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Cowlitz County Coroner Tim Davidson said his office is now staffed around the clock and able to investigate all at-home deaths. Roger Werth / The Daily News

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County coroner to investigate all at-home deaths

Wednesday, March 12, 2008 6:35 AM PDT

By Leslie Slape

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The Cowlitz County Coroner's Office is now evaluating all at-home deaths, even if they appear to be from natural causes, due to growing concern about elder abuse.

In addition, they're now responding to nursing home deaths if death resulted from an accident or underlying circumstances other than natural causes.

Coroner Tim Davidson and Chief Deputy Coroner Brett Dundas said by looking at deaths when they occur, they can rule out abuse right away - or begin an investigation.

"It's something that has needed to happen in this community," Dundas said. "We have so many people being cared for in back bedrooms of people's homes. Ninety-nine percent of those are cared for with the best intentions and good care. But if even one person is mistreated or doesn't receive care they deserve, they need a voice. I've always felt we are a voice for those who can't speak themselves. They deserve that voice, and this is one of the best ways we can do that."

The Coroner's Office is now staffed 24 hours a day, but Davidson said the changes, which took effect March 1, won't cost taxpayers any additional money.

Davidson and Dundas work full time, aided by five part-time deputies. Two deputies are on duty at all times. Davidson and Dundas take turns working backup.

"It's just a matter of being able to shuffle part-time personnel," said Davidson, who spent a year developing the plan. "I've got a bunch of people devoted to the office and who like the job they're doing to be able to balance the schedule."

Davidson estimates the coroner's office will increase its caseload by about two-thirds, or 200 deaths a year.

He emphasized that most concerns of abuse are unfounded, but in the past if people waited too long to express them, sometimes there wasn't anything their office could do.

"Once or twice a week, family members show up here and say, 'Grandma was being abused by her caregiver prior to her dying and we think that has something to do with her dying,' " Davidson said. "We say, 'Let's take a look at Grandma and see what we've got.' They say, 'We cremated her yesterday.' Once they're cremated, our investigation is basically closed. We can't look to see if abuse happened."

Now, "When family members come back and say, 'This caregiver or family member was abusing the person prior to death,' we'll have documentation on file that shows no sign of neglect or abuse," he said. "It gives the family peace of mind to know we checked Grandma or Grandpa and they looked fine, or if not, we bring law enforcement in here and the investigation can start."

Reaction from family members has been encouraging, Dundas said.

"When we tell them we're there because of the huge problem with elder abuse, they are completely receptive," he said. "There's almost a sigh of relief that somebody's doing something, that an agency is out there looking out for the family."

The changes have been greeted with enthusiasm by law enforcement and funeral homes, Davidson and Dundas said.

In the past, law enforcement gave the coroner's office information about natural deaths over the phone and then waited at the scene, sometimes up to two hours, until a funeral home arrived to take the body. Now, officers can get back out on patrol within a half-hour because a coroner is there, Davidson said.

He said if a funeral home can't respond quickly, the body will be brought to the coroner's office. A chaplain will respond with the coroner and will remain with the family, he said.

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somedude wrote on Mar 12, 2008 7:48 AM:

" Wonderful! "

Waste wrote on Mar 12, 2008 8:36 AM:

" What a waste of taxdollars! Why cant people just accept death and when it comes it comes. I remember proir articles that stated that this guy was already over booked and lacked proper facilities. This should be paid out of pocket by the families if they want this service. He states that most claims are unfounded. Accept it folks when your ticket gets punched its time. "

to waste wrote on Mar 12, 2008 9:00 AM:

" WOW - the article also says there will be no extra tax dollars.
I too accept death and believe that when you die it was your time. But those are harsh words. And if someone else had a hand in your death...they should be punished properly. "

RE: WasteWhy don't you read the entire story wrote on Mar 12, 2008 9:26 AM:

" Why don't you read the entire story!!!! Like maybe the part that says : it will not cost the taxpayers any additional money....And I can except death when it comes but if for one minute I think that someone is hurting someone from my family, elderly or not then I want it checked out.....sure glad Iam not related to you... "

standard wrote on Mar 12, 2008 9:33 AM:

