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state Department of Mental Health is investigating the recent deaths
of four Worcester State Hospital patients and one former patient.
Kevin Preston, assistant commissioner
of community relations, confirmed yesterday that four persons who
were being treated at the hospital died between September 1987 and
this month. A fifth patient died two weeks after being discharged
from the facility last Oct. 25.
The patients were identified
by sources close to the institution as Kenneth Carlson, 22; William
McColgan, 33; James Hayes, 36; Janice Jackson, 34, and Maureen Parker,
45. The times of death for the patients were not available.
Investigators from the Office
of Internal Affairs, which is under the supervision of Mental Health
Commissioner Ned Murphy, are trying to determine whether staff at
the facility were negligent.
"Commissioner Murphy's
commitment on this and any other case is that if we did something
inappropriately, or if there were deficiencies in the way these
patients were handled, we're going to let it out and play it straight
even if it hurts," Preston said last night.
He said that two probes have
been completed, but reports have not been issued. The deaths and
the investigation were reported last night by WCVB-TV (Ch.5).
"The number of deaths
are not unusual here," said Preston. "Worcester State
Hospital has 1,500 admissions a year and typically they are crisis
situations. What is unusual is the ages of these people."
The first death, believed to
have been caused by cardiac arrythmia or an irregularity in the
heartbeat occurred on Aug. 20 and has been attributed to a congenital
heart defect.
Sources, who identified the
victim as McColgan,said the patient had a history of self-abusive
behavior. They said that before his death McColgan hit his head
on a hard surface and was placed in leather restraints to prevent
him from falling off his bed while undergoing emergency medical
procedures.
McColgan was taken to the University
of Massachusetts Medical Center in Worcester after he began experiencing
problems with his heart while he was being examined. An electrocardiogram
conducted during McColgan's stay at the facility had shown no signs
of a heart ailment, sources said.

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Hayes, who was found in his
room at 11:10 p.m. on Sept. 21, is believed to have had a seizure.
An autopsy report has attributed his death to natural causes.
"On the second death,
a report by our investigators has found that the response by staff
was appropriate," Preston said.
A month later, on Oct. 25,
Carlson died two weeks after completing a six-week stay at the facility.
Officials are awaiting the completion of an autopsy report.
Internal affairs investigators
are also trying to determine whether hospital officials should have
discharged Carlson, who had a history of inhaling gasoline fumes.
There is speculation that he may have committed suicide by placing
a plastic bag over his head and inhaling gasoline fumes.
A day after Carlson died, Jackson
died at the UMass medical center. The 34-year-old woman was admitted
to the hospital two weeks earlier after she began choking on regurgitated
food that had lodged in her throat.
A second death related to choking
occurred on Jan. 1 when Parker was pronounced dead at the medical
center. Parker was admitted Dec. 7 after hospital workers saw her
gasping for air. Sources said Parker lapsed into a coma after the
choking incident and did not regain consciousness at the hospital.
"We don't know what caused
the last death," Preston said. "We will be looking to
see whether there could have been some kind of allergic reaction
to a particular food, or whether the patient choked on food or some
other foreign substance.
"Typically we do investigations
faster, but we don't have all the autopsy reports and we really
won't know what to look for until we have them."
Last August, the US Justice
Department won a lawsuit aimed at improving care at Worcester State
Hospital after US District Court Judge A. David Mazzone heard testimony
that understaffing, crowding and inappropriate use of chemical and
physical restraints had threatened the health and safety of patients.
At the time of the first of
the five deaths, the hospital had experienced a 45 percent increase
in its budget, now $23 million, and more than 100 new staff members
had been hired since the suit had been filed.
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