{"id":359,"date":"2019-06-06T14:55:05","date_gmt":"2019-06-06T14:55:05","guid":{"rendered":"https:\/\/bostonreleasenetwork.org\/?p=359"},"modified":"2025-09-11T15:35:26","modified_gmt":"2025-09-11T19:35:26","slug":"modern-day-gulag-in-the-golden-state","status":"publish","type":"post","link":"https:\/\/baystatereentrynetwork.org\/index.php\/2019\/06\/06\/modern-day-gulag-in-the-golden-state\/","title":{"rendered":"Modern-Day Gulag In the Golden State"},"content":{"rendered":"\n

https:\/\/washingtonspectator.org\/koeppel-gulags\/<\/a><\/p>\n\n\n\n

\n\nJune 4, 2019<\/p>\n\n\n\n

By<\/em> Barbara Koeppel<\/a> in Health<\/a>, Politics<\/a><\/p>\n\n\n\n

B<\/strong>ack in 1997, the Supreme Court ruled that the practice known as civil commitment was legal. This meant that 20 states\u2014which had passed laws permitting the ongoing incarceration of sex offenders\u2014could continue to keep the men confined even after they completed their prison terms. (See \u201cSex Crimes and Criminal Justice,\u201d from the May 2018 issue of The Washington Spectator,<\/em> available here<\/a>.)<\/p>\n\n\n\n

All it took (and still takes) is for two psychologists to claim the men might<\/em>commit a new crime and a judge to say their cases can move forward. They are then labeled sexually violent predators (SVPs) and reincarcerated in prisonlike facilities until new trials are held\u2014supposedly to determine if they will be civilly committed or released. The result? Some men have been waiting for their day in court for 15 to 20 years. In the meantime, many have died.<\/p>\n\n\n\n

No matter that the men already served their prison time. Or that psychologists, psychiatrists and lawyers I interviewed insist that very few should be confined\u2014that instead, the vast majority, many of whom are elderly or ill, should be let out.<\/p>\n\n\n\n

Eric Janus, former president and dean of Mitchell Hamline Law School in St. Paul, Minn., says that continuing to incarcerate the men to comfort fearful constituents doesn\u2019t make the public safer. The bottom line? \u201cI\u2019ve never seen numbers that show there are fewer sex offenses or re-offenses in the 20 states that have the SVP laws than in the other 30 states that don\u2019t,\u201d Janus says.<\/p>\n\n\n\n

Then why are roughly 2,500 men still stashed away across the country? Locking up sex offenders is always good politics, but it is also extraordinarily profitable. And since California has the biggest budget and locks up the biggest number\u2014three times the next three states\u2019 combined\u2014the Golden State offers the biggest boondoggle to explore.<\/p>\n\n\n\n

To document a system awash in double-talk and dollars, I interviewed 45 lawyers, psychologists, psychiatric technicians, rehabilitation therapists, nurses, journalists, prison reform advocates and civilly committed men over eight months. Nearly all feared retaliation and asked not to be named.<\/p>\n\n\n\n

A golden opportunity<\/strong><\/p>\n\n\n\n

When the sex offender laws passed, some California mental health officials instantly grasped that the new measures were solid gold. Melvin Hunter, then director of Atascadero State Hospital, where the SVPs were sent, was elated. \u201cWhoever came up with the term \u2018sexually violent predator\u2019 was a marketing genius.\u201d<\/p>\n\n\n\n

In their wildest dreams, California officials couldn\u2019t have guessed just how golden. From 1996 to 2006, when the SVPs were sent to Atascadero, taxpayers coughed up $716 million to house and supposedly treat them. In 2006, the state opened Coalinga State Hospital, which cost a third of a billion dollars to build and even more than that to outfit. Over the next 13 years, the SVP tab swelled by at least another $2.1 billion. But who\u2019s counting? Locking up sex offenders and throwing away the keys plays well with voters.<\/p>\n\n\n\n

Across the country, the scene is the same. In Kansas, the cumulative 25-year tab is now $255 million to confine roughly 350 SVPs. In New York, it cost taxpayers $117 million in 2017 alone for 359 SVPs; and in Washington State, nearly $49 million in 2018 for 211 men.<\/p>\n\n\n\n

Costs soar<\/strong><\/p>\n\n\n\n

Each year Coalinga Hospital\u2019s operating budget spirals upward. In 2017, it was $280 million, the next year $322 million, and this year $333 million to house 953 SVPs and 370 non\u2013sex offenders, called \u201cmentally disordered\u201d patients (MDOs).<\/p>\n\n\n\n

Though stunning, these totals don\u2019t reveal the real numbers, since they exclude capital and legal costs. For example, lawmakers allotted a total of $15.1 million from 2015 to 2018 to build an activity courtyard; the project was just put out for bids this past February, and not one basketball hoop is yet in place.<\/p>\n\n\n\n

