Cierra Baker has never been in need of meds, Yet Oregon DHS Child Welfare is medicating her, will she now be considered one of the troubled children in state care?
Erinn Kelley-Siel, currently, takes the lead as head decision maker for the state of Oregon DHS Child Welfare Children Service Department and should know that "WHEN CHILDREN OF A SUPPRESSED AND OPPRESSED DOWN TRODDEN GROUP SUCH AS NATIVE AMERICAN, AFRICAN AMERICAN AND JEWISH AMERICAN ARE REMOVE OUT OF THEIR CULTURE IT IS THE FIRST STEP OF "GENOCIDE", INTERNATIONALLY DESCRIBED AND DEFINED AS "GENOCIDE", at the December 9, 1948 International Convention of the Prevention of Genocide, by the General Assembly, of the United Nations #226(11) Article 2
Cierra Baker and Asia Baker two African American sisters, as well as many other African/Biracial American Children and Native American Children are the highest number of Children who are being held against their will for longer periods time with no family contact what so ever, than white children, who are not removed from their home, held for longer periods in foster care, no more white families are not refused all family contact. Some DHS case worker while at the front door along with CPS support families by allowing them to call some one in the family which should be policy at all times.
- Evelyn Murray February 13, 2013 503 875-9200
When children are abused in the Oregon Child Welfare System, the state is never held accountable, and there is no one to hold the Oregon State Child Welfare System accountable except for brave souls who truly survived the Horrible child Welfare System in the United States. DHS Case workers who have to hid their faces on Camera speak on checks or balances that need to be in place to remove children out of Oregon DHS State Child Welfare Custody. This is where Oregon Juvenile Judges who are administrative decision makers are not doing their jobs to protect children who have ran over and over again, from abusive foster homes after foster home. This is just one of the areas where the Oregon Juvenile Justice System has failed. There should be a policy, along with regulations children should not loose the only voice that they have which is family and community which is the village voice that all children need. Children connectedness to family and community end upon entering what turns out to be the most Twisted and Weird Foster Care System in the United States, The Oregon DHS Child Welfare System.
Too many family members lose contact visits with the youngest members of their family, when a child Like Asia Baker age 5 report while on a visit with family, that they have been harmed physically and sexually in there foster home, all visits stop Once the family turn to the one who should investigate which is the Oregon DHS Case worker, visits end, all communication is cut off, walls of silence go up and all doors to follow on your youngest family member become a panic for the family as well as the child. Children child become reactive like Cierra Baker and Asia Baker to the loss of their visits are forced into silence with separation leaving both children to live in even greater loss, now they don't even have each other, then when a older child like Cierra Baker try to escape by running to find her grand mother Evelyn Murray, her DHS case worker get a state contracted doctor to diagnose Cierra Baker with ADD/ADHD and then is placed on Adderall and other psychotropic power meds this is a killer of the brain that wills the body and a concrete "can not tell" medical restraints. The City of Portland Police Department was just sued by the United State Oregon Supreme Court proving that The state of Oregon across the board, does have some serious problems with internal Investigation. This is one of the problem with the Oregon DHS child Welfare System is that Judges are not doing their, Which is listening to both side of the story which must be a Mandatory procedure. Families are shut out in Court rooms is where the problem begin for a case of cover up and medical abuse that is a must educational step toward the state of Oregon DHS Child Welfare System having accountability. This will only happen with a NBACWA National Black African American Children Welfare Association Similar to NICWA National Indian Children Welfare Association- February 13th, 2013 8:11
In this following article, it appear as if DHS Child Welfare Director Erinn Kelley-Siel is not strong enough to take the actions needed to put a handle on the trouble of her state department of Children Services.
Erinn Kelley-Siel, interim director of the state’s Children, Adults and Families Division, said she’s considering asking the 2009 Legislature to allow the state to levy fees in order to hire more staff and to grant the legal authority to impose civil penalties at the first sign of trouble. OREGON CHILD WELFARE DEPARTMENT IS IS SERIOUS TROUBLE AND ERINN KELLEY-SIEL IS "CONSIDERING ASKING?" KELLEY_SIEL SHOULD DEMAND THE NEEDED SUPPORT! BUT SHE WILL NOT BECAUSE IT IS FOR THE HIGH NUMBER OF CHILD THAT ARE TAKEN FROM THE COMMUNITIES OF COLOR AND POOR LOW INCOME WHITE FAMILIES WHO ARE THAN ARE SOLD FOR A VERY SMALL APPLICATION FEES THAT RANGE From $2,500 - Click link: http://costs.adoption.com/articles/the-costs-of-adopting-a-factsheet-for-families.html “Short of suspending their license, we have no alternative kind of remedy,” Kelley-Siel said. “I think this could make a big difference in the lives of hundreds of African American and poor low income white kids.” Typically, group homes, mental health treatment centers and other state-licensed child care agencies get a visit from a licensing specialist once every two years.
