Comprehensive Mental Health planning new 16-bed mental health facility

Central Washington Comprehensive Mental Health Crisis Center 

the addy for this pic: http://www.cwcmh.org/img/jailPic.jpg #howNOTnice but it is apropos...

via Tri-City Herald:
By Molly Rosbach, Yakima Herald-Republic
Yakima Valley Memorial to close psychiatric unit

I wonder if it has to do with the illegal commitments? When people are Court Ordered, the SOW picks up the tab, instead of the $ coming out of Yakima County's MH funds. Central Washington Comprehensive Mental Health has a way of conducting business in a manner that is less than legal. Specifically, staff have been known to have people who are seeking to be hospitalized, illegally detained, then Involuntarily Committed. Staff then shred the original Superior Court Documents, to cover up the crimes committed. It is (obviously) illegal to shred original Court Cocuments. It is a felony crime to commit forgery and/or perjury, each is punishable by up to ten years in prison here in Washington State.

Nancy Sherman, Designated Mental Health Professional, committed both forgery and perjury, and psychiatrist, Jeffery Jennings, committed perjury when my son sought to be hospitalized. Jennings also provided negligent and unethical care; in the eight days he was my son's 'dorktor," Jennings intentionally did not speak to anyone who knew my son. Even though he had his GP's, his Psychiatrist's, his Counselor's, his brother's, and his mother's contact information. Jennings also entered into my son's Hospital Chart falsehoods about my son's medical history, he also put him back on a Benzodiazepine at TWICE the dose he had totally withdrawn from, due to Cardiac risk, all of this information was available to Jennings in records that were in my son's chart. Jennings also entered into the medical record that he released my son when he did, because I made him! How this could be when we never spoke the entire time he was my son's 'attending physician.' (Jeffrey Jennings would not return multiple messages I left for him, at the hospital and at Central Washington Comprehensive Mental Health where both he and Nancy Sherman are employed)

The thing is, Memorial is not, as the kids say, "down with" violating Federal Law, violating people's rights; much less, violating a multitude of laws and multiple people's rights...The way CWCMH conducts business, puts Yakima Valley Memorial Hospital in a position of liability. This a business decision, and probably not due to the $ paid by Medicaid---if that were the case, Memorial would have done this before now...They have never been adequately reimbursed for State Medicaid clients. Anyone not in a coma, with a modicum of critical thinking skills, would comprehend the serious liability it is to conduct business with an organization whose employees casually violate Federal Laws.

Strangely, it seems CWCMH has a secret rule that says there is nothing wrong with employees committing Felonies and then SHREDDING ALL THE ORIGINAL COURT DOCUMENTS to cover their tracks. Designated Mental Health Professional, Nancy Sherman committed forgery and perjury, psychiatrist, Jeffery Jennings committed perjury; as well as knowingly entering false information into my son's medical record, which is also a Felony. The CEO of Comprehensive, Rick Weaver at first tried to tell me that the County Clerk, lost the missing documents; saying the clerk, "loses Court Documents all the time." Less than politely, I told him I didn't believe him. He then said, there was nothing wrong with shredding Original Court Documents, stating, "We do it all the time." Unethical, illegal and just plain dishonest; and soon to be the only option; as the Church Lady on SNL used to say:

read Yakima Valley Memorial to close psychiatric unit here 

The preceding is the comment I left on the local paper's online website. I discovered the link was broken and linked to the Tri-City Herald posting my comment there and republishing it 1-3-2012 

When my son was illegally committed in Yakima County for six months in the community four days after a fouteen day order for inpatient commitment was obtained, the hearing lasted all of one minute and twenty-six seconds. My son's assigned counsel presented the prosecution's case, a Court Order was granted authorizing what started out as the illegal Emergent Order to Detain Nancy Sherman, Designated Mental Health Professional obtained using perjury and a forged document.  I've known for well over a decade that Rick Weaver, the CEO of Central Washington Comprehensive Mental Health has no ethical integrity; it is apparent he does not require any from mental health 'professionals' who are employed at CWCMH. 

What would you think if you, or your beloved son went to the hospital and were put on a medication that your regular prescriber had taken you off of due to cardiac risk? My son has had Tachycardia since he was a teenager from the drugs prescribed Off Label; and without Informed Consent in Washington's only State run Children's psychiatric facility. I am outraged and disgusted with how 'mental health treatment' is provided, as if ethical integrity and the outcome for the patient is not relevant. I know that not all psychiatrists and mental health workers treat people like my son has been treated; I just wish there was one where we live.

When I brought my son home after this chain of events, it was three weeks before I could persuade him he was safe enough to go outside the house. He is 6'3" tall and weighs 280 lbs., and he was terrified. My giant son was AFRAID to step into our own yard for pities sake! I had to convince him he was safe. I have to admit, it is one of the hardest things I've done. I know it's a lie. I feel sick about it. I DO NOT LIE to my children. Telling this lie was the only way I could convince him to step outside. I don't believe my son, or anyone with a psychiatric diagnosis, in crisis is safe from unethical mental health professionals.

 My son deserves better, WE ALL DO.

