The spectacular break from confinement from the Hawaii State Hospital was like a made-for-TV movie.
Randall Saito鈥檚 quick capture in California is a relief, but we need to take steps right now to ensure such incidents never happen again.
State officials did the right thing in suspending without pay seven hospital employees tied to Saito鈥檚 actions. But there is so much more to be done.
Implementing greater short-term security, such as more fences and guards, could help stop dangerous patients like Saito from walking off the hospital grounds and hailing a taxi cab. Why this wasn鈥檛 already in place is baffling, as the overbooked mental hospital is located in a residential Kaneohe neighborhood and borders Windward Community College.
While we recognize that federal mental health laws require the mentally ill be held in the least restrictive setting possible, Saito鈥檚 own admission that he faked mental illness to avoid criminal charges for the 1979 shooting and stabbing death of Sandra Yamashiro makes it obvious that something needs to change in the criminal justice system.
State Sen. Jill Tokuda, whose district includes the hospital, said that the Legislature set aside $1.7 million for additional security just two years ago.
鈥淣ow is the time for some real action,鈥 she said, noting that the added security was the result of the formation of widely publicized task force in response to reports of violence against hospital staff.
No Notice To Airlines
Saito鈥檚 apparent ease in charting a flight from Honolulu to Maui and then boarding a commercial flight to California is similarly astonishing and demands recourse.
State Rep. Matt LoPresti of Oahu, the vice chairman of the House Public Safety Committee, has been in touch with the Transportation Security Administration regarding the hospital incident. Had the state departments of health and public safety contacted airport authorities the moment Saito鈥檚 absence was discovered, an all-points bulletin might have been issued by TSA and airlines could have been on the lookout for Saito.
Instead, LoPresti says TSA told him that no notice was given until long after the fact. Even Saito said in a jailhouse interveiw that he expected to be apprehended several times while on his getaway.
Saito鈥檚 escapade underscores the urgency to move on the planned $160.5 million expansion of the facility. 聽The聽聽calls for more than doubling the capacity of a structure that was never intended for occupants like Saito.
DOH Communications Director Janice Okubo said the demolition of the hospital鈥檚 Goddard Building was completed in December. Since then, DOH has been working with the Department of Accounting and General Services to prepare a request for proposal for construction of a replacement building聽using the design-build methodology to expedite the process.
The new patient facility is currently in the procurement process, and it’s hoped that construction will begin in the summer of 2018 and the project will be finished in December 2020.聽
The replacement facility will have a 144-bed patient capacity for new admissions, high-risk patients and those who are considered flight risks. Okubo said the building will have treatment, visitation and exercise areas “totally within the facility. It will be highly secure for patients, staff and visitors.”
That sounds promising, but given that 聽from the hospital in the past eight years, DOH and DAGS 鈥斅爓ith the urging of Gov. David Ige and Legislature 鈥 should do what it can to speed the process further. If our leaders need any inspiration, they can consider what it would be like to see more news stories about sexually sadistic, necrophiliac serial-killer types running loose on Oahu.
Pre-Trial Felon
It seems that Saito, who is being held in Stockton, California, to Honolulu. Too bad.
We expect that he will be expeditiously returned in handcuffs and chains to be arraigned in Honolulu. If that happens, Saito will be held as a pre-trial felon at the Oahu Community Correctional Center unless he posts the $500,000 bail or bond.
And, if Saito does post bail, he will be sent back to the Hawaii State Hospital. Either way, he will not be released into the community, says Attorney General Doug Chin.
Once the investigation is completed, the public needs to be told as much as possible about what led to the embarrassing and potentially dangerous escape. Timely updates along the way are a must.
This bad movie is still playing. Saito, for example, says he regrets Yamashiro’s murder and wanted to prove that he doesn鈥檛 need to be hospitalized any longer.
But Saito surrendered his rights long ago. It is now up to our leaders to do all that they can so we never see the likes of Saito again on our TVs, in our newspapers and online.
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The members of Civil Beat’s editorial board are Pierre Omidyar, Patti Epler, Jim Simon, Richard Wiens, Chad Blair, Jessica Terrell and Landess Kearns. Opinions expressed by the editorial board reflect the group’s consensus view. Chad Blair, the Politics and Opinion Editor, can be reached at cblair@civilbeat.org.