The taxpayers\u2019 bills for the public defenders, district attorneys, courts, investigators and evaluators that handle SVP cases are enormous. Totals are tough to tally\u2014since the state and counties pay for different services\u2014but a starting figure could be the $21.8 million the 58 counties together spent in 2011 just for civil commitment hearings (which the state reimbursed). However, Heather Halsey, executive director of California\u2019s Commission on State Mandates says this amount \u201conly covered a tiny part of all SVP legal services.\u201d<\/p>\n\n\n\n

Add on the legal fees the state doesn\u2019t reimburse: For example, San Diego County Public Defenders\u2019 Office estimates the initial commitment hearings alone were $514,000 in 2011 and $279,000 the next year.<\/p>\n\n\n\n

Securing funds<\/strong><\/p>\n\n\n\n

How California\u2019s Department of State Hospitals (DSH), which runs Coalinga, primes the pump is not particularly novel, but the details are noteworthy. According to a lawyer I\u2019ll call David Winters, who handles many SVP cases, the DSH tells lawmakers how much it needs to run Coalinga, and lawmakers fall into line. He says \u201cIt\u2019s always more than the previous year. No one ever asks how much it should<\/em> cost.\u201d<\/p>\n\n\n\n

First, the DSH secures a large enough pot so the dollars can be generously doled out\u2014particularly to the key players who have the power to keep the men confined in perpetuity, such as psychologists and psychiatric technicians (called psych techs).<\/p>\n\n\n\n

One psych tech I\u2019ll call Alicia Torres worked at Coalinga for years but quit because she didn\u2019t like the way the men were treated. She says, \u201cThe psych techs put negative statements in the guys\u2019 records, and the psychologists who evaluate the men don\u2019t know them, so they assume the notes are accurate and say the guys must stay.\u201d<\/p>\n\n\n\n

The men who are confined call it \u201ccooking the charts.\u201d Torres says, \u201cIf a man complains about something the psych techs did, they\u2019ll write \u2018He\u2019s aggressive,\u2019 even though he isn\u2019t. One told me, \u2018When I\u2019m through with his chart, he won\u2019t get out any time soon.\u2019\u201d<\/p>\n\n\n\n

Second, according to a psychologist I\u2019ll call Judith Powell who worked at Coalinga both as a consultant and salaried staff, \u201cadministrators send a clear message: \u2018The men are not to be released.\u2019\u201d<\/p>\n\n\n\n

Another employee I\u2019ll call Paul Carter says, \u201cIt\u2019s a modern-day gulag.\u201d (Fearing certain retaliation, he asked me not to even mention his profession.) \u201cThere are no memos, but everyone knows what the officials want. They also know the DSH has never recommended even one man to be released in over 20 years.\u201d<\/p>\n\n\n\n

The numbers speak loudly: Of the 1,705 SVPs sent to Atascadero and Coalinga since 1996, the courts dropped the charges for 598 men, 135 have died, and roughly 950 remain.<\/p>\n\n\n\n

Carter adds \u201cIf you advocate for the men or criticize Coalinga\u2019s policies, you\u2019re ostracized or fired. But the pay and benefits are great, and staff get promoted. So they do what\u2019s expected.\u201d With his degree and qualifications, Carter says he earns nearly double what he would anywhere else. His concerns were repeated by the Rev. Dr. Terry Mathis, a Protestant minister based in Palo Alto, who was reprimanded for counseling the men and their families. He told me he stopped visiting inmates at Coalinga before the hospital could discredit him, as had happened to his predecessor.<\/p>\n\n\n\n

Powell says that besides the dollar incentives, most of Coalinga\u2019s salaried psychologists have bought into the bias. \u201cThey\u2019re supposed to evaluate if a man is progressing, but they never say an SVP should be discharged. If they did, they\u2019d have to defend it in court. That\u2019s tough to do, since everyone else says the opposite.\u201d<\/p>\n\n\n\n

The psych tech Torres says, \u201cThe staff also buy in because of cronyism and nepotism. Lots of them have family who work here, and they help each other get promotions and overtime.\u201d<\/p>\n\n\n\n

As a former Coalinga employee wrote anonymously on Glassdoor.com:<\/p>\n\n\n\n

The hospital looks clean and modern. The pay is good. If you want overtime, you could be a millionaire after a few years.<\/p>

But the psych techs are very disrespectful of other professionals, such as psychologists, nurses, medical doctors, and they run the place. The level of lying and deceitfulness is awful. You have psychologists lying in patients\u2019 charts without any moral qualms. You have staff against staff. And, of course, they hate the patients they\u2019re supposed to help to improve their conditions.<\/p><\/blockquote>\n\n\n\n

Coalinga staff are well known for advancing on thin credentials. For example, Brandon Price, Coalinga\u2019s current executive director, started as a truck driver in a California prison, came to Coalinga to work in an office, and steadily moved up. His brother, Stirling Price, was an administrator at two other California state hospitals and is now the DSH\u2019s deputy director.<\/p>\n\n\n\n

