United States America v. County of Los Angeles et al

Filing 103

ORDER DENYING DEFENDANTS MOTION FOR JUDGMENT ON THE PLEADINGS 84 by Judge Dean D. Pregerson. (SEE DOCUMENT FOR FURTHER DETAILS) (vv)

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1 2 O 3 4 5 6 7 8 UNITED STATES DISTRICT COURT 9 CENTRAL DISTRICT OF CALIFORNIA 10 11 UNITED STATES AMERICA, 12 13 14 Plaintiff, v. COUNTY OF LOS ANGELES et al., 15 16 Defendants. ___________________________ ) ) ) ) ) ) ) ) ) ) Case No. CV 15-05903 DDP (JEMx) ORDER DENYING DEFENDANTS’ MOTION FOR JUDGMENT ON THE PLEADINGS [Dkt. 84] 17 Presently before the court is Defendants’ Motion for Judgment 18 on the Pleadings of Intervenors’ First Amended Complaint in 19 Intervention (“FACI”). The FACI alleges that a portion of an 20 executed settlement agreement between Plaintiff (“the government”) 21 and Defendant (“the County”) violates the Americans with 22 Disabilities Act (“ADA”), Section 504 of the Rehabilitation Act, 23 and Intervenors’ Eighth and Fourteenth Amendment rights. Having 24 considered the submissions of the parties and heard oral argument, 25 the court denies the motion and adopts the following Order. 26 I. Background 27 On August 5, 2015, the government filed a Complaint against 28 the County under the Civil Rights of Institutionalized Persons Act 1 (“CRIPA”), 42 U.S.C. §§ 1997-1997j, and the Violent Crime Control 2 and Law Enforcement Act of 1994, 42 U.S.C. § 14141.1 3 alleged repeated and systemic violations of prisoners’ constitional 4 rights in the Los Angeles County jail system. 5 violations included constitutionally deficient mental health care 6 and related services, such as suicide prevention, psychological and 7 pyschiatric services, and discharge planning, as well as inadequate 8 housing and sanitation practices and a pattern of excessive force 9 against prisoners. 10 The Complaint The alleged (Complaint ¶¶ 22-26.) The same day the Complaint was filed, the government and the 11 County filed a stipulated settlement of this matter. 12 stipulated Settlement Agreement (“Agreement”), which spans 125 13 paragraphs and nearly sixty pages, provides for a series of new or 14 enhanced policies and practices across nineteen subject areas 15 intended to ensure that the County will provide “prisoners at the 16 Jails with safe and secure conditions and ensure their reasonable 17 safety from harm, including serious risk from self-harm and 18 excessive force, and ensure adequate treatment for their serious 19 mental health needs.” 20 terms is a provision regarding inmate discharge planning 21 (“Paragraph 34”). 22 34. 23 (Agreement ¶ 16.) The Among the stipulated That provision states: The County and the Sheriff will conduct discharge planning and linkage to community mental health providers and aftercare services for all prisoners with serious mental illness as follows: 24 (a) 25 For prisoners who are in Jail seven days or less, a preliminary treatment plan, including discharge information, will be developed. 26 27 1 28 The Complaint also named Los Angeles County Sheriff Jim McDonnell as a Defendant, in his official capacity. 2 1 (b) 2 For prisoners who are in Jail more than seven days, a [Qualified Mental Health Professional] will also make available: 3 (i) for prisoners who are receiving psychotropic medications, a 30-day prescription for those medications will be offered either through the release planning process, through referral to a re-entry resource center, or through referral to an appropriate community provider, unless clinically contraindicated; (ii) in-person consultation to address housing, mental health/medical/substance abuse treatment, income/benefits establishment, and family/community/social supports. This consultation will also identify specific action to be taken and identify individuals responsible for each action; (iii) if the prisoner has an intense need for assistance, as described in [County Mental Health] policies, the prisoner will further be provided direct linkage to an Institution for Mental Disease (“IMD”), IMD-Step-down facility, or appropriately licensed hospital; (iv) if the prisoner has a moderate need for assistance, as described in [County Mental Health] policies, and as clinically appropriate to the needs of the prisoner, the prisoner will be offered enrollment in Full Service Partnership or similar program, placement in an Adult Residential Facility (“Board and Care”) or other residential treatment facility, and direct assistance accessing community resources; (v) if the prisoner has minimal needs for assistance, as described in [County Mental Health] policies, the prisoner will be offered referrals to routine services as appropriate, such as General Relief, Social Security, community mental health clinics, 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 3 1 substance abuse programs, and/or outpatient care/support groups. 