Scripps/Acadia building this at the Chula Vista Scripps location? Can Acadla/Scripps provide readmission rates/statistics for all Acadia facilities from 2014 through 2019? How many sites did Acadia consider before selecting Showroom Place? Why did they select site 20 miles from Scripps Mercy Hillcrest and at the southern edge of San Diego County as a location for a regional psychiatric hospital? WIII they have ambulances transporting patients to or from the facility? If so, will the sirens be on? What routes will transfers from Scripps Mercy Hillcrest take to Showroom Place take? What routes will transfer from Scripps Merry Chula Vista to Showroom Place take? How will outpatients without vehicles or a social worker get to their appointment at Showroom Place? The closest bus stop is 1 mile away. What does the planned coordinated care for patients look like? What is the ratio of social workers to patients? Are Scripps/Acadia working with the city to create bus routes to this hospital? Will Scripps/Acadia fund the additional Police, Firefighters and First Responders necessary to deal with an Influx of calls to the facility that will take away resources from our community? Police reports from other San Diego County psychiatric facilities suggest a high call number and your proposed hospital will be almost double other county facilities. What is the detailed evacuation plan should an earthquake or fire occur? It must be noted that adding anew facility of this male will cause an increase in call volume resulting in an Increase in response time from ambulances, fire, and police. Chula Vista currently does not have enough police and Eastlake has the fewest patrols assigned to handle Issues arising from the proposed facility orfrom those released. How will this be addressed? Police reports related to similar facilities In San Diego County indicate a high volume of calls to those facilities. Given that this facility will have a substantially larger bed count, data shows that the police call volume will likely also Increase significantly. As a result, if this deal were to move forward, any plans should include the construction of a fully functional police substation In eastern Chula Vista which has already been sorely needed. The costs for this facility should be funded solely by Acadia/Scripps to illustrate their investment in Chula Vista public safety. The Ideal location for this substation would be on a portion of the Showroom Place site. If not, it should be In Immediate proximity (within a mile) of this hospital facility as a maximum accepted radius. Acadia/Scripps should also be required to fully fund (at their sole expense) an additional 5-10 police officers and staff annually for an indefinite period of time until local safety concerns have stabilized post -opening of the facility, Finally, an appllcatlon for this facility at 830 & 831 Showroom Place was officially submitted by Acadia on 5/20/19. Apparently, the city will only be notifying residents that live 500 feet or less from the proposed site's property line unless you contact the city with your physical address, This email serves as my request to be notified in the future on this project by email (preferred) or mail. I would like to firmly state thatthe 500 foot threshold is unacceptable and should be expanded to a 3 mile radius since this facility can and will have a significant impact on the safety of area residents well outside 500 feet. Thank you for considering my comments. Concerned for our community, Zack Rattray and Family Caroline Yount From: Patricia Saivadan Sent: Thursday, September 19, 20199:22 AM To: Caroline young Subject: FW: Opposition to Eastlake Psychiatric Hospital: Outstanding Questions to be Answered FYL.. From: Briana Wyatt <_......... _ Sent: Wednesday, September 18, 2019 9:22 PM To: Patricia Salvaclon <psalvacion@chulavistaca.gov>; Kelly Broughton <kbroughton @chulavista ca.gov> Subject: Opposition to Eastlake Psychiatric Hospital: Outstanding questions to be Answered Waminsi E#ernal Email Pat and Kelly, I am a resident of Eastlake and I oppose the building of the Psychiatric Hospital at the currently proposed site at 830 & 831 Showroom Piece. I would like the following questions answered: 1, Does this hospital plan on verifying whether employees and patients are registered sex offenders? 2: Was a feasibility study conducted on 830 & 831 Showroom Place to understand what services would be needed? If so, please send It so we can review it. If not, why not? 3. What will unit 3A and unit 3B as listed in the conditional use permit application be used for? Currently, it states "patient mix to be determined" _ 4. Can Acadia provide a document showing the number of elopements per facility in 2018? 5. Why isn't Scripps/Acadia moving forward with the parcel of land on 4307 Third Avenue that is 0.5 miles away from Scripps Mercy Chula Vista and has been designated by the city to be used as a behavioral health facility? 8. Why isn't Scripps/Acadia building this at the Scripps Mercy Chula Vista location? 