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

EMS Assist, Runaway, Runaway Juvenile, Self-Harm

QRTP – At approximately 1304 hours, officers responded to facility in reference to a runaway juvenile; Staff made contact with the juvenile, who then punched a staff member. Staff took the juvenile to the ground and officer placed cuffs on juvenile due to aggression. Juvenile attempted to self-harm with the cuffs, and while officer tried to reposition cuffs, juvenile began trying to choke and bite herself, and began banging her head on the ground. Juvenile continued aggression and self-harm attempts but finally complied after feeling faint because of the heat. MEMS responded and transported juvenile to ACH.

Police Report

Battery, EMS Assist, Staff Attacked

Upon arrival, staff advised officer that after juvenile heard she was going to be put on special status that wouldn’t allow her to play games with her peers, juvenile attempted to leave the facility. Staff blocked the exit, and when juvenile tried to bite staff, a staff member grabbed juvenile to try and restrain her. Juvenile turned and punched the staff member in the face multiple times, attempted to bite her, and scratched her in the eye. MEMS transported juvenile to acute care. Officer cited juvenile and provided a court date.

Police Report

Disturbance, EMS Assist, Juvenile

QRTP – Upon arrival, staff stated juvenile was still agitated from an incident that happened last night. Staff attempted to deescalate juvenile but were unsuccessful. After trying to fight staff, juvenile was restrained until officer arrived. MEMS transported juvenile to ACH.

Police Report

EMS Assist, Resisting Arrest, Runaway, Runaway Juvenile

QRTP – At approximately 1820 hours, officers responded to facility in reference to a runaway juvenile and assisted staff in searching the area. Officers located juvenile at approximately 1927 hours; Juvenile was placed in handcuffs due to resisting officers and not cooperating. MEMS transported juvenile to ACH at facility’s request (no injuries).

Police Report

Disturbance, EMS Assist

Upon arrival, staff advised officer that he was attempting to calm down an angry student when he was struck on the side of his face with a closed fist. Staff advised facility has made arrangements to have juvenile transported to acute facility and requested officer stand by. Facility did not wish to press charges. MEMS transported juvenile.

Police Report

EMS Assist, Juvenile Complaint, Suicide Attempt

QRTP – Upon arrival, juvenile told officer that some of the other kids were bullying her. Juvenile stated she told on her roommate for having a vape and pliers, and that her roommate was telling other kids that juvenile was a snitch and cuts herself. Juvenile had bandages on both arms and was seen by the nurse. When asked if she notified school or facility staff about this, she stated they did not do anything. Staff reported juvenile and her roommate were separated. Juvenile was transported to ACH by MEMS.

Police Report

EMS Assist, Medical, Medical Emergency

Officer stood by while MEMS spoke with a patient they believed would be combative. The patient left with MEMS without issue.

Police Report

Missing Person, Runaway, Runaway Juvenile

QRTP – Staff advised officers that juvenile attended her high school prom and was supposed to be picked up at 2300 hours. Juvenile was not answering her cell phone and had not returned to the facility. Officer completed Missing Persons form.

PRLU or OLTC

Buildings and Grounds, Visit Compliance Report

  • Licensing Specialist: Kendra Rice.
  • Facility visited from 12:30pm – 1:45pm. Census: 40. Walkthrough completed of Sturgis, Rose, Mabee, and Chestnut houses. Areas observed: milieu, bedrooms, bathrooms, and day areas. Clients’ rights and evacuation plans were not visible at Chestnut and Mabee houses; Staff reported that when maintenance touched up the paint, neither were put back in place. Staff requested those to be placed back on the walls.

Police Report

Combative and Suicidal Youth, EMS Assist, Juvenile, Suicide Threat

Upon officer’s arrival, staff stated that juvenile had become irate and began to destroy items. Staff restrained juvenile and placed her inside the seclusion room, and stated juvenile was suicidal and should be sent to the hospital. MEMS arrived and transported juvenile to the hospital.

