#21 Jul 14, 2006
Jonna Triggs, agency director for Southern Nevada Adult Mental Health Services, said the Clark County jail and the state's prison system hold a large share of the region's mentally ill.
"We are incarcerating the mentally ill," Triggs argued.
The suicidal and the homicidal are typically rushed by ambulance from the state mental hospital to one of the region's full-service hospitals to gauge whether a physical illness is the cause of their rage. Some remain for a week, taking beds from heart attack or accident victimsbecause the state mental hospital lacks space for their quick return.
In Depth: Mental Health: Running Out of Room March 9, 2003 -- Las Vegas Review Journal
Today, police officials and hospital emergency room doctors say they are struggling to cope with crisis-level mental illness in the community. The emergency rooms, another victim of unchecked growth, are filling up with mentally ill people and the doctors aren't trained to deal with them. These troubled folks should be going to mental health facilities rather than University Medical Center or Sunrise Hospital, but there aren't enough beds. As a result, the mentally ill sit in ER waiting rooms for hours without receiving treatment or medications
Editor's Note: Mind Games October 16, 2003 -- Las Vegas Mercury
Every night, the mentally ill clog emergency rooms across the vally. On one night alone last week, 60 such patients were waiting in local ERs. "These patients are taking up a substantial portion of the ER capacity," says Bill Welch, executive director of the Nevada Hospital Association. We see 30 percent or greater taken up by mental health patients. We had days where we exceeded 100 patients."
"The state doesn't want to do medical clearances," she says. "Hospitals will continue to have these individuals in their ERs."
Mind Matters: Newly approved psychiatric hospital will be full the day it opens
April 29, 2004 -- Las Vegas Mercury
#22 Jul 14, 2006
Yes, shame on you Austin, TX.
How could you read the facts regarding the mental health events so shortly before and ignore those?
Obviously, you lack understanding in regtards to the mental health system. That's a shame.
Arie walked into Monte Vista Mental health center out of medications and in a mental health crisis on 10/19/02. PER NEVADA's LAWS, he was transferred to Summerlin Hospital for "medical clearance" where he was supposed to be "cleared" and transferred back to Monte Vista for inpatient treatment. However.. he was simply allowed to walk out untreated after waiting for hours on a gurney in the condition he was in.
These were SOME of the problems that were documented:
-Bipolar disorder and OUT OF MEDICATIONS (dangerous)
-recent suicide attempts
-11 out of 24 "suicide risk factors" checked off
-1 out of 10 "homicidal risk factors" checked off
-not oriented to date
-poor recent memory
-poor remote memory
-prior hospitalization for mental health related issues
-grossly impaired judement
flat and labile mood / affect
PER NEVADA's laws, this COULD HAVE and SHOULD HAVE been prevented. Although Arie was a "voluntary" patient, this did NOT mean that he didn't require an involuntary hold once the medical professionals noticed that he was gone. The symptoms documented were enough to show that he was indeed a danger to himself or others and SHOULD have been held and treated.
Medical professionals KNOW that these are symptoms that would become WORSE without stabilization. And as we can see... they certainly did.
Unbelievably, no one else but Arie has been held accountable for this. He placed himself in the hands of medical professionals while he was able to do so and it appears that the system failed him terribly. Not only that, but look through google and you will find countless reports on Nevada's mental health crisis. Arie is a victim of Nevada's broken mental health system.
Outrageous... absolutely OUTRAGEOUS that Arie is even being tried for 1st degree murder and facing a possible death sentence. Shame, shame, shame on the State of Nevada for their failed mental health system and for charging a victim of THEIR flawed mental health system with first degree murder.
And what if medical professionals who assessed Arie with these symptoms HAD placed an involuntary hold on him? Well... his car would have been in Monte Vista's parking lot where he left it.. and he would have been an inpatient.
He wouldn't have walked home in the middle of the night. Tuk wouldn't have picked his car up from Monte Vista and brought it to him so that he could try and get back to the hospital.
By then... with NO TREATMENT for those severe symptoms assessed at the facilities.. the symptoms had indeed gotten worse.
This tragedy could have been prevented. The state of Nevada should show some accountability for this instead of charging a victim of their mental health system with capital murder.
Shame on Nevada.
How you can't see the responsibility that others should share in this is mind boggling. Tell me, Austin, Tx.. how safe does it make you feel when someone who is assessed by medical professionals with symptoms consistent with being a danger to himself or others is allowed to simply walk out untreated?
#23 Jul 14, 2006
Nevada's state board of Nursing considers the following acts , among others, by a licensee or holder of a certificate as unprofessional conduct:
NAC 632.890 Unprofessional conduct.
24. Failing to collaborate with other members of a health care team as necessary to meet the health needs of a patient.
25. Failing to observe the conditions, signs and symptoms of a patient, to record the information or to report significant changes to the appropriate persons.
27. Failing to perform nursing functions in a manner consistent with established or customary standards.
28. Causing a patient physical, mental or emotional harm by taking direct or indirect actions or failing to take appropriate actions.
33. Abusing or neglecting a patient.
#24 Jul 14, 2006
ARIE WAS TRANSFERRED VIA AMBULANCE FROM MONTE VISTA MENTAL HEALTH FACILITY TO SUMMERLIN HOSPITAL ER FOR "MEDICAL CLEARANCE" IN ORDER TO BE ADMITTED TO MONTE VISTA AS AN INPATIENT.
