Showing posts with label death investigation. Show all posts
Showing posts with label death investigation. Show all posts

Friday, September 4, 2020

Father, son sentenced in death of disabled Missouri man

JEFFERSON CITY, Mo. (AP) -- A Missouri father and son have been sentenced in federal court for their roles in the death of a developmentally disabled man and covering up his death.

Anthony Flores was sentenced Wednesday to about 15.5 years in federal prison for failing to provide Carl DeBrodie with medical care.

DeBrodie's body was found encased in concrete in April 2017 in Fulton.

Authorities believe he died months earlier.

Flores' son, Anthony R.K. Flores, was sentenced later Wednesday to three years of probation for helping to cover up DeBrodie's death by lying to authorities.

Sherry Paulo, the men's wife and mother, led the scheme and was sentenced Tuesday to 17.5 years in jail.

Full Article & Source:
Father, son sentenced in death of disabled Missouri man

See Also:
Former guardian not eligible to bring DeBrodie lawsuit, judge rules

Carl DeBrodie was killed by injuries from forced fighting, court documents reveal graphic details

Carl DeBrodie case: Family attorney says the charges didn't surprise him

Saturday, July 7, 2018

Former guardian not eligible to bring DeBrodie lawsuit, judge rules

A Callaway County judge has dismissed a wrongful death suit filed by Carl DeBrodie's former guardian Mary Martin.

Judge Jeff Harris ruled July 2 that as Mary Martin and her husband, Bryan Martin, were not DeBrodie's birth or adoptive parents, they did not have standing to bring a wrongful death claim under Missouri statute, according to court documents.

"We already knew we were going to be denied, so it's not such a blow," Mary Martin said Friday. "We'll carry it as far as we can."

She said she, her husband and her lawyer are exploring legal options to continue pursuing the suit.

The Martins filed the wrongful death suit April 13, claiming as "psychological, 'de facto'" parents of DeBrodie, they should be among the beneficiaries entitled to participating in the wrongful death suit.

DeBrodie, the developmentally disabled man found dead in April 2017 after vanishing from a Fulton group home, lived with the Martins from ages 13-21. The Martins attempted to adopt DeBrodie when he was 25, but the petition was rejected by the Circuit Court of Cole County. The legal battle dragged from 2011-14.

Harris cited the failed adoption attempt in his July 2 decision.

"Plaintiffs' claims are barred in that their attempt at equitable adoption has already been adjudicated and rejected in other proceedings," he wrote.

Additionally, Harris noted, DeBrodie's mother, Carolyn Summers, already has filed a wrongful death lawsuit in the case.

"Only one action may be brought under the wrongful death statute for the death of Carl DeBrodie," he stated.

Summers and DeBrodie's aunt Carol Samson filed their own wrongful death suit in January and have opposed the Martins' involvement in it. The Martins' civil suit was filed April 9.

On April 13 the Martins filed to intervene as plaintiffs in the Summers/Samson civil suit. At the time, Mary Martin said she hoped to change legal precedent to allow non-adoptive and birth parents more legal recourse in cases like this. She also mentioned plans to use money won through the suit to start a foundation to help people like DeBrodie.

The motion to intervene was terminated April 16.

In May, Samson filed a motion to dismiss the Martins' lawsuit. She and Summers also filed a motion to support its dismissal before the July 2 hearing.

The Martin suit was dismissed with prejudice, court records show, meaning the Martins will have to pay for costs associated with the suit.

"It hurts that the laws do not see us as the psychological parents," Mary Martin said Friday.

Full Article & Source:
Former guardian not eligible to bring DeBrodie lawsuit, judge rules

See Also:
Carl DeBrodie was killed by injuries from forced fighting, court documents reveal graphic details

Carl DeBrodie case: Family attorney says the charges didn't surprise him

Saturday, June 30, 2018

Commonwealth of Virginia’s Office of the Attorney General Friend or Foe?

