Page :1 59 6 l? L'rc USARMY 101 ABN on! (US) From: (bile) cw USARMY usocom HQ (US) Sent: .14 327 PM To: LTC USARMY MEDCOM HQ USARMY 101 ABN on; (US) Subject: Request from (bills) 1. Carson Solder Importance: High Classi?cation; UNCLASSIFIED Caveats: NONE (W5) l?m followin 'u our hone calls from yesterday with this email to document more clearly in writing my communications with (We) regarding the potentially serious situation involving a Ft. Carson soldier (bli?l he is representing. . I knowlyou have already reached out to the Hospital Commander and chief of BH, and they have been aware of this soldier. Whatvno one fully appreciates is the se 'ious nature of what transpired during clinical encounters with at least two mental health providers at Ft. Carson and con?rmed through audio recordings. I believe there are also. other recordings involving the Soldier and his chain of Command that may be equally concerning. There appears tin?be substantial documentation of a hostile Command climate toward this Soldier, in which the Soldier's Command and two providers are working toward administrative separation without due consideration of potentially serious mitigating medical conditionslibli?l A close associate I?rst reached out to me concerning this soldier while i was on leave Friday and then I contacted me directly through my personal email and phone number il??j?l?gi?l? to notify you and provide any support I could to facilitate getting this Soldier needed assistance. i believe concerns and motivations are genuine, based on the content of records he has in his possession. There is some urgency. The Soldier's Command is rapidly moving toward administrative separation (bills) (bills) Most concerning to me are the recordings involving two mental health providers. One recording which I listened to involved the Command Directed mental health evaluation. [in this recording the provider (who I assume is MAJ demonstratesunprofessionalism, hostility, and lack of empathy, and the encounter does not meet any semblance of standard of care. MAJfails to answer the Soldier's basic questions of what the evaluation is about, stating that he 1 Page 160 needs to ask his Command that-question. MAJfails to conduct any reasonable clinical evaluation, review of or review of medications, and I did not hear him conduct any safety assessment. He completely discounts the high level the Soldier reports on themhecklist- He blames the Soldier for not coming forward earlier and not disclosing that he was having if?culties when he was cleared for specialized schools. He curses at' the Soldier at one point (ironically when he takes the Soldier to task for using the word in a way infantry . Soldiers routinely use it). The overall impression is that MAJ is ?rmly on the side of the Soldier's Command and has reached a foregone conclusion before he even started the evaluation that the required course of action is administrative separation. in contrast the Soldier remained very professional throughout. The AHLTA note from this visit is reported to be inconsistent with what actually happened during the encounter. have not viewed any AHLTA notes.) I also listened to a recording of one session involving who is apparently one of the Soldier's regular EBH providers. This provider also displayed lack of empathy, as well as a sort of callous bravado. She repeatedly insists that the Soldiers' toms have irn roved since she ?rst started to see him and discounted any statements he makes Iibl(El to this Imus) fails to ask pertinent questions on the Soldier?s current condition and I also don't remember her conducting a safety assessment. When the soldier asks what his diagnosis is, she states that it is Ilbli?l and then dismisses the Soldier?s follow-up questions on what this means, with a statement that the diagnosis really "doesn't matter." She never informs him that she has given him a diagnosis of I In an apparent attempt at sympathy, she states explicitly that the Soldier's Colonel "is _a_rl asshole? (if 've talked to the "has it out for you", and that "you have a target on your back." She also provides what appears to be legal advice to the Soldier and states that he will be able to get the same bene?ts from the VA if he separates with a ?general under honorable" discharge as if he were to undergo an MEB. have three major'EonEerns: 1} if the recordings I heard are any reflection of the care this Soldier has received, then this Soldier urgently needs competent and compassionate care. I believe the'Soldier has received bene?t from and feels a connection with that provider, but clearly the encounter with (bli?i raises notable concerns. 2} Based on the overt biases toward this soldier expressed by two of his providers, it is hard to paling: that this Soldier is getting a fair assessment of any potential combat-related mental health condition or TBI. (We) Willis) He appears to need a thorough and objective assessment and consideration of moving him into the IDES process. 3] The Command Directed mental health evaluation with the encounter with do not approach any reasonable standard of care, both in terms of absence of professionalism and potential for negligence leading to significant potential harm. I believe a quality management review of these two providers is warranted, and perhaps even review of Command Directed mental health evaluations that MAJhas conducted on other Soldiers. I'm concerned this isn't an isolated incident, based on MAJ manner on the recording. (We) has indicated that he is willing to present the content of the recordings and evidence he has with any Ft. Carson, or Arm leaders who are in a position to help his client and willing to meet with him, including the Surgeon General herself. (We) direct contact infermation is Sorry to be the bearer of this very disturbing news. Let me know if there is anything else you would like me to do to follow?up further. A . Page 161 Classi?cation: UNCLASSIFIED Caveats: NONE