OPA: Report Index


(Reports in Adobe Format)

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Guide for Including People with Disabilities
in Disaster Preparedness Planning

(1,532 kb)


OPA Annual Reports 


 2003 OPA Annual Report

 2002 OPA Annual Report

Long Term Planning Committee Reports

LTC 2004 Final Report

LTC 2004 Final Appendices

Long Term Advisory Council Plan - Key Issues

2004 Long Term Care Advisory Council - Executive Summary

Investigation Reports

The Investigation Report on the Death of JB  reflects the results of an investigation conducted by our Office's Protection and Advocacy for Individuals with Mental Illness (PAIMI) program into the circumstances surrounding the death of J.B., a patient at the Whiting Forensic Division of Connecticut Valley Hospital. 

J.B. died of cardiorespiratory arrest associated with being restrained.  The investigation found that signs he was experiencing a medical emergency were interpreted by facility staff as evidence of attempts at behavioral manipulation on his part, and, further, that legal requirements and policy safeguards surrounding the use of restraints were not observed.  It also found that other aspects of J.B.?s treatment reflected misunderstandings of his identity and needs.

Our Office shares this report with the hope that those engaged in the work of behavioral health care will consider ways to prevent similar tragedies from occurring.              

James D. McGaughey, Executive Director - Published April 2003

Content Last Modified on 9/16/2009 3:09:38 PM