Arizona Center for Disability Law

Mental Health Team

 

 

 

Findings

from

Follow-Up File Review & Site Visit

to

Vista Care Residential Treatment Center

 

 

 

 

March 31, 2005

 

 

 

 

 

 

 

 

Protection and Advocacy System for Arizona

 

100 North Stone, Suite 305

Tucson, Arizona 85701

520-327-9547 (voice or TTY)

800-922-1447 (toll free)

520-884-0992 (fax)

 

3839 North Third Street, Suite 209

Phoenix, Arizona 85012

602-274-6287 (voice or TTY)

800-927-2260 (toll free)

602-274-6779 (fax)

 

 

 

 

 

 

 

Arizona Center for Disability Law

Mental Health Team

Findings From Follow-Up File Review & Site Visit to

Vista Care Residential Treatment Center

March 31, 2005

 

________________________________________________________________________________________________________________________

 

I.  Introduction

           

            The Arizona Center for Disability Law (“Center”) is the designated protection and advocacy system for persons with disabilities in the State of Arizona.  We advocate for the rights of persons with disabilities to be free from abuse, neglect and discrimination and to have access to housing, education, health care, employment and other services in order to maximize independence and achieve equality.  Specifically, the Center is authorized by the federal Protection and Advocacy for Individuals with Mental Illness (“PAIMI”) Act to investigate incidents of abuse and neglect of individuals with mental illness.  See 42 U.S.C. § 10801 et seq. 

 

            The Center presents the following findings and recommendations based on a site visit and file review conducted in February 2005.  This review follows a site visit and file review the Center conducted in July 2004 and is part of an investigation that stemmed from a complaint the Center received in the Fall of 2003 in which a parent alleged that a client had been physically abused by Vista Care staff and that the treatment provided by Vista Care was inadequate.  Vista Care was also reviewed by the Office of Behavioral Health Licensing (OBHL) in May 2004 which issued a fine in the amount of $12,250.00 for identified program deficiencies.  The Department of Behavioral Health Services, Arizona Department of Health Services (“DBHS/ADHS”) stopped allowing its contracted providers to admit children to Vista Care during part of 2004 but resumed allowing admissions as of December 2004.

 

            In February 2005, staff of the Center conducted a six-month follow-up site visit and file review pursuant to the Center’s findings letter dated July 22, 2004.  Four staff from the Center were involved in this review (two of whom are attorneys and three of whom have graduate degrees in social work).  The team reviewed a total of nine (9) files: seven (7) of the young people were still receiving services at Vista Care, two (2) of the files were for young people who had been discharged, six (6) of the children were female, and three (3) were male.  The team also reviewed incident reports, grievances, police reports made from Vista Care to the Cochise County Sheriff’s Department, the Parent Orientation Guide, the Client Orientation Handbook, and a selection of Vista Care’s policies and procedures.

 

            The Center is pleased to report that substantial improvements appear to have been made since the July 2004 visit including the recruitment of local management that is responsive to the need for clinical improvements in the program.  Having said that, the Center’s review indicates significant areas in need of improvement.  The Center is concerned that Vista Care continues to rely too heavily on the use of physical interventions, that staff do not consistently document incidents involving physical interventions, assault, injury and self injury adequately, and that staff do not consistently report incidents to outside agencies as required.  The Center is also extremely concerned to see indications in the files of an over-reliance on psychotropic medications.  Additionally, the Center urges Vista Care to take steps to improve its policies relating to issues of Abuse and Neglect, Restraint and Seclusion, and to implement the principles and processes adopted in the J.K. v. Eden settlement, such as ensuring that Child and Family Teams are in place for all patients, as required by the Department of Behavioral Health Services.

 

II.  Clinical File Documentation Issues

 

            Overall there appeared to be much improvement in the documentation in the clinical files since July 2004.  The files were clearly better organized and maintained.  Nevertheless, it was still difficult to understand the sequence and chronological order of many of the recorded events. Although most of the routine forms were found in files, the Center is concerned that forms continue to be poorly completed with little explanatory narrative.  Many of the narrative portions of forms were filled in with statements of such a general nature that events and the course of treatment were difficult to follow.  Our review also indicated that there is a need for Vista Care to standardize the use of forms and make sure that all staff are using the same up-to-date forms. 

