Venice program gives the homeless a place to keep belongings









Bone-chilling fog swirled along Venice Beach one recent afternoon when Robert and Nani Valencia and Ana Maria Reyes stopped by the long, metal storage container beside the sand.


After they showed IDs and claim checks, a volunteer wheeled out two blue recycling bins in which the three recent arrivals from Texas had stashed their suitcases. They pulled out toiletries, sweaters and blankets and stuffed them into reusable grocery bags.


"It makes us feel a lot better to store our things here," said Nani Valencia, 37. "When you have all your [suitcases] with you, people treat you like you have rabies."





With bags in hand, she, her husband and his 64-year-old mother joined dozens of others waiting for a bus to take them to a shelter. The three would rest, eat dinner and have a shower that night at the West Los Angeles National Guard Armory on Federal Avenue; most of their meager possessions would remain locked up at the beach.


In the wake of court rulings that bar cities from randomly seizing and destroying homeless people's property, communities such as Venice are seeking long-term storage options to keep their streets and alleys clean.


"We're not going to let [homeless people] keep items on the beach anymore," said Los Angeles Councilman Bill Rosendahl, who represents Venice. "We're going to bag and tag [them]. We want to make it inconvenient but within the law."


Contributing to the problem was a rule governing use of the city's Westside winter shelter.


Homeless individuals who choose to sleep at the shelter are allowed to take with them only the items they can carry on their laps. And some were reluctant to leave their possessions for fear they would be stolen or seized. That meant many of the shelter's 160 beds went unused.


Rosendahl and a local social services agency — Venice Community Housing Corp. — launched a pilot program late last month called Check-in Storage. The initiative allows individuals to store personal belongings in the container for a week at a time and retrieve them between 3 and 5 p.m. daily. (The program is slated to end March 1, when the shelter closes.)


To publicize the service, volunteers and social service agencies distributed bright orange fliers: "If your stuff will fit into a big trash can," they read, "bring it to our storage container." The flier noted that the program would not accept medicine, identification, weapons or "anything illegal."


The storage option, said Steve Clare, executive director of Venice Community Housing, is modeled on successful programs in downtown L.A.'s skid row and cities including San Francisco, San Diego and Costa Mesa.


In September, a federal appeals court ruled in a lawsuit filed against the city of Los Angeles that seizing and destroying property left temporarily unattended on public sidewalks was unconstitutional. Personal possessions may be removed only if the items pose an immediate threat to public safety or health or constitute criminal evidence, a panel of the U.S. 9th Circuit Court of Appeals found.


Even then, the city must notify owners where they can pick up their property.


On the afternoon the Valencias and Reyes retrieved some items, about half of the 25 bins were in use. Also there for safekeeping was a Schwinn bicycle. Its owner, Love Sha Un of Nigeria, came by to check on his $215 purchase and thank the volunteers. Without the storage option, he said, "it might have gone missing."


Not everyone is pleased with the program.


Mark Ryavec, a Venice resident who lobbied against overnight parking by RV dwellers, said the city should have sought a permit from the California Coastal Commission before plopping a storage container at the beach. Marc Saltzberg, vice president of the Venice Neighborhood Council, said the program was implemented without a public process that would have enabled residents and other interested parties to weigh in.


Rosendahl said he hoped to notify street denizens of a new location by the end of February and have a new program up and running by March. He said he was working with the Los Angeles city attorney's office to ensure that any seizures of items would be done legally.


martha.groves@latimes.com





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Israeli Says Syria Twisted Comments by Rebel Supporter





BEIRUT, Lebanon — A public relations controversy erupted Saturday after a leading Israeli newspaper published comments from a brief interview with the leader of Syria’s main exile opposition group.




The news media outlets of the Syrian government, and its ally Hezbollah, the Lebanese militant group, reported that the opposition leader had declared that Israel had “nothing to fear” from a rebel-led Syrian government. Moreover, the reports said, the opposition was working with other countries to keep Syria’s chemical weapons away from Hezbollah, which he called a “son of the devil.”


But the opposition leader, Sheik Ahmad Moaz al-Khatib, never said any of that, according to the article in the Israeli newspaper, Yediot Aharonot, and its author, a prominent Israeli defense expert, Ronen Bergman.


Sheik Khatib was quoted in the article reiterating the opposition’s promise to keep Syria’s chemical arsenal out of “the hands of unauthorized elements,” and it was the international community, he said, not Israel, that had “nothing to fear.”


When Sheik Khatib realized that Mr. Bergman was an Israeli — after glancing at his business card — he abruptly ended the conversation, Mr. Bergman said in a Skype interview, repeating what he had written.


The original article was published only in Hebrew — and only in print — so it was the Arabic and English versions put out by the Syrian government and Hezbollah that raced around the Internet on Saturday, provoking outrage from government supporters and opponents at Sheik Khatib, who posted a message on his Facebook page denying that he had given the interview.


Yet the episode appeared to have been more than a simple misunderstanding. Syria’s conflict is not only a shooting war but also a propaganda war. Pro-government media apparently could not resist the chance to bolster their contention that the rebellion had been promoted by Israel and the West to punish Syria and its president, President Bashar al-Assad, for taking uncompromising positions against Israel.


“Unfortunately, the original text was less exciting,” Mr. Bergman said. “I would be happy if he would say something like, ‘Yes, we will make peace with Israel’ — then I would get the front page.” As it was, the article elicited little reaction in Israel.


But misrepresentation of the article suggested that it hit a nerve on one issue. An unnamed opposition member, not Sheik Khatib, called Hezbollah “sons of the devil,” according to Mr. Bergman, and said the rebel coalition was working with other countries to ensure that “not one piece of military equipment, not chemical weapons and not any other item, will pass into their hands.”


Syria is Hezbollah’s main conduit for arms, and Hezbollah has backed Mr. Assad’s bloody crackdown at great cost to its popularity in the wider Arab world.


Although Mr. Bergman said the opposition member was offering his own opinion and not presenting official policy, his comments bolstered the widely held view that a rebel-led government might halt the shipment of Iranian arms through Syria to Hezbollah. Hezbollah, a Shiite group and political party, is also concerned about the rise within the rebel movement of extremist Sunni jihadists who view Shiites as apostates.


The misleading reports appeared to be an attempt to further divide the opposition. Sheik Khatib found himself fending off critics from within the anti-Assad movement who objected to his even speaking with an Israeli reporter, though by all accounts he did not initially realize that Mr. Bergman was an Israeli.


It was the second time in a month that Sheik Khatib found himself on the defensive. He recently proposed talks with members of Mr. Assad’s government, but had not built political support for the proposal.


On Friday, Syria’s information minister, Omran al-Zoubi, gave the first official response to the proposal, saying that the government would negotiate with any opposition members who agreed to lay down their arms.


On Saturday, Mr. Assad named new cabinet ministers for oil, finance, social affairs, labor, housing, public works and agriculture, as Syria faces growing economic problems and shortages of electricity, fuel and bread.


Anne Barnard reported from Beirut, and Isabel Kershner from Jerusalem. Hania Mourtada contributed reporting from Beirut.



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Tiger Woods & Lindsey Vonn Are 'Spending More Time' Together: Source






Buzz








02/09/2013 at 06:00 PM EST







Tiger Woods and Lindsey Vonn


Mick Tsikas/Reuters/Landov; Luis Guerra/Ramey


It was quite the gesture.

After Lindsey Vonn suffered a devastating injury during the Alpine World Championships in Austria, she got a bit of help from Tiger Woods. Walking on crutches, Vonn – who tore two ligaments in her right knee and fractured her shin when she crashed on Tuesday ­– boarded Woods's private jet to return home.

Is it a sign that the rumored relationship between Woods and Vonn is heating up?

"Tiger and Lindsey have been friends for a while, and nothing started out romantically at all," a source tells PEOPLE. "But they really have a lot in common and got closer and closer. He still refers to her as 'my very good friend,' but he's been spending more and more time talking to her – and talking about her."

