GOP lawmakers call for hearings in wake of abuse at Choate
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[February 24, 2023]
By BETH HUNDSDORFER
Capitol News Illinois
& MOLLY PARKER
Lee Enterprises Midwest
news@capitolnewsillinois.com
This article was produced for ProPublica’s Local Reporting Network in
partnership with Lee Enterprises, along with Capitol News Illinois.
All 59 Republican members of the Illinois General Assembly are calling
for legislative hearings on a state-run mental health center in rural
southern Illinois, citing findings of a culture of abuse, cover-ups and
poor patient care from a monthslong investigative series by Lee
Enterprises Midwest, Capitol News Illinois and ProPublica.
Late last week, the members sent a letter to key Democratic committee
chairs in the Illinois House and Senate asking them to schedule a
bicameral public hearing on the facility.
The districts that include and surround Choate Mental Health and
Developmental Center are represented by Republicans, but as the minority
party in both chambers, they lack the authority to convene a legislative
hearing.
On Thursday morning, several downstate GOP lawmakers reiterated their
call to action at a news conference at the Capitol. Rep. Paul Jacobs,
R-Pomona, whose district includes Choate, and others stressed that they
want to see conditions fixed.
“The residents there can’t suffer. The most profound developmental and
mental disabilities in the state can’t suffer. They have to be treated
well,” Jacobs said.
In addition to the in-person hearing, the lawmakers requested access to
high-ranking Illinois Department of Human Services officials who oversee
the facility, including Secretary Grace Hou.
The facility is one of 13 psychiatric hospitals and developmental
centers operated by IDHS across the state. Choate is located in the
rural community of Anna near the Missouri border about 120 miles
southeast of St. Louis. The 270-bed facility serves people with mental
illnesses and developmental disabilities, including people diagnosed
with “profound” disabilities and some who are nonverbal.
Since September, the news organizations have detailed startling cases of
patient beatings, neglect and poor medical care, as well as coordinated
efforts by staff to cover up patient mistreatment. A story published
this month disclosed that patients with pica, a disorder in which people
feel compelled to swallow inedible objects, had been forced to dig
through their own feces to recover the items.
Over a 10-year period ending in 2021, the IDHS Office of the Inspector
General fielded more than 1,500 allegations of abuse and neglect at
Choate. And the state’s attorney in Union County, where the facility is
located, has filed charges against at least 48 people — both patients
and employees — since 2015.
Several GOP lawmakers stressed that while they want to see improvement
at the facility, they want Choate to remain open. The call for hearings
comes after Democratic Gov. J.B. Pritzker reiterated his position last
week on the situation at Choate: Fix it or close it. Some parents of
longtime Choate residents have expressed concerns about where their
loved ones would go if the facility closes, including state Sen. Jil
Tracy, R-Quincy, whose brother lives at Choate with more than 230 other
residents.
We don’t have facilities to house them up in other parts of the state,”
Tracy said. “They have the type of care that is needed by the population
that resides there. As I mentioned, many of these have tried group
homes, ourselves included. It didn’t work for the specific needs of my
brother and several others or many others that resided there.”
Closure would also mean the loss of state jobs in far southern Illinois,
an economically depressed area largely represented by Republicans.
Pritzker’s threats of closure didn’t sit well with Sen. Terri Bryant,
R-Murphysboro, whose district neighbors Choate, and she called on the
governor to take a more active role in finding solutions.
“When the governor says, ‘They have to fix it or I’m going to close the
facility’ — he’s ‘they,’” Bryant said. “So he’s the one who has to fix
it. And fixing it might mean a total and complete shake-up of the
administration.”
A statement from the governor’s office said he is closely monitoring the
situation and will move forward on additional reforms in the coming
weeks.
In addition to the request for a hearing, the lawmakers outlined a
series of steps they’d like to see immediately implemented to improve
conditions. Those include the installation of cameras in common interior
areas, the appointment of a new director or assistant director with
expertise in turning around troubled facilities and the hiring of at
least 50 new front-line and health care workers at Choate. Currently,
the facility employs around 500 and has approximately 80 vacancies.