" Aren't supposed to investigate all at home deaths anyway? I would think it is standard procedure. I think it should be if not already. "

Dave wrote on Mar 12, 2008 10:28 AM:

" Way to go Tim, you are doing a great job. Don't let the whiners get to you None of them would or could do the wonderful job your doing and knowing you as a friend also I know you are dedicated to Cowlitz County and what is best for all of us. THANK YOU! "

ROSSrules wrote on Mar 12, 2008 10:29 AM:

" If I died at home (in the future) I 'd like to think that someone would make sure that I had not been snuffed out, wouldn't you? Life is precious! "

Re: Waste wrote on Mar 12, 2008 12:23 PM:

" You are weighing money against human life. Just sick.
When you have needs and no one helps you, will you tune change? Sitting in your own mess, starving to death? That is what people should just accept? You have a very distorted sense of life.
Dundas is correct when he states that they are the voices of those who have passed- when no one else listens, this is the only time the dead speaks. "

Mr. Bastinado wrote on Mar 12, 2008 1:54 PM:

" Yes, it will not cost the taxpayer any extra money. The estate or surviving family is billed for the coroner's services. "The Coroner's Office is now staffed 24 hours a day,"... Well, it should come as no shock that they're staffed 24 hours per day and are now going to investigate (bill for)every death. They have to pay for the extra personnel somehow. Coincidence?, I think not. "

FYI wrote on Mar 12, 2008 1:59 PM:

" The Coroner's Office does NOT bill families or their estates now or ever. "

re standard wrote on Mar 12, 2008 2:41 PM:

" I believe you are correct< My understanding of the law is that anyone dying in a home setting that has not been seen by a physican a few short days prior to death are to be reviewed by the coroner. This law has been enacted for a reason. Be thankful a loved one can have a voice after death. "

dirty wrote on Mar 12, 2008 2:55 PM:

" my fiances mother died at home in 2003 and i had the luck of finding her on her couch. she had no reason to pass away, granted she was ill, but not ready to die ill. she was in her forties and it looked as if she died in her sleep.

my fiance asked for an autopsy to be performed and we were told it wasnt going to happen, even though there was no real reason behind her death.

to this day, we dont know what killed her. thanks, cowlitz county coroners office for being almost 5 years too late! "

El Gabilon wrote on Mar 12, 2008 3:22 PM:

" If you are in any doubt that elders are being abused, then we suggest that you go to the Seattle Times website and look up Nursing Homes Elder Abuse under investigative reporting. You will find that in Washington State elders are being abused, murdered etc. all under the states eye which has done nothing to improve conditions. What this coroner is doing is worth while even though it is a last resort for justice for anyhone who was abused and died. The Ombudsmen program in Washington State stinks, even though the volunteers try to do the best they can under conditions that have been established by the industry to cover up what his happening to grandma and grandpa in nursing, private, assisted living etc. homes. As for increased taxes you should be glad that you have the opportunity to pay taxes. If taxes are being wasted then do your duty and find out why and demand action be taken to reduce the waste. This program is not a waste, but some of these comments show just how much humans have returned to primitive living. If one citizen is abused etc., then ALL CITIZENS ARE in one way or the other even if they are not aware of it. Still if you don't like paying taxes, why not move to say Russia, China, Afghanastan anywhere but here since you are a burdern rather than a contributor to social justice. "

A priori wrote on Mar 12, 2008 3:58 PM:

" Hooray for Mr. Davidson!Thanks for a well written article Leslie! "

common man wrote on Mar 12, 2008 4:56 PM:

" Wasn't this county office looking to expand last year? I guess this will allow justification for expansion of government based on actual case load next year. Any increase in service will be an increase in our tax dollars. The only way we would see no increase is if the department got smaller each year. If you want a review pay for it, don't as the county to do it for free. "

THOUGHT wrote on Mar 12, 2008 6:04 PM:

" In addition, they're now responding to nursing home deaths if death resulted from an accident or underlying circumstances other than natural causes.