Manassas, VA - Jun 25, 2018 — WARNING THIS POST CONTAINS GRAPHIC IMAGES! 
(Family members may not want to view). THE FOLLOWING IS ONLY PART OF WHAT THEY DID TO MY SISTER!

The Office of the Attorney General for the Commonwealth of Virginia supposedly conducted an “investigation” into Anastasia’s death. The investigator sent me the following letter stating they found no evidence of abuse or neglect and therefore were closing their investigation. Additionally the Commonwealth is attempting to rule Anastasia’s death an “accident”.

 


WARNING THE FOLLOWING IMAGES [At the source link] ARE GRAPHIC!

 Hmmm, I am not a cop (Anastasia was) but how in the blue blazes do you come up with a finding of no abuse or neglect when someone suffer injuries such as those below? Sounds like a sham kangaroo investigation to me because the following injuries look like criminal neglect to me. Bare in mind the below images are only a couple of the numerous injuries that my precious sister Anastasia suffered while under the control of Inova’s guardians.







THIS IS ONLY PART OF WHAT THEY DID TO MY SISTER
WARNING THIS POST CONTAINS GRAPHIC IMAGES! (Family members may not want view)______________________________The Office of the…

Full Article & Source:
Commonwealth of Virginia’s Office of the Attorney General Friend or Foe?
Warning:  The source link contains very graphic images.  

Thursday, June 7, 2018

Carl DeBrodie was killed by injuries from forced fighting, court documents reveal graphic details

Click to Watch Video
FULTON, Mo. - New allegations released in a civil lawsuit reveal Carl DeBrodie was forced to physically fight another resident for the "benefit and amusement of Paulo and her family," those events eventually causing his death. Sherry Paulo was the manager of Second Chance Homes, where Carl was living before he died.

As a result of these forced fighting engagements, Carl suffered serious injuries, including at least six broken ribs. Carl also regularly suffered black eyes and other bruising.

Sometime after October 25, 2016, but before November 24, 2016, Carl and a resident stayed overnight at Paulo's residence to sleep in the basement on the concrete floor. During the middle of the night, Anthony Flores, Paulo's husband and employee of Second Chance homes, was awakened by Carl's scream. Carl was found unresponsive and convulsing on the floor of the basement, appearing to have a seizure.

Documents say instead of calling 911 or other emergency assistance, Flores and the resident carried Carl upstairs and placed him in a bathtub with the shower running. Carl was bleeding from his nose and mouth and continued to convulse in the bathtub. Documents say "no life-saving measures were attempted that night with respect to Carl, Carl died as a result of the episode. Carl remained in the bathtub for two or three days until he was ultimately placed into the City of Fulton trash can, encased in concrete, and placed into a storage unit."

Court documents say for several months leading up to October 2016, Sherry Paulo, group home manager would regularly and frequently take Carl and another facility resident to overnight at her own personal residence in Fulton. Paulo allegedly forced Carl to stay at her own personal residence, require him to perform manual, unpaid labor around her home.

Carl and another resident were forced to stay and sleep in Paulo's basement, where no beds or mattresses were provided.

On April 17, 2017, the Fulton Police Department received a missing report for Carl, who had gone missing from the Facility.

Due to the decomposition of Carl's body, it was determined he had been missing and/or deceased for several months before the missing person report was filed.

The names below are the defendants in the case:
  • Second Chance Homes of Fulton, LLC
    • Rachael Rowden, Owner
    • Sherry Paulo, Manager
    • Anthony Flores, Sr., Employee and husband of Paulo
  • Callaway County Public Administrator's Office
    • Karen Digh Allen, Callaway County Public Administrator
    • Robin Rees Love, Employee
  • Missouri Department of Mental Health
    • Mark Stringer, Director
  • Missouri Department of Mental Health - Division of Developmental Disabilities
    • Valerie Huhn, Director
    • Wendy Witcig, Deputy Director, Community Operations
    • Marcy Volner, Assistant Director of Central Region
    • Wendy Davis, Director of Central Missouri Regional Office
  • Callaway County Special Services (CCSS)
    • Julia Kaufmann, Executive Director
    • Melissa Delap, Employee and Carl's community RN
    • Tiffany Keipp, Employee and Carl's case manager
Keipp and Delap were required to report to appropriate authorities, including the Department of Mental Health and the Department of Mental Health Division of Disabilities, any suspicions or allegations of physical abuse, sexual abuse, verbal abuse, or neglect of Carl, and also any misuse of Carl’s funds or property.

For several months leading up to Carl’s reported disappearance, Allen, Love, Keipp,Rowden and Paulo prevented the plaintiffs in the case, Carolyn Summers and Carol Samson, from seeing or visiting with Carl.

Instead of conducting the required face-to-face contact, Keipp and Delap made false reports saying that face-to-face contact was made with Carl.

In her false reports, Keipp said she had made face-to-face contact with Carl in October 2016, November 2016, December 2016, January 2017, February 2017 and March 2017. None of these meetings took place.

Delap said in her false report she had made face-to-face contact with Carl in October 2016, November 2016, December 2016, January 2017, February 2017 and March 2017. These meetings also never took place.

In 2016, Second Chance, Rowden, Paulo and Delap did not submit consistent monthly reports about Carl to Keipp, CCSS, Allen, Love and the Public Administrator.

Keipp and Love did not make contact with Carl to check on his health and well-being, even though Paulo reported Carl was not in good health.

Keipp and Love were aware of verbal abuse towards Carl, but didn't report it. They were also aware of physical abuse occurring between Carl and another resident that they didn't report.

Rowden, Paulo, Keipp, Delap and Love waited several months to report Carl’s disappearance so they could continue to receive and collect state and federal monies for the provision of residential services for Carl, according to the court document.

To read the entire document, click below:



Full Article & Source:
Carl DeBrodie was killed by injuries from forced fighting, court documents reveal graphic details

See Also:
Carl DeBrodie case: Family attorney says the charges didn't surprise him

Wednesday, June 6, 2018

Carl DeBrodie case: Family attorney says the charges didn't surprise him

Click to Watch Video
"I assured my clients that the prosecutor was working on it and something probably would happen," Ruday Veit,, the DeBrodie family's attorney said. "And it has."

Fulton Police arrested five people associated with the Carl DeBrodie case.

“I knew a long time ago that charges would be filed because I saw the documents,” Veit said. “I had been anticipating that for a long time they were going to make an arrest, it's just a matter of when the prosecutor could coordinate with the other parties involved in the case."

Veit said this process has taken a long time.

“Its been a while and each step shows that somebody is doing something and someone cares,” he said.

Veit said these charges set a precedent for care facilities across the state.

"One of the things we want to do is make sure this action doesn’t happen again, and by him prosecuting them all it sets a good message to other facilities not to do this kind of conduct,” Veit said.

Veit thinks the charges for this case will be staying, ”In this case the evidence is pretty clear that these charges will be met In every one of these cases.”

Veit said these criminal charges do not affect the civil case with the DeBrodie family.


“It should not affect the outcome, but it will help us reach the goals we want to reach,” Veit said. "Except now I know where to find them."

Former Cole County Prosecutor Bill Tackett said that civil and criminal cases are "different animals" and agrees that the new charges wouldn't affect really affect the civil case. Fulton police already said they didn't find evidence DeBrodie was forced to fight other residents of the group home, even though the civil suit accuses that.

"When you file a civil suit, you're making allegations. If you make a fact, you make exaggerate that fact and it's accepted within the bounds of a civil lawsuit," he said. "With criminal law, you have to be very specific. You're talking about putting someone in prison, taking away their liberties. In civil law, you're talking about taking away their money. Nobody goes to jail with civil law."

