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Doc Samson

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Woman files suit in forced strip search
Her rights were violated at medical center, she says
By Scott Allen, Globe Staff | June 6, 2006

A 50-year-old woman filed a federal lawsuit against Beth Israel Deaconess Medical Center yesterday, saying she was forcibly undressed by five male security guards there last year after she refused a nurse's order to take off her clothes.

The incident, which hospital officials have defended as necessary to make sure the woman was not hiding drugs or weapons, triggered flashbacks to childhood sexual abuse, according to the woman, Cassandra Sampson. She alleged in the suit that her civil rights were violated under the Americans with Disabilities Act, because hospital officials made no effort to protect her from psychological damage.

Sampson said she went to the hospital for treatment of a severe migraine headache, but was moved to a psychiatric unit when she admitted struggling with self-destructive impulses. She said she pleaded to be allowed to keep at least her pants on before the strip search, but the nurse refused.

"Go ahead and rape me; everybody else has," Sampson said she cried out as the guards unbuckled her pants and removed them. ``They left me there with my underwear showing and my johnny up to my chest . . . I was crying, and [the nurse] said, `That's what you get for not listening to me.' "

In a letter to Sampson, hospital officials said they were sorry she had such a terrible experience, but stood by their strict policy of searching psychiatric patients for their own benefit. Yesterday, Beth Israel Deaconess officials declined to comment further, saying they can't talk about pending legal matters.

Susan Stefan, one of Sampson's lawyers, said that her client's strip search is an extreme form of what psychiatric patients face in many hospitals.

All emergency rooms face a risk that patients with serious psychiatric disorders could hurt themselves or others, but medical staff members differ on how far to go to make sure a patient isn't dangerous.

Brigham and Women's Hospital, like Beth Israel Deaconess, requires virtually all psychiatric patients to change into a hospital gown. ``There have been situations where a patient has been uncooperative, and then security is involved," said spokesman Kevin Myron. ``It's safer to err on the side of caution."

But Baystate Medical Center in Springfield dropped its mandatory undressing policy after a 2001 incident in which a psychiatric patient, Linda Stalker, was pinned by an orderly and undressed to her underwear. ``My sense of safety has been shattered," Stalker wrote to the hospital afterward.

A spokeswoman at UMass Memorial Medical Center in Worcester said the hospital never asks psychiatric patients to undress on arrival. If they suspect the patient may be dangerous, security guards perform a clothed pat-down search.

Dr. Maggie Bennington-Davis led a successful effort to stop strip searches of psychiatric patients at Salem Hospital in Oregon in 2003. ``We can't be hauling people in here and be doing more harm to them," she said. ``It's very clear that a strip search retraumatizes them."

Sampson hadn't intended to go to Beth Israel's emergency room on March 25, 2005, according to the lawsuit. But it was a weekend, and her primary care physician said the ER would be the best place to get help for severe migraine headaches that had persisted for three days.

However, as soon as Sampson told a nurse that she took psychiatric medications and that she had been battling impulses to hurt herself that week, the nurse said she would need a psychiatric evaluation.

Nurse Heather A. Richter then told Sampson that she would need to completely undress, according to the lawsuit. Sampson said that during previous emergency visits, Beth Israel officials had allowed her to keep her pants on, but Richter insisted the pants be removed, according to he lawsuit.

``I got scared and tried to run out of the room, and security chased me," recalled Sampson. ``I said, `No one is going to strip me like that.' The guard said if I don't go back, they'll drag me back."

Sampson protested her treatment to Beth Israel officials, but the hospital stood by its policy of requiring all psychiatric patients to undress to their underpants.

Stefan -- a lawyer at the Center for Public Representation, a nonprofit agency -- said such a blanket policy is illegal under the Americans with Disabilities Act, which requires that public institutions make reasonable accommodations for disabled people like Sampson.

The lawsuit was filed with the Bazelon Center for Mental Health Law, a national advocacy law firm, and the private law firm of Campbell, Campbell, Edwards, and Conroy.

The suit seeks more than $1 million in damages, along with a change in hospital policy so that patients are searched only if a psychiatrist agrees that they pose an immediate safety risk.
 
