Staffing shortages at the Taylor Hardin Secure Medical Facility were resulting in dangerous conditions for patients and staff even before the COVID-19 pandemic, but the deadly disease is only exacerbating the problem, a worker at the facility told APR.
One of two workers there who were assaulted recently was hospitalized, and the facility’s director and top nurse both mysteriously resigned abruptly in late July, said a Taylor Hardin employee, who asked not to be identified for fear of being fired for speaking about the incidents.
Taylor Hardin, the state’s all-male secure 140-bed psychiatric facility, houses inmates who are awaiting pre-trial competency evaluations and others with serious mental illnesses.
The facility’s director and director of nursing both abruptly resigned around July 24, and although there have been rumors as to why among staff, there’s no clear indication why the two top facility officials left, the worker told APR.
“We had someone come in from Montgomery come in and basically just say that they just wanted to resign, which just didn’t seem accurate,” the worker said.
Attempts to find contact information for the former director and director of nursing were unsuccessful, but Kimberly McAlpine is acting director, according to the department’s website.
APR was unable to confirm a rumor about what may have resulted in the resignations, and the Alabama Department of Mental Health (ADMH) through a spokeswoman declined to say when the two employees quit or why.
“We cannot comment on personnel matters at our facilities,” an ADMH spokeswoman said in a message Tuesday.
There are two staff members hospitalized with COVID-19, the worker said, and two patients have died after testing positive for coronavirus.
An ADMH spokeswoman in a response to APR on Tuesday said that there have been 28 confirmed COVID-19 cases among residents at the facility. As of Wednesday, the department hadn’t responded to a question about how many staff have become infected with the disease, but the worker said there have been several.
The employee said there needs to be as many as 10 forensic technicians – the people who monitor residents by the hour and do much of the daily tasks directly with them – per unit, but that currently there are approximately two for each unit.
“They do a lot. On top of taking care of these guys, they’ve got to clean up after them. Running meals. They’re running up and down the halls to laundry. They’re getting hit all the time, and they’re starting pay is $10 bucks an hour,” the worker, who is not a forensic technician, said. “And then they get mandated and then they’re working 16-hour shifts.”
Every patient must be checked every 15 minutes, but many require one-to-one supervision at all times, the worker said.
“We’re supposed to have a bathroom monitor at all times. We haven’t been able to have bathroom monitors,” the employee said. “The bathroom is the one place where there’s not a camera, so it can be really dangerous.”
A lieutenant at Taylor Hardin was assaulted by a resident on July 30 and had to be taken by ambulance to a local hospital for treatment, but was expected to be able to return to work after a couple of weeks, the employee said.
Staffing shortages are making the facility more dangerous for the residents and staff alike, the person said, and the injuries continue to mount.
“There was another officer assaulted a few weeks ago, and they called a code and no one was able to respond to it,” the worker said. “Finally it was called that an officer was down and staff were having to leave patients unattended to get down there.”
ADMH also declined to answer APR’s questions about the incident involving the officer or update a reporter on his condition.
“We cannot comment on personnel matters at our facilities, or issues that would fall under HIPAA protections,” an ADPH spokeswoman wrote in a message to APR on Tuesday.
The worker said “we are having to reuse our PPE,” which includes masks and gowns, and said that workers have begun wearing surgical masks over their department-issued N95 mask.
“The N95 is the main thing that we just don’t have enough of, so we’ve been rationing our masks,” the employee said.
“We have a full amount of PPE for staff at our hospitals,” an ADMH spokeswoman said in response.
The worker’s recent concerns about understaffing and an unsafe working environment at Taylor Hardin follow similar concerns of other staff detailed in a 2018 survey in which employees said they were overworked in an unsafe environment with inoperable video cameras, contraband, racial and gender discrimination and unreported incidents.
“We are very short-staffed, which is not safe for the patients or staff…,” said one employee in the survey.
“Too much is swept under the rug – particularly regarding patient safety,” said another.
New website for state resources for children, families launches
The website provides access to all the state’s resources for children and their families, including child care, education, family services and health services.
Gov. Kay Ivey on Monday announced the creation of a centralized website for the state’s social service programs and services for children and families.
Alabama Family Central was created through a $500,000 allocation by the state Legislature from the state’s Education Trust Fund budget and provides access to all the state’s resources for children and their families, including child care, education, family services and health services, according to Ivey’s office.
“Alabama Family Central will ensure that all parents and children in our state have access to crucial information and resources from numerous state agencies and non-profit organizations,” Ivey said in a statement. “Great parents need strong partners, and I am proud of the strong collaboration between the state and private sector to offer a one-stop shop of assistance for Alabama families. I appreciate the Alabama Partnership for Children spearheading this effort.”
In addition to pointing visitors to state programs and services, the website also points families who are undertaking remote school learning amid the COVID-19 pandemic to A+ Education Partnership, which advocates for quality education in Alabama.
