CDCR Golding Report

[thepoopologist]

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I don't know if anyone has read about the Golding Report yet, but I thought I'd share the following. The link leads to a copy of the actual report btw.

Secret prison report alleges poor treatment of inmates, misleading reports on care

Lawyers for the state had fought to delay release of the document until an internal investigation could be done, but Mueller rejected that, and the document filed on the court docket Wednesday morning contains serious allegations about how inmates are being treated, including one incident where a psychotic inmate was not given medication and ended up ripping out her eye and swallowing it.


“She was on one to one suicide watch by an LVN [a licensed vocational nurse]. This LVN 16 was tasked with constantly observing her. MG] and was to be in a strong gown, however refused to comply with issue orders,” Golding wrote. “It was documented that she was ‘psychotic’ at the time of admission.

“Documentation from the one to one observer noted ‘screaming’ every fifteen minutes for most of the four hour period. She did not receive medications during the four hour period prior to the event. The psychiatrist on call was not contacted by [either] nursing, the admitting psychologist, or custody. After touching her eye for several seconds, while in the supine position on the floor, the I/P used her left hand to enucleate her left eye [take out her left eye].

“The alarm was sounded and two correctional officers entered the cell. The I/P was asked to relinquish the eye, however, she put the eye in her 25 mouth and ingested it.”

 

[thepoopologist]

Here's another eye-opener in the report

12 Regardless of platitudes about the importance of including psychiatric physicians in
13 decision making, CDCR’s actions are not consistent with such platitudes. CDCR
14 perversely deems the non medically trained psychologist rather than the psychiatrist (i.e.,
15 the medical doctor) to be the “primary clinician”. There is not a single psychiatry
16 executive in CDCR. Psychologists wear name badges saying “Dr.” and not specifying that
17 their doctorate is as a psychologist rather than a medical doctor. Indeed, a psychologist
18 has been listed as the “physician to call” in at least one CDCR mental health nursing
19 station. Psychologists in CDCR very often override psychiatrists’ judgement and/or
20 medical orders, and the CDCR system effectively supports them in doing that rather than
21 discouraging it.

Addendum:

Here's another doozy

7 “Two significant issues to note: 1) The psychiatrist saw the patient every day of his
8 admission, with the exception of 7/28/18, whereas the patient was seen by 7 different
9 psychologists or social workers during his stay. The psychiatrist was the staff member
10 with the most knowledge and familiarity with the patient, but he was overruled regarding
11 the discharge; 2) The patient was discharged by a post doc psychology intern, on the day
12 she met the patient. The psychiatrist strongly disagreed with discharging the patient, but
13 the patient was still discharged. This clearly demonstrates that the unlicensed psychology
14 intern, and not the psychiatric physician, was the primary clinical decision maker.” (see
15 page 1 of 2018 08 14 1100hrs)"