HomeMy WebLinkAbout1994-01-20 - Agendas - FinalFAYETTEVI LLE
•fE CITY OF FAYETTEVILLE, ARKANSAS
SHERRY L. THOMAS, CITY CLERK
TO:
FROM:
DATE:
SUBJECT:
Police Pension Board Members �D
Sherry L. Thomas, City Clerk ,e/el
January 14, 1994
Next Meeting
The next meeting of the Police Pension Board is scheduled for
Thursday, January 20, 1994, at 2:30 p.m. in Room 326 of the City
Administration Building. Attached are the minutes of the October
21, 1993 meeting.
Attachment
List:
Eldon Roberts
Dr. James Mashburn
Clint Hutchens
Jerry Friend
Hollis Spencer
Mayor Fred Hanna
Glyndon Bunton
Elaine Longer
Mike Kirkland
113 WEST MOUNTAIN 72701 501 575-8323
•
FAYETTE\'ILLL
CITY Of FAYETTEVILLE, ARKANSAS
SHERRY L. THOMAS, CRY CLERK
•
TO:
FROM:
DATE:
SUBJECT:
Police Pension Boarflembers
Sherry L. Thomas, City Clerk v/ev'
January 14, 1994
Next Meeting
The next meeting of the Police Pension Board is scheduled for
Thursday, January 20, 1994, at 2:30 p.m. in Room 326 of the City
Administration Building. Attached are the minutes of the October
21, 1993 meeting.
Attachment
List:
Eldon Roberts
Dr. James Mashburn
Clint Hutchens
Jerry Friend
Hollis Spencer
Mayor Fred Hanna
Glyndon Bunton
Elaine Longer
Mike Kirkland
113 WEST MOUNTAIN 72701 501 575-8323
•
AGENDA
POLICEMEN'S PENSION AND RELIEF BOARD
January 20, 1994
2:30 p.m.
City Hall Room 326
1. Approval of the minutes of the October 21, 1993 meeting
2. Old Business
A. Listing of Medical Retirees
3. New Business
A. Medical Retirement Request
B. Report from Longer Investments (3:00 p.m.)
C. Report from Mike Kirkland (3:20 p.m.)
D. Other
4 Adjournment
•
•
AGENDA
POLICEMEN'S PENSION AND RELIEF BOARD
January 20, 1994
2:30 p.m.
City Hall Room 326
1. Approval of the minutes of the October 21, 1993 meeting
2. Old Business
A. Listing of Medical Retirees
3. New Business
A. Medical Retirement Request
B. Report from Longer Investments (3:00 p.m.)
C. Report from Mike Kirkland (3:20 p.m.)
D. Other
4. Adjournment
•
•
•
January 18, 1994
Justin A. Ternes, M. D.
P.O. Box 12
Fayetteville, Arkansas 72702-0012
(501) 521-0815
City of Fayetteville
Police Pension Board
113 West Mountain
Fayetteville, AR 72701
Dear Board Members:
I was consulted in the case of Mr. Mark Hanna to provide an
opinion and possible treatment at the request of Mr. John Russell
who has worked with Mark in the past and is presently for
problems relating to his emotional and behavioral problems.
I interviewed Mr. Hanna in my office on three occasions and
reviewed with Mr. Russell, not only his recent history of
problems with anxiety but long term history including his long
term association with the Fayetteville Police force.
I have also had brief telephone cdnversations with previous
supervisors with the knowledge and permission of Mr. Hanna in
this matter.
It is my opinion, given the clinical condition with which Mr.
Hanna presents to my office and the past medical and
psycho/social history that he has suffered from and still has
a moderate degree anxiety condition related to stress of his
career as a policeman in your force. The specific diagnosis
in his case is classified as Post Traumatic Stress Disorder
in which there is anxiety and behavioral reaction to a
significant traumatic stress in a person's life. The course
of the condition is variable and can range to acute, brief to
chronic and delayed. This condition is not uncommon in our
society in situations where individuals have been exposed to
extremely stressful conditions or incidents that result in
repeated images or thoughts of the incident, difficulty with
anxiety at varying levels when the person is exposed to stimuli
or situations that they may associate with the original trauma
and occasionally there are associated emotional symptoms such
as guilt and or depression.
4
In Mr. Hanna's case the trauma that he has reported and which
is well documented involves a hostage situation on the University
of Arkansas campus in 1981., I believe Mark's PTSD has taken
a variable course which has included acute and chronic phases.
I believe he continues to suffer from this condition and that
it is related to his previous occupation.
Furthermore, it is my opinion that he would not be able to return
to any occupation involving law enforcement, security activities,
or employment of that nature.
I am hopeful that with continued counseling that Mark will have
a successful recovery from his condition. If there is any
further information that may be of help in determining his status
for medical pension please contact me at any time .
Respectfully,
A •--1 M.v.
Justin A. Ternes, M.D
JAT/ss
Justin A. Ternes, M. D.
P.O. Box 12
Fayetteville, Arkansas 72702-0012
(501) 521-0815
AUTHORIZATION FOR RELEASE OF INFORMATION
� Q . %1L4,,,,.4
Sin a Nerve ern
authorize 7C71-- %,; IL P 1�
folbwing information from my records:
Da a ROM
Nan. of Agency
PLEASE UST SPECIFIC INFORMATION
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I understand information may be drug/alcohol related.
I understand that I may revoke this authorization in writing at any time prior to the release of the information specified above. This
authorization will automatically expire 90 days after discharge from inpatient status. (Not to exceed one year)
1.
2.
Date
/1—.)1/ —
SlgMure ors Ptl.rsIG.M
senaun or Gartlan, or Next a Kin. a Appropriate
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If the patient is legally competent he/she must sign this form. ft he/she is legally incompetent, it must be signed by the personal
guardian (accompanied by proof of guardianship). tf patient is a minor, parent may sign. tf patient is competent but unable to sign
because of physical disability, his/her mark or consent may be witnessed.
Notice to Recipients of Information: The information disclosed to you was taken from records of which the confidentiality Is
protected by Federal Law. Federal regulations (42 CFR Part 2) prohbit you from making any further disclosure of it without the
specific written consent of the person to whom it pertains, or as otherwise permitted by such regulations. A general authorization
for the release of medical or other information is not sufficient for this purpose.
Al r runntro A rrrd.i rnn nrr r A e•r rnr rair^nu Atrnu
Justin A. Ternes, M. D.
P.O. Box 12
Fayetteville, Arkansas 72702-0012
(501) 521-0815
AUTHORIZATION FOR RELEASE OF INFORMATION
ante` t d Q AL4.✓t✓4 0 lo-9-SZonciahn
authorize f> i�rr L t.i /s/i u / I tr to release the
folbwing information from my records:
Name a Agency
PLEASE LIST SPECIFIC INFORMATION
1) ,//ie 9<•'o .Ii-.rL^f
2)
3)
4)
5)
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to rra.w11 (anal W Li IC
(H�wLt
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K//Ai (A41 C/iM/
for the purpose of ALi/.
F -/ii' -C_ G;)� ,A77finI T—Aft2RrM/c iD/' j
I understand information may be drug/alcohol related.
I understand that I may revoke this authorization in writing at any time prior to the release of the information specified above. This
authorization will automatically expire 90 days after discharge from inpatient status. (Not to exceed one year)
a ParbnuGbm
2.
$brunt at Guardian. or Nest of 1(h.ll appropriate
Date 17_/i:.
If the patient is legally competent he/she must sign this form. If he/she is legally incompetent, it must be signed by the personal
guardian (accompanied by proof of guardianship). M patient is a minor, parent may sign. If patient is competent but unable to sign
because of physical disability, his/her mark or consent may be witnessed.
Notice to Recipients of Information: The information disclosed to you was taken from records of which the confidentiality is
protected by Federal Law. Federal regulations (42 CFR Part 2) prohibit you from making any further disclosure of it without the
specific written consent of the person to whom it pertains, or as otherwise permitted by such regulations. A general authorization
for the release of medical or other information is not sufficient for this purpose.
AUTHORIZATION FOR RELEASE OF INFORMATION
Rev. 10/91 _ 0900
•
•
Justin A. Ternes, M. D.
P.O. Box 12
Fayetteville, Arkansas 72702-0012
(501) 521-0815
AUTHORIZATION FOR RELEASE OF INFORMATION
I, /11
?tanaarwnm em ��'✓l✓/f
authorize 1rynri,,e .; /14 .4> Name d Agency
folbwing information from my records:
i -q-SZ
Due of Binh
PLEASE LIST SPECIFIC INFORMATION
1) /9 <'�)�.; ,PIL•rL.l=IG'n
f`
2)
to release the
•
3)
4)
5)
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to t-1171 sll2 f S \ I` 1 `, �p l,Y
(Ham and address ^ Pew
«omen' r�iai .n •
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/Ct/X/
1I:
sent.
for the purpose of ,oft/ /(/-c_ Gr,2A-21�Anr,-t) r=o/' Artn?r f 'r
I understand information may be drug/alcohol related.
