Monday, October 12, 2015

Ask for Thee

As the gun advocates or proponents on either side of that already worn down fence have argued that the mentally ill are the problem. Then we have the prison problem with 40% or possibly more being incarcerated with mental illness.

Then we have the homeless problem with largely mentally ill subsisting in the streets. And lastly we have state run institutions that serve as alternatives to incarceration which are not much better at serving the needs of the "patients."

 Let's face it we have underfunded every thing in America, from Education to Health Care to Infrastructure. It began just over 30 years ago and now the great trickle down philosophy, economic theory has been well tested, well worn and needs to be tossed out with those bootstraps you are using to prop yourself up with.

The rise of income inequity once again was acknowledged in the Nobel Prize for Economics. Last year it was the widely debated book by Thomas Piketty. And this winner had covered this territory before Mr. Piketty but regardless it is about the same subject matter. Angus Deaton wrote, The Great Escape: Health, Wealth and the Origins of Inequality, argues that a more sophisticated analysis of economic data shows that while most people in the world have gained in terms of health and well being from GDP growth, there are many groups that have missed out. Welcome to the world of our discontent.

Ask not for whom the bell tolls, it tolls for thee. And the bell is ringing loudly with regards to how we treat the poor, the sick and the needy. This is about Washington state's mental health facility, one well fraught with history and incompetence.

Some people never learn and some of those people are highly educated, odd. Well heard Ben Carson speak? And I suspect some of the mistreatment is largely due to staff alienation, compensation and training and of course their own personal bias and beliefs as I discussed in Death by Acronym. I wonder what labels adorn the charts of those in their "mis" care?  

Western State Hospital in trouble with federal officials  

Three times in the past year, federal regulators have threatened to cut millions in funding to Western State Hospital because of unsafe conditions.

The Associated Press

 Federal regulators said conditions at Washington state’s largest psychiatric hospital were so dangerous for patients that they threatened to cut millions of dollars in funding three times this year. The state agency that oversees Western State Hospital said Thursday it is addressing the problems but that it needs more money and staff to make the facility safe.

The federal Centers for Medicare and Medicaid Services sent 90-day termination notices to the Pierce County hospital in January, March and September after inspectors found it failed to ensure the safety of patients. The violations ranged from failing to supervise violent patients to broken fire alarms and smoke detectors, according to documents obtained by The Associated Press.

 The loss of federal funds would be significant: The 800-bed hospital receives $4.7 million from Medicaid and $11.2 million from Medicare each year. Federal regulators’ series of threats in such a short period of time reflects serious problems with the state Department of Social and Health Services’ mental-health division, said David Carlson, a lawyer with Disability Rights Washington.

 “It’s operating at its limits right now,” Carlson said. “When there’s not appropriate staffing, bad things happen.” Carla Reyes, acting assistant secretary for the department’s Behavioral Health and Service Integration Administration, which oversees the state’s mental-health services, said patient safety is a priority but the agency needs more than the $9.4 million added to the latest budget.

The department is asking for supplemental funding to hire staff needed to maintain accreditation status and operate safely, Reyes said.

 The warnings are among a list of troubles facing the state’s mental-health system. In April, a federal judge issued a permanent injunction against the agency for failing to provide timely competency services to mentally ill people charged with crimes. And the brother of a patient who died after choking on an orange in the hospital’s dayroom while staff walked by has sued several workers.

 The federal violations in March resulted from a surprise fire inspection that found broken fire alarms; problems with walls and doors that should stop smoke and fire from spreading; and the absence of a fire-watch system for some buildings.

Another March survey resulted in 57 pages of violations, including problems such as failure to monitor restrained patients; medical supplies that were years beyond their expiration dates; unsafe electrical outlets; and soiled showers and bedding, regulators said. In the other two notices, regulators said the staff failed to properly respond to violent patients — problems that were reportedly fixed the first time. The January notice came after two patients attacked three employees.

Under hospital policy, the patients should have been transferred to a special unit. One was kept on the ward, not properly supervised and threatened more violence before being moved five days later.

The hospital resolved the problems after the January warning to “make sure it didn’t happen again,” said Stephanie Magill, a spokeswoman for the Centers for Medicare and Medicaid Services. But two patients got in a fight Aug. 15.

 One was placed in restraints and sedated, and the other was able to attack him with fists and a shoe. That incident resulted in the September notice. A correction plan has been submitted and is under review, Magill said.

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