 

            A.  Progress Notes  

 

            The Center was heartened to find that, in sharp contrast with the previous review, almost all the files reviewed on this visit contained daily progress note entries.  However, these daily progress notes were often extremely general and did not specify which goals were being met, if any.  It is also problematic that in some files the Center found that a daily progress note could be positive despite the existence of contradictory nursing or therapy notes in the same file for the same date.  There were more noticeable gaps in the keeping of weekly team notes.  Indeed, some files were missing team notes for multiple weeks.

 

            B.  Therapy and Group Notes

 

            In at least two files, the treatment plans failed to include drug or alcohol treatment (AA or NA groups) as interventions despite the fact that the information in the file demonstrated that such treatment was indicated for the clients.  In one of those files, therapy and group notes were  also recorded inconsistently.  Center staff also frequently found that charts and forms were only partially completed.  The Center further noted that, in at least two files, therapy and group notes documented that clients were attending meetings which were not listed on their treatment plan (e.g., AA or NA). At least one file contained a reference to a client missing certain therapeutic sessions despite the fact that those particular sessions were not listed in the treatment plan.  Additionally, goals, if stated, were not clearly defined in many files.

 

            C.  Nursing Notes

 

            In general, nursing note forms were regularly completed and boxes were checked.  However, there was very little in the way of narrative or descriptive documentation in the nursing notes.  Additionally, some of the files reviewed had missing admission information.

 

            D.  Consent Forms

 

            Consent forms concerning treatment and medication were missing in  many of the files.  Documentation in some of the files suggest that clients were given medication for many days or weeks before the appropriate consent forms were signed by guardians or parents. Additionally, when medication was changed, Center staff could not locate corresponding informed consent forms.  Two files lacked the required consent forms signed at admission.  Moreover, many files which indicated that verbal consent had been given to medication changes lacked the required follow-up documentation.  In some cases, the client him/herself signed the consent forms for medication change, but the guardian’s signature was missing. In such instances, no follow-up documentation could be found showing that the proper consent of the legal guardian had been obtained.

 

            The Center strongly advises Vista Care to review DBHS’ Technical Assistance Document 8, Informed Consent for Psychotropic Medication Treatment and Practice Improvement Protocol 1, The Use of Psychotropic Medication in Children and Adolescents, and ensure that the Vista Care program implements all aspects of these technical guidance documents.

 

            E.  Seclusion and Restraint Documentation  

 

            The Center noted two clear violations of seclusion and restraint regulations.  First, one file that contained an incident report reflecting the use of both a chemical and a physical restraint contained a doctor’s order only for a chemical restraint not a physical restraint.  The failure to obtain a proper order for the physical restraint is a violation of Arizona Administrative Code (“A.A.C.”) R9-20-602(C).  Second, another incident report which recorded the use of seclusion indicated a violation of A.A.C. R9-20-602(I) where, during the use of seclusion, there was one period of twenty-five minutes during which no staff monitored the patient on a face-to-face basis.

 

            F.  Medication Administration

 

            Nurses’ notes do indicate proper administration of medication; however, no follow-up assessments seem to have been made in several cases as to effectiveness of the doses or medications administered. There was no indication that the clients themselves were asked about the effectiveness of the medication they were taking, or if they could tell the difference in the dosage. It was also unclear if the prescribing psychiatrist had met face-to-face with the clients when prescribing the medication, although signed notes were in the files.

 

            G.  Point Level System

 

            On a positive note, the clinical files reviewed contained forms documenting points assigned under the level system for each day.  Previously, such forms were not maintained in the clinical files.  Unfortunately, the point level system remains unclear.  Apparently, points are given for certain actions or non-actions, but how these points relate to individual goals is not explained. Also, it is difficult to ascertain the connection between a client’s general conduct and his or her movement between the levels.  For example, in one file the daily progress notes (which were consistently positive) did not appear to correspond to the client’s movement back and forth between various levels.

