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HomeMy WebLinkAbout94-00809 -~~~ IN THE MATTER OF JACK ALSPAUGH An Alleged Incapaoitated Person IN THE COURT OF COMMON PLEAS OF . CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION 21-94-809 IN RE: PETITION FOR GUARDIANSHIP BEFORE OLER, J. QRQER OF COURT AND NOW, this 30th of November, 1994, upon consideration of the Petition for Adjudioation of Incapacitated Person and for Appointment of Plenary Guardian Pursuant to 20 Pa. e.s. 5511, and following a hearing at whioh the allegedly inoapaoitated person WaS present, Jaok Alspaugh is adjudioated an inoapaoitated person and Robert Goril, Administrator of the Mental Health/Mental Retardation Agenoy for Cumberland and Perry Counties, is appointed plenary guardian of the person of Jaok Alspaugh. The guardian is directed to file reports in accordanoe with the provisions of 20 Pa. e.s. Section 5521(c). No bond shall be required of the guardian. This Order shall supersede any prior orders of guardianship in this case. Notice is hereby provided in person to Jack Alspaugh of his right to appeal and to petition to modify or terminate the guardianship. By the Court, J. Robert L. O'Brien, Esquire For ,the Petitioner Jaok Alspaugh lt J - , IN THE MATTER OF JACK ALSPAUGH An Alleged Incapacitated Person IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION 21-94-809 IN RE: PETITION FOR GUARDIANSHIP BEFORE OLERJ~, OPINION AND ORDER OF COURT Oler, J. At issue in the present case is whether Jack Alspaugh should be adjudicated an incapacitated person, and if so whether Petitioner should be appointed plenary guardian of his person. A hearing was held on the matter on Wednesday, November 30, 1994 before the undersigned judge. The allegedly incapacitated person was present at the hearing. Based upon the evidence presented at the hearing, the following Findings of Fact, Discussion, and Order of Court are made and entered: FINDINGS OF FAC~ 1. The allegedly incapacitated person is Jack Alspaugh, a domiciliary of Cumberland County, Pennsylvania, residing at the Cumberland County Nursing Home, 375 Claremont Road, Carlisle, Pennsylvania. 2. Petitioner is Robert Goril, Administr~tor of the Mental Health/Mental Retardation Agency for Cumberland and Perry Counties. 3. Mr. Alspaugh suffers from an adjustment disorder as well as mental retardation, which has existed since his birth on March 15, 1933. 4. The condition of retardation and the adjustment .I ...... ... disorder are such that they impair the oapaoity of Mr. Alspaugh to make and communioate decisions; his capaoity to receive and evaluate information and oommunicate deoisions has been impaired by those conditions tc such a significant extent that he is totally unable to meet the essential requirements for his physioal health and safety. 5. GUardianship services are necessary for Mr. Alspaugh. 6. Based upon the aforesaid condition of Mr. Alspaugh and his lack of capacity to make and communicate decisions, a plenary guardianship with respeot to his person is required. 7. In view of the absence of a favorable prognosis for change at this time, the duration of the guardianship required is indefinite, pending further Order of ecurt and apparently permanent. 8. Pursuant to 20 Pa. C.S. Section 5512.l(c) it is expressly found that Mr. Alspaugh is completely incapacitated and in need of plenary guardianship services with respect to his person. 9. Petitioner is a person qualified under Pa. C.S. Section 5511(f) to serve as plenary guardian of his person. 10. The foregoing findings of fact are made on the basis of clear and convincing evidence. DISCUSSION The provisions respecting an adjUdication of incompetency have recently been amended and are contained in 20 Pa. C.S. Section 5501, et sea. Petitioner has fully complied with these provisions, and based on the foregoing Findings of Fact, the following Order of Court will be entered: \'.'