WHERE ARE OUR BLACK AFRICAN AMERICAN CHILDREN? DO YOU KNOW WHERE THEY ARE?
It was during one of those visits that licensing coordinator Monika Kretzschmar discovered serious problems at the Kirkland Institute for Child and Family Study, where the Oregon Youth Authority sends boys and the Department of Human Services puts teen boys who have been rejected by family foster homes or other group placements.
Kretzschmar learned that some on Kirkland’s staff had criminal histories and others lacked the qualifications for their job. Neither the state nor Kirkland would discuss the specifics of those criminal histories with The Oregonian.
She also found medication logs indicating the boys did not receive their prescribed meds, were given another boy’s pills or, in one instance, a teen was taken to the hospital because staff gave him an accidental overdose.
Kretzschmar followed with a letter listing 19 corrective actions Kirkland must take to retain its license. A few weeks later, Kirkland named a new executive director.
“We’re trying to do everything we can,” Rich Streeter, Kirkland’s newly hired executive director told The Oregonian. “You’re talking about some of the most difficult kids in Oregon, and some of the most difficult to place. We’re making sure we’re providing them with a safe, secure environment when they’re here.”
But problems continued.
In September, the state received a report that a Kirkland employee broke a teen’s collarbone while trying to subdue him. An investigation by the state Office of Investigations and Training found that the actions taken by Kirkland staff constituted child abuse.
On Sept. 19, Erin Fultz at the Oregon Youth Authority e-mailed her supervisor: “I just feel uncomfortable with our youth staying there since there have been so many red flags over the last several months.”
Just before Thanksgiving, the state received a report of a Kirkland teen taken to the emergency room after a run-in with staff. That’s when state authorities closed Kirkland to new admissions and began finding places to move the 22 teens who were there.
A rare licensing move
It was a rare step. State licensing authorities said they’ve closed admissions on only half a dozen programs over the past five years.
The last boy was moved out of Kirkland on Thursday, Streeter said.
Kirkland is working with the state so that it can once again accept new admissions, he said.
Meanwhile, in Pendleton, the state Addictions and Mental Health Division informed Pendleton Academies on Nov. 17 that it intended to revoke the institution’s certification to provide psychiatric treatment.
Pendleton Academies treats girls and boys ages 5 to 18 who suffer from bipolar disorder, psychosis and other severe mental disorders.
State officials say they’ve worked with Pendleton to iron out problems since 2005. But last August, they warned Pendleton Academies it needed to improve in eight areas or lose its certification.
Among those areas: ensuring that children receive appropriate treatment for their psychiatric symptoms and that children get adequate supervision.
State officials said they were alarmed that police responded to at least 56 calls at the institution in the first six months of this year.
“Many of the incidents requiring police intervention involved child-to-child assaults resulting in an injury to one or both of the children,” notes an Aug. 20 letter from state officials.
The Pendleton Academies board replaced the executive director with Terry Edvalson, and state officials allowed the institution to continue operating.
“The staff has done a significant job in helping turn this place around,” Edvalson said.
But state officials said they could not overlook what occurred Oct. 27, when a 17-year-old male is accused of coercing a 13-year-old girl to have sex.
Employees had been told not to allow the two within 15 feet of each other, yet records indicate the boy and girl were unsupervised.
“The people who were responsible for supervision are no longer with us. They were fired,” Edvalson said.
Pendleton Academies can appeal to the state to be allowed to continue to operate. In the meantime, Edvalson said earlier this month that his staff was looking for suitable places to send the kids.
“You just don’t pull the plug,” he said. “Our kids are very fragile, and we need to get them out of here as carefully as we can so we don’t do them damage.”
Since the state DHS finally brought attention to these agencies, the front page of the Pendleton Academies web site has been pulled down, but the remaining pages show who is responsible for tanking this state and federally funded social service agency.
