WBUR

WBUR Poll: Many In Mass. ‘Very Satisfied’ With Quality Of Health Care

We’re hearing from a lot of different groups lately about what’s wrong with health care and how to fix it. But what do patients think? To find out, we asked Massachusetts residents who said they had a serious illness, medical condition, injury or disability requiring a lot of medical care, or spent at least one night in the hospital within the last year.

Our poll, Sick in Massachusetts, finds that 48 percent those who responded said they are very satisfied with their health care. (Click through the charts below for some of the poll’s other findings on quality. The poll was conducted in partnership with the Harvard School of Public Health, the Blue Cross Blue Shield of Massachusetts Foundation and WBUR.)

BOSTON — Given the state’s reputation for having high-quality medical care, it’s not surprising that 48 percent of those who responded to our recent health care poll said they are very satisfied with their health care. Among them is 71-year-old Bill Moreau, of Westborough, who has a litany of health issues.

“I had a spot on my lung that turned into cancer, then I had chemo and radiation and that killed half my heart so I had a quadruple bypass surgery,” Moreau said. “I have diabetes and hypertension — I know there’s probably something I’m missing. If I haven’t had it, it’s coming.”

Moreau didn’t think he would be still be alive today. Three years ago, he returned to his native Massachusetts from Florida, where the doctors were not optimistic.

Bill Moreau, 71, who has a litany of health issues, said he's very satisfied with the quality of health care in Massachusetts. (Deborah Becker/WBUR)

Bill Moreau, 71, who has a litany of health issues, said he's very satisfied with the quality of health care in Massachusetts. (Deborah Becker/WBUR)

“They told me, ‘Make arrangements, we can’t do anything more for you,’ ” Moreau said. “So I came up here to die. I didn’t come for treatment. I came up to die. The doctors started checking me. They didn’t say there’s nothing left for us to do.”

Although many of those in our survey expressed opinions similar to Moreau’s, about four in 10 sick adults said there is a serious problem with health care quality. One in seven sick adults said they were actually given the wrong diagnosis or treatment. Forty-nine-year-old Deborah Chamberlain is one of them.

“It really was hell,” Chamberlain said. “I lost a lot of weight. I lost a lot of strength.”

After Chamberlain was prescribed an antibiotic before a root canal, she went on a three-week odyssey that shows that even a savvy patient can get into trouble.

Chamberlain knew that the antibiotic carried a risk of infection and she warned her providers, but still she was misdiagnosed and almost put herself in danger.

“I was in the hospital for four days and I felt horrible,” she said. “I was on pain medication, but they had to take me off that because narcotic pain meds slow down your bowel. If I had taken anything to slow down my diarrhea, the toxins build in your system and that causes kidney failure and death.”

This was the more surprising finding of the poll — that most patients warned their doctors before something went wrong. If there were three words to express most patients’ complaints, they would be: lack of communication. Many patients said doctors did not share test results, or did not spend enough time with them.

Deborah Chamberlain, 49, said a routine root canal almost turned deadly because her providers didn't spend enough time with her. (Deborah Becker/WBUR)

Deborah Chamberlain, 49, said a routine root canal almost turned deadly because her providers didn't spend enough time with her. (Deb Becker/WBUR)

After Jean Wheaton-Doyon went in for surgery for gastro-reflux disease, she was having pain. After six weeks of weekly checkups, which involved a chest X-ray each time, she was still concerned, but her doctor told her to wait. Not only did her pain not go away, the evening after one of her checkups, her husband called an ambulance.

“I passed out,” Wheaton-Doyon said. “I was dripping wet and alone, nobody home. I could not move, couldn’t help myself. My husband found me about an hour and a half later, I ended up in the ER. After all-night testing, they discovered I had a pericardial effusion — that’s when the sack around your heart fills with fluid.”

Wheaton-Doyon said her ordeal could have been prevented if her doctor had physically examined her that day.

“If he had just listened to me with that stethoscope that morning, he would have heard a rub and I wouldn’t have had to have the fluid drained, I never would have been dying alone,” Wheaton-Doyon said.

Forty-eight percent of those surveyed said doctors or nurses not spending enough time with patients is a major problem in Massachusetts. But even satisfied patients admit that all care is not equal.

“My concern is for those who do not have private insurance,” said Sharon Cody Turcott, a nurse educator at Lawrence Memorial Hospital. “I can’t imagine how they would get through something like this.”

Cody Turcott survived three unrelated cancers, and her chemo medication costs $4,000 a month. She has nothing but good things to say about her insurer and her care, but she also sees firsthand that it’s not the same for all patients.

“I do believe I have been fortunate, just because I work for a health care institution,” Cody Turcott said. “I have better access because I’m here at a hospital. I feel that I have an advantage over those who do not have private insurance.”

Here’s the poll (and you can see more detailed poll results here):

http://www.scribd.com/doc/96682782/Sick-in-Massachusetts

The Blue Cross Blue Shield of Massachusetts Foundation, the Harvard School of Public Health (HSPH) and WBUR worked in partnership to produce Sick in Massachusetts. The foundation commissioned and funded the HSPH poll. An independent research firm, SSRS, conducted the telephone interviews and provided WBUR with the names of poll participants. WBUR met with the partners to review the poll questions and analyze the results. WBUR shared story scripts with HSPH’s Robert Blendon for fact-checking purposes. WBUR, using internal editing procedures, decided how to frame and expand on issues raised by the results.

Please follow our community rules when engaging in comment discussion on wbur.org.
  • josezwing

    Did someone at some in sensitive hospital forget to tell him about “Penny Health”. Also If you aren’t employed and have no means of paying for treatment the hospital will file the form and get reimbursed by medicaid.

  • Circusmcgurkus

    I think Massachusetts medical care is way overrated and far too expensive.  Since moving here 20 years ago, care has declined significantly as costs have risen.  But, the medical attention I received in Colorado before moving here was far superior in actual delivery of services.

    Massachusetts, especially the big hospitals, are way too high on themselves.  They do a good job of getting grant money and then they all pat each other on the back, but my sad experience here after an accident is that the actual one-on-one care is not very good.  Every single actor in my case made mistakes which rendered me far worse off than if I had never sought attention in the first place.

    It is impossible to trust physicians anymore because they have pressures and incentives outside of providing care that prevent them from paying attention to their patients.

    Sad.

  • J__o__h__n

    The headline doesn’t match the story which showed a mixed view of health care in MA. 

    • MGH patient for 25 years

      Exactly!  Thank you. 

  • Caroline M Christian

    I think the interpretation of the poll is a bit off. Certainly not reflected in
    my experience or the experience of the people I know

    • http://pulse.yahoo.com/_MH7ATSNYASMCJO3MWNJ4C4T2KY Olivia

      MAD DOG Millionaire aka Punyamurtula Kishore MD 20 20 I was in a AA meeting once and the speaker mentioned Dr Kishore, and the entire room erupted into laughter. I saw him back in the late 90s and he was a quack then. He was FAR from free. He had been fined years ago because when you sat in his waiting room (an hour was considered quick) he’d bill the insurance co’s for that time. Then once you saw him he’d tell you what a great guy he was for working with addicts. Ive been clean for over 10 years now and those professionals who really helped me were ones that didnt need to continiously pat themselves on the back. Addicts are a nightmare to work with, and I commend all those that put up with it all to help those in need. But theres no way you’re ever going to convince me Kishore was one of those people. This Fool Punyamurtula Kishore MD aka MAD DOG was never licensed by Mass. Dept of Public Health to practice Addiction Medicine. Punyamurtula Kishore MD aka MAD Dog Millionaire is a fraud , The American College of Addiction Medicine and the National Library of Addiction has never existed except on paper. Punyamurtula Kishore has been indicted by 3 Grand Juries for Medical Insurance Fraud , bribery and giving out and receiving kickbacks. He was involved in Corruption when he was the Medical Director at the Massachusetts Dept. of Correction , Martha Eliot Health Ctr , Roxbury Comprehensive Health Ctr. and his possess Medical Practice , Preventive Medicine Associates.formerly Addiction Medicine Associates. He used two entities he created on paper that never existed called the National library of Addictions and the American College of Addiction Medicine to advocate his emergence in the field of addiction medicine. This unscrupulous MD used and exploited his patients and employees for financial wealth. The only thing that MAD DOG MILLIONAIRE aka Punyamurtula Kishore cared about was making money to put in his pocket.

  • timshel01

     WBUR Poll: Many In Mass. ‘Very Satisfied’ With Quality Of Health Care ?

    Are you kidding, it’s not April 1st is  it   ?