-. IN THE MATTER OF JAMES ALSPAUGH An Alleged Incompetent IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA OHPIIANS' COURT DIVISION NO. INCAPACITATED PERSON PETITION FOR APPOINTMENT OF A TEMPORARY GUARDIAN FOLLOWED BY A PERMANENT GUARDIAN OF THE PERSON PURSUANT TO 20 PA. C.S.A. 5513 1) Your Petitioner is Robert L. O'Brien, Esquire, Solicitor for the Cumberland/Perry Mental Health/Mental Retardation Office. 2) Respondent is James Alspaugh, an incapacitated person, residing at Lancaster osteopathic Hospital Psychiatric Unit. Respondent is an adult individual being presently 61 years of age with a birth date of March 15, 1933. Attached hereto, marked as Exhibit "A", i\l1d incorporated herein by reference is a socJ.al summary and hosp.ital records in reference to his current situation. 3) Petitioner requests that the Court appoint June Alspaugh, residing at 68 Lebo Road, Carlisle, Pennsylvania, as emergency guardian for the limited purpose of executing certain forms and waivers that are required to insure the continuation and availability of care and treatment for Respondent and admittance intc the Cumberland County Nursing Home. An J.nitial determination has been made that, due to Respondent's low intellectual functioning, he is unable to make a determination in reference to his placement/waiver, and that, in order to comply with applicable state and federal laws, a guardian be appointed by the Court for the purpose of making Raid election and signing the necessary forms. 4) Ms. Alspaugh is ill and it is anticipated that Robert Goryl will succeed as a permanent guar.dian, to the extent necessary for Mr. CMHC MEDICAL RECORDS TELI717-763-2385 Augll,DO 15154 .No.DQ3 P.D5 "l IIOLr a'lllI! IIOII'U!AL OOlClMfln MlnAL HIIAL\l.'8 OIl.\IIIIR ClAMP HILL, .lJnSrLVUIA aOOIAL HUlI.'OR! Name I JAMBS ALSPAUGH . N.R.', 31110011 Date of Admiesion: 07/26/1994 D.O.8' 03ntl/1ll33 Attending Physioian. Dr. Stockton A eooial history interview Illsion conoernin; ~ack m. Alspaugh, I;a 61, wee oonduotld by telephone with JaoK's brother ~am.s (Jim) Al.~augh, age 57. Jaok'l family was unavailable to partioipate in perlon at thie Community Mental Haalth Canter, however, they agreed to lupply the undlllreigned with information via telephone. It appears that Jaok's brother Jim, AD well AI hie deter June AlupAugh will be primary support perllons for "'ack whUe he is hospitalized at thie Community Mental Health Center. PR1IlSBN'1'ING PROBLEM I 61-year-old ~ack E. Allpaugh wal admittod for hi. .. eecond p.yohiatrio hOlpitAlintion 7/26/114, He ie und.r the psyohiatrio .ervioe of Dr. Stookton who hall provieionally diaqnoled him withl AXIS I - Major Depralsion, Reourrent; . AXIS XI - Mild mantal retardation, Jack's firet peyohiatrio hOBpitalization was approximately 2 monthe ago at the Carlille Ho.pital. lI'o1.l0wing his relea8e from the hospital he was then admitted to a perlonal oare home (Peggy Maokey). Jack oontinued to relide at this perianal oare home ~ntil hie admiesion to thiB facility. Jim indicated that there il primarily one major preCipitator leading to Jack's deprftslion and naed for inpatient psychiatrio treatment at thil time. He explained that Jaok b mUdly mentally rl!ltardl!ld and hall primarily led a vl,iry sheltered life. Apparently Jaok remained in hil parent's homl,i until their death. in 1970. At that time he then went to live with his older . brother John and hie brother Jim. Jim etxplainad that with hb work sohedule all well AS with John'll they wen able to primarlly prOVide 24 hout' supervision for Jaok. He