Here is a recent list of board of directors of Pendleton Academies from their web site.
J. Albert Baxter, M.D. (Board President) – Psychiatrist, Private PracticesSusan Neal (Board Secretary/Treasurer) – Community Volunteer
Justin Burns – Attorney, Burns Law Office, LLC
Laurie Drop – Executive Director, Bethphage
Tim Mabry – Businessman and Family Representative
Daniel Marier, M.D. – Internist, Pendleton Internal Medicine Specialists, P.C.
Mary Moore-Suever – Executive Director, Pendleton Academies
Michelle Sitz – March of Dimes Eastern Oregon Division Director, Community Volunteer
Jackie Smith, L.C.S.W. (Ex-President) – Community Volunteer, Retired Social Worker, Eastern Oregon Psychiatric Center
Leo Stewart – Confederated Tribes of Umatilla Indian Reservation (CTUIR) Board of Trustees Vice-Chairman
Here is a recent list of staff members of Pendleton Academies from their web site.
J. Albert Baxter, M.D. – Board President
Dr. Al Baxter, a psychiatrist in private practice, is the president of the Pendleton Academies Board of Directors. He is the Medical Director of the Eastern Oregon Alcoholism Foundation, psychiatric consultant to the Yellowhawk Clinic and the Eastern Oregon Correctional Institution, and is on the medical staff of St. Anthony Hospital.
Mary L. Moore-Suever, M.Ed. – Executive Director
Mary provides leadership, supervises directors and administrative staff, ensures compliance with current state and federal regulations and mandates, manages fiscal matters, and executes board policy and directions.
David Conant-Norville, M.D. – Medical Director
Dr. David Conant-Norville provides the overall direction for the treatment of all children at Pendleton Academies. He is a board certified child psychiatrist who serves as a clinical team leader during reviews for all children at Pendleton Academies. He practices in Portland, Oregon and is on the faculty of the Oregon Health Sciences University.
Gannett L. Pitkin, Ph.D. – Clinical Program Director
Dr. Gannett Pitkin is Pendleton Academies Clinical Program Director. He is responsible for admissions for residential care and oversees and coordinates the entire clinical program, including the assignment of children to clinical staff and monitoring of the effectiveness of therapies He also coordinates the treatment elements of the education program with the therapeutic school staff.
Barry J. Grant, M.S. – Residential Director
Barry is responsible for assessment and stabilization admissions; overseeing residential care; and recruiting and training children's treatment families.
Pat Blanchard, M.S. – Chief Financial Officer
Pat oversees the administrative support staff and the development of financial reports, and advises the Executive Director regarding financial and fiduciary matters. She also oversees the management of the Academies data system.
Barbara Ceniga, M.Ed. – School Director
Barbara directs and oversees therapeutic school staff and operations, including the professional development of school staff, the oversight of curriculum, and the academic progress of Pendleton Academies’ students.
Terry Edvalson, M.S. – Project Development Director
Terry assists the Executive Director in carrying out the Board of Directors capital and program improvement mandates and with other matters to ensure the financial stability of the organization.
Vincent Brunning, M.A. (Oxon), M.A., LPC – Cultural Coordinator & Psychotherapist
Vincent ensures every child's cultural background is honored and cultural values and rituals are incorporated into their treatment plans.
Joey Bechtal, M.S.W. – An Employee of Umatilla County Department of Health and Human Services
Joey Bechtel is a knowledgable and talented social worker with the Office of Development Disabilities. represents an outside agency on the Pendleton Academies Leadership Team.
The board and staff at Pendleton Academies received significant technical and clinical assistance from the Beaverton-based child and family psychiatry clinic, Mind Matters, PC. Their partner physicians include Robert A. George, MD, David O. Conant-Norville, MD, Mary-Lynn Theel, MD, Marvin Rosen, MD, and Stewart S. Newman MD.
EXTRA – Restraint and Seclusion Data for Youth, 12 11 2008
EXTRA – Pendleton Academies site review by DHS, June 2006
EXTRA – America’s Mental Health: More than a State of Mind, by Mary Moore-Suever, former executive director of Pendleton Academies
EXTRA – Pendleton Academies Provide Rural Mental Health Care, OPB.org, March 2008
EXTRA – Mind Matters, PC
Tags: DHS, Pendleton Academies
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Budget Prospects May Chill State Hospital Hiring
Posted by admin2 on 21st November 2008
From OPB.org, November 20 2008
State agencies in Oregon are facing tough choices. They’re looking for ways to cut their budgets after the latest round of gloomy economic projections.
