The Brisbane Report
A Review of the Care and Treatment Provided by New Jersey's Arthur Brisbane Child Treatment Center
5/18 News Conference: News Advisory, News Release and panelist's statements, including statement by Mr. Kelsie Young on behalf of his family.
Table of Contents
Mental Health Services for Children and Adolescents: On the Brink of Change?
Part 1: Placing Brisbane in the Overall System of Mental Health Services for Adolescents
Failings in the System Force Reliance on Brisbane's Role as a "Place to Wait"
State Organization
Development and Allocation of Juvenile Mental Health Services
Summary of Available Services
Gaps in New Jersey's System of Mental Health Care Leave Adolescents Waiting at Brisbane for Appropriate Services
Residential Care Services Inadequate
In Spite of CARTs, the System Remains Crisis Oriented
Lack of Approporiate Services for Adolescents Waiting at Brisbane Related to New Jersey's Failure to Use Federal Medicaid Funds
Part 2: Brisbane's Historical Background
Brisbane's Shortcomings Long Identified, Still Remain
Slocum v. Perselay Litigation
Documented Severe Deficiencies at Brisbane in May 1989
In August 1990, A Recommendation that Brisbane be Closed
Mental Health Association of Monmouth County's White Paper Detailed Critical Shortcomings at Brisbane
State Acknowledges Problems and Issues Workplan
July 1991, Folow-up Report Finds Persisting Problems
Part 3: Overview of Brisbane and its Patients
Limited by Isolated Location and Unsuitable Physical Plant
The Setting
The Mission and Goal
The Admission Process: Civil Commitment for Minors
Snapshot of Adolescents at Brisbane
Programming/Therapy
Brisbane's Juvenile Justice Population: An Uneasy Coexistence
Phoebe's Place: Residential Treatment for Adolescent Girls on Brisbane's Isolated Grounds
Aged Unsuitable Physical Plant Compromises Safety, Supervision, Classification
Part 4: The Waiting Adolescents at Brisbane
State's Failure to Provide Placement Leads to Prolonged, Damaging Institutionalization
Definition of CEPP
Extremely High Percentage of Adolescents at Brisbane Waiting for Placement
Patients Ready for Discharge Soon After Arriving at Brisbane
CEPP Population: Ready for Discharge But Nowhere to Go
DYFS Plays Key Role in This Long Wait for Placement
Prolonged Unneeded Hospitalization Has Damaging Impact on Adolescents
State's Reliance on Brisbane as a "Place to Wait" May Violate State and Federal Law
Part 5: Kelly Young's Death and its Aftermath at Brisbane
Tragic Death Highlights Serious and Enduring Problems
The Period Before Kelly's Death
Staff Becomes More Dependent on Basket Hold as Use of Mechanical Restraint is Limited
With Increased Reliance on Basket Hold, Increased Complaints of Abusive Staff
Kelly Young's Death
Adminsitrative Report Finds Improper Use and Application of Restraint Leading to Kelly's Death
Circumstances of Kelly's Death Parallels Recent Connecticut Tragedy
Aftermath of Kelly Young's Death: Crystallization of Complaints About Brisbane
State Findings and Recommendations Leading to May 1998 Action Plan
May 1998 Action Plan fails to Address Deficiencies in the Physical Plant or the Large Number of Discharged Patients Waiting for Placement
May 1998 Action Plan Mirrors March 1990 Workplan
Implementation of Action Plan: Continuing Concerns About Physical restraint, Supervision, and Patient Care
At Best, a Limited Plan Can Only Accomplish Limited Improvements
The Future of Brisbane?
Future of Adolescents in New Jersey’s Mental Health Systen Dependent on Replacing Brisbane’s Role as “Place to Wait.”