indioated that John worked nights and than wa. home during the day and Jim worked daye and wae home in the eveninqs and niqhts. This arrangement went quite well, however, their brother John passed away moet reoently in April of 1994. Jim indicAtea thAt Jack was very close to John and John primarily "waited on Jeok hand ana foot". Jim indioated that John wal however, unable to ;et Jaok intere.ted in any outlide aCltivitiel. After John'l death in April of thil yeu Jim felt that he wall unable to handle Jaok primarily due to his own work 'eh.dule. It was at that time that he was t.hen plaood in the per.cnal oare home of Peggy Haokey. HOlt reoently, however, Jack appanntly began to etxpreee a decnale in Aotivities of daily 1 " "1'" '.'."~ 'd \ .If ..... , . ",.. , " " t.. IN . . CMHC MEDICAL RECORDS - '"' TEL:717-763-238S Aug 11,00 15154 No.003 P.06 " . ~ . I I Name I JAMBS ALSPAUGH living. He wall found wandering away from the per.oonal oare home on leveraloooalionl. Jim indioated that beoauel of thiD he felt that the perlonal oare home provider felt it neolllllary for Jaok to be admitted to thil faoility fo~ inpatient psyohiatrio treatment of hie depression. APparently it Wall felt that Jack 18 very distrollsed 9ver the recent ),011II of his brother John. CURRINT SI~UATIONI JaoK AlllpauQh previo"lIly maintained rellidenoy at 554 Mountain Road, Boiling Springl, PA. ~his address i. a personal oare home of peggy MaoKey. JaoK has been residing at this acldre.. for approximately two mcnths. It is uncertain a8 to whIther he will bl able to return to this faoility upon hi. dilloharge from thil COllOllunity Mental Hoalth Center. Jaok' II hmlly questionl whether or not there is a need for JaCK to be inlltitutionalizld at the-looal oounty nursing home instead of a personal oare faoility. JaCK i8 single, having never married. Apparently he hal not been involved with any long term femal~relationlhip. aa WIll. As noted previouIl.y, Jaok hall mildllf'f'etardation. Jim explained that at the time of Jaok' s birth he Willi born with laok of oxygen and there:eore ther8 wae brain damage at childbirth. 880aUII of thil Jack has lad :l very sheltered lih primaX'ily by hill parente and then after their death by hh older brother JoM. conl.quently, he hal developed very close relationihips with thOlle family momberl in the past. Finanoially, it does not appear that Jllck il under any dure" at th1e time. He is currently unemployed, however, he d011l receive a small sooial Seourity pension from his mother'l earningl al WIll au a 8mall pension fund from hi. fAther'a earninge. Jim indicated thAt his brother Jaok dOla not understand th. value o:e money., ~here:eore, at this time the personal care home provider, pegqy Mackey, has been handling all of. Jaok's finanoel. Prior to hie placement in that fe&oility Jaok' s brother John handled the money. Jack does not have any children. Jim indioated that leisure aotivities for Jack Ilre very limited. He explained that Jack enjoYII going for walks and enjoy. going to the mall in order to just watch people. He explained that Jaok i. Booiable and enjoys talking to people IlS well. Jaok does not bolong to any clubB or orgllni~ation8. He i.B not affiliated with any speoifio church at thh time. At one time he did, however, attend the Church of the Brethren in llunt.dal& with hill parenti. peer relationuhipa for JaCK are also vary limited. At this time hiD primary relation.hipl are with his brother Jim and hie allter June. Relponsibilit~eB for Jaok are also few at this time. 2 , "'#~.