JOANNA SEYBERT, District Judge.
Plaintiff Lilyann Ryan ("Plaintiff") commenced this action on October 22, 2012 on behalf of herself and the estate of her deceased son, Bartholomew Ryan ("Ryan"). Plaintiff brought this case against the following Defendants: the County of Nassau, the County of Nassau Correctional Center, and the Nassau County 0Sheriff's Department (collectively, the "County"); along with Armor Correctional Health Services, Inc. and Armor Correctional Health Services of New York, Inc. (collectively, "Armor," and together with the County, "Defendants"). Plaintiff claims that Defendants are liable for common law negligence, wrongful death, and for civil rights violations pursuant to 42 U.S.C. §§ 1981, 1983, and 1985. (Compl. ¶¶ 82-143.) Pending before the Court are the County's motion for summary judgment (Docket Entry 50) and Armor's motion for summary judgment (Docket Entry 54). For the reasons that follow, both motions are GRANTED IN PART and DENIED IN PART.
Ryan was a Marine Corps veteran who served in Iraq. (Pl.'s Dep., Docket Entry 51-6, at 33:4-5, 37:13-24.) After he was honorably discharged, he developed a number of psychological problems and started using heroin. (Armor 56.1 Stmt., Docket Entry 37-1, ¶ 9; Armor 56.1 Counterstmt., Docket Entry 37-2, ¶ 9; Pl.'s Dep. at 20:14-16.). Sadly, Ryan committed suicide on February 24, 2012, while he was an inmate at the Nassau County Correctional Center ("NCCC"). (Armor's 56.1 Stmt., ¶ 2.) He had been an incarcerated for less than forty-eight hours. (Armor 56.1 Stmt. ¶ 2.)
Ryan served in the Marine Corps from 2003 to 2007. (Armor 56.1 Stmt. ¶ 5.) Plaintiff testified that, before Ryan's service, he did not have any mental health problems. (Pl.'s Dep. at 58:22-59:2.) After he was discharged, Ryan repaired power washers on a full-time basis in 2009, then worked "odd jobs" in 2010, such as repairing restaurant equipment. (Armor 56.1 Stmt. ¶¶ 193-95.) In February 2012, right before he was incarcerated, Ryan procured a job working for collection agency. (Armor 56.1 Stmt. ¶ 190.) However, he only worked at the collection agency for a day or two. (Armor 56.1 Stmt. ¶ 190.) Ryan lived with his mother, but he did not provide her with financial support, nor did not pay rent. (Armor 56.1 Stmt. ¶ 197.) When asked whether Ryan paid for any food while he lived at home, Plaintiff testified that "he would bring in food." (Pl.'s Dep. 19:2-4.)
Beginning in 2009, Ryan received treatment at three Veterans Administration facilities for psychological and drug-related problems. (Armor 56.1 Stmt. ¶ 9.) According to Plaintiff, Ryan received treatment for opiate dependence, withdrawal, and abuse; post-traumatic stress disorder ("PTSD"); depression, anxiety, and dysthymia. (Pl.'s 56.1 Counterstmt., Docket Entry 37-2, ¶ 9.)
Four weeks before he committed suicide, Ryan told Plaintiff "I think I want to kill myself" while standing in the kitchen. (Armor 56.1 Stmt. ¶ 10.) Upon hearing of her son's desire to commit suicide, Plaintiff made an appointment for Ryan at the Northport Veteran's Administration. (Armor 56.1 Stmt. ¶ 12.) When confronted by Veterans Administration doctors, however, Ryan denied wanting to commit suicide. (Armor 56.1 Stmt. ¶ 14.) Ryan expressed his desire to commit suicide to his mother on two or three occasions, but would subsequently say that he was "just kidding." (Armor 56.1 Stmt. ¶ 20.)
Ryan was arrested for driving under the influence on the Meadowbrook Parkway. (Armor 56.1 Stmt. ¶ 22.) As a result of his arrest, he was sent to Phoenix House, a drug and alcohol treatment facility. (Armor 56.1 Stmt. ¶ 23.) Ryan remained at Phoenix House from October 2011 until February 2012. (Armor 56.1 Stmt. ¶ 26.) During that time, he did not talk of suicidal ideation. (Armor 56.1 Stmt. ¶ 25.)
