Juvenile justice
investigators have blasted a Tampa company, with $8.6 million in state
business, for providing ''inadequate'' medical care to kids behind
bars -- saying company nurses ignored pleas from a child with a broken
hand and a youth with chest pains.
Nevertheless, the
Department of Juvenile Justice on June 29 agreed to pay the company,
Consult Care Inc., an additional $1.6 million to provide and medical
and mental healthcare at four halfway houses -- three in Tampa Bay and
one in Fort Myers. A specific contract has not yet been signed.
''The most important
function of the Department of Juvenile Justice is the health and
safety of the kids who come into our system,'' said state Rep. Gustavo
Barreiro, a Miami Republican who chaired hearings on medical care for
detained youth that helped spark an entire overhaul of the Juvenile
Justice Department two years ago.
``To allow a company
like this to continue to take care of kids, at any level, is
unconscionable.''
Through a
receptionist, Consult Care officials declined to discuss the
investigations.
The latest case
comes two years after DJJ's secretary, W.G. ''Bill'' Bankhead, who is
now deceased, was fired, and 25 other agency employees also
terminated. The overhaul came following the June 9, 2003, death of
Omar Paisley, a 17-year-old Opa-locka youth. Paisley died of a
ruptured appendix at the Miami lockup after begging nurses and guards
to help him. Two nurses were later indicted in connection with the
incident.
Consult Care has no
connection to the previous scandal.
FUTURE CONTRACTS
A DJJ spokesman on
Wednesday defended the agency's dealings with Consult Care, saying
that although the company may have performed poorly on some occasions,
the firm shouldn't be barred from all future state contracts.
''If a particular
franchise restaurant is not performing well, you don't close down the
entire franchise, you close down the one restaurant,'' said agency
spokesman Tom Denham in Tallahassee.
And because Consult
Care won the June contract through competitive bidding, Denham added,
DJJ was legally bound to award the company the work. With new
oversight policies in place since 2003, he added, DJJ officials are
confident Consult Care will perform to required standards.
Juvenile justice
officials completed two investigations into Consult Care: a January
2005 report on a nearly $1.9 million contract for mental health and
substance abuse programs at four halfway houses, and a June 2005
report on medical or psychiatric programs at 12 lockups and another 11
youth camps in Central or South Florida.
The first inspector
general investigation was sparked by a complaint to the Florida
Department of Law Enforcement, which was substantiated, that two
company employees falsified records showing they provided mental
healthcare to about 15 children when they were, in fact, away in
training, the report says.
Among other things,
the report concluded that Consult Care operated mental health and drug
treatment programs at three DJJ residential treatment programs without
a license; that the state improperly paid Consult Care about $380,000
for services provided at unlicensed facilities; and that the company
employed dozens of people who were listed in staff rosters as
professional ''therapists'' or ''certified addiction professionals''
though they lacked required licensing or certification from the state.
The June report,
which looked into performance at several Consult Care programs, found
that a doctor listed by Consult Care to work for all DJJ detention
centers in Central Florida, Kenneth Martin, apparently never set foot
in a single lockup, and an advanced registered nurse practitioner
designated by Martin to serve as a medical authority at the lockups,
Joanna Mulder, ''was also not regularly or consistently present at
detention facilities.'' Mulder is listed in corporate records as
Consult Care's president.
LIST OF MISSTEPS
The June report
included a laundry list of missteps involving youth, including an
incident in which a child with a broken hand went 10 days without
receiving treatment. Though investigators substantiated neglect
allegations against three nurses in the case, one of the three was
allowed to continue working for Consult Care for another year.
At one lockup in
Polk County in Central Florida, a nurse reported a youth was at ''no
risk'' of suicide, even though his history documented suicide
attempts, and a detention center screening officer reported the child
was ''a suicide risk,'' the report said.
''One youth
complained of `coughing up blood'' and ''chest pains,'' the report
states, adding: ``No treatment was given.''
Kelly Link:
http://www.miami.com/mld/miamiherald/news/12352969.htm