Nudging the numbers<\/strong><\/p>\n\n\n\n

Coalinga\u2019s budget is based on the number of men it holds, which means the figure matters greatly. But the numbers are moving targets\u2014depending on who\u2019s counting. At present, I\u2019ve been told there are anywhere from 920 to 980 men in confinement, but we\u2019ll use the 953 calculated by California\u2019s Legislative Analyst\u2019s Office. In 2016, Coalinga was budgeted to house 1,294 patients (the men are euphemistically called patients instead of inmates), but the census showed only 1,277: thus, Coalinga was paid for 17 patients it didn\u2019t have\u2014which adds several million to its budget.<\/p>\n\n\n\n

Drew Soderborg, managing principal analyst for the Corrections Section of the Legislative Analyst\u2019s Office, says Coalinga now holds 1,323 men, which includes the SVPs, and 80 more MDOs are expected by July, which will bring the total to 1,403. To house the newcomers, the DSH asked for (and legislators approved) $11.5 million in 2018 and $13.7 million this year. So far, only 60 have arrived; thus, adjusting the budget to account for the 20 missing men could theoretically lower costs by several million.<\/p>\n\n\n\n

Allen Fletcher (his real name), a licensed fraud examiner who worked for Nike for about 10 years before being remanded to Coalinga after serving his sentence for a sex offense, says the 953 SVP head count is false. \u201cSome men are away from the hospital for court hearings\u2014kept in county jails during the trials, which can be months\u2014or they\u2019re back in prison, which can be years. I personally know four or five who are away.\u201d He calculates that five times the annual cost estimated for each man (Soderborg puts it at $236,000) could reduce the bill by another $1 million plus a year.<\/p>\n\n\n\n

One such double-counted man is Kevin Chavez (his real name), who was returned from Coalinga to prison for possessing child pornography (smuggled in by staff). According to a staff person who checked the Coalinga roster, Chavez is still on it.<\/p>\n\n\n\n

The number of staff needed is also debatable. The DSH continually claims it\u2019s short-staffed. But a 2013 Legislative Analyst\u2019s Office report found the \u201cDSH employed about 35 percent more staff than required under Title 22.\u201d<\/p>\n\n\n\n

Soderborg says, \u201cTitle 22 is about the minimum<\/em> staff needed.\u201d But he adds that the DSH \u201cshould have an independent consultant determine if the staff level is correct. Until this happens, we have to rely on the DSH\u2019s numbers.\u201d<\/p>\n\n\n\n

In the 2019\u20132020 Governor\u2019s Budget Proposal, the DSH again asked for more staff, citing \u201cincreased violence.\u201d But Ralph Montano, an information officer in the DSH\u2019s Office of Communication told me, \u201cthe SVP population . . . is often more psychiatrically stable . . . and does not need an intensive level of care.\u201d<\/p>\n\n\n\n

Bloated medical bills<\/strong><\/p>\n\n\n\n

When justifying its budgets, the DSH points to rising costs. This might be credible if we could trust its numbers. But alarms go off when we look at big-ticket items such as medical expenses. According to one man\u2019s chart, over a four-year period, a single 81 mg child\u2019s Aspirin was billed at $38, $48, $184, $238, $256, and $266; one 500 mg vitamin C tablet cost $19, $37, and $47. On another man\u2019s record, a 375 mg Naproxen tablet was billed as $22, $130, and $140.<\/p>\n\n\n\n

Why the disparity? Montano digresses, offering few facts: \u201cItems \u2026 vary by price, quantity dispensed and strength.\u201d<\/p>\n\n\n\n

Ken Huskey, released two years ago, was charged for treatments that never took place. Huskey has 18 teeth, but over five years was billed for 57 fillings ($615 each), 20 \u201coral evaluations\u201d (exams) at $349 each, and 51 \u201coral hygiene\u201d lessons ($87 each) \u201cto tell us how to brush our teeth,\u201d Huskey says. I asked Montano to explain oral hygiene. He said \u201cI\u2019m not sure if I have to say that oral hygiene instruction entails this, that, and the other thing. I have to check with our Legal office to see if a specific response is a violation of patient privacy.\u201d<\/p>\n\n\n\n

Huskey\u2019s dental bills also list \u201canterior\u2014excluding final res\u201d ($3,935), four \u201cperiodontal scaling and root\u201d procedures on the same day ($1,922), and a \u201cmolar, excluding final res\u201d ($6,558). He was also charged from $1,955 to $2,591 for a total of four \u201cnew patient eye exams.\u201d<\/p>\n\n\n\n

