Ngono v. The United States
Filing
41
AMENDED COMPLAINT amending 1 Complaint against The United States. Document filed by Andre Ngono. Related document: 1 Complaint.(ama)
USDC SDNY
DOCUMENT
ELECTRONICALLY FILED
DOC #:
DATE FILED: 2/20/2019
NGONO ANDRE MARIE
REG # 77244-054
D,RAY JAMES CF
DOCKET# 17-CV-5517 (VEG)
P.O BOX 2000
FOLKSWN,GA 31537
R
ECEIVED
FEB 15 2019"
HONORABLE VALERIE CAPRONI
VALERIE CAPRON I
U.S. DISTRICT JUDGE
"D.N.V
UNITED STATES DISTRICT
ffiURT SOUTHER DISTRICT
COVER LEITER
Your Honor,
I am submitting my first amended Complaint on or before february 11,2019 as ordered by the
court. In addition to my complaint I have attached the following documents:
- A motion requesting appoitment of a counsel to plaintiff.
- 4 pages administrative remedy responses
- 14 pages medical record from the bureau of prison health serv
ices clinical encounters
- 5 pages psychology services reports
RESPECTFULLY SUBMITTED
NGONO ANDRE MARIE
Date: 02-09-2019
IN THE UNITED STATES DISTRICT OIDNRT FOR THE SOUTHERN DISTRICT OF NEW YORK
------------------------------~
NGONO ANDRE MARIE
Pain tiff
v.
UNITED STATES OF AMERICA
Defendant
)
)
)
~
~
CIVIL ACTION DOCKET# 17-CV-5517 (VEC)
',' ,'
aIDMPLAINT
I. INTRODUCTION
1.
Plaintiff Ngono Andre Marie, I am the plaintiff at the D.RAY JAMES
prison in the state of Georgia. I bring this civil action against the UNITED
STATES OF AMERICA for the intentional tortious acts of its employees committed
aginst me the plaintiff at the Metropolitan Correctional Center of New York.
II.
THE PARTIES
A. PLAINTIFF
2.
NOONO ANDRE MARIE, I am the plaintiff in this civil action. I was
detained at the Metropolitan Correctional Center of New york from march7,2016
to august S,2017 during the proceedings of my criminal case. The incidents
underlining this complaint occured at MCC during the period mentioned above.
B. DEFENDANT
3.
THE UNITED OF AMERICA is the defendant in this civil action because
THE UNITED STATES had agreed to be sued for certain actions of its employees
when acting within the scope of their office or employment.
-1-
III.
JURISDICTION AND VENUE
4.
28
The district court has subject matter jurisdiction pursuant to
u.s.c.s.
5.
IV.
§§ 1346(b); 2671-2680 and 1331.
Venue is proper in this court pursuant to
28 U.S.C.S. §1391.
NARRATIVE OF THE INCIDENTS
6.
On march7,2017 following my arrest by the F.B.I, I was placed in pret-
trial detention at the MCC in New York pending trial. While in MCC, I was put
in a two men cell with inmate Carl Peter.The first night that I spent with Carl
in the cell, he began to smoke an illegal drug known as k2. that same night, I
told Carl that I was a non-smoker and that I did not want to be intoxicated
with the toxic fumes of k2. On the second night Carl smoked again ignoring my
serious health concerns. In the morning following the second night and while I
was still asleep, Carl brought another inmate in the cell and they began to
smoke k2. At the odor and the smell of K2, Iwoke up and asked Carl and his
friend to go out of the cell to smoke. Carl refused to vacate the with and also
refused to go smoke outside the cell. at his refusal, I went to the correctiona
~
officer on duty thatxand I informed him of the situation of k2 being smoked in
the cell by Carl Peter and his friend. I further asked to the correct officer
to separate me from Carl in order to avoid the escalation of the situation. the
correctional officer asked me to follow him to the cell where Carl and his
friend were smoking k2.
7.
When we arrived at the cell,Carl had already flushed the roll of k2 in
the toilet. Carl and his friend were standing at the cell's door observing the
~d
officerxI as we entered the cell.The odor of k2 was still vivid in the cell
and I asked the officer to smell for himself and he did smell k2 in the air.