    • http://pulse.yahoo.com/_MH7ATSNYASMCJO3MWNJ4C4T2KY Olivia

      MAD DOG Millionaire aka Punyamurtula Kishore MD 20 20 I was in a AA meeting once and the speaker mentioned Dr Kishore, and the entire room erupted into laughter. I saw him back in the late 90s and he was a quack then. He was FAR from free. He had been fined years ago because when you sat in his waiting room (an hour was considered quick) he’d bill the insurance co’s for that time. Then once you saw him he’d tell you what a great guy he was for working with addicts. Ive been clean for over 10 years now and those professionals who really helped me were ones that didnt need to continiously pat themselves on the back. Addicts are a nightmare to work with, and I commend all those that put up with it all to help those in need. But theres no way you’re ever going to convince me Kishore was one of those people. This Fool Punyamurtula Kishore MD aka MAD DOG was never licensed by Mass. Dept of Public Health to practice Addiction Medicine. Punyamurtula Kishore MD aka MAD Dog Millionaire is a fraud , The American College of Addiction Medicine and the National Library of Addiction has never existed except on paper. Punyamurtula Kishore has been indicted by 3 Grand Juries for Medical Insurance Fraud , bribery and giving out and receiving kickbacks. He was involved in Corruption when he was the Medical Director at the Massachusetts Dept. of Correction , Martha Eliot Health Ctr , Roxbury Comprehensive Health Ctr. and his possess Medical Practice , Preventive Medicine Associates.formerly Addiction Medicine Associates. He used two entities he created on paper that never existed called the National library of Addictions and the American College of Addiction Medicine to advocate his emergence in the field of addiction medicine. This unscrupulous MD used and exploited his patients and employees for financial wealth. The only thing that MAD DOG MILLIONAIRE aka Punyamurtula Kishore cared about was making money to put in his pocket.

  • Evereader

    I agree with some of the other comments here.  It’s hard to wrap my head around “many” when describing 48% of the responders to a survey.  I think it would have been quite a bit more accurate and interesting to put “less than half” of respondents were “very satisfied” with the health care in the state of Massachusetts. That also get the reader wonder, “well what did the other over half of the people who took the survey think of their care?”

    • kelty

      It shows right above that 48% were very satisfied and 36% were somewhat satisfied. That is 86% satisfied – way more than 1/2 of those polled. It also shows that 75% think that the quality of health care has stayed the same or gotten better in the past 5 years.

  • MGH patient for 25 years

    The study was done over the phone  with 500 people  who had been sick in the last year, selected from about 1100.  

    48%  is less than half, and a pretty weak.   Why is this figure reported as good?   Besides, what is “good” care, whether a patient FEELS satisfied or not?  Feeling satisfied isn’t necessarily connected accurately to the science in diagnosis, cure, and later followup with health status,  further disease or freedom from disease or a different diagnosis and course of action.    
    This is more about feelings and spin than science. 
    There is little continuity in care under one physician whose time is managed to handle 1 issue in 10 minutes.          In the MGH system, it takes 3 weeks to get an appointment with the designated primary care MD, and otherwise, you get who is available at the moment, meaning residents and nurse practitioners.  There isn’t continuity, and assessments are both fragmented and brief.  In the words of a physician I know,  “This is Third World medicine.”    The survey said about 50% thought medical staff didn’t communicate well enough and MDs didn’t spend long enough with patients.    Anyone at a dead run seeing 5 patients an hour is not likely to know any patient well enough to pick up subtle signs and more likely to be meeting data requirements with an eye on a performance review.      This system relies on the ability of patients to be articulate about symptoms, and ready with a list.   Who set this 10 minute per patient schedule?  I doubt it is MDs who see patients?  QUESTION: What is wrong with this statement by the reporter: “Given the state’s reputation for having high-quality medical care, it’s not surprising that 48 percent of those who responded to our recent health care poll said they are very satisfied with their health care. ”      ANSWER:  If the state’s reputation is for having high-quality medical care,  it IS surprising that a little less than half are very satisfied.    etc. etc. etc.  

  • http://pulse.yahoo.com/_MH7ATSNYASMCJO3MWNJ4C4T2KY Olivia

    MAD DOG Millionaire aka Punyamurtula Kishore MD 20 20 I was in a AA meeting once and the speaker mentioned Dr Kishore, and the entire room erupted into laughter. I saw him back in the late 90s and he was a quack then. He was FAR from free. He had been fined years ago because when you sat in his waiting room (an hour was considered quick) he’d bill the insurance co’s for that time. Then once you saw him he’d tell you what a great guy he was for working with addicts. Ive been clean for over 10 years now and those professionals who really helped me were ones that didnt need to continiously pat themselves on the back. Addicts are a nightmare to work with, and I commend all those that put up with it all to help those in need. But theres no way you’re ever going to convince me Kishore was one of those people. This Fool Punyamurtula Kishore MD aka MAD DOG was never licensed by Mass. Dept of Public Health to practice Addiction Medicine. Punyamurtula Kishore MD aka MAD Dog Millionaire is a fraud , The American College of Addiction Medicine and the National Library of Addiction has never existed except on paper. Punyamurtula Kishore has been indicted by 3 Grand Juries for Medical Insurance Fraud , bribery and giving out and receiving kickbacks. He was involved in Corruption when he was the Medical Director at the Massachusetts Dept. of Correction , Martha Eliot Health Ctr , Roxbury Comprehensive Health Ctr. and his possess Medical Practice , Preventive Medicine Associates.formerly Addiction Medicine Associates. He used two entities he created on paper that never existed called the National library of Addictions and the American College of Addiction Medicine to advocate his emergence in the field of addiction medicine. This unscrupulous MD used and exploited his patients and employees for financial wealth. The only thing that MAD DOG MILLIONAIRE aka Punyamurtula Kishore cared about was making money to put in his pocket.

    • http://pulse.yahoo.com/_MH7ATSNYASMCJO3MWNJ4C4T2KY Olivia

      MAD DOG Millionaire aka Punyamurtula Kishore MD 20 20 I was in a AA meeting once and the speaker mentioned Dr Kishore, and the entire room erupted into laughter. I saw him back in the late 90s and he was a quack then. He was FAR from free. He had been fined years ago because when you sat in his waiting room (an hour was considered quick) he’d bill the insurance co’s for that time. Then once you saw him he’d tell you what a great guy he was for working with addicts. Ive been clean for over 10 years now and those professionals who really helped me were ones that didnt need to continiously pat themselves on the back. Addicts are a nightmare to work with, and I commend all those that put up with it all to help those in need. But theres no way you’re ever going to convince me Kishore was one of those people. This Fool Punyamurtula Kishore MD aka MAD DOG was never licensed by Mass. Dept of Public Health to practice Addiction Medicine. Punyamurtula Kishore MD aka MAD Dog Millionaire is a fraud , The American College of Addiction Medicine and the National Library of Addiction has never existed except on paper. Punyamurtula Kishore has been indicted by 3 Grand Juries for Medical Insurance Fraud , bribery and giving out and receiving kickbacks. He was involved in Corruption when he was the Medical Director at the Massachusetts Dept. of Correction , Martha Eliot Health Ctr , Roxbury Comprehensive Health Ctr. and his possess Medical Practice , Preventive Medicine Associates.formerly Addiction Medicine Associates. He used two entities he created on paper that never existed called the National library of Addictions and the American College of Addiction Medicine to advocate his emergence in the field of addiction medicine. This unscrupulous MD used and exploited his patients and employees for financial wealth. The only thing that MAD DOG MILLIONAIRE aka Punyamurtula Kishore cared about was making money to put in his pocket.

  • http://pulse.yahoo.com/_MH7ATSNYASMCJO3MWNJ4C4T2KY Olivia

    Yes, this CRIMINAL/CROOK is definetley going to state prison.
    It turns out
    Kishore is also the president and founder of the American College of Addiction
    Medicine, in Brookline, and he founded the National Library of Addictions in
    Brookline Village.

    But the attorney general says that library was used to
    pay kickbacks to the director of a sober house in return for sending urine
    samples for screening.

    Kishore never received a state license from the
    Department of Public Health to run addiction treatment programs.

    Is there
    a American College of Addiction Medicine and a National Library of
    Addictions?
    Yes , on paper , the American College of Addiction Medicine and
    the National Library of Addictions has never existed anywhere in Massachusetts
    or the United States . Punyamurtula Kishore aka MAD DOG Millionaire is a Fraud

  • http://pulse.yahoo.com/_MH7ATSNYASMCJO3MWNJ4C4T2KY Olivia

    Yes, this CRIMINAL/CROOK is definetley going to state prison.
    It turns out
    Kishore is also the president and founder of the American College of Addiction
    Medicine, in Brookline, and he founded the National Library of Addictions in
    Brookline Village.

    But the attorney general says that library was used to
    pay kickbacks to the director of a sober house in return for sending urine
    samples for screening.

    Kishore never received a state license from the
    Department of Public Health to run addiction treatment programs.