2 (c) 3 4 The County will provide a re-entry resource center with QMHPs available to all prisoners where they may obtain information about available mental health services and other community resources. 5 (Agreement ¶ 34.) 6 Intervenors intervened and later filed the FACI, which alleges 7 that Paragraph 34 violates the ADA, Section 504 of the 8 Rehabilitation Act, and the Eighth and Fourteenth Amendments. 9 Intervenors allege, for example, that Paragraph 34 facially 10 discriminates against disabled prisoners whose disability stems 11 from personality disorders, substance abuse and dependence 12 disorders, dementia, or developmental disabilities, as well as all 13 disabled prisoners who spend seven days or fewer in jail.2 14 (Agreement ¶ 34, 34(a); FACI ¶ 101.) The FACI also alleges that 15 Paragraph 34 discriminates against disabled inmates, fails to 16 reasonably accommodate Intervenors’ disabilities, and places 17 certain inmates in non-integrated environments in violation of the 18 ADA’s integration mandate. (FACI ¶¶ 101, 112.) Intervenors 19 further allege, in essence, that Paragraph 34's discharge 20 procedures do not allow Intervenors to access medical and 21 psychiatric services, and that Paragraph 34's failings constitute 22 deliberate indifference to Intervenors’ serious medical needs. 23 Defendants now move for judgment on the pleadings. 24 II. Legal Standard 25 26 2 27 28 The Agreement’s definition of “serious mental illness” expressly excludes these substantive categories, with the exception of personality disorders that are “associated with serious or recurrent significant self-harm.” (Agreement ¶ 15(aa).) 4 1 A party may move for judgment on the pleadings “[a]fter the 2 pleadings are closed [] but early enough as not to delay the 3 trial.” 4 proper when the moving party clearly establishes that no material 5 issue of fact remains to be resolved and that it is entitled to 6 judgment as a matter of law. 7 Feiner & Co., 896 F.2d 1542, 1550 (9th Cir. 1990); Doleman v. Meiji 8 Mut. Life Ins. Co., 727 F.2d 1480, 1482 (9th Cir. 1984). 9 standard applied on a Rule 12(c) motion is essentially the same as Fed. R. Civ. P. 12(c). Judgment on the pleadings is Hal Roach Studios, Inc. v. Richard The 10 that applied on a Rule 12(b)(6) motion to dismiss for failure to 11 state a claim, with the court accepting all of the non-moving 12 party’s allegations as true. 13 F.3d 877, 883 (9th Cir. 2011). Lyon v. Chase Bank USA, N.A., 656 14 III. Discussion 15 A. 16 Defendants contend first that Intervenors lack standing to Standing 17 bring their claims. 18 invasion of a concrete, legally protectable interest is sufficient 19 to constitute an injury for purposes of standing. 20 Defenders of Wildlife, 540 U.S. 555, 560, 564 n.2 (1992). 21 Defendants argue that it is uncertain whether Intervenors will be 22 incarcerated again, and that even if they are incarcerated, it is 23 unclear whether they will be adversely affected by the policies set 24 forth in Paragraph 34. 25 credible threat of future injury. 26 Security, 669 F.3d 983, 992 (9th Cir. 2012). 27 28 It is well established that the “imminent” See Lujan v. Intervenors need only show, however, a Ibrahim v. Dep’t of Homeland As this court noted in allowing intervention in this case, “Intervenors have presented evidence that they are caught up in a 5 1 tragic cycle of homelessness and incarceration perpetuated and 2 punctuated by manifestations of mental illness and unbroken by any 3 adequate treatment.” 4 some Intervenors have been detained in Los Angeles County jail 5 facilities dozens of times, while others have been arrested 6 hundreds of times. 7 and most have histories of substance abuse. 