I further retreived the equipment used by Carl to light up the k2 rolls in the
cell and showed it to the correctional officer. The equipment consisted of two
small batteries for prison's radios and a razor blade taken from the shaving
razor provided by staffs at the MCC. After the correctional smelled and saw the
-2-
the equipment used by Carl to smoke k2 in the cell,he asked Carl and I to follow him in his office.
8.
As I tried to follow the officer holding the evidence in my right hand,
Carl grabbed me from behind and asked me to give him the evidence.I told Carl
that the evidence were needed;: lme
J~!<{:r~
k!
- - ...
_ -
•• ,
1-
_
L.,
_.
• -
-
•
• 1
-11-
10
due to the back,neck,leg and all other injuries intentionally inflicted to me by the of
ficers. Lieutenant Gonzalez then ordered the four officers to carry me up stairs within
the special housing unit.when carrying me, the officers intentionally pulled on the cha
JUS attached
to the shakles and caused friction of the shakles with my,n ,L~n I;
JV (;..-o):3c·c. (',, 3
.2,11 l.e r,{' ,.J lrl:f( h 10 i't ,,,ru.,;t11 '-}t((U/".f/,(I rR
5t,.'7J,1rio ,19 h.• ,,, 1 h~?~ S1fl·10
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,--:,r, ,.,
,.
,,,lt•/;,
z. re: fl ii)
lt'}l,\
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. ./n /;))ft,J.::I
,r1 ', ~,
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b e&Ll?J?ant
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/a-,,~l1,•1[Umj {,ul l1<1l . t,in11 l,,;1 .lr. '111:k/ lu,,,I lccso /.,,,,: lJ,I-<->/lt> rhyfre. ,....1
Inmate's Name
]7q
(11, - Q \'l/
Register Number
CORRECTIONAL COUNSELOR'S COMMENTS:
I. Efforts made io informally resolve and staff
contacted: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Date informally resolved: _ _ _ _ __
Date BP-229( 13) Issued: _ _ _ _ __
Unit Manager: _ _ _ _ _ _ _ _ __
Counselor Signature: _ _ _ _ _ _ _ _ _ _ __
Administrative Remedy No. 891663-Al
Part B - Response
This is in response to your Central Office Administrative Remedy
Appeal where you allege on August 18, 2016, staff members at MCC New
York entered your cell and physically assaulted you, inflicting
serious injuries to various body parts.
You also claim the
Lieutenant failed, to stop an officer from sexually rrt'olesting you
during this incident.
You request compensation for injuries.
The Warden and Regional Director adequately addressed your
allegations against staff. As indicated, a review by the After
Action Committee found staff acted appropriately regarding this
matter.
In addition, no credible evidence was presented to support
your claim of being sexually molested by staff nor do you provide
any specific details regarding this alleged incident.
We concur
with the responses provided and find no further review is warranted.
As to your request for compensation, the Administrative Remedy
Program does not ordinarily provide for monetary relief.
Your
request for monetary compensation should be pursued through the
appropriate statutorily-mandated procedure to resolve this issue.
Accordingly, your appeal is denied.
Date
Ia?Jonnors, Administrator
National Inmate Appeals f4'v'.i£-
RESPONSE TO REQUEST FOR ADMINISTRATIVE REMEDY - PART B
Inmate Name: Ngono, Andre
Reg. No. 77244-054
Administrative Remedy Id.:891663-Fl
This is in response to your Request for Administrative Remedy dated January 31, 2017, wherein
you allege that on August 18, 2016, staff entered your cell in the Special Housing Unit (SHU)
and inflicted serious injuries to various body parts. You also allege that the Lieutenant failed to
stop another staff member from sexually molesting you. Furthermore, you are requesting
monetary compensation
Please be advised that your claims of excessive force are untimely and will not be addressed in
this response. However, your claims of sexual assault are not time barred and are addressed
below.
A review of your allegation revealed that on August 18, 2016, at approximately 12:48 p.m., you
were the subject of a Calculated Use of Force, which was captnred on video. Upon completion
of the Use of Force, an After Action Committee reviewed the incident to and found it to have
been justified. In addition, the After Action Committee review did not identify any discrepancy
indicating you were sexually molested as you claim.
Based on the above information, your request for relief is denied.
If you are dissatisfied with this response, you may appeal to the Regional Director, Northeast
Region, Federal Bureau of Prisons, Northeast Regional Office, U.S. Customs House - 7U• Floor,
nd
2 & Chestnut Streets, Philadelphia, PA 19106, within 20 calendar days of the date of this
response.
