January 27, 2003 U.S. Department of Justice by fax (202) 307-1198 950 Pennsylvania Avenue NW Civil Rights Division Disability Rights Section - NYAVE Washington, D.C. 20530 Re: Americans with Disabilities Act - Unreasonable Institutionalization Endemic and Deliberate Title II Violations Introduction This is to call your attention to massive civil rights violations done in the ordinary course of business by the University of Maryland Medical System (UMMS), its affiliates, representatives and assigns. What distinguishes prolonged and illegal detention in a mental health facility as opposed to a jail or detention facility is that one is drugged unnecessarily and excessively by inept and incompetent persons and/or persons relying on a falsified record. Periods/Phases covered - October of 1999, continuing with outpatient "care" in the interim, inpatient "care" March through June of 2001. My delay in reporting to you is due to pursual of state remedies and the magnitude and breadth of the fact situations reported. This is normal, habitual, and customary behavior of the UMMS and is not limited to an isolated case. The UMMS pattern of willful, deliberate, and intentional courses of action lead to prolonged detention and poisoning by psychoactive drugs. This is a chronicle of a pattern of abuse of the mentally ill for professional and monetary exploitation. It is burdensome and dilatory, after a Petition for Writ of Habeas Corpus and an appeal to the Mental Hygiene Administration Office of Quality Assurance to no avail, to have to file a third application to the Department of Justice. The enormity and commonplace practices requires federal intervention: State mechanisms are ineffectual - State mechanisms have failed. Discussion: few, if any, of the mentally ill are capable of pursuing available remedies. Most mentally ill do not have English language skills or typing skills. People forced into group homes do not have unsupervised access to computers, printers and fax machines. The institutionalized mentally ill cannot access the Internet. Sending a "mentally ill" person to a group home or the State hospital system virtually guarantees remedies will not be invoked. This communication is at the risk of being diagnosed "grandiose" and "government conspiracy". With UMMS, this is justification for Police intervention, prolonged detention and coercive treatment with powerful psychotropic drugs. The following is a case study symptomatic of institutionalized violations of the Civil Rights laws, in particular, the American with Disabilities Act on Institutionalization - There is a pattern which is ingrained, habitual and done in the ordinary course of business a= Decision-making is based almost wholly on gossip, hearsay and innuendo. b= There is no fact-checking. c= Detention can be indefinite. d= There is a potential for loss of property rights without representation or clear justification. e= Treatment with psychoactive drugs is for the most part arbitrary and unsophisticated. There are implications for Baltimore City and probably Maryland and other states. This case study represents, as a whole, over $180,000 in billings from private, state and federal resources. I am requesting an investigation of UMMS and its representatives, affiliates and assigns. The investigation should not be limited to UMM Center as done by the State Office of Quality Assurance but to other affiliates of the University of Maryland System as enumerated below. Major Themes Pattern of unnecessary medical treatment. Comprises a pattern which is habitual, systemic, unethical, ingrained and imparted to the young as can be seen below. This is a pattern of unfairness to the patient. Negligence Negligence, by its nature, is not documented in the record. The Office of Quality Assurance therefore found none. 1= psychiatric medical records rely heavily on hearsay, gossip and innuendo 2= medical records are generated by self-interest 3= medical records are generated by self-protection 4= medical records are not empirical evidence I was put out on the darkened street outside the emergency room at 2:30 in the morning with nothing but a thin robe, a trench coat, bedroom slippers and two sets of keys - no cash, no credit cards - no cabs or public transportation running - no social worker appearing with cab fare or to offer a ride home - according to evaluation, questionable mental status. The only persons who could be seen lacked maturity or experience compounded by the fact that none of them (medical student or first year resident) spent more than five or ten minutes per day with the patient despite a billable allocation of at least $100 and sometimes $125 per day. In 1999, I was given a first year resident who could not carry on a conversation inn Standard English (Deng).The case was further delegated to a medical student who only knew to give the mini-mental exam. The medical student resisted any other form of conversation.
On March 8, 2001, the "emergency evaluation" (the second in two days), was done by first year resident Ece Tek and then Certified by a Dr. Worodi and Dr. Borromeo.
I was Certified for involuntary commitment by Worodi and Borromeo only through signature - they never saw me, they never examined me - Their Certification was only by word of first year resident Ece Tek.
The evaluation was falsified.
The evaluation was mainly predicated upon whether there were female beds upstairs.
The evaluation ignored that I showed up with a Blue Cross card.
The evaluation ignored that I went through intake answering all questions correctly.
The evaluation ignored that when I was asked if I wanted to see Balis I had mentioned that Balis was bald but that Rogaine was not the answer. I correctly associated baldness with Rogaine and with Doris Balis.
The Emergency Room withheld food for 17 hours on March 8 and sent me up to the ward without food - there was no food on the ward - This was not noted in the record. The Office of Quality Assurance therefore ignored it.
Social worker Janis Raynor scheduled the ambulance to go to the State hospital at 8:30 am - waking time and breakfast time. No respect or consideration of the patient.
Attending relied only upon first year residents or medical students - had no patient contact or interaction altogether. The effect of this negligence can be seen in the record by notations from Mary Ann Nichols ("trouble with analogies"); Melanie Coffman ("messages from the TV"); Joseph Mullen (incomplete and inaccurate information); Jennifer Oldham (talked her into prescribing crippling doses of neuroleptics).
Decisions were made:
1= despite absence of symptoms of alcohol withdrawal
2= refusal to recognize website
3= total reliance on the sayings of Sharon Lerner, LCSW-C, known to be of lesser intellect and reliability
4= No respect or consideration of the patient.
Records and Record-Transmittal
a= Consistent, willful, deliberate and intentional placement of false information into the medical record.
b= No fact checking - integrity of data is unreliable and/or deliberately falsified.
c= Little chance of being detected: patient or patient representatives unlikely to review the medical record; presumption rests with medical personnel
d= Guilty with no possibility of proven innocent: any evidence to the contrary is disregarded
e= Inaccurate and/or incomplete information - attempt to deliberately mislead - fundamental dishonesty
1= faulty, inaccurate reporting leads to presumptions that are never corrected
2= gossip, hearsay, and innuendo
3= artificial overdiagnosis mis- or disinformation - overmedication or mismedication
4= intellect and reliability of auxiliary personnel never called into question - reporting assumed
Faulty decision-making
a= The patient is in custody and control of inexperienced, ignorant first year residents who have advanced knowledge attending has no patient contact.