Following a Court appearance on February 23, 2012, Plaintiff was remanded to NCCC. (
After Ryan's suicide screening, Ryan met with Tanya Tinglin ("Nurse Tinglin"), a registered nurse employed by Armor. (Armor 56.1 Stmt. ¶ 61.) Armor is a corporation that provides medical and health services to inmates at NCCC pursuant to a contract with the County. (Armor 56.1 Stmt. ¶ 3.) Nurse Tinglin testified that when an inmate first arrives at the jail, he is examined by Armor's medical staff. (Armor 56.1 Stmt. ¶ 62.) At 3:50 p.m., Nurse Tinglin asked Ryan about his medical history and filled out a health assessment form about him. (Armor 56.1 Stmt. ¶¶ 61, 64.) Ryan informed Nurse Tinglin that he was bipolar and suffered from PTSD, bipolar, mania, and anxiety. (Armor 56.1 Stmt. ¶ 65.) However, Ryan denied using drugs, and answered "no" when asked "have you ever attempted suicide" and "are you thinking about suicide now." (Armor 56.1 Stmt. ¶ 66; Tinglin Dep., Docket Entry 55-8, at 43:5-16.) Nurse Tinglin noted the psychological disorders Ryan mentioned on her form and referred him to "behavior health" because of his "mental health history." (Tinglin Dep. at 47:25-48:18.)
At 8:50 a.m. the next day, Ryan met with Doctor Vincent Manetti ("Dr. Manetti"), a psychiatrist employed by Armor. (Manetti Dep., Docket Entry 55-10, at 59:8; Armor 56.1 Stmt. ¶ 76.) Ryan told Dr. Manetti that he had a drug problem with heroin and other opiates. (Armor 56.1 Stmt. ¶ 104.) The Initial Mental Health Evaluation Form (the "Mental Health Form") that Dr. Manetti filled out indicates that Ryan took oxycodone and shot a bag of heroin per day, but Dr. Manetti suspected it was more. (Armor 56.1 Stmt. ¶ 112.) Ryan told Dr. Manetti that he was diagnosed with PTSD and Dr. Manetti indicated on the Mental Health Form that Ryan had been taking the psychotropic drug Symbyax at Phoenix House. (Armor 56.1 Stmt. ¶ 114; Manetti Dep. at 59:20-23.) However, Ryan said he had not taken Symbyax for weeks and Dr. Manetti therefore determined that there was no need to give Ryan any psychotropic drugs. (Armor 56.1 Stmt. ¶ 110; Manetti Dep. at 59:15-18.) The Mental Health Form Dr. Manetti filled out also indicates that Ryan denied previously making any suicide attempts. (Armor 56.1 ¶ 116.)
Ryan also told Dr. Manetti that he had been diagnosed with bipolar disorder and PTSD at Phoenix House. (Armor 56.1 Stmt. ¶ 101; Manetti Dep. at 48:10-15.) However, Dr. Manetti opined that Ryan did not seem to have bipolar disorder, because his history was not typical, and he did not show bipolar disorder symptoms. (Armor 56.1 Stmt. ¶ 102.) Dr. Manetti testified that he did not call Phoenix House to discuss Plaintiff's medical conditions. (Manetti Dep. at 49:5-18.)
Upon learning about Ryan's drug problem, however, Dr. Manetti testified that he became "very concerned" about the possibility that Ryan could suffer from withdrawal "within hours" because of his recent drug use. As a result, Dr. Manetti testified that he decided to "put in a referral to medical . . . regarding that." (Manetti Dep. at 50:18-51:5.) Manetti testified that there are two types of referrals at NCCC, "routine and urgent." (Manetti Dep. at 51:10.) In this case, Manetti's referral regarding Ryan's medical need was marked "urgent," which according to Armor's guidelines, meant that Ryan would be seen by a physician or physician's assistant within twenty-four hours. (Manetti Dep. at 51:11-14, 51:24-52:13.) Dr. Manetti marked Ryan's referral "urgent" because Ryan said he had been shooting heroin prior to his arrest. (Armor 56.1 Stmt. ¶ 108.) Further, Manetti admitted that someone suffering from withdrawal could be at an increased risk of attempting suicide. (Manetti Dep. 65:17-20.) Manetti diagnosed Ryan with opiate dependence, determined that he was "medically stable," and decided that he could be housed with the general population because he did not appear to be a suicide risk. (Armor 56.1 Stmt. ¶¶ 122, 126; Manetti Dep. at 63:12-18.)
Ryan was housed in the mental observation tier of NCCC with four other inmates. (Armor 56.1 Stmt. at 129.) Correction Officer Robert Vogt ("C.O. Vogt") saw Ryan while he was patrolling the mental observation tier sometime after Ryan met with Dr. Manetti. (Armor 56.1 Stmt. ¶ 155.) According to C.O. Vogt, Ryan's demeanor appeared to be normal and he was "just standing around talking to other inmates." (Armor 56.1 Stmt. ¶ 156.)
In addition to C.O. Vogt, Correction Officer Thomas Killeen ("C.O. Killen") was also on duty on the afternoon of February 24, 2012. While C.O. Killen and C.O. Vogt were walking together down the mental observation tier, they discovered Ryan hanging in his cell. (Armor 56.1 Stmt. ¶ 131.) C.O. Killeen testified that Ryan likely took his life shortly after 3:00 p.m. (Armor 56.1 Stmt. ¶ 130.) C.O. Killen testified that he did not think Ryan was breathing when he opened his cell door. (Killeen Dep., Docket Entry 55-12, at 46:20-23.) C.O. Killeen, C.O. Vogt, and two other officers performed CPR on Ryan to no avail. They subsequently used an AED machine and an Ambu bag to try and revive him.
Ryan was taken out of the cell block on a stretcher and an ambulance arrived at 3:30 p.m. to take him to Nassau University Medical Center ("the Hospital"). (Armor 56.1 Stmt. ¶¶ 178, 183, 185.) That same day, the Hospital called Plaintiff and informed her that her son committed suicide. (Armor 56.1 Stmt. ¶ 185.)
Dr. Ziv E. Cohen, M.D. ("Dr. Cohen"), a professor of psychiatry at Weil Cornell Medical College of Cornell University. (Cohen Aff., Docket Entry 58-13, ¶ 3.) He submitted an expert affidavit in connection with Plaintiff's opposition to Defendants' motions. Dr. Cohen provides several opinions about the medical care Ryan received at NCCC. Initially, Dr. Cohen opines that it was a deviation of the standard of care to delay psychologically evaluating Ryan until the day after he was incarcerated in light of his numerous psychological disorders and potential to experience withdrawal. (Cohen Aff. ¶ 15.) Dr. Cohen notes that Ryan was taking the psychotropic drug Symbyax before he was incarcerated and that he last took the drug on February 23, 2012. (Cohen Aff. ¶ 9.) Based upon these facts, Dr. Cohan opines that Dr. Manetti deviated from the standard of care when he discontinued Ryan's psychotropic medication. (Cohen Aff. ¶ 10.) In addition, according to Dr. Cohen, determining whether Ryan was going through withdrawal required a clinical assessment, "based on speaking with and directly examining him," and did not require Ryan to be referred to an internal medical doctor. (Cohen Aff. ¶ 19.) Moreover, Dr. Cohen believes that "it was almost certain that [Ryan] would be in opioid withdrawal at the time of assessment by Dr. Manetti" because "Ryan had not used in approximately 24 hours or more." (Cohen Aff. ¶ 19.) Moreover, Dr. Cohen opines that Ryan was at a higher risk of committing suicide because he was going through opioid withdrawal, and "the standard of care required that a patient with Mr. Ryan's psychiatric conditions, current symptoms, and opioid withdrawal be maintained on a constant, 1:1 level of observation, and be vigilantly treated for psychiatric conditions and drug withdrawal." (Cohen Aff. ¶¶ 20-21.) Finally, Dr. Cohen opines that Dr. Manetti should have tried to obtain collateral information about Ryan's medical history, in light of Dr. Manetti's determination that Ryan was a "poor historian." (Cohen Aff. ¶ 23.)
Plaintiff also submitted the expert affidavit of Martin Horn ("Horn") in support of her position that NCCC's suicide prevention policy was inadequate. (Horn Aff., Docket Entry 58-12.) Horn previously served under Mayor Bloomberg as Commissioner of the New York City Department of Probation and Commissioner of the New York City Department of Correction. (Horn Aff. ¶ 2.) Horn opines that NCCC's suicide prevention policy "does not meet the barest requirements" and is merely a "set of procedural instructions." (Horn Aff. ¶ 15.) Specifically, Horn opines that NCCC's policy "does not address elements of communication, coordination[,] and it fails to provide for joint training of mental health and custodial staff as it should." (Horn Aff. ¶ 15.) Horn also asserts that it was a poor decision to house Ryan in the mental observation tier because "isolation is not good for suicidal inmates." (Horn Aff. ¶ 17.)
