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FINAL FACT-FINDING REPORT S.H. v. STICKRATH

FINAL FACT-FINDING REPORT

S.H. v. STICKRATH









Submitted by:

FRED COHEN, Esq.




January 2008
S.H. v. Stickrath
FACT-FINDING, FINAL REPORT


TABLE OF CONTENTS

EXECUTIVE SUMMARY .............................................................................................................................i

I.

FRAMEWORK: LEGAL & OPERATIONAL..............................................................................1
II.

CONCEPTUAL FRAMEWORK & OVERVIEW ........................................................................5
A Damaged Population.......................................................................................................5

Constitutional Standard on Safe Environment ................................................................8

Incidence of Mental Disorder.............................................................................................9

Competing Models ..............................................................................................................10
Education: Holistic Approach............................................................................................10

Medical Issues .....................................................................................................................14
Ohio Law: Confused and Regressive ................................................................................16

III.

SAFE ENVIRONMENT: FORCE, ISOLATION, & RESTRAINT.............................................23

Safe Environment ...............................................................................................................23
Restraints and Isolation......................................................................................................28
Incident Reports..................................................................................................................33
Select Use of Force Incidents..............................................................................................41
IV.

MENTAL HEALTH CARE:
TREATMENT, REHABILITAION
,
& PROGRAMMING
...........................44
Scioto Juvenile Correctional Facility Report: [Dr. Kathryn A. Burns] .........................48

Mental Health Services for Boys: Reception Screening & Assessment....................48

Mental Health Staffing .................................................................................................49

Girls Residential Mental Health Unit ........................................................................51

Mental Health Treatment.............................................................................................52

Marion Juvenile Correctional Facility Report: [Dr. Kathryn A. Burns].......................55
Mental Health Staffing ................................................................................................55

Intensive Mental Health Unit......................................................................................57

Mental Health Treatment............................................................................................58

Conclusion ....................................................................................................................61
Summary Report of Initial Site Visits: [Dr. Leta D. Smith]............................................63

Provision of Mental Health Care................................................................................63

Adequacy of Policies and Procedures.........................................................................64
Quality Assurance and Peer Review Procedures ......................................................66
Mental Health Staffing ................................................................................................66


1 Sufficiency of Ancillary Staff ......................................................................................72

Training, Supervision and Discipline of Clinicians Supervision..............................73

Adequacy of Mental Health Records..........................................................................74

Crisis Management and Suicide Watch P & P ..........................................................76

Use of Mechanical Restraints on Mentally Ill Wards ...............................................78

Adequacy of Mental Health Care Facilities/Physical Plant......................................79

Adequacy of Mental Health Programs.......................................................................83

V.

PROGRAMMING FOR JUVENILE SEX OFFENDERS ............................................................88

Assessment...........................................................................................................................90
Assessment Protocol at Scioto............................................................................................93

Circleville Visit....................................................................................................................94
Programming ......................................................................................................................95
Privilege System ..................................................................................................................96
Therapist Contact Time .....................................................................................................97

Release .................................................................................................................................98
Miscellaneous ......................................................................................................................99
VI.

EDUCATION ....................................................................................................................................101
Leadership and Organization Structure...........................................................................101
Full School Day and Staffing..............................................................................................105

Special Education................................................................................................................109
Instructional Practices and Discipline...............................................................................113
Educational Assessment, Guidance Counseling & Reentry Services .............................116
Career-Technical and Job Training..................................................................................118

Educational Programs and Support..................................................................................120

Physical Plant ......................................................................................................................121
Supplements ........................................................................................................................123
Conclusion ...........................................................................................................................124
VII.

OVERCROWDING & STAFFING: TRAINING AND PROGRAMMING ...............................126

Overcrowding......................................................................................................................126
Staffing.................................................................................................................................127
Training ...............................................................................................................................130
Training Remedies..............................................................................................................135
VIII.

HEALTH & DENTAL SERVICES.................................................................................................137

Health Services Overview...................................................................................................137

Current Structure of Medical Services .........................................................................139
Medical Assessments.......................................................................................................140
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