Read more here: http://www.tri-cityherald.com/2012/05/21/1947526/yakima-valley-memorial-to-close.html#storylink=rss#storylink=cpy

Constitutional Rights Violations Committed Under Color of Law in Washington State

First posted July 19, 2011 but the post was high-jacked and I am re-posting here verbatim.  "Is there no virtue among us? If there be not, we are in a wretched situation. No theoretical checks -- no form of government can render us secure. To suppose liberty or happiness without any virtue in the people, is a chimerical idea. If there be sufficient virtue and intelligence in the community, it will be exercised in the selection of these men. So that we do not depend on their virtue, or put confidence in our rulers, but in the people who are to choose them." James Madison, Speech in the Virginia Ratifying Convention, June 20, 1788 This post consists of email communications between myself and Yakima County Commissioners and employees; State Legislators, and Department of Social and Health Services employees.
To: "Moorhead, Ronald (DSHS/HRSA/DBHR)"
Mr.Moorhead, My brother Mark called my yesterday evening to see what was going to be done about the errors that made in Isaac's care.  He echoed my concern that this series of mistakes be thoroughly addressed with the result being that the court record be expunged and all notifications be made to erase this egregious misapplication of the commitment statute.  Justice Powell delivered the opinion of the Court: “Written submissions do not afford the flexibility of oral presentations; they do not permit the recipient to mold his argument to the issues the decision maker appears to regard as important. Particularly where credibility and veracity are at issue, … written submissions are a wholly unsatisfactory basis for decision.” And in the U.S. Supreme Court case Joint Anti-Fascist Comm. v. McGrath, 341 U.S. 123, 168 (1951) (Frankfurter, J., concurring), Mr. Justice Burton, speaking for the court, stated that: "The right to be heard before being condemned to suffer grievous loss of any kind, even though it may not involve the stigma and hardships of a criminal conviction, is a principle basic to our society." This type of court order does carry a stigma of being labeled and entered into a tracking system.  The rules promulgated to effect the recently expanded involuntary commitment statute were not developed with any formerly committed individuals; and I bet without any individuals with the diagnoses that are most likely to be at risk for having these orders obtained against. (I mean on their behalf)   Respectfully, Becky Murphy -- ...choose for yourself this day whom you will serve...Joshua 24:15

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Moorhead, Ronald (DSHS/HRSA/DBHR)	Thu, Aug 12, 2010 at 9:04 AM
To: Rebecca Murphy
Good morning Ms. Murphy, yes,  procedural due process rights are mandatory in civil as well as criminal cases.  The Fifth and fourteenth amendments of the U.S. Constitution require it.  This one of the things we will be discussing today at our meeting.  Thanks! from Rebecca Murphy  to Steven Hill  date Mon, Aug 23, 2010 at 8:04 AM subject Human Services mailed-by gmail.com Mr. Hill: In your letter to me dated August 18 you directed me to take up my complaints about CWCMH employees with Rick Weaver, CEO of CWCMH.  I would have already done that before speaking to you if I believed that my concerns would be taken seriously as you and Mr. Weaver profess they in fact would be.  My belief is based on contact with this agency off and on since 1993.  As a member of GCBH RSN, Yakima County has you, the Director of Human Services' to serve as a gatekeeper; to ensure the public trust is maintained.  It is in fact your signature on these very contracts.  To me, that means that as a public servant you have a duty to make sure the laws, policies and procedures which govern these contracted programs and services are upheld by contractors.  The following is from a report done by Clegg & Associates for Benton Franklin Human Resources. The italics are mine. There is a common belief that contracting for service delivery will increase efficiency, reduce costs, and improve quality because of the competition gained from making use of non-public providers. There’s no clear evidence in the literature that contracting provides inherently more effective or less effective services. Efficiencies may be gained by contracting through nonprofit organizations because of differing pay scales. There may, however, be concerns about the service delivery and meeting the needs of clients and the community. The possible pros and cons of contracting identified include: Potential pros: Increased flexibility resulting from a reduction of bureaucratic complexity and procedures Reduced costs resulting from lower pay scales for non-public providers or if a competitive process rewards the lowest bids Greater ability of director to manage employees and personnel issues Potential cons: Relinquishment of public responsibility for public funds Profit motivations to cream easy-to-serve or likely successful clients and minimize costs Reduction in service Funneling clients into other agency programs Public’s loss of ability to address issues and concerns Among the county human service directors interviewed, there was agreement that regardless of whether a county delivers services or contracts for them with community-based providers, the onus of responsibility in terms of assuring quality services remains with the government (county) in the public’s eye and in reality. As one county human services director summarized, “There may be cost savings. However, there is a public mandate for provision of services and a need to deliver the best services possible. You want to move the funds into the community for service delivery, but not hand over responsibility. You don’t do this business to make money. Private businesses are driven to make a profit, so when they talk about gaining efficiencies that make them less expensive, it’s usually at the expense of the client.” The key factors related to success in both the public or non-profit arenas appear to be clear goals and objectives, accountability for results, and established criteria for contracts and contract monitoring. Also, I am puzzled because this same report refers to Yakima County having recently taken back from a contractor the involuntary commitment program.  The report was written in 2007and I would like to know who had the contract prior to the County taking it back; and when and to whom it was then awarded?   Respectfully,  Becky Murphy -- ...choose for yourself this day whom you will serve...Joshua 24:15

Steven Hill	Tue, Aug 24, 2010 at 2:08 PM
To: Rebecca Murphy
Has been sent to attorney Steve Hill Director Yakima County Department of Human Services 509-574-1520 On Aug 24, 2010, at 1:59 PM, "Rebecca Murphy" <yobluemama@gmail.com> wrote: > Mr. Hill the last email I sent you ended with me requesting > information about the contract to provide involuntary treatment > services.  Please respond.  Thank You. > Becky Murphy > > -- > ...choose for yourself this day whom you will serve...Joshua 24:15