1= pattern of no advance preparation
b= The attending physician has virtually no contact with the patient
c= Pattern of delegated authority by reference - misrepresentation of credential
1= Dwain Howard - driver - "counselor" - "case manager"
2= Mary Ann Nichols - medical student - "clinician"
3= Shannon Greenwood - fat, ignorant slug - "counselor"
4= Sharon Lerner - silly, idiot with a social work degree - "therapist"
5= overuse of the word "team"
6= as a whole, unreliable and can't be trusted
7= violate and pervert doctor-patient confidentiality
d= attributing to pathology normal and reasonable behavior under the circumstances
1= AIDS patient using toothbrush
2= declining to take a bath with psychotic and mentally ill male patients roaming on the ward
3= speaking in Black English
4= Bipolar Realities
e= no respect or consideration of the patient
Emphasis on training, not treatment
a= pattern of unnecessary medical treatment
b= no respect or consideration of the patient
c= taken and held hostage by people with small minds and defective personalities - lesser intellectual capacity - necessity to "dumb down" to deal with them
1= hostage situation - drugged by amateurs perhaps inappropriately
2= teaching material, not patient care, without regard to outcome
3= On the whole, they don't know what they're doing.
d= consistent underestimation of patients
1= denial that the patient had a past history
2= denial that the patient had intellect
3= denial that the patient was worthy of respect and consideration
4= cumulative effect is condemnation and trashing of the mentally ill: psychiatric mutilation - mis-classification and inappropriate placements
e= infiltration of pharmaceutical companies
1= teaching
2= samples
3= research
False reporting of drug side effects
a= Risperdal
b= Neurontin
c= Benadryl
Ignorance and disregard of Maryland and federal law
State Office of Quality Assurance (Mental Hygiene Administration)
a= little or no authority
b= managed by a nurse with a master's degree, not an experienced person
c= serves to preview litigation - not a mechanism for redress
d= no monetary damages possible
e= UMMS response not disclosed to complainant
f= protectionist against the patient
g= no respect or consideration of the patient
Financial Ramifications
a= bolstering population, prognosis and patient days at the expense of private insurance companies, Medicare, Medicaid and Maryland Health Partners
b= insurance fraud - on a widespread, institutionalized, generalized, scale
c= second and subsequent records are, by their nature, also fraudulent in that they are relied upon despite good faith
d= unjust enrichment - false pretenses and attachment of benefits
e= no respect or consideration of the patient
Trends: no chance of "normalcy" - no chance of recovery - crippled by high doses of psychoactive drugs, condemned by false accusations of "history". Summary of Reasons for Captivity
1> Perjured petition of March 7 contrary to State law
2> Uncross-examined hearsay testimony of Sharon Lerner, LCSW-C
3> Uncross-examined perjured petition of March 8 (Diane Ossip)
4> First year resident uninformed by Lerner and Balis - false testimony at involuntary commitment hearing
5> Perjured testimony of attending physician at involuntary commitment hearing
6> Forced or coerced drug treatment
7> Defective clinical review panel Description of the University of Maryland System
For a patient to be officially registered as under the jurisdiction of any one or more University of Maryland affiliates means the potential arbitrary and capricious abridgement of 1st, 4th, 5th, 6th and 14th amendment rights. The Baltimore City Police are used as enforcement.
Summary of UMMS as a Psychiatric Entity
a= a not-for-profit independent entity
b= vested interest in overdiagnosis, overprescribing, increased security level
c= callous disregard of patient rights, being and dignity
d= no advantages in vertical integration - this is not a seamless, integrated enterprise - there is fragmentation, fractiousness and lack of communication among the parts
e= heavily invested in "Westside Redevelopment" - real estate in the environs of West Baltimore - expansion in housing and retail space
Economic Factors
a= Funding sources - blanket coverage without question
1= Maryland Health Partners - Mental Hygiene Administration
2= private insurance carriers
3= Medicare
4= Medicaid
b= ISSUE: MHP budget oversight - none
1= discrimination against the poor - MHP = carte blanche, blank check - victimization
2= blanket funding granted without cross-check or control or follow-up
c= availability of Social Security Disability funding - motivation to place in group homes d= ease of transfer to State hospital system, an extension of UMMS
e= should not ignore influence of pharmaceutical companies (major teaching source)
UMMS Subunit entities involved
a= UMMS Department of Psychiatry its affiliates, representatives and assigns
1= Chairman, Department of Psychiatry
2= Outpatient Clinic
3= Harbor City Unlimited
4= UMMC may be distinguished from UMMS - Inpatient 12-West
5= Baltimore Crisis Response, Inc.
6= Adult Day Hospital
7= Psychiatric Physicians Associates, P.A.
8= affiliation by extension with State hospital system
9= affiliation with the Sheppard-Pratt Hospital system
10= network of group homes financed by SSDI
a| learning vehicles for UMd social work and medical students
b= most share 410-328- phone exchange
- business cards are the same style and design
University of Maryland, by statute, is the "nearest emergency room": wide-scope geographic monopoly. The University of Maryland Emergency Room is the default destination for anyone in West Baltimore
The University of Maryland is a growth industry oriented to training, and accreditation, not patient care.
The University of Maryland and its excesses and abuses was ignored by the Circuit Court Judge and ignored by the MHA Office of Quality Assurance.
Lack of communication among the parts
a= defeats advantages of vertical integration, seamless integration
b= at no time was I examined by an experienced, intelligent doctor
1= protection of staff
2= atmosphere of mistrust
a| questioning medications taken as sign of pathology
3= adherence to hierarchy even if the hierarchy had no patient contact
c= cheapens and demeans personality
1= cursory, five minute encounters with residents or inexperienced social workers
2= don't develop rapport in five minute encounters
3= discounts sense of being
4= my veterinarian had more "people" skills
d= bottom line is that the mentally ill are disposable, trashable, exploitable for the state and federal benefits they can provide
Outpatient Department
a= Influence of Maryland Health Partners funding
b= frequency of visits in excess of that normally required
c= billings exceeding $400 per month
d= charging hospital rates even though practitioners are still in training
e= rates for social workers same as for M.D.s.
f= overutilization using Baltimore City Police to enforce "missing an appointment"
g= no respect or consideration of the patient
Billing Irregularities
a= "Compassionate Care Program" funded by MHP, Medicare and Medicaid
b= receptionist is not a receptionist but a "financial aid counselor"
c= billing at full rate to follow (invoices for hundreds of dollars issued regularly despite approval for $2 co-pay) Civil Rights Elements
Pattern of unnecessary medical treatment based on deliberately false or incomplete record.
14th Amendment - Due Process
a= emergency evaluation petitions
1= neither Shantisse White nor Diane Ossip had "examined" me
2= no harm to myself or other persons as corroborated by the Baltimore City Police
3= contrary to State law governing emergency evaluation
b= involuntary commitment hearing
1= false swearing
2= incompetent public defender
3= could not face accusers (Ossip and Lerner)
c= composition of clinical review panel
1= led by a doctor, who had a chance to chat on the ward, only asked, "What happened the other night?" "I walked home". Her response was not concern or sympathy, but "That's dangerous!" when in fact it was the University of Maryland Emergency Room that had put me in danger.
