State Senator Richard J. Codey, Democrat of West Orange, a vocal critic of Greystone, attributed some problems to the low wage scale at state mental hospitals. Salaries for orderlies start at $16,699. One of the men charged with sexual assault on a patient was a maintenance worker and another a laundry worker.
"You can't simply hire people off the street to work with your loved ones," Senator Codey said. "There's no education and no psychological training."
Gerald Newsome, the president of the union that represents janitors, repairmen, laundry workers and maintenance workers, also criticized the lack of training.
But one person who lives near Greystone and who spoke on condition of anonymity said: "Do employees really need training to know they shouldn't have sex with patients? Isn't that pretty obvious?"
Senators Codey and MacInnes have criticized Greystone for retaining a physician, Hasan M. Turgut, who was described by a review committee as "grossly deficient" in his knowledge of primary care medicine and was found to have "insufficient knowledge of current medications." The State Board of Medical Examiners has restricted Dr. Turgut to practicing under supervision. Yet during his overnight shift at Greystone, Dr. Turgut is the only doctor on duty, said John McKeegan, a spokesman for the State Department of Human Services. His decisions on treatment are reviewed the following day by the hospital's medical director, Mr. McKeegan said.
"We have found nothing to indicate we should have concern about the quality of care Dr. Turgut provides to a patient," Mr. Waters said.
Senators Codey and MacInnes said two of the psychiatrists at Greystone are stretched too thin. Both the chief of psychiatry, Dr. Imtiazuddin Siddiqui, and his wife, Nafeesa, who is also a psychiatrist at Greystone, hold two other jobs.
Mr. McKeegan said Human Services Department policy allows staff doctors to hold other jobs.
With so many clouds brewing around Greystone, Senate President Donald DiFrancesco, Republican of Scotch Plains, appointed a task force earlier this month to investigate allegations of patient abuse and mistreatment. A special State Senate committee is begin a series of hearings on Greystone on Thursday.
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