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Rebecca Murphy	Tue, Aug 24, 2010 at 2:38 PM
To: Steven Hill
A simple request for what should be information available to any citizen of Yakima County is forwarded to your attorney?  What is there to hide? On Tue, Aug 24, 2010 at 1:59 PM, Rebecca Murphy <yobluemama@gmail.com> wrote: Mr. Hill the last email I sent you ended with me requesting information about the contract to provide involuntary treatment services.  Please respond.  Thank You. Becky Murphy -- ...choose for yourself this day whom you will serve...Joshua 24:15 Rebecca Murphy Wed, Aug 25, 2010 at 3:47 PM To: Kevin Bouchey Mr. Bouchey, This is not the conduct expected and accepted of employees and contract service providers, is it? I wondered if you are informed about this travesty?  My son was robbed of his civil rights when he sought to be hospitalized voluntarily.  Nancy Sherman, DMHP, forged a document, and offered perjured testimony in her petition, and failed to "attach" as she testifies said document.  this fraudulently obtained court order was then extended by Dr. Jeffery Jennings, a quack who is employed by CWCMH.  CWCMH staff tells me that the court clerk lost it, "they do it all the time."  This is a ridiculous statement.  I have never seen such  unprofessional, unethical and illegal behavior (in the name of cover your ass) as I have seen exhibited by Nancy Sherman, DMHP, CWCMH; Dr. Jeffery Jennings, CWCMH; Rick Weaver, CEO CWCMH; Steve Hill, Director of Human Services, Yakima County; Dan Polage, Deputy District Attorney; and Jennifer Lesmez, Assigned Council.  I have filed complaints with every law enforcement agency which address the crimes committed.  Yakima Police Department, FBI, and Health and Human Services, Office for Civil Rights.    You should know that Isaac Murphy chose to get his mental health services in Benton County almost a year ago.  He made this decision because he did not believe his doctor, Dr. Phillip Rodenberger, listened to him.  We have been driving 80 miles to get mental health services for Isaac all of 2010.  These mental health "professionals" do not display the conduct deserving of the title nor the  respect implied.   Respectfully, Becky Murphy "I believe we must speak our conscience in moments that demand it, even if we are but one voice." Richard Sanders, Washington State Supreme Court Justice On Fri, Aug 27, 2010 at 8:39 AM, Kevin Bouchey