The state website specifically directs visitors to a page that provides COVID-19 resources for parents, including sections on guidance and decision-making, supporting learning from home and coping and well-being.
“When I learned that our students would be learning remotely due to the COVID-19 pandemic, my heart immediately went out to the parents who would need assistance teaching their children at home,” said State Sen. Vivian Davis Figures, D-Mobile, in a statement. “I requested funding to set up such assistance, so I humbly thank Governor Kay Ivey and Senator Arthur Orr, R-Decatur, for granting that request. It was a pleasure working with A+ Education Partnership and the Alabama Partnership for Children to incorporate this idea into their programs, and I look forward to its expansion. Every child deserves access to the highest quality education, no matter their circumstances.”
The Alabama Family Central website includes:
- A+ Education Partnership
- Alabama Department of Child Abuse and Neglect Prevention
- Alabama Department of Early Education
- Alabama Department of Education
- Alabama Department of Human Resources
- Alabama Department of Mental Health
- Alabama Department of Public Health
- Alabama Department of Rehabilitation Services
- Alabama Medicaid
1 in 3 parents don’t plan to vaccinate their kids against flu even amid COVID-19
Health care experts nationwide and in Alabama in recent weeks have highlighted the importance of flu vaccines, especially this year.
One in three parents don’t plan to have their children vaccinated for the flu this year despite health experts’ pleas that doing so could help prevent an overrun of U.S. hospitals as COVID-19 continues to spread and may spike as the weather turns colder, according to a poll released Monday.
Two-thirds of parents polled also don’t think it’s more important to get their children vaccinated for the flu this year than it was last year, according to the national poll by C. S. Mott Children’s Hospital with the University of Michigan Medical School.
Among parents who said they wouldn’t get their children vaccinated this year, one in seven said they wouldn’t do so because they wanted to keep their children away from health care facilities over concerns about COVID-19, according to the study, which also found that less than half the parents said their regular health care provider strongly recommended flu vaccines this year.
Health care experts nationwide and in Alabama in recent weeks have urged the public to get flu vaccines this year, both to protect themselves from possible severe health outcomes and to prevent stressing hospitals that continue to care for COVID-19 patients. Dr. Erin DeLaney, assistant professor in the department of family and community medicine at UAB’s School of Medicine, told reporters last week that she encouraged everyone to get a flu vaccine as soon as possible.
“We know that there are other respiratory pathogens that together, combined with the influenza virus, can have poor outcomes,” DeLaney said. “And we know that the flu and COVID separately can have poor outcomes, so we’re hoping to protect as many people as we can.”
Researchers polled 1,992 parents nationwide during August who had at least one child aged 2-18.
“Public health experts have emphasized the particular importance of flu vaccination during the COVID pandemic as a tool to limit the stress on health care systems. This includes reducing the number of influenza-related hospitalizations and doctor visits, and decreasing the need for diagnostic tests to distinguish influenza from COVID,” the report reads. “Children should get flu vaccine to protect themselves and to prevent the spread of influenza to family members and others.”
The U.S. leads the world in COVID-19 deaths, with 204,033 deaths due to the disease as of Sunday, according to the Centers for Disease Control and Prevention.
In Alabama, 2,501 people have died from COVID-19, and there have been 152,321 confirmed cases of the disease statewide since the start of the pandemic. Alabama currently has the eighth-most active COVID-19 cases in the United States at 85,899 cases.
Country star Amanda Shires to donate funds from single to Yellowhammer Fund
Grammy-winning country musician Amanda Shires will donate all proceeds from a new single to the Yellowhammer Fund, a nonprofit that provides assistance with abortions in Alabama.
Shires and her musician husband, Jason Isbell, partnered on the single “The Problem,” which is set to be released Sept. 28, according to a press release from the Yellowhammer Fund.
The song can be purchased here.
“‘The Problem’ is a song that showcases what loving support looks like through what is often an emotional time,” Shires said in a statement. “The Yellowhammer Fund offers a similar type of support to Alabamians and the Deep South. The fund provides safe options for people in a segment of America where reproductive health is very often at high risk of government interference. Everyone has the freedom to choose how to care for their own body. Individual health care decisions are difficult enough without the added pressure of stigma and ever-changing legal hurdles.”
Laurie Bertram Roberts, executive director of Yellowhammer Fund, said the nonprofit is thankful for Shires help, which comes at a critical time.
“Here in the Deep South, abortion is already incredibly difficult to access, even before a new president is elected or another Supreme Court Justice is appointed,” Roberts said in a statement. “As a fellow southerner, Shires understands those difficulties as well as the negative stigma surrounding abortion. We are thankful that she wrote this song and is telling a story that’s rarely heard.”
“It feels natural to align this song with The Yellowhammer Fund,” Shires said. “Having someone in your corner, offering unconditional support when you’re making hard choices is invaluable. Together, I know we can help make a difference.”
Roberts said at this point the best actions we can take are to go vote, donate to a local abortion fund, and stay active in the fight for reproductive justice.