I didn't know your first name was Cassandra, Doc S?

But seriously,
The suit seeks more than $1 million in damages, along with a change in hospital policy so that patients are searched only if a psychiatrist agrees that they pose an immediate safety risk.
are they kidding?

No hospital will do that. It opens them up to way more liablilty on the other end. Additionally, many ofrms of contraband are confiscated not for the owning pts safety, but for all pts safety. In other words, the otehr patients might steal stuff. Especially if the patient is new on the unit fir thier first IP stay, they might not know to guard their stuff, and what might pose a danger and what might not. I suppose though, you could always ask a pt, do you have X, Y, or Z? and then have them sign something saying theyare responsible if they do.
 
They always told us in the ER to not see a patient until their belongings were checked and they were in a gown. I used to not really give it much credence, and would have rather seen the patient and moved on without waiting for the lengthy "valuables check" until a guy pulled a gun in the ER out of his little bag thing. He was from Randall's island shelter (for those of you who live here...you know the deal) and wasn't threatening, but was floridly delusional disorganized. Luckily we had a rapport and everything was fine. But I got really scared for a second.

Now I want just about all of them stripped and searched. Not all, but you never know.
 
Cassandra= BPD. There is no way to win this...
 
Anasazi23 said:
They always told us in the ER to not see a patient until their belongings were checked and they were in a gown. I used to not really give it much credence, and would have rather seen the patient and moved on without waiting for the lengthy "valuables check" until a guy pulled a gun in the ER out of his little bag thing. He was from Randall's island shelter (for those of you who live here...you know the deal) and wasn't threatening, but was floridly delusional disorganized. Luckily we had a rapport and everything was fine. But I got really scared for a second.

I had a floridly psychotic, high on crack individual with a 12 inch machete in our ER. Fortunately for myself and security he was searched and changed into gown upon arrival, and willingly gave up the knife which was tucked down into the waistband of his pants. I've also had patients bring in large bottes of opiates/benzos in their pockets, which could be a nightmare if the patient took the whole bottle in the bathroom of the ER. Our ER has a policy that ALL psych consults get searched, put into gown, and put on security watch. Yeah, it may be a pain for a calm, depressed LOL in the other side of the ER to get changed into a gown and transferred to the "pen" but it would be unfair and probably racist of me to make all my shelter patients do the procedure and then let the VIPs and LOLs bypass that step altogether. Frankly, after a year of weekly Psych ER work and 31 night float shifts in the ER, I want all patients searched before I put myself in the potentially dangerous position of telling someone they need to spend the night or to be hospitalized involuntarily.

MBK2003
 
Just a few months ago a resident friend of mine at my hospital had a patient take a bottle of pills in front of him in the ER.

....she still got discharged (sertraline).
 
Anasazi23 said:
Just a few months ago a resident friend of mine at my hospital had a patient take a bottle of pills in front of him in the ER.

....she still got discharged (sertraline).

Sometimes I think I'd rather work in your ER. Here we keep them forever... it's the institution's mentality, but if I came to the ER to talk to the psychiatrist (for an acute grief reaction or adjustment disorder) and then ended up staying 30 hours so that they could contact parallel and re-present me to the team in morning rounds, and then make me wait until they secured an outpt psych appt, I'd been sad too.
 
MBK2003 said:
Sometimes I think I'd rather work in your ER. Here we keep them forever... it's the institution's mentality, but if I came to the ER to talk to the psychiatrist (for an acute grief reaction or adjustment disorder) and then ended up staying 30 hours so that they could contact parallel and re-present me to the team in morning rounds, and then make me wait until they secured an outpt psych appt, I'd been sad too.
My God...sounds like big-time overkill.

I've discharged people after 10 minutes.
 
MBK2003 said:
Sometimes I think I'd rather work in your ER. Here we keep them forever... it's the institution's mentality, but if I came to the ER to talk to the psychiatrist (for an acute grief reaction or adjustment disorder) and then ended up staying 30 hours so that they could contact parallel and re-present me to the team in morning rounds, and then make me wait until they secured an outpt psych appt, I'd been sad too.

