Psychiatric Intake Original

• This document states DOB as July 17, 1941

• McGowan is admitted on July 7, 1967 involuntarily
• Mother claims McGowan has had periods of violent behavior and suspected neurological disease since birth
• This document shows father not present during admission

Custodial Incident Report

Yard Medical Injury Report

Self Harm Report

• This document is dated one day later of September 14, 1967 and McGowan apparently tries to self harm
• Several injuries after being discovered in a nervous fit in his room
• Injuries to self include:
• Head
• Both arms
• Both hands
• Nose
• Chest

• Contusions to face and forehead
• Scratch marks on arms
• Contusions to chest and wrists
• May have hit wall with head repeatedly

Lilian Autopsy

• This is the autopsy for Lilian Grayson dated  September 27, 1967
• Patient Number: 618
• Lilian's TOD is dated either September 23 or 26, 1967 at 2300 hours
• She had three attending doctors: G. Smith, J. Miller, W. Lowe
• Autopsy took 11 hours (0800-1900)
• COD: Blunt force trauma to the head, likely from wrench or tool
• Other injuries:
• 1 stab wound to neck,
• 2 stab wound to right palm,
• 13 stab wound to stomach,
• Effusion of blood from vagina,
• Inflammation of vulva
• Presence of seminal fluid
• Document initialed by "DS"
• Noted heightened levels of progestin and estradiol in blood contents

Reproduced Psych Eval

• Labeled "Initial Psychiatric Evaluation"
• Even though he was admitted on previous file on July 7, 1967
• Document is labeled as "Reproduced August 1997"
• Patient Number: 952
• Father: Patrick McGowan
• Mother: Aoife McGowan, nee Phelan
• Complaint:
• Patient exhibits nervous behavior.
• He appears confused.
• He does not speak.
• Admissions Note:
• Mother complains of violent outbursts.
• Father is abusive.

• Assessment:
• Danger to self

Curfew Incident Report

• Incident report dated August 22, 1967
• Document labeled as "Reproduced August 1997"
• McGown resisted curfew and it took two orderlies to get patient to room
• Patient shouted "bed" several time before calling out for his mother
• Labeled as second incident of a violent nature in a months time
• Note: patient possibly lashing out at male figures that remind him of his father
• Patient placed under Grade 2 close supervision

Reproduced Yard Report

• Incident report dated September 13, 1967
• Document labeled as "Reproduced August 1997"
• McGowan muttering to himself in the yard
• Phrases heard:
• Pilot
• Never be good
• Blew him up
• Said I can't do that
• Dad now
• Blue
• Special
• When asked to stop McGowan attacked another male patient with fists and open palms
• Dr. Richter decides to take more interest in patient
• Patient placed in room and treatment plan will be decided

Treatment Plan

• Treatment plan dated September 20, 1967
• Document labeled as "Reproduced August 1997"
• This report has McGowan's DOB as July 16, 1941

• Initiated by Dr. William Richter
• Patient to begin treatment with Mellaril
• Placed in full behavioral quarantine in new room, 316
• Restrain patient and keep door locked
• Orderly to check hourly until curfew at 2100
• Follow up in three months

Madson Letter

• Letter dated September 20, 1997 to George Madson, Vice President of LFoA from Dr. William Richter, Vice Precident of LF O'Brien
• From LFoA records George Madson didn't start with LFoA until 1998
• Dr. Richter thanking Madson for accepting McGowan for transfer and wants McGowan away from him
• Transfer to take place on October 2, 1997

Heather Letter

• No date listed for document
• Headed to Heather presumably at LFoA from George Madson
• Requests reduction of McGowan's medicine
• Wants to know what he has to say, if anything