Full Article & Source:
Carl DeBrodie case: Family attorney says the charges didn't surprise him

Thursday, February 1, 2018

Attorney for Carl DeBrodie's family says "whole system failed him"

Click to Watch Video
Attorneys for Carl DeBrodie's biological mother, Carolyn Summers, said Wednesday that they filed a wrongful death lawsuit on her behalf in order to find out what truly happened to DeBrodie and prevent what happened to him from happening to another vulnerable member of society.

"One of our desires is that it does not happen to other people, and that this be a wake up call," said attorney Rudolph Veit. "We see it all the time... individuals with mental conditions, they're so easy to take advantage of and to ignore."
The lawsuit claims those involved in DeBrodie's care failed to provide for his safety and attempted to cover up the circumstances of his death. The claims include wrongful death, negligence, civil rights violations and civil conspiracy.

On April 17, Fulton police received a missing person’s report from Second Chance Homes. They quickly realized DeBrodie had been missing a lot longer than the Second Chance workers had reported.

A week later, his body was found in a storage facility encased in a box of cement.

According to court documents, the wrongful death lawsuit was filed against 23 defendants, including Second Chance Homes, its' operator Rachael Rowden and the Missouri Department of Mental Health.

The number of defendants could shrink based on the depositions.

"If they haven't done something wrong, we would like their names not to be part of it," said Veit. "We only want to get to those people who breached their duty in the care of Mr. DeBrodie."

Veit said that the investigation on the federal level with the U.S. Attorneys office was taking longer than they expected and they wanted to start getting answers. Veit and fellow Carson & Coil attorney Gabe Harris are working as a team on the case.

"We felt like if we filed now, most of their work will have been completed," said Veit. "We can start depositions and do thorough depositions and find out truly what happened in this case, putting people under oath."

Veit said they have a viable case, and right now, they just have to determine who was responsible for DeBrodie's death, and try to bring awareness to the whole system.

"While in a state-paid institution, because of the challenges in his life, he basically ended up in a concrete block," Veit said. "We know that's not supposed to happen, we know that his guardian should have checked on him and there are state regulations on how often his well-being was supposed to be checked and they were not."

The investigation continues but no criminal charges have been filed yet.

Full Article & Source:
Attorney for Carl DeBrodie's family says "whole system failed him"

See Also:
The Case of Carl DeBrodie: The Investigation

Man whose body was found encased in concrete may have been missing months

Advocates: Guardianship law should focus on well-being

Saturday, August 5, 2017

The Case of Carl DeBrodie: The Investigation

Click to Watch Video
FULTON, Mo. - Carl DeBrodie's body was found encased in concrete in a Fulton storage unit.

The questions of who poured the concrete over DeBrodie's body and stashed him out of sight has been the target of an intense investigation over the last 11 weeks.

ABC 17's Jordana Marie has been digging through hundreds of court documents, looking into who was responsible for keeping him safe. She's found a court custody battle, a list of people responsible for his daily care and at least one serious potential violation of state law.

ABC 17 spoke with a former guardian of DeBrodie about what she fears happened.

“I think somebody lost it on him and that’s how he died,” Mary Martin said.

Martin is a former guardian for DeBrodie. She took care of him most of his childhood until he was 21 years old.

Martin said DeBrodie is developmentally challenged and doesn’t speak well but can get his point across to those who know him.

She said he went to live at Second Chance homes, an Independent Supported Living facility in Fulton about nine years ago. That’s where she said things started to go south for DeBrodie.

“When he went into Second Chance, he was put on meds and it upped and upped and upped until he had the Thorazine shuffle," Martin said. "He was not Carl anymore. He walked like a Zombie”

On April 17, Fulton police received a missing person’s report from Second Chance homes. They quickly realized DeBrodie had been missing a lot longer than the Second Chance workers had reported.

“We conducted a foot search, a search with drones, a tracking dog from the Highway Patrol," Fulton police Lt. Bill Ladwig said. "It became pretty apparent by speaking to some other people that were in the area that Mr. DeBrodie was probably missing for longer than just 30 minutes on that morning.”

A week later, his body was found, encased in cement, in a storage facility.