Informs me he is aware of my concerns and is monitoring the situation!   Rebecca Murphy Mon, Aug 30, 2010 at 9:59 AM To: Kevin Bouchey Mr. Bouchey, I want you to be aware that I have been told that all hard copies of the paperwork generated by CWCMH in the Emergency commitment of my son have been destroyed. I was told they were shredded. This is highly illegal. I am still amazed that this agency apparently has no respect for the contract they have with Yakima County, or the laws of the State of Washington. I realize that I requested what may seem to some, outrageous demands to correct the conditions and hold accountable individuals who failed to maintain ethical standards and or duties in regards to contracts and the law in the involuntary commitment of my son, Isaac. Please know this is only the latest debacle that CWCMH and Yakima County Human Services have created and or caused by failing to do what is required ethically and morally in Isaac's care. To say I am tired of the lack of accountability, would be like saying Mother Theresa was a little bit Catholic. Isaac was in Child Study and Treatment Center for 2 years after he no longer need to be there because Steve Hill failed to do his job. His care for that period cost close to a half a million dollar! Ultimately, Catholic Community Services out of Pierce County facilitated his return home, because CWCMH refused, as it had no interest in abiding by it's contract with Yakima County. That CWCMH has been allowed to abdicate their contractual obligation to the most needy of Yakima County's youth for decades under Steve Hill's watch is criminal. I have lived in this community since 1993. I moved here because I was born here and believed I would be able to recover and help my child heal from the trauma he experienced in foster care. Isaac was repeatedly beaten and locked in a closet. The woman who did this to my precious boy, killed 4 babies in this state as a foster parent. That was the beginning of his life-long difficulties. A system that should have bent over backwards to address the serious harm done my son while in it's care made me fight for what help I did get for him. To say that it has been a long road would not truly describe the affront to my sense of decency; the belief that given an opportunity people will do the right thing is gone. I trust God, but some of his people disgust me. That I have been maligned because I have and will name names and report events in which public servants/employees fail to do what is required, is not what bothers me. What bothers me is my son was and continues to be victimized by those who are purporting to act in his best interest and for the public good. I was raised to by moral people who taught me the meaning of integrity. My Dad was a farmer and my parents raised 13 children. My Dad was active in the Farm Bureau and the GOP and many times went to the State Legislature to advocate for farmers, families and children. The most important lesson I learned from my Dad is no matter what anybody else does--have integrity:"you can't make the right thing happen by doing something wrong." My point, I hope, is obvious: If in fact employees of CWCMH were trying to do the "right thing," why did they have break so many rules, policies, and ignore the law? They made a mockery of the Yakima County prosecutor's office, and the Yakima County Superior Court. I wish to remind you that my son, Isaac wanted to go to the hospital. He has never refused to take medication as prescribed.  Here are what other's have said about involuntary commitment: "The mental health establishment has snowed the American people: it launches the most unimaginable brutal psychological and physical assault on human beings in distress, calls this 'medical treatment', and then blames the outcome on 'mental illness'. Seth Farber, PhD "Clearly this business of treating minds, particularly this big business of treating young minds, has not policed itself, and has no incentive to put a stop to the kinds of fraudulent and unethical practices that are going on." Pat Schroeder, U.S. Representative, 1992 "...legal systems have been established in a majority of states for involuntary and compulsory hospitalization and treatment of neurosis. These state laws have been based on a prototype bill published originally by the Federal Security Agency of the Public Health Service, now a part of the Department of Health, Education & Welfare. Entitled a Draft Act Governing Hospitalization of the Mentally Ill, it is, in fact, a skeleton bill designed for adoption uniformly by federal, state, and territorial governments to radically alter commitment procedures... if you won't consent to voluntary treatment, a police officer can arrest you. You can be subjected to 3 to 5 days of treatment of the psychiatrist's choosing before you even get a hearing to protect your rights in most states. Treatment can include electric shock treatments, chemotherapy, hypnosis or conceivably a frontal lobotomy... Basically, all that is necessary to revoke all the constitutional rights of any citizen is to accuse him of being mentally-ill." John A. Stormer, "None Dare Call it Treason" This last one is from the Washington State Supreme Court Justice Sanders: "Deprivation of these statutory rights in the context of such a massive curtailment of liberty as commitment to a mental institution also constitutes a deprivation of that process due under the 14th Amendment to the United States Constitution because the deprivation is without lawful authority," Justice Richard Sanders How many others have been Involuntarily Committed by CWCMH when seeking to be hospitalized? I am certain my son was not singled out. I suspect they are not used to having their petitions even questioned--not even by assigned counsel for the accused! Respectfully, Becky Murphy "I believe we must speak our conscience in moments that demand it, even if we are but one voice." Richard Sanders notification Rebecca Murphy  Tue, Aug 31, 2010 at 4:37 PM  To: "Moorhead, Ronald (DSHS/HRSA/DBHR)"  Mr. Moorhead, I am indeed saddened by the lack of accountability exhibited by so many. I will indeed take your advice and follow up with the RSN. However, I am also taking the advice of others who advise that a complaint with HHS Office of Civil Rights and a report to the FBI of the crime of forgery among others is also necessary. I am now in possession of the documents that allow me to know that Nancy Sherman, and Dr. Jeffery Jennings broke the law, and did not follow the policies and procedures established by GCBH in their contract with CWCMH to ensure the involuntary commitment law is implemented lawfully. I am telling you this because the HHS complaint form asks if I have reported this matter to any one prior to filing the complaint, and I will need to share that I reported it to you and the FBI. The differences in the court paperwork provided my son at the hospital, the paperwork he got from his attorney, and the copy of the entire court record he obtained from the clerk of the Superior court have major differences. The most glaring is that what Isaac was given was paltry, nothing close to what the law requires--copies of all documents. That he had to pay .50 a page to obtain the entire record on file with the court is ridiculous to say the least. Isaac was given 13 pages of documents, 29 pages were filed with the court, and there were 31 pages in the record he received from his attorney. The witness list and the forged document, Witness Statement form MHP-7 (7/01) were not filed with the court , but were in fact part of the record his attorney had. On the petition for the 72 Emergency Detainment Nancy Sherman testified that she gave me verbal notice and that this "witness statement" is attached to her petition. It is obvious to me that it is not accidental that these 3 pages are not part of the court record. Given the conversations both Nathan, Isaac's brother, and I had with Isaac's Assigned Counsel, Jennifer Lesmez, and the fact she was in possession of a copy of the forged document and the witness list are evidence to me she put on NO defense for my son. The deputy Prosecutor, Dan Polage was also in possession of these documents. Both he and Dr. Jennings were required by law to notify me of the hearing that took place on August 2nd and failed to do so. Central Washington Comprehensive Mental Health is also required by law to keep the original documents on file until the expiration of the court order. Isaac and I were informed that all documents have been shredded. It is policy I am told. I have filed a complaint with the Department of Justice Office of Civil Rights, Criminal Division. I have also forwarded my complaint to the Governor's office.  Forgery, purgery, prosecutorial and defense counsel misconduct are actions that are not excusable. And as for the RSN, the ombudman tells me that they can do nothing about the court order--they have no authority. I have to protect my son from the mental health professionals and the representatives our society entrusts to implement programs, policies and procedures and the laws from whence they are derived. I would much rather just take care of my son's daily needs. The mistreatment of my son by employees of the State of Washington, Yakima County and Central Washington Comprehensive Mental Health is being read by people all aver the globe. It is still my hope that maybe for the first time, somebody will do the right thing. Respectfully, Becky Murphy -- ...choose for yourself this day whom you will serve...Joshua 24:15 Moorhead, Ronald (DSHS/HRSA/DBHR) Wed, Sep 1, 2010 at 10:16 AM To: Rebecca Murphy Cc: "Reed, David L. (DSHS/HRSA/DBHR)" , "San Nicolas, Ronald J. (DSHS/HRSA/DBHR)" Ms. Murphy, thank you for your email. If I had not done so before, I would suggest you contact the following organizations and/or agency’s regarding your allegations. You may contact: · The Administrator of the Superior Court of the State of Washington for Yakima County to address the concerns you have your son’s court hearing.  · The Commission on Judicial Conduct re the judge who presided over your son’s case. · The supervisor of Deputy Prosecutor, Dan Polage at the Yakima County Prosecuting Attorney’s Office to explain your concerns to him/her. · You may report your concerns to Jennifer Lesmez’s supervisor too. · The Washington State Bar Association to make a complaint on both Mr. Poage and Ms. Lesmez. DBHR does not have the authority to address the legal issues you speak of below. What the RSN and DBHR can investigate are your concerns regarding how the MH system performed.  