2= led by a doctor, who knowing I had spent 9 hours in the emergency room the night before and was released, and knowing there were three intruders in my house at her bidding, had only to say, "How much lithium do you have?"
3= led by a doctor who did not tell the first year resident about the fact she was prescribing Pamelor
4= led by a doctor who had been challenged as to medical records in the past
5= led by a doctor who had been told about violations of the Antitrust Statutes with regard to Rite Aid Corporation and who failed to tell the first year resident
6= led by a doctor who had failed to adequately supervise subordinates in the past - who had clear indication that the subordinate was incompetent
7= led by a doctor who had placed false information in the medical record in the past
8= led by a doctor who had steered me to Harbor City Unlimited (a project of the University of Maryland Department of Psychiatry) instead of Baltimore Recovery Systems, Inc. knowing full well there was a waiting list of five months and HCU did not provide detox services, only a "Getting Sober" group meeting at noon
9= led by a doctor who was fully aware of the defective intellect and reliability of social worker Sharon Lerner
10= led by a doctor who had every reason to believe I was not psychotic and not mentally ill
11= led by a doctor who didn't care I could lose my house, my dogs euthanized, that I could be put on SSDI with the proceeds going to the group home selected by social worker Janis Raynor
d= paperwork for the State hospital system
1= prepared by a social worker who had demonstrated hostility in the past
2= indicated involuntary admission but not voluntary nature of agreeing to transfer
3= paperwork was false and misleading, altering placement and diagnosis
Other Civil Rights Elements
1> summary arrest without probable cause
2> right to assist in one's defense
3> violation of search and seizure
4> admission of hearsay evidence
5> denial of access to attorney
6> denial of defense against present charges
7> denial of right to face accusers
8> improper administration of psychoactive drugs
9> ineffectiveness of attorney
10> First Amendment: Free Speech - Bipolar Realities
11> attempted accession of personal property without due process
12> attempted accession of Social Security benefits without due process
Exhaustion of State Remedies
1> Petition for Writ of Habeas Corpus
a= ignored by the Circuit Court judge - received a notice of closure after transfer to the State Hospital System 30 days later
b= ignored by the Department of Psychiatry
c= ignored by the resident then on duty
d= Janis Raynor, MSW: relayed the message in front of the nurses' station: "We're sending it back" - "Don't do it again." when the message from the Administrative Law Judge was they were sending it back to the Circuit Court for a hearing and I need not duplicate the effort
2> Involuntary Commitment hearing
a= ineffectiveness of assistance by the Public Defender
b= gossip and hearsay from outpatient social worker (Lerner) who was not present for cross-examination
c= incompetent first year resident (uninformed and flying blind)
d= no response from Administrative Law Judge despite two letters
e= perjured testimony from attending who had never spoken a word to me nor I to her
3> Listing of State Offices Approached
4> Office of Health Care Quality
a= ran into by accident only after petitioning members of the legislature, the DHMH and UMMS - no listing on the Internet
b= attachments to record of second hospitalization disregarded
c= Certification/Licensure no guarantee of accuracy or good faith
d= discovery phase against future litigation
e= Evidentiary Record: Medical Record disregarded
f= letters to Administrative Law Judge disregarded
g= no fear of state remedies and no respect, either
h= record of outpatient history disregarded
i= transcript of involuntary commitment hearing disregarded
5> Analysis: Failure of State Remedies
a= do not ensure accountability
b= promote continued violations
c= remedies limited to licensure - no monetary damages possible
1= Board of Physician Quality Assurance
a| criticized in the past by audit for failure to sanction
b| at issue for standards of proof
2= Board of Social Work Examiners
d= process is lengthy - may take a year or more to resolve
Obstacles for redress
1> Redress requires level of legal and medical expertise - I am not a lawyer or a doctor.
2> State remedies (Maryland Mental Hygiene Administration) weak if at all:
a= nurse with advanced training (BSN), not a trained psychiatric professional
b= disregarded attachments
c= disregarded supplemental information
3> The hospital's response to the Office of Quality Assurance was withheld from the complainant:
a= UMMC response was not made available for challenge or cross-examination.
b= The response was limited to UMMC and not UMMS.
4> UMMS is in custody and control of the medical record
a= cost of medical record prohibitive for most people
b= length of time for delivery in excess of 3 months
c= the patient requested admission summaries - got discharge summary instead
d= the record of medications is coded - impossible to discern
5> patient does not have subpoena authority
a= Office of Quality Assurance declines to exercise
6> patient is informed of availability of habeas corpus, but is offered no guidance or forms to file one. The patient must choose on her own the Respondent. The patient does not have access to photocopying equipment. The patient must compose the Petition while a roommate of the Hospital's choice rummages and destroys her belongings. The Bar Association has no one on the panel - the patient must petition pro se. The petition cannot be typewritten but in the handwriting of the petitioner. Mailing costs must be borne by visitors to the patient. Forma pauperis forms are not made available. Forma pauperis or $80 are required by the Court. The patient's checkbook and credit cards have been mislaid by the roommate chosen by the Hospital staff. No word processors or computers and printers are allowed. Hospital staff declined to sharpen pencils on the grounds it was too much work and harassing. Pencils and pens are brought in by the patient's visitors - they are not furnished by the Hospital. The Hospital furnishes only chart paper - visitors bring in regular paper. The patient must share pens, pencils and writing pads with other patients on the ward. Such patients include black male and female schizophrenics, psychotics and drug addicts, many with pending police charges.
7> The Office of Quality Assurance ignored anything having to do with other than the Hospital, including but not limited to the Outpatient Department, Harbor City Unlimited and Baltimore Crisis Intervention, Inc.
8> The Organized Bar - medical malpractice finding
a= first said I was O.K., therefore not medical malpractice
b= second said it takes $25,000 to mount a malpractice claim - we don't take them unless they're worth $250,000 even though you went through hell for three months
c= third said you have put on a presentation, you are talking to me, there's no damages
d= Bar Association - no attorneys on panel
9> For all these reasons, UMMS Psychiatry enjoy immunity - little likelihood of mechanisms of redress - finding of malpractice rare or non-existent.
10> Nothing more than a masque of professionalism - licensure, accreditation controlling factors
a= presumption of competence
b= assumed evidence of good faith Analysis of Medical Record from first hospitalization (in brief)
1> It was reported by Doris Balis, M.D. that I had a history of "multiple hospitalizations". It was not reported that I had not had a hospitalization for a period of nine years.