-n"'I',' '" , ' CMHC MEDICAL RECOP-OS TEL:717-763-2~8S Au 9 11,00 lS:SS,No,093 P,O? . Name I JAMES ALSPAUGH Jim indicated that most recently dnae Jaok was relll1dinq in e. pereonal cara facility, primarilY everything wae taken aare of for Jack. Jim wall uncertain of any appetite ohallgell that have developed for Jack moet reoently. He did note, however, that he felt that Jack wall not eating all much as he had been in the paet. Jim alllO indicated that Jack'l deep pattet'n i9 primarily getting only a couple of hourll of Sleep per niqht. He aloo feele that Jack has been having probleme with 110mB Illeep deprivation over the palt couple of monthe since their brother'lI death in April. Jim indicated that he Willi uncertain /Ill to llpecific medications that Jack had been taking prior to hie admiesion to thh psychiatric hospital. It Willi noted according to the admiuion Iheet that Jack wall on the pr8lloription medications Dillb.1.nese, ~antac, Cardura, Capoten, and Doxepin. It wae also noted on Jack'l admi8sion aheet that he waD taking the non prolloription medioation Be alpirin approximately once a day. Jim indicated that he i8 not aware of any pllst or pre lent hilltory of street Ilubatllnce for hil brother Jack and, he wall unaware of any alcoholic intake that hill brother may have consum~d. He r8l~ted that Jack doel not amoke oigarettos. Jim wae unaware of any suicidal thought II , plans, or attempt. that Jack may have had. He explained that Jack never indicated any suicidal thoughts to him. Medically and surgically Jaok has been hoepitalized only on one occasion. Jim indicated that approximately ~ yearl ago JacK wae hOlpitali~ed for open heart surqery, a bYP~81l . Jack aleo has a history of alight high blood prellllure. Jim indicated that Jack'8 primary care phyeioian 1e Dr. Houff in Carliule. He 88~. this phyaicilln when needed. BACKGROUND INFORMATIONs Jack Allp~ugh wae born at the f~mily home in Huntsdale, J?A. He wae raised in Huntedale cmd attended school through to approximately the 4th qrade. Jim indicated that Jack never really learned to read cr write and at thil time oan only write hie own name. As mentioned previouelY due to complication at birth. Jaok hall mild brain damage blllcauso of lack of OXigen at birth. He wae railled in a very Ihelt.red environment.by h II parente until their death in 11170 at which time hie oldsr brother John took over relponeibilities in caring for Jaok. Jaok ie'presentlY unemployed, however, he had been workinq at an MH/MR workshop in Mechcmicl'burg for a puriod of apprcximatdy 10 yellX'8 at: one time. Jim explained that Jack stopped workinq approximately 5 to 6 years ago and has been unemployed since then. Jack'e parents were Claire and Thomas Allpaugh. They 3 ",' "........;,,,.........' --. ~ CMHC MEDICAL RECORDS TEL:717"763-23B5 Rllg 11.00 16:06 No.005 P,QL , . , .... Name: ~AMES ALSPAUGH are both deo~ased at thh time. llie mother paolled aWllr in 1970 Ilt the age of 69 due to he~rt problems. Bhe had been emp oyed at one time all an LPN at thH cr.r1i81e Be.rrioke. Jack' I fathet' Thomlls pllued away l!Io1eo in 1970 at the age of 75, alllo due to heart problems. He was receiving dieability from the U.S. Servicel Ili well as at one time Wll8 employed by the Pennsylvania rillh Commi8lion. Jim indicated that hiD parentll have been married approximately 50 years at the time of thair death. He al80 explained that they had a very 010"8 relationllhip with Jaok and he indioated th~t he felt there wall no hill tory of ohild abule. Jack has two remaining s1blinga. As noted previoully hie oldest brothel' John pas lied away on 4/23/94 at the ftge of 71 due tc heart probleme. Hill dDter, June Alspauqh is preuntly 66 yearll of age. She ill retired from the Crystal Company in Carl.l.ele and preaently rea!dea in Carlisle. Jillck' II brcthsr Jim ill 57 rean of age. He ourrently is employed at the Malland Xndultry n their maintenance department and