P&A Investigation Reports

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Page last updated: 4/25/08

P&As frequently conduct direct investigations of incidents of abuse and neglect, issuing public reports designed to highlight inadequate systems of care and to promote needed reforms in service provider practices and/or state law. Below are links to a sampling of P&A investigative reports:

Arkansas:

It’s Not Punishment, It’s Rehabilitation. A Report on the Conditions at the Alexander Youth Services Center. Disability Rights Center (Nov. 2006)

Treatment . . . Arkansas Style. An Investigation Report of the Arkansas Juvenile Assessment and Treatment Center. Disability Rights Center (Oct. 2007)

Treatment . . . Arkansas Style - Funded Solely by Taxpayers like You : An Investigation Report of the Arkansas Juvenile Assessment and Treatment Center (May 2007) [PDF]

California:

Restraint and Seclusion in California Schools: A Failing Grade (June 2007) [PDF] 
For other California abuse and neglect investigation reports, go to www.pai-ca.org/issues/abuse_pubs.html.

Colorado:

Public Report of an Investigation into the Improper Use of Restraint and Seclusion of Students with Disabilities at Will Rogers Elementary School (March 2007) [PDF]

Delaware:

Report and Recommendations to the Governor’s Task Force on the Delaware Psychiatric Center (May 2007) [PDF]

District of Columbia:

Patients in Peril - A Report on Patient Deaths in 2007 and the Dangerous Medical Conditions at St. Elizabeth's Hospital (January 2008) [PDF]

Illinois:

Reporting and Investigating Abuse and Neglect in Illinois [PDF]
For Illinois abuse and neglect investigation reports,go to www.equipforequality.org/publications/aiureports.php.

Michigan:

Navigating the Mental Health Maze in Michigan -- Why the Recipient Rights System is Broken and How We Can Fix It (Executive Summary) (May 2007)

Nebraska:

An Indictment of Indifference: A Report of the Investigation of the Beatrice State Developmental Center (December 2007) [PDF]

New Hampshire:  

Investigation Report Regarding the Suicide of Alex S: Former Raymond High School Student, issued by Disability Rights Center (August 2007) [PDF]

New York:

A Review of Assisted Living Programs in “Impacted” Adult Facilities (adult homes for individuals with mental health needs used as an alternative to nursing homes) (June 2007) [PDF]
For other New York abuse and neglect investigation reports, go to www.cqcapd.state.ny.us/OnlineReports/OnlineReports.htm.

North Carolina

Deadly Transitions: A Devastating Breakdown in Discharge Plan, produced by Disability Rights North Carolina (April 2008)[PDF]

Oregon:

A 5 th-Grade Special Education Student is Tassered by Police in His Oregon Class Room: An Investigation into Systemic Failure (December 2005) [PDF]

South Carolina:

Unequal Justice For South Carolinians with Disabilities: Abuse and Neglect Investigations (October 2005) [PDF]

Vermont:

Investigation into the Circumstances Surrounding the Injuries Sustained by a Youth While in the Detention Unit of the Woodside Juvenile Rehabilitation Facility in 2006 (Vermont P&A)

Woodside Juvenile Rehabilitation Center Detention Unit: Time Is Running Out. A VP&A Report on Threats to the Health & Safety of Youth with Disabilities Detained in the D Wing. (Sec. 2005).

Investigation Into the Death of Michael Estabrook While In the Custody of the Vermont Department of Corrections (July 2007) [PDF]
For Vermont abuse and neglect investigation reports, go to www.vtpa.org/Investigative_reports.html.

Washington:

Investigative Report Regarding the “Ashley Treatment” (May 2007) [PDF]

West Virginia:

An Investigation into the Death of Craig Allen Payne (Choking Death) (May 2007) [PDF]