    Is there
    a American College of Addiction Medicine and a National Library of
    Addictions?
    Yes , on paper , the American College of Addiction Medicine and
    the National Library of Addictions has never existed anywhere in Massachusetts
    or the United States . Punyamurtula Kishore aka MAD DOG Millionaire is a Fraud

  • http://pulse.yahoo.com/_MH7ATSNYASMCJO3MWNJ4C4T2KY Olivia

    MAD DOG Millionaire aka Punyamurtula Kishore MD 20 20 I was in a AA meeting once and the speaker mentioned Dr Kishore, and the entire room erupted into laughter. I saw him back in the late 90s and he was a quack then. He was FAR from free. He had been fined years ago because when you sat in his waiting room (an hour was considered quick) he’d bill the insurance co’s for that time. Then once you saw him he’d tell you what a great guy he was for working with addicts. Ive been clean for over 10 years now and those professionals who really helped me were ones that didnt need to continiously pat themselves on the back. Addicts are a nightmare to work with, and I commend all those that put up with it all to help those in need. But theres no way you’re ever going to convince me Kishore was one of those people. This Fool Punyamurtula Kishore MD aka MAD DOG was never licensed by Mass. Dept of Public Health to practice Addiction Medicine. Punyamurtula Kishore MD aka MAD Dog Millionaire is a fraud , The American College of Addiction Medicine and the National Library of Addiction has never existed except on paper. Punyamurtula Kishore has been indicted by 3 Grand Juries for Medical Insurance Fraud , bribery and giving out and receiving kickbacks. He was involved in Corruption when he was the Medical Director at the Massachusetts Dept. of Correction , Martha Eliot Health Ctr , Roxbury Comprehensive Health Ctr. and his possess Medical Practice , Preventive Medicine Associates.formerly Addiction Medicine Associates. He used two entities he created on paper that never existed called the National library of Addictions and the American College of Addiction Medicine to advocate his emergence in the field of addiction medicine. This unscrupulous MD used and exploited his patients and employees for financial wealth. The only thing that MAD DOG MILLIONAIRE aka Punyamurtula Kishore cared about was making money to put in his pocket.00

  • civilsocietyboston

    what is it? :: how it works :: why cyberbully? :: prevention :: take action :: what’s the law?
    Don’t Stand By – Stand Up!
    Take the Promise
    If I witness cyberbullying, I will not join in, nor will I stand by idly. I realize that bullies thrive on the support and attention of bystanders. I promise I will not support cyberbullies. I will stand up for what is right and report cyberbullying to the appropriate people.
    I promise to be aware of what I say and do on line, how my actions impact others, and will not become a cyberbully.
    I promise to use good “digital hygiene” by using strong passwords and not sharing them. I will regularly update and use good virus and malware protection. I will protect my computer from malicious code and hackers.
    Click here to learn how to report any kind of abuse on Facebook.
    Visit Us on Facebook.
    Find out about the Megan Pledge

  • civilsocietyboston

    TAKE A STAND AGAINST CYBERBULLYING:

    ducation can help considerably in preventing and dealing with the consequences of cyberbullying. The first place to begin an education campaign is with the kids and teens themselves. We need to address ways they can become inadvertent cyberbullies, how to be accountable for their actions and not to stand by and allow bullying (in any form) to be acceptable. We need to teach them not to ignore the pain of others.
    Teaching kids to “Take 5!” before responding to something they encounter online is a good place to start. Jokingly, we tell them to “Drop the Mouse! And step away from the computer and no one will get hurt!” We then encourage them to find ways to help them calm down. This may include doing yoga, or deep-breathing. It may include running, playing catch or shooting hoops. It may involve taking a bath, hugging a stuffed animal or talking on the phone with friends. Each child can find their own way of finding their center again. And if they do, they will often not become a cyberbully, even an inadvertent cyberbully. Teaching them the consequences of their actions, and that the real “Men in Black” may show up at their front door sometimes helps. Since many cyberbullying campaigns include some form of hacking or password or identity theft, serious laws are implicated. Law enforcement, including the FBI, might get involved in these cases.
    But we need to recognize that few cyberbullying campaigns can succeed without the complacency and the often help of other kids. If we can help kids understand how much bullying hurts, how in many cases (unlike the children’s chant) words can hurt you, fewer may cooperate with the cyberbullies. They will think twice before forwarding a hurtful e-mail, or visiting a cyberbullying “vote for the fat girl” site, or allowing others to take videos or cell phone pictures of personal moments or compromising poses of others. Martin Luther King, Jr. once said that in the end we will remember not the words of our enemies, but the silence of our friends. We need to teach our children not to stand silently by while others are being tormented. While it is crucial that we teach them not to take matters into their own hands (and perhaps become a “vengeful angel” cyberbully themselves) they need to come to us. And if we expect them to trust us, we need to be worthy of that trust. (Read more about this at “Goldilocks and the cyberbullies…not too hot and not too cold,” a guide for parents.)
    And, in addition to not lending their efforts to continue the cyberbullying, if given an anonymous method of reporting cyberbullying Web sites, profiles and campaigns, kids can help put an end to cyberbullying entirely. School administration, community groups and even school policing staff can receive these anonymous tips and take action quickly when necessary to shut down the site, profile or stop the cyberbullying itself.
    They can even let others know that they won’t allow cyberbullying, supporting the victim, making it clear that they won’t be used to torment others and that they care about the feelings of others is key.
    We need to teach our children that silence, when others are being hurt, is not acceptable. If they don’t allow the cyberbullies to use them to embarrass or torment others, cyberbullying will quickly stop. It’s a tall task, but a noble goal. And in the end, our children will be safer online and offline. We will have helped create a generation of good cybercitizens, controlling the technology instead of being controlled by it.

  • civilsocietyboston

    STOPBULLYING.GOV:

    Report Cyberbullying
    When cyberbullying happens, it is important to document and report the behavior so it can be addressed.
    Steps to Take ImmediatelyReport Cyberbullying to Online Service ProvidersReport Cyberbullying to Law EnforcementReport Cyberbullying to Schools
    Steps to Take Immediately
    Don’t respond to and don’t forward cyberbullying messages.Keep evidence of cyberbullying. Record the dates, times, and descriptions of instances when cyberbullying has occurred. Save and print screenshots, emails, and text messages. Use this evidence to report cyberbullying to web and cell phone service providers.Block the person who is cyberbullying.
    Back to top

    Report Cyberbullying to Online Service Providers
    Cyberbullying often violates the terms of service established by social media sites and internet service providers.
    Review their terms and conditions or rights and responsibilities sections. These describe content that is or is not appropriate.Visit social media safety centers to learn how to block users and change settings to control who can contact you.Report cyberbullying to the social media site so they can take action against users abusing the terms of service.
    Back to top

    Report Cyberbullying to Law Enforcement
    When cyberbullying involves these activities it is considered a crime and should be reported to law enforcement:
    Threats of violenceChild pornography or sending sexually explicit messages or photosTaking a photo or video of someone in a place where he or she would expect privacyStalking and hate crimes
    Some states consider other forms of cyberbullying criminal. Consult your state’s laws and law enforcement for additional guidance.
    Back to top

    Report Cyberbullying to Schools
    Cyberbullying can create a disruptive environment at school and is often related to in-person bullying. The school can use the information to help inform prevention and response strategies.In many states, schools are required to address cyberbullying in their anti-bullying policy. Some state laws also cover off-campus behavior that creates a hostile school environment.

  • civilsocietyboston

    STOP BULLYING.GOV:

    Report Cyberbullying
    When cyberbullying happens, it is important to document and report the behavior so it can be addressed.
    Steps to Take ImmediatelyReport Cyberbullying to Online Service ProvidersReport Cyberbullying to Law EnforcementReport Cyberbullying to Schools
    Steps to Take Immediately
    Don’t respond to and don’t forward cyberbullying messages.Keep evidence of cyberbullying. Record the dates, times, and descriptions of instances when cyberbullying has occurred. Save and print screenshots, emails, and text messages. Use this evidence to report cyberbullying to web and cell phone service providers.Block the person who is cyberbullying.
    Back to top

    Report Cyberbullying to Online Service Providers
    Cyberbullying often violates the terms of service established by social media sites and internet service providers.
    Review their terms and conditions or rights and responsibilities sections. These describe content that is or is not appropriate.Visit social media safety centers to learn how to block users and change settings to control who can contact you.Report cyberbullying to the social media site so they can take action against users abusing the terms of service.
    Back to top

    Report Cyberbullying to Law Enforcement
    When cyberbullying involves these activities it is considered a crime and should be reported to law enforcement:
    Threats of violenceChild pornography or sending sexually explicit messages or photosTaking a photo or video of someone in a place where he or she would expect privacyStalking and hate crimes
    Some states consider other forms of cyberbullying criminal. Consult your state’s laws and law enforcement for additional guidance.
    Back to top

    Report Cyberbullying to Schools
    Cyberbullying can create a disruptive environment at school and is often related to in-person bullying. The school can use the information to help inform prevention and response strategies.In many states, schools are required to address cyberbullying in their anti-bullying policy. Some state laws also cover off-campus behavior that creates a hostile school environment.

