Disability Rights Arkansas

Youth Home

Location: Little Rock, AR

Population Served: Adolescents 12-17 years of age in need of mental health services on a 24 hour a day basis.

# of residents per unit: 12 Residents per room: 1-2 Capacity: 54

Contact with family (Calls and visit schedule): Kids have daily contact with their family either via zoom, face time calls, or phone calls. In the evening they are given time to call families and their families are welcome to call anytime during the day. Outside of Covid-19 Restrictions families can visit on the weekends and once during the week.

Restraint utilized? Yes Chemical Restraint utilized? Yes Seclusion utilized? Yes

Treatment Components:

Clinical Director – LPC

Therapists: 8 full-time therapists (4 LAC, 3 LCSW, 1 LPE-1); 1 part-time/contract therapists (1 LCSW)

Treatment modalities offered: EMDR, TF-CBT, ARC, Brain Spotting, Trauma-Focused Family Therapy, Reactive Attachment Multi-Family Group

# of individual therapy sessions/week: 2-3x/week

# of group therapy sessions led by a licensed mental health professional/week: 2-4x/week

# of family therapy sessions/week: 1x/week

Print this page

Police Report

Disturbance

Upon officers arrival, staff advised juvenile 1 was being disrespectful and threatening to jump on staff members. Staff also stated J1 turned over some chairs and tables, but fixed them once he was aware the police were called and had since calmed down. J1 stated he alerted staff that J2 got 2 juices, and when he opened the refrigerator, he hit J2s leg and he complained about it.

Police Report

Suicide Attempt

Upon officers arrival, juvenile was awaiting transport on MEMS truck. Juvenile was alert and breathing, and officer observed a bright red mark encircling her neck. Staff advised that during shower time, juveniles 10 minutes was up and when she went to check on her, juvenile would not respond and staff found her laying in the floor, red and purple in the face. Staff called for help and removed a white string and towel from juveniles neck. Juvenile was transported to Children’s Hospital by MEMS.

Police Report

Assault

QRTP – Upon officers arrival, staff stated 3 juveniles began causing a disturbance around 0330. J1 destroyed property (TV and monitor), J2 destroyed property (TV and monitor) and attacked staff, and J3 was not charged but did incite J1 & J2. Staff also stated she was struck with a piece of the TV screen, causing minor lacerations to her hand. Deputies detained J3 and arrested the other 2. All 3 were transported by MEMS to Children’s Hospital for mental evaluations.

Police Report

Citizen Assist

Officers made contact with caller, who stated she brought her son to place him in the facility due to his behavior, and while she was outside of the vehicle looking for admission, he ran off. Caller then stated juvenile was yelling and cussing, resulting in facility staff stating juvenile would not be accepted to stay. Officers located juvenile and he got back into callers vehicle.

Police Report

Assault

QRTP – Staff stated before they called the Sheriff’s Dept, juvenile was unstable and had to be restrained due to damaging property, threatening staff, and attempting to leave. Juvenile stated peer tried to fight him after Juvenile touched him during basketball. Peer stated he apologized to juvenile after accidentally ripping his shirt, and juvenile later tried to fight him, hitting peer.

PRLU or OLTC

Monitor Visit, Visit Compliance Report

  • Licensing Specialist: Clayton DeBoer.
  • Buildings & Grounds conducted for Sturgis House (PRTF). Staff/client ratio 4:9. MARs checked for multiple clients. Staff were informed deficiencies noted in this report need to be repaired by 10/7/22.
  • Regs out of compliance –
    • 9.911.6 – Baseboard missing in corner of one bedroom. “F**k” written big at top of one bedroom; Client residing in bedroom reported that he had been there 4 months and reported that graffiti had been there for 2 or 3 months. Electric plate was bent in one bedroom.