“With the decomposition of the body, it was probably there for months,” Fulton police Chief Steve Meyers said.

So when did DeBrodie go missing? Who was responsible for making sure he was alive and healthy while living at Second Chance homes?

According to former Cole County Prosecutor Bill Tackett, everyone.

“It’s everyone who touches the oversight of him," Tackett said. "Everybody plays a part in what happens to any of these people but specifically him.”

ABC 17 News has been looking through hundreds of documents from various agencies, looking for who would be responsible for DeBrodie.

At the top of that list, DeBrodie's court-appointed legal guardian: Callaway County public administrator Karen Digh.

“So she would be one of the people in the network of people of players that were responsible for protecting Carl DeBrodie,” Tackett said.

Next on the list, the case manager responsible for monthly face-to-face visits with DeBrodie.

In May, ABC 17 News reported Callaway County Special Services, the agency that employed that case worker, determined that employee was not meeting monthly with DeBrodie despite filing reports stating otherwise.

That employee has been fired.

“There are criminal statutes for false reporting, filing a false report," Tackett said.  "There's forgery.  There’s a litany of prosecutorial remedies for a lot of what’s happened here.”

Right now, no one with CCSS has been charged, though it is possibly a part of the larger investigation.

We also know Rachel Rowden owns Second Chance Homes. Her name has not been mentioned in the investigation to this point.

Second Chance Homes was an Independent Supported Living facility, with only two or three residents at a time living there.

“All she had to do was drop in," Martin said. "I mean, she didn’t have that many clients.”

ABC 17’s Jordana Marie went to Rowden’s house to ask her the last time she saw DeBrodie, if she knew what happened and how she thought his body ended up encased in cement.

Her daughter said Rowden was out of the state and referred to the lawyers when asked about the investigation.

At the bottom of the responsibility totem pole are the people working in the home day in and day out.

Through court documents and police reports, ABC 17 News has determined Sherry Paulo was one of the employees at Second Chance from as far back at 2011 to as recently as 2016.

In a court document from 2014, Paulo is listed as a staff member and “qualified disability professional" at Second Chance Home in Fulton.

Fulton police records also put Paulo in the home in October 2016 when a resident allegedly threw punches at her and her husband, Anthony Flores.

Neighbors also told ABC 17 they saw Paulo at the house the night before DeBrodie was reported missing.

More than two months have passed since DeBrodie was reported missing and his body was found.

There have been no arrests, no named suspects and no timeline of when justice for DeBrodie will be served. The community wants answers.

“This is one that needs to be compartmentalized and worked through slowly, but surely and get to the bottom of what happened to Carl DeBrodie,” Tackett said.

As a former prosecutor, Tackett said the key to ensure justice is properly served for Carl is to find out what happened before he was reported missing.

“What happened before April 17th? We know what happened after April 17th," Tackett. "What went on before the date that this was called in? What you’re hearing is the chief of police talk about the decomposition of the body being months and if you do the math on it, it doesn’t work out.”

Tackett has not been involved in the investigation of this case. But, he did say if this case was presented to him, based on the facts we know so far, he’d likely take it to a grand jury before deciding who to ultimately prosecute, and for what crimes.

We know Callaway County has a standing grand jury, but it’s not known if this investigation has been presented to that grand jury.

Full Article & Source:
The Case of Carl DeBrodie: The Investigation

The Case of Carl DeBrodie: The Guardians

Part two of a three-part series

Click to Watch Video
FULTON, Mo. - Before 31-year-old Carl DeBrodie's body was found encased in concrete, he was part of a lifelong custody battle.

Some key players in Carl's life say the legal struggles could have been avoided if Carl hadn't gone into Second Chance, the group home where he was last seen.

ABC 17's Deborah Kendrick got her hands on court documents that uncover more about what went on behind the scenes, including a possible conflict of interest.

Early Years

In November 1985: Carl DeBrodie was born to Carolyn Summers. Carl lived with his mother, who has mental limitations, until Carl was about 12-years-old. Carl went into the care of Mary Martin, through the foster care system.

