Deficiencies in training and record-keeping were recurring problems. AHCA found instances when staff members were not current on their required CPR or physical-restraint training. In 2013, an employee had worked at the facility for eight months without once receiving the required restraint training.

Octavious went into cardiac arrest around 5 a.m.

At least twice, AHCA discovered that patients were given high-powered medications without prior consent of their legal guardians. A nurse told investigators medication was provided when children "asked for something to calm down or help them sleep." In one incident, the nurse handed over a dose of Zyprexa Zydis, a heavy-duty antipsychotic.

Last September, AHCA interviewed two Citrus residents who were in their second trimester of pregnancy. The girls complained they weren't getting extra food for their growing stomachs. The patients' charts made no mention of extra nutrition.

A 2013 review found at least one incident in which a resident claimed she was tied down and given a chemical restraint, but the nurse made no mention of the restraint in the patient's file. AHCA found numerous occasions in which there was no documentation that follow-up steps like parental notification and debriefs were ever executed.

DCF had its own litany of incoming complaints: Between 2010 and July 2013, more than 80 reports about CATS were registered via abuse hotlines.

Among the allegations:

• The staff asked a patient "uncomfortable questions" about the patient's "sexual experience" such as "is you fucking?" and "you ain't fucking nothing big."

• "The facility is dirty... the staff is not allowing" the patient and others "to bathe when they are on their menstrual cycle. It is unknown why."

• While getting restrained, a child was choked. "The child could not breathe and had an asthma attack. The child also sustained bruises."

• A patient described "being bullied by other children in the facility" to the point of not being able to sleep at night for fear of injury. The "staff and teachers have done nothing about" the bullying, so much so that the child constantly walks in front of the facility's security cameras in case the child "was to get beat up it would be caught on camera."

• "At the facility there are bed bugs that are biting the residents. The food has had hair in it."

• A staff member had been "soliciting" a patient "for sex." The staff member gave the patient his or her "contact information because [the patient] is leaving the facility at the end of the week" and the staffer said he or she "wants to make contact."

• "There was a spider in the tuna," one report claims. "The children that ate this tuna got a fever and were vomiting. Staff treated the children for this illness... A child from the program died on 8/8/13."

DCF would not release details of the investigations except to rule them "no indicator" (no proof), "not substantiated" (some evidence, but not proven), or "validated."

Of the 60 or so serious complaints for which New Times asked the disposition, not one was validated.


After attorney Gordon Weekes wrote his letter, two investigations were opened into CATS, one led by the Broward Sheriff's Office's Child Protective Investigations Section, the other by SFBHN.

These substantiated many of the teenagers' complaints.

The latter report supported all of Weekes' allegations — that kids are routinely tied down and shot up without first using less-restrictive techniques — and concluded that "patterns have been developed by individual staff as well as the program at large that are not conducive to the population served."

The BSO interviewed all 52 current residents at CATS and analyzed the facility's records. CATS was found to use timeout, but never seclusion, before resorting to restraints. The agency found that in just seven and a half months — between January 1 and August 13 of last year — the facility had restrained girls 81 times and boys 32 times for a total of 113 ETOs, an average of once every other day.

When kids were restrained, monitoring staff sometimes chatted on their personal cell phones. And the staff were hardly more educated than the patients: "The front line personnel, Mental Health Technicians (MHT)s," were equipped "primarily with high school education... The majority of patient care and interventions are with the MHTs." Many patients "felt when admitted they were not explained restraints, time-out, etc. when signing orientation papers."

The other report noted that over two days in June 2013, just two staff members initiated 21 ETOs. "Thirty-one percent of the time, the consumers stayed in physical restraints the full two-hour" period. Overall, the program "has shown an increase in the use of ETOs" each year since 2011.

That frequency is "not normal," says Michael Dale, a former litigator and professor at Nova Southeastern University's law school who has sued institutions on behalf of neglected children.

