Tag Archives: Department of Juvenile Justice

Psychiatrists with corrupt pasts found working in juvenile justice facilities and doping children

An investigation into the massive drugging of kids in Florida juvenile jails has uncovered psychiatric doctors with deplorable records working for the state’s Department of Juvenile Justice (DJJ). Their histories include not only grand theft and medical malpractice, but overmedicating patients to the point of death.

In a series of outstanding articles in the Palm Beach Post, reporter Michael Laforgia lays out the heinous trail of a still unfolding investigation. It began with an expose that children in state custody were receiving heavy dosages of powerful antipsychotics; in two years, Florida bought hundreds of thousands of these tablets with no DJJ tracking system in place to detect practitioner abuse. This led to a finding that doctors giving the diagnoses had taken huge speaker fees or gifts from drug companies that make antipsychotics.

The Post’s newest article reveals psychiatrists working in the juvenile justice system whose records should have barred them. “Some psychiatrists took DJJ jobs after they were cited for breaking the law, making grave medical missteps or violating state rules,” writes Laforgia. “Others were hired after they were accused of overmedicating patients, sometimes fatally. All were empowered to prescribe drugs to jailed kids as powerful antipsychotic pills flowed freely into Florida’s homes for wayward children.”

Dosed in juvie jail: Troubled doctors hired to treat kids in state custody

By the time Florida started paying Dr. Gold Smith Dorval to counsel and medicate jailed children, the Pembroke Pines psychiatrist already had experience with kids in state custody. He had used them, authorities said, to bilk the government out of money for the poor. When Dorval pleaded no contest to a felony grand theft charge, it should have barred him, by law, from working for Florida’s Department of Juvenile Justice. It didn’t.

And, like Dorval, other doctors have emerged from past troubles and gotten jobs at DJJ – with authority to prescribe drugs to kids in state jails, a Palm Beach Post investigation has found.

Some psychiatrists took DJJ jobs after they were cited for breaking the law, making grave medical missteps or violating state rules. Others were hired after they were accused of overmedicating patients, sometimes fatally.

All were empowered to prescribe drugs to jailed kids as powerful antipsychotic pills flowed freely into Florida’s homes for wayward children.

“It’s appalling. A psychiatrist is a psychiatrist. They’re licensed, they’ve been to medical school, and there is a certain trust placed in that person’s judgment when they tell you that this child needs to be medicated,” said John Walsh, an attorney with the Palm Beach County Legal Aid Society who has represented children in juvenile court. “This just illustrates that we always have to be on guard with children.”

How Seroquel, a Risky Antipsychotic, Became a “General Purpose” Mental Health Drug

In 2008, the FDA declared that powerful antipsychotics such as AstraZeneca (AZN)’s Seroquel were being over-prescribed and started a monitoring initiative to curb their use. It hasn’t worked, judging by an analysis of the FDA’s adverse event database by the Institute for Safe Medication Practices.

Seroquel is only approved for schizophrenia, mania and bipolar disorders. It’s a powerful drug that has serious side effects if taken for a long time: It’s associated with weight gain and diabetes, among other problems.