also rellides in carlisle. Jim indicated that he feels that they continuo to be a very olose family and that he and June have continued to hove regular visitation with Jaok. When visiteo.tion is unavailable, Jim indioated that they continued to remain in regular telephone contaot: with Jaok. Jim has 8xprened a very strong concern for Jack's future and hall indioated that n.ith8~or his slster June ~r. able to p~ovide the n80eslary oare that Jack requires. Beoause of thie they feel that either another personal care facility will be appropriate for Jaok or the p08Dibility of a plaoemsnt at the Cumberland County Nursing Homo will be more appropriate. Jim indioated that he had no reoall of a psyohiatrio hi,tory prevalent in their family of origin nor wall he aware of any drug or aloohol related dependenoiee. SUMMAR.'t' I Sl-year-o,1.d Jack I!:. Alspaugh wile voluntarily hospitalized at this Community Mental' Health Center on 7/26/94. lie ill under the peyohiatdc lIerviae of Dr. Stookton who has provillionally di&gnoeed him with: AXXS I - Major Depression, Reourrent; AXIS II ~ Mild mental retardation. This is Jaok's second psyohiatrio hospitalization with his first beiny at the Carlisle Hospital approximately 2 months ago. Sinoo his die charge from the Carlisle Hospital Jaok haD been residing at a per80nal care home facility in Boiling Springs. It appears that here is one primtu:y preoipitll,;or leading to Jack'lI depression and need for lnpatient pllyohiatrio treatment at this time. Jack's brothsr Jim explainod that Jaok is basically mentally retarded and therefore has required supervision throughout his entire life. After the death of their parent's in lP70 Jaok then went to reside with his brothers John and Jim. ~hil arrangement had been workinq quite well until the death of John in April of 19P4. Bince then Jack has beoome deprellsod and it has 4 . ",'.... I. !, \; , ~:i'\'" -.r"j ",',.,'. I., ,,, \ I I,' " tn~ ~d.'~:'\~'j\_)\,\",-"il':"'-_;~I)" ~t~"l'~"''.' ';",'d . (" "" 'UliP~Jl~'''':.ii,I':I'': ( ) 'I ;',' P , '~" ~'\l\!tA:){ I ./1, I"" "" \ ). I'. 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';'. i ....,:. : (It ,if :~.~ \';i\,:'- .'" 'J ., ,I.,'" ,", ,!, 1 " ",<' ','," . " ,.......-~..~ e:. ~.I~\I ,I \~ " , . r. " I ;~-f) ;.~"..,.'ij,.il:j\!":~~xl !' ',. '; ;11;:' 1"YJf:,~ ,': i'~~',':l';',:~'f:':i:,~.l.,:.'~.i~'il i I I,." '" IN THE MATTER O~ IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION JACK ALSPAUGH An Alleged Incapacitated Person NO. INCAPACITATED PERSON PETITION FOR APPOINTMENT GUARDIAN OF THE PERSON PURSUANT TO 20 PA. C.S.A. 5511 1) Your Petitioner is Robert L. O'Brien, Esquire, Solicitor for the Cumberland/Perry Mental Health/Mental Retardation Office. 2) Respondent is Jack Alspaugh, an incapacitated person, residing at Cumbarland County Nursing Home, Carlisle, PA. Respondent is an adult individual being presently 6l years of age with a birth date of March 15, 1933. Attached hereto, marked as Exhibit "A", and incorporated herein by reference is a social summary and hospital records in reference to his current situation. 3) Petitioner requests that the Court appoint Robert Goril, C/O Cumberland/Perry County MH/MR Office, Cumberland County Courthouse, 1 Courthouse Square, carlisle, Pennsylvania, as guardian for the limited purpose of executing certain forms and waivers that are required to insure the continuation and availability of care and treatment for Respondent at the Cumberland County Nursing 1I0me and any other facility for his complete physical and mental needs. Mr. Goril has no interest adverse to Mr. Alspaugh. 