* Background is here if you need it. A group of Republican legislators held a press conference today demanding legislative hearings on the long-troubled Choate Developmental Center. Here’s Assistant House Republican Leader Charlie Meier…

We’re here today because we have a plan and we want to protect these residents. Our first is installing temporary cameras in common areas. … Implement ongoing staff training to include residents’ rights, abuse and neglect definitions, reporting for Office of Investigator General mandatory reporting and documenting as well. Educate staff on past abuse issues experienced at Choate and train them to be aware of the issues to report incidents and how to take appropriate action.

A mass, and I say a mass hiring of qualified staff. We’ve done hirings before because of COVID bringing in a mass hiring so that we have a group of new workers there that won’t feel threatened maybe from a few bad apples of the past workers that threaten to try to cover up abuse. Let’s train them. Let’s get them in there. Let’s not hire two or four or 10 at a time. Let’s bring in a group of 50 workers or more immediately to help take care of the shortage of workers and to bring some new life blood in there and get things turned around.

Track staff incidents by location and trends. By using the data collected to implement changes, monitor staff identified in the tracking and incorporate supervisory management staff to increase overall observances. Number five, increased administrative and security inspections. The center director and assistant center director along with other professional staff must make unannounced visits on all three shifts, morning, noon, Saturdays, Sundays, four in the morning, two in the morning. This is their job, this is what they’re being paid for. They need to be out there walking the halls seeing their residents and should be after sharp while on a first name basis with them. Security staff must report all incidents of improper behavior. Any staff who bullies or intimidates or threatens residents or other staff should be immediately removed from their job station. There must be zero tolerance of staff intimidating other staff or residents.

Six, improve overall accountability of staff performance to include job duties, Investigator General reporting, active treatment and adherence of policies and procedures. This would require accountability from the administration and the professional staff. Seven, remind employees if they see something is wrong, report it. Employees are mandated reporters. Their position is protected under the Whistleblower Act. They don’t have to be revealed who released this but they need to report it. Too much is going on unreported. Increase the amount of active treatment and activities for the residents. Why? Because individuals who are busy and active have much fewer behavioral issues, which should lead to less negative interaction with staff and individuals. And if additional activity staff is needed, then hire them.

Nine, encourage and welcome parents, guardians and visiting their loved ones by telling them ‘be in there.’ They shouldn’t have to call and set up a time when they’re coming. These are their loved ones. They should be able to visit their family members in their family members home whenever they want. Encourage more groups like the grandparents groups, where individuals come and adopt the resident there and act as a grandparent to them. So we have more oversight going in there. More people around to be seen. Staff should continue to be reminded that Choate is home for these individuals and they should be retreated with respect and dignity. Encourage the decorating of the hallways and room. This is a small thing, but the more the homes are clean, well decorated and welcoming the more staff and residents will take pride in their home. Designate a specific phone line for guardians and families to contact that is available all hours and does not go unanswered for days when they’re trying to get a hold of their loved one or tell them that there’s been a medical change that their doctor wants. …

Assign an interim director, assistant director to Choate Development Center. This director should be someone who has previously supervised employees at another center and is well trained on state rules, regulations and expectations. This interim director can monitor and help retrain the president, director and assistant director reevaluate the Office of Inspector General reporting system as it currently operates. Staff who are mandated reporters are not protected or kept anonymous during the investigation process. This turns into cases has a tendency in reporting. The OIG involvement in allegations needs more protection for the employees and the investigators and they need to happen within a month. We have investigations that don’t start till nine or 13 months later. These employees are placed on paid leave. The state of Illinois paying for them, they’re not working. And we’re not finding out what happened to these residents. Put a person in there permanently from the office and let them start and get these investigations done within a month. If they’re found guilty, they need to be fired immediately.

Please pardon all transcription errors.

Leader Meier said bills have been filed and more will be. He pointed to legislation he’s worked on for several years.

From the reporting, it looks like the biggest problem is a tight-knit cover-up culture of really horrible acts. Everybody knows everybody in that little town. Too many people appear to protect each other no matter what. Employees should be required to report misdeeds and should be severely punished if they don’t, or if they perjure themselves. That’s essentially what the IG wants. And it ought to be in more places than Choate.