  • civilsocietyboston

    Stop Bullying on the Spot When adults respond quickly and consistently to bullying behavior they send the message that it is not acceptable. Research shows this can stop bullying behavior over time. There are simple steps adults can take to stop bullying on the spot and keep kids safe.
    Do:
    Intervene immediately. It is ok to get another adult to help.Separate the kids involved.Make sure everyone is safe.Meet any immediate medical or mental health needs.Stay calm. Reassure the kids involved, including bystanders.Model respectful behavior when you intervene.
    Avoid these common mistakes:
    Don’t ignore it. Don’t think kids can work it out without adult help.Don’t immediately try to sort out the facts.Don’t force other kids to say publicly what they saw.Don’t question the children involved in front of other kids.Don’t talk to the kids involved together, only separately.Don’t make the kids involved apologize or patch up relations on the spot.
    Get police help or medical attention immediately if:
    A weapon is involved.There are threats of serious physical injury.There are threats of hate-motivated violence, such as racism or homophobia.There is serious bodily harm.There is sexual abuse.Anyone is accused of an illegal act, such as robbery or extortion—using force to get money, property, or services.
    Next Steps

  • civilsocietyboston

    Federal Laws Although no federal law directly addresses bullying, in some cases, bullying overlaps with discriminatory harassment when it is based on race, national origin, color, sex, age, disability, or religion. When bullying and harassment overlap, federally-funded schools (including colleges and universities) have an obligation to resolve the harassment. When the situation is not adequately resolved, the U.S. Department of Education’s Office for Civil Rights and the U.S. Department of Justice’s Civil Rights Division may be able to help.
    Are there federal laws that apply to bullying?
    At present, no federal law directly addresses bullying. In some cases, bullying overlaps with discriminatory harassment which is covered under federal civil rights laws enforced by the U.S. Department of Education (ED) and the U.S. Department of Justice (DOJ). No matter what label is used (e.g., bullying, hazing, teasing), schools are obligated by these laws to address conduct that is:
    Severe, pervasive or persistentCreates a hostile environment at school. That is, it is sufficiently serious that it interferes with or limits a student’s ability to participate in or benefit from the services, activities, or opportunities offered by a schoolBased on a student’s race, color, national origin, sex, disability, or religion* Although the US Department of Education, under Title VI of the Civil Rights Act of 1964 does not directly cover religion, often religious based harassment is based on shared ancestry of ethnic characteristics which is covered. The US Department of Justice has jurisdiction over religion under Title IV of the Civil Rights Act of 1964.
    What are the federal civil rights laws ED and DOJ enforce?
    A school that fails to respond appropriately to harassment of students based on a protected class may be violating one or more civil rights laws enforced by the Department of Education and the Department of Justice, including: Title IV and Title VI of the Civil Rights Act of 1964Title IX of the Education Amendments of 1972Section 504 of the Rehabilitation Act of 1973Titles II and III of the Americans with Disabilities ActIndividuals with Disabilities Education Act (IDEA)
    Do federal civil rights laws cover harassment of LGBT youth?
    Title IX and Title IV do not prohibit discrimination based solely on sexual orientation, but they protect all students, including students who are LGBT or perceived to be LGBT, from sex-based harassment.Harassment based on sex and sexual orientation are not mutually exclusive. When students are harassed based on their actual or perceived sexual orientation, they may also be subjected to forms of sex discrimination recognized under Title IX.
    What is an example of a case were harassment based on sex and sexual orientation overlap?
    A female high school student was spit on, slammed into lockers, mocked, and routinely called names because she did not conform to feminine stereotypes and because of her sexual orientation. The student had short hair, a deep voice, and wore male clothing. After the harassment started, she told some classmates she was a lesbian, and the harassment worsened. The school described the harassment as “sexual orientation harassment” in its incident reports and did not take any action.In this case, the student was harassed based on her non-conformity to gender stereotypes. In this case, then, although the school labeled the incident as “sexual orientation harassment,” the harassment was also based on sex and covered under Title IX.
    What are a school’s obligations regarding harassment based on protected classes?
    Anyone can report harassing conduct to a school. When a school receives a complaint they must take certain steps to investigate and resolve the situation.
    Immediate and appropriate action to investigate or otherwise determine what happened.Inquiry must be prompt, thorough, and impartial.Interview targeted students, offending students, and witnesses, and maintain written documentation of investigationCommunicate with targeted students regarding steps taken to end harassmentCheck in with targeted students to ensure that harassment has ceasedWhen an investigation reveals that harassment has occurred, a school should take steps reasonably calculated to:End the harassment,Eliminate any hostile environment,Prevent harassment from recurring, andPrevent retaliation against the targeted student(s) or complainant(s).
    What should a school do to resolve a harassment complaint?
    Appropriate responses will depend on the facts of each case.School must be an active participant in responding to harassment and should take reasonable steps when crafting remedies to minimize burdens on the targeted students.Possible responses include: Develop, revise, and publicize: Policy prohibiting harassment and discriminationGrievance procedures for students to file harassment complaintscontact information for Title IX/Section 504/Title VI coordinatorsImplement training for staff and administration on identifying and addressing harassmentProvide monitors or additional adult supervision in areas where harassment occursDetermine consequences and services for harassers, including whether discipline is appropriateLimit interactions between harassers and targetsProvide harassed student an additional opportunity to obtain a benefit that was denied (e.g., retaking a test/class).Provide services to a student who was denied a benefit (e.g., academic support services).
    Are there resources for schools to assist with resolving harassment complaints?
    The Department of Justice’s Community Relations Service is the Department’s “peacemaker” for community conflicts and tensions arising from differences of race, color and national origin and to prevent and respond to violent hate crimes committed on the basis of: gender, gender identity, sexual orientation, religion, disability, race, color, and national origin. It is a free, impartial, confidential and voluntary Federal Agency that offers mediation, conciliation, technical assistance, and training.
    What if the harassment continues?
    If harassment persists, consider filing a formal grievance with the district and contacting the U.S. Department of Education’s Office for Civil Rights and from the U.S. Department of Justice’s Civil Rights Division.