Police Report

Battery

Officer was dispatched for a battery that already occurred. Staff advised he was in the process of breaking up 2 residents in an altercation when the juvenile in question grabbed him from behind, choking him, and threw him off the other residents. Juvenile was restrained and bit 2 staff, struck 1 staff, and head-butted 1 staff. Staff reporting wanted to press charges. Juvenile was charged with Battery in the second degree and issued court date. Juvenile stated he pulled staff off his friend, and while in a physical altercation with staff members, he was struck in the face.

Police Report

Assist Ambulance

Officer was dispatched to assist MEMS with a psych patient they will be transporting. While in-route, Dispatch advised to disregard this call.

PRLU or OLTC

Notice of Incident, Suicidal, Threatening Behavior

  • Suicidal, Threatening Behavior
    • Client was made to leave group therapy for cursing at a peer and was informed privileges would be revoked. Client then slammed their head against a window and attempted to attack peer. A restraint was initiated, and once released, client went into room and shut the door. Staff explained the door needed to be open, and client then shut the door again. Staff opened the door to find client using a pencil to stab their wrist. Another restraint was initiated. Client later stated that given the opportunity, client would kill peer and then take their own life. Client placed on eyeball. No follow-up details.

Police Report

Suicide Threat

Officer responded to facility in reference to suicide threats. Upon arrival, juvenile advised he was having suicidal thoughts and was stressed out from the facility and wanted to go to the hospital. Juvenile was involved in a physical dispute on 08/09/22. MEMS transported juvenile to Pinnacle Pointe Hospital.

PRLU or OLTC

Assault, Notice of Incident, Threatening Behavior

  • Threatening Behavior, Assault
    • Client was personally restrained after attempting to attack a peer. During the restraint, client punched a staff member in the face, and 2 staff members hurt their thumb and forearm. The client was transported to Pulaski County Juvenile Detention.
    • Licensing follow-up on 8/11/22: Email received states that client was discharged from facility and that guardian had signed all discharge paperwork.

Police Report

Assist Ambulance

QRTP – Staff advised that juvenile was mad that he was back at facility and had seemed off all day. MEMS responded and transported juvenile to Rivendell Behavioral Health.

Police Report

Possible Information/ Battery Report

Staff stated while several staff were trying to break up a fight between 2 juveniles, juvenile struck staff member in the face and forearm intentionally. Juvenile was issued a court date, and staff members signed witness statements.

Police Report

Battery

QRTP – Staff stated before she arrived at facility, juvenile had ran away and hit someone’s motorcycle with a stick (no damage). Staff stated juveniles then called her a snitch because she informed other staff what juvenile did. Juveniles (3) then began fighting staff and threatened to kill staff. Juvenile also attempted to grab Officer’s firearm and kicked Officer in the legs. Juvenile was transported to juvenile detention.

Police Report

Battery

Officer was dispatched to take a report. Caller stated that on 7/11/22, juvenile attacked a child unprovoked and the child suffered minor injuries. Caller stated that on 8/1/22, juvenile attacked a staff member, destroyed a room, and made homicidal threats toward staff with a shank.

PRLU or OLTC

Complaint Visit, Self Report Visit, Visit Compliance Report

  • Licensing Specialist: Clayton DeBoer.
  • Facility visited from 9am – 1pm and viewed video footage of multiple incidents (7/27/22, 7/29/22, 8/1/22, 8/2/22. Facility made hotline call 8/2/22 for alleged maltreatment. For another incident, the nurse reported scratch client sustained from hold was reasonable for a hold.
  • Regs out of compliance –
    • 9.907.2 – Child caring staff shall be responsible for providing the level of supervision, care, and treatment necessary to ensure the safety and well-being of each child at the facility, taking into account the child’s age, individual differences and abilities, surrounding circumstances, hazards and risks. (8/2/22 incident)

PRLU or OLTC

  • Suicidal, Threatening Behavior (1)
    • At 1:09pm, client began threatening staff after being redirected, and refused to stay in room during quiet time. When client saw staff restrain a peer, client ran into the peer’s room and began to hit and kick staff. Client was restrained. At 1:50pm, client began self-harming by using fingernails to make wrist bleed. Client was restrained, during which client fought staff and tried to bang head on floor. At 2:20pm, a chemical restraint was administered.
    • Licensing follow-up on 8/3/22: Facility visited, and video reviewed. No inappropriate holds nor licensing concerns observed regarding this incident. Youth Home made this hotline call 8/2/22 for alleged maltreatment.