NEVADA'S MENTAL HEALTH LAWS.... THIS IS WHY ARIE WAS TRANSFERRED FROM MONTE VISTA MENTAL HEALTH FACILITY TO SUMMERLIN'S ER..........
Nevada's Medical Clearance Law:
NRS 433A.165 Examination required before transportation of person to mental health facility; treatment required under certain circumstances before transportation of person to mental health facility; payment of costs; regulations.
1. Before an allegedly mentally ill person may be transported to a public or private mental health facility pursuant to NRS 433A.160, the person must:
(a) First be examined by a licensed physician or physician assistant or an advanced practitioner of nursing to determine whether the person has a medical problem, other than a psychiatric problem, which requires immediate treatment; and
(b) If such treatment is required, be admitted for the appropriate medical care:
(1) To a hospital if the person is in need of emergency services or care; or
(2) To another appropriate medical facility if the person is not in need of emergency services or care
#25 Jul 14, 2006
BELOW IS "MENTAL ILLNESS" DEFINED PER NEVADA'S LAWS. ARIE CERTAINLY MET THE CRITERIA FOR BEING A DANGER TO HIMSELF OR OTHERS PER DOCUMENTATION BY MEDICAL PROFESSIONALS FROM SUMMERLIN AND MONTE VISTA HOSPITAL.
SO WHY WAS HE ALLOWED TO WALK OUT OF SUMMERLIN UNTREATED?
This tragedy could have been prevented.
NRS 433.164 "Mental illness" defined.
"Mental illness" means any mental disfunction leading to impaired ability to maintain oneself and function effectively in one’s life situation without external support.
NRS 433A.115 “Mentally ill person” defined.
1. As used in NRS 433A.115 to 433A.330, inclusive, unless the context otherwise requires,“mentally ill person” means any person whose capacity to exercise self-control, judgment and discretion in the conduct of his affairs and social relations or to care for his personal needs is diminished, as a result of a mental illness, to the extent that he presents a clear and present danger of harm to himself or others, but does not include any person in whom that capacity is diminished by epilepsy, mental retardation, Alzheimer’s disease, brief periods of intoxication caused by alcohol or drugs, or dependence upon or addiction to alcohol or drugs, unless a mental illness that can be diagnosed is also present which contributes to the diminished capacity of the person.
2. A person presents a clear and present danger of harm to himself if, within the next preceding 30 days, he has, as a result of a mental illness:
(a) Acted in a manner from which it may reasonably be inferred that, without the care, supervision or continued assistance of others, he will be unable to satisfy his need for nourishment, personal or medical care, shelter, self-protection or safety, and if there exists a reasonable probability that his death, serious bodily injury or physical debilitation will occur within the next following 30 days unless he is admitted to a mental health facility pursuant to the provisions of NRS 433A.115 to 433A.330, inclusive, and adequate treatment is provided to him;
(b) Attempted or threatened to commit suicide or committed acts in furtherance of a threat to commit suicide, and if there exists a reasonable probability that he will commit suicide unless he is admitted to a mental health facility pursuant to the provisions of NRS 433A.115 to 433A.330, inclusive, and adequate treatment is provided to him; or
(c) Mutilated himself, attempted or threatened to mutilate himself or committed acts in furtherance of a threat to mutilate himself, and if there exists a reasonable probability that he will mutilate himself unless he is admitted to a mental health facility pursuant to the provisions of NRS 433A.115 to 433A.330, inclusive, and adequate treatment is provided to him.
3. A person presents a clear and present danger of harm to others if, within the next preceding 30 days, he has, as a result of a mental illness, inflicted or attempted to inflict serious bodily harm on any other person, or made threats to inflict harm and committed acts in furtherance of those threats, and if there exists a reasonable probability that he will do so again unless he is admitted to a mental health facility pursuant to the provisions of NRS 433A.115 to 433A.330, inclusive, and adequate treatment is provided to him.
#26 Jun 11, 2013
Im His daughter. arianne. I never even knew my father until i decided to do some research. He killed my mom didnt he?:(
#27 Feb 18, 2014
In nevada mentally ill and mentally retarded people are tooken advantage of first by the very corupt police then the justice system las vegas internal affairs,all cases for a.period of time were overseen and were literary being reviewed by the united states justice department key clue miranda rights ask if u understand your rights how can the severely mentally ill or retatded
#29 Aug 5, 2014
I went to high school with Arie. Also the public defenders came to my home to interview me prior to Arie's Trial. NO MATTER WHAT Arie only needed help. Had this occurred in New York State where he grew up the Mental Health laws are completely different. Arie's parents & brother are wonderful people & I pray for them & Arie's daughter Arianne that somehow they can find peace. Hopefully when he is released he will move home by Arie Sr. & Char so he can have the treatment he needs.
#30 Saturday Jul 15
Sweet Arianne... your dad loves you and always has. Unfortunately he fell through the cracks of our mental health system. He asked for help in a mental health crisis as you can see from the posts above. Also,I've extensively gone through the case years ago. I still have paperwork. His public defender was awful. It's not the way the prosecution and defense played things out. The autopsy report proves so. I'm so sorry you lost your mom. I hope you will be able to someday have a positive relationship with your dad and his beautiful family.
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