Healthcare

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

New solitary confinement unit plagued by old problems on Rikers Island

At the beginning of March, New York City’s Board of Correction released a preliminary report on Rikers Island’s controversial new isolation facility, the Enhanced Supervision Housing Unit (ESHU). The $14.8 million ESHU was proposed to house 250 of Rikers’ so-called “most dangerous” inmates– a small minority of the prison population that officials claim is responsible for the majority of inmate violence.

Amid federal, state and municipal investigations and a seemingly endless stream of lawsuits alleging horrendous civil rights violations, city officials vowed to change the abusive and dysfunctional culture of the Department of Correction.

The opening of the ESHU at the beginning of this year is one of the first and only of the proposed reforms to have been implemented so far.

Meet the ESHU

Basic demographic information on the 18 ESH inmates

Basic demographic information on the 18 ESH inmates

Like the rest of Rikers Island, the overwhelming majority of people confined to the ESHU are young black males: the report says that 72% are African American and the average inmate is in his mid-20’s.

Despite promises to divert mentally ill prisoners from the ESHU, 13 of the 18 inmates (72%) living there have been given an “m status.”

28% of ESH inmates came directly from punitive segregation and 6% came from long-term isolation units known as Restrictive Housing Units (RHU).

ESH inmates averaged 129 days in punitive segregation in the past year. The Board notes that “with the recent punitive segregation restrictions of no more than 30 consecutive days or 60 days within any six month period, inmates who have maxed out their time in punitive segregation (which includes RHU) may be transferred to ESH.” They promise to closely watch the flow of inmates from punitive segregation to the ESHU.

Continue reading →

2 Comments Posted on All Posts, Inmate Healthcare, Juvenile Detention, Rikers Island

NYC DOC withholding records on violence against developmentally disabled juvenile inmate: lawsuit

A lawsuit filed on March 12th in the eastern district of New York claims that the New York City Department of Corrections (DOC) withheld important records from a federally-mandated disability advocate after they learned guards had brutally attacked a developmentally disabled juvenile inmate at the Robert N. Davoren Complex on Rikers Island.

Disability Rights New York is suing the Department of Corrections for records on a young inmate known only as “AB,” who told the group during a monitoring visit that he was “physically assaulted by corrections staff on or about December 9, 2014.”

As the lawsuit explains:

A.B. reported to DRNY that, on or about December 9, 2014, a corrections officer told A.B. that he was speaking disrespectfully.

A.B. reported to DRNY that he was led to a room, and he was punched and kicked by one or more corrections officers.

A.B. reported to DRNY that he was seen by medical staff at RNDC and was transferred to Elmhurst Hospital for evaluation and treatment of injuries to his face and elbow, and was hospitalized overnight.

DRNY requested AB’s medical records, security camera footage and incident reports from the Depts. of Health and Mental Hygeine (DOHMH) and DOC, the complaint states. DOHMH promptly provided the documents, but the DOC allegedly refused, claiming they could not be released while an internal investigation was still ongoing. Continue reading →

3 Comments Posted on All Posts, Inmate Healthcare, Privatization

Private contractor deliberately ignored medical needs of Kentucky inmate: lawsuit

In a lawsuit filed on February 24th, the mother of Brandon Clint Hacker claims that a “continuing policy, pattern, custom and/or practice of … willfully and deliberately ignoring the medical needs of inmates of the Jail” contributed to the death of her 35-year-old son at Kentucky’s Madison County Detention Center (MCDC).

Charlotte Diana Winkler is suing private inmate medical contractor Advanced Correctional Healthcare, Inc. (ACH) and their employees: Dr. Nadir H. Al-Shami, Advanced Registered Nurse Practitioner Layla Troutman and Licensed Practical Nurse Arlene Johnson. She is also suing Madison County, Jailer Doug Thomas, Capt. Tom Jones, Capt. Cory Dunning, Deputy J. J. LaGrange, Capt. Keith Trickler, and Deputy Whitney Bratcher.

ACH is in the midst of a $222,000 contract to provide healthcare at MCDC. According to their website, the Illinois-based contractor oversees inmate medical care in 17 states and works with “adults, juveniles, and Immigration & Customs Enforcement (ICE) detainees on behalf of jails, juvenile detention centers, work release centers, methadone clinics, and more.”

Hacker started to feel sick at MCDC a few days after he was arrested for failing to appear at child support hearings, the complaint states. He filled out a medical request form, writing “Very sick, stomach, meds.” Records indicate that one of ACH’s nurses who visited Hacker, LPN Johnson, described him as “sick, shaky, chills, upset stomach.” He had high blood pressure and “active tremors, body aches, sweating.” Johnson noted that day that his symptoms were consistent with “Possible W/D [withdrawal] from heroin.”

For the next two days, the lawsuit says, Hacker went without medical attention because no healthcare workers were stationed at the facility over the weekend. “Mr. Hacker and his cellmates repeatedly requested that he be seen by a doctor or taken to a hospital, to no avail,” it states. By Sunday, Hacker’s pain had become unbearable. He filled out another medical request form, writing: “Blood Pressure. Need to see A.S.A.P. Having trouble breathing. Stomach problems.” Continue reading →

1 Comment Posted on All Posts, Inmate Healthcare

Lawsuit: Corizon doctor tells New York City inmate to throw severed finger in trash can

On January 26, 2015, Rudolph Richardson sued the city of New York, prison healthcare contractor Corizon Health Services and Dr. Landis Barnes for allegedly delaying and denying him emergency medical care following an incident in which his cell door slammed shut on his fingers.

According to the complaint filed in the District Court of the Southern District of New York, Richardson was hanging out in a common room at the Manhattan Detention Complex (MDC) in June, 2014 when he asked a guard if he could return to his cell to use the bathroom. The guard approved, and another officer in charge of operating the mechanical door to his cell allowed Richardson to enter.

The toilet was positioned next to Richardson’s cell door, and while he was using the bathroom, the lawsuit states that the guard “suddenly and negligently closed the door to Mr. Richardson’s cell, causing the fingers of Mr. Richardson’s hand to get caught in said door.”

Richardson’s hand was crushed. One of his fingers was cut off. He went into shock and was bleeding profusely. The complaint states that he ran back to the common room for help. There was supposed to be a guard posted there, but the station was empty. After noticing he was severely injured and in distress, some of the inmates in the room tried to help Richardson find a guard. They eventually reached an officer at another station, who then tried to contact the clinic. Richardson allegedly waited for more than 10 minutes before someone showed up to escort him.

Once he got to the clinic, he was brought before a doctor working for Corizon Health Services. Dr. Landis Barnes allegedly took a quick look at Richardson’s hand and told him the finger could not be saved. According to the complaint, Dr. Barnes then instructed Richardson to throw his detached finger in the garbage. Continue reading →

Posted on All Posts, Immigrant Detention, Inmate Healthcare

Thousands of immigrant prisoners moved to undisclosed locations after protesting conditions

Nearly three thousand immigrant prisoners are being transferred to undisclosed federal facilities after a two-day demonstration against indecent living conditions and medical care left the Willacy County Regional Detention Facility in need of repairs.

Willacy is a private prison operated by the Management and Training Corporation (MTC), where thousands of inmates are housed in khaki-colored Kevlar domes. Located less than an hour north of the Mexico border in the town of Raymondville, Texas, the tent-city prison has been given the nickname Ritmo for its oppressive conditions and resemblance to Guantanamo Bay. It is one of thirteen private Criminal Alien Requirement facilities in the country receiving millions in taxpayer dollars to incarcerate immigrant offenders on behalf of the federal Bureau of Prisons (BOP).

The demonstration began on Friday morning when prisoners refused to leave their housing units for breakfast, telling guards they would not work or do their chores. “After speaking with the inmates, we learned some were unhappy with the medical services and were demonstrating to make their concerns known. The warden and other facility leaders met with the offenders to attempt to resolve their concerns and provide a resolution,” an MTC spokesperson later told reporters.

At 12:15pm, prison officials ordered the facility be put on lock-down. At 1:40pm, inmates were breaking out of their housing units and into the recreation yard. Small fires were set inside 3 of those units soon after. Thousands of prisoners were in the yard in the span of 20 minutes.

By this point, according to the Valley Morning Star, around 40 law enforcement vehicles had parked on the other side of the fence. Guards were firing tear gas into the yard. A helicopter hovered overhead carrying an officer brandishing an assault rifle.

Concerned families of Willacy prisoners gathered outside seeking more information. They watched as medical and law enforcement vehicles rushed past them towards the facility. Continue reading →

Posted on All Posts, Inmate Healthcare

Florida plans to rebid and revamp troubled prison medical contracts

Florida’s newly-minted corrections chief Julie Jones has announced that her department will rebid $1.4 billion worth of private contracts to provide healthcare to approximately 100,000 inmates across the state.

The majority of those contracts are held by the nation’s largest and most controversial prison medical provider, Corizon Health Services. Another private provider, Wexford Health Sources, will have its contracts put up for bidding as well. Under those agreements, Florida was to pay Corizon $229 million per year until June, 2018 and Wexford $48 million per year until December, 2017.

Corizon and Wexford were fined $22,500 by the state at the end of January for providing ‘deficient care’ to its prisoners. Shortly thereafter, Jones threatened to cut ties with both contractors unless they negotiated 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.” Apparently those demands could not be met.

The Florida Department of Correction notes that rebidding the contracts will cause healthcare spending in prisons to increase. Considering these companies have been known to engage in cruel profit-maximizing strategies (such as hiring and underpaying too-few and often underqualified staff or changing / denying inmates’ prescriptions) this was somewhat inevitable without further-compromising inmate healthcare.

Some of these problems were baked right into the contracts themselves; for instance, Corizon agreed to the ridiculous term that its services would cost the state “7% less [to provide care] than what it cost in 2010,” despite a growing prison population and rapidly increasing healthcare costs. As a result, incarcerated people in Florida and their families and loved ones have greatly suffered: Continue reading →

1 Comment Posted on All Posts, Inmate Healthcare

Report: Incarcerated people more likely to suffer from chronic illness and infectious disease than public

The federal Bureau of Justice Statistics released a new report (PDF) this month on the health of incarcerated people in state and federal lock-ups from 2011-12. The study focused on both prisoners (i.e. people serving longer sentences) and jail inmates (i.e. people awaiting trial or serving shorter sentences), and found they were not only more likely to have had chronic medical conditions and/or infectious disease than the general population, but were also often denied prescription medication after admission. The report also mentions that incarcerated women and prisoners over 50 suffered at disproportionately higher rates from chronic and infectious medical conditions than the rest of the population.

Over 40% of prisoners and inmates surveyed by the bureau reported current, chronic medical conditions, defined as “noninfectious medical problems, such as cancer, high blood pressure, stroke-related problems, diabetes, heart-related problems, kidney-related problems, arthritis, asthma and cirrhosis of the liver.” Specifically, prisoners and jail inmates were 1.5 and 2 times more likely to report high blood pressure, diabetes or asthma than the general public (respectively) and their rate of diabetes and high blood pressure had nearly doubled from 2004. Around 24% said they had more than one chronic condition.

Additionally, about 21% of prisoners and 14% of jail inmates reported “ever having tuberculosis, hepatitis, or other STDs excluding HIV or AIDS, compared to 5% of the general population.” The bureau found that, across the board, incarcerated people were more likely to have had an infectious disease at some point in their life than others.

The bureau also found that 36% of prisoners stopped taking their prescribed medications upon incarceration because a doctor “did not think medication was necessary or that the facility would not provide the medication.” Continue reading →