In fact, the use of restraint is being phased out of many institutions, according to Dr. Wanda Mohr, a former professor of adolescent psychiatric nursing at Rutgers University who has studied restraint and its effects on mentally ill children. "At most of your places where people are professional, where they care about the patients more than the bottom line, they are going to have a very low use of restraint," she says. "They don't work. You might temporarily contain some explosive behavior, but you haven't really taught anybody anything." In fact, Mohr opines that the entire level-based program is completely useless. "You create this punitive environment where the staff is picking up on these stupid issues," she says. "So he used the f word? What are his bigger issues? Why can't he modulate his emotional responses?" The misbehavior continues, and "the kids develop a hopelessness because their symptoms mean they can't negotiate the program."

« Previous Page
 |
 
1
 
2
 
3
 
4
 
5
 
6
 
7
 
All
 
Next Page »
 
My Voice Nation Help
38 comments
Lynxx3
Lynxx3

Great article Kyle.I thoroughly enjoyed reading this, and hope you keep the pressure on. Sometimes the media is the best bet to get something looked into. This is an atrocity! We are failing these children, and all this red tape is bureaucratic Bull Shi**

frankd4
frankd4 topcommenter

...................and don't think the attorneys care about the patients and conditions of the facility as much as they are really in it for the M O N E Y

cha - ching !

these attorneys smell a potential settlement of which they will typically get MORE than the patient in fees plus costs and the motivation for the patient is also the smell of M O N E Y

cha-ching !

Gil Rodriguez
Gil Rodriguez

I do agree the kids are not "normal " but that is no reason to treat them like animals . These people were def over medicating them . Doesn't sound like the "treatment" was beneficial . And the head Doctor not wanting to face the press ? Hhheeelllloo don't be stupid people . That man doesn't care because he collects his check and that's it . I'm not glad the kid died but I'm glad it has been brought to public attention . Like Heather said , more safety measures need to be implemented . But by no means should they be treated like animals .

perroviejo160
perroviejo160

Ok so what happened or will happen to the dirty pig who punched the girl?

Halley Fitzsimmons
Halley Fitzsimmons

Isn't this article education enough?? This article is 7 pages worth of wrong doing by citrus, so what are you talking about Miguelina bloise??

Heather Rogerson
Heather Rogerson

" shot up with drugs " absolutely!!!!! There is no other way to control an agitated delusional psychotic person about to harm themselves or others. Try reporting from the medical stand point. These aren't sane high school kids they are very sick and dangerous

Heather Rogerson
Heather Rogerson

I can't speak for this facility but ive worked mental health. I lasted a month. One guy killed a nurse strangled 3 sleeping patients. They bite throw feces at you, sharpen tooth brushes stab staff...... All controlled by DCF restraints discouraged. I agree restraints were once abused and can actually escalate rage agitation, when a patient is delusional they have " super strength " at what point do we care as much for the life and safety of the staff ? When a person strongly agrees you are the anti Christ about to sacrifice them, they won't hesitate to kill you. Very scary environment I refuse to work until staff safety is ensured.

gjpnaples
gjpnaples

Having worked I several adolescent psych facilities I am very familiar with the threat and use of "booty juice" All of the mental health facilities use either Haldol or Geodon to subdue patients. Occasionally it is justified but, more often than not it is used indiscretely to make things easier on the staff. These meds are dangerous and should ONLY be used under the DIRECT supervision of a physician. We use them in the ER but only in extreme circumstances and the patient is carefully observed and monitored.

frankd4
frankd4 topcommenter

..............otherwise THROW-AWAY kids are kids whose parents deliberately have them to qualify for government assistance and taxpayer funded support like food stamps and free government cheese and obamaphones and section 8 housing reduced rent programs and even disability if the kid himself qualifies

the kids are abandonded or disgarded by the parents who have no intention of raising the kid who is THROWN-AWAY since the parents are typically abusing drugs and cannot work and are unemployable - so the free ride is to feed an addiction not a kid

however these THROW-AWAYs are typically NOT wards of the state or in guardianships because the goverment support would GO elsewhere instead of the parents - which is why you see drugged out mothers pleading the courts for custody despite such abuse and hiding that mothers real financial intentions and why there are typically MULITPLE siblings from different fathers to MAXIMIZE the yield in ripping off and scamming the public programs of taxpayer funds

the kids in this article of course may be THROW-AWAYs but not necessarily - dealing with mental deficiencies and incapacity for the poor alone does not indicate the parental participation which is the main factor in the definition of the label THROW-AWAY kid

Tracey Jones
Tracey Jones

Who got the money? Citrus Health Network in Hialeah?

