PROVIDENCE, R.I. — The state Board of Medical Licensure and Discipline has placed Dr. William Braden, a psychiatrist who practiced at Butler Hospital, on three years’ probation for improperly prescribing medications. This is the second time in five years that the Department of Health has reprimanded Braden.
R.I. psychiatrist disciplined for improperly prescribing drugs
By G. Wayne Miller
May 29, 2018
In the current case, the Board of Medical Licensure and Discipline after an investigation also ordered Braden to “cease prescribing opioids, specifically schedule II and III opioids” with the exception of buprenorphine, used to treat addiction, within 150 days of the order, ratified with Braden’s signature on May 15. Schedule II and III opioids include codeine and oxycodone.
The board also ordered the psychiatrist to complete training in the treatment of anxiety, and to have a board-approved monitor review 10 of his medical records once a month for the next year. And Braden was ordered to pay $1,700 for the cost of the investigation.
In signing the six-page consent order, the board wrote, Braden “agrees to this reprimand on his physician license.”
According to Butler spokesperson Sara Brandon, “Dr. Braden no longer has medical staff privileges at any Care New England hospitals, including Butler and Kent hospitals mentioned in the Consent Order. We have no further comment.” A previous link on Butler’s website to Braden is no longer active.
The consent order follows investigation of Braden’s interactions with three individuals identified only as Patient A, Patient B and Patient C.
Patient A, according to the consent order, was 73 in 2013, when Braden saw this individual; he subsequently saw Patient A “several times.” The psychiatrist prescribed four medications “that present additional risks to elderly patients,” the board concluded, but “there was no documentation in the medical record that the additional risks of these medications were discussed with Patient A.”
Braden improperly managed the care of Patient B, the board found, with his prescribing of clonazepam, a tranquilizer used to treat anxiety disorders. A family member told the board that Patient B had previously overdosed on the drug “and been admitted to Kent [Hospital] and Butler at different times for this pattern of misuse, yet [Braden] continued to prescribe this medication without sufficient safeguards or consideration of other treatments.”
Patient C, the board found, was prescribed Vicodin by Braden, some of which the patient later sold. The psychiatrist, according to the consent order, “did not see that” Braden was “regularly reviewing” Rhode Island’s Prescription Drug Monitoring Program, nor “obtaining regular urine drug screens or utilizing adequate safeguards to prevent diversion.”
In 2013, Braden was placed on two years’ probation “after the medical board found “multiple areas of concern,” including early renewal of controlled substances, inadequate documentation and failure to enter into pain management agreements with patients using controlled substances,” The Journal reported.
Attempts to reach Braden were unsuccessful. He is listed on the consent order as a graduate of Harvard Medical School — the class of 1969, according to Harvard University’s alumni directory, which also lists him as a 1965 graduate of Harvard College.
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