“Our abortion rights are always on the line — regardless of who is in office — and we must continue the battle to expand access to everyone, no matter what rulings or laws may be in our future,” Roberts said.
Coronavirus task force’s Dr. Deborah Birx says Alabama should extend statewide mask order
Dr. Deborah Birx, coordinator of the White House’s coronavirus task force, said Thursday that Gov. Kay Ivey should extend her statewide mask order, set to expire on Oct. 2. She also responded to a CNN report that cited those close to her as saying she’s “distressed” with the direction the White House coronavirus task force is taking and is unhappy with what she sees as her diminished role in the group.
Birx, speaking at Auburn University, said she met with Ivey and Alabama State Health Officer Dr. Scott Harris earlier in the day to discuss COVID-19 and how the state is responding.
“So we really talked about the importance of continuing mitigation,” Birx said of her talk with Ivey and state officials earlier on Thursday, adding that Ivey was one of the first governors in the South to enact a statewide mask mandate, which she said clearly decreased the spread of the disease.
Birx pointed to numbers, such as the test positivity rate, that have improved since July, but said “we’ve got to do even more.” Asked if the statewide mask mandate was one of the mitigation efforts she suggests continuing into the fall, Birx said she does. “Because if you look at what happened within two weeks of the mask mandate you can see the dramatic decline in cases here in Alabama,” Birx said.
Birx said that when she last visited Alabama in July, the state was suffering from too many new cases of COVID-19.
“I think when I was last here at the beginning of July, it was a very difficult time in general for Alabama. We saw nearly 95 to 100 percent of every county in Alabama, rural or urban, that had more than 10 percent test positivity to COVID-19,” Birx said, adding that today, around 20 percent of the state’s counties have positivity rates above 10 percent.
Public health experts believe positivity rates above 5 percent mean that there isn’t enough COVID-19 testing being done and cases are likely going undetected.
In a statement to APR on Thursday, a spokeswoman for Ivey said Ivey and Dr. Scott Harris would provide an update on the statewide mask order ahead of its Oct. 2 expiration date.
“It is evident that Alabamians are doing considerably well in modifying their behaviors to take the COVID-19 pandemic seriously, and we all remain optimistic that a successful vaccine will be coming soon,” said Gina Maiola, Ivey’s press secretary, in a statement to APR on Thursday. “Our state’s success is largely in part to Alabamians stepping up to the plate when it comes to cooperating with the mask ordinance.”
Maiola said Ivey is leading the way on several fronts “including getting students and teachers back in the classroom, college students returning to campus and businesses remaining open — in fact, Alabama has one of the country’s lowest unemployment rates.”
“This success is a reality because Alabamians are wearing their masks and maintaining social distancing precautions. Governor Ivey and Dr. Scott Harris will continue closely monitoring our progress and provide an update ahead of the October 2nd expiration,” Maiola continued.
Speaking to reporters at Auburn, Birx was also asked about a CNN report on Wednesday that cited sources close to Birx as saying she is unhappy with what she sees as her diminished role on the White House coronavirus task force, that she’s not certain how long she can serve in her position and that she is “distressed” with the direction the task force is taking.
CNN also reported that Birx, who is no longer a fixture at White House coronavirus briefings, views Dr. Scott Atlas, a recent addition to the task force, as an unhealthy influence on President Donald Trump.
Atlas, a neuroradiologist with little experience in public health or epidemiology, has expressed support for the so-called herd immunity “strategy,” which infectious disease expert roundly dismiss as unattainable and a move that would cost millions more lives.
Instead of being a regular presence at White House coronavirus briefings, Birx has spent recent months traveling the country and speaking with governors and university administrators about coronavirus.
Asked Thursday about CNN’s reporting, Birx pushed back.
“Because they wrote that without even speaking to me,” Birx said. “Do I look like a person that’s diminished?”
CNN reported Wednesday that Birx had not responded to requests for comment on the story.
“Yes, I have been on the road. I’ve been on the road not as a spokesperson, but on the road to really understand what’s happening across the country, to be in deep dialogue with mayors, with communities, with governors, with administration school and faculty,” Birx said.
“I’m asked here because I am supposed to be here,” Birx said. “I haven’t been in Washington, and nor was I asked about that, but I’ve actually never been called diminished.”
Asked if she was planning to leave the task force, Birx said, “I have strong tenacity, and I’m very resilient, and we’re in the middle of a pandemic that’s affecting Americans, and as an American, I think I can do the best service to my country right now by serving in this role, working across the agencies, because that’s the experience that I have.”
Asked to clarify whether she planned to step down from the task force, Birx said “no.”
Asked if she was distressed about the direction the task force is taking, Birx said, “well that would be on me, if I was distressed, right, because I’m supposed to be coordinating the groups.”
“So that would be an indication that I’m not doing my job, and I believe that I do my job pretty well every day. I can always learn to do better,” Birx said.