8 appears that Intervenors have entered the jail system largely as a 9 result of their mental health conditions, and that those conditions (Dkt. 75 at 8 n.4). The FACI alleges that All suffer from at least one mental illness, In some cases, it 10 have then been aggravated by incarceration and, in some cases, the 11 denial of medication. 12 streets, often in a more vulnerable, less stable state than when 13 they entered the jail system. 14 appears to be little doubt that there is a credible threat that 15 Intervenors will again find themselves incarcerated and subject to 16 the policies set forth in Paragraph 34. Intervenors have then been released onto the Under these circumstances, there 17 Defendants also argue that Intervenors lack standing as a 18 matter of law because the threat of future injury to Intervenors is 19 entirely dependent on their engaging in illegal conduct in the 20 future. 21 where the future injury could be inflicted only in the event of 22 future illegal conduct by the plaintiff.” 23 F.3d 849, 865 (9th Cir. 2001). 24 denied where it is “contingent upon [plaintiffs’] violating the 25 law, getting caught, and being convicted.” 26 Vina, 199 F.3d 1037, 1041 (9th Cir. 1999) (en banc) (quoting 27 Spencer v. Kemna, 523 U.S. 1, 15 (1983). The Ninth Circuit has held that “standing is inappropriate Armstrong v. Davis, 275 In other words, standing should be 28 6 Hodgers-Durgin v. de la 1 Defendants appear to assume that Intervenors are only caught 2 up in the jail system when they violate the law and are convicted 3 of a crime. 4 been incarcerated for drug offenses stemming from addiction 5 problems, or for shoplifting food, soap, shampoo, toothpaste, and 6 deodorant, or for other petty offenses often associated with 7 homelessness. 8 inability, to pay fines incurred after riding public transportation 9 without a valid fare. Granted, some Intervenors acknowledge that they have Some have outstanding warrants for failure, or It is unclear at this stage, however, 10 whether or how often Intervenors have been convicted of criminal 11 offenses. 12 above may be closely entwined with mental health issues and 13 potential defenses related thereto. 14 subjected to unlawful practices by law enforcement or custodial 15 personnel without having ever engaged in illegal conduct. 16 e.g. Armstrong, 275 F.3d at 866; Hodgers-Durgin, 199 F.3d at 1041. 17 Some Intervenors, including veterans, appear to have been 18 incarcerated after exhibiting symptoms of mental illness, including 19 schizophrenic episodes, periods of confusion related to post- 20 traumatic stress disorder, hearing voices, and talking to trees, 21 without any facially apparent tie to any illegal activity. 22 27.) 23 In addition, criminal activities of the type described Furthermore, a person may be See, (Dkt. Nor is the court persuaded that the standing principle 24 articulated in Armstrong is applicable to the mental health-focused 25 circumstances here. 26 Supreme Court cases as did the Armstrong court, explained that the 27 Supreme Court’s approach to the denial of standing was “based on 28 the plaintiff’s ability to avoid engaging in illegal conduct.” The Hodgers-Durgin court, citing the same 7 1 Hodgers-Durgin, 199 F.3d at 1041 (discussing City of Los Angeles v. 2 Lyons, 461 U.S. 95, 105 (1983) and Spencer v. Kemna, 523 U.S. 1, 15 3 (1998)) (emphasis added). 4 mentally ill, homeless, and possibly addicted or chemically 5 dependent individuals can realistically be said to have the ability 6 to avoid engaging in the type of minor infractions that appear to 7 result in repeated incarcerations, particularly where the very fact 8 of incarceration may disrupt ongoing care, exacerbate the effects 9 of disabilities, and impede future treatment. This court has serious questions whether 10 At this stage, it appears to the court that the threat of 11 future harm to Intervenors is not dependent on their conscious 12 decisions to purposefully engage in unlawful activity in the 13 future. 14 concomitant symptoms and behaviors, which may be aggravated by the 15 types of practices challenged here, are likely to lead to repeated 16 incarcerations and exposure to the harms alleged. 