APPROVED. LOCAL HUMAN RIGHTS COMMITTEE MINUTES EASTERN STATE HOSPITAL 4601 Ironbound Road Williamsburg, VA 23187-8791

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APPROVED LOCAL HUMAN RIGHTS COMMITTEE MINUTES EASTERN STATE HOSPITAL 4601 Ironbound Road Williamsburg, VA 23187-8791 MEMBERS PRESENT: MEMBERS ABSENT: September 18, 2008 Steven Bennett, Chair; Robin Bristow; John McMahon; Jajala Schweiger; Joyce Smith; Mary Ellen Rickmond and Jason Mintel Emma Rhyne, Co-Chair; Doris Foreman STAFF PRESENT: John Favret, Hospital Director; Gianna Mitchell, Human Rights Advocate; Lisa Webster, LHRC Liaison Support and Mark Stevens, VOPA 1. Call to Order The Local Human Rights Committee meeting was called to order at 10:35 a.m. with Steven Bennett, Chair presiding, for the purpose of hearing business as presented on the agenda and such other transactions or matters that may be presented to the Committee. The Committee joined the Chair in welcoming Ms. Mary E. Rickmond and Mr. Jason Mintel to the Committee. 2. Agenda The September 18, 2008 Agenda was reviewed. Motion was made by Ms. Bristow and properly seconded by Ms. Schweiger that the LHRC approve the September 18, 2008 Agenda as written. The motion passed unanimously. 3. Minutes Minutes of the July 17, 2008 LHRC meeting were reviewed. Motion was made by Ms. Bristow and properly seconded by Ms. Schweiger that the LHRC approve the July 17, 2008 minutes with noted changes. The motion passed unanimously. 4. Hospital Directors Reports Mr. Favret presented the July and August 2008 Disposition of the Abuse/Neglect Investigations Report; Facility Monthly Report and the Formal

and Informal Complaints Report (see the September 18, 2008, LHRC packet). *Follow-up- In support of discharge/housing issue, Mr. Bennett drafted a letter of support with guidance from Ms. Mitchell and presented it to the committee for their input. Mr. Bennett will finalize the letter of support and Mr. Favret will forward him the names of individuals that should receive copies of the letter. (Open) The committee members present accepted the Hospital Directors Report for July and August 2008 with noted changes. 5. ECT Hearing S.B. The motion was made by Mr. McMahon properly seconded by Ms. Rickmond, and passed for the LHRC to go into executive session pursuant to Virginia Code 2.2-3711(A) 4 for the protection of the privacy of individuals in personal matters not related to public business, namely for the purpose of hearing of authorized representatives, hearing of behavior modifications and/or conducting a hearing pursuant to the regulations. Refer to Executive Session Minutes Motion was made by Mr. McMahon and properly seconded by Ms. Bristow and passed that we go into open session. The LHRC unanimously certified that, to the best of each member s knowledge, only private business matters lawfully exempted from statutory open meeting requirements and only private business matters identified in the motion to convene the executive session were discussed in the executive session. Steve Bennett John McMahon Jason Mintel Joyce Smith Jajala Schwieger Robin Bristow Mary E. Rickmond 6. ECT Hearing E.B. The motion was made by Mr. McMahon properly seconded by Ms. Bristow and passed for the LHRC to go into executive session pursuant to Virginia Code 2.2-3711(A) 4 for the protection of the privacy of individuals in personal matters not related to public business, namely for the purpose of hearing of authorized representatives, hearing of behavior modifications

and/or conducting a hearing pursuant to the regulations. Refer to Executive Session Minutes Motion was made by Mr. McMahon and properly seconded by Ms. Bristow and passed that we go into open session. The LHRC unanimously certified that, to the best of each member s knowledge, only private business matters lawfully exempted from statutory open meeting requirements and only private business matters identified in the motion to convene the executive session were discussed in the executive session. Steve Bennett John McMahon Jason Mintel Joyce Smith Jajala Schwieger Robin Bristow Mary E. Rickmond 7. Christmas Party for the Geriatric Residents After a brief discussion the committee decided to follow the same arrangements as last year for Geriatric Christmas Party. Ms. Webster will contact Ms. Leggett to get a list of residents and their gift request by the next scheduled LHRC Meeting. 8. Announcement(s): NA 9. Adjournment- Having no further business, a motion was made by Mr. Bennett and properly seconded by Ms. Rickmond that the meeting be adjourned. The motion passed unanimously. The meeting adjourned at 12:35 p.m. The next scheduled meeting will be held Thursday, October 16, 2008 in Building #33- Room 106 at 10:30 a.m. Steven Bennett, Chair 09/30/08 /lw cc: LHRC Members Hospital Director Patient Safety Officer/Complaint Liaison Region V Human Rights Director Human Rights Advocates

Local Human Rights Committee Executive Session September 18, 2008 The motion was made by Mr. McMahon properly seconded by Ms. Bristow, and passed for the LHRC to go into executive session pursuant to Virginia Code 2.2-3711(A) 4 for the protection of the privacy of individuals in personal matters not related to public business, namely for the purpose of hearing of authorized representatives, hearing of behavior modifications and/or conducting a hearing pursuant to the regulations. 1. ECT Hearing S.B. Dr. Tirumalasetti attended the ECT Hearing on behalf of S.B. S.B. has currently gone through 12 series of treatments. The treatment team members have seen improvement (reduction in agitation after first series.) and feel she would benefit from additional ECT Treatments. There was evidence of: AR s -Consent for Treatment and Second Opinion. The committee accepted the request for 12 additional ECT Treatments. The vote was (6) for (1) abstained. Members present were concerned with the number of treatments and length of ECT treatments. 2. ECT Hearing E.B. Dr. Nguyen attended the ECT Hearing on behalf of E.B. E.B. has currently gone through 12 series of treatments. The treatment team members have seen improvement and feel she would benefit from additional ECT Treatments. Deleted:.B. There was evidence of the AR s -Consent for Treatment not being in compliance (incomplete). There was evidence of a Second Opinion. The committee found the Consent for Treatment not to be in compliance with the requirements of the Human Rights Regulations in addition they rejected the request for 12 additional ECT Treatments. The vote was unanimous. 09/30/08 /lw cc: LHRC MEMBERS Mr. Daye Steve Bennett, Chair

Advocate Hospital Director Attachments: These minutes are not subject to mandatory public disclosure in accordance with Code of Virginia 2.1-344.1.H. (1989, c.358)