  • civilsocietyboston

    Key Components in State Anti-Bullying Laws Below are examples of 11 key components that may be useful to those who are creating or improving anti-bullying laws or policies in their states. Any citations to state laws are intended to be examples and not endorsements of those laws.
    States and local educational agencies (LEAs) should check with their state and local officials to ensure consistency with all applicable federal and state laws. Read Education Secretary Duncan’s full technical assistance memo.
    Purpose Statement
    Outlines the range of detrimental effects bullying has on students, including impacts on student learning, school safety, student engagement, and the school environment.Declares that any form, type, or level of bullying is unacceptable, and that every incident needs to be taken seriously by school administrators, school staff (including teachers), students, and students’ families.
    Example Purpose StatementOklahoma: Okla. Stat. Ann. Tit. 70, § 24-100.3 (2009): “The Legislature finds that bullying has a negative effect on the social environment of schools, creates a climate of fear among students, inhibits their ability to learn, and leads to other antisocial behavior. Bullying behavior has been linked to other forms of antisocial behavior, such as vandalism, shoplifting, skipping and dropping out of school, fighting, and the use of drugs and alcohol… Successful programs to recognize, prevent, and effectively intervene in bullying behavior have been developed and replicated in schools across the country. These schools send the message that bullying behavior is not tolerated and, as a result, have improved safety and created a more inclusive learning environment.”For additional examples of purpose statements, see: 105 Ill. Comp. Stat. Ann. 5/27-23.7.a (2010); Iowa Code § 280.28.1 (2008); Md. Code Ann., Educ. § 7-424 (2010); Nev. Rev. Stat. Ann. § 388.132 (2009); N.J. Stat. Ann. § 18A:37.13 (2010); Or. Rev. Stat. § 339.353 (2009); Tenn. Code Ann. § 49-6-1014 (2010); W. Va. Code Ann. § 18-2C-1 (2009).
    Statement of Scope
    Covers conduct that occurs on the school campus, at school-sponsored activities or events (regardless of the location), on school-provided transportation, or through school-owned technology or that otherwise creates a significant disruption to the school environment.
    Example Statement of ScopeIndiana: Ind. Code Ann. § 20-33-8-13.5 (b) (2010), Disciplinary Rule Requirements: “The discipline rules [related to bullying]…must apply when a student is: (1) on school grounds immediately before or during school hours, immediately after school hours, or at any other time when the school is being used by a school group; (2) off school grounds at a school activity, function, or event; (3) traveling to or from school or a school activity, function or event; or (4) using property or equipment provided by the school.”For additional examples of statements of scope, see: Ark. Code Ann. § 6-18-514.2 (2009); Ga. Code Ann. § 20-2-751.4 (2010); 105 Ill. Comp. Stat. Ann. 5/27-23.7.a (2010); 2010 Mass. Adv. Legis. Serv. Ch. No. 92-2010 (Lexis Nexis 2010); Md. Code Ann., Educ. § 7-424 (2010).
    Specification of Prohibited Conduct
    Provides a specific definition of bullying that includes a clear definition of cyberbullying. The definition of bullying includes a non-exclusive list of specific behaviors that constitute bullying, and specifies that bullying includes intentional efforts to harm one or more individuals, may be direct or indirect, is not limited to behaviors that cause physical harm, and may be verbal (including oral and written language) or non-verbal. The definition of bullying can be easily understood and interpreted by school boards, policymakers, school administrators, school staff, students, students’ families, and the community.Is consistent with other federal, state and local laws. (For guidance on school districts’ obligations to address bullying and harassment under federal civil rights laws, see the Dear Colleague Letter: Harassment and Bullying [PDF 295 KB], issued by the Department’s Office for Civil Rights on October 26, 2010.Prohibited Conduct also includes: Retaliation for asserting or alleging an act of bullying.Perpetuating bullying or harassing conduct by spreading hurtful or demeaning material even if the material was created by another person (e.g., forwarding offensive e-mails or text messages).
    Examples Specification of Prohibited ConductFlorida: Fla. Stat. Ann. 1006.147(3) (2010): “(a) ‘Bullying’ means systematically and chronically inflicting physical hurt or psychological distress on one or more students and may involve: (1) Teasing; (2) Social exclusion; (3) Threat; (4) Intimidation; (5) Stalking; (6) Physical violence; (7) Theft; (8) Sexual, religious, or racial harassment; (9) Public humiliation; or (10) Destruction of property. . . . (d) The definitions of ‘bullying’ and ‘harassment’ include: (1) Retaliation against a student or school employee by another student or school employee for asserting or alleging an act of bullying or harassment…[and] (2) Perpetuation of [bullying or harassing] conduct … by an individual or group with intent to demean, dehumanize, embarrass, or cause physical harm to a student…”Kansas: Kan. Stat. Ann. § 72-8256.C.2 (2009): “‘Cyberbullying’ means bullying by use of any electronic communication device through means including, but not limited to, e-mail, instant messaging, text messages, blogs, mobile phones, pagers, online games and websites.”For additional examples of bullying definitions, see: Del. Code Ann. Tit. 14, § 4112D.a (2010); Kan. Stat. Ann. § 72-8256 (2009); 105 Ill. Comp. Stat. Ann. 5/27-23.7(b) (2010).For additional examples of cyberbullying definitions, see: Iowa Code § 280.28.2 (a) (2008); Md. Code Ann., Educ. § 7-424.3 (2010); 2010 Mass. Adv. Legis. Serv. Ch. No. 92-2010 (Lexis Nexis 2010); N.J. Stat. Ann. § 18A 37.14.2 (2010); Okla. Stat. Ann. Tit. 70, § 24-100.3 (2009).
    Enumeration of Specific Characteristics
    Explains that bullying may include, but is not limited to, acts based on actual or perceived characteristics of students who have historically been targets of bullying, and provides examples of such characteristics.Makes clear that bullying does not have to be based on any particular characteristic.
    Examples Enumeration of Specific CharacteristicsNorth Carolina: N.C. Gen. Stat. § 115C-407.15(a) (2010): “Bullying or harassing behavior includes, but is not limited to, acts reasonably perceived as being motivated by any actual or perceived differentiating characteristic, such as race, color, religion, ancestry, national origin, gender, socioeconomic status, academic status, gender identity, physical appearance, sexual orientation, or mental, physical, developmental, or sensory disability, or by association with a person who has or is perceived to have one or more of these characteristics.”Washington: Wash. Rev. Code Ann. § 28A.300.285.2 (2010): “Nothing in this section requires the affected student to actually possess a characteristic that is a basis for the…bullying.”For additional examples of characteristic enumeration, see: 105 Ill. Comp. Stat. Ann. 5/27-23.7.a (2010); Iowa Code § 280.28 (2008); Or. Rev. Stat. § § 339.351.3(2009).
    Development and Implementation of LEA Policies
    Directs every LEA to develop and implement a policy prohibiting bullying, through a collaborative process with all interested stakeholders, including school administrators, staff, students, students’ families, and the community, in order to best address local conditions.
    Example Development and Implementation of LEA PoliciesMaryland: Md. Code Ann., Educ. § 7-424.1(c) (2010): “[1] Each county board shall establish a policy prohibiting bullying, harassment, or intimidation. . . . [3] A county board shall develop the policy in consultation with representatives of the following groups: (i) Parents or guardians of students; (ii) School employees and administrators; (iii) School volunteers; (iv) Students; and (v) Members of the community”[vi]For additional examples of requirements for LEA policies, see: Del. Code Ann. Tit. 14, § 4112D.b (2010); Fla. Stat. Ann. 1006.147 (2010); N.J. Stat. Ann. § 18A 37.15 (2010).
    Components of LEA Policies
    A. Definitions
    Includes a definition of bullying consistent with the definitions specified in state law.
    Example Components of LEA Policies: DefinitionsOregon: Or. Rev. Stat. § 339.356.2 (2009): “School districts must include in the policy…(b) Definitions of “harassment,” “intimidation,” or “bullying,” and of “cyberbullying” that are consistent with [this statute].”For additional examples regarding definitions in LEA policies, see: Delaware Del. Code Ann. Tit. 14, § 4112D.b (2010); Fla. Stat. Ann. 1006.147 (2010); Iowa Code 280.28.3 (2008); Md. Code Ann., Educ. § 7-424.1 (2010); N.J. Stat. Ann. § 18A 37.15.b.2 (2010); N.C. Gen. Stat.§ 115C-407.16.b.2 (2010); S.C. Code Ann. § 59-63-140 (2010).
    B. Report Bullying
    Includes a procedure for students, students’ families, staff, and others to report incidents of bullying, including a process to submit such information anonymously and with protection from retaliation. The procedure identifies and provides contact information for the appropriate school personnel responsible for receiving the report and investigating the incident.Requires that school personnel report, in a timely and responsive manner, incidents of bullying they witness or are aware of to a designated official.
    Example Components of LEA Policies: Reporting BullyingGeorgia: GA. Code Ann. § 20-2-751.4(c) (2010): “Such … policy shall include: … (5) A procedure for a teacher or other school employee, student, parent, guardian, or other person who has control or charge of a student, either anonymously or in such person’s name, at such person’s option, to report or otherwise provide information on bullying activity; (6) A statement prohibiting retaliation following a report of bullying….”For additional examples regarding requirements procedures for reporting bullying, see: Ariz. Rev. Stat. § 14-341 (2010); Fla. Stat. Ann. § 1006.147 (2010); Iowa Code § 280.28.3.c (2008); Md. Code Ann., Educ. § 7-424 (2010); Or. Rev. Stat. § 339.356.2.g (2009); S.C. Code Ann. § 59-63-140 (2010).Wisconsin: Wis. Stat. § 118.46.1(a) (2009): “The [policy on bullying] shall include all of the following: …(6) A requirement that school district officials and employees report incidents of bullying and identify the persons to whom the reports must be made.”For additional examples regarding requirements for reporting of school staff, see: Alaska Stat. § 14.33.220 (2010); GA. Code Ann. § 20-2-751.4.c.2 (2010); W. Va. Code Ann. §18-2C-3.4 (2009).
    C. Investigating and Responding to Bullying
    Includes a procedure for promptly investigating and responding to any report of an incident of bullying, including immediate intervention strategies for protecting the victim from additional bullying or retaliation, and includes notification to parents of the victim, or reported victim, of bullying and the parents of the alleged perpetrator, and, if appropriate, notification to law enforcement officials.
    Example Components of LEA Policies: Investigating and Responding to BullyingMassachusetts: 2010 Mass. Adv. Legis. Serv. Ch. No. 71.37O(g) (2010): “…Upon receipt of such a report, the school principal or a designee shall promptly conduct an investigation. If the school principal or a designee determines that bullying or retaliation has occurred, the school principal or designee shall (i) notify the local law enforcement agency if the school principal or designee believes that criminal charges may be pursued against a perpetrator; (ii) take appropriate disciplinary action; (iii) notify the parents or guardians of a perpetrator; and (iv) notify the parents or guardians of the victim, and to the extent consistent with state and federal law, notify them of the action taken to prevent any further acts of bullying or retaliation.”The Family Educational Rights and Privacy Act (FERPA) contains provisions restricting release of information pertaining to disciplinary actions taken against students. State and local officials are encouraged to seek guidance to make sure any policies comply with these provisions.For additional examples regarding requirements for investigating and responding to bullying, see: GA. Code Ann. § 20-2-751.4.c.3 (2010); Iowa Cod § 280.28.3.f (2008); Or. Rev. Stat. § 339.356.2.h (2009).
    D. Written Records
    Includes a procedure for maintaining written records of all incidents of bullying and their resolution.
    Example Components of LEA Policies: Written RecordsCalifornia: Cal. Educ. Code § 234.1 (2010): “The department shall assess whether local educational agencies have done all of the following: . . . (e) Maintained documentation of complaints and their resolution for a minimum of one review cycle.”FERPA contains provisions regarding the appropriate safeguarding of privacy in educational records. State and local officials are encouraged to seek guidance to make sure any policies comply with these provisions.For additional examples on requirements for maintaining written records, see: Md. Code Ann., Educ. § 7-424 (2010).
    E. Sanctions
    Includes a detailed description of a graduated range of consequences and sanctions for bullying.
    Example Components of LEA Policies: Sanctions Alabama: Ala. Code § 16.28B.5 (2010): “The model policy, at a minimum, shall contain all of the following components: . . . [4] A series of graduated consequences for any student who commits an act of intimidation, harassment, violence or threats of violence. Punishment shall conform with applicable federal and state disability, antidiscrimination, and education laws and school discipline policies.”The Individuals with Disabilities Education Act contains provisions related to the use of disciplinary measures with students with disabilities. State and local officials are encouraged to seek guidance to make sure any policies comply with these provisions.For additional examples regarding sanctions, see: Connecticut Gen. Stat. Ann § 10-222d; Massachusetts St. 2010, c.92; New Mexico NIMAC § 6.12.7; Okla. Stat. Ann. Tit. 70, § 24-100.4 (2009).
    F. Referrals
    Includes a procedure for referring the victim, perpetrator and others to counseling and mental and other health services, as appropriate.
    Example Components of LEA Policies: ReferralsMaryland: Md. Code. Ann., Educ. § 7-424.1.b (2010): “[2] The model policy…shall include: … (viii) Information about the types of support services available to the student bully, victim, and any bystanders….”For additional examples regarding referrals, see: Fla. Stat. Ann. § 1006.147 (2010); Okla. Stat. Ann. Tit. 70, § 24-100.4 (2009).
    Review of Local Policies
    Includes a provision for the state to review local policies on a regular basis to ensure the goals of the state statute are met.
    Example Review of Local Policies Illinois: 105 Ill. Comp. Stat. Ann. 5/27-23.7(d) (2010): “The policy must be updated every 2 years and filed with the State Board of Education after being updated. The State Board of Education shall monitor the implementation of policies created under [this subsection of the statute].”For additional examples regarding review of policies, see: 24 Pa. Cons. Stat. Ann. § 13-1303.1-a (2009).
    Communication Plan
    Includes a plan for notifying students, students’ families, and staff of policies related to bullying, including the consequences for engaging in bullying.
    Example Communication PlanArkansas: Ark. Code Ann. § 6-18-514(b) (2009): “The policies shall: …[6] Require that notice of what constitutes bullying, that bullying is prohibited, and the consequences of engaging in bullying be conspicuously posted in every classroom, cafeteria, restroom, gymnasium, auditorium, and school bus in the district; and [7] Require that copies of the notice…be provided to parents, students, school volunteers, and employees.”For additional examples regarding communication plans, see: Del. Code Ann. Tit. 14, § 4123.a (2010); Fla. Stat. Ann. § 1006.147 (2010); Iowa Code § 280.28.3 (2008); N.J. Stat. Ann. § 18A 37.15.b.10-11 (2010).
    Training and Preventive Education
    Includes a provision for school districts to provide training for all school staff, including, but not limited to, teachers, aides, support staff, and school bus drivers, on preventing, identifying, and responding to bullying.Encourages school districts to implement age-appropriate school- and community-wide bullying prevention programs.
    Example Training and Preventive EducationSouth Carolina: S.C. Code Ann. § 59-63-140(E) (2009): “Information regarding a local school district policy against harassment, intimidation or bullying must be incorporated into a school employee training program. Training also should be provided to school volunteers who have significant contact with students.Massachusetts: 2010 Mass. Adv. Legis. Serv. Ch. No. 92.3(d)-2010: “The plan…shall include a provision for ongoing professional development to build the skills of all staff members, including, but not limited to, educators, administrators, school nurses, cafeteria workers, custodians, bus drivers, athletic coaches, advisors to extracurricular activities and paraprofessionals, to prevent, identify and respond to bullying.”For additional examples regarding training of staff, see: Conn. Gen. Stat. § 10-222d (2010); Del. Code Ann. Tit. 14, § 4123.a (2010); Iowa Code § 280.28.3 (2008); Nev. Rev. Stat. Ann.§ 383.133 (2009); Or. Rev. Stat. § 339.359 (2009); Wyo. Stat. Ann. § 21-4-311 (2010).South Carolina: S.C. Code Ann. § 59-63-140 (F) (2009): “Schools and school districts are encouraged to establish bullying prevention programs and other initiatives involving school staff, students, administrators, volunteers, parents, law enforcement, and community members.”For additional examples regarding bullying prevention programming, see: Md. Code Ann., Educ. § 7-424 (2010); 2010 Mass. Adv. Legis. Serv. Ch. No. 92-2010 (Lexis Nexis 2010); Or. Rev. Stat. § 339.359 (2009).
    Transparency and Monitoring
    Includes a provision for LEAs to report annually to the state on the number of reported bullying incidents, and any responsive actions taken.Includes a provision for LEAs to make data regarding bullying incidence publicly available in aggregate with appropriate privacy protections to ensure students are protected.
    Example Transparency and MonitoringNew York: N.Y. Educ. Law §15 (2010): “The Commissioner shall create a procedure under which material incidents of discrimination and harassment on school grounds or at a school function are reported to the department at least on an annual basis. Such procedure shall provide that such reports shall, wherever possible, also delineate the specific nature of such incidents…”For additional examples regarding reporting incidents to the State, see: Alaska Stat. § 14.33.210 (2010); Conn. Gen. Stat. § 10-222d (2010); Md. Code Ann., Educ. § 7-424 (2010);Iowa: Iowa Code § 280.28.7 (2008): “The board of directors of a school district and the authorities in charge of each nonpublic school…shall report data collected…as specified by the department, to the local community.”Ohio: Ohio Rev. Code Ann. § 3313.666.10 (2010): “…the district administration… [shall] provide … a written summary of all reported incidents and post the summary on its web site….”FERPA contains provisions regarding the appropriate safeguarding of privacy in educational records. State and local officials are encouraged to seek guidance to make sure any policies comply with these provisions.For additional examples regarding requirements for reporting data to the public, see: Fla. Stat. Ann. § 1006.147 (2010); Iowa Code § 280.28 (2008).
    Statement of Rights to Other Legal Recourse
    Includes a statement that the policy does not preclude victims from seeking other legal remedies.
    Example Statement of Rights to Other Legal Recourse