Who foots these bills? They\u2019re not a line item in Coalinga\u2019s budget, so I asked Montano, who told me to \u201cask Medicare.\u201d The San Francisco Medicare office said that program reimburses some charges but wouldn\u2019t disclose Coalinga\u2019s total reimbursement in one year\u2014due to \u201cprivacy concerns.\u201d Its staff told me to send a Freedom of Information Act request to the national Department of Health and Human Services, which said mine \u201cdidn\u2019t qualify for expedited processing based upon compelling need.\u201d HHS suggested I file an appeal.<\/p>\n\n\n\n

Coalinga has found ways to extract even more funds. One man confined at the hospital, whom I\u2019ll call Joe Smith, says \u201cCoalinga gets reimbursed for medical appointments whether they happen or not. But it needs to prove the appointments were scheduled. So the staff tell us to sign forms that we missed them\u2014even if we never knew they existed. If we won\u2019t, nurses or psych techs write \u2018patient refuses to sign.\u2019\u201d One nurse (with a master\u2019s degree in public health) who worked at Coalinga for years says the men were routinely billed for lab tests they never got.<\/p>\n\n\n\n

I asked Torres, the psych tech, how often this happens. \u201cVery often,\u201d she confirmed.<\/p>\n\n\n\n

The men themselves are a funding source. Coalinga creates a bank account for each man to withdraw funds as needed. But if his balance tops $500\u2014say, someone sends him cash\u2014Coalinga takes anything over that (except from Social Security or Veterans Administration checks). Smith said he was reimbursed $10,000 for some legal services he canceled, and when a check was sent to his account, Coalinga pocketed $9,500. When it refused to return his funds, he went to court and won them back.<\/p>\n\n\n\n

In addition, California pays the DSH to confine 32 undocumented men at Coalinga who have also completed their prison sentences for committing sex offences\u2014almost all of whom have asked to be repatriated to their home countries. At the average annual cost of $236,000 per \u201cpatient\u201d (Soderborg\u2019s estimate), the undocumented men generate a windfall for the DSH. According to a 2016 article in the Fresno Bee,<\/em> the DSH says only the courts can release them from Coalinga. In 2001, one man, Juan Cordero, was ordered deported back to Mexico by the Los Angeles Immigration Court. Yet when the Bee<\/em> ran the article 15 years later, he was still waiting there. As Fletcher points out, these undocumented men comprise another $7.5 million of the DSH gravy train. Although Coalinga\u2019s kitty keeps growing, the DSH administrators continue to insist costs must be cut. For example, in 2012, they stopped all educational classes at Coalinga, such as remedial reading, basic Spanish, and General Equivalency Diploma prep programs\u2014although the latter are mandatory in California prisons (since it\u2019s a hospital, Coalinga is not considered part of the prison system). Interestingly, the DSH did not cut GED classes in its four other state hospitals. Stephanie Clendenin, its DSH\u2019s acting director, says these cuts are \u201cto achieve savings.\u201d<\/p>\n\n\n\n

A bevy of beneficiaries<\/strong><\/p>\n\n\n\n

So who benefits? Obviously not taxpayers and certainly not the reincarcerated men. Indeed, it\u2019s hardly hyperbole to say they\u2019re hostage to those who taxi around the trough.<\/p>\n\n\n\n

Strikingly, however, contractors and salaried staff do extremely well (more on each later). The DSH, which says it must achieve savings, has not cut fees, wages, benefits or overtime. In fact, some businesses seem truly blessed. For example, a contractor, California Dining Service, runs Coalinga\u2019s commissary and two restaurants\u2014one for staff and another for the men. The owner pays Coalinga $24,000 a year in rent to operate all three; he has no competition and sets the prices he chooses: the canteen sells an 8 ounce jar of Folgers Instant Coffee for $9.25 and a 2.5 ounce Speed Stick deodorant for $3.95. (In Safeway, they cost $8 and $3.29.) The commissary also sells Little Caesar\u2019s Pizza two days each month: it gets a box that holds eight pieces, for which it pays $5.99 to $7.99 (depending on the food store). It then cuts the pieces in half (there are now 16 slices) and sells each for $2.11.<\/p>\n\n\n\n

Walkenhorst\u2019s, which Montano says does not have a DSH contract, is nevertheless the sole company from which men can buy Hiteker tablets, the 7-inch mobile computers with touch-screen displays that are one of the few digital devices the men are permitted to use. While they cost $39 or $59 online, the men pay $230 to Walkenhorst\u2019s. Montano says the price is higher because the devices are altered to block \u201cincarcerated people from engaging in inappropriate behavior.\u201d However, a technician familiar with the tablets says it costs almost nothing to modify them.<\/p>\n\n\n\n

Another contractor, Liberty Health Care Corporation, received $6.3 million in 2017 to oversee 17 men whom the courts placed on \u201cconditional release\u201d (called Conrep). Liberty must pay for their housing, watch the men 24-7, except when they\u2019re at their jobs, and provide a treatment program. If the men complete the treatment, Liberty may recommend to the court that they be unconditionally released. However, in the 20-plus years since Liberty has had the contract, it has only recommended that about 20 men be released. Moreover, when Liberty returns some of the men it is supervising to Coalinga for \u201cviolating\u201d a rule, it need not return any of its $6.3 million.<\/p>\n\n\n\n