3/;/z<>t}
Date
.
I
NGONO, Andre
Reg. No. 77244-054
Appeal No. 891663-R2
Page One
Part B - Response
You appeal the response from the Warden at MCC New York regarding
your claim you were assaulted by staff. You also allege staff would
not provide you a pen or paper so you can report this incident. You
request to this matter to be investigated.
A review of your appeal revealed the Warden adequately addressed your
complaint, and correctly advised your allegations have been reviewed
by the After Action Committee. All documentation and video evidence
was also reviewed by the Northeast Regional Correctional Services
Office.
You failed to pr~vide any additional information or
evidence to this office to review this matter any further.
Accordingly, your appeal is denied.
If you are dissatisfied with this response, you may appeal to the
General Counsel, Federal Bureau of Prisons.
Your appeal must be
received in the Administrative Remedy Section, Office of General
Counsel, Federal Bureau of Prisons, 320 First Street, N.W.,
Wa~hington, D.C. 20534, within 30 calendar days of the date of this
response.
Date: April 27, 2017
Regiona ' Director
Bureau of Prisons
Health Services
Clinical Encounter
Inmate Name: NGONO; ANDRE
Date of Birth: 03/24/1972
Encounter Date: 05/03/2016 09:31
Reg#: 77244-054
Facility: NYM
Unit:
G06
Sex:
M
Race: BLACK
Provider: Bussanich, A. MD/CD
Injury Assessment - Non-work related encounter performed at Health Services.
SUBJECTIVE:
INJURY
1
Provider:
Date C?f Injury:
Work Related:
Pain Location:
Pain Scale:
O
Pain Qualities:
Bussanich, A. MD/CD
05/03/2016 08:30
Date Reported for Treatment:
No
Work Assignment:
UNASSG
05/03/2016 09:32
Where Did Injury Happen (Be specific as to location):
HOUSIN_G UNIT.
Cause of Injury (Inmate's Statement of how injury occurred):
"I TOLD HIM NOT TO SMOKE. HE GRABBED ME AND WE STARTED WRESTLING. I DID NOT HIT HIM
AND HE DID NOT HIT ME. HE MISSED WITH HIS PUNCHES
Symptoms (as reported by inmate):
NONE EXCEPT FOR ANXIETY.
OBJECTIVE:
Temperature:
12m.
Time
05/03/2016
09:34 NYM
Fahrenheit
98.1
Celsius Location
36.7 Oral
Provider
Bussanich, A. MD/CD
Pulse:
Location
Rhythm
Provider
97
Via Machine
Regular
Bussanich, A. MD/CD
05/03/2016 09:35
87
Via Machine
Regular
Bussanich, A. MD/CD
05/03/2016 09:34
92
Via Machine
Regular
Bussanich, A. MD/CD
Iim.ll.
Rate Per Minute
05/03/2016 09:35
Blood Pressure:
Date
Iim.ll.
Value
Position
Sitting
Provider
163/116
Location
Left Arm
Cuff Size
05/03/201.6 09:35 NYM
Adult-large
Bussanich, A. MD/CD
05/03/2016 09:35 NYM
148/113
150/105
Right Arm
Left Arm
Sitting
Adult-large
Sitting
Adult-large
Bussanich, A. MD/CD
Bussanich, A. MD/CD
05/03/2016 09:34 NYM
Sa02:
12m.
Iim.ll.
05/03/2016
09:35 NYM
05/03/2016
05/03/2016
Height:
09:34 NYM
09:35 NYM
12m.
Time
05/03/2016 09:46 NYM
Weight:
~
Iim.ll.
Value(¾) Air.