Notice of Incident, Suicidal, Threatening Behavior

  • Suicidal, Threatening Behavior (2)
    • On 8/1/22, client was placed in a restraint due to self-harming and was placed on Eyeball (suicide watch). On 8/2/22, client was observed by staff reading a book, and when staff went to attend to other residents, a peer alerted staff that client was strangling themself with a shirt. Staff initiated a restraint, and client was transported via MEMS for acute placement.
    • Licensing follow-up on 8/3/22: Facility visited, and video reviewed. Staff reported that on 8/1/22 while off camera, client wrapped a shirt around their neck.

PRLU or OLTC

Notice of Incident, Suicidal, Threatening Behavior

  • Suicidal, Threatening Behavior
    • Client was upset they could not be relieved of precautions and pulled a reflective metal mirror off the wall in their room. Client then attempted to obtain screws from the mirror, and staff intervened and initiated a restraint. Eyeball was added to other precautions (Run Risk, Supportive Status, House Restriction). Later that day, client became upset due to Eyeball status and barricaded a bathroom door. Staff forced the door open and initiated a restraint. Client was transported to acute placement via MEMS.
    • Licensing follow-up: Client estimated to discharge from acute placement on 8/4/22. Facility visited on 8/3/22 and video reviewed from 7/29/22. No visible nor audible licensing concerns observed in the video regarding this incident.

PRLU or OLTC

Elopement, Notice of Incident, Suicidal, Threatening Behavior

  • Suicidal, Threatening Behavior, Elopement
    • During Rec Group, client became anxious and asked to go back inside. On the way back, client became agitated and took off running. Staff followed, and client was placed in a personal restraint on the side of the road. After struggling with staff, a facility van arrived and transported client back to facility. Client stated they wanted to die. Upon entering facility, client was released from the restraint. Client went into room to change clothes and began hitting their head on the wall and hitting the door. Client was placed in another restraint until they calmed down. Client denied pain or injury and declined medication both during and after the restraint. Client placed on house restriction and run risk.
    • Licensing follow-up on 8/3/22: Facility visited, and video reviewed from 7/27/22, after elopement/restraint incident. Banging heard in audio at which point staff enter client’s room and initiate hold off camera. No licensing concerns visible or audible in video regarding incident.

PRLU or OLTC

Buildings and Grounds, Visit Compliance Report

  • Licensing Specialist: Clayton DeBoer.
  • Buildings & Grounds conducted from 9:30am – 11:00am for Rose and Mabee House. Census: 41. Outdoor recreation area observed. MARs checked for 5 clients.
  • TA –
    • R901.3 – When asked, a copy of client rights could not be provided. Staff obtained a copy of client rights to post in Mabee House before conclusion of today’s visit.
  • Regs not correctable –
    • R911.15.f – One bedroom had jacket in the closet with tie string in-seamed at least 3ft long. Staff immediately removed jacket and will remove string before returning jacket to room (Rose House).

Police Report

Suicide Attempt

QRTP – Staff stated juvenile was attempting to harm himself and possibly commit suicide. Juvenile was assessed by MEMS and transported to hospital at the request of facility.

PRLU or OLTC

Notice of Incident, Self-Harm, Threatening Behavior

  • Self-harm, Threat to Staff
    • Client became upset after receiving a consequence and began self-harming by picking at healing scabs on arms. After staff attempted to talk with client, client began hitting the wall. Client was restrained, during which client banged their head on the floor and head butted, punched, and bit staff. Client was offered oral medication but refused, stating they wanted a shot. Nurse obtained order for medication.
    • Licensing followed up on 7/28/22 via email (redacted).