My ER's criteria for admission for these types of patients are "open bed on Mental Health"-->Admit. 😡
No effort to triage, refer, or problem-solve.
 
we seem to have no official policy on searches at my hospital--they're generally not done in the ER. We admitted a borderline pt from the ER once who, when they were going through her belongings on the unit, pulled out a STUN GUN.
 
Would one of the psychiatrists aka criminals on the forum please tell me what basis you claim it is legal for a nurse or anyone to touch anyone by force against their will or prevent a person from leaving who is not legally imprisoned i.e. legally committed, let alone 5 unlicensed probably uneducated men gang stripping any woman.

Based on the contents of the complaint there was no legal authority to hold this woman. Thus there would be no lawful basis for the nurse or the guards to touch her without her consent or prevent her from leaving.

Several of the posters on this forum have indicated that they forcibly strip anyone who comes into their emergency room or into their mental emergency room, these persons have not been legally imprisoned i.e. legally committed. In light of laws against assault and battery, what legal basis do you claim there is there to touch such persons by force against their will.

Also what legal basis is there to only strip by force and against there will persons who are on the mental side of the emergency room but not persons on the physical side of the emergency room. This is illegal discrimination against persons solely because they are regarded as disabled. Not all people on the mental side are violent criminals some are simply falsely imprisoned, others are there for anorexia (skinny weak mostly women who dont eat), while some persons on the physical side are violent criminals.

As to a concern that other people in the emergency room might steal stuff, people know to guard their stuff, they know that if they leave things of value lying around be it in a hospital or store it will be stolen, they dont need violent criminals (doctors and nurses) to tell them this or to take their belongings by force or by fear. There is no more risk that things will be stolen from a patient then they would be stolen from the doctors in a hospital so why are only patients things taken from them. If you have a situation where a person is going to be sleeping there and not in a private room where they can lock the door to keep people out, then you should provide them with a locker not steal their things.

As long as doctors and nurses and other employees of hospitals get away with violent crime (assault and battery, kidnapping/false imprisonment etc) it will not be safe to get medical care and the only options available to members of the public are death or violent crime.

If enough people sue hospitals for doing these things it will be expensive for hospitals and they will stop. Victims of violent crime by hospital employees should make it way more expensive for hospitals to violate their rights.

Psyclops said:
I didn't know your first name was Cassandra, Doc S?

But seriously, are they kidding?

No hospital will do that. It opens them up to way more liablilty on the other end. Additionally, many ofrms of contraband are confiscated not for the owning pts safety, but for all pts safety. In other words, the otehr patients might steal stuff. Especially if the patient is new on the unit fir thier first IP stay, they might not know to guard their stuff, and what might pose a danger and what might not. I suppose though, you could always ask a pt, do you have X, Y, or Z? and then have them sign something saying theyare responsible if they do.
 
The psychotic high on crack with a 12 inch machete is violent and should be treated as such, but that is not a basis to engage in violent crime against innocent persons. The fact that one person on the mental side of the emergency room is a violent criminal does not give you the right to treat all persons on the mental side of the emergency room as violent criminals.

As to the racist comment here, the fact that one person of a race is a violent criminal does not give you the right to engage in violent crime against all persons of that race or any other race.

Given that psychiatry requires transference and that the psychiatrist be in a position of confidence and trust, how do you expect to engage in psychiatry on a person after you have subjected them to violent crime, they are not going to place you in a position of confidence and trust let alone tell you anything confidential or want to have anything to do with you. By engaging in violent crime this hospital has assured that you will not be able to engage in psychiatry on this person.

Violating a persons bodily integrity under circumstances of fear, horror, or helplessness causes post traumatic stress.



