The Estate of Nicholas Carusillo v. Metro Atlanta Recovery Residences, Inc., Richard Waldman, M.D.; and Matt Erwin.
This case involved the death of a young man on September 22, 2017. Nick Carusillo was 29 and had been forced to leave a dual-diagnosis mental health and drug treatment facility 60 hours before his death. He had been diagnosed as bipolar when he was 20. He also had a long history of substance abuse.
The psychiatrist at MARR did not believe Nick was truly bipolar and he stopped Nick’s lithium cold turkey and reduced his Seroquel to a non-therapeutic level. Three weeks later, MARR forced Nick to leave, against his will, because Nick allegedly violated a rule by having an unauthorized cell phone.
At that point, Nick was already de-compensating and despite MARR saying he needed a higher level of care, they sent him to a lower level of care (sober house). He begged to stay and his parents begged he be allowed to stay but MARR refused.
Two days later, Nick, while in a psychotic state, walked onto Interstate 85 at 4:00 am and laid down naked in the fetal position facing traffic and was hit by multiple cars and killed.
The defense said it was suicide. We said it was a psychotic break caused by the doctor taking him off his medications and the facility forcing him to leave against his will such that he was no longer in a safe place. The autopsy toxicology screen was clean.
There was gross misconduct in the days after his death in terms of MARR creating records and dating the records to look like they had been written while he was still at MARR. But Audit trails don’t lie. We were able to probe their bad faith in this case.
After a 14-day trial in a 5-year-long litigation case, a DeKalb County jury loudly declared that mental health matters and that treatment facilities that are negligent will be held accountable. The final jury verdict was a total award of about $77.5 million.