In September 1999: Cole County Circuit Court appointed Mary Martin to be Carl's legal guardian when he turned 14-years-old.

In November 2003: Carl turned 18 and he became his own legal guardian.

In November 2006: Martin cared for Carl until he was 21. It was nearly two years later in 2008, when Carl was declared a incapacitated and disabled adult from Callaway County Court. So Karen Digh, the public administrator was appointed his legal guardian.

Legal Battles

In 2009: Martin petitioned the Callaway County Court to be named as Carl's legal guardian. The court held hearings on April 2010, but she was denied. It was that same year, Christmas Eve at Martin's when Martin claims Carl was abused. An investigation was done and found no one to be responsible. It was noted in documents that Carl sometimes "harms himself."

By 2010: Carl was living at Second Chance. Carl's former guardian ad litem, Jana Oestreich, visited Carl that year and states that she saw "tremendous positive change." A guardian ad litem is court appointed to represent the best interests of a child, or incapacitated adult. In an appeal opinion by the Cole County judge, Oestreich said Carl was "happy, healthy, robust, cozy and comfortable." Oestreich testified that when she visited Martin's home, it was "very chaotic," and "there is a lot of traffic inside of Martin's home with different children, different family members."

In August 2011: Martin petitioned the Cole County Court to adopt Carl when he was 25. It was December of 2011, when Mary Beck, Carl's appointed guardian ad litem during the adoption, made a visit to Martin's home. Beck said Carl appeared to be comfortable and familiar with his residential home and had access to the entire house. Beck stated in her guardian ad litem report, "Carl got his own drinks, letting the dogs out and interacting with family members." Beck stated neighbors and friends who were present enjoyed Carl's company not because they were being paid.

It was in front of Beck that Carl asked his 'Dad', Mary Martin's husband, if he (Carl) could stay at his childhood home. "His father hugged him, but told him he would have to leave and assured him that he was doing everything in his power to ensure that Carl could be a part of the family more often."

May 2012: Six months after the guardian ad litem's report of Carl being calm and loving at the Martin's (home). Carl was observed having an extremely opposite reaction to the mention of the Martin's name.

During a visit in May, the report noted there was a continuous presence of Sherry Paulo, the assistant director of Second Chance homes and Vickie Cole, the house manager of Second Chance homes. It was noted during the visit Carl was very "distraught, crying, screaming and shaking his head "No" when Martin's name was brought up. It was concluded that both Paulo and Cole "exerted immense influence over Carl's response to the Martin's name at the idea of adoption."

It was also in May that the Cole County Court ruled to deny the adoption to Martin because: consent of the adult was needed; no credible evidence was presented to support a finding that Carl knew the legal significance of a decision to consent to the adoption; Carl's legal guardian, Karen Digh, declined to give consent and declined to seek authority for consent.

In 2014: Martin appealed the courts decisions but she was denied. In 2014, that was the last time Martin saw Carl.

Testimonies

Sherry Paulo: a staff member and "qualified disability professional." Paulo testified that Martin and her husband were not denied visitation but they needed to be supervised.

Karen Digh: Carl's legal guardian. Digh stated when Carl returned from visits with Mary he exhibited strange or distressful behaviors.

Mary Martin: Carl's former guardian. Martin stated Carl "needed an advocate and needed somebody to watch out for him the rest of his life." Martin stated she did not want Carl living at Second Chance and believed he was being overmedicated.

Mary Beck: Carl's guardian ad litem. Beck stated that Carl really valued the role of his biological mother and Mary Martin in his life. Beck recommended that the court grant the adoption.

During a visit to Second Chance Beck asked Carl if he wanted to continue living at Second Chance or if he wanted to live with the Martins. Carl pointed to the ground and said "here." Beck asked Carl the same question when he was visiting at the Martin's Carl said, "Here. Home."

Conflict of Interest
 
The question on the minds of several people in the community, "Why wouldn't someone who has cared for him for years not be allowed to adopt him."