17 therefore, have standing. Rather, the very nature of Intervenors’ disabilities and Intervenors, 18 B. 19 A plaintiff bringing a discrimination claim under Title II of ADA and Rehabilitation Act Claims 20 the ADA or Section 504 of the Rehabilitation Act must allege “(1) 21 the plaintiff is an individual with a disability; (2) the plaintiff 22 is otherwise qualified to participate in or receive the benefit of 23 some public entity’s services, programs, or activities; (3) the 24 plaintiff was either excluded from participation in or denied the 25 benefits of the public entity’s services, programs, or activities, 26 or was otherwise discriminated against by the public entity; and 27 (4) such exclusion, denial of benefits, or discrimination was by 28 reason of the plaintiff’s disability.” 8 Thompson v. Davis, 295 F.3d 1 890, 895 (9th Cir. 2002); Melton v. Dallas Area-Rapid Transit, 391 2 F.3d 669, 676 (9th Cir. 2004). 3 Much of the parties’ argument here is colored by differences 4 in the characterization of the FACI’s claims. Defendants seek to 5 cast the claims in terms of discrimination between groups of 6 disabled inmates; namely, those who qualify for extra discharge 7 planning under Paragraph 34 and those who do not. 8 acknowledging that they did take this position earlier, Intervenors 9 appear to concede that benefits extended to one group of disabled Although 10 individuals need not necessarily be provided to all disabled 11 people. 12 . [T]he central purpose of [the Rehabilitation Act] . . . is to 13 assure that handicapped individuals receive ‘evenhanded treatment’ 14 in relation to nonhandicapped individuals. . . . 15 in the Rehabilitation Act that requires that any benefit extended 16 to one category of handicapped persons also be extended to all 17 other categories of handicapped persons.”). 18 See Traynor v. Turnage, 485 U.S. 535, 548-49 (1988) ( . . There is nothing Intervenors’ main contention, however, is different. 19 Intervenors argue that Paragraph 34 results in a denial of 20 meaningful, state-provided discharge planning services with respect 21 to Intervenors. 22 [Intervenors] from meaningful access to County and other services 23 based on their disability.” 24 (Opposition at 16.) That denial, in turn, “bars (Opp. at 18:14-15.) Hewing closely to Traynor, Defendants argue that Intervenors 25 cannot possibly be discriminated against because non-disabled 26 inmates do not receive any discharge planning services that are not 27 available to disabled inmates, including Intervenors. 28 (“Although Intervenors argue that non-disabled persons receive 9 (Reply at 13 1 discharge planning in the form of being ‘processed, released, and 2 walked out the door,’ they do not allege that disabled persons are 3 not processed and released.”).) 4 planning is considered a “service,” all inmates are processed and 5 released in the same, evenhanded way. 6 fact that Paragraph 34 provides some additional benefits to some, 7 but not all, disabled people is immaterial, as the provision of 8 those extra benefits to a select disabled few does not deny any 9 disabled person a service available to a nondisabled person. In other words, even if discharge Thus, the argument goes, the 10 (Reply at 13 (“Non-disabled persons do not need or receive any of 11 the services set forth in paragraph 34.”).) 12 persuasive. 13 This argument is not The ADA and Rehabilitation Act cover both intentional 14 discrimination and facially neutral practices that 15 disproportionately impact disabled people. 16 F.3d 1480, 1484 (9th Cir. 1996). 17 that courts should not dwell on distinctions between intentionally 18 discriminatory practices and those that are merely “thoughtless,” 19 but should instead “assess whether disabled persons were denied 20 ‘meaningful access’ to state-provided services.” 21 Alexander v. Choate, 469 U.S. 287, 302 (1985).) 22 denies disabled persons meaningful access to state services by 23 reason of their disability discriminates against disabled 24 individuals in violation of the ADA. 25 Crowder v. Kitagawa, 81 The Ninth Circuit has counseled Id. (discussing A policy that Crowder, 81 F.3d at 1485. It is somewhat unclear whether the parties consider discharge 26 planning itself to be a state-provided service. 27 implicitly suggest that it is, albeit a very basic one that is 28 provided in the same way to every inmate. 10 Defendants At this stage of the 1 proceedings, the nature and scope of Defendants’ “processing and 2 release” procedures are not yet factually developed. 3 characterization, however, of discharge policy as mere, and 4 uniformly-applied, guidance toward the jailhouse door strikes the 5 court as an oversimplification. 6 designed to achieve certain goals, which may or may not be limited 7 to constitutional or other floors.3 8 and could not, for example, simply show a severely ill inmate to an 9 exit without any concern for what might befall that inmate on the Any Defendants’ discharge policies are Defendants presumably do not, 10 other side of the door. 11 1160, 1164 (9th Cir. 1999) (“A state’s failure to provide 12 medication sufficient to cover [a post-incarceration] transitional 13 period amounts to an abdication of its responsibility to provide 14 medical care to those, who by reason of incarceration, are unable 15 to provide for their own medical needs.”). 16 acknowledged at argument that the discharge process does account 17 for disabilities to some extent. 18 example, that a jail cannot discharge a wheelchair-bound inmate by 19 simply wheeling her out the door onto an elevated, ramp-less 20 entryway without running afoul of the ADA. 21 See, e.g. Wakefield v. Thompson, 177 F.3d Indeed, Defendants Defendants do not dispute, for Although factual questions abound, it appears to the court 22 that inmates may receive some form of discharge planning services.4 23 For a non-disabled person, the procedure necessary to satisfy 24 Defendants’ goals may not entail anything more than directing the 25 3 26 27 28 The court recognizes that further factual development may be required before these goals can be delineated. 4 It is unclear, for example, whether Paragraph 34 represents the entirety of Defendants’ discharge policy even regarding those disabled persons to whom it applies. 11 1 inmate to the exit stairs. That does not mean, however, that no 2 service is provided, or that the same discharge service would prove 3 meaningful to a person in a wheelchair, or to mentally ill persons 4 such as Intervenors. 5 non-disabled people and, as a result of Paragraph 34, some disabled 6 people, in a manner and condition that enables those persons to 7 perform life activities such as arranging transportation, obtaining 8 medical care, accessing food and shelter, and seeking other public 9 services. Intervenors argue that Defendants discharge Intervenors, in contrast, are not discharged in that 10 same manner or condition. 11 adequately alleged that, as a result of their particular 12 disabilities, they are denied meaningful access to discharge 13 planning services. 14 any or all of the modifications to Paragraph 34 Intervenors seek 15 are reasonable or necessary to afford them meaningful access to 16 such services, are questions for another day. 17 At this stage, Intervenors have Whether that is the case, and if so, whether Even if discharge planning is not itself a service, Defendants 18 are not entitled to judgment as a matter of law. Defendants’ 19 position is premised upon “the assumption that no violation of the 20 ADA occurs unless a service or benefit of the state is provided in 21 a manner that discriminates against disabled individuals.” 22 Crowder, 81 F.3d at 1483. 23 however, “[t]his simply is not so.” 24 addition to “outright discrimination” of the type upon which 25 Defendants focus, the ADA also prohibits “those forms of 26 discrimination which deny disabled persons public services 27 disproportionately due to their disability.” As the Ninth Circuit stated in Crowder, 28 12 Crowder, 81 F.3d at 1483. Id. In 1 In Crowder, disabled plaintiffs brought an ADA challenge to 2 the State of Hawaii’s policy of quarantining all carnivorous 3 animals entering the state. 4 120-day quarantine procedures were imposed on all dogs, including 5 guide dogs for the visually impaired. 6 visually-imparied plaintiffs on summary judgment, the district 7 court concluded that even though Hawaii’s quarantine policy did not 8 allow plaintiffs to make meaningful use of state-provided services, 9 plaintiffs could not show an ADA violation because they had not Crowder, 81 F.3d at 1482-83. Id. The same In finding against the 10 been denied any state services on the basis of a disability. 11 at 1483-84. 