Hitch v. Ohio Department of Mental Health

683 N.E.2d 38, 114 Ohio App. 3d 229
CourtOhio Court of Appeals
DecidedSeptember 24, 1996
DocketNos. 96API01-92 and 96API01-93.
StatusPublished
Cited by12 cases

This text of 683 N.E.2d 38 (Hitch v. Ohio Department of Mental Health) is published on Counsel Stack Legal Research, covering Ohio Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hitch v. Ohio Department of Mental Health, 683 N.E.2d 38, 114 Ohio App. 3d 229 (Ohio Ct. App. 1996).

Opinion

Peggy Bryant, Judge.

Defendant-appellant, Ohio Department of Mental Health (“ODMH”), appeals from a judgment of the Ohio Court of Claims in favor of plaintiff-appellee, Rosemarie Hitch, Administrator of the estate of Ben Wolanski, Jr. Plaintiff cross-appeals from the trial court’s damages award and its denial of prejudgment interest.

On December 8, 1992, Ben Wolanski died at the age of thirty-three. During his lifetime, he suffered from a seizure disorder, an organic personality disorder, and borderline intellectual functioning.

In June 1991, following several years of inpatient treatment at Western Reserve Psychiatric Hospital, Wolanski discharged himself to live at the Miles Park Residential Facility in Cuyahoga County (“Miles Park”). Miles Park is a residential care facility maintained and operated by Aftercare Residential Services (“ARS”). Miles Park residents receive case management services from Northeast Ohio Health Services (“NEOHS”), and care, treatment, and some nursing services from State Operated Services (“SOS”). During his residency at Miles Park, Wolanski received some nursing care from Linda Sosenko, R.N., an experienced psychiatric nurse and employee of SOS.

When Wolanski first moved to Miles Park, his case management plan .called for Sosenko to visit him every Tuesday. Because Wolanski had a history of noncompliance with his medication regimen, particularly when he was in a nonstructured setting or when his regimen was undergoing some sort of change, Sosenko devoted a significant part of each of her visits with Wolanski to *236 counseling him about his medication regimen. To aid him in taking his medication, Wolanski used a divided medication box which contained all of his medication for the coming week. Wolanski also used a medication log which he initialed after taking each dose of medication. During her Tuesday visits, Sosenko would check Wolanski’s medication box and log to determine whether he had taken his medication properly during the preceding week, and then help him fill the box with medication for the coming week. If she discovered he had forgotten to take his medication, she would remind him of the importance of doing so, but she could not force him to take any medication.

By late summer 1992, Wolanski had progressed in his ability to self-medicate. As a result, his case management plan was changed to call for bi-weekly rather than weekly visits by Sosenko. Despite the change in plan, the actual frequency of Sosenko’s visits with Wolanski continued to be about once a week due to her habit of conducting unscheduled “spot check” visits.

On November 13, 1992, Wolanski saw NEOHS psychiatrist, Dr. Daksha Trivedi. At this visit, Dr. Trivedi changed Wolanski’s medication regimen. Dr. Trivedi ordered Wolanski to decrease for a two-week period his dosage of the drug Mellaril, an antineuroleptic drug which he had been taking for many years. At the end of the two-week period, Wolanski was to cease taking Mellaril altogether, and begin taking a new drug, Navane. Throughout the medication changes, Wolanski was to continue taking Tegretol, an antiseizure medication, which his neurologist had prescribed to control seizures.

During her regularly scheduled Tuesday visit on December 1, 1992, Sosenko changed Wolanski’s medication log to reflect the change Dr. Trivedi had ordered, and she observed Wolanski properly fill his medication boxes with Tegretol and his new medication, Navane. Wolanski, however, never took any Navane. By the night of December 3, 1992, he had also failed to take his Tegretol. On December 4, he missed two more Tegretol doses, and after December 5, he ceased taking all medication.

On December 4, 1992, at 4:00 p.m., an ARS staff member called Sosenko and informed her that Wolanski was complaining of an upset stomach, muscle aches, and a headache. The staff member also reported that Wolanski’s forehead was cold and clammy, he was lethargic, and he looked drained.

On December 5, 1992, Sosenko again visited Wolanski. When he saw her he smiled, although he appeared tired. He indicated that while he had eaten the night before, he had not been eating much. He had a cool forehead, and complained that the right side of his chest hurt. When Sosenko inquired whether he would like to visit the doctor, he adamantly refused. During the ninety minutes she was with Wolanski, Sosenko observed him suffer three petit-mal seizures, each lasting four to five seconds. Although Wolanski had previously *237 suffered such seizures, Sosenko’s notes from the visit indicate Wolanski could have been experiencing an increase in petit-mal seizures. Nonetheless, Sosenko neither asked Wolanski about his medication nor checked his medication boxes or medication log. After her visit, she left two messages for Wolanski’s case manager, Brian Dwyer, reporting Wolanski’s condition and asking Dwyer to assess him on Monday morning December 7,1992.

That night, Wolanski came to the ARS office complaining of anxiety. The ARS log indicates he talked for awhile, then he left to go to the common room and “seemed o.k.” At 11:00 p.m. that night, an ARS staff member checked on Wolanski in his apartment, and he indicated he was “o.k.” The next day, December 6, 1992, Wolanski told another ARS staff member he “felt much better”; when Sosenko called the ARS office that evening, a staff member told her Wolanski was feeling better.

When plaintiff visited Wolanski on Monday, December 7, 1992, Wolanski appeared atypically unshaven and unkept, and his apartment was in disarray. Plaintiff first called SOS program director, Frances Harris, to report that Wolanski did not appear to be acting appropriately. She then called Deborah Barris, an NEOHS case management supervisor and Dwyer’s supervisor, to express her concern that Wolanski might be suffering side effects from his new medication; she asked Barris to set an appointment with Wolanski’s psychiatrist.

Barris called Dr. Trivedi and reported plaintiffs concern. Dr. Trivedi indicated that he did not believe Wolanski was suffering side effects from his new medication, but suggested his symptoms could be seizure-related and he should see his neurologist to have his blood/Tegretol level checked. Barris then telephoned Sosenko and related Dr. Trivedi’s opinion to her. Sosenko responded that she had scheduled an appointment for Wolanski to see his neurologist the next day, December 8, 1992. Sosenko did not attempt to contact Wolanski to inquire whether he had been taking his medication, nor did she request that someone else make such an inquiry or check his medication boxes or medication log.

Early on the morning of December 8, 1992, Wolanski was found unconscious in his apartment. Shortly after being transported to St. Alexis Hospital, he was pronounced dead. Dr. Heather Raaf of the Cuyahoga County Coroner’s Office performed an autopsy on Wolanski and concluded that Wolanski’s cause of death was “seizure disorder, etiology undetermined.”

On October 27, 1993, plaintiff filed a complaint in the Court of Claims alleging both survivorship and wrongful death claims against ODMH. Plaintiff also filed complaints against NEOHS, ARS, and Dr. Trivedi in the Cuyahoga County Court of Common Pleas. In response, NEOHS, ARS, and Dr. Trivedi filed third-party *238

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Bluebook (online)
683 N.E.2d 38, 114 Ohio App. 3d 229, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hitch-v-ohio-department-of-mental-health-ohioctapp-1996.