2> It was reported by Doris Balis, M.D., with whom I had exactly one 25 minute appointment, that I had a long history of non-compliance. It was not reported that I had a continuous history with the Outpatient Department without incident for a period in excess of two years.
3> It was reported that I tried to burn my bed on two occasions and that I went out to the street in my underwear. It was not reported that the source of the information was a tenant of mine who stole cash, credit cards and jewelry, forged my checks and pillaged my library. It was not reported that this same person set up a "drug den" in my basement, was familiar with involuntary admission, and wanted me out of the house so he could have it for himself.
4> It was not reported that on admission I was given a shot of Haldol IM. It was not reported that I spoke with a social worker thereafter. It was not reported that I slept face down on the linoleum floor. There is nothing in the record to suggest that I was interviewed under the influence of the drug Haldol. It was reported that I had a brooch and that it was returned to me. It was not reported that I handed the brooch to the social worker while under the influence of the Haldol. It was not reported that the brooch was never returned to me.
5> It was not reported or verified that my sister Janice ("family") had not seen me for a year and the source of her information, the tenant, was never verified, cross-checked or confirmed even though my sister Janice appeared on the ward on several occasions, was available for questioning, and was the star witness at the clinical review panel.
6> It is not reported that protocol demands that the patient sign papers upon admission to the ward. The papers relate to the right to an involuntary commitment hearing. The patient is compelled to sign without knowing the import or the implications of the document. Whether or not to grant a hearing is therefore at the discretion of staff.
7> It was reported that I "disrobed" in the day room. The day room was warm. I "disrobed" a jacket. I was still fully clothed after I "disrobed" the jacket
8> There are repeated entries about "being racial". "Being racial" denoted speaking in Black English. The ward was overwhelmingly black and overwhelmingly male. 40 percent of the staff spoke Black English, including 100% of the "counselors". One of the "counselors", Shannon Greenwood, threatened me in Black English. She was 5 foot nine inch and 300 pounds wearing a pea green skin tight sweat suit. I spoke back in Black English. I was sent to seclusion and the incident was reiterated by P. Tyler, previously discussed.
9> It was not reported that the assigned first year resident Deng could not carry on a conversation in Standard English.
10> It was reported that third year medical student Mary Ann Nichols was seeing me on a daily basis, but it was not reported that her examination at all times consisted of an (unwitnessed, unsupervised) "mini-mental" exam.
11> It was not reported that my insight told me Mary Ann Nichols, a person I surmised as a chocolate colored white girl with her kinky hair done up in a tiara, was not very bright, did not have much by way of personality, and was probably the pure product of Affirmative Action.
12> It was not reported that my judgment as well as tact caused me not to say anything. I questioned her motives and motivation.
13> It was on the grounds of Mary Ann Nichols MS III determination that I had no insight and no judgment that I was placed on the waiting list for the State hospital system.
14> It was not reported that patients with full blown AIDS are housed with patients who are HIV negative. It was not reported that on the first night the AIDS roommate defecated all over the room, housekeeping would not be available for five hours, causing me to sleep in the hall overnight, and thereafter the AIDS patient used my toothbrush and used my hairbrush.
15> It was not reported that patients were restricted to sample size bottles of Johnson's baby shampoo dispensed one at a time. Bar soap brought in by visitors was prohibited on the grounds of infecting roommates.
16> It was not reported that the population was overwhelmingly male, psychotic or otherwise mentally ill. They were known to "roam" into other people's rooms. Attempted rape or trespassing is not reported.
17> It was not reported that towels were hand towels and not bath towels. It was not reported that one could not cover one's body even with several towels available.
18> It was reported in a subsequent hospitalization that "hygiene was poor" as if indicative of mental illness.
19> It was raised at the clinical review panel that my neighborhood was sinister and dangerous. It was not raised that Stanley Faison had led my sister across North Avenue and down Pennsylvania Avenue rather than south on Martin Luther King Boulevard. It was not recognized that my house is in a stable, well-kept, middle-class, mixed neighborhood across the street from a well-kept park. It was not recognized that my sister Janice is afraid of black people and after her experience on North Avenue and Pennsylvania Avenue deemed the environs in their entirety were a ghetto inhabited by criminals and riff-raff. Events of March 7, 2001. Harbor City Unlimited and Outpatient Department
Department - illegal arrest
1> pattern of unnecessary medical treatment
2> I was scheduled for an appointment with social worker Sharon Lerner
3> Dwain Howard of Harbor City Unlimited came to get me
4> I appeared at the door and declined the appointment
5> I was wearing a thin, knee-length robe
6> I stated I was not going on the appointment
7> Hours later, the police came to my door shouting, "POLICE"
8> I immediately opened the door - I did not "barricade" myself
9> Nine police officers followed me to my kitchen. They had sent five squad cars and a paddy wagon. It was an observation and conclusion of the Baltimore City Police that I did not "barricade" myself in my house. It was an observation and conclusion of the Baltimore City Police that I was no harm to myself and any other person.
10> I was barefoot and wearing the thin robe.
11> I asked, "Do you have paper?"
12> They showed me a petition signed by Shantisse White
13> I had never heard of Shantisse White and never met her. Contrary to State Law, she had never "examined" me. Further, I was no harm to myself or any other person. Her statements on the form were outright perjury and complete invention without any basis in fact.
14> The Police cuffed me from behind and lifted me bodily out of the house and into a paddy wagon on my back. They put a trench coat over my shoulders and bedroom slippers on my feet. I was wearing no underwear and at least four police officers could see it.
15> They dragged me into a seat in the paddy wagon, still cuffed from behind, and strapped me in. Then they took me to the "nearest emergency room" - University of Maryland.
16> They yanked me out of the paddy wagon. It was painful.
17> The only rationale for this treatment was that I refused to go on an appointment with silly, idiot Sharon Lerner, LCSW-C.
18> At 2:30 am that night, they released me to the street wearing only the thin robe, the trench coat and the bedroom slippers.
19> I had no other choice than to walk home.
20> I put the burglar alarm on, fed the dogs, had food to eat and took a bath and, contrary to the report by P. Tyler, washed my hair. I then went to sleep. Events of March 8. Combination and Conspiracy: Harbor City Unlimited, Baltimore Crisis Intervention, Inc. and the Outpatient Department
1> pattern of unnecessary medical treatment
2> Although it was reported I "barricaded" myself in the house, on March 8, 2001, I admitted Dwain Howard (HCU) to my house. He instructed me to "leave the door open".
3> A young man, hardly more that a boy appeared at the door and I beckoned him come in, thinking he was with Dwain. (He WAS with Dwain.)