12 Id. The Ninth Circuit, focusing on “meaningful access” to public 13 services rather than intentional denial of them, reversed. 14 Crowder, 81 F.3d at 1484-85. 15 the fact that the state applied the quarantine evenhandedly, the 16 policy disproportionately burdened the visually disabled, 17 effectively denying them access to public services such as 18 transportation, parks, and government facilities. 19 denials of meaningful access, the court held, constitute 20 discrimination on the basis of disability in violation of the ADA. 21 Id. at 1485. 22 The court held that, notwithstanding Id. Such Intervenors here allege discrimination similar to that in 23 Crowder. Certain inmates are released, whether under Paragraph 34 24 or not, in a manner that allows them to access state services, 25 programs, and activities. 26 allegedly determined by their particular disabilities, are not 27 afforded that same access. 28 quarantine effectively denies . . . the plaintiffs in this case[] Intervenors, whose manner of release is See Crowder, 81 F.3d at 1484 (“Hawaii’s 13 1 meaningful access to state services . . . while such services . . . 2 remain open and easily accessible by others.”). 3 Defendants argue in a footnote that Crowder is inapt because 4 it involved taking something away from a disabled person. 5 at 13 n. 3.) 6 court’s reasoning had nothing to do with the state’s active taking 7 of disabled individuals’ guide dogs. 8 “meaningful access” approach moved away from an emphasis on 9 intentional acts in an attempt to better capture instances of That distinction is not persuasive. (Reply The Crowder To the contrary, the court’s 10 discriminatory “benign neglect, apathy, and indifference.”5 11 Crowder, 81 F.3d at 1484 (internal quotation marks and citation 12 omitted). 13 of active deprivation, but to other facially neutral barriers, such 14 as stairs or a refusal to communicate by spoken word. 15 84. 16 cannot, as a matter of law, require Defendants to provide 17 Intervenors with “extra” accommodations, that argument is no more 18 persuasive than asserting that wheelchair-bound people need not be 19 provided “extra” ramps or elevators to access government buildings 20 accessible by staircase. 21 22 The court analogized Hawaii’s quarantine not to any form Id. at 1483- To the extent Defendants contend that “meaningful access” See Crowder, 81 F.3d at 1483-84. Intervenors have adequately alleged that they are denied meaningful access to public services on the basis of their 23 24 5 25 26 27 28 Even if some sort of active intrusion were required, Defendants provide no explanation why the deprivation of Intervenors’ liberty, which denies them the ability to seek out or continue mental health treatment of their choosing, and may disproportionately exacerbate the deleterious effects of certain disabilities, in part as a result of the loss of the ability to access community resources, would not constitute an affirmative deprivation on par with the quarantining of a guide dog. 14 1 disabilities. 2 warranted. 3 4 1. Accordingly, judgment on the pleadings is not Integration Mandate Paragraph 34(b)(iii) provides that certain prisoners with an 5 “intense need for assistance” will be provided a “direct linkage to 6 an Institution for Mental Disease (“IMD”), IMD-Step-down facility, 7 or appropriately licensed hospital.” 8 provision does not adequately define “intense need,” and thus 9 violates the ADA’s integration mandate, which requires public Intervenors allege that this 10 entities to “administer services, programs, and activities in the 11 most integrated setting appropriate to the needs of qualified 12 individuals with disabilities.”6 13 28 C.F.R. § 35.130(d). In Olmstead v. L.C. ex rel. Zimring, the Supreme Court 14 concluded that the integration mandate requires community-based, as 15 opposed to hospital or institutional, treatment when “[1] the 16 State’s treatment professionals determine that such placement is 17 appropriate, [2] the affected persons do not oppose such treatment, 18 and [3] the placement can be reasonably accommodated, taking into 19 account the resources available to the State and the needs of 20 others with mental disabilities.” 21 Zimring, 527 U.S. 581, 607 (1999). 22 addressed an integration mandate claim in Townshend v. Quasim, 328 23 F.3d 511 (9th Cir. 2003). 