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Updated: Jul 23, 2025

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
U.S. Department of Justice Investigation of a State Psychiatric Hospital
Charles C Dike1, Barbara A Bugella2, Marc Hillbrand2
1Dr. Dike is Associate Professor of Psychiatry, Yale University School of Medicine, New Haven, CT, and Medical Director, Office of the Commissioner, Connecticut Department of Mental Health and Addiction Services, Hartford, CT. Ms. Bugella is CEO, Bugella Behavioral Healthcare Consulting, LLC, Berlin, CT. Dr. Hillbrand is Assistant Clinical Professor of Psychiatry, Yale University School of Medicine, New Haven, CT. Charles.dike@yale.edu.
Abstract:
The Department of Justice investigation of state psychiatric hospitals is nothing like investigation by more familiar regulatory agencies such as The Joint Commission or Centers for Medicare and Medicaid Services (CMS). For one, it comes with the threat of serious legal consequences for both the state psychiatric hospital under investigation and the state in general. Although little has been written about this topic, much of what has been written describes a negative, painful, and expansive experience affecting every aspect of the hospital system. Using an example of a state psychiatric hospital that has been investigated by the DOJ, this article examines this portrayal and explores whether there are positive aspects of such investigations that have been overlooked.
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