7. Can Acadia/Scripps provide readmission rates/statistics for all Acadia facilities from 2014- 2019? 8. How many sites did Acadia consider before selecting Showroom Place? 9. Why did they select a site 20 miles from Scripps Mercy Hillcrest and at the southern edge of San Diego County as a location for a regional psychiatric hospital? 10. Will they have ambulances transporting patients to or from the facility? If so, will the sirens be on? 11. What routes will transfers from Scripps Mercy Hillcrest take to Showroom Place take? What routes will transfer from Scripps Mercy Chula Vista to Showroom Place take? 12. How will outpatients without vehicles or a social worker get to their appointment at Showroom Place? The closest bus stop is 1 miles away. 13. What does the planned coordinated care for patients look like? 14. What is the ratio of social workers to patients? 15. Are Scripps/Acadle working with the city to create bus routes to this hospital? 16. WillScripps/Acadia fund the additional Police, Firefighters and First Responders necessary to deal with an influx of calls to the facility that will take away resources from our community? Police reports from other San Diego County psychiatric Facilities suggest a high call number and your proposed hospital will be almost double other county facilities, 17. What is the detailed evacuation plan should an earthquake or fire occur? Concerned for our community, Briana R. Wyatt, MBA, RYT Coach, Consultant, Speaker Caroline Young Subject: FW: Concerned neighbor of Rolling Hills -----Original Message ----- From: Rebekah Edwards [ --- -------- Sent: Friday, August 09, 2019 10:42 PM To: John McCann Subject: Concerned neighbor of Rolling Hills Warning: External Email As a resident in the EastLake community and Rolliughills, I would like to start off by saying thank you for supporting our community. As a member and a resident yourself, you understand that we have concerns. Both our kids have played in Eastlake Little League, attended Eastlake middle and would like to believe that we are vested in our community. In 2023 they want to build a psychiatric facility housing patience and 120 bed facility Next-door to my youngest son JACOB'S bus stop. Working as a paramedic, for the city of San Diego 911 system, I can tell you firsthand how dangerous this could be for our community and question the necessity and risk involved with partnering and permitting Acadia to build an 120 bed lock down Psychiatric facility down the street from tiny tots, kinder care, floaties, kid adventure, dance studios, etc. not to mention the two elementary schools and middle school within ear shot of kids playing and bus stops dropping off kids from 4.5-12 years old. I can tell you firsthand being a 20 year EMS provider for the 911 system for San Diego the dangers involved with neighboring these facilities, I have worked the districts that covered these facilities such as San Diego county mental-health off of Hancock Street. I know the increased 911 call volume related to both the facilities being in housed patient and released into the community. l can tell you firsthand the procedures and the patients walking the streets after being released from these facilities without a residential plan or continuous treatment. They can't force them to stay after their hold or tell them they "have to" do anything. It's part of "Patients Bill of Rights" I've picked up many patients who have their hospital bags and brown paper bags from the facility with the paperwork and prescriptions for medications still unfilled... having manic modes because they are off their prescriptions and released before they were ready or didn't finish treatment because the patient didn't want to. They have rights too... I have picked up these pt in psychotic episodes threatening by standards and chasing innocent people down with weapons, Metal poles, sticks, and sometimes knives and weapons. I work traumatic arrest after these such patients tried to challenge please officers and ended up getting shot. I'm picking up patients this aggressive they need to be restrained and sometimes chemically restrained due to the rest of them selves so that they can safely be transported back to the hospital only to repeat the cycle again. My question to you is why is this not being placed on an open forum meeting to discuss concerns about the psychiatric hospital. I find it concerning being a victim of these psychiatric patients having broken bones from work related incidents having my patients attack me In the back of my ambulance me being the paramedic and then the patient initiating medical need and calling 911. These patients in manic mode have cause physical harm including broken bones and having to get surgery... I would like to know you are not reaching out your community to hear their thoughts on this putting on a neighborhood forum that like Padilla is doing in his district for safety concerns. Your neighbor, ELMS morn, ELL mom and who checked you as my community rep, Rebekah Edwards Sent from my Whone