MBK2003 said:
I had a floridly psychotic, high on crack individual with a 12 inch machete in our ER. Fortunately for myself and security he was searched and changed into gown upon arrival, and willingly gave up the knife which was tucked down into the waistband of his pants. I've also had patients bring in large bottes of opiates/benzos in their pockets, which could be a nightmare if the patient took the whole bottle in the bathroom of the ER. Our ER has a policy that ALL psych consults get searched, put into gown, and put on security watch. Yeah, it may be a pain for a calm, depressed LOL in the other side of the ER to get changed into a gown and transferred to the "pen" but it would be unfair and probably racist of me to make all my shelter patients do the procedure and then let the VIPs and LOLs bypass that step altogether. Frankly, after a year of weekly Psych ER work and 31 night float shifts in the ER, I want all patients searched before I put myself in the potentially dangerous position of telling someone they need to spend the night or to be hospitalized involuntarily.

MBK2003
 
The courts have already ruled that strip searches are illegal against non convicted criminal defendants who have been arrested and put in jail so why would they be legal against innoncent persons in hospitals
 
Hello Today, These "criminals" actually educate themselves for several years and give up a lot of thier personal lives to understand and treat people like you!!!! Do yourself a favor and take your meds 😉
 
Pschmom1, you are a mentally ill person you should take your meds. Unlike you I am not mentally ill, do not take any mental meds nor have I ever nor have I ever been handed for any prescription for such.

Based on pschmom's profile she is not a student doctor and does not even have a Bachelors degree. Whoever it is that bans people from this message board Pschmom1 should be banned, She is flaming in a manner that is defamatory and dishonest, and is seeking to give medical advice which based on her statements here she is incompetent and unqualified to do so. Pschmon1 making a recommendation for drugs which are not medically indicated for someone she never examined is evidence of her incompetence and if she writes prescriptions which are not medically indicated for people she never met is illegal drug dealing

The term educated criminal is not an oxymoron. The fact that someone is a doctor does not mean they are not a criminal.Perhaps you identify with Dr. Josef Mengala MD - Nazi, Dr Richard Sharp MD- wife murder, Dr David Tipton MD -wife murder, Dr. Ferroll Sams -kidnapper and batterer etc.

I asked a simple question what law would allow a hospital to force a woman to strip. You have not answered because you know what occurred was criminal, instead you engage in degrading defamatory insults. Giiven your attitude if you do become a doctor you likely will be sued and put out of business very quickly, that is if you ever get even a Bachelors degree which if you answer your test questions in the manner you have spoken here is unlikely.


pschmom1 said:
Hello Today, These "criminals" actually educate themselves for several years and give up a lot of thier personal lives to understand and treat people like you!!!! Do yourself a favor and take your meds 😉
 
HiToday said:
Pschmom1, you are a mentally ill person you should take your meds. Unlike you I am not mentally ill, do not take any mental meds nor have I ever nor have I ever been handed for any prescription for such.

Based on pschmom's profile she is not a student doctor and does not even have a Bachelors degree. Whoever it is that bans people from this message board Pschmom1 should be banned, She is flaming in a manner that is defamatory and dishonest, and is seeking to give medical advice which based on her statements here she is incompetent and unqualified to do so. Pschmon1 making a recommendation for drugs which are not medically indicated for someone she never examined is evidence of her incompetence and if she writes prescriptions which are not medically indicated for people she never met is illegal drug dealing

The term educated criminal is not an oxymoron. The fact that someone is a doctor does not mean they are not a criminal.Perhaps you identify with Dr. Josef Mengala MD - Nazi, Dr Richard Sharp MD- wife murder, Dr David Tipton MD -wife murder, Dr. Ferroll Sams -kidnapper and batterer etc.

I asked a simple question what law would allow a hospital to force a woman to strip. You have not answered because you know what occurred was criminal, instead you engage in degrading defamatory insults. Giiven your attitude if you do become a doctor you likely will be sued and put out of business very quickly, that is if you ever get even a Bachelors degree which if you answer your test questions in the manner you have spoken here is unlikely.

Your absolutely right!!! I am not a physician I am a premed majoring in psych and have full intentions on pursuing psychiatry, that is why I am on the psych forum on SDN. You? I was in no way giving medical advice, as I am not entitled to such a privilege YET! I was simply being facetious with the advice. I do, however, have a difficult time understanding how someone as yourself, who started your post off calling the psychiatrists on this forum "criminals", can refer to my advice as "degrading defamatory insults"!!!
Along with calling the nurses and physicians in hospitals "violent criminals". I'm just confused with your statements.