Last month, Vonn's reps kept mum about the rumored relationship, telling PEOPLE that her "focus is solely on competing and on defending her titles and thus she will not participate in any speculation surrounding her personal life at this time."

But the source close to Woods tells PEOPLE that Woods, 37, and Vonn. 28, talk and text frequently.

"Tiger really does want a woman who he can have good conversations with," he says. "He wants shared interests and outlooks. He is finding that with [Lindsey]."

Woods made international headlines in 2009 when he was linked to dozens of women while still married to his ex-wife, Elin Nordegren.

Since then, he has dated sporadically, but struggled to find someone who wanted a relationship for the right reasons.

"She's not freaked out by his past, and that's really appealing to him," says the source. "He really does deserve to be happy. He has been flogging himself for three years, and it's good to see him moving forward."

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After early start, worst of flu season may be over


NEW YORK (AP) — The worst of the flu season appears to be over.


The number of states reporting intense or widespread illnesses dropped again last week, and in a few states there was very little flu going around, U.S. health officials said Friday.


The season started earlier than normal, first in the Southeast and then spreading. But now, by some measures, flu activity has been ebbing for at least four weeks in much of the country. Flu and pneumonia deaths also dropped the last two weeks, the Centers for Disease Control and Prevention reported.


"It's likely that the worst of the current flu season is over," CDC spokesman Tom Skinner said.


But flu is hard to predict, he and others stressed, and there have been spikes late in the season in the past.


For now, states like Georgia and New York — where doctor's offices were jammed a few weeks ago — are reporting low flu activity. The hot spots are now the West Coast and the Southwest.


Among the places that have seen a drop: Lehigh Valley Hospital-Cedar Crest in Allentown, Pa., which put up a tent outside its emergency room last month to help deal with the steady stream of patients. There were about 100 patients each day back then. Now it's down to 25 and the hospital may pack up its tent next week, said Terry Burger, director of infection control and prevention for the hospital.


"There's no question that we're seeing a decline," she said.


In early December, CDC officials announced flu season had arrived, a month earlier than usual. They were worried, saying it had been nine years since a winter flu season started like this one. That was 2003-04 — one of the deadliest seasons in the past 35 years, with more than 48,000 deaths.


Like this year, the major flu strain was one that tends to make people sicker, especially the elderly, who are most vulnerable to flu and its complications


But back then, that year's flu vaccine wasn't made to protect against that bug, and fewer people got flu shots. The vaccine is reformulated almost every year, and the CDC has said this year's vaccine is a good match to the types that are circulating. A preliminary CDC study showed it is about 60 percent effective, which is close to the average.


So far, the season has been labeled moderately severe.


Like others, Lehigh Valley's Burger was cautious about making predictions. "I'm not certain we're completely out of the woods," with more wintry weather ahead and people likely to be packed indoors where flu can spread around, she said.


The government does not keep a running tally of flu-related deaths in adults, but has received reports of 59 deaths in children. The most — nine — were in Texas, where flu activity was still high last week. Roughly 100 children die in an average flu season, the CDC says


On average, about 24,000 Americans die each flu season, according to the CDC.


According to the CDC report, the number of states with intense activity is down to 19, from 24 the previous week, and flu is widespread in 38 states, down from 42.


Flu is now minimal in Florida, Kentucky, Maine, Montana, New Hampshire and South Carolina.


___


Online:


CDC: http://www.cdc.gov/flu/


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Reputed Latino gang members indicted in attack on black youths









Two reputed Latino gang members are facing federal hate crime charges for allegedly carrying out racially motivated attacks on four black youngsters as part of a wider campaign of terror aimed at forcing African Americans out of a west Compton neighborhood, the U.S. attorney said Friday.


Jeffrey Aguilar, 19, and Efren Marquez, 21, were indicted Thursday by a grand jury on five felony civil rights charges in connection with a series of incidents that began New Year's Eve. Authorities allege they beat a young black man with a pipe and then turned their threats and racial epithets toward members of a black household where he fled. They pleaded not guilty in a downtown L.A. courtroom Friday.


"No one should have to look over their shoulder in fear because of who they are," said U.S. Atty. Andre Birotte, who announced the charges. "Hate-fueled crimes have no place in our society."








Birotte said the alleged actions of the pair were part of a pattern of racial intimidation of blacks by their alleged gang, including racial graffiti. "The Compton 155 gang has racial animus toward African Americans, and the gang has a practice of harassing and attacking African Americans with a goal of eliminating them from the west side of Compton," he said.


"The gang proudly proclaimed that they are "nk" with 'n' standing for an unfortunate well-known racial epithet and 'k' for killers," he said.


Birotte said that is what Aguilar and Marquez yelled when they jumped out of an SUV and first confronted a 17-year-old black youth on Compton Street.


The teen ran toward his girlfriend's house, where there were three other black youths. Aguilar and Marquez followed him. Aguilar then beat the 17-year-old with a metal pipe on the head and body, according to the indictment. Marquez, who was armed with a gun, briefly chased another youth who came out of the home before the reputed gang members left, prosecutors said.


"Unfortunately the gangsters returned with reinforcement, about 15 strong," Birotte said. "As the four victims were huddled inside the house, a window was smashed and they were met with racial slurs and epithets and warned they did not belong in this neighborhood."


According to the indictment, gang members stood in front of the small rental home and shouted "get out of the 'hood," racial epithets and "this is 155." One of the people inside called his mother, who phoned sheriff's deputies.


In the days that followed, prosecutors allege Marquez and other Compton 155 members drove by the home yelling, "You are going to die over here." According to the indictment, Marquez during a Jan. 25 telephone conversation with another uncharged suspect asked if any weapons had been seized from his vehicle. Sheriff's deputies arrested the pair last month after investigating a complaint from the victims.


The attacks on the family are the latest in a series of violent incidents in which Latino gangs targeted blacks in parts of greater Los Angeles over the last decade. Birotte noted that his office last year charged several Azusa gang members with hate crimes. In the Compton case, both men could face up to 10 years in prison for each of the five charges.


Compton, with a population of about 97,000, was predominantly black for many years. It is now 65% Latino and 33% black, according to the 2010 U.S. census.


Sheriff's investigators who worked with the FBI on the case said the victims are not associated with gangs and were innocent victims.


L.A. County Sheriff Lee Baca said that even one hate crime was too many. "Racist-based violence is not only unacceptable but deserves the harshest of prosecutions," said Baca, whose deputies patrol Compton and investigated the case with the FBI.


richard.winton@latimes.com





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World Briefing | Asia: China: Woman Detained in Morgue to Be Compensated



China will compensate a woman who was held in a disused morgue as punishment for going to Beijing to petition against her husband’s jailing, the state media said Friday, in an unusual case of the government overturning an extrajudicial detention. The woman, Chen Qingxia, was held for three years in an abandoned bungalow once used to store bodies in the northeastern province of Heilongjiang after being abducted from Beijing by security officials, according to Xinhua, the state news agency. She had gone to the capital to seek redress for her husband, Song Lisheng, who she said was mistreated while serving an 18-month sentence at a labor camp, Xinhua said. The government will now pay the medical bills and living expenses for Ms. Chen and her husband and step up efforts to find their young son, who became separated from Ms. Chen when she was abducted in Beijing, Xinhua reported. The amount of compensation has yet to be decided.


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Minka Kelly: 'I'm Not Worthy' of Acting with Oprah















02/08/2013 at 07:40 PM EST







Minka Kelly as Jacqueline Kennedy Onassis


Pacific Coast News


It's intimidating enough to play Jackie O, but Minka Kelly felt even more pressure to perform when she found out who was joining the cast of her latest film, The Butler.

"I'm not worthy. I feel so lucky and grateful. I was like, 'What am I doing here?!' " Kelly tells PEOPLE of starring alongside Robin Williams, Forest Whitaker, John Cusack, Vanessa Redgrave, Jane Fonda and more in the upcoming film, which tells the story of a butler who served eight presidents.

The movie also features another major star: the one and only Oprah Winfrey. "I didn't get to meet Oprah because our shooting schedules were different, but she's a pretty loved lady," Kelly says. "I have yet to hear a bad thing about her!"

Kelly found that the most difficult part of playing Jackie Kennedy was nailing the former first lady's distinct accent. "I think she spoke in a way she thought she should speak, so getting that down was hard. There's a musicality and rhythm to the way she speaks," Kelly explains. "I went to sleep listening to her."

Another tough task? Slipping into the retro costumes. "My body is so different from her because I have curves, so fitting into those vintage clothes was actually really hard," she shares. "Also it was hot – and there was a lot of wool!"

Minka Kelly: 'I'm Not Worthy' of Acting with Oprah| Minka Kelly, Oprah Winfrey

Jennifer Graylock / Getty

But Kelly had no issue slipping into the stunning Oscar de la Renta gown (left) she strutted down the runway in at the Red Dress Collection fashion show in N.Y.C. on Wednesday night. The actress walked for the second year in a row in honor of The Heart Truth campaign, which encourages women to monitor their heart health.

For the month of February, Diet Coke will donate $1 for every person who uploads a heart-inspired photo to Twitter or Instagram using the hashtag #showyourheart. Visit to dietcoke.com/showyourheart for more information.

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After early start, worst of flu season may be over


NEW YORK (AP) — The worst of the flu season appears to be over.


The number of states reporting intense or widespread illnesses dropped again last week, and in a few states there was very little flu going around, U.S. health officials said Friday.


The season started earlier than normal, first in the Southeast and then spreading. But now, by some measures, flu activity has been ebbing for at least four weeks in much of the country. Flu and pneumonia deaths also dropped the last two weeks, the Centers for Disease Control and Prevention reported.


"It's likely that the worst of the current flu season is over," CDC spokesman Tom Skinner said.


But flu is hard to predict, he and others stressed, and there have been spikes late in the season in the past.


For now, states like Georgia and New York — where doctor's offices were jammed a few weeks ago — are reporting low flu activity. The hot spots are now the West Coast and the Southwest.


Among the places that have seen a drop: Lehigh Valley Hospital-Cedar Crest in Allentown, Pa., which put up a tent outside its emergency room last month to help deal with the steady stream of patients. There were about 100 patients each day back then. Now it's down to 25 and the hospital may pack up its tent next week, said Terry Burger, director of infection control and prevention for the hospital.


"There's no question that we're seeing a decline," she said.


In early December, CDC officials announced flu season had arrived, a month earlier than usual. They were worried, saying it had been nine years since a winter flu season started like this one. That was 2003-04 — one of the deadliest seasons in the past 35 years, with more than 48,000 deaths.


Like this year, the major flu strain was one that tends to make people sicker, especially the elderly, who are most vulnerable to flu and its complications


But back then, that year's flu vaccine wasn't made to protect against that bug, and fewer people got flu shots. The vaccine is reformulated almost every year, and the CDC has said this year's vaccine is a good match to the types that are circulating. A preliminary CDC study showed it is about 60 percent effective, which is close to the average.


So far, the season has been labeled moderately severe.


Like others, Lehigh Valley's Burger was cautious about making predictions. "I'm not certain we're completely out of the woods," with more wintry weather ahead and people likely to be packed indoors where flu can spread around, she said.


The government does not keep a running tally of flu-related deaths in adults, but has received reports of 59 deaths in children. The most — nine — were in Texas, where flu activity was still high last week. Roughly 100 children die in an average flu season, the CDC says


On average, about 24,000 Americans die each flu season, according to the CDC.


According to the CDC report, the number of states with intense activity is down to 19, from 24 the previous week, and flu is widespread in 38 states, down from 42.


Flu is now minimal in Florida, Kentucky, Maine, Montana, New Hampshire and South Carolina.


___


Online:


CDC: http://www.cdc.gov/flu/


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A delicate new balancing act in senior healthcare









When Claire Gordon arrived at Cedars-Sinai Medical Center, nurses knew she needed extra attention.


She was 96, had heart disease and a history of falls. Now she had pneumonia and the flu. A team of Cedars specialists converged on her case to ensure that a bad situation did not turn worse and that she didn't end up with a lengthy, costly hospital stay.