PRLU or OLTC

Special Visit, Visit Compliance Report

  • Licensing Specialist: Kendra Rice.
  • Facility visited from 9am – 11:30am. Census: 41. Licensing attended CPI Training at facility to ensure staff are being trained according to the facility’s policy on physical restraints, and to ensure the policy complies with minimum licensing standards.

PRLU or OLTC

Technical Assistance, Visit Compliance Report

  • Licensing Specialist: Kendra Rice.
  • Review of the agency’s current mandated reporter policy determined it does not comply with A.C.A. 12-18-402 nor the Minimum Licensing Standards. Please ensure facility policy is updated to reflect the need of all staff to report directly to the child abuse hotline without delay. The updated policy shall be submitted to the Licensing Unit by 04/12/23 and all applicable staff shall be retrained on the updated policy within 2 weeks of the enactment of the updated policy.
  • TA –
    • 110.9 – Any owner/operator, employee, foster parent, or volunteer in a child welfare agency shall immediately notify the Child Abuse Hotline if he or she has reasonable cause to suspect that a child has been subjected to child maltreatment, died as a result of child maltreatment or if they observe a child being subjected to conditions or circumstances that would reasonably result in child maltreatment.
    • 102.3.h -Child Maltreatment/Mandated Reporter policy; according to Arkansas law, including, procedures to ensure that alleged, suspected, or witnessed incidents of maltreatment are reported to the Child Maltreatment Hotline, and documented as required by these or other applicable rule or laws.

PRLU or OLTC

Notice of Incident, Self-Injury, Suicide Attempt

  • Suicide Attempt, Self-inflicted Injury
    • Client was upset about “freeze” status and charged into the milieu hallway, then kicked the front door open. Client was placed in a restraint and then locked seclusion due to continued aggression. While in seclusion, she punched the wall and obtained a pen that fell off of staff’s lanyard during restraint. Staff entered and placed client in a restraint to retrieve the pen. Locked seclusion resumed and client removed her sweatshirt and attempted to tie it around her neck. Staff retrieved the shirt, and client forced her way out of seclusion and agreed to sit with staff and talk. Nurse assessed client and noted R hand 3rd-5th digits knuckles were swollen, bruised, and reddened. Client refused ice pack and pain medications.
    • Licensing follow-up: On 03/16/23, Licensing reviewed video footage with no concerns noted. Staff reported client had her hand evaluated at the hospital and was transferred to acute placement.

Police Report

Disturbance

Upon Officer’s arrival, staff stated a juvenile had assaulted 2 staff members and MEMS were needed. Staff 1 stated that after juvenile became angry, he was placed in a restraint and the seclusion room. Staff 1 stated that while in the seclusion room, he attempted to restrain juvenile by placing him against the wall and facing away from him, during which the juvenile threw his head backwards, hitting Staff 1 in the head. Staff 2 confirmed the same incident told by Staff 1, and stated that during the restraint, the juvenile swung his arm around and pulled on Staff 2s ear, pulling the earring out of his ear lobe. Officer observed Staff 1 had a large knot above his left eye and Staff 2 had a small laceration to his left ear. The facility requested the juvenile be transported to the hospital so he could be placed in acute care, and reiterated they did not wish juvenile to be charged and taken to jail. Juvenile was taken out of handcuffs and MEMS transported him to the hospital.

Police Report

Assist Ambulance

Officer responded to assist MEMS with a suicidal juvenile. Upon arrival, staff advised the juvenile was completely calm and compliant. While waiting on the ambulance, staff made the decision to transport the juvenile to the treatment facility in the company van; MEMS canceled.

PRLU or OLTC

Medical, Notice of Incident

  • Medical
    • Client was transported to the ER due to inability to hold anything down and continuing to throw up and/or dry heave. Client reported he feels shaky on the inside and like he’s going to pass out.
    • Licensing follow-up: Licensing was informed on 02/23/23 that client was still in the hospital and was discharged from the facility to his guardian. Client’s discharge was previously scheduled before his hospital admission. No licensing concerns noted.

Police Report

Information

Officer responded at approximately 1720 hrs for a runaway juvenile. Officer spoke with staff and responded to the area where the juvenile was located. Juvenile was on the side of the road speaking to a staff member. Officer transported the juvenile back to the facility.