Miami New Times
Miami New Times

Eddie, if you're on your phone you need to download to Pocket app.

Eddie Feliz
Eddie Feliz

Where on my Android is this mystical button called Pocket, that you speak of Miami New Times???

Miami New Times
Miami New Times

Merlina, there is a button up top called Pocket, it's a great service that does exactly that.

Jerry Gonzalez
Jerry Gonzalez

So the low income uneducated watch the kids while the 200 to 400k a year doctors play golf?

Merlina Francis
Merlina Francis

Instead of like FB needs a bookmark button so you would loose things you wanna read later. I suspect people like stuff so they would loose it in a tremendous amount of feed

sodapop1987
sodapop1987

So sad indeed. I hope this place fire all the employees and do an extensive interview for new employees. Gets sued for misusing the "booty juice" its messed up that these kids have to go through more trauma.

Alex Anico
Alex Anico

^Naomi. people are liking the article....on that note, MNT may occasionally write up lame stories about Bieber farting in a motel jacuzzi but when they do an investigative report, watch the fuck out. They play no kind of games...like

Naomi Lauren Ross
Naomi Lauren Ross

Why would anyone "Like" this? It's disturbing, and really sad. I hope it doesn't mean you actually approve what this facility has done to people.

Jimbo99
Jimbo99

@frankd4 Yep, proof that life is created in society without little regard for how they will be taken care of until they are self sufficient adults. The way I figure it, those thatd haven't had children wind up picking up the tab on these children. Some of the cowards that had them figured they would use the children as human shields to make up for the lack o their income earning potential. It creates an industry that gets fabulously wealthy off doing as little as possible to actually take care of the children. Some of these folks do the same with their pets, get a cuddly and cute one and then eventually realize they have to be accountable & responsible for raising their poor choices. Sterilization is one solution, but that's no better than what this article exposes. It's deemed inhumane, so they hope free contraceptives under Obamacare resolves as much as possible ? What they don't realize is that the underlying social ills aren't related to a bad situation that went bad because of a recession. It's that these folks breed for a government program that rewards that, then there's prostitution and diseases & unwanted pregnancies. There is no solution to any of it.

lamorta
lamorta

@frankd4 these are kids worthy of love and proper care, no matter who their parents are. if you read the article you would have noticed that some of them were orphans,

frankd4
frankd4 topcommenter

@Jimbo99 @frankd4  


because there is PROFIT in it for some there will be no real change


otherwise it is not the kids fault when they have shitty parents


problems for these people perpetuates because for the most part the kids are or become as needy as the parent were hence the continual breeding of the criminal uncivilized prospects that exist


and yes our current judicial industrial complex is fixed to PROFIT as judges pensions and LEOs boat payments from overtime and construction workers building jails and courthouses is continual ALL vitally depend on the constant flow of funds into these efforts


these 52 kids are certainly on their way to entering and staying in custody at one place or another - they simply are NOT self-sufficient nor will they be anytime soon

frankd4
frankd4 topcommenter

@lamorta @frankd4  


i absolutely agree.......after all it's NOT the kids fault they are either mentally financially or parentaly deficient in our society


sometimes even loving parents however do not have the ability to handle infirmed and difficult kids who need professional help


during WWII kids of all ages were relocated from LONDON and other cities into the suburbs to live with surrogate guardians until the bombing ended and the outcomes were mixed indicating environment while very important is not the only factor

 
Miami Concert Tickets
Loading...