RE: gross violation of the law Inbox Reply Johnson, Rep. Norm to me show details Sep 1 Representative Johnson wanted you to know that his office is looking into the issue you described regarding your son and the Crisis Center at Central Washington comprehensive Mental Health. He understands that this is a difficult, strained and disappointing time for you. When we have some information regarding this issue we will be in contact with you. If you have any questions in the meantime please do not hesitate to call Representative Norm Johnson’s office. – 360-786-7810. Sincerely, Michele Smith Senior Legislative Assistant to Representative Norm Johnson Leg 426 A P.O. Box 40600 Olympia, WA 98504 Telephone: 360-786-7810 What do I want you to do? 1 message Rebecca Murphy  Wed, Sep 1, 2010 at 7:35 PM To: Representative Norm Johnson Cc: Senator Curtis King , Representative Charles Ross Mr. Johnson, I spoke with a member of your staff today who asked me more three times what do I want you to do about the crimes that were perpetrated against my son by Nancy Sherman, Dr. Jeffery Jennings, Deputy District Attorney Dan Polage, and Assigned Counsel Jennifer Lesmez. Well I would have thought it would be obvious. I guess I just believed based on the the experiences I had in seeking assistance from Jim Clements, former Representative of the 14th District, and former Senator Alex Deccio; that I would be heard, and REPRESENTED---get a phone call from a single one of you men who I voted for! As to what specific remedy you and Senator King, and Charles Ross can assist with I can honestly say I did not expect you to "solve" this problem. I can tell you that I have been aware for years that CWCMH as a matter of course breaks the law, violates the ethics guidelines of the medical profession, violates individual civil rights, ignores the need for informed consent, does not provide client-directed services, as Medicaid guidelines require. I am horrified that this agency is to lead the effort to transform the mental health service system for children in Yakima County. Obviously that decision was made by "professionals" that are members of the good old boy network: Steve Hill, Director of Human Services and Rick Weaver, CEO of CWCMH are two men who wouldn't know an ethics guideline or a Conflict of Interest were if they were planted on their faces. I know 3 people that when I met them had no physical or cognitive disabilities, that now do as a result to getting "treatment" from Comprehensive. They have the awful "side effects" of tardive diskenesia and cognitive impairment that are known to be caused by antipsychotics. These people are my friends who no longer have the ability to take care of themselves as they once did. Make no mistake, the psychosis that is part of their diagnosis does not cause cognitive impairment or the debilitating awful grimacing, jaw thrusting and trunk twisting that is tardive diskenesia. They are in fact evidence of neurological/brain damage that these drugs cause. Add to that diabetes, and 25 years taken off the average life span for patients "treated" with antipsychotic drugs and what you have is the standard outcome. This is the "treatment" that the State of Washington now sentences people to by the court orders that demand these drugs be given by force of law. I personally believe that the stigma attached to a diagnosis of mental illness was spawned in the psychiatric community--unethical practioners who aid the pharmaceutical industry in perpetrating this fraud on the American People. If Legislators are interested in cutting the cost of mental heath services, require that Medicaid guidelines be followed--Services need to be Client-Directed, Informed Consent needs to be given more than lip service--it needs to actually occur; and evidence-based treatments be provided. Antipsychotics and other psychotropic drugs are not Evidenced Based Treatments. They have been the standard. They have been most often used treatment; and frequently the only treatment provided those diagnosed with mental illness; but make no mistake, that is not what constitutes evidenced based practice. Respectfully, Becky Murphy Complaint investigation information Moorhead, Ronald (DSHS/HRSA/DBHR) Fri, Sep 10, 2010 at 3:29 PM To: Rebecca Murphy Cc: "Weston, David B. (DSHS/HRSA/DBHR)" Good afternoon Ms. Murphy,  it was nice to talk to you the other day.  I want to inform you that the Division of Behavioral Health and Recovery (DBHR) will review the following issues when we investigate your  complaint: ·         If your son was notified of his patient rights prior to his 14 day detention and 90 day Less restrictive Agreement; and, ·         If he was ever offered a less restrictive alternative.  Before we investigate the complaint I would like to hear from your son to see if he wishes us to proceed with the complaint.   If your son wishes for DBHR to proceed,we may be able to review  this complaint within the next 45 days from the time he notifies us. Sincerely, Ron Moorhead Ron Moorhead, Incident/Complaint Manager, Certification Section Division of Behavioral Health and Recovery Post Office Box 45330 Olympia, Washington 98504-5330 Telephone: (360) 725-3752; Fax: (360) 586-0343 E-mail moorhre@dshs.wa.gov Rebecca Murphy Sat, Sep 11, 2010 at 7:36 AM To: "Moorhead, Ronald (DSHS/HRSA/DBHR)" Good morning Mr. Moorhead, I am seriously disappointed in yesterday's email I received from you.  In my complaint, I have been very specific about what laws were broken, and by whom.  The "investigation" you are proposing addresses not a single one of my many complaints.  Constitutional laws were broken as well as State laws about how the Involuntary Treatment Act is  to be implemented or that it excludes people who are willing to accept treatment.  That my son was willing there is no doubt--He waited for 2 hours for his expensive ride to the Hospital at taxpayer expense.  He never tried to leave, prior to discharge; and he took all meds that were given, even the one that Dr. Jennings prescribed at twice the previous dose.  He cooperated with providing samples of blood and urine.  In fact, he was surprised to learn he was under a court order.  He did not know that the papers he signed meant that he was under a court order.  He can not understand why a court order was necessary.  I am disgusted with the lack of real on response from DSHS.  My belief is, at this juncture, is that the law does not protect a young man who because of iatragenic effects of his treatment, is limited to protect himself.  As Dr. Jeffery Jennings observed in his discharge summary, medicated, Isaac appears to be DD.  My son had a 176 IQ at 7, before he was drugged into being gravely disabled.  I have his general and medical powers of Attorney as it is not in Isaac's best interest to know that people lied, forged documents and used these lies and forged documents to slander and deny him procedural due process, and lied to his mother.  People who had never met him, did not speak to his current treatment team, did not speak to anyone who knew Isaac, or know what his level of functioning, day to day family life, or even accurately document information in CWCMH records of his medications upon leaving this agency.   Yes, Isaac was given his rights as a patient and he was informed of his right to refuse medications before the Kangaroo court hearings were held.   As to the being informed of the less restrictive alternative, or understanding what in fact was the purpose of having an attorney, or what the significance of giving up his rights to a jury trial--or any other rights--he signed what the state's devil's advocate, Jennifer Lesmez asked him to, so she would leave him alone.  What he understood was that he wanted to be left alone, and he knew if he did as he was asked, he would be left alone.  Isaac has never refused medication, has never resisted taking it as prescribed.   His level of functioning is well documented in CWCMH records for over two years ending October 27, 2009--it is frightening that two people who are on the staff of this mental health provider thought that taking advantage of his cognitive impairment to further stigmatize him using an acts of forgery, perjury, repeated lies, bad judgement and the unethical practice of medicine.  I assisted Isaac with paperwork the entire time of his getting services there, as I do in all his care still.  That the only reason cited as the reason the 90 LRA was needed and granted is, "To maintain the ethical integrity of the medical profession."  As if Dr. Jennings showed any ethical integrity!     It is ludicrous that because my son went along and signed documents that were placed before him by his own attorney, who claims he understood, but obviously had no experience with or personal knowledge about Isaac on which to base this judgement that she offered as testimony supporting his loss of liberty, instead of defending his liberty as was her duty!.  By August 6th she should have been cognizant that all was not as it appeared on these court documents; that I not only did not know about a petition to court order my son, I did not sign an affidavit in support of this criminal proceeding!  So once again, Isaac Murphy was not only deprived the protection of the United States Constitution, the mental health providers he sought assistance from, the State of Washington, an effective assistance of counsel, but once again, he was denied the protection of his own mother.    Your email does nothing to address the issues that I raised in my complaint about my son's "treatment."  That you did not even address the fact that CWMH claims to have shredded the original documents relating to this proceeding.  It sure is strange that this mental health agency claims to have not maintained it's files lawfully.  The two questions you raised in regards to patient rights to types of treatment and the right to refuse, were in fact the responsibility of Memorial Hospital staff--I raised no issue in regards to Memorial Hospital or it's staff or the care Isaac received from anyone but CWCMH staff, Nancy Sherman and Jeffery Jennings.   RCW 71.05.520 The department of social and health services shall have the responsibility to determine whether all rights of individuals recognized and guaranteed by the provisions of this chapter and the Constitutions of the state of Washington and the United States are in fact protected and effectively secured. To this end, the department shall assign appropriate staff who shall from time to time as may be necessary have authority to examine records, inspect facilities, attend proceedings, and do whatever is necessary to monitor, evaluate, and assure adherence to such rights. Such persons shall also recommend such additional safeguards or procedures as may be appropriate to secure individual rights set forth in this chapter and as guaranteed by the state and federal Constitutions. [1973 1st ex.s. c 142 § 57.] By failing to act on my complaint the State of Washington has failed in it's duty to Isaac Murphy. I want to know who the "appropriate staff assigned to ...assure adherence to such rights" is.  Name, phone number, address and email please. Respectfully,  Becky Murphy ------------------------------------------------------------------------------------------------------------------------------------------ The above section of is what defines DSHS responsibility and grants the authority to investigate!  This is to protect my son and others who are involuntarily committed.