4> With the door open, two OTHER persons entered. A young woman, hardly more than a girl and an older woman who I found out later reading the "emergency evaluation petition" was Diane Ossip.
5> I locked the door. There were three intruders in the house.
6> The young girl placed herself on my couch and said to the effect 1 mg Ativan qd.
7> The young boy placed himself on a piano stool embroidered by my grandmother 50 years earlier, spinning as he went.
8> The young man said, "We're here to help you."
9> I said, "Can you fold and sort laundry?"
10> No, he said. "You don't understand. We're here to help you."
11> The older woman commanded (without examining me), "Get dressed". I was wearing a knee-length terry robe.
12> I tugged at the lapel of the robe. The young man shouted out, "She takes her clothes off in public!" even though I did nothing of the sort.
13> At this point, I knew these people to be intruders and were not there to help me.
14> The older woman asked if I would open the door so that she could use her cell phone outside. I complied.
15> She returned and said, "Talk to your doctor."
16> The doctor turned out to be Doris Balis. All she wanted to know was how much lithium I had.
17> I went upstairs and told her 270 sarcastically but if I looked around I could get another 300. I added (sarcastically), "I'm not in a coma, yet."
18> I went back downstairs the three and Dwain were all in the living room. Dwain pushed me into the kitchen with a heavy sweater, bra and panties where I was supposed to "get dressed" in front of the young girl. Dwain stood as a sentry outside the kitchen door with the door shut.
19> I bought time with this girl watching me putting on clothes.
20> Using her cell phone, Diane Ossip grew impatient and called the police. The police send one squad car with one (1) individual officer. Given the events of the night before, this was a CLEAR indication that the Police knew I was no harm to myself or to any other person.
21> I sensed a break in the action and ran upstairs.
22> When I came back down again, Ossip was engaging in jargon with the one (1) police officer.
23> I went back upstairs to get dressed properly for a mental hospital.
24> The police officer had essentially thrown them out of the house. As he left, the young man shouted, "She leaves the door open and her dogs run wild!"
25> After I was dressed, I went down to find the police officer sitting in the living room. I went with him in the front seat of the squad car, adjusting my hair which I had washed the night before. I read the "petition". It said no more than "Diane Ossip" and "psychotic, may harm herself." I had brought with me State ID, credit cards and a Blue Cross card.
26> I was encouraged by the release the night before and the fact the "petition" was lacking in any specificity. Furthermore, it was postdated and was a xerox copy. Diane Ossip had prepared it in advance without ever having seen me. The order, "get dressed" was the closest she ever came to examining me.
27> Upon intake at University of Maryland emergency room, I heard someone say, "She was here last night!" I proffered the Blue Cross card. The policeman had the two-page petition and turned it over for further processing. I answered all the intake questions completely and accurately.
28> It was not until the Involuntary Commitment hearing that Diane Ossip had substituted a SECOND petition, full of falsehoods. She was not present to be cross-examined and the Bar Association told me there was no one on their panel. I did not get a copy of the SECOND petition until after release from the State hospital and a three-month delay.
29> Diane Ossip was fully aware that the SECOND petition would be used as a sworn statement in an Administrative Law hearing. DIANE OSSIP is guilty of PERJURY and FALSE SWEARING contrary to Maryland law.
30> Further to the Outpatient Department, I found out later that I was accused by Sharon Lerner, LCSW-C, that I had "barricaded" myself and that I had been found wandering the streets in a thin nightgown.
31> The accounts of Dwain Howard, Harbor City Unlimited, Sharon Lerner, LCSW-C, Outpatient Department, and Diane Ossip, Baltimore Crisis Intervention, Inc. are at odds with each other and are at odds with the conclusions of the Administrative Law Judge. Commentary on Emergency Evaluation
1> Deliberate violation of Applicable Maryland Law utilizing the Baltimore City Police to enforce institutionalization of emergency evaluation, and testimony at involuntary commitment hearing. The three elements for emergency evaluation were not met either on March 7 or March 8:
a= the petitioner has examined the patient
b= the patient is a danger to herself
c= the patient is a danger to others
2> routine is administration of Haldol not as the patient presents but to prepare for the many hours wait for "processing".
3> entered into the record that "barricaded" oneself
4> forms are filed at the slightest pretext
5> no requirement that the patient be "processed" within a certain time frame
6> resort to Baltimore City police to enforce appointment schedules
7> Shantisse White / Sharon Lerner / silly, immature, idiots
8> access to credit card records from family members - social security number, date of birth, mother's maiden name - credit cards removed during strip search
9> Adult Psychiatry Unit - "disheveled" equals mentally ill
10> The only thing I know about Shantisse White is that she is black, ignorant and stupid. I never met her. I never heard of her. She never "examined" me in accordance with State law.
11> bloods are taken in violation of the 5th Amendment
a= if positive for CDS, later used to detain indefinitely
12> Diane Ossip / Doris Balis
a= The Baltimore City Police Department concluded that I was no harm to myself and no harm to other people.
b= combination and conspiracy with Harbor City Unlimited
c= ignored by the Office of Quality Assurance
d= full knowledge and acquiescence of Doris Balis
e= at the direction of Doris Balis
f= Ossip is a liar and a criminal - She generated the purported document which she knew in advance would be used at an Involuntary Commitment hearing, immune from cross- examination.
13> I did not "barricade" myself in the house
a= I declined to go on a social worker visit
b= I did not answer the phone
14> I refused to let the thug from Harbor City Unlimited (Dwain Howard) to have free and unfettered access to my home.
15> I was barefoot, in a thin robe, making a cup of tea.
16> I was negligently ejected me from the Emergency Room at 2:30 in the morning with nothing but a light cotton robe, a trench coat, two sets of housekeys and bedroom slippers
a= was reported the next day by Sharon Lerner that Dwain found me "wandering the streets" with nothing but a thin robe
b= Balis: That's (proof of) dangerous. As if to absolve UMMS from any responsibility for putting a woman out on the street alone at 2:30 am with no money and wearing nothing more than bedroom wear.
17> Neighbors poured out of the houses to see what was going on with the five squad cars and paddy wagon.
18> Perjury: Shantisse White and Diane Ossip
19> Per Maynard Franz of Harbor City Unlimited: Missing an appointment is enough to have the Police called and the person approved for MHP funding dragged in.
20> The Police sent five squad cars and a paddy wagon.
21> They don't know about law - they don't know about ethics - and they have no respect for the patient. Involuntary Commitment Process
1> chief criteria for admission is whether there are female beds available - forms are filled out accordingly
2> Certification is by signature only - not examination of patient
3> Intake Procedures: whether to allow Involuntary Commitment hearing is discretionary - at the election of staff
4> at that point, I knew I had a case for malpractice but the Bar Association had no one who would handle the case.
