Collins is an orderly at the West Haven Psychiatric Center. He first appears alongside nurse Fleming when she suspects that Shawn is going through a manic episode as he's trying to tell them about chief of staff Abel Elliott's death. Collins ties Shawn down to his bed and then proceeds to wheel Bernie Bethel into electroshock therapy to have his memory wiped, but luckily Gus finds Shawn soon enough to save Bernie with a little help from Vivian, who takes her shirt off to distract Collins and ensure he is no longer a problem.