4) Mr. Alspaugh receives residential services at the nursing home and is a client for MH/MR related services through the County. WHEREFORE, Petitioner, Robert L. O'Brien, respectfully requests that the Court order and direct that the Register of Wills issue a citation directing that Respondent, Jack Alspaugh, be brought to Court CMHC MEDICAL RECORDS TELI717-763-2385 '. Aug 11,00 lS:S4 No.003 P.OS '" IIOLI 1':1:111'1 HOI'ZorU. OOMMVJUn "'III.'AL HDL~H ClIO.. 0ANJl "ZLL/ .lnIILVUXA IOClXU. HZIIIlORI Name I JANIS ALSPAUGH M.Il.'1 3U8011 Oat. of AdmLuionl 07120/1094 D.O.II 0:S/15/1~33 Attln~in; PhYlioiAn, Dr, Stookton ^ 100151 h.!.ltory interview 'Iu.l.on oono.rn.l.nq Jaok Ill. Al'PIU;h, a;. 61, WI. oonduotld by telephone w.l.th Jaok'. brother Jamll (J.l.m) AlIpau;h, /tile 117. Jack'l tamily waa unavl1hble to participate in peril on lit thiB community Hental Health Center, however, they a;reed to lupply tha undlreiqned with information via telephone. It appean that Jack' e brother Jim, a. we),l AI his siltel:' June AlIpauqh will be primary lIupport plrsons for Jaok while he i. hOlpitaliEld at thil Community Mlntal Health Center. PRlSINTING PkOBL!MI 51-Ylar-old Jaok R. Alepaugh wal admitted for hi. . 'Ioond plyohLatria ho.pitalhation 7126/114, He is under the plyohiatric I.r~ioe of Dr, Btookton who has provisionally diaqnoled him withl AXXI X - Major Depr.l.ion, Recurrent; AXIS II - Mild mental rltardation. Jaok'l tir.t plyohiatr.l.o hosp.l.talization wae approx.l.matlly :I month I '00 .t the Carlble Ho.p.t.tal. 'allowing hia r.l.... from the ho.pital h. wae then admitted to A perianal oare horn. (Plqgy MaCkey), Jaok oontinued to re.icle at thie perianal carl home until hil admileion to this facility. Jim ind.l.o.ted that there i. primarily one major preoipitator l..d.l.nq to Jack'l depreleion and need for inpatient P,yohlcltr1c treatment at th.b time. H. explained that. Jaok 11 mildly mlntaUy retarded and hat primarily led a very Iheltlreel lif.. Appar.ntly Jack remained in hi. parent'e home unt.il thlir death. in 11170. At that time he then went to live with l,i. older brother John and hie brother Jim. Jim explained that with h1l work .ah.dule III well eo. with John'l they were able to prirnarUy provide 24 hour .uperYiu1on for Jack. He indicated th.t John worked niqhts and then wa. home durinq the day and Jim worked days and wao home in the IVlninql and niQhtl. Thill arranqement went quit. well, how.ver, their broth.r John palls.d away most reoently in April of lP114. Jim indicatld that "aok WaD very close to John and John prim.rily "waited on Jack hand and foot". Jim indicated that John wa. however, unlblo to get Jack intere.ted .l.n any out.ide activiti... Aftlr John'. death in April of this year Jim felt that h. we. unable to handle Jaok primarily due to hia own work loh.ciul.. It w.. at th.t t.l.me that l1e wal then plaood in the per.onel care home of peqqy Haokey. MOlt reo.ntly, however/ JAck '"pp.rent~y bl/li.n to expreee a deorease .l.n Activities of daily 1 '. "I" ......_.,., i.'". ..u..", , ,. oJ ,. ... CMHC MEDICAL RECORDS . , ' TEL:717-763-2385 . . . . Name I JAMiS ALSPAUGH livin;. He wall found wandering away from thel personal oare home on .evenl ooouion.. Jim inc:l.ioated that beoause of thill he telt that the pe~.onal oare home provider felt it necellsary for Jack to bel admitted to thiq facility for inpatient psychiatric treatment of hie depression. APparently it was felt:. that Jack ie very dietresled ~ver the recent lOllS of his brother John. CUanKN1 SI~UATIONI Jaok AlllpauQh previously maintained residenoy at 554 Mountain Road, Boiling spring., PA. This address i8 a personal care home of pe;qy Maokey. Jack hat been relsiding at tlli. addre.. for approximately two month&, It is uncertain at to whether he will be Able to return to this faoility upon hi. disohar;e from thil COl\'Q1\unity Mental Health