PRLU or OLTC

Medical, Notice of Incident

  • Medical
    • Client was on sick status as of 02/18/23 due to not feeling well. Night shift reported client had trouble sleeping and had been refusing food. Nurse noted poor PO intake, asleep majority of the day, profound weakness, poor urination, c/o “not feeling well and N”, arouses to verbal/tactile stimuli but falls asleep shortly after. Client was taken to ACH ER. Diagnosis: Migraine (resolved with medications). Client returned to facility.
    • Licensing follow-up: Licensing was informed client was diagnosed with a migraine when discharged from ER. No licensing concerns noted.

PRLU or OLTC

Buildings and Grounds, Visit Compliance Report

  • Licensing Specialist: Kendra Rice.
  • Facility visited from 11:15am – 1:30pm. Census: 31. Walkthrough completed of Mabee, Rose, Chestnut, and Sturgis houses. Areas observed: bedrooms, bathrooms, laundry rooms, milieus, comfort rooms, seclusion rooms, kitchen areas, grounds, and group rooms. Licensing and staff discussed chair at Mabee House that was worn out in the seat area; The chair was removed.

PRLU or OLTC

Notice of Incident, Peer Altercation, Self-Injury

  • Peer Altercation, Self-inflicted Injury
    • Client began yelling at peer during a card game and hit his peer several times in the head. Staff stepped between them and asked client to go to his room. Once in his room, client punched his door several times and then punched his bed. Nurse noted R hand was swollen at the 3rd and 4th digits with redness/bruising noted. Client was taken to the ER for an x-ray. X-rays negative for fracture; Client has a splint to wear for comfort. Both residents were placed on freeze.
    • Licensing follow-up: Licensing reviewed camera footage on 02/17/23. No licensing concerns noted.

PRLU or OLTC

Notice of Incident, Self-Injury, Suicide Attempt, Visit Compliance Report

  • Suicide Attempt, Self-inflicted Injury
    • Client became upset due to being placed on pause for cursing and required locked seclusion due to physical aggression towards staff. While in seclusion, client wrapped a sweater and t-shirt around neck (staff removed both), scratched himself with his watch, bit his wrist, urinated on the door/floor, masturbated, and smeared and spit blood on the window. Order was obtained for client to be transferred for acute treatment, and wound care was provided for client’s wrist.
    • Licensing follow-up: Licensing reviewed camera footage on 02/06/23 and did not observe any licensing concerns. Client is scheduled for discharge on 02/07/23.

Police Report

Assist Ambulance

Staff advised officer upon arrival that juvenile was suicidal and acting out. Officer stood by while MEMS transported juvenile to the hospital.

Police Report

Disturbance

Officers responded due to 2 juveniles attempting to fight staff and another patient. Upon arrival, all juveniles involved were separated. Staff advised that J1 was antagonizing peers all day and calling J2 and J3 the “n-word”. Staff stated J1 hit J2 in the face, bit a staff’s arm, and bit another peer on the leg. Charges were not pursued at this time.

PRLU or OLTC

Accidental Injury, Notice of Incident

  • Accidental Injury
    • Client stated his knee popped out of place while playing basketball. Client stated he couldn’t walk, and staff assisted him to the nurse for assessment. Client was then transported to the ER for evaluation.
    • Licensing follow-up: Client diagnosed with acute knee pain at ER. No licensing concerns noted.

PRLU or OLTC

Maltreatment, Notice of Incident, Visit Compliance Report

  • Maltreatment
    • Client reported to his therapist that a staff member grabbed him by the arm and left a bruise. Therapist noted a small mark on client’s arm. Child Abuse Hotline was called and accepted. Two staff members were suspended pending investigation.
    • Licensing follow-up: Licensing requested witness statements (none), reviewed nursing notes, and reviewed camera footage on 01/18/23. CACD investigation was unsubstantiated. Licensing informed facility that staff would need to be retrained (physical restraint) before returning to work. Training roster received on 02/21/23.