All Posts

17,902 Comments Posted on All Posts, Inmate Healthcare

Corizon Health Services could (and should) lose its $1.2 billion contract with Florida

Florida’s new corrections secretary, Julie Jones, is threatening to toss out Corizon Health Services’ $1.2 billion contract with the state if they refuse to negotiate a new deal “with an eye to enhancing prescription drug delivery, mental health services and nursing care [including] requiring more registered nurses to be on hand rather than less-skilled staffers.”

The nation’s largest for-profit healthcare provider in prisons was also recently accused of withholding reports on inmate deaths from Florida state officials. According to journalists at the Palm Beach Post, Corizon is said to have even repressed medical exams that would indicate whether inmates had been injured by guards in 2013 and 2014.

Is it really worth the state’s time, money and energy to try and save this contract? Florida should just stop and take a look at Corizon’s record in other parts of the country. If they did, they would see that theirs is not an isolated case, but instead falls perfectly in line with Corizon’s pattern of abuse and misconduct in practically every prison they serve.

Just four months ago, a New York state investigation found that Corizon had routinely lied to families of deceased inmates, including in cases where they may have been responsible for the death. Their problems with understaffing nurses, neglecting patient needs and tampering with prescriptions are widespread and severe.

Corizon has been sued nearly 700 times for malpractice in the past five years. Here in Alameda County, where I live, they were just part of an $8.3 million settlement over failing to treat an inmate who later died at the jail in Santa Rita.

And it’s not just Corizon patients that are suffering; the company has mistreated and endangered its own employees, too. Continue reading →

5 Comments Posted on All Posts, Juvenile Detention

In New York City, ending youth solitary confinement comes with a complicated price tag

Under Mayor de Blasio’s new preliminary budget, 282 correction officers would be brought on to oversee New York City’s juvenile prisoners as funding for staff and alternative programming doubles to $25.3 million in 2016 — the year NYC is scheduled to end solitary confinement for 18-21 year olds.

The mayor’s proposal, which arrives amid a federal lawsuit and several bombshell investigations concerning conditions in the city’s jails, also includes:

  • Funding for 6 new staff at the Department of Investigation to investigate “Department of Correction excessive use of force allegations and allegations of criminal conduct.”
  • A $1.8 million infusion to troubled private healthcare provider Corizon to provide additional medical and mental health staff for the new Enhanced Supervision Housing Unit (ESHU) for solitary confinement.
  • Expanding the hiring task force known as the Applicant Investigation Unit and re-establishing a dedicated recruitment unit in an effort to fight the epidemic corruption and abuse among newly-hired CO’s.
  • Provisions for 10 new corrections officers to monitor feeds of the new $15 million security camera network and 6 more CO’s for expanding the canine unit.
  • Significant collective bargaining increases for the officers’ unions

It’s important to note that last month, just before the city voted to ban solitary for prisoners 21 and under, and just after several successive months of mounting public pressure to reduce guard-on-inmate violence, the Board of Correction (BOC) amended its proposed rule change to include the condition that the youth solitary ban only take effect if ‘adequate funding for staff and alternative programming’ is available in 2016.

This was also the same vote that authorized the construction and staffing of the controversial $15 million ESHU, which shocked former prisoners, families and advocates when it was announced and led to protests at the BOC hearings and final vote.

The combination of nearly 300 more corrections officers, a boatload of funding and a new solitary unit has turned a well-intentioned effort to end youth prisoner abuse into a deepened commitment to youth incarceration and solitary confinement. This is hardly a fair compromise. As far as I can tell, no comparable effort or funding has been afforded to getting juvenile prisoners out and into programs, treatments and settings that might actually help them.

The New York City Council has yet to respond to the mayor’s budget, but if it were to meet these conditions, the corrections officers and the dues-collecting unions that represent them would arguably stand to gain more from these “reforms” than the city’s chronically victimized prisoners.

Posted on All Posts

Conflict of interest brewing as Ohio confronts prison overcrowding

Ohio’s prison system is facing a severe overcrowding crisis. With facilities hovering around 130% capacity, prison chief Gary Mohr considered declaring an overcrowding emergency for the first time in the state’s history. This would have granted early release to prisoners nearing the end of their sentences, but those plans were inexplicably scuttled less than a month ago.

It was unclear what the alternative strategy would be until Governor John Kasich released his budget proposal last week.

Kasich’s proposal calls for increasing the Department of Rehabilitation and Correction (ODRC) budget from $1.62 billion to $1.72 billion by 2017. It also doubles the budget for prisoner addiction services and commits $58 million to pursuing sentencing alternatives for low-level, nonviolent offenders over the next two years.

But without plans or programs in motion to immediately reduce the number of people behind bars in Ohio, the ODRC’s new money will likely be channeled into increasing staff levels and, potentially, signing new contracts with private prison companies to reduce the burden on state facilities. Continue reading →

6 Comments Posted on All Posts, Inmate Healthcare, Rikers Island

Report: Corizon’s “flagrantly inadequate, substandard and dangerous” care killed Rikers inmate Bradley Ballard

The New York State Commission on Correction released a new report this week, detailing the findings from its investigation into the horrific and preventable death of mentally ill black inmate, Bradley Ballard.

Ballard was left in his cell for six days straight in September, 2013. Guards shut the water off to his cell for over four days, and not once during that time was he treated for his schizophrenia and diabetes. On the rare occasion that he was seen by a medical worker, their talks did not last for more than a minute at a time. He was eventually found naked on the floor, covered in feces and urine with a rubber band wound tightly around his cut and infected genitals. Ballard would go into cardiac arrest just a few minutes after being removed from his cell and die from “diabetic ketoacidosis due to withholding of his diabetes medications complicated by sepsis due to severe tissue necrosis of his genitals as a result of self-mutliation.” The commission agreed with earlier assessments that Ballard’s death was, in fact, a homicide.

We’ve known a few of the major details of this case since his family filed a lawsuit on his behalf a few months back. But this report contains more explicit details of Ballard’s mistreatment that should reinforce the intense unease the incarcerated’ and their advocates feel over the continued role and impunity of Rikers’ for-profit inmate healthcare provider, Corizon Health Services, which will soon oversee inmate care in Rikers’ soon-to-be-constructed $14.8 million super-solitary unit known as the ESHU.

Between generous redactions, we are afforded a glimpse at the disturbing reality inmates face under the care of Corizon staff and Rikers’ corrections officers. You should read the actual report because you can’t beat primary sources, but I’ll admit it is a bit cumbersome given the heavy blocks of redacted text and it’s call-and-response format. I created this annotated version of the report to organize the components a bit more logically, which I hope is helpful to some readers.

The commission does not mince words or shy away from assigning blame. It calls out Corizon repeatedly and unequivocally for “substandard medical and mental health treatment.” They write that Corizon’s work was “so incompetent and inadequate as to shock the conscience,” and that Ballard would have survived had he received the appropriate care. Corizon staff are said to have shown “deliberate indifference to Ballard’s serious medical needs by collectively failing to provide the very basics of medical care and failing to take appropriate action in a timely manner to a medical emergency.”

Ultimately, the commission writes, “The lack of coordinated care for and mismanagement of Ballard’s [redacted] represents grossly negligent medical care by Corizon, Inc., endangered Ballard’s life and subsequently caused his death.” Continue reading →

5 Comments Posted on All Posts, Immigrant Detention

Emergency early release taken off table as Ohio considers options for prison overcrowding

As prisoners, advocates and journalists warned of deteriorating conditions in Ohio’s prisons over the past year, the inmate population slowly crept back up to around 30% over capacity.