  • http://pulse.yahoo.com/_MH7ATSNYASMCJO3MWNJ4C4T2KY Olivia

    I was in a AA meeting once and the speaker mentioned Dr Kishore, and the entire room erupted into laughter. I saw him back in the late 90s and he was a quack then. He was FAR from free. He had been fined years ago because when you sat in his waiting room (an hour was considered quick) he’d bill the insurance co’s for that time. Then once you saw him he’d tell you what a great guy he was for working with addicts. Ive been clean for over 10 years now and those professionals who really helped me were ones that didnt need to continiously pat themselves on the back. Addicts are a nightmare to work with, and I commend all those that put up with it all to help those in need. But theres no way you’re ever going to convince me Kishore was one of those people.
    This Fool Punyamurtula Kishore MD aka MAD DOG was never licensed by Mass. Dept of Public Health to practice Addiction Medicine. Punyamurtula Kishore MD aka MAD Dog Millionaire is a fraud ,
    The American College of Addiction Medicine and the National Library of Addiction has never existed except on paper. Punyamurtula Kishore has been indicted by 3 Grand Juries for Medical Insurance Fraud , bribery and giving out and receiving kickbacks. He was involved in Corruption when he was the Medical Director at the Massachusetts Dept. of Correction , Martha Eliot Health Ctr , Roxbury Comprehensive Health Ctr. and his possess Medical Practice , Preventive Medicine Associates.formerly Addiction Medicine Associates. He used two entities he created on paper that never existed called the National library of Addictions and the American College of Addiction Medicine to advocate his emergence in the field of addiction medicine. This unscrupulous MD used and exploited his patients and employees for financial wealth. The only thing that MAD DOG MILLIONAIRE aka Punyamurtula Kishore cared about

  • http://pulse.yahoo.com/_MH7ATSNYASMCJO3MWNJ4C4T2KY Olivia

    I was in a AA meeting once and the speaker mentioned Dr Kishore, and the entire room erupted into laughter. I saw him back in the late 90s and he was a quack then. He was FAR from free. He had been fined years ago because when you sat in his waiting room (an hour was considered quick) he’d bill the insurance co’s for that time. Then once you saw him he’d tell you what a great guy he was for working with addicts. Ive been clean for over 10 years now and those professionals who really helped me were ones that didnt need to continiously pat themselves on the back. Addicts are a nightmare to work with, and I commend all those that put up with it all to help those in need. But theres no way you’re ever going to convince me Kishore was one of those people.
    This Fool Punyamurtula Kishore MD aka MAD DOG was never licensed by Mass. Dept of Public Health to practice Addiction Medicine. Punyamurtula Kishore MD aka MAD Dog Millionaire is a fraud ,
    The American College of Addiction Medicine and the National Library of Addiction has never existed except on paper. Punyamurtula Kishore has been indicted by 3 Grand Juries for Medical Insurance Fraud , bribery and giving out and receiving kickbacks. He was involved in Corruption when he was the Medical Director at the Massachusetts Dept. of Correction , Martha Eliot Health Ctr , Roxbury Comprehensive Health Ctr. and his possess Medical Practice , Preventive Medicine Associates.formerly Addiction Medicine Associates. He used two entities he created on paper that never existed called the National library of Addictions and the American College of Addiction Medicine to advocate his emergence in the field of addiction medicine. This unscrupulous MD used and exploited his patients and employees for financial wealth. The only thing that MAD DOG MILLIONAIRE aka Punyamurtula Kishore cared about

  • Civilsocietyboston

    civilsocietyboston
    STOPBULLYING.GOV:

    Report Cyberbullying
    When cyberbullying happens, it is important to document and report the behavior so it can be addressed.
    Steps
    to Take ImmediatelyReport Cyberbullying to Online Service
    ProvidersReport Cyberbullying to Law EnforcementReport Cyberbullying to
    Schools
    Steps to Take Immediately
    Don’t respond to and don’t
    forward cyberbullying messages.Keep evidence of cyberbullying. Record
    the dates, times, and descriptions of instances when cyberbullying has
    occurred. Save and print screenshots, emails, and text messages. Use
    this evidence to report cyberbullying to web and cell phone service
    providers.Block the person who is cyberbullying.
    Back to top

    Report Cyberbullying to Online Service Providers
    Cyberbullying often violates the terms of service established by social media sites and internet service providers.
    Review
    their terms and conditions or rights and responsibilities sections.
    These describe content that is or is not appropriate.Visit social media
    safety centers to learn how to block users and change settings to
    control who can contact you.Report cyberbullying to the social media
    site so they can take action against users abusing the terms of service.

    Back to top

    Report Cyberbullying to Law Enforcement
    When cyberbullying involves these activities it is considered a crime and should be reported to law enforcement:
    Threats
    of violenceChild pornography or sending sexually explicit messages or
    photosTaking a photo or video of someone in a place where he or she
    would expect privacyStalking and hate crimes
    Some states consider
    other forms of cyberbullying criminal. Consult your state’s laws and law
    enforcement for additional guidance.
    Back to top

    Report Cyberbullying to Schools
    Cyberbullying can create a
    disruptive environment at school and is often related to in-person
    bullying. The school can use the information to help inform prevention
    and response strategies.In many states, schools are required to address
    cyberbullying in their anti-bullying policy. Some state laws also cover
    off-campus behavior that creates a hostile school environment.

  • Civilsocietyboston

    civilsocietyboston
    STOPBULLYING.GOV:

    Report Cyberbullying
    When cyberbullying happens, it is important to document and report the behavior so it can be addressed.
    Steps
    to Take ImmediatelyReport Cyberbullying to Online Service
    ProvidersReport Cyberbullying to Law EnforcementReport Cyberbullying to
    Schools
    Steps to Take Immediately
    Don’t respond to and don’t
    forward cyberbullying messages.Keep evidence of cyberbullying. Record
    the dates, times, and descriptions of instances when cyberbullying has
    occurred. Save and print screenshots, emails, and text messages. Use
    this evidence to report cyberbullying to web and cell phone service
    providers.Block the person who is cyberbullying.
    Back to top

    Report Cyberbullying to Online Service Providers
    Cyberbullying often violates the terms of service established by social media sites and internet service providers.
    Review
    their terms and conditions or rights and responsibilities sections.
    These describe content that is or is not appropriate.Visit social media
    safety centers to learn how to block users and change settings to
    control who can contact you.Report cyberbullying to the social media
    site so they can take action against users abusing the terms of service.

    Back to top

    Report Cyberbullying to Law Enforcement
    When cyberbullying involves these activities it is considered a crime and should be reported to law enforcement:
    Threats
    of violenceChild pornography or sending sexually explicit messages or
    photosTaking a photo or video of someone in a place where he or she
    would expect privacyStalking and hate crimes
    Some states consider
    other forms of cyberbullying criminal. Consult your state’s laws and law
    enforcement for additional guidance.
    Back to top

    Report Cyberbullying to Schools
    Cyberbullying can create a
    disruptive environment at school and is often related to in-person
    bullying. The school can use the information to help inform prevention
    and response strategies.In many states, schools are required to address
    cyberbullying in their anti-bullying policy. Some state laws also cover
    off-campus behavior that creates a hostile school environment.

  • Civilsocietyboston

    civilsocietyboston
    STOPBULLYING.GOV:

    Report Cyberbullying
    When cyberbullying happens, it is important to document and report the behavior so it can be addressed.
    Steps
    to Take ImmediatelyReport Cyberbullying to Online Service
    ProvidersReport Cyberbullying to Law EnforcementReport Cyberbullying to
    Schools
    Steps to Take Immediately
    Don’t respond to and don’t
    forward cyberbullying messages.Keep evidence of cyberbullying. Record
    the dates, times, and descriptions of instances when cyberbullying has
    occurred. Save and print screenshots, emails, and text messages. Use
    this evidence to report cyberbullying to web and cell phone service
    providers.Block the person who is cyberbullying.
    Back to top

    Report Cyberbullying to Online Service Providers
    Cyberbullying often violates the terms of service established by social media sites and internet service providers.
    Review
    their terms and conditions or rights and responsibilities sections.
    These describe content that is or is not appropriate.Visit social media
    safety centers to learn how to block users and change settings to
    control who can contact you.Report cyberbullying to the social media
    site so they can take action against users abusing the terms of service.

    Back to top

    Report Cyberbullying to Law Enforcement
    When cyberbullying involves these activities it is considered a crime and should be reported to law enforcement:
    Threats
    of violenceChild pornography or sending sexually explicit messages or
    photosTaking a photo or video of someone in a place where he or she
    would expect privacyStalking and hate crimes
    Some states consider
    other forms of cyberbullying criminal. Consult your state’s laws and law
    enforcement for additional guidance.
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    Report Cyberbullying to Schools
    Cyberbullying can create a
    disruptive environment at school and is often related to in-person
    bullying. The school can use the information to help inform prevention
    and response strategies.In many states, schools are required to address
    cyberbullying in their anti-bullying policy. Some state laws also cover
    off-campus behavior that creates a hostile school environment.

  • Civilsocietyboston

    Civilsociety Boston
    OPEN LETTER TO THE GENERAL MANAGER:
    PaulLa Camera
    General Manager
    Reference: Cyber Bullying, Cyber Stalking, Cyber Hate Speech URL: http://www.wbur.org/2011/09/28… URL: http://www.wbur.org/2011/09/27… URL: http://www.wbur.org/2012/06/07… URL: http://www.wbur.org/2012/06/12… Dear Dr. LaCamera: Your organization is a champion of Anti Cyber bullying coverage. URL: http://www.wbur.org/2012/05/17
    Unfortunately your comment section in the URLs listed aboveis serving
    as a venue for Cyber Bullying, Cyber Stalking and Cyber
    Intimidation/Rant and Hate Speech targeting a Doctor. As you are aware
    this is a crime under 18 U.S.C. § 875(c) which criminalizes the making
    of threats via Internet. Your Community Rules also prohibit such
    conduct. URL: http://www.wbur.org/community/
    The Violations are numerous and have been reported previously.The
    individual/individuals keep posting. I seek your good offices to put an
    end to this either by removing and closing the Comments Section and or
    sending a legal notice to the Offender. A prompt response is needed to
    stop this harassment and intimidation. The individual is also posting
    these links to twitter accounts and pornography sites. Please take
    action.

  • Civilsocietyboston

    MASSACHUSETTS ANTI-BULLYING LAWS AND P[OLICIES:
    STOPBULLYING.GOV

    What term is used in the Massachusetts anti-bullying laws?
    Bullying.
    Do these laws cover cyberbullying?
    Yes.  
    What groups are listed under Massachusetts state law?
    There are no specific groups listed in Massachusetts anti-bullying laws.
    Schools
    that receive federal funding are required by federal law to address
    discrimination on a number of different personal characteristics. Find out when bullying may be a civil rights violation.
    Is there a state model policy I can use to create anti-bullying policies at my school or district?
    A state model policy is available at the Massachusetts Department of Education .
    Which of the key components can be found in Massachusetts anti-bullying laws and policies?
    Key ComponentsPresent in Massachusetts State LawsPresent in Massachusetts Model PolicyDEFINITIONSPurposeYESYESScopeYESYESProhibited BehaviorYESYESEnumerated GroupsNOYESDISTRICT POLICY REVIEW & DEVELOPMENTDistrict PolicyYESN/ADistrict Policy ReviewYESN/ADISTRICT POLICY COMPONENTSDefinitionsYESN/AReportingYESYESInvestigationsYESYESWritten RecordsNOYESConsequencesYESYESMental HealthYESYESADDITIONAL COMPONENTSCommunicationsYESYESTraining/PreventionYESYESTransparency/MonitoringNOYESLegal RemediesYESYESNOTE: Click on the Key Components links to get more information about that component.
    What are the Massachusetts state laws that cover bullying?
    Massachusetts
    General Laws Chapter §69 Section 1D – The board shall establish a set
    of statewide educational goals for all public elementary and secondary
    schools in the commonwealthMassachusetts General Laws Chapter §71, Section 37H – Policies relative to conduct of teachers or students; student handbooksMassachusetts General Laws Chapter §71, Section 37O – School bullying prohibited; bullying prevention plansMassachusetts
    General Laws Chapter §71 Section 93 – Policy regarding internet safety
    measures for schools providing computer access to studentsMassachusetts General Laws Chapter 265 Section 43 – Stalking; punishmentMassachusetts General Laws Chapter §265 Section 43A – Criminal harassment; punishmentMassachusetts General Laws Chapter §269 Section 14A – Annoying telephone calls
    For More Information
    See “Bullying Prevention and Intervention Resources ” from the Massachusetts Department of Education.
    Information for this page was developed from “Analysis of State Bullying Laws and Policies – December 2011” (U.S. Department of Education).

  • http://twitter.com/constancek67 Constance Kilsurmart

    MAD DOG MILLIONAIRE AKA PUNYAMURTULA KISHORE MD 2020 ERECTILE DYSFUNNCTION SPECIALIST MAD DOG Millionaire aka Punyamurtula Kishore MD 20 20 I was in a AA meeting once and the speaker mentioned Dr Kishore, and the entire room erupted into la…ughter. I saw him back in the late 90s and he was a quack then. He was FAR from free. He had been fined years ago because when you sat in his waiting room (an hour was considered quick) he'd bill the insurance co's for that time. Then once you saw him he'd tell you what a great guy he was for working with addicts. Ive been clean for over 10 years now and those professionals who really helped me were ones that didnt need to continiously pat themselves on the back. Addicts are a nightmare to work with, and I commend all those that put up with it all to help those in need. But theres no way you're ever going to convince me Kishore was one of those people. This Fool Punyamurtula Kishore MD aka MAD DOG was never licensed by Mass. Dept of Public Health to practice Addiction Medicine. Punyamurtula Kishore MD aka MAD Dog Millionaire is a fraud , The American College of Addiction Medicine and the National Library of Addiction has never existed except on paper. Punyamurtula Kishore has been indicted by 3 Grand Juries for Medical Insurance Fraud , bribery and giving out and receiving kickbacks. He was involved in Corruption when he was the Medical Director at the Massachusetts Dept. of Correction , Martha Eliot Health Ctr , Roxbury Comprehensive Health Ctr. and his possess Medical Practice , Preventive Medicine Associates.formerly Addiction Medicine Associates. He used two entities he created on paper that never existed called the National library of Addictions and the American College of Addiction Medicine to advocate his emergence in the field of addiction medicine. This unscrupulous MD used and exploited his patients and employees for financial wealth. The only thing that MAD DOG MILLIONAIRE aka Punyamurtula Kishore cared about was making money at the expense of someone elses misery

  • http://twitter.com/constancek67 Constance Kilsurmart

    MAD DOG MILLIONAIRE AKA PUNYAMURTULA KISHORE MD 2020 ERECTILE DYSFUNNCTION SPECIALIST MAD DOG Millionaire aka Punyamurtula Kishore MD 20 20 I was in a AA meeting once and the speaker mentioned Dr Kishore, and the entire room erupted into la…ughter. I saw him back in the late 90s and he was a quack then. He was FAR from free. He had been fined years ago because when you sat in his waiting room (an hour was considered quick) he'd bill the insurance co's for that time. Then once you saw him he'd tell you what a great guy he was for working with addicts. Ive been clean for over 10 years now and those professionals who really helped me were ones that didnt need to continiously pat themselves on the back. Addicts are a nightmare to work with, and I commend all those that put up with it all to help those in need. But theres no way you're ever going to convince me Kishore was one of those people. This Fool Punyamurtula Kishore MD aka MAD DOG was never licensed by Mass. Dept of Public Health to practice Addiction Medicine. Punyamurtula Kishore MD aka MAD Dog Millionaire is a fraud , The American College of Addiction Medicine and the National Library of Addiction has never existed except on paper. Punyamurtula Kishore has been indicted by 3 Grand Juries for Medical Insurance Fraud , bribery and giving out and receiving kickbacks. He was involved in Corruption when he was the Medical Director at the Massachusetts Dept. of Correction , Martha Eliot Health Ctr , Roxbury Comprehensive Health Ctr. and his possess Medical Practice , Preventive Medicine Associates.formerly Addiction Medicine Associates. He used two entities he created on paper that never existed called the National library of Addictions and the American College of Addiction Medicine to advocate his emergence in the field of addiction medicine. This unscrupulous MD used and exploited his patients and employees for financial wealth. The only thing that MAD DOG MILLIONAIRE aka Punyamurtula Kishore cared about was making money at the expense of someone elses misery

  • INTERNET VIGILANCE

    WBUR GIVES EQUAL TIME:Punyamurtula S. Kishore is the founder of Preventive Medicine Associates, Addiction Medicine Associates, and National Library of Addiction.

    Kishore has been a practicing public health scientist for over 30 years.  He began his medical
    career as a primary care / family practice physician and then moved into a position as the
    Medical Director of the Washingtonian Center for Addictions, the first organization in the
    U.S. to recognize addiction as a disease. 

    Their
    philosophy was an early precursor to the AA or 12-step program
    movement.  Kishore has been a member of the American Society of
    Addiction Medicine since 1986 and has helped treat more than 200,000
    addicts.

    Dr. Kishore treats addicts with his
    ‘sobriety maintenance’ method.  This unique health model stresses the
    prescription of non-toxic substances, provides patients with coping
    skills they need to remain sober and tailors treatment to specific
    medical conditions.
     

    Kishore
    also administers “de-addiction” treatment, a process that treats
    emotional addiction as well as the physical addiction.  Patients have
    access to home detoxification, an inexpensive and
    more effective option to in-patient care which allows them to maintain
    their dignity while learning how to cope with the temptations found in
    their own environments.

    In 1993, Kishore founded
    National Library of Addictions in Brookline, Massachusetts.  To support
    work in addictions treatment, the Library is designed to
    provide a non-profit structure for addiction professionals to exchange
    ideas and to further the development of treatment methodologies.

    He was honored by the Boston Celtics with a “Heroes Among Us” award, given to those who make a significant impact on the lives of others.  Kishore is also the recipient of a national Compassionate Caregiver Award, Honorable Mention, from the Schwartz Foundation.  Kishore
    served as a faculty member of Harvard and as an Assistant Professor of
    Medicine at the University of Massachusetts.  Currently, he serves as
    the Assistant Professor of Business Administration at Fitchburg State
    University.  He holds his Master’s Degree in Public Health from Harvard
    School of Public Health, in addition to Certificates in Addiction
    Studies and Forensic Psychology from Bridgewater State University.

    Learn More About these Organizations:

    Addiction Medicine
    Preventive Medicine AssociatesAddiction Medicine Associates
    National Library of AddictionsWashingtonian Temperance Society
    Abraham Lincoln
    Address Before The Springfield Washingtonian Temperance Society
    February 22, 1842Andhra University in IndiaHarvard School of Public Health
    Bridgewater State University
    Fitchburg State UniversityD. Elton Trueblood Community Builder AwardBoston Celtics “Heroes Among Us” AwardSchwartz CenterAMERSABoston Event Guide

  • INTERNET VIGILANCE

    WBUR HAS HIGH ETHICAL AND MORAL STANDARDS; HENCE EQUAL TIME;Punyamurtula S. Kishore is the founder of Preventive Medicine Associates, Addiction Medicine Associates, and National Library of Addiction.

    Kishore has been a practicing public health scientist for over 30 years.  He began his medical
    career as a primary care / family practice physician and then moved into a position as the
    Medical Director of the Washingtonian Center for Addictions, the first organization in the
    U.S. to recognize addiction as a disease. 

    Their
    philosophy was an early precursor to the AA or 12-step program
    movement.  Kishore has been a member of the American Society of
    Addiction Medicine since 1986 and has helped treat more than 200,000
    addicts.

    Dr. Kishore treats addicts with his
    ‘sobriety maintenance’ method.  This unique health model stresses the
    prescription of non-toxic substances, provides patients with coping
    skills they need to remain sober and tailors treatment to specific
    medical conditions.
     

    Kishore
    also administers “de-addiction” treatment, a process that treats
    emotional addiction as well as the physical addiction.  Patients have
    access to home detoxification, an inexpensive and
    more effective option to in-patient care which allows them to maintain
    their dignity while learning how to cope with the temptations found in
    their own environments.

    In 1993, Kishore founded
    National Library of Addictions in Brookline, Massachusetts.  To support
    work in addictions treatment, the Library is designed to
    provide a non-profit structure for addiction professionals to exchange
    ideas and to further the development of treatment methodologies.

    He was honored by the Boston Celtics with a “Heroes Among Us” award, given to those who make a significant impact on the lives of others.  Kishore is also the recipient of a national Compassionate Caregiver Award, Honorable Mention, from the Schwartz Foundation.  Kishore
    served as a faculty member of Harvard and as an Assistant Professor of
    Medicine at the University of Massachusetts.  Currently, he serves as
    the Assistant Professor of Business Administration at Fitchburg State
    University.  He holds his Master’s Degree in Public Health from Harvard
    School of Public Health, in addition to Certificates in Addiction
    Studies and Forensic Psychology from Bridgewater State University.

    Learn More About these Organizations:

    Addiction Medicine
    Preventive Medicine AssociatesAddiction Medicine Associates
    National Library of AddictionsWashingtonian Temperance Society
    Abraham Lincoln
    Address Before The Springfield Washingtonian Temperance Society
    February 22, 1842Andhra University in IndiaHarvard School of Public Health
    Bridgewater State University
    Fitchburg State UniversityD. Elton Trueblood Community Builder AwardBoston Celtics “Heroes Among Us” AwardSchwartz CenterAMERSABoston Event Guide

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