Frail seniors like Gordon account for a disproportionate share of healthcare expenditures because they are frequently hospitalized and often land in intensive care units or are readmitted soon after being released. Now the federal health reform law is driving sweeping changes in how hospitals treat a rapidly growing number of elderly patients.





The U.S. population is aging quickly: People older than 65 are expected to make up nearly 20% of it by 2030. Linda P. Fried, dean of the Columbia University Mailman School of Public Health, said now is the time to train professionals and test efforts to improve care and lower healthcare costs for elderly patients.


"It's incredibly important that we prepare for being in a society where there are a lot of older people," she said. "We have to do this type of experiment right now."


At Cedars-Sinai, where more than half the patients in the medical and surgical wards are 65 or older, one such effort is dubbed the "frailty project." Within 24 hours, nurses assess elderly patients for their risk of complications such as falls, bed sores and delirium. Then a nurse, social worker, pharmacist and physician assess the most vulnerable patients and make an action plan to help them.


The Cedars project stands out nationally because medical professionals are working together to identify high-risk patients at the front end of their hospitalizations to prevent problems at the back end, said Herb Schultz, regional director of the U.S. Department of Health and Human Services.


"For seniors, it is better care, it is high-quality care and it is peace of mind," he said.


The effort and others like it also have the potential to reduce healthcare costs by cutting preventable medical errors and readmissions, Schultz said. The federal law penalizes hospitals for both.


Gordon, an articulate woman with brightly painted fingernails and a sense of humor, arrived at Cedars-Sinai by ambulance on a Monday.


Soon, nurse Jacquelyn Maxton was at her bedside asking a series of questions to check for problems with sleep, diet and confusion. The answers led to Gordon's designation as a frail patient. The next day, the project team huddled down the hall and addressed her risks one by one. Medical staff would treat the flu and pneumonia while at the same time addressing underlying health issues that could extend Gordon's stay and slow her recovery, both in the hospital and after going home.


To reduce the chance of falls, nurses placed a yellow band on her wrist that read "fall risk" and ensured that she didn't get up on her own. To prevent bed sores, they got her up and moving as often as possible. To cut down on confusion, they reminded Gordon frequently where she was and made sure she got uninterrupted sleep. Medical staff also stopped a few unnecessary medications that Gordon had been prescribed before her admission, including a heavy narcotic and a sleeping pill.


"It is really a holistic approach to the patient, not just to the disease that they are in here for," said Glenn D. Braunstein, the hospital's vice president for clinical innovation.


Previously, nurse Ivy Dimalanta said, she and her colleagues provided similar care but on a much more random basis. Under the project, the care has become standardized.


The healthcare system has not been well designed to address the needs of seniors who may have had a lifetime of health problems, said Mary Naylor, gerontology professor at the University of Pennsylvania School of Nursing. As a result, patients sometimes fall through the cracks and return to hospitals again and again.


"That is not good for them and that is not good for society to be using resources in that way," Naylor said.


Using data from related projects, Cedars began a pilot program in 2011 and expanded it last summer. The research is continuing but early results suggest that the interventions are leading to fewer seniors being admitted to the intensive care unit and to shorter hospital stays, said Jeff Borenstein, researcher and lead clinician on the frailty project. "It definitely seems to be going in the right direction," he said.


The hospital is now working with Naylor and the University of Pennsylvania to design a program to help the patients once they go home.


"People who are frail are very vulnerable when they leave the hospital," said Harriet Udin Aronow, a researcher at Cedars. "We want to promote them being safe at home and continuing to recover."


In Gordon's case, she lives alone with the help of her children and a caregiver. The hospital didn't want her experiencing complications that would lengthen the stay, but they also didn't want to discharge her before she was ready. Under the health reform law, hospitals face penalties if patients come back too soon after being released.


Patients and their families often are unaware of the additional attention. Sitting in a chair in front of a vase of pink flowers, Gordon said she knew she would have to do her part to get out of the hospital quickly. "You have to move," she said. "I know you get bed sores if you stay in bed."