The news is especially disappointing for the Oregon State Hospital in Salem, where officials had been planning to ramp up hiring in a big way.
A federal report earlier this year said the Oregon State Hospital was so understaffed, conditions were unsafe for patients.
In response, officials and lawmakers pledged to hire more than a thousand new workers over the next two years. But hospital Superintendent Roy Orr says the new budget projections are a concern.
Roy Orr: “We may very well have to make concessions in the numbers we would prefer to have in our upcoming budget.”
State Hospital employees like Rosalie Pedroza are also worried. Pedroza says the hospital has a long history of getting short shrift when it comes to state spending:
Rosalie Pedroza: “I guess the option is, we can continue to under staff the hospital and, you know, we’ll still have the dire consequences of the people not getting the care they need.”
State workers will get a clearer picture of what’s in store for them in a couple of weeks.
That’s when Governor Ted Kulongoski proposes his next two-year budget.
(photo Oregon State Hospital Ward 81, 1976, by Mary Ellen Mark)
Tags: DHS, Oregon State Hospital, Roy Orr
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Posted by admin2 on 20th November 2008
Portland Tribune, November 2008
Hospital restraint figures revealed – State to make public quarterly data about psychiatric units
The data described in this article is available online.
Adult Seclusion and Restraint Occurrences Per 1000 Patient Days: 1st Quarter 2008 (PDF)
(NOTE: DHS has linked to data which DOES NOT provide facility-specific information for adults, as DHS informed Peter Korn of the Portland Tribune they would.)
Youth Seclusion and Restraint Occurrences Per 1000 Patient Days:1st Quarter 2008 (PDF)
A friend of the family told Elaine Shipman a week ago that hospitals don’t change their practices unless they are sued. Shipman said she didn’t believe it, that suing a hospital was just as likely to make the institution more secretive.
The subject is still a topical one at the Shipman home in Scappoose because in August 2007, Shipman’s son, Glenn Shipman Jr., was involved in one of Oregon’s most controversial hospital deaths.
Shortly after being admitted to the psychiatric unit at Legacy Emanuel Hospital and Health Center in Northeast Portland, Shipman, who suffered from schizophrenia and weighed 400 pounds, began walking away from nurses, was tackled by staff and asphyxiated while being held face down to the floor for at least 10 minutes in a position called prone restraint.
The Shipmans never sued on behalf of their son, despite findings from state and federal officials that a series of mistaken procedures by the hospital may have contributed to his death.
This week, Elaine Shipman said she feels she can tell her family friend that hospitals can change, or be induced to change, without being sued.
Largely as a result of public scrutiny inspired by Glenn Shipman Jr.’s death – and over the objections of the state hospital lobby – this week the Oregon Department of Human Services is making public the frequency with which individual Oregon hospitals restrain and seclude patients in their psychiatric units.
The department released the data to the Portland Tribune last week in response to a public records request, and later decided to post the data on the department’s Web site.
Restraining a patient can involve physical force, as occurred in Shipman’s case, or the use of leather or plastic cuffs that tie a patient to a bed, or with a special device called a Posey vest. Seclusion refers to putting a patient in an isolated, locked room, often for long periods.
But comparison restraint and seclusion data for hospitals treating psychiatric patients has never been available – until now.
“It’s the beginning of transparency,” said Beckie Child, board president of Mental Health America of Oregon, a nonprofit that advocates for people with mental illness.
The data being released covers the first three months of 2008 and shows that restraint and seclusion took place much more frequently at the psychiatric unit of the Portland Veterans Administration Medical Center than at most private hospitals in the Portland area.
Legacy Emanuel had 11 total restraints and seclusions while Legacy’s Good Samaritan Hospital had none, even though it treated more patients.
Some rural Oregon hospitals had much higher rates of restraint and seclusion than Portland area hospitals – Rogue Valley Medical Center in Medford and Bay Area Hospital in Coos Bay, particularly.
Restraint and seclusion are among the most controversial aspects of hospital care. Some mental health experts consider them necessary tools for handling patients who might endanger themselves or staff.
Other experts believe that viewing restraint and seclusion as tools rather than as treatment failures is one of the reasons many hospitals still restrain and seclude patients. Still, some Oregon hospitals, including the Salem Hospital and a few others, have eliminated their use.
But one thing experts agree on is that in the states that seclusion and restraint data has been made public, their use went down.
In fact, Oregon Department of Human Services officials said last week that they will be in touch with the hospitals whose restraint and seclusion data appears higher than the average. For the first time, they know which hospitals bear watching.
Trends worth noting
Hospital officials caution that the initial data is a snapshot, and that trends will be more obvious as more quarterly reports are made public.
For instance, the VA’s restraint and seclusion numbers were high, but the VA deals with a different population than other hospitals, according to Steve Dobscha, the hospital’s chief of psychiatry.
A large number of the veterans who use its 21 psychiatric beds are elderly and suffering dementia. Among the younger veterans, a large percentage is suffering from brain injuries suffered in Iraq and Afghanistan.
Patients with brain injuries and psychiatric illness can be much harder to control with the de-escalation techniques hospitals use as a way of pre-empting restraint and seclusion.
And the data for the VA does not reflect that hospital’s norm, Dobscha said. In 2007, the VA had a much lower rate than for the first quarter of this year. The increase is due to two patients in the psychiatric unit who were in and out of seclusion a number of times, Dobscha said.
Meanwhile, Legacy officials said that they send their most acute psychiatric cases to Legacy Emanuel, which explains the disparity between Emanuel and Good Samaritan.
Herb Ozer, director of Behavioral Health Services for Providence Health and Services, said something as simple as a hospital remodeling also can affect restraint and seclusion rates. St. Vincent’s, he said, has been remodeling its psychiatric unit this year.
“It creates a lot more chaos,” Ozer said, adding patients sometimes react to that chaos higher than usual.
Much to be gleaned from data
Mike Morris, a Department of Human Services manager for the state Addictions and Mental Health Division, said the data might contain all sorts of lessons yet to be learned.
For instance, Tuality Forest Grove Hospital reported a higher than average rate for use of seclusion. But Tuality runs a geriatric psychiatric program for treating the elderly, some of whom might be suffering aggressive dementia, Morris said.
“This is a start for us talking about one way to look at hospitals and the services they provide,” Morris said.
Hospital officials say that if similar numbers were collected just a few years ago they would have shown significantly higher rates of restraint and seclusion.
Robin Henderson, director of behavioral health at St. Charles Medical Center in Bend, said that five years ago her hospital’s seclusion room was always in use. In the last three years, Henderson said, St. Charles has almost completely eliminated the need for restraint and seclusion.
Reporting their seclusion and restraint data has forced hospitals to overcome a long-standing taboo, Henderson said. And it will be helpful, she said.
“We have to go back and really talk among each other about what models are working and what models aren’t,” Henderson said. “This has not been the safest thing to talk about. There are not a lot of venues where we can go out and share high-risk data.”
Child, of the Mental Health America of Oregon, was secluded at the now-closed Woodland Park Hospital in Northeast Portland years ago. She said making psychiatric data public could help mental health patients avoid trauma – the trauma she said that often accompanies the aftermath of a hospital stay.
“What’s happened in the past is people have a bad experience and they complain as individuals, which means hospitals bring in attorneys and risk-management folks, so it makes it feel like it’s very personal,” Child said. “This at least gives you a chance to look at it with a different lens.”
Jason Renaud, another longtime Portland activist on mental health issues, said release of the new data represented a victory of sorts for mental health advocates.
“This required abundant public oversight, but we have had nothing up until this point,” Renaud said of seclusion and restraint. “It’s not part of the happy story of hospitals.”
Tags: Bay Area Hospital, Beckie Child, DHS, Glenn Shipman, Legacy Emanuel Hospital, Legacy Good Samaritan Hospital, Portland Veterans Administration Medical Center, Providence Hospital, Rogue Valley Medical Center, seclusion & restraint, St. Charles Medical Center, Tuality Forest Grove Hospital
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Posted by admin2 on 17th June 2008
From the Oregonian, June 17, 2008
The struggling mental health provider will keep control of three clinics
Multnomah County announced a reorganization of its local mental health system Monday, substantially scaling back contracts with struggling Cascadia Behavioral Healthcare and setting the stage for a potentially difficult transition for clients with mental illness.
By transferring roughly a third of its business with Cascadia to other companies, the county is realizing a long-held goal of shrinking the state’s largest provider of mental health services.