One man whom Liberty supervised says his case manager asked for $1,000 a month toward his housing, offering no receipt. He told me, \u201cThere were rats, roaches and bedbugs where they placed me, and the program was awful, so I asked the court to return me to Coalinga. The judge agreed.\u201d<\/p>\n\n\n\n

Another man under Liberty\u2019s care tried to commit suicide and was also returned. Psychologist Powell says, \u201cLiberty is corrupt. They treat the men terribly.\u201d<\/p>\n\n\n\n

Soderborg (the legislative analyst) says that, according to the state\u2019s contracting rules, \u201canything related to Conrep is exempt from competitive bidding.\u201d<\/p>\n\n\n\n

Contractors who administer polygraph tests also prosper. One public defender lawyer I\u2019ll call Jim Woods told me, \u201cIt behooves them to say the men are lying because the treatment team sends them back for more tests to see if their answers change\u2014even when they\u2019re telling the truth. The price per test in Los Angeles is $475 to $750.\u201d<\/p>\n\n\n\n

Woods adds, \u201cAlthough judges won\u2019t allow the lie detector results as evidence, they\u2019re put in the men\u2019s records, which hurts their chances in court.\u201d This, too, helps to keep Coalinga filled.<\/p>\n\n\n\n

Other contractors are the nonsalaried psychologists and psychiatrists who evaluate sex offenders to be considered for release. According a 2008 Los Angeles Times<\/em> article, \u201cState Pays Millions for Contract Psychologists to Keep Up With Jessica\u2019s Law,\u201d business was bustling. The article notes that in 2007, \u201camong 79 contractors hired by the state . . . the top earner, Robert Owen, pulled in more than $1.5 million. . . . He worked 100 hours a week for 52 weeks at nearly $300 per hour. The No. 2 earner, Dawn Starr . . . billed $1.1 million, including $17,500 for a single day in April, for five evaluations.\u201d<\/p>\n\n\n\n

It also named a psychiatrist, Dr. Mohan Nair, with offices in Beverly Hills and Los Alamitos, who earned nearly $1 million. The article said he simultaneously \u201csaw private patients, directed a diagnostic lab, and supervised residents at two medical centers.\u201d<\/p>\n\n\n\n

These revelations provoked little change. Fast-forward to 2017\u20132018, and Owen again earned the most\u2014$808,262\u2014although others didn\u2019t do poorly: the next three earned $729,500, $537,600 and $492,600. All 21 evaluators on the DSH\u2019s roster only worked part time.<\/p>\n\n\n\n

The DSH says the fees are reasonable since each evaluation takes at least 20 hours to complete. However Torres says, \u201cMost evaluators don\u2019t even speak to the guys. They look at their records, ask the office staff to copy some pages, and take them home. I\u2019ve seen them do several cases in one day.\u201d<\/p>\n\n\n\n

Further, Powell noticed a troubling pattern: \u201cThe psychologists DSH gives the most cases to are the ones who say that a higher number of men should be committed.\u201d<\/p>\n\n\n\n

Lawyers, district attorneys and the courts<\/strong><\/p>\n\n\n\n

Lawyers\u2014public and private\u2014also thrive. Private lawyers\u2019 fees for SVP cases are typically $100,000 to $150,000. Los Angeles attorney Todd Melnik charged one client a $100,000 retainer, from the start.<\/p>\n\n\n\n

The public defenders, private lawyers, district attorneys, evaluators, investigators, and even the courts all have strong incentives to string the cases out before they go to trial. Each county\u2019s legal offices and courts tally their budgets by the number of tasks they perform. Not unexpectedly, they perform a great many tasks.<\/p>\n\n\n\n

Justin Boswell (his real name), who helped run a family business before he was confined at Coalinga in 2011, has not yet had a trial. He explains: \u201cMy public defender lawyer, William Markov, attended 64 status hearings\u201d (the brief procedure when lawyers go to court and judges decide if cases should proceed to trial). \u201cWhen a judge grants a delay, which is the norm, the lawyers must return for a new hearing. Each hearing equals another task,\u201d says Boswell.<\/p>\n\n\n\n

According to Glen Green, (his real name), a registered paralegal who worked in San Luis Obispo county for nearly 10 years and is now confined at Coalinga, private lawyers, DAs, and judges are just as likely to request (and get) delays.<\/p>\n\n\n\n

Such machinations explain why George Vasquez, a sex offender, languished at Atascadero and Coalinga for 17 years (until 2018) without a trial. Los Angeles County Judge Gail Ruderman Feuer cited \u201cviolations of his right to a speedy trial and repeated delays\u201d and released him. Over time, he had been appointed seven public defender lawyers, each of whom asked for delays.<\/p>\n\n\n\n