 

III.  Treatment Issues

 

            Again, the Center noted improvement in the general area of assessments and treatment. Nevertheless, the Center identified nine categories of concerns relating to treatment issues in the files reviewed.

 

            A.  Pre-Placement Screening

           

            In many of the files reviewed, it is difficult to tell if the children actually meet published criteria for admission to Vista Care.  Information sent by referring sources is limited and often there is no documentation of how and when a diagnosis was made, what other treatment has been tried, or how the child meets admission criteria.  General comments such as “runs away” and “difficult to deal with” are often cited as evidence that a child is suitable for admission.  A significant number of the children whose files we reviewed had serious trauma histories, yet by admission Vista Care has no specific treatment for children with post-traumatic stress disorder (“PTSD”) or exposure to trauma.  In addition, one girl was admitted with “catatonic-like behavior,” and placed in a unit with peers known to behave violently.  This led to numerous assaults against this young woman.

 

            In contrast to our last review, we did not find children with cognitive deficits that would have created difficulties for them in this setting.

 

            B.  Evaluations and Assessments

 

            Reviewers sometimes had difficulty finding key assessments.  In one file, a significant evaluation from a previous doctor was filed in a “miscellaneous” section.  This evaluation contained significant information regarding family history, diagnostic and treatment history, and family background that should have been made known to all staff working with this young woman. 

            Evaluations at Vista Care are often poorly documented.  At least two of the files showed a change in diagnosis during the child’s stay at Vista Care, without any documentation of why the diagnosis was changed.  At least three of the files reviewed showed children with “rule out” diagnoses which were kept intact throughout many months of their stay at Vista Care.  In one case, two diagnoses that exist on a spectrum were included as “rule-outs”;  in other words, if the child had one, they would not be diagnosed with the other.  Yet both diagnoses stayed with this child.  In another case, a child with a very significant history of trauma and sexual assault carried a diagnosis of “questionable PTSD” with no documented attempts to evaluate further.

 

            C.  Diagnoses

 

            We found one record in which the child had no diagnosis of substance abuse, yet the file recorded that as the main reason for her stay at Vista Care.  One child was admitted with a diagnosis of depressive disorder Not Otherwise Specified (“NOS”), yet assessments did not support the diagnosis.  This same child was discharged from Vista Care on Concerta, without a diagnosis of Attention-Deficit/Hyperactivity Disorder (“ADHD”).  As mentioned above, many children at Vista Care have significant histories of abuse, and some of those children are at least given “rule out PTSD” as a preliminary diagnosis.  However, we did not see documented any efforts to confirm or rule out that diagnosis, or the impact of trauma on the individual.

 

            D.  Individualized Treatment

 

            While improved over our last survey, treatment plans still are not well individualized.  Each child at Vista Care appears to get a standard set of services, with the only individualization occurring (if at all) in individual therapy sessions. 

 

            For example, at least two of the files reviewed referred to behavior plans that were developed for the child.  However, we could not locate a behavior plan in any file, nor did any file mention who developed or implemented the plans.  One child was approaching the age of 18 and transition to the adult system, yet there was no evidence of any activity to prepare her for that transition.  On the issue of transitioning adolescents to the adult system, the Center urges Vista Care to review and implement DBHS’s Practice Improvement Protocol 7, Transitioning to Adult Services.

 

            E.  Medication

 

            It was our impression that girls at Vista Care receive more medication than boys, they are medicated more quickly after their arrival, and they tend to be given more types of medication than are boys.  This may be an artifact of our small sample, but it was notable and should be evaluated.

 

            We again noted that many children are given trazodone for sleep.  One child was prescribed this medication upon arrival because of “some minor trouble falling asleep in the hospital” where she had recently undergone surgery.  Another child, who denied sleep problems on admission nursing assessment, was given trazodone to “fall asleep on time.”  In none of the charts reviewed were any genuine sleep difficulties documented.  We are concerned that so many children are given a tricyclic antidepressant for sleep rather than something more benign, such as Benadryl, hot milk, or relaxation exercises at bedtime, if anything at all. 