Center. Jaok's hmlly question. whether or not there is a need for Jack to be institutionalized at tha-looaloounty nursing home instead ot II personal care facility. Jaok is single, having never marrield. Apparently h8 hal not been involveld with any long term femal~relation.hips al well. Ai noted previoulilly / Jack hail mildllf'fetardation. Jim explained that at the dme of Jaok' II birth hel was born with laok of oxygen and thentore there was brain damage at childbir.th. aeoaun ot this Jack has led a very sheltered life primarily by hie parents and then after their death by his older brother John. cenlequently, he has developed very olose relationships with those hmily membet'il in the past. Finanoially, it doee not appear that Jack i. under any dure.s at this time. He is currently unemployod, however, he delll receive II small sooial Security pension from his mother'. earnin'iJlI a. well all a small pension fund fro~ his father/II earnin'iJe. Jim indioated that his brother Jaok does not understand the value of monelY. ~hl!lrefore, at this time the pereonal care home provider, ~egqy Mllckey, hae been handling all of Jack's finanoe.. Prior to hie placement in that hoUi ty Jack's brother John handled the money. Jack does not have any ohildren. Jim indioated that leisure aotivities for Jaok are very limited. HIl explained that Jack enjoys gain; for walks and enjoys ;oing to the mall in crder tQ jU8t watch people. He explained that Jack ill sociable and enjoys talking to people as well. Jack does not belong to any clubB or organizations. He is not affiliated with any speoific church at thb time. At one time he did, howelvlr, attend the Churoh Qf the Br~thren in Hunt.dale with hil parents. Peer relationehips for Jack are also very limited. At this time his primary relationships are with hili brother Jim and his ai.ter June. Ralponllibilitiee for Jack are also few at this time. 2 ..',':1_..."".... \. CMHC MEDICAL RECORDS r- , iEL:717-763-2~85 Aug11,OO 15:55 No.OQ3 P.O? , '" Name: JAMES ALSPAUGIl Jim indicated t,hat most recently dnoe Jack was ree.1dinq in a personal care facility, primarily everythinq was taken oare of for Jack. Jim wal uncertain of any appetite changes that have developed ~or Jack mOlt recently. He did note, however, that he felt that Jack wae not eating as much as he had been in the palt. Jim allo indicated that Jaok'. e1eep pattern is primarily qettinq only a ooupl. of houri o~ eleep per night. He aloo feels that Jack ha, be.1I havinq probleml with aome deep deprivation over the pa.t couple of montho .ince their brother.'s death in April. Jim indioated that he Was uncertain ae to speoific m.dicationl that Jack had been taking prior to hie admi.sion to Md.. plychiatrio hospital. It was noted aooording to the aclmiuion Ih..t that Jack WAIl on the prelcription medications Diabines8, BantaOt Cardura, Capoten, and Doxepin. It wa. also noted on JaCK'. admi., on eh..t that he wae takinq the non prlecription medication 10 ..pirin 4pproximately once a day. Jim indicated that he il not aware of a"y pa.t or prelent hiatory of street substanoe for hil brother Jack and, he was unaware of any ~lcoholic intake that hia I.lrother may hAve consumed. He related that Jack does not Ilmoke llic,Jarettfll . Jim was unaware of any Buicidal thoughts, plans, or athmptl that JaOK may have had. He explll1ned that Jaok never ,indicated any luicidal thought I to him. Meuioally and surqioally Jaok hal been hOllpitalized only on one oooa.ion. Jim indicated that approximately 5 years aqo Jack wa, ho.pitalized for open heart eurQery, a bypalls . Jaok alllo ha. a hiltory of Illight high blood pnllllure. Jim indicated that Jack'. primary oare physician i8 Or, Houff in Carliele. He ..e. thio phYlician when