Walter Reed officials concerned that Hasan was psychotic

NPR:

Starting in the spring of 2008, key officials from Walter Reed Army Medical Center and the Uniformed Services University of the Health Sciences held a series of meetings and conversations, in part about Maj. Nidal Hasan, the man accused of killing 13 people and wounding dozens of others last week during a shooting spree at Fort Hood. One of the questions they pondered: Was Hasan psychotic?

"Put it this way," says one official familiar with the conversations that took place. "Everybody felt that if you were deployed to Iraq or Afghanistan, you would not want Nidal Hasan in your foxhole."

In documents reviewed by NPR and conversations with medical officials at Walter Reed and USUHS, new details have emerged regarding serious concerns that officials raised about Hasan during his time at both institutions.

Hasan spent six years as a psychiatrist at Walter Reed, beginning in 2003, and he had a fellowship at USUHS until shortly before he went to Fort Hood in the summer of 2009. A committee of officials from both places regularly meets once a month to discuss pressing topics surrounding the psychiatrists and other mental health professionals who train and work at the institutions.

NPR spoke with military psychiatrists and officials who worked closely with Hasan, as well as those who monitored the committee and/or student and faculty matters. None would allow their names to be used, because of the criminal investigation into the Fort Hood shootings.

When a group of key officials gathered in the spring of 2008 for their monthly meeting in a Bethesda, Md., office, one of the leading — and most perplexing — items on their agenda was: What should we do about Hasan?

Hasan had been a trouble spot on officials' radar since he started training at Walter Reed, six years earlier. Several officials confirm that supervisors had repeatedly given him poor evaluations and warned him that he was doing substandard work.

Both fellow students and faculty were deeply troubled by Hasan's behavior — which they variously called disconnected, aloof, paranoid, belligerent, and schizoid. The officials say he antagonized some students and faculty by espousing what they perceived to be extremist Islamic views. His supervisors at Walter Reed had even reprimanded him for telling at least one patient that "Islam can save your soul."

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The story goes on to explain several factors that led them to do nothing about his strange behavior. The last one had to do with his transfer to Fort Hood. One suspects they thought he would be someone else's problem soon so the deferred dealing with his behavior.

It was a bad decision that cost lives.