"Why would someone resist in giving guardianship or adoption to a family that had cared for him for 13 years and were in love with him, who had the financial means to take care of him," Beck said.

Beck states a financial tie and conflict of interest existed with the Public Administrators office and Second Chance.

"This is my guardian ad litem report to the court so it's not confidential information. There was a financial tie between Karen's office and Second Chance homes," Beck said.

In the report it states, "The legal guardian's deputy was working at Second Chance while working as a deputy to the Callaway County public administrator, which is a noteworthy conflict of interest. The deputy was very much in favor of keeping (Carl) DeBrodie institutionalized."

"It's a real conflict of interest to have a facility for incapacitated adults to have a financial tie to a main worker in the public guardian's office," Beck said.

Second Chance Finances


According to a financial document that ABC 17 News obtained from the Missouri Department of Mental Health, Second Chance was bringing in an average of $592,000 each year from 2009 to 2017. This brought the total to more than $5 million over the nine year span.

Investigation

ABC 17 News checks in daily on the investigation. So far, no arrests have been made in the disappearance and death of Carl DeBrodie.

Full Article & Source:
The Case of Carl DeBrodie: The Guardians

The Case of Carl DeBrodie: Checking The System

Part three of a three-part series

Click to Watch Video
JEFFERSON CITY, Mo. - The investigation into Carl Debrodie’s death is still underway by state and federal law enforcement agencies.

The 31-year-old, developmentally disabled man was found dead in a Fulton storage facility after being reported missing days earlier.

Investigators say evidence suggests Debrodie had died long before he was reported missing, leading them to believe there was a coverup involved.

ABC 17 News reported on May 19 when a case manager with Callaway County Special Services was fired after it was alleged that the required monthly face-to-face visits with Debrodie were not being performed.

According to the Missouri Department of Mental Health’s Division of Developmental Disabilities, the monthly support monitoring visits are one of three ways cases are reviewed and monitored on the individual level.

Debrodie’s service provider, Second Chance Homes in Fulton, underwent a licensure and certification process that involved the DMH checking to make sure the facility is able to care for its clients based on their individual needs.

The recertification process occurs every two years and doesn’t require direct contact with the individuals.

The division also performs quality enhancement reviews each year, during which documents from 400 randomly selected cases are supposed to be requested and reviewed.

If the cases involve increased medical needs, a registered nurse is supposed to perform a medical review on an annual basis.

“We have quality enhancement nurses and those nurses will review individuals, specifically individuals that have really high medical needs, about 65 percent of the 8,377 with comprehensive waivers,” said Valerie Huhn the division's director. “Those cases would warrant this annual nurse review.”

While other oversight systems exists within the division, none of them require consistent, face-to-face contact with clients like Debrodie.

The Missouri Developmental Disabilities Council shared an office building with the Department of Mental Health but it is a separate entity.

The 23-member council is federally funded and at least 60 percent of its membership have a direct connection to people with developmental disabilities.

"We don't delve that deep into oversight,” said Vicky Davidson, the council’s director. “We provide advice on the services systems, on how families believe the service system should be driven."

One tool the council uses is a victimization task force, something Davidson said will examine the Debrodie case closely.

"The victimization task would like to look at what systems might have broken down and work to address those and change that to make sure that doesn't happen again,” Davidson said.

The task force is only able to submit recommendations to the Department of Mental Health, meaning it's up to Gov. Eric Greitens' administration to change or update policy.

In a division that serves more than 36,000 people across the state, all of them with different needs, Huhn says it can be difficult to keep the system individual-driven.

"It can be challenging making sure all those needs are met and those rights are protected,” said Huhn.

“The system always evolves because the individuals evolve and the ways we can find to care for individuals."

ABC 17 News is closely following the Debrodie investigation and will publish updates on air and in a special section of this website: "The Case of Carl Debrodie."

Full Article & Source:
The Case of Carl DeBrodie: Checking The System