It is estimated that at least another 300 men at Coalinga have never had a trial to decide if they should be civilly committed. Often, when they are first sent to the hospital, their lawyers advise them to wait and participate in Coalinga\u2019s treatment program because it could cause judges and juries to view them more positively. In fact, participating has little effect: Of the 703 men who were released over 22 years (out of a total of 1,763 who were sent either to Atascadero or Coalinga), only 146 participated, and 557 did not.<\/p>\n\n\n\n

Many of those incarcerated at Coalinga think that Vasquez\u2019s release is a game changer, and that their cases will now move forward. But several lawyers told me this may not happen. They explained that some attorneys will fear that under California law their clients will sue them for negligence (because of the years they\u2019ve waited) and may continue to delay the cases. Moreover, if new attorneys are appointed, they must start from scratch, which equals more delays.<\/p>\n\n\n\n

Exceptional earnings<\/strong><\/p>\n\n\n\n

Salaried staff also do well. Some prison guards, now called correctional officers (COs), are employed by the California Department of Corrections and Rehabilitation (CDCR) at the nearby prison (ironically named Pleasant Valley). But they also do high-priced work for Coalinga.<\/p>\n\n\n\n

To explain how they secured these plum jobs requires some history. The city of Coalinga (pop. 13,380), located in a desertlike area in the southern part of the state, is one of California\u2019s poorest. Before the hospital was built, the only jobs were in agriculture, the oil industry (which was reducing its footprint), and the prison. In the early 2000s, when the city council gave the green light to build the hospital there, unemployment and poverty rates were high, and per-capita incomes were low (40 percent lower than the national average). The hospital would bring badly needed jobs and income to the city.<\/p>\n\n\n\n

At the time, Ron Ramsey, a prison guard, was a city councilman; he later became mayor. Whether this mattered is anyone\u2019s guess. But Pleasant Valley COs were tapped to patrol the area outside the hospital, screen all visitors, and transport men to outside appointments, such as at courts or hospitals, often one to three hours away. If the men have surgery and stay overnight, the hours mount, since the COs must guard them around the clock. Then there\u2019s the return trip to Coalinga. The number of jobs exploded, as did overtime costs.<\/p>\n\n\n\n

Interestingly, when the hospital opened in 2006, the inmates taken to the same location rode in one vehicle with two COs, one driving and the other guarding the men (whose hands and legs were shackled). A \u201cchase car\u201d usually followed the vehicle, carrying one or two more COs.<\/p>\n\n\n\n

For reasons unknown, the rules changed. Each vehicle now carries only one man and two COs, with a chase car still bringing up the rear. Was a guard attacked, which would account for this? Montano told me: \u201cPlease contact CDCR, the Department of Corrections.\u201d But CDCR wouldn\u2019t say, citing \u201csecurity reasons.\u201d Hugh McCafferty, who was released from Coalinga two years ago, sent a PRA request asking for the \u201cnumber and type of behavior incidents\u201d to learn if some of the men being transported had acted aggressively. The DSH answered that Coalinga had \u201cno documents responsive to this request.\u201d<\/p>\n\n\n\n

The transport COs\u2019 salaries are telling. One CO, Lt. James Woodend, had combined pay and benefits of $178,690 in 2017, and Sgt. Eliseo Navarro earned $140,912 (base pay of $104,674, overtime of $28,269, and \u201cother\u201d of $7,969). But their wages were modest compared to those of their colleague, Lila Collins, who earned $224,622. By comparison, the average pay of a California CO is $76,000 a year.<\/p>\n\n\n\n

It\u2019s conceivable the COs\u2019 good fortune is linked to their union\u2019s largesse toward candidates running for office. According to a June 2018 Orange County Register<\/em> article, the California Correctional Peace Officers Association had plowed $71 million into political campaigns since 2001, and Wikipedia noted its contributions \u201croutinely exceed that of all other unions in the state.\u201d Further, legislators approved a 5 percent pay hike in 2017, which, an AP article noted, \u201cwill cost taxpayers more than $1 billion over three years.\u201d<\/p>\n\n\n\n

Coalinga City still scores poorly when its economic indicators are compared to California and U.S. averages, but the hospital has clearly helped city businesses, buying $15.1 million\u2019s worth of goods and services from them in 2016.<\/p>\n\n\n\n

Besides the COs, other city residents\u2014such as the psych techs, whose median salaries top those of the town\u2019s firefighters, teachers and librarians\u2014also have a lot at stake. Often the first in their families to go beyond high school, they secure a psychiatric technician certificate after a 12-month course at West Hills, the local community college.<\/p>\n\n\n\n

The most numerous of all Coalinga staff\u2014at least a third of the total\u2014the psych techs have been promoted over the years and now run the units (supervising nurses, psychologists, and social workers) and the hospital itself.<\/p>\n\n\n\n