5> emergency petition(s) would have been deemed inadmissible in any other legal proceeding
6> involuntary commitment hearing before Administrative Law Judge
a= reliance on gossip and hearsay of Sharon Lerner whose intellect and reliability was never questioned
1= "barricading" inside my house
b= incompetent resident
1= Department of Defense instead of Department of Public Safety
2= poor listening skills
c= reliance on perjured uncross-examined document by Diane Ossip
d= ineffective assistance of Public Defender
e= grounds given: refusal of Risperdal on grounds of allergy and side-effects
1= history of 1999 admission never mentioned
f= Sharon Lerner via attending: house infested with mice
g= perjury on the part of the attending
1= she had never examined me; she had never established eye contact with me
7> Hospital did not disclose "exculpatory evidence" - release from custody the night before by Dr. Butler - the fact that Ece Tek's evaluation strongly contrasted with Joseph Mullen's evaluation. The fact that doctors Worodi and Borromeo never saw me but Certified me nevertheless. Sufficiency of Clinical Review Panel
1> composition not a matter a law, but of custom
2> no formal record of those present except in discharge summary
3> no opportunity for a second opinion
4> particulars not spelled out by statute
5> ramifications for institutionalization; disposal of property; euthanization of domestic animals; hospital days; insurance reimbursement
6> Four persons present:
a= doctor as described under Civil Rights elements (Doris Balis)
b= first year resident who had not grasped the concept or significance (Jennifer Deniece Oldham)
c= hired high school graduate thug (Dwain Howard, Harbor City Unlimited)
d= social worker who had never spoken to me (Janis Raynor) Unnecessary and/or Forced or coerced Drug Treatment
1> Haldol - given upon admission to ER without regard to status of patient - prepares patient for many hour wait to be processed
2> Ativan
a= Unnecessary Treatment for Alcoholism
1= do not rely on empirical evidence in favor of gossip, hearsay and innuendo
2= no signs of alcohol withdrawal in emergency room March 7
3= no signs of alcohol withdrawal in emergency room March 8
4= testimony of Dwain Howard that I had quit two weeks before
5= given Ativan upon admission
3> Risperdal
a= had an allergic reaction during 1999 admission
b= found that the drug cost more than $300 per month
c= Balis was countermanded - 20 mg loxapine substituted
d= refused during the 2001 admission
e= was made an issue at the involuntary commitment hearing
f= Risperdal salesman conducted seminars with free food once a week
g= Risperdal is proprietary with the Department (Conroy) - (receiving stock options and portion of the proceeds)
h= failure to disclose to the Administrative Law Judge
4> Neurontin
a= Jennifer Oldham scouted about for a drug I would accept naming five or six options that I had never heard of
b= Neurontin picked at random
c= given high poisonous doses
d= Jennifer Oldham was not able to recognize Neurontin poisoning
5> loxapine 40 mg
a= See the handout "Bipolar Realities"
b= Jennifer Oldham resented the statement that she was NOT "the dregs of her medical school class".
6> Seroquel
a= Based on the incomplete and inaccurate record from UMMC, the State hospital doctor prescribed high doses of Seroquel.
b= In order to gain discharge, I complied. Factual Summary
1> Social work
a= social worker unnamed - stole brooch I had upon admission
b= Sharon Lerner, LCSW-C, silly, immature idiot
c= Janis Raynor, MSW, ugly, malignant
d= via ignorance and negligence, contributed to the diagnosis of poor social support
2> Certifying Physicians - cosigned forms filled in by first year resident Ece Tek - never saw me, never talked to me - cited as authoritative during Involuntary Commitment hearing
a= Worodi, Borromeo
3> first year residents
a= three different evaluations over a 72-hour period
1= Butler - release to outpatient treatment
2= Ece Tek - involuntary commitment
3= Joseph Mullen - appraisal not rising to involuntary commitment
4> emergency evaluation petitions
a= police sent five squad cars and paddy wagon March 7
b= police sent one solitary officer March 8 Physicians Involved
1999 Admission
a= Doris Balis
1= exhibits pattern of conduct:
a| deliberate falsification of medical record
b| assumes gossip as facts
c| no interest in patient care or responsibility but self-preservation
d| practices defensive medicine by putting false information into the medical record e| teaches others to do the same
b= Deng - 1st year resident - could not carry on a conversation in Standard English - supervised and cosigned Mary Ann Nichols MS III
c= Mary Ann Nichols MSIII - chocolate colored white girl with her kinky hair done up in a tiara - I had the insight that she was not very bright and she was purely the product of affirmative action - I had the judgment not much the tact not to say anything - it was on her conclusion that I had no insight and no judgment to qualify me for the State Hospital system
d= Melanie Coffman, 1st year resident - approached me at a distance of twenty-five feet in the presence of several other patients when I had never been introduced to her or knew she was "in charge" of my case. She wanted to know if I was "still" receiving messages from the TV. I turned to regard the "Jerry Springer Show" "Teenage lesbians with multiple lovers". Sarcastically, I responded yes, I am receiving messages from the TV. Melanie Coffman trotted back to the attending and reported in the affirmative. In the clinical review panel to follow, Melanie Coffman, as the first year resident in charge of the case, stridently advocated placement in the State Hospital System. She was also responsible for the Discharge Summary.
1999 - Adult Day Hospital
a= Philip Grob - relying on inaccurate and incomplete record
1999 - 2001 Outpatient Treatment
a= They haven't been trained, they don't have judgment or insight and don't know what they are doing
b= They generate in excess of $400 per month in billings together with the social worker
c= Iacopovich - described as "incompetent" to social worker Sharon Lerner - Pharmaceutical company gave her a free sample of Zyprexa - Zyprexa caused abject depression, diarrhea, massive weight gain - never cognizant of the condition - another pharmaceutical company gave her a free sample of Seroquel -
1= relying on the false record created during the 1999 hospitalization
d= Balis (attending and supervisor of Iacopovich and DeGuzman) - prescription for Ambien masked symptoms
1= generated the false record created during the 1999 hospitalization
2= Was told in an outpatient appointment:
a| I would prefer not to go back to DeGuzman
b| When that didn't work: I have no confidence in DeGuzman as a clinician.
c| When that didn't work: DeGuzman is incompetent.
e= DeGuzman - described as a "blithering idiot" to Sharon Lerner
1= "throwing things out the window" amounted to nothing more than unlit cigarettes at the request of a neighbor - approached me with hostility and antagonism
2= got lab results indicating toxic level - was unable to interpret them - prescribed 225 lithium anyway without instructions
3= inability to sleep - could not prescribe - did not recognize the effects of a tricyclic antidepressant - instead requested 12-week chart of sleep cycles - prescribed warm milk, pasta and no television
2001 Admission
a= Butler - discharged me at 2:30 in the morning with only a trench coat, cotton robe, bedroom slippers, two sets of housekeys, no money whatsoever -
b= Balis - in a brief encounter in the hall asked what happened the other night. "I walked home", I said. "That's dangerous!", she said, absolving the Hospital of any negligence. "I will reassign you to Dr. DeGuzman." No more was said or inquired. Balis knew for sure at this time that the account of Sharon Lerner was false. This had ramifications in that Balis would conduct the clinical review panel. She had the opportunity to talk to me privately but didn't take it.