As to your original question, I believe that there was plausible cause for the strip search. When someone is admitted to the psych floor, it is in most cases mandatory that the patient wear a gown with the assurance that they are not hiding any weapons with purposes of harming themselves, or in some circumstances, others. The woman had self destructive impulses, therefore, for her own safety and mental well being, she was involuntary admitted which IS legal. It is much more of a liability for the hospital and hospital personnel to merely "trust" a psych patient, than it is to forcibly search. It is unfortunate that the woman felt traumatized by the incident, however, until further evaluation, one cannot be sure that the patient is not psychotic or has paranoid tendencies. This does not imply that psych patients are criminals or violent, it just means that some patients do and will harm staff or patients due to their mental confusion. Whether you agree or not, professionals in the mental health field do have the best interest of the patient in mind and care about their well being. Unfortunately there are the rare exceptions, but they are rare and I don't think that this was one of them. Often people receiving psych care feel violated, discriminated, and/or victimized, which is not surprising due to their mental state. Hopefully throughout treatment, these patients will gain mental stability and grow to trust the people caring for them.

Not all doctors are good doctors, as can be said for any other profession, career, or job in the world. There will always be exceptions to the rules. Hopefully the good ones stand out far more than the bad ones, and I hope that anyone who seeks and/or receives psych care receiver's professional and compassionate treatment. Contrary to yours or others beliefs, mental health professionals truly do care about the well being of their patients and do not purposely try to harm or traumatise them.

I can assure you that I have no problems passing tests. I have the utmost confidence that I will be a great physician one day and I have a very exciting and promising future ahead of me. I apologize if you felt offended, but you have to expect to get s&*t of you give s*&t!!!! Take care 😉
 
pschmom1 said:
Your absolutely right!!! I am not a physician I am a premed majoring in psych and have full intentions on pursuing psychiatry, that is why I am on the psych forum on SDN. You? I was in no way giving medical advice, as I am not entitled to such a privilege YET! I was simply being facetious with the advice. I do, however, have a difficult time understanding how someone as yourself, who started your post off calling the psychiatrists on this forum "criminals", can refer to my advice as "degrading defamatory insults"!!!
Along with calling the nurses and physicians in hospitals "violent criminals". I'm just confused with your statements.

As to your original question, I believe that there was plausible cause for the strip search. When someone is admitted to the psych floor, it is in most cases mandatory that the patient wear a gown with the assurance that they are not hiding any weapons with purposes of harming themselves, or in some circumstances, others. The woman had self destructive impulses, therefore, for her own safety and mental well being, she was involuntary admitted which IS legal. It is much more of a liability for the hospital and hospital personnel to merely "trust" a psych patient, than it is to forcibly search. It is unfortunate that the woman felt traumatized by the incident, however, until further evaluation, one cannot be sure that the patient is not psychotic or has paranoid tendencies. This does not imply that psych patients are criminals or violent, it just means that some patients do and will harm staff or patients due to their mental confusion. Whether you agree or not, professionals in the mental health field do have the best interest of the patient in mind and care about their well being. Unfortunately there are the rare exceptions, but they are rare and I don't think that this was one of them. Often people receiving psych care feel violated, discriminated, and/or victimized, which is not surprising due to their mental state. Hopefully throughout treatment, these patients will gain mental stability and grow to trust the people caring for them.

Not all doctors are good doctors, as can be said for any other profession, career, or job in the world. There will always be exceptions to the rules. Hopefully the good ones stand out far more than the bad ones, and I hope that anyone who seeks and/or receives psych care receiver's professional and compassionate treatment. Contrary to yours or others beliefs, mental health professionals truly do care about the well being of their patients and do not purposely try to harm or traumatise them.

I can assure you that I have no problems passing tests. I have the utmost confidence that I will be a great physician one day and I have a very exciting and promising future ahead of me. I apologize if you felt offended, but you have to expect to get s&*t of you give s*&t!!!! Take care 😉


Wow.
 
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