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Rebecca Murphy	Mon, Sep 13, 2010 at 9:04 AM
To: kellore@dshs.wa.gov
---------- Forwarded message ---------- From: Rebecca Murphy <yobluemama@gmail.com> Date: Mon, Aug 30, 2010 at 9:59 AM Subject: CWCMH To: Kevin Bouchey <kevin.bouchey@co.yakima.wa.us> Mr. Bouchey, I want you to be aware that I have been told that all hard copies of the paperwork generated by CWCMH in the Emergency commitment of my son have been destroyed.  I was told they were shredded.  This is highly illegal.  I am still amazed that this agency apparently has no respect for the contract they have with Yakima County, or the laws of the State of Washington.   I realize that I requested what may seem to some, outrageous demands to correct the conditions and hold accountable individuals who failed to maintain ethical standards and or duties in regards to contracts and the law in the involuntary commitment of my son, Isaac. Please know this is only the latest debacle that CWCMH and Yakima County Human Services have created and or caused by failing to do what is required ethically and morally in Isaac's care.  To say I am tired of the lack of accountability, would be like saying Mother Theresa was a little bit Catholic.  Isaac was in Child Study and Treatment Center for 2 years after he no longer need to be there because Steve Hill failed to do his job.  His care for that period was almost a quarter of a million dollars!   Ultimately, Catholic Community Services out of Pierce County facilitated his return home.  That CWCMH has been allowed to abdicate their contractual obligation to the most needy of Yakima County's youth for decades under Steve Hill's watch is criminal. I have lived in this community since 1993.  I moved here because I was born here and believed I would be able to recover and help my child heal from the trauma he experienced in foster care.  Isaac was repeatedly beaten and locked in a closet. The woman who did this to my precious boy, killed 4 babies in this state as a foster parent.  That was the beginning of his so far life-long difficulties.  A system that should have bent over backwards to address the serious harm done my son while in it's care made me fight for what help I did get for him.  To say that it has been a long road would not truly describe the affront to my sense of decency; the belief that given an opportunity people will do the right thing is gone.  I trust God, but some of his people disgust me.  That I have been maligned because I have and will name names and report events which public servants/employees fail to do what is required is not what bothers me.  What bothers me is my son was and continues to be victimized by those who are purporting to act in his best interest and for the public good.   I was raised to by moral people who taught me the meaning of integrity.  My Dad was a farmer who raised 13 children.  He was active in the Farm Bureau and the GOP and many times went to the State Legislature to advocate for farmers, families and children.  The most important lesson I learned from my Dad was no matter what anybody else does--have integrity:"you can't make the right thing happen by doing something wrong." My point, I hope, is obvious:  If in fact employees of CWCMH were trying to do the "right thing," why did they have break so many rules, policies, and ignore the law?  They made a mockery of the Yakima County prosecutor's office, and the Yakima County Superior Court.  I wish to remind you that my son, Isaac wanted to go to the hospital.  He has never refused to take medication as prescribed.   Here are what other's have said about involuntary commitment: "The mental health establishment has snowed the American people: it launches the most unimaginable brutal psychological and physical assault on human beings in distress, calls this 'medical treatment', and then blames the outcome on 'mental illness'.  Seth Farber, PhD "Clearly this business of treating minds, particularly this big business of treating young minds, has not policed itself, and has no incentive to put a stop to the kinds of fraudulent and unethical practices that are going on." Pat Schroeder, U.S. Representative, 1992 "...legal systems have been established in a majority of states for involuntary and compulsory hospitalization and treatment of neurosis. These state laws have been based on a prototype bill published originally by the Federal Security Agency of the Public Health Service, now a part of the Department of Health, Education & Welfare. Entitled a Draft Act Governing Hospitalization of the Mentally Ill, it is, in fact, a skeleton bill designed for adoption uniformly by federal, state, and territorial governments to radically alter commitment procedures... if you won't consent to voluntary treatment, a police officer can arrest you. You can be subjected to 3 to 5 days of treatment of the psychiatrist's choosing before you even get a hearing to protect your rights in most states. Treatment can include electric shock treatments, chemotherapy, hypnosis or conceivably a frontal lobotomy... Basically, all that is necessary to revoke all the constitutional rights of any citizen is to accuse him of being mentally-ill."  John A. Stormer, "None Dare Call it Treason" This last one is from the Washington State Supreme Court Justice Sanders: "Deprivation of these statutory rights in the context of such a massive curtailment of liberty as commitment to a mental institution also constitutes a deprivation of that process due under the 14th Amendment to the United States Constitution because the deprivation is without lawful authority," Justice Richard Sanders wrote in the unanimous opinion. How many others have been Involuntarily Committed by CWCMH when seeking to be hospitalized?  I am certain my son was not singled out.  I suspect they are not used to having their petitions even questioned--not even by assigned counsel for the accused! Respectfully, Becky Murphy "I believe we must speak our conscience in moments that demand it, even if we are but one voice." Richard Sanders