1= withheld evidence from receiving first year resident - medications I was on - Rite Aid Corporation liability - connection with the State Department of Public Safety
c= Diane Ossip - no intent to examine - conclusion was a foregone conclusion - at the beck and call of Doris Balis - tendered perjured documents after the fact knowing full well they would be used in the involuntary commitment hearing
d= Angela Udebiuwa, attending physician
1= lacked critical judgment of residents under her supervision
2= not even eye contact whatsoever with the patient
3= perjured herself in Involuntary Commitment hearing - claimed to have examined me but in fact did not
e= Joseph Mullen
1= I was smarter than he was. I was a better psychiatrist than he was.
2= condescending, confused mental illness with mental retardation
2= thought himself to be knowledgeable but was not
3= evaluation was at diametric opposite to that of Ece Tek
4= ignored most of website
5= immature, arrogant, egotistical and self-centered - doesn't admit to his mistakes
6= intellectually inferior
7= lacked insight and judgment
8= medications were administered at the convenience of staff
9= never communicated with Doris Balis
10= no insight, no judgment 1
11= relied exclusively on Sharon Lerner
12= unwilling or unable to carry on an intelligent conversation
13= weak excuse of a human being - a boy who hadn't grown up
f= Jennifer Oldham
1= I was smarter than she was. I was a better psychiatrist than she was.
2= Likes to think of herself as sophisticated, but is a stupid, ignorant, neurotic, Lesbian
3= an avowed Lesbian with Lesbian sadistic proclivities
4= thought herself to be knowledgeable but was not
a| induced the attending to prescribe crippling doses of neuroleptics
b| informed me that Balis was in charge of the State hospital
c| informed me that Udebiuwa was in charge of all medication decisions
d| knew in advance that Adebuiwa was not going to examine or question
e| falsified condition to attending physician Udebiuwa
f| failed to recognize or acknowledge Neurontin poisoning
g| prescribed crippling doses of neuroleptics
h| reacted badly to "Bipolar Realities"
i| deliberately, intentionally and willfully falsified the discharge summary
3= condescending, confused mental illness with mental retardation
4= inability to think in more than one dimension
5= no insight, no judgment
6= unwilling or unable to carry on an intelligent conversation
Keun Yu, Spring Grove Hospital
a= did not disclose an affiliation with UMMS
b= made the assumption that the written record from UMd was credible - paid especial attention to the admission summary prepared by Joseph Mullen - ignored any other content of the interview
c= on that basis and for little or no other reason, prescribed Seroquel at high doses Auxiliary Personnel
1> weak, defective, no insight, no judgment, dependent on gossip, hearsay and innuendo
a= Elise Brown, RN - evaluation missed the point (summary enclosed)
b= P. Tyler (summary enclosed)
c= Social Work
1= first admission - stole brooch in emergency room while I was drugged with Haldol
2= Sharon Lerner, LCSW-C
a| never visited my house - was never on-site - relied exclusively on Dwain Howard, whom she met only once
b| purportedly experienced psychiatrists took as prima facie evidence her:
1| intellect and reliability
2| arbitrary and capricious - immature and inexperienced
3| intellectually inferior
c| unable to separate fact from fantasy
d| I used to tell her about mice because she was obviously an intellectual inferior - sure enough it was reported that my house was infested and the Administrative Law Judge asked about a "Clinical Review Panel"
e| her Jewish calendar ran out with Rosh Hashana and Yom Kippur - she was unable to set an appointment - everybody else in the Department had calendars from drug companies
f|reported that I had "barricaded" myself in my house when all I did was refuse entry to Dwain Howard
g| reported that I had been found wandering the streets in a thin nightgown - no truth to it - Dwain found me inside my house in a terry robe behind a locked door with the burglar alarm set
h| reported that my house was infested with mice - did not report that I had bought mouse-proof containers and had switched from bar to liquid soap and that I had cut off mouse-holes with steel wool
i| "throwing things out the window" - did not report that I would throw an (unlit) cigarette from the second floor to a neighbor who requested it
j| at Spring Grove, why doesn't she want to take a bath - Lerner came up with a "mouse" story which was fanciful and inappropriate
k| did not report my conversation with the Senior VP of Rite Aid Corporation
l| did not report that I had contacted the City about the lights at a particularly dangerous intersection and the City responded by fixing the situation almost overnight
m| did not report that I had embarked on an analysis of the billing system
n| did not report that I referred to Iacopovich as "incompetent" or that DeGuzman was a "blithering idiot"
1| promised me that DeGuzman was going out on maternity leave
o| During inpatient hospitalization, referred my sister to an attorney with a clear conflict of interest: wanted a thorough accounting of everything I had so he could "fix things" with the University of Maryland.
p| might have told her but glad I didn't: I prefer the house smell like dogs rather than Lysol and ammonia. Translation by Udebiuwa: She lives in filth. Her life is controlled by animals.
3= Janis Raynor, MSW
a| believed everything that was said by Sharon Lerner
b| never interviewed me
c| participated in a clinical review panel nevertheless
d| consistently said You disgust me - you're disgusting when I didn't have street clothes to wear
e| directly responsible for the diagnosis of "poor social support" even although not one but two persons were visiting my house twice a day to take care of my dogs. Ignored those persons on the visiting list.
f| when I told her I wanted to go home to be with my dogs, she responded by saying, "You don't CARE for them." even though she had no information or had spoken to a witness.
g| posted newspaper column (Cowherd, April 26, 2001) prominently in a public corridor while saying I was "out of control" - I was in control enough to say I had never done illegal drugs, had never been in and out of a broken marriage, had never spent thousands of dollars - "It doesn't matter," she said publicly, "YOU'RE OUT OF CONTROL!!!"
h| scheduled the ambulance to the State hospital at 8:30 am - waking time - was denied breakfast that day.
i| Janis Raynor was responsible for all outpatient placements from the ward, including but not limited to group homes and halfway houses. A Word About Harbor City Unlimited
a= Harbor City Unlimited was required as a condition of getting out of Spring Grove Hospital.