98 Room Air
99 Room Air
100 Room Air
Inches
70.0
~
Generated 05/03/2016 10:00 by Bussanich, A. MD/CD
Cm
177.8
Kg
Provider
Bussanich, A. MD/CD
Bussanich, A. MD/CD
Bussanich, A. MD/CD
Provider
Bussanich, A. MD/CD
Waist Circum. Provider
Bureau of Prisons - NYM
Page 1 of 3
Inmate Name: NGONO, ANDRE
Date of Birth: 03/24/1972
Encounter Date: 05/03/2016 09:31
~
05/03/2016
Time
09:34 NYM
Sex:
M
Race: BLACK
Provider: Bussanich, A. MD/CD
Lbs
182.3
Reg#: 77244-054
Facility: NYM
Unit:
G06
Kg Waist Circum. Provider
82.7
Bussanich, A. MD/CD
Exam:
General
Appearance
Yes: Appears Well
Nutrition
Yes: BMI reviewed (enter in comments)
Eyes
General
Yes: PERRLA, Exlraocular Movements Intact
Fundus Exam
Yes: Grossly Normal Retina
Pulmonary
Auscultation
Yes: Clear lo Auscultation
No: Rhonchi, Wheezing
Cardiovascular
Auscultation
Yes: Regular Rate and Rhythm (RRR), Normal S1 and S2
No: S3, S4
Neurologic
Cranial Nerves (CN)
Yes: Within Normal Limits
Exam Comments
BMI IS 26.2.
NO SKIN LESIONS OR ECCHYMOSIS
GRADE1-2/6 SYSTOLIC MURMUR LEFT STERNAL BORDER.
UROGENITAL AREA VIA VISUAL INSPECTION REVEALED NO LESIONS.
ASSESSMENT:
Other place in prison as place of injury/occurrence, Y92148 - Current
PLAN:
Disposition:
Follow-up at Sick Call as Needed
Return Immediately if Condition Worsens
Return To Sick Call if Not Improved
Othr.r:
WE DISCUSSED AT LENGTH HIS ELEVATED BP. HE IS NOT WILLING TO START ANTIHYPERTENISIVES. CCC
DONE CONTEMPORANEOUSLY. NOTE TO FOLLOW.
Patient Education Topics:
Date Initiated Format
05/03/2016
Counseling
Generated 05/03/2016 10:00
by Bussanich, A. MD/CD
Handout/Topic
Plan of Care
Bureau of Prisons - NYM
Provider
Bussanich, A.
Outcome
Verbalizes
Understanding
Page 2 of 3
lnr,iate Name: NGONO, ANDRE
Date of Birth: 03/24/1972
Encounter Date: 05/03/2016 09:31
Copay Required: No
TelephoneNerbal Order:
Sex:
M
Race: BLACK
Provider: Bussanich, A. MD/CD
Reg#: 77244-054
Facility: NYM
Unit:
G06
Cosign Required: No
No
Completed by Bussanich, A. MD/CD on 05/03/2016 10:00
Generated 05/03/2016 10:00 by Bussanich, A. MD/CD
Bureau of Prisons - NYM
Page 3 of 3
Bureau of Prisons
Health Services
Clinical Encounter
Inmate Name: NGONO, ANDRE
Date of Birth: 03/24/1972
Encounter Date: 07/01/2016 10:15
Reg#: 77244-054
Facility: NYM
Unit:
GO?
Sex:
M
Race: BLACK
Provider: Beaudouin, Robert MD
Injury Assessment - Non-work related encounter performed at Health Services.
SUBJECTIVE:
INJURY 1
Provider:
Date of Injury:
Work Related:
Pain Location:
Pain Scale:
O
Pain Qualities:
Beaudouin, Robert MD
07/01/2016 07:30
Date Reported for Treatment:
No
Work Assignment:
UNASSG
07/01/2016 10:14
Where Did Injury Happen (Be specific as to location):
7 SOUTH, RECREATION CAGE.
Cause of Injury (Inmate's Statement of how injury occurred):
HE, A YOUNG INMATE, PUNCHED ME ON THE LEFT FOREHEAD. HE HIT ME FIRST. I TOLD HIM
NOT TO CHANGE THE TV CHANNEL I WAS WATCHING. WE HAD A FISTFIGHT OVER THAT.
Symptoms (as reported by inmate):
I DO NOT HAVE A HEADACHE. I AM NOT DIZZY. MY VISION IS FINE. I AM FINE. I DO NOT HAVE
ANY INJURIES.
OBJECTIVE:
Pulse:
.!2m.