The NIMH, the APA and the AACAP: modern day marketeers

via Clinical Psychiatry News January 2009 Broad Analysis Refuels Debate on Atypicals by Jeff Evans:

Second-generation antipsychotics comprise a wide variety of drugs that in many instances do not have better efficacy against schizophrenia or a better side-effect profile than do first generation antipsychotics, according to findings from the broadest-sweeping meta-analysis of randomized trials of the drugs to date.

Many of the supposed improvements of second-generation drugs over their first-generation counterparts may have been the result of biases introduced into industry-funded randomized trials that used high-dose haloperidol or other inappropriate comparator drugs, Dr. Stefan Leucht of the Technical University of Munich and his coinvestigators reported in the Lancet (doi:10.1016/S0140-6736[08]61764-X).

Dr. Leucht and his colleagues wrote that the “improper generalisation” of the second-generation antipsychotics into a homogenous class “creates confusion” and suggests that the classification “might be abandoned.”

Dr. Peter Tyrer of Imperial College London and Dr. Tim Kendall of the Royal College of Psychiatrists’ research and training unit, London, agreed with this assessment, calling their naming and classification “inaccurate.” They said in an editorial that “the time has come to abandon the terms first-generation and second-generation antipsychotics, as they do not merit this distinction” (Lancet 2008;[doi:10.1016/
S0140-6736(08)61765-1]).

“The spurious invention of the atypicals can now be regarded as invention only, cleverly manipulated by the drug industry for marketing purposes and now only being exposed,” Dr. Tyrer and Dr. Kendall wrote.

“On present evidence from all sources, it is difficult not to conclude that the trials of the second-generation antipsychotics seem to be driven more by marketing strategy than to clarify their role for clinicians and patients.”

The investigators criticized previous literature reviews and meta-analyses that compared second- and first-generation antipsychotics, aside from Cochrane Reviews, for not assessing side effects thoroughly, even though they are important criteria in drug choice.

They also faulted previous attempts at distilling the results of trials for analyzing only one global efficacy outcome, despite claims that the main advantage of second-generation antipsychotics is their broad efficacy spectrum, especially for negative symptoms, depression, and quality of life.

In 2005-2006, the researchers searched Medline, as well as previous reviews, the register of the Cochrane Schizophrenia Group, and the Food and Drug Administration Web site.

Their meta-analysis included 150 double-blind studies of nine second-generation antipsychotics, identifying 21,533 patients with schizophrenia or related disorders.

Of the nine second-generation drugs that were evaluated, only four—amisulpride (which has not been approved by the FDA), clozapine (Clozaril), olanzapine (Zyprexa), and risperidone (Risperdal)—had significantly larger effect sizes on overall symptoms than did first-generation antipsychotics. For these
four drugs, the number of patients that would need to be treated to have one additional responder ranged between 6 for amisulpride and 15 for risperidone.

The study was funded by the National Institute of Mental Health. Dr. Leucht disclosed receiving speaker and consultancy honoraria from Sanofi-Aventis, Bristol-Myers Squibb Co., Eli Lilly & Co., Janssen-Cilag, H. Lundbeck A/S, and Pfizer Inc. The other authors declared that they had no conflicts of interest.

via Current Psychiatry November 2009
"Clinical trials support new algorithm for treating pediatric bipolar mania"
a few excerpts:
"Five recent randomized controlled trials (RCTs) have demonstrated the eficacy of atypical antipsychotics for treating bipolar disorder in children and adolescents, but 4 of these 5 trials remain unpublished." 

"Change in Young Mania Rating Scale (YMRS) score was the primary outcome measure in these 5 trials, and each compound was more effective than placebo. The trials demonstrated statistically significant and clinically relevant differences between each antipsychotic and placebo. The number needed to treat (NNT)—how many patients need to be treated for 1 to benefit in a controlled clinical trial—ranged from 2 to 4."  

"Bottom Line
Studies of 5 atypical antipsychotics’ efficacy and tolerability support their use for treating acute mania in children and adolescents. Four of these agents can be justified as first-line treatments, before lithium or divalproex. At the same time, antipsychotics’ potentially serious side effects—extrapyramidal symptoms, tardive dyskinesia, weight gain, hyperlipidemia, hyperprolactinemia, and QTc changes—must be recognized, monitored, and managed."

Four of the drugs trialed did not have final drug trial results published by the time this marketing tool disguised as Continuing Medical Education was published in November of 2009.  The professional conferences where the data were presented in support of this pseudo-medical 'evidence-based treatment algorithm' had all taken place by the summer of 2008.  The last paper utilized was presented at the Annual Meeting of the American Psychiatric Association, May 3-8, 2008; in Washington, DC.

Why there are no final reports of trial results available in November 2009, is never explained.  It is also not even mentioned how much more efficacious these drugs are for pediatric bipolar mania than they are for schizophrenia by the authors of this algorithm for pediatric bipolar mania.  "Robert A. Kowatch, MD, PhD Professor of psychiatry and pediatrics, Director of psychiatry research; Jeffrey R. Strawn, MD, Clinical fellow; Michael T. Sorter, MD Associate professor of psychiatry and pediatrics, Director, division of psychiatry Cincinnati Children’s Hospital Medical Center Cincinnati, OH."