b= A dark black female who obviously spent more time on her nails than on her brains was introduced to me as a "Case Manager". She chattered about her maternity leave and her "delivery" to the social worker at Spring Grove. I cut the conversation short. I never saw that female again.
c= Dwain Howard, the hired thug with the high school education, plotted out my "exit" requirements. Among the requirements was "Being Sober" five days a week and "Computer Class" three times a week.
d= After discharge, Dwain Howard felt that he could enter my premises at any time for any reason or the police could be called. He at one time barged up to my upstairs living area to "inspect" my computer. I had a 786 with 128K RAM, running Windows Millennium and a 3 GB hard drive. HCU had four (donated) 486 computers, two of which ran Windows 3.1 stripped of all software including Notepad except games. "Heather" went out on maternity leave taking the passwords to the 486s running Windows 95. Maryland Health Partners were financing "Computer Class" for "members" of HCU. "Computer Class" consisted mainly of envelope stuffing.
e= "Being Sober" met at noon and consisted of a motley assortment of brain damaged and multiple addicts led by a first-year social work student. Each participant's participation was charged against Medicare, Medical Assistance or Maryland Health Partners. If I refused to go to "Being Sober", the Police would have been called to my house to take me for an emergency evaluation.
f= I was assigned to another driver (aka "flex counselor") named Maynard Franz. Maynard took me to Annapolis on two different occasions. On one of those occasions, I asked about a Shantisse White. Maynard didn't know about a Shantisse White.
g= I received a call from an Ian Henderson (Maynard's boss) about Medicare eligibility.
h= Maynard's phone box became full and I never heard of any of them again. There was no written discharge - No cut off from MHP. No police at my door. Missing from the Medical Record
1> Roommates - how many, how often:
a= AIDS patient who defecated all over the room; used toothbrush and hairbrush
b= psychotic patient who rummaged through all belongings, put on my clothes, went through personal papers and attempted to destroy my Petition for Writ of Habeas Corpus - put in seclusion many days at a time
c= rape, attempted rape and voyuerism are not reported or are reported at the fault of the female patient
2> I was able to send and retrieve Internet email over the telephone
4> Newspaper - regularly read when available
5> attending never actually spoke with the patient
6> never missed a scheduled group
7> paid all bills on time - maintained an excellent credit rating throughout as TransUnion and Equifax will prove
8> threatened by Shannon Greenwood, 5'9", 300 lb. "counselor" in a pea green, skin tight sweatsuit - in Black English 10> Ignored / Disregarded
a= The ability to spell WORLD backward was the only test of cognitive ability available.
1= Patients at UMMS were not permitted to have cognitive ability beyond that of medical students or first year residents, which was very minimal.
b= can she name the current president and five presidents before him
1= is knowledge of the current president indicative of mental illness
c= can she play a musical instrument
d= can she solve algebraic equations
e= does she exhibit eye-hand coordination
f= how does she know the day, date and season of the year when there are no clocks, no calendars and windows that look only on brick walls
1= are the day, date and season of the year criteria for the diagnosis of mental illness?
g= is she fluent in a foreign language
h= what are her powers of concentration
i= what is her attention span
j= what is her relationship with other patients on the ward
1= can she diagnose other patients on the ward accurately 11> Visitors - never recognized or approached by Janis Raynor, MSW 12> Hygiene, a major criteria for the diagnosis of mental illness:
Johnson & Johnson's baby shampoo - sample size. Issued one at a time
for budget reasons. Bar soap brought in by visitors was confiscated
on the grounds of "germs".
a= regular tissues ("Kleenex") not available - issued small boxes of "Kimwipes" 13> diagnostic category of "disheveled", considered a major criteria for the diagnosis of mental illness = casually dressed - no makeup, no jewelry. Mental Hospital Milieau
1> high patient turnover - high volume billing
2> TV dysfunctional - couldn't change the channels on the TV
3> incomplete board games
4> no exercise, no outdoor exercise
5> no outdoor recreation, no indoor recreation until somebody donated two ping-pong balls
6> only one video in possession: Shaft - where people hold guns on other people's heads - beatings without provocation - violent car chases
7> plaything for medical students
8> plaything for research
9> removed the refrigerator and never replaced it Function as a Teaching Hospital
1> "Group (therapy)" - a learning, teaching device
a= consisted of 25 minutes in the mornings
b= Jennifer Oldham was known to blurt out, "It's not that the toilet is clogged, it's how you FEEL about the toilet being clogged."
c= Oldham was likened to the Saturday Night Live skit of the two women putting on a radio show for National Public Radio.
d= There was NOTHING in those morning sessions to teach or bestow experience in group therapy.
2> assumption made that credentials equate to competence
a= lack of personal integrity, lack of ethics
b= no rapport - no attempt at rapport - mechanical - established protocols - no deviation - no insight, no judgment
3> pattern: the attendings have no patient contact
a= patients are exploited as teaching material without real teaching
4> accreditation standards
a= certification does not mean qualified
b= meaningless credentials - academic garbage
1= presumption of competence
2= LCPC - Shantisse White
3= LCSW-C - Sharon Lerner
4= M.D. - Joseph Mullen and Jennifer Oldham
5= MSW - Janis Raynor
6= RN and RN, BSN - Doris Ford
5> medical records indicate otherwise
6> overutilization enforced by unethical and illegal means
a= residents treated as if they have no judgment or discretion
7> Residents Cheated - Source of Cheap Labor only:
a= by given false and/or incomplete information on admission
b= by never being able to develop a rapport - never get a sense or in-depth knowledge of mental illness
c= by not being given supervised instruction on examination (Mary Ann Nichols)
d= cumulative effect of laissez faire, unaccompanied patient care is that they don't know what they're doing even after their residency is completed (Iacopovich, DeGuzman)
e= demand of the job is to fill out forms without knowing what significance the forms have (Ece Tek)
f= experimental, uninformed bases for prescribing decisions
g= immature, incompetent and/or unqualified persons
h= lack of ethics
i= overvalued subordinates
j= pharmaceutical companies are the only entities doing any instruction
k= unverified information
l= use of uncertain information to condemn patients Release of Information:
The Affirmation below is my consent that the Department of Justice at their discretion access the records including but not limited to:
1> Baltimore Crisis Intervention, Inc.
2> Baltimore Psychiatric Associates, P.A.
3> Harbor City Unlimited, a project of the University of Maryland Department of Psychiatry
4> University of Maryland Adult Day Hospital
5> University of Maryland Center - 12 West
6> University of Maryland Outpatient Department of Psychiatry Affirmation:
I hereby swear and affirm that the foregoing is true, accurate and complete to the best of my knowledge, information and belief.