needed. BACKGROUND INrORMA~IONl JaCK Allpaugh was born at the family home in Huntsdale, PA, He was rdsed in Huntlldale and attended school through to approximatelY the 4th grado. Jim indicatad that Jack never really learne~ to read or write and at this time can enly write hie own name. AI mentioned previously due to complication at birth. Jack ha. mild brain dama~e because of laoK of oxygen at birth. He wall railed in a very Iheltered environment.by hill parente until their death in 11170 at wnioh til11e his older brother John took over r.lpon8ibilitios in car.ing for Jack. Jack ill 'presently unemployed, however, he had been workinq at an MH/MR workshop in Mecllaniosl:lurg for a period of approximately 10 yeara cSt OM time. Jim explained tllat Jack stopped workinlil approximately 5 to 6 yeara aqo and haB been unemployed since then. Jack'. parents were Claire and Thomal Alspaugh. Thoy 3 , ' "', .~.\, '.II"""""'IlI~.' ~ .. CMHC MEDICAL RECORDS T.EL:717-763-23BS Aug 11,00 16:06 No.OOS P.Ol '- , , Name: aAMES ALSPAUGH are both deceased at this time. Hie mother passed away in 1970 at the age ot 69 due to heart problems. She had been employed at one time au an LPN at the Car11lle Barricks. Jaok' I father Thoma. paUld away also in 15170 at the age of 75, allto due to heart problems. He was receiving disability trom the U.S. Service. as well au at one time was employed by the Pennsylvania rillh Commi8ll,ion. Jim indicated that hiB parente haveb..n muriGd approximately 50 yearll at the time of their death. He aleo explained that they had a very olos. relationship with JaoK and he indioated that he felt there was no history of child abuse. Jack has two remaining llibling8. As noted previoully hb oldest brother John pused away on 4/23/94 at the age of 71 dl1. to heart problems. Hill si.ter, June Alspaugh is presently 68 years ot age. She is retired trom the Crystal Company in Carlisle and pre.ently resides in Carlisle. Jack's brother Jim io 57 year I of age. He currently is employed at the Ma.lanct Xndultry in their maintenanoe department and also resides in CarliSle. Jim indicated that he feels that they oontinue to be a very cloee family and that he and June have continued to have regular visitation with Jack. When visitation is unava.l.lable, Jim indioated that they oontinued to remain in regular telephone oontact with Jack. Jim hll8 expressed a very strong OOnoern for Jack'e future and hae indicated that n.ithe~or his sister June are able to prOVide the neoe..ery care that Jaok requirei. BeceuQe of this they feel that either another personal care facility will be appropriate for Jaok or the possibility of a placement at thti Cumberland County Nursing Home will be more appropriate. Jim indioated that he had no reoall of a psychiatrio hi.tory prevalent in their tamily of origin nor was he aware of any drug or alcohol related dependenoies. 9UMMAAY, 61-year-Old Jaok E. Alspaugh wall voluntarily hospitalized at this Community Mental' Health Center on 7/26/94. He io under the psychiatric service ot Or. Stockton who haa provisionally diaqnosed hiIn with: AX~S ~ - Major Depression, Reourrent/ AXIS II - Mild mental retardation. This is Jack's seoond psychiatric hOlpitalization with hil fir.t being at tho Carlisle Hoepital approximately 2 month.. ago. Since his diSCharge from the Carlisle Hospital Jaok hat been reiidinq at a personal oare home faoility in Boiling Springe. It appeare that here is one primary precipitator leading to Jack's depression and need tor inpatient psychiatric treatment at this time. JaoK's brother Jim expJ,ained that .jaok ill basically mentally retarded and therefore hat required supervision throughout his entire life. 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