During that time, prisoners in the buckeye state were fed spoiled, inedible meals by the food contractor Aramark, sometimes tainted with maggots. They also suffered abuse and abysmal conditions at private prisons operated by Corrections Corp. of America (CCA), bad enough to inspire a 14-hour peaceful protest. Have the events of this past year finally generated enough misery and public scrutiny to pressure Ohio officials to act?

Without the funding to add more beds to the prison system, Ohio Prison Director Gary Mohr was initially considering reducing the inmate population through ’emergency early release.’ According to the law, Mohr could declare an overcrowding emergency, recommending some nonviolent prisoners who are nearing the end of their sentences for early release. This declaration must be approved by Ohio’s Correctional Institution Inspection Committee (CIIC), which includes members of the state legislature and oversees prisons in the state. If the CIIC disagrees with or ignores the declaration, it is sent to the Governor for a final decision.

Mohr had asked the state assembly to make some ‘changes‘ to the early release law, but declined to specify exactly what those changes would entail. The law is just shy of 20 years old and has never been used before. And it doesn’t seem like it’s going to be used any time soon, either: the Coshocton Tribune reports that Mohr is now saying early release is “not going to happen.”

It’s not hard to understand why that may be. Continue reading →

Posted on All Posts, Inmate Healthcare, Juvenile Detention

NYC’s new rules for solitary are not the reforms we’ve been looking for

Would NYC’s new rules for solitary confinement have saved the life of 19-year-old Andy Henriquez?

Henriquez was brought to Rikers Island when he was only 16. Three years later, he was still awaiting trial when he was placed in isolation. Henriquez had complained of chest pains for seven months before being thrown in ‘the bing,’ but no one at the prison took him seriously.

Health and correction staff ignored Henriquez’ increasingly-dire calls for help, to the point where other inmates on his block began shouting for someone to save him. But no one ever did. Henriquez suffered alone and in extreme pain, given only a prescription for hand cream under the wrong name, until he eventually died from a tear in his aorta.

The question of whether things might have turned out differently for Henriquez stood out in my mind on Tuesday as all 7 members of NYC’s Board of Correction (BOC) voted to adopt changes to the city’s solitary confinement policy.

The amendments featured an end to solitary confinement for all 18 to 21 year old inmates by 2016, “provided that sufficient resources are made available to the Department for necessary staffing and implementation of necessary alternative programming.” Effective immediately, solitary confinement will no longer be used for 16 and 17 year old inmates, those suffering from ‘serious mental illness,’ or those with owed-time.

The amendments also pave the way for the construction of a controversial new isolation area on Rikers Island called the ‘Enhanced Supervision Housing unit,’ or the ESHU, which will cost $14.8 million, introduce 250 new isolation beds to the island and have its own specially-trained, full time staff. Continue reading →

Tweet by Raven Rakia (@aintacrow)
Posted on All Posts, Juvenile Detention

UPDATED: NYC Board of Corrections Approves New Rules for Solitary Confinement, ESHU

This post is being updated throughout the day. Please check back later for more updates.

Update 8:07, 1/14/15:

Here is a copy of the final rules approved by the BOC yesterday.

I’ll have more to say on this in the next day or two when I have time to put together a full post, but I would be very cautious of reports and official statements touting Rikers as a new ‘model for reform’ given its proposed restrictions on solitary for juvenile offenders. Not only because there are so many questions that have yet to be answered concerning alternative programming and its funding, but also because of the ways in which mentally and physically ill inmates have been left exposed to Rikers’ new super solitary unit, aka the ESHU, at the discretion of one of the most untrustworthy prison contractors in the nation.

Update 10:26, 1/13/15:

According to Raven, the protection gap for 18-21 year olds will, in fact, be closed — but there’s a hitch:

That means juvenile prisoners may still be subject to isolation for the remainder of this year at least. Solitary confinement for this age group will end in 2016 provided there is “adequate funding” for alternative programs to take its place (although it’s unclear what exactly those programs would look like).

So I guess we’ll have to wait until next year to see if NYC has enough money to stop torturing young prisoners with isolation. Continue reading →