 

            Another child, who was noted to have a “sensitivity” to Risperdal on admission, was prescribed this same medication three months later.  Orders indicated that she was to be watched for improvement of symptoms, but not for drug reactions.  The same child told her doctor that her antipsychotic was too strong for her, and she sometimes refused to take it.  Her dosage was not reduced for over a month after her first complaint.

 

            Finally, at least one child whose file was reviewed has no diagnosis or history of psychosis, yet this child was prescribed antipsychotics.

 

            F.  Substance Abuse Treatment

 

            The treatment Vista Care provides for substance abuse issues appears to be attendance at 12-Step meetings with occasional group therapy sessions focused on substance abuse issues.  One child was admitted with a primary diagnosis relating to substance abuse, yet reviewers could find no documentation that the child was actually attending AA/NA groups despite the fact that such groups were included in his treatment plan.  While the Center notes that improvements in Vista Care’s documentation has made it easier to track attendance at 12-Step meetings, the lack of documentation in one of the nine files reviewed suggests this may be an area that deserves Vista Care’s continued attention.

 

            Additionally, at least some of the files indicate “packets” to be completed and processed in therapy sessions.  If these are part of substance abuse treatment that must be completed before discharge, it would be helpful if the files were clear about the specific requirements and when/if they are completed.

 

            G.  Trauma Treatment

 

            We are relieved to hear that the program does not intend to continue to rely on staff with only bachelors-level training to provide therapy but, rather, that Vista Care intends to hire trained, professional therapists with masters level credentials. Moreover, the Center was happy to learn that Vista Care has plans to engage one or more therapists who have experience treating trauma.  We strongly encourage you to do that as soon as possible, since so many of the children at Vista Care have significant trauma histories.  Whether or not a child meets criteria for a diagnosis of PTSD, some attention should be given to the effects of traumatic experiences.

 

            As noted previously, initial assessments often take note of whether a child has had traumatic experiences, though the current assessments are not thorough in defining the range of experiences that should be assessed as trauma.  Some children start their treatment with “rule out PTSD” as part of their Axis I diagnosis.  We found no evidence that further assessment or treatment is conducted to either “rule out” or confirm the diagnosis, nor to treat the effects of trauma.

 

The current milieu does not appear to understand trauma or to provide support so children can learn healthy coping skills rather than the maladaptive ones they used to survive their trauma. Some specific problems with treatment included an inability to effectively address trauma issues.  For example, one young woman with a significant history of sexual assault was subjected to a therapy session in which she was told that it was “unfair to men” that she didn’t trust them.  Another young woman with a trauma history engaged in some minor self-injury, and as a “consequence” was not allowed to participate in equine therapy.  When behaviors are learned by children who use them to survive trauma, it is not sufficient to try to “extinguish” those behaviors in the same way one would try to extinguish any other undesirable behavior.  Staff should be working to understand the purpose of the behavior and helping the child find better ways to meet those needs.  Simple denial of privileges will often escalate the problem.

 

            As a further example, one child was admitted with an extensive history of trauma.  This child was put on a unit with young women who had a history of violent behavior.  She quickly became a target, and was assaulted multiple times.  The staff, who agreed to have a BHT stay close to protect her, clearly failed to protect her from further assault. At least on one occasion, therapy notes refer to her “guilt and anger toward ‘perceived’ mistreatment,” without clearly acknowledging the fact that the child was being routinely targeted.  Allowing continued assault and minimizing its existence both contribute to the trauma this child has already experienced.

 

            H.  Level System

 

            It is still not completely clear how determinations are made to move a child from one level to another.  In at least one file, the daily progress notes seemed almost uniform in regard to the child’s behavior, yet they did not correspond with the ups and downs in his movement between levels. 

 

            I.  Discharge Criteria

 

            Criteria for discharge are not clearly documented in the file, and not articulated in a way that could be easily understood by a child.  In fact, one child who was interviewed was asked what goals she needed to meet to successfully complete the program.  She could not answer this question.  She did, however, say that she would be leaving soon because “they don’t know what to do with me.”

 

            Several files contained references to compliance with a specific percentage of the treatment plan.  This can be very subjective.  It might also allow a child to excel in one area and yet entirely ignore another problem area.  Some discharge criteria appeared to be “moving targets,” changing as the child approached discharge readiness.  We recommend that discharge criteria should be concrete, understandable by the child, and stable, not changing throughout the child’s stay.  Each child should know from the beginning what they are expected to achieve in order to successfully leave Vista Care.

 

IV.  Incident Reports and Coercion Concerns

 

            Center staff reviewed a file of incident reports for the period from July 1, 2004 through January, 2005.  We remain concerned that Vista Care is not providing the Center with all of the reports it is mandated to provide.  We are encouraged to hear administrations’ plans to pursue zero restraint and seclusion; however, we are also concerned that necessary steps have not been taken which would further reduce the use of physical interventions. 

 

            A.  Under-Reporting of Reportable Incidents

 

            It is, of course, difficult to know what incidents have not been reported and what facts may be missing from existing reports.  Records reviewed suggest that Vista Care has not been providing the Center with all incident reports of the type that Vista Care is mandated to provide to the Center, pursuant to A.A.C. R9-20-202.  As a Level 1 RTC, A.A.C. R9-20-202 requires Vista Care to report the following incidents to the Center within one working day: 

 

            1.  Any client death.

 

            2.  Any medication error, adverse reaction to a medication, suicide attempt, or self-inflicted injury that occurred on the premises or during a licensee-sponsored activity off the premises that requires medical services or immediate intervention by an emergency response team or a medical practitioner.

 

            3.  Any suspected or alleged abuse, neglect, or exploitation of the client or a violation of the client’s rights under A.A.C. R9-20-203(B) or (C).

 

            4.  A physical injury that occurred on the premises or during a licensee-sponsored activity off the premises that requires medical services.

 

            Please note that incidents involving suspected or alleged abuse, neglect, exploitation, or rights violations must be reported regardless of whether any medical care was required.  Further, the array of rights listed in A.A.C. R9-20-203(B) and (C) is extensive.  For example, incidents of peer on peer violence, particularly where there are multiple incidents against one client, should be reported to the Center under this provision.  Additionally, whether or not Vista Care finds that a client grievance is substantiated, whenever a client makes allegations of abuse, neglect, exploitation, or a rights violation, such reports should be forwarded to the Center.  The Center notes that at least one of the grievances reviewed (and arguably more) related to an allegation of abuse of a client by a BHT.  Such an allegation should clearly be reported to the Center.

            The applicable rules provide imperfect guidance regarding which injuries require medical services and/or immediate intervention by an emergency response team or medical practitioner.  In light of the potentially complex questions entailed, the Center encourages Vista Care to err on the side of making reports rather than risk under-reporting.  For instance, a large percentage of self-inflicted injuries, almost by definition, will require immediate intervention upon discovery.  The Center encourages Vista Care to report such incidents routinely.  Additionally, if an injury requires medical staff to do more than cleanse a simple scratch and/or if the “nurse treatment” box is checked on the incident reporting form, the Center encourages Vista Care to send such reports to the Center.

 

            On a positive note, Center staff are pleased to see that the numbers of reportable incidents appear to have been decreasing in recent months.

 

            B.  Unclear Incident Reports 

 

            Many of the reports reviewed raised questions among the reviewers about medical treatment.  For example, a number of reports indicated children banging their heads against walls or floors, yet there was no mention of whether they were examined by a nurse or other medical staff.  Another example took place on November 26, 2004, when a client hit and broke some glass, yet there was no mention of any medical inspection or whether she had been injured.  This again raises the question about whether the number of incidents reported or required to be reported is correct.

 

            In addition, one incident recorded a pair of scissors missing after an activity.  A girl went into the bathroom and came out with her hair cut.  When asked where she was hiding the scissors, she said, “in my paints.”  Immediately following this notation was “End of report.”  Clearly, the staff should have recorded the completion of this incident and the ultimate safe retrieval of the scissors.

 

            Also, the completion of the incident reports is inconsistent, and the forms are not all the same.  We encourage administration to standardize the form and make sure staff is trained on proper completion and reporting.