I understand that I may revoke this authorization in writing at any time prior to the release of the information specified above. This
authorization will automatically expire 90 days after discharge from inpatient status. (Not to exceed one year)
2.
Date
Al � �
mur a Peers/Caen
Sb atura of Guardian, at Neal of KM. d appropriate
/
If the patient is legally competent he/she must sign this form. If he/she is legally incompetent, it must be signed by the personal
guardian (accompanied by proof of guardianship). 11 patient is a minor, parent may sign. If patient is competent but unable to sign
because of physical disability, his/her mark or consent may be witnessed.
Notice to Recipients of Information: The information disclosed to you was taken from records of which the confidentiality Is
protected by Federal Law. Federal regulations (42 CFR Part 2) prohibit you from making any further disclosure of it without the
specific written consent of the person to whom it pertains, or as otherwise permitted by such regulations. A general authorization
for the release of medical or other information is not sufficient for this purpose.
AUTHORIZATION FOR RELEASE OF INFORMATION
Rev. 10/91 0900
•
•
Justin A. Ternes, M. D.
P.O. Box 12
Fayetteville, Arkansas 72702-0012
(501) 521-0815
January 18, 1994
City of Fayetteville
Police Pension Board
113 West Mountain
Fayetteville, AR 72701
Dear Board Members:
I was consulted in the case of Mr. Mark Hanna to provide an
opinion and possible treatment at the request of Mr. John Russell
who has worked with Mark in the past and is presently for
problems relating to his emotional and behavioral problems.
I interviewed Mr. Hanna in my office on three occasions and
reviewed with Mr. Russell, not only his recent history of
problems with anxiety but long term history including his long
term association with the Fayetteville Police force.
I have also had brief telephone conversations with previous
supervisors with the knowledge and permission of Mr. Hanna in
this matter.
It is my opinion, given the clinical condition with which Mr.
Hanna presents to my office and the past medical and
psycho/social history that he has suffered from and still has
a moderate degree anxiety condition related to stress of his
career as a policeman in your force. The specific diagnosis
in his case is classified as Post Traumatic Stress Disorder
in which there is anxiety and behavioral reaction to a
significant traumatic stress in a person's life. The course
of the condition is variable and can range to acute, brief to
chronic and delayed. This condition is not uncommon in our
society in situations where individuals have been exposed to
extremely stressful conditions or incidents that result in
repeated images or thoughts of the incident, difficulty with
anxiety at varying levels when the person is exposed to stimuli
or situations that they may associate with the original trauma
and occasionally there are associated emotional symptoms such
as guilt and or depression.
•
In Mr. Hanna's case the trauma that he has reported and which
is well documented involves a hostage situation on the University
of Arkansas campus in 1981. I believe Mark's PTSD has taken
a variable course which has included acute and chronic phases.
I believe he continues to suffer from this condition and that
it is related to his previous occupation.
Furthermore, it is my opinion that he would not be able to return
to any occupation involving law enforcement, security activities,
or employment of that nature.
I am hopeful that with continued counseling that Mark will have
a successful recovery from his condition. If there is any
further information that may be of help in determining his status
for medical pension please contact me at any time . .
Respectfully,
Justin A. Ternes, M.D
JAT/ss
•
Justin A. Ternes, M. D.
P.O. Box 12
Fayetteville, Arkansas 72702-0012
(501) 521-0815
January 18, 1994
City of Fayetteville
Police Pension Board
113 West Mountain
Fayetteville, AR 72701
Dear Board Members:
I was consulted in the case of Mr. Mark Hanna to provide an
opinion and possible treatment at the request of Mr. John Russell
who has worked with Mark in the past and is presently for
problems relating to his emotional and behavioral problems.
I interviewed Mr. Hanna in my office on three occasions and
reviewed with Mr. Russell, not only his recent history of
problems with anxiety but long term history including his long
term association with the Fayetteville Police force.
I have also had brief telephone conversations with previous
supervisors with the knowledge and permission of Mr. Hanna in
this matter.
It is my opinion, given the clinical condition with which Mr.