"*Each trial included a 6-month open extension phase; results are pending;" the article states.  Apparently results are still pending...for the ziprasidone Checking the lead author's CV, there is no article listed reporting the results of the "Safety and efficacy of ziprasidone in pediatric bipolar disorder" to date.  But this author is also the lead listed for another one of the four drugs that had  pending results: "DelBello M, Findling RL, Earley W, et al. Efficacy of quetiapine in children and adolescents with bipolar mania: a 3-week, double-blind, randomized, placebo-controlled trial. Paper presented at: Annual Meeting of the American Academy of Child and Adolescent Psychiatry, October 23-28, 2007; Boston, MA"  

The following manuscript makes this algorithm even more strange, "Atypical Antipsychotics for Acute Manic and Mixed Episodes in Children and Adolescents with Bipolar Disorder A Review of Efficacy and Tolerability" published in final edited form in: Drugs. 2010 March 5; 70(4): 433–442.
a couple of excerpts:
In addition, two smaller controlled studies suggest that quetiapine is a useful medication for the treatment of adolescent mania. In a double-blind, placebo-controlled, adjunctive study in children and adolescents with BD, DelBello and colleagues reported that valproate and quetiapine reduced manic symptoms significantly more than valproate and placebo.[24] In another double-blind study, this same group found that adolescent patients with BD receiving quetiapine monotherapy had faster resolution of their manic symptoms and higher rates of remission than those treated with valproate monotherapy, and quetiapine was well tolerated.[25]

"Ziprasidone was approved by the FDA for the treatment of acute manic episodes in adults in 2006, but it has not been approved for use in paediatric mania."

Summary: 

Why is the NIMH not using the information it has available? 

Specifically: “The spurious invention of the atypicals can now be regarded as invention only, cleverly manipulated by the drug industry for marketing purposes and now only being exposed," 


“On present evidence from all sources, it is difficult not to conclude that the trials of the second-generation antipsychotics seem to be driven more by marketing strategy than to clarify their role for clinicians and patients.”  


Given the very serious deleterious direct adverse effects of neuroleptic drugs, why are they still being used on children "off-label"? Why are teratogenic drugs prescribed for non-FDA approved conditions in infants, children and teenagers? The drugs are not only prescribed off-lablel, but are openly MARKETED by psychiatrists; the academic researchers who are "Key Opinion Leaders" who appear to put a lot of effort into encouraging the prescription of dangerous drugs off label; acting more like as marketeers for pharma, than healers with a duty to their  patients. 

The vast majority of off label prescriptions are then paid for by submitting fraudulent claims for prescriptions that are not approved for payment; but are paid anyway. It's become a standard practice to defraud the American people through publicly-funded medical programs and it is done as part of a "marketing strategy" while the American people are funding the KOLs "research," i.e. the drug trials conducted to support pharma's "marketing strategy." 


The secret has been exposed for years now---yet we still have Tommy Insel blowing smoke up our proverbial skirts---and we still have psychiatry draining the taxpayer's wallets through Medicaid, Medicare, and Tri-Care paying for teratogenic drugs that cause psychiatric patients iatrogenic diseases and disabilities and increase their need for additional medical care and social services...


I am painfully aware of what these teratogenic drugs do to children, adults, wounded veterans, and the elderly.  I am painfully aware that Informed Consent is not happening in Real World 'standard clinical practice;' at least it has not ever happened in my experience as a parent who  once upon a time, trusted psychiatrists. I've not been struck willfully blind; I'm wide awake.   


My adult son was Court Ordered to Involuntary Treatment with perjured testimony and a forged affidavit by a psychiatrist and a 'designated mental health professional' Under Color of Law.  The deputy prosecutor knew for a fact he was submitting perjured testimony; my son's defense attorney should have known. (since she was not in a coma)  This was supposedly done to, "Maintain the ethical integrity of the medical profession." In the moment I first read that sentence on the Court Order, I knew without a doubt that 'psycho' pharmacology was never a medical specialty in the Hippocratic tradition--The best interests of the patient are ALWAYS the primary focus for any person who claims to be a healer. Psychiatry is the only "medical" specialty that 'successful treatment' is not defined or quantified by the patient's real world outcome. 

'Psycho' pharmacology has redefined successful treatment. 

Successful treatment now means 'treatment compliance.'

Common direct adverse effects include dependence, 

iatrogenic injuries, diseases, disabilities, and fatalities.

The fact is my son's Human Rights, his Individual Rights under the Constitution have been violated on a regular basis by mental health and social services professionals ever since he was in foster care when he was 3 years old.  I know there is nothing right, moral or good behind the methods used to strip me of my parental right to protect my own child.  This was done by the child welfare system that then allowed my son to be further traumatized, and in effect tortured (that is the word Isaac used) by Jon McClellan who repeatedly traumatized and ultimately disabled my precious son.  There is no fucking way that any of these things were done in my son's "best interest."  He thought he was kidnapped--he was a kid and he thought that he had been kidnapped, in effect, he was...My son's 'treatment' at Child Study and Treatment Center was orchestrated by the State of Washington through the Department of Social and Health Services Children's Administration. It is my belief that the illegal Court proceedings were necessary in order to defraud the Federal Medicaid and Child Welfare programs.  Once my son was a ward of the State of Washington, the Federal government paid a larger percentage of the cost of his "care" which ultimately cost over $17,000+ a month. 

The Department of Social and Health Services and Children's Administration were motivated by fraud; It is a violation of Federal Law to require parents to place a child in State Custody in order to qualify for social services and/or Medicaid---Isaac was already on Medicaid due to being disabled by a violent assault perpetrated by a foster parent when he was 3 years old. I was told that the only way that Medicaid would continue to pay for his medical care was if he became a ward of the state---this was, I later found out, an outright lie. He had Medicaid as an identified disabled child who was on SSI for Left Temporal Lobe Epilepsy caused by a brain trauma sustained in the assault and severe PTSD from being traumatized by violent assault. There were no restrictions; his Medicaid eligibility was not at risk. 

I am grateful he is alive, knows who he is and where he lives. 

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