Community Mental Health Service Meltdown: 85 Possibly Missing
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This week a Fayette County judge ordered for the second time in three years that a prisoner with severe mental health problems, deemed unable to stand trial for a 2006 murder, have an inpatient psychiatric evaluation at Torrance State Hospital.
 
Just like in Nazareth 2011 years ago, however, there's no room at the inn, the judge was told. A few years ago, another judge was led to believe that the evaluation was being scheduled and the man would be transferred pronto from jail to a locked inpatient psychiatric unit for evaluation
. Never happened. 

So much time with no action prompted a public defender this week to ask for the unstable man's release from jail.
 
While the motion to spring the accused man from his cell wisely was objected to by the assistant district attorney and judge, the case could attract the attention of some civil liberties or state protection and advocacy lawyer and come back some day to bite the county in the butt. Three years is a
long time to wait for a bed at a state hospital for a psychiatric evaluation for someone charged with taking a life. Too long.
 
At one time, Fayette County had patients in about 120 beds in the state hospital system. With the closure of Somerset State Hospital, most patients were discharged to nursing or personal care homes or discharged to live again with their families. A small percentage who needed continued inpatient care was transferred to Torrance State Hospital.
 
Currently, there are about 20 or so beds for county residents in Torrance. In exchange for managing the ones, who otherwise would have been in a state hospital, the community mental health services, since Somerset's closure, were enhanced, upgraded, and increased to maintain those in the community at a cheaper rate and divert hospitalizations to the state psychiatric hospital system. Scores of new staff and new programs sprung up to keep the numbers of inpatient admissions low with the money that previously paid to maintain those 120 or so beds on a state level.

Like everywhere, funding has been cut back for some services. But the county still continues to receive base funding to maintain services and continues to be allowed, under non-profit status rules, to keep three percent of the huge multi-million dollar profits from behavioral health services.
 
Is it fair to keep courts, possible court witnesses, defendants and families of those murdered hanging in sheer limbo for three or four years or longer for a killer to receive a simple inpatient psych evaluation? No. 

County commissioners were contacted today to ask
what, just what, is going on here.
 
Is Torrance State Hospital
really full? Or it is that the County of Fayette chooses not to pay for one additional bed beyond the low maximum number maintained for the past three or four years? In other words, does the county opt not to use some of it's funding -- or part of its three-percent profits from a few million dollars raked in from behavioral mental health services -- to pay for one accused killer's inpatient psychiatric evaluation at Torrance?

Commissioners today were contacted because mental health staff were unavailable.
No kidding! Just one employee-owned vehicle seemed to be at work today at the county mental health building. Where there is usually a sea of 80 or so vehicles parked, it seemed only one worker's car was parked outside for most of the afternoon, possibly longer.
 
County commissioners were asked why. Since the relatively new, multi-million dollar mental health facility has a huge conference room with a state of the arts public address system, it would seem that home base is the most appropriate meeting plac
e if all 80 or so staff were in attendance in a state mandated training. And since what appeared to be the entire fleet of county-owned vehicles was parked there, it seemed so unlikely that employees were out traveling anywhere on official work business... and more likely that county workers were at a picnic, where alcohol was flowing on paid work time. Unsolicited photographs and video received here by evening clearly confirm the fact that for some, today was definitely Ferris Bueller's Day Off.

Commissioners were asked today whether a county that disregarded earlier court orders to schedule this accused killer's inpatient stay at Torrance truly couldn't afford to pay for the evaluation. If that's truly the case and there is an empty bed the county can buy for a two-week evaluation, lets pass the hat
quickly and make it happen. After all, the man's own family has obtained a protection from abuse order in the event that the courts let the unstable man go free from jail simply because his evaluation has not been scheduled.  

If the county of Fayette allowed a mental health consumer turned killer to sit in jail and further decompensate for over three years waiting for a psychiatric evaluation
-- and put us all at risk if the unstable man were freed during the long wait  -- because the county truly could not afford the customary two-week inpatient stay at Torrance, it would be unimaginable that the same poor county would allow taxpayers' money to be blown on an employee picnic on paid work time today.

Eighty-five times hourly salary rates of $16-47, times six hours (possibly more hours for some who left ahead of the crowd to set up)  wasted of taxpayers money... gee, the loud
ca-ching of the cash register could have paid for many inpatient psychiatric evaluations.




Note:
County commissioners' response/answers and input about the delay in getting the psychiatric evaluation scheduled, their employees partying on paid work time and input on whether employees will be reprimanded, docked or made to use vacation time are added below.
jt
19 Aug 11

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22 Aug 11: Commissioner Angela Zimmerlink replies, "Obviously, I do not approve. Also, alcohol is not permitted during working hours." 

21Sept11 Update on the mental health prisoner: He was released from jail, ordered to stay at the county's hideaway LTSR on Tippiecanoe Road in Grindstone. Please make sure the locks work well there, since it's his hometown area and a mere 20-30 minute hike to the relatives who placed the Protection From Abuse Order against him when the Public Defender petitioned for his release from jail two months ago. Click on this link for the article in today's paper.
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