If Mr. Nashookput had an existing mental health disability, which is sounds like he did, he can't be held responsible for what happened in that ALH.  The owners of the ALH likely didn't hire appropriate trained staff on how to de-escalate complex behavior.  In the original story, Mr. Nashookput indicated that the caregiver was harassing him and wouldn't leave him alone.  It's sad that the caregiver lost her life.  Someone that's unstable shouldn't have their buttons pushed.  That's playing with dynamite.  One never knows how the mentally ill will react.  The fact that Mr. Nashookput called 911 and said he killed his caregiver indicates that he knew he did something wrong.  I don't condone what Mr. Nashookput did.  I hope that he receives an impartial defense and outcome.