While the city\u2019s average per-capita income was $17,892 in 2016, the hospital\u2019s 2014 payroll showed at least 50 psych techs with salaries of $100,000 to $200,000 and one with $347,000.<\/p>\n\n\n\n

Such sums were secured with massive overtime. But overtime hours at all five DSH facilities\u2014supported by the booming budget\u2014have been suspect for years. Since the DSH doesn\u2019t use time clocks, the staff enter their hours by hand onto time sheets. As early as 2011, auditors were \u201caware of payroll fraud, past and current, related to overtime.\u201d<\/p>\n\n\n\n

Overtime is a huge chunk of Coalinga\u2019s wage bill. Based on a PRA reply in May 2018, salaries and wages were nearly $12 million, while overtime was $1.5 million. Montano says these numbers are \u201cin alignment when compared to other hospitals.\u201d<\/p>\n\n\n\n

Others disagree. In the suggestion section of a staff online publication, where Coalinga employees can offer anonymous observations, one wrote, \u201cSo many staff . . . book and erase or cross out staff\u2019s names in order to place their own names for overtime.\u201d<\/p>\n\n\n\n

Torres told me, \u201cThe hours the psych techs write in for when they arrive, leave, and do overtime can be easily cooked because there\u2019s no oversight.\u201d One nurse says while any staff can enter bogus numbers, it\u2019s easier for the psych techs, since there are so many of them, and it\u2019s hard to know who\u2019s here.\u201d<\/p>\n\n\n\n

Further, she says overtime and lack of oversight are tightly linked\u2014which explains how five psych techs at Patton State Hospital, another DSH facility\u2014could embezzle $800,000 over five years. According to a 2014 San Bernardino Sun<\/em> article, they were paid for hours they didn\u2019t work from 2007 to 2011 . . . and the \u201cstate controller\u2019s audit revealed sloppy payroll practices.\u201d<\/p>\n\n\n\n

Auditors discovered other payroll problems. In 2014, they found that Coalinga\u2019s psychiatrists \u201cregularly worked between 22 and 29 hours a week instead of the required 40 hours, costing the state nearly $300,000 in one year.\u201d<\/p>\n\n\n\n

Silencing the messengers<\/strong><\/p>\n\n\n\n

The desire to hold the men indefinitely is so strong that the DSH hid some very inconvenient truths. Consider Dr. Jesus Padilla, a psychologist whom it funded in the early 2000s to calculate sex offender recidivism rates (at the time the DSH was known as the Department of Mental Health). Of the men Padilla studied, he found that 4.3 percent committed new sex offenses over five years\u2014far fewer than the 40 to 50 percent many officials claimed. Unhappy with the results, Jon De Morales, the director of Atascadero State Hospital, canceled Padilla\u2019s funds, squashed his study, and forbade him to publish his data.<\/p>\n\n\n\n

According to Tamara Lave, a University of Miami law professor and author of a 2018 article in American Criminal Law Review,<\/em> \u201cAssessing the Real Risk of Sexually Violent Predators: Doctor Padilla\u2019s Dangerous Data,\u201d \u201cthe DMH may have realized the study had to be stopped because it threatened the legitimacy of the entire SVP program. . . . His data was never returned, and the boxes of documents were destroyed.\u201d<\/p>\n\n\n\n

Padilla was not unique. In 1998, the state also funded another psychologist, Dr. Gregory Schiller, to study recidivism rates. Besides finding they were very low (like Padilla), Schiller noticed that the psychologists the DMH hired the most were those who predicted that a higher number of sex offenders would re-offend.<\/p>\n\n\n\n

Worse, the lawyer David Winters says, \u201cSchiller named the names of the evaluators, which really got the powers-that-be up in arms.\u201d<\/p>\n\n\n\n

Silencing the messenger is not just a California custom. In Florida, mental health officials funded a psychologist (who asked for anonymity) to study sex offender recidivism rates in the early 2000s. When he found that the numbers were far lower than officials claimed, the Department of Children and Families didn\u2019t want them used in the evaluators\u2019 training and distanced itself from the research. After that, Florida legislators told the DCF not to do any more research.<\/p>\n\n\n\n

Why must the states disappear the data? Winters says, \u201cIf Coalinga has a large patient population, the DSH can ask for a big budget. The waste is justified because it\u2019s a group no one cares about.\u201d Another psychologist told me, \u201cIt\u2019s a psychiatric-industrial complex. Everyone wants to keep it going.\u201d<\/p>\n\n\n\n

The men are also at risk. In early 2018, after many of the men launched complaints, Coalinga administrators put the hospital on \u201clockdown.\u201d In-house police swept through the rooms, taking documents and electronic devices. Executive Director Price claimed it was to quell an \u201cepidemic of child porn.\u201d But, based on a PRA reply, the epidemic amounted to 20 cases over 19 months, 1 percent of Coalinga\u2019s population.<\/p>\n\n\n\n