Also, where are they gonna get the qualified people the Republicans want to hire? It’s easy to snap your fingers and say “Let’s bring in a group of 50 workers or more immediately.” Actually doing that is quite another thing in the current labor market, and particularly in an area where not enough qualified people live.

Leader Meier blamed this on “bad apples.” I’m sure there are some very good employees at Choate, but the bad apples appear to have long ago spoiled the barrel…

That collusion led the inspector general to find Choate itself negligent. The facility, the OIG said, must be held responsible for “failing to prevent the establishment of a culture in which so many employees chose to protect their fellow employees instead of protecting an abused individual and apparently felt comfortable doing so.”

The OIG report concluded: “That so many employees participated in the cover-up of the abuse of [the patient] suggests that this type of conduct may be endemic at Choate.” Previous reporting by the news organizations revealed credible abuse allegations in which the state’s attorney declined to bring charges because he said that employees would not cooperate in determining what happened.

* The Republicans said today that they want to prevent a Choate closure. Here’s Rep. Paul Jacobs…

We cannot and will not accept a blanket policy that throws our hands up in the air in disgust and close down the facility that means so much to residents in my area and in that area. We have not begun the process of trying to fix the problems, let alone exhaust every single solitary legislative and administrative option that we have. We cannot and will not accept the attitude that nothing can be done. So, Governor, we’re asking you to work with us work with us. Work with your Democrat and Republican partners in the legislature.

* I asked the governor’s office this morning to send me a list of things the administration has done at Choate so far…

Increased security and surveillance

• Cameras installed in approved indoor and outdoor areas that do not have a reasonable expectation of privacy (ongoing).
• Increased security staff by 5 positions including one security officer chief.
• Increased internal security staff by 2 positions.
• Increased management presence in living areas and professional staff presence after hours.

Independent, Third-Party review

• Equip for Equality investigation staff conducting chart reviews, staff interviews, and monitoring of unit conditions.
Training and consultation
• New and re-training sessions for all staff
• Illinois Crisis Prevention Network has provided ongoing consultation to develop individualized behavior plans for residents in need of enhanced support.

Visible, physical improvements to Choate living areas and homes.

• Completed a pilot environmental improvement project in 2 homes – Redbud and Dogwood – which are rolling out Center-wide.

Senior Onsite Visitor/Leadership Reporting Liaison:

• Brought retired CMS Assistant Director Steve McCurdy to report to DD Director to perform an on-site, on-the-ground, common-sense, immediate-term review of the Center.
• Met extensively with residents, families/guardians and staff, focusing on the health and safety of these individuals.

Illinois State Police (ISP) Collaboration

• ISP’s Division of Internal Investigation came on-site to conduct an assessment of the Center including a review of security, physical structure needs, etc.
• Supported updates to staff training with a focus on team building and collective accountability.

NASDDDS Technical Assistance:

• Used ICDD funding to receive technical assistance from the National Association of State Directors of Developmental Disabilities Services (NASDDDS) on building additional I/DD community capacity.
• Technical assistance grew from FY22 capacity report – An Evaluation of Community Capacity Barriers and Opportunities for Expansion in Illinois for Adult DD Waiver Services – focusing on support for residents and capacity for SODC system improvements.

…Adding… AFSCME Council 31…

“As the union of Choate Mental Health and Developmental Center employees, we welcome the support and partnership of anyone of good will who wants to work to improve it. Long before the current attention paid to the facility, AFSCME has urged legislators and the Department of Human Services to increase staffing (allowing for more programs and activities), expand staff training and invest in repairing and maintaining the buildings and grounds.

“For some 270 people with multiple challenges that require intensive supports, Choate is home. Its services have no analog elsewhere. That’s why residents’ families value Choate so highly, and it’s a tribute to the dedicated employees who provide compassionate, attentive, round-the-clock care.

“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. That must begin with reversing its staff shortage and investing in its physical infrastructure.”

The Question: Do you think Choate Developmental Center is redeemable? Please explain your answer. Thanks.