Gordon said she was comfortable at the hospital but she wanted to go back to her house as quickly as she could. "There's no place like home," she said.


Two days later, that's where she was.


anna.gorman@latimes.com





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Eddie Ray Routh, Accused of Killing Chris Kyle, ‘American Sniper,’ Had Troubled Past





DALLAS — Eddie Ray Routh, the former Marine corporal accused of killing Chris Kyle, an author and retired Navy SEAL sniper, had been released from a veterans hospital here four days before the shootings over the objections of his parents, Mr. Routh’s court-appointed lawyers said.




Mr. Routh, 25, and his relatives told the police in recent weeks and months that he had been deeply troubled and was suffering from post-traumatic stress disorder, according to court documents. He had a series of run-ins with the authorities in parts of North Texas, and had threatened to kill himself at least once, police records show.


Mr. Routh had been undergoing treatment at the Dallas V.A. Medical Center and Green Oaks Hospital, a psychiatric center in Dallas. On Jan. 24, Mr. Routh was released from the Dallas V.A. center but soon returned, and he was again released on Jan. 29, said his lawyers, R. Shay Isham and J. Warren St. John. On both occasions, Mr. Routh’s father and mother, Raymond and Jodi Routh, had protested his release, the lawyers said.


“She was begging them not to let him loose,” Mr. Isham said.


Four days after Mr. Routh’s release, Mr. Kyle, 38, and a friend, Chad Littlefield, 35, took Mr. Routh to a rural shooting range to help the young man, one of the ways Mr. Kyle often assisted troubled veterans. For reasons that remain unclear, the authorities said, Mr. Routh turned a semiautomatic handgun on the two men, shooting both multiple times and fleeing in Mr. Kyle’s truck before he was captured hours later near his home in the Dallas suburb of Lancaster.


A spokeswoman for the federal Department of Veterans Affairs said that without a signed privacy waiver from Mr. Routh, they could not disclose any protected health information.


Mr. Routh remained in custody at the Erath County Jail in Stephenville on $3 million bond. Mr. Isham said that on Tuesday, Mr. Routh refused to meet with his mother and Mr. St. John, unless he was given a cigarette. “He’s trying to play an angle — ‘I give you something, you give me something,’ ” Mr. Isham said. “He wouldn’t see anybody.”


Eleven days after graduating from high school in the nearby town of Midlothian, Mr. Routh began boot camp in June 2006 at age 18. In his senior yearbook, there is a photo of him talking with a recruiter. “I want to be one of the few and the proud,” he was quoted as saying, when asked why he was joining the Marines.


Mr. Routh served nearly four years, becoming a corporal shortly before he was discharged in June 2010. He was in Iraq in September 2007, and was part of a disaster-relief deployment to Haiti after the earthquake there in January 2010.


Since then, Mr. Routh appeared to be struggling, and his relatives seemed concerned about his mental state. Eight months before the shootings, Mr. Routh’s mother called the Lancaster police in May to report a burglary and appeared to name her son as the suspect. Nine pill bottles were taken, according to the police report. In September, the Lancaster police returned to the house after Mr. Routh threatened to kill himself and had become upset when his father told him he was going to sell his gun.


Court documents suggest that Mr. Routh may have become fixated with Mr. Kyle’s black Ford truck, because he told his sister, Laura Blevins, and her husband that he had killed the two men and had “traded his soul for a new truck.” But the documents also make clear that Mr. Routh was paranoid. “He said they were out shooting target practice and he couldn’t trust them so he killed them before they could kill him,” his sister’s husband, Gaines Blevins, told the authorities, according to court documents. “He said he couldn’t trust anyone anymore (and) everyone was out to get him.”


After a search of the house, Mr. Routh’s cellphone, a box of 9-millimeter ammunition and paraphernalia for smoking marijuana were seized.


The funeral for Mr. Littlefield will be Friday at 2 p.m. at First Baptist Church of Midlothian. A memorial service for Mr. Kyle will be held Monday at 1 p.m. at Cowboys Stadium in Arlington, according to his Facebook page.


Manny Fernandez reported from Dallas, and Kathryn Jones from Lancaster, Tex.



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