County Commission Gal Explains Fort Worth's MHMR-GATE SCANDAL In Detail

The Paradise Center Scandal now has a blog covering the ongoing scandal.

A few days ago in response to a blogging about the Paradise Center Scandal, which I had renamed the MHMR-Gate Scandal, someone Anonymous hoped that I knew what I was talking about. And that the public needed and deserved to know about this "so-called scandal."

Wikipedia's definition of "Scandal"....

A scandal is a widely publicized allegation or set of allegations that damages (or tries to damage) the reputation of an institution, individual or creed. A scandal may be based on true or false allegations or a mixture of both. From the Greek σκάνδαλον, a trap or stumbling-block. The metaphor is that wrong conduct can impede or "trip" people's trust or faith. Some scandals are broken by whistleblowers who reveal wrongdoing within organizations or groups.  Sometimes an attempt to cover up a possible scandal ignites a greater scandal when the cover-up fails.

This afternoon I heard from someone calling herself County Commission Gal. Read what County Commission Gal has to say about the MHMR-Gate Scandal and you will easily see that the MHMR Tarrant County shenanigans clearly are a scandal. And those shenanigans are scandalous.

From County Commissioner Gal...

I don't want to risk losing my job, especially as retirement nears, so I won't use my real name.  I heard talk last week around the county administration offices about Paradise Center and like many people wanting to know more about this interesting but disturbing story I was forced to use a search engine to find some kind of reporting.  I was rather shocked to see only the brief piece in the FW Weekly about the protest. And the posts on your blog. 

Again I don't want to have problems with my job as a County employee, with extensive experience in government operations and analytical work.  But I want to honor my brother's shortened life and memory by sharing with the only information dissemination source about this scandal--yes, from all my years of experience and from reading the evidence presented to the County Executive and the Commissioners, it looks like a pretty major and costly scandal.

I am using my own computer and time to share with the public what appears to be the hard truths about disturbing issues surrounding this scandal, which is so ugly that it appears even the County government is trying to dismiss it and hoping that it just goes away.  Because these courageous Paradise Center folks are weak and powerless in almost every way. Their main powers are their resolve to demand that they not be exploited and treated as second or third class citizens. Their hope of holding on to their hard earned resolve and rights as citizens rests in the truth getting out (hello, media/journalists) and the public raising a chorus of questions and protests until the wrongdoers are held accountable.

Because I am convinced that this is so very important for our friends and neighbors suffering from severe mental illness and that it serves the public interest, I will share some selected facts I know about this scandal.  Based on written material I've seen and from discussions I've heard (plus some of my own research of publicly available information, the essence of this scandal is that MHMR Trustees approved of the CEO and his executive team's scheme to bring in needed "revenue" (vs. funding, which are from grants or government budgets) by cleverly exploiting the well established community center operated by the "consumer-run" non-profit organization Paradise Center Inc. in the following main ways:

-- MHMR signed a contract with the private profit-driven HMO group called Bravo Health  to begin enlisting MHMR clients who qualify for Medicaid. 

--Medicaid pays pretty good for services that help people with severe and persistent mental illness recover from their disabling illness and to reintegrate back into society (e.g. classes or training groups to learn how to take care of their hygiene needs, paying their bills so they won't lose their housing and end back up on the streets as homeless people, managing their medical and pharmaceutical needs such as making and keeping appointments and getting prescriptions filled and organizaing their many medications in pill boxes to ensure that they follow the psychiatrist's treatment plan and control the negative symptoms of their mental illness, how to budget their limited income, buy groceries and eating healthy meals, making friends and a support network like most people have and take for granted, etc.).   

--Bravo and MHMR would "share" employees and infrastructures in order to maximize profit for the company and revenue for the taxpayer-funded government agency.

--The executives told their "bosses" the Board of Trustees, who are appointed by the Commissioners Court to be their surrogates in overseeing a governmental agency under the "sponsorship" (see their websites) of Tarrant County government, in meetings last summer that this business agreement/contract "is projected to bring over $600,000 of revenue in the first year".  That's not small change any way you look at it, especially if MHMR doesn't have to provide the costly outlays to set up such a state-approved "program" to help their very sickest/debilitated clients increase their likelihood of staying in their own place in the community instead of on the streets, in shelters, or the most costly inpatient hospitalizations or in the criminal justice system.

--The reason that MHMR could expect to gain such a large "revenue" and not really having to do much of the work was the assumption that the extremely low overhead would continue by using the 8,000 man hours of volunteer work by the Paradise Center team to operate a well-known and well-loved community center for the people with chronic and severe mental illness. 

--The "foundational grant" that MHMR had signed contracts to provide for the most basic operational needs of Paradise Center the organization and its community center is a shockingly low $150,000 per year, which covers the paltry salary package of the well-educated (two masters degrees from the world's largest and most influential seminary) and extremely competent professional staff whose decades of unblemished record working with the sickest of the sick (i.e. the psych hospital or "ward") made her 9 and 1/2 year work a success that produced significant and very positive results for many people who participate in the array of services, programs, and opportunities offered by Paradise Center.

--Apparently due to her personal and professional ethics, Teresa Davis resisted 5 months of harsh and really shameful pressure tactics by the MHMR executive team, including holding toilet paper and other products for the Center's four bathrooms that serve the 80 or so average unique people who attend the tiny community center as ransom to force her to attend another two hour long meeting where 3 or more MHMR executives would gang up on her using verbal and emotional assaults to break down her will and ethical stance,  to go along with their false representation (to Bravo Health and the state agency that oversees Medicaid/HMO) that "Paradise Center is just another one of our many programs" and that she was just another one of their 1,300 employees subject to their complete control and domination.

--MHMR knew that it was critical for this influential person to go along with this falsehood since the contract, and the detailed proposal to the state for approving their partnership to provide Medicaid billable services with the profit-driven HMO, had stated that everything about Paradise Center and its operations (i.e. legal status as an independent 501/c/3 non-profit organization, it's Charter and By-laws which vests the authority for its operations and other important issues in the all-volunteer Board of Directors) was under the direct control of MHMR.  

--Contract law experts could see the problems easily: we have three separate legal entities/organizations here and two of them had entered into a contractual business partnership but intentionally not letting the other, smaller and weaker, legal entity Paradise Center Inc. know about their deal. Very serious legal and financial consequences would jump out, to all three parties and the state agency overseeing Medicaid/HMO, when the Bravo Health team comes in and takes over most of the internal operations of the community center operated by Paradise Center Inc. with the complete assurance that it is "a program of MHMR" their business partner.

--Paradise Center Inc. leadership team and their 500+ official members would surely raise objections and whip out their legal documents and contracts that would expose the lie concocted by MHMR's leadership team and Trustees.  Bravo Health, a major HMO who is new to this market, would then likely ask MHMR's team to do some serious explaining, privately and/or in the courts since lawyers with knowledge of this scheme said it would be a basic fraud case.

--Paradise Center and its well-loved community center is crucial to the calculation of the projected profit and revenue by the two business partners because most of the people with mental illness do not like to attend required meetings, classes, or training sessions because they remind them of their time locked up in restricted institutions like psych hospitals/wards and even prison where "the mental patients" or "inmates" were under complete control of those in power over them.  

--A major factor in Paradise Center's success and "popularity" (80 people choosing to walk for miles or take tedious 1-2 hour long bus rides in all kinds of weather  to come be around friends and participate in fun and helpful activities daily is extraordinary) is the warm atmosphere and "culture of acceptance and support" that Teresa Davis had worked over her 9 and 1/2 years to promote and inculcate, which had become an expected characteristic as new people come asking to join and participate based on recommendations by friends, family, and various professionals.  THIS IS A KEY PART OF THE SCHEME: unwitting people who come to their community center were seen as "fish in the barrel" for the Medicaid-billable rehab services as "the authority" pulls those qualified for such financially profitable activities in to nearby meeting rooms for 30-minutes or longer rehab services.

--This is a clear case of arrogance, bullying, as well as deceptive and exploitive behavior.

--For MHMR's leadership team, the expected easy money and the potential consequences of the legal issues just described, made it imperative that Ms. Davis be gotten out of the way, whatever it took. The community center and organization operating successfully out of 505 S. Jennings had to be successfully passed off as completely MHMR's by a date certain, knowing that the already delayed enrolling period was quickly approaching on 05/01/11. If they could convince the state agency that everything is kosher and thus their business enterprise was now "operationally ready" to start doing business and billing Medicaid.

--Thus Ms. Davis's resiliency and principled stance had to be overcome somehow: the shockingly devastating and extremely foolish act by MHMR's Trustees, CEO, executive team, and legal counsel in "terminating your employment immediately" on 02/17/11.  

--The very next morning the MHMR-Bravo team took over the community center and busily walked around looking at their design plans for the facility, discussing how to keep people coming in such large numbers (bought pizzas and gave out free drinks all days to the 30 or so unknowing people who showed up), and more importantly trying to figure out how to find people to replace the exiled Paradise Center Inc. leadership team and their 8,000+ hours of volunteer work to make THEIR community center and organization the "jewel of the community" and an "easy" prey for their scheme to exploit the name/reputation, "warmth"/culture, and free labor of the people with serious mental illness in order to maximize the HMO's profit margin and to empower and enrich the executives of MHMR. Trustees praise and give them raises for such a "creative" business solution, especially in this budget-reducing era.

--They don't get or don't care about the cruel irony of their willfull actions and motivations: exploiting and abusing the very people that they righteously declare to the public and taxpayers they are committed to helping "improving quality of life" and dedicated to prevent them from being abused, neglected, or exploited by those with more power and sophistication.

 Tell the truth and the whole truth, Mr. Durango.  Please help me protect my anonymity.

_____________________________________

To protect County Commission Gal's anonymity I edited out her detailing of her personal reason that motivated her to look into the MHMR-Gate Scandal. I thought those details would make her identifiable. Suffice to say, she has a relative who died who would have benefited had he been able to access the type of help provided by the Paradise Center before MHMR destroyed it.