With all the reports of abuse in nursing homes one would believe it would have a higher priority for this office. I thought the idea of this office was to determine if it WAS natural causes!!!! "

FYI wrote on Mar 12, 2008 7:19 PM:

" Each person that dies of natural causes and is not seen while in a nursing or long term care facility, at the time of death, has an external examination preformed by the Coroner's Office when they are in the funeral home for possible elder abuse. "

Job Security wrote on Mar 12, 2008 7:34 PM:

" Wow, I wish I could add responsibility to my job so that it is easier to justify more money. No not this week but yes probably next week, month or year. "

saywhat? wrote on Mar 12, 2008 7:38 PM:

" One of the things I come away with when reading so many of these posts, besides the apparent lack of compassion, is the feeling that the posters don't READ the articles, at least not in their entirety. Anyhoo, hooray for the coroner and gang. It's needed. "

Hats Off wrote on Mar 12, 2008 8:09 PM:

" The Coroner's Office is responsible for establishing the cause, manner, and mechanism of all deaths within their jurisdiction. If a natural death, occurs within a care facility under medical care these deaths are still being evaluated for abusive or negligent injuries with a follow-up examination.

As for charging the families for an investigation, this would be like having law enforcement charge a citizen for taking a report on a crime that happened against their family.

These cases are already being investigated by both law enforcement and the coroner’s office, this will remain the same. This story shows that the investigation is going to become more in depth.

This story also states that the law enforcement agency involved will no longer be sitting at the scene awaiting a funeral home response; instead, they will be able to get back out on to our streets. As a taxpayer, I would rather have my law enforcement officer on the street. Beside with both agencies having to be involved in these investigations, have the coroner’s office take care of the deceased during this part of the investigation I am sure their pay is a lot lower then a law enforcement officer.

My hat is off to the Coroner’s Office and the county for providing a more in-depth death investigation system, utilizing personnel more efficiently, and providing a check and balance within the community.
"

ray wrote on Mar 12, 2008 10:01 PM:

" According to Catherine C. McNamee a Social Science Analyst at the National Institute of Justice in Attitudes Hinder Investigations ;

"Researchers also identified a propensity for medical examiners and coroners to exhibit ageism—a belief that focusing on nursing home deaths was “a waste of their time and resources…because of the poor health status of most nursing home
residents… [who] would die anyway.”[8]
These beliefs are major impediments to improvements in the forensic identification of elder deaths".

A huge step forward, you guys are pioneers , lets hope others will follow your example.

Ray Fernandez
Editor
http://elderabusehelp.org/ "

MerriB wrote on Mar 13, 2008 12:02 AM:

" I'd like to thank Tim and his employees for being so dedicated to doing a job that most of us wouldn't be able to do. To be a thourough as one needs to be in these kinds of situations must be hard as well as time consuming. Not only do I know that Tim does his job well, but he's also a heck of a guy.

Keep up the good work folks!!! "

Laurie D. wrote on Mar 13, 2008 1:40 PM:

" The lack of compassion I am reading in many of these posting is astounding. Mr. Bastinado...where did you get your mis-guided and incorrect information? There is no cost to the families now or ever. It is a gift to help bring peace of mind and heart to a greiving family and justice for their loss, if needed.
To Dirty...I am sorry you experienced what you did with your family member. Sitiuations such as yours are a perfect example of why this change is so necessary.
To Common man...HAVE YOU SEEN THE CORONERS OFFICE??? This office is for responsible for the entire Cowlitz County, that's South to Clark County line and North to Lewis County line not to mention East and West of it all. That's the better part of 100,000 people, maybe more.
There are no gold toilet seats behind those doors. What do you mean "pay for it"? Should they hold a Fund Raiser...wash cars or bake cookies. Of course this is a tax payer expense. The people of this office are also tax payers and they deserve better. They are not only responsible for dealing with the dead; they deal with those left behind. Whether it's a car accident, drug over-dose, natural causes, or Suicide, it is the Coroners office who deals with the family. Along with the County Chaplains office (Thank God for them). "

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