Andrew Warren (his real name), who has been at Coalinga for over 10 years, cut hair at the hospital\u2019s in-house barber shop. Just last month, Warren called the governor\u2019s and a state senator\u2019s offices to \u201cblow the whistle\u201d over the refusal of the DSH to disclose guards\u2019 disciplinary records and Coalinga\u2019s failure to protect the men from some who, he says, routinely attack those who are weak. Officers searched his room and seized his legal papers and an SD memory card with videos of Vietnam (Warren is Vietnamese-American), which they claimed was \u201ccontraband.\u201d The next day, he was fired from his job.<\/p>\n\n\n\n

Further, Fletcher and Boswell, who often criticize the budget and urge California legislators to audit Coalinga for what they see as fraud, have been regularly targeted. Early this year, police searched their rooms and took documents. Boswell says, \u201cThe officer apologized, saying, \u2018This wasn\u2019t our idea. It came from administration.\u2019 In a few days, Fletcher was moved to a different unit. Why? \u201cI was told \u2018for my safety,\u2019\u201d he said. Staff never elaborated.<\/p>\n\n\n\n

This past April, a top DSH administrator called Fletcher. \u201cHe told me, \u2018I know you\u2019re looking into DSH finances, which could cause grief for the hospital and patients. Do you want to go home? We can help or hinder that.\u2019\u201d Fletcher reported the call to the legislators, the FBI\u2019s white-collar crime unit, and his lawyer. Boswell, too, was warned: \u201cMy treatment team leader told me my advocacy \u2018reflected a lack of cooperation.\u2019\u201d<\/p>\n\n\n\n

Two weeks later, five psych techs streamed into Boswell\u2019s room, grabbed his legal documents, called the police\u2014who repeatedly hit him\u2014and placed him in isolation, where he was strapped down for several hours. This violence sparked a melee: the men on the unit ran to the halls, demanding Boswell\u2019s release. In the fracas, the fire alarms and sprinkler systems went off. Under pressure, the staff unstrapped him.<\/p>\n\n\n\n

Within an hour, a psychiatrist interviewed Boswell, and, hearing his story, filed \u201cpatient abuse charges\u201d against a psych tech named Lisa Sansinena, who spearheaded the attack. The next day, however, Boswell was told to retract his statement that he was assaulted and felt threatened.<\/p>\n\n\n\n

Boswell refused and was not allowed to leave his unit for four days without someone guarding him. He says other men have also protested Sansinena\u2019s abusive treatment.<\/p>\n\n\n\n

Sansinena is still at her job.<\/p>\n\n\n\n

And so it goes.<\/p>\n\n\n\n

\u201cModern-Day Gulags\u201d is the second installment of veteran reporter Barbara Koeppel\u2019s investigation into civil commitment in the United States. Her first piece, \u201cSex Crimes and Criminal Justice,\u201d is available athttps:\/\/washingtonspectator.org\/koeppel-sex-crimes-and-criminal-justice\/<\/a>. In that report she explores the circumstances of sex offenders in 20 states who, after completing their sentences, are reincarcerated in prisons and hospitals and kept there frequently until they die. Ms. Koeppel lives in Washington, D.C.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

https:\/\/washingtonspectator.org\/koeppel-gulags\/ June 4, 2019 By Barbara Koeppel in Health, Politics Back in 1997, the Supreme Court ruled that the practice known as civil commitment was legal. This meant that 20 states\u2014which had passed laws permitting the ongoing incarceration of sex offenders\u2014could continue to keep the men confined even after they completed their prison terms. (See \u201cSex Crimes and Criminal … Read more<\/a><\/p>\n","protected":false},"author":1,"featured_media":360,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[],"class_list":["post-359","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-national-news"],"_links":{"self":[{"href":"https:\/\/baystatereentrynetwork.org\/index.php\/wp-json\/wp\/v2\/posts\/359","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/baystatereentrynetwork.org\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/baystatereentrynetwork.org\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/baystatereentrynetwork.org\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/baystatereentrynetwork.org\/index.php\/wp-json\/wp\/v2\/comments?post=359"}],"version-history":[{"count":1,"href":"https:\/\/baystatereentrynetwork.org\/index.php\/wp-json\/wp\/v2\/posts\/359\/revisions"}],"predecessor-version":[{"id":361,"href":"https:\/\/baystatereentrynetwork.org\/index.php\/wp-json\/wp\/v2\/posts\/359\/revisions\/361"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/baystatereentrynetwork.org\/index.php\/wp-json\/wp\/v2\/media\/360"}],"wp:attachment":[{"href":"https:\/\/baystatereentrynetwork.org\/index.php\/wp-json\/wp\/v2\/media?parent=359"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/baystatereentrynetwork.org\/index.php\/wp-json\/wp\/v2\/categories?post=359"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/baystatereentrynetwork.org\/index.php\/wp-json\/wp\/v2\/tags?post=359"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}