Hanna presents to my office and the past medical and
psycho/social history that he has suffered from and still has
a moderate degree anxiety condition related to stress of his
career as a policeman in your force. The specific diagnosis
in his case is classified as Post Traumatic Stress Disorder
in which there is anxiety and behavioral.reaction to a
significant traumatic stress in a person's life. The course
of the condition is variable and can range to acute, brief to
chronic and delayed. This condition is not uncommon in our
society in situations where individuals have been exposed to
extremely stressful conditions or incidents that result in
repeated images or thoughts of the incident, difficulty with
anxiety at varying levels when the person is exposed to stimuli
or situations that they may associate with the original trauma
and occasionally there are associated emotional symptoms such
as guilt and or depression.
In Mr. Hanna's case the trauma that he has reported and which
is well documented involves a hostage situation on the University
of Arkansas campus in 1981. I believe Mark's PTSD has taken
a variable course which has included acute and chronic phases.
I believe he continues to suffer from this condition and that
it is related to his previous occupation.
Furthermore, it is my opinion that he would not be able to return
to any occupation involving law enforcement, security activities,
or employment of that nature.
I am hopeful that with continued counseling that Mark will have
a successful recovery from his condition. If there is any
further information that may be of help in determining his status
for medical pension please contact me at any time .
Respectfully,
Justin A. Ternes. M.D
JAT/ss
APPLICATION FOR PENSION PURPOSES
DATE /2-2/ , 19q
Board of Trustees
Police Pension and Relief Fund
Fayetteville, Arkansas
411,,
Gentlemen:
4-/-/z /2).P4////4 have been employed by the Police Department of
the city of Fayetteville, Arkansas from 4,--25-:77,47,3-Ji-86 e /2,7_87
I hereby request
Relief Fund as of
My beneficiary is
all of the benefits due me from the police Pension and
/-/-9y
-1,4n)/eJ 6, /,4.vA;
My reasons for retirement are /i62.2>leini- (16/1/t/770xs
Subscribed
410
My commis
Signature
•
•
•
and sworn to before me this day of c .r&i'ui9 oh ,1993.
Notary Public �,i,!-.2_ S/ 0/1-0
day of /0 200)-i ,19_
OFFICIAL SEAL
SUE MASTERS
NOTARY PUBLIG-ARKANSAQ
on Vl6DQQTON COU
MY COMMISSION EXPIRES 9 10- 2002
City Treasurer's Office
The monthly salary of the above applicant for pension purposes is:
Computation of Retirement Benefits
One half of applicant's salary $
Additional benefits per Arkansas Act 396 of 1987 $
Total Retirement benefits $
City Treasurer
Subscribed and sworn to before me this
day of ,19
Notary Public
410My commission expires: day of ,19_
•
December 20, 1993
Mr.-ldon Roberts
Fayetteville Police Pension Board Member
100-A W. Rock St.
Fayetteville, AR 72701
Dear Assistant Chief Roberts,
This letter is to officially ask the Fayetteville Police Pension
Board to grant me a hearing as soon as possible to listen to my
request for a MEDICAL LEAVE AND RETIREMENT PENSION.
Sincerely,
Mark B. Hanna
•
December 24, 1993
Dr. Jim Mashburn
Fayetteville, AR 72703
Re: Mark Hanna
Knee Care Clinic, P.A.
Arthroscopy & Knee Surgery
Dear Dr. Mashburn:
Mr. Hanna was seen in consultation on 12/24/93 for evaluation
of his both knees.
HISTORY: As you know, he is a pleasant 37 year old
Fayetteville Police Department Sargeant who has had
difficulty for the past many months with increasing pain more
severe on the left than the right. He does not remember a
remote injury but has classic lateral meniscal symptoms on
the left knee and some patellofemoral involvement of both
knees.
RXAMINATION: Today, he has no ligamentous instability or
neurovascular impairment. He has classic lateral joint line
pain, an exquisite McMurray's with limitation of flexion by
15 degrees and extension by 7 degrees on the left.
XI PRESSION; Lateral meniscus tear of left knee.
RECOMMENDATIONS: I started him on a quadriceps strengthening
exercise program but he will not heal this meniscal
pathology. I do not think he should be on patrol. He could
undergo arthroscopy to improve his chances of being on patrol
but, at the present time, I think it would be unwise for him
to do this for an indefinite period.
- Please feel free to contact me if you have any questions.
Sincerely,
L
mks A. Arno
JAA/cg
lame. A. Aru.ld, M.D. Butterfield Tian Protctelonal Center 1794 Joyce Blvd.. Suite 3 Fdyotteville• Arkanene 72703
c(11.4aa.nn3:1 Fnx 3m-443-5532. 1-300-443.KNEE15033)
JAN .5. 84. 8:36
TOTAL. P.01
501 443547.3PAGE.001