24 integration mandate regulation and Olmstead, the court nevertheless 25 applied the traditional ADA pleading standard. Olmstead v. L.C. ex rel. The Ninth Circuit subsequently There, although citing to both the Townshend v. 26 27 28 6 This mandate is patterned on one set forth in the Rehabilitation Act’s implementing regulations. See 28 C.F.R. § 41.51(d). 15 1 Quasim, 328 F.3d at 516 (“To prove that a public service or program 2 violates Title II of the ADA, a plaintiff must show (1) he is a 3 qualified individual with a disability; (2) he was either excluded 4 from participation in or denied the benefits of a public entity’s 5 services, programs, or activities or was otherwise discriminated 6 against by the public entity; (3) such exclusion, denial of 7 benefits, or discrimination was by reason of his disability.”) 8 (internal quotation and citation omitted). 9 Here, the arguments regarding the integration mandate claims 10 are focused primarily on the parties’ conflicting views of the 11 appropriate pleading standard, and are otherwise not fully 12 developed. 13 claim appears sufficiently pleaded under Townshend. 14 motion is therefore denied with respect to the integration mandate 15 claim, without prejudice. At this juncture, Intervenors’ integration mandate Defendants’ 16 B. 17 The FACI alleges that Intervenors “have a known and obvious Constitutional Claims 18 need for medical care after release from custody,” that inadequate 19 discharge planning under Paragraph 34 threatens to deny them that 20 medical care as a matter of policy, and that adoption of Paragraph 21 34 constitutes deliberate indifference to Intervenors’ medical 22 needs in violation of the Eighth and Fourteenth Amendments. 23 Defendants argue that Intervenors’ constitutional claims fail as a 24 matter of law. 25 Defendants, citing to the Supreme Court of Massachusetts, 26 argue that homeless, mentally ill people have no constitutional 27 rights to follow-up medical care after incarceration. 28 21, citing Williams v. Sec’y of the Exec. Office of Human Servs., 16 (Motion at 1 414 Mass. 551, 566 (1993). The court disagrees. In the Ninth 2 Circuit, “the state must provide an outgoing prisoner who is 3 receiving and continues to require medication with a supply 4 sufficient to ensure that he has that medication available during 5 the period of time reasonably necessary to permit him to consult a 6 doctor and obtain a new supply. 7 this transitional period amounts to an abdication of its 8 responsibility to provide medical care to those, who by reason of 9 incarceration, are unable to provide for their own medical needs.” A state’s failure to . . . cover 10 Wakefield, 177 F.3d at 1164. The court sees no reason why this 11 principle should not apply to mental illness.7 12 Next, Defendants contend that Intervenors fail to allege 13 deliberate indifference. 14 inartfully makes reference to the deliberate indifference standard 15 with respect to both the Fourteenth and Eighth Amendment claims. 16 pre-trial detainee need not show deliberate indifference to prevail 17 on a Fourteenth Amendment claim. 18 F.3d 918, 934 (9th Cir. 2004). 19 does allege deliberate indifference. 20 disabilities and serious medical needs are apparent and known to 21 Defendants, and that Defendants not only ignore those needs, but do 22 so as an explicit matter of policy, i.e. Paragraph 34. 23 Defendants are correct that the FACI See, e.g. Jones v. Blanas, 393 In any event, however, the FACI Intervenors allege that their As with the integration mandate claim, the constitutional 24 claims are not the focus of either party’s briefing. 25 thus far, Intervenors’ constitutional claims are adequately As presented 26 27 28 A 7 If anything, a public entity may be more responsible for mental health treatment where the incarceration itself has aggravated or exacerbated the harmful symptoms of mental illness. 17 1 alleged. 2 the constitutional claims, without prejudice. 3 IV. 4 Defendants’ motion is therefore denied with respect to Conclusion For the reasons stated above, Defendants’ motion is DENIED. 5 6 IT IS SO ORDERED. 7 8 9 Dated: May 17, 2016 DEAN D. PREGERSON United States District Judge 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 18

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