Rate Per Minute
07/01/2016 10:18
125
Location
Rhythm
Via Machine
Provider
Beaudouin, Robert MD
Respirations:
,')ate
07/01/2016
Blood Pressure:
10:18 NYM
Date
Time
07/01/2016 10:18 NYM
SaO2:
Qa1e
07/01/2016
Value
137/91
Time
Rate Per Minute Provider
14 Beaudouin, Robert MD
Position
Location
Left Arm
Value(¾) Air
10: 18 NYM
Cuff Size
Standing
Provider
Beaudouin, Robert MD
Provider
98 Room Air
Beaudouin, Robert MD
Exam:
General
Affect
Yes: Cooperative, Irritable
Appearance
Yes: Appears Well, Appears Distressed, Alert and Oriented x 3
No: Dyspneic, Appears in Pain, Writhing in Pain, Pale, Diaphoretic
Head
General
No: Battle's Sign, Raccoon Eyes
Generated 07/01/201610:47 by Beaudouin, Robert MD
Bureau of Prisons - NYM
Page 1 of 3
Inmate Name: NGONO, ANDRE
Date of Birth:
03/24/1972
Encounter Date: 07/01/2016 10:15
Sex:
M
Race: BLACK
Provider: Beaudouin, Robert MD
Reg#: 77244-054
Facility: NYM
Unit:
GO?
Exam:
Temporal Mandibular Joint
No: Swelling, Inflammation, Tenderness, Non-tender on Palpation, Trauma, Uneven Bite
Eyes
General
Yes: PERRLA, Extraocular Movements Intact
Conjunctiva and Sciera
No: Subconjunctival Hemorrhage
Ears
External Ear
Yes: Within Normal Limits
Nose
General
No: Deformity
Face
General
No: Ecchymosis, Periorbital Edema, Deformity
Sinus/Maxilla
Yes: Within Normal Limits
Mandible
Yes: Normal Range of Motion
No: Swelling, Deformity
Lips
General
Yes: Within Normal Limits
Mouth
General
Yes: Within Normal Limits
Teeth
No: Fractured Tooth/Teeth, Avulsion
Tongue
Yes: Within Normal Limits
Musculoskeletal
Wrist/Hand/Fingers
Yes: Normal Bony Landmarks
Gait
Yes: Normal Gait
Neurologic
Cranial Nerves (CN)
Yes: Within Normal Limits
Motor System-General
Yes: Normal Exam
J;xam Comments
HEAD: + MILD EDEMATOUS AND TENDER AREA OF ABOUT 2X 2 CM ON LEFT FOREHEAD, OTHERWISE
ATRAUMATIC.
LEFT KNEE -LATERAL ASPECT:+ 0.3 X 0.2 CM SUPERFICAL ABRASION.
RIGHT KNEE- MEDIAL ASPECT : + 0.3 X 0.3 CM SUPERFICIAL ABRASION.
SKIN EXAM IS OTHERWISE INTACT.
Generated 07/01/2016 10:47 by Beaudouin, Robert MD
Bureau of Prisons NYM
ff
Page 2 of 3
Inmate Name: NGONO, ANDRE
Date of Birth: 03/24/1972
Encounter Date: 07/01/2016 10:15
Sex:
M
Race: BLACK
Provider: Beaudouin, Robert MD
Reg#: 77244-054
Facility: NYM
Unit:
G07
ASSESSMENT:
Other disorder of the skin and subcutaneous tissue, L988 - Current
PLAN:
New Radiology Request Orders:
Details
Frequency
End Date
General Radiology-Skull-General
One Time
Specific reason(s) for request (Complaints and findings):
Due Date
07/05/2016
Priority
Routine
44 YR OLD MALE WITH MILD SWELLING OVER LEFT FOREHEAD FROM BEING PUNCHED IN A
FIGHT WITH ANOTHER INMATE. PLEASE PERFORM SKULL XRAY.
Disposition:
Follow-up at Sick Call as Needed
Other:
SKIN ABRASION WAS CLEANED WITH WATER AND BETADINE.
PT'S TDaP VACCINATION IS CURRENT.
PT'S PULSE WAS ELEVATED POST ALTERCATION.
PATIENT ADVISED TO INFORM HSU VIA THE UNIT OFFICER OR WHEN THE MLP DOES SHU ROUNDS IF HE
DEVELOPS HEADACHE, DIZZINESS, DIPLOPIA, FACIAL PAIN, OR ANY NEW SYMPTOMS.
Patient Education Topics:
Date Initiated Format
07/01/2016
Counseling
HandoutITopic
Diagnosis
Provider
Beaudouin, Robert
07/01/2016
Safety/Injury Prevention
Beaudouin, Robert
Counseling
Copay Required: No
TelephