JULY 8, 2009
Family Of Veteran Who Killed Himself Settles Lawsuit Against VA.
The
Seattle Times (7/8, Carter)
reports, "The family of a veteran whose suicide at the
Veterans Affairs hospital on
Beacon Hill in 2006 helped expose unsafe conditions in
the facility's psychiatric ward has settled a lawsuit against
the government for $700,000, according to court documents and
the family's attorney." The 49-year-old veteran Gordon Whitcomb,
a resident of Federal Way, Washington, "had a history of
psychiatric disorders when he admitted himself to the VA
hospital in November 2006 because he was hearing voices and was
paranoid and delusional, according to the lawsuit," which also
said hospital "nurses put notes in his file saying that Whitcomb
was suicidal and delusional. Yet, the staff never took away his
belt," which Whitcomb used to hang himself, according to John
Greaney, the Whitcomb family's attorney, who said, "This was a
clear case of the VA failing to protect this man." The Times
adds, "Whitcomb's suicide prompted a critical internal audit of
the VA Puget Sound's psychiatric facilities, which recommended
that the hospital replace fixtures like the shower bar Whitcomb
used to hang himself. However, those recommendations were not
implemented until after the...Joint Commission on the
Accreditation of Health Care Organizations preliminarily failed
the Beacon Hill hospital and VA facilities at American Lake near
Tacoma and in Bremerton, finding their psychiatric wards posed
"a serious threat to public or patient health or safety."
Impact:
VA Puget Sound, Joint
Commission, Veteran suicide
Response from Stan Johnson, Director of VA Puget Sound HCS (7/8/2009)
You may have read this morning’s Seattle Times article on the
settlement case involving the suicide of a patient in 2006 at
the Seattle Division of VA Puget Sound. While this was a very
unfortunate incident, our organization took appropriate steps
including a Root Cause Analysis to understand what occurred and
take action to prevent a similar occurrence in the future. The
case was settled by the US Attorney’s office.
Contrary to what was presented in the article, the May 2007
survey by The Joint Commission was a routine triennial survey.
It was not a special survey or a survey in response to a
patient incident. At no time did VA Puget Sound lose or regain
accreditation. VA Puget Sound received a Preliminary Denial of
Accreditation decision at the conclusion of the routine survey,
which was subsequently lifted by the President of The Joint
Commission following an unannounced survey that confirmed our
compliance with standards. We worked collaboratively with The
Joint Commission to resolve all concerns, and the preliminary
accreditation decision was advanced to Accredited as of July 31,
2007.
Since the time of the 2007 survey, Inpatient Mental Health Units
have been remodeled, numerous environmental and safety upgrades
have been made, and new procedures have been put into place to
meet The Joint Commission’s requirements and most importantly
assure the high quality, safe patient care that we at VA Puget
Sound pride ourselves on delivering to our Veterans.
VA Collaborates On Program Designed To Keep Vets Out Of Jail.
The
New York Times (7/8,
A21, Akam) reports, "There are about 70,000 veterans who have
served in Iraq and Afghanistan in New York State, many
struggling with the transition back to civilian life as Vietnam
veterans did, and some at risk of ending up in the criminal
justice system." But the Veterans Project, a "new pilot
program...announced on Tuesday and set to begin in Queens,
Brooklyn and Nassau County, aims to help keep them out of
prison." The "project - a collaboration between county
prosecutors, the Department of Veterans Affairs and health care
providers - will try to divert veterans who commit nonviolent
crimes away from prison while helping them with underlying
issues like homelessness or substance abuse." The
Brooklyn (NY) Eagle
(7/7, Newhouse) also covered this story.
Impact:
Incarcerated Vets
Mental Health Treatment Up For Children Of US Military Troops.
The
AP (7/8, Hefling) says
that according to internal Pentagon documents, the children of
US military troops "sought outpatient mental health care 2
million times last year, double the number at the start of the
Iraq war." The same documents also reveal "an alarming spike in
the number of military kids actually hospitalized for mental
health reasons." The treatment increases "come as the services
struggle with wars in Iraq and Afghanistan and a shortage of
therapists," but there "are efforts under way to encourage the
military, the Department of Veterans Affairs and state and local
agencies to share mental health resources."
Impact:
Military Kids, Mental health