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Sen. Jil Tracy, R-Quincy, speaks at a
news conference with her Republican colleagues to call for
operational changes at Choate Mental Health and Developmental Center
in Anna in response to an investigative series by Lee Enterprises
Midwest, Capitol News Illinois and ProPublica. (Capitol News
Illinois photo by Andrew Adams)
Rep. Charlie Meier, R-Okawville, whose southern Illinois district
includes the state-run Murray Developmental Center, has also introduced
legislation that would allow authorities to report negative findings
against workers who help cover up abuse to a statewide registry, barring
them from working in a health care setting in the future. Peter Neumer,
the IDHS inspector general, called for this change in law last month
after the news organizations reported on three Choate workers who were
fired for similar misconduct — but who remain eligible to work with
vulnerable populations in other health care settings. Meier also
introduced legislation mandating that OIG investigations be completed
within 30 days, allowing IDHS to fire employees found culpable of abuse
or neglect.
In one case featured in the reporting, in which eight workers were
accused of abuse or failure to report the beating of a developmentally
disabled man, the OIG investigation took eight years to complete. The
investigation was suspended while the case was under criminal
investigation by the Illinois State Police and during a subsequent
criminal prosecution.
Sen. Ann Gillespie, D-Arlington Heights, chair of the Senate Health and
Human Services Appropriations Committee, said she’d received the
Republicans’ letter and is considering next steps with her Democratic
colleagues. She also said she’d read the news organizations’ reports
about conditions at Choate and found them “horrifying.” But she stopped
short of joining the call for a special joint hearing, saying that the
current committee process may be most expedient for hearing bills and
concerns about the facility. Regardless, Gillespie said, problems at
Choate will be addressed by the General Assembly.
Gillespie noted that improving conditions at the facility has also been
named a top priority for the bipartisan Illinois Senate Women’s Caucus,
which she co-chairs with Tracy.
“The knee-jerk reaction might be to shut it down, but then it becomes
where do these residents go? And so we can’t do anything knee-jerk
that’s going to put the residents in continued or worse danger,”
Gillespie said.
IDHS has not disputed any of the news organizations’ findings.
In a statement, IDHS maintained that Choate employees provide crucial
care to vulnerable patients and that those who violate the standard of
care will be held accountable.
IDHS has implemented reforms at the facility including additional
training, increased security, surveillance cameras for the exterior and
common area, increased security and management presence in living areas,
and physical improvements. The center will undergo a review by the
federal monitor Equip for Equality and the OIG, as well as working with
the Illinois State Police.
IDHS has also brought in an onsite liaison to report to Hou and the
director of the Division of Developmental Disabilities..
“We take the longstanding problems at Choate very seriously and remain
committed to providing good, quality care for residents and patients at
the facility. We will continue to work with families, staff, residents,
and other stakeholders to carry out the mission of helping people with
disabilities and others in need across Illinois,” the statement said.
The Republicans speaking at the news conference Thursday agreed that the
problems are long-standing and span multiple administrations of
governors from both parties, but they called for immediate solutions.
AFSCME Council 31, the union that represents some Choate employees, said
in a statement following the news conference that it welcomes the
support of “anyone of good will who wants to work to improve” the
facility. The union said it has for years urged legislators and IDHS to
increase staffing, expand training and invest in maintenance of the
buildings.
“It’s regrettable that it took disturbing media reports of past
misconduct to underscore the need for improvements at Choate, but the
wrongful actions of a few cannot overshadow the deep commitment of the
overwhelming majority of employees to Choate’s residents and to making
the facility the best it can be,” the statement said.
Capitol News Illinois is a nonprofit, nonpartisan news
service covering state government. It is distributed to more than 400
newspapers statewide, as well as hundreds of radio and TV stations. It
is funded primarily by the Illinois Press Foundation and the Robert R.
McCormick Foundation.
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