Based upon the above facts and opinions, Plaintiff claims that Defendants were deliberately indifferent to Ryan's medical needs and therefore should be held liable to Plaintiff for causing Ryan's death. (
The Court will first address the applicable legal standard on a motion for summary judgment before turning to the parties' arguments.
Summary judgment is appropriate where "the movant shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law." FED. R. CIV. P. 56(a);
"The burden of showing the absence of any genuine dispute as to a material fact rests on the party seeking summary judgment."
Section 1983 provides a vehicle to redress constitutional violations committed by those acting under color of state law.
Here, Plaintiff claims that Defendants were deliberately indifferent to Ryan's medical needs. "Deliberate indifference to a prisoner's serious medical needs constitutes cruel and unusual punishment, in violation of the Eighth Amendment, as made applicable to the states through the Fourteenth Amendment."
The Court must first determine whether the medical deprivation Ryan experienced was "sufficiently serious." "[O]nly those deprivations denying the minimal civilized measure of life's necessities, are sufficiently grave to form the basis of an Eighth Amendment violation."
In this case, Ryan informed Nurse Tinglin that he was bipolar and that he suffered from PTSD, bipolar, mania, and anxiety. In addition, Ryan told Dr. Manetti that he was a drug addict and Dr. Manetti was concerned that Ryan would begin to suffer from withdrawal "within hours" because of recent drug use. "Although there is no
Whether Armor and the County adequately met Plaintiff's serious medical need, however, is a more difficult question, which cannot be resolved as a matter of law.
The second element of an Eight Amendment claim requires that the defendant acted with "deliberate indifference" to the inmate's medical care.
Armor is a corporation that provides medical and health services to inmates at NCCC pursuant to a contract with the County. As an initial matter, Armor asserts that it cannot be held liable under Section 1983 because it is a private company. (Armor Br., Docket Entry 56, at 15.) However, "anyone whose conduct is fairly attributable to the state can be sued as a state actor under § 1983."
Plaintiff does not assert any claims against any of Armor's employees, but rather names Armor itself as a Defendant. It is established law that private employers are not liable under Section 1983 for torts committed by their employees.
The facts of this case are similar in some respects to those of
Plaintiff argues that the County should be held liable pursuant to § 1983 for its deliberate indifference to Ryan's medical condition because NCCC's suicide prevention policy was inadequate. (Pl.'s Opp. Br., Docket Entry 58, at 19.) Plaintiff relies upon the expert opinion of Marin Horn, Mayor Bloomberg's former Commissioner of Corrections, who opines that NCCC's suicide prevention policy is no more than a loose set of guidelines which "does not address elements of communication, coordination[,] and it fails to provide for joint training of mental health and custodial staff as it should." (Horn Aff. ¶ 15.) However, "deliberate indifference is a stringent standard of fault, requiring proof that a municipal actor disregarded a known or obvious consequence of his action."
Armor argues that Plaintiff's damages for wrongful death in this case must be limited to Ryan's funeral and burial expenses because Plaintiff cannot point to any evidence of pecuniary loss. (Armor's Br. at 23-24.) To prevail on a claim for wrongful death under New York law, a plaintiff must establish the following elements: "(1) the death of a human being, (2) the wrongful act, neglect or default of the defendant by which the decedent's death was caused, (3) the survival of distributees who suffered pecuniary loss by reason of the death of decedent, and (4) the appointment of a personal representative of the decedent."
For the foregoing reasons, Defendants' motions for summary judgment (Docket Entries 50, 54) are GRANTED IN PART and DENIED IN PART. Specifically, Plaintiff's causes of action pursuant to 42 U.S.C. § 1981 and 42 U.S.C. § 1985 are DISMISSED against both the County and Armor. In addition, Plaintiff's cause of action 42 U.S.C. § 1983 is DISMISSED against the County. Defendants' motions are otherwise DENIED. Thus, the only causes of action that remain are (1) Plaintiff's claim pursuant to 42 U.S.C. § 1983 against Armor and (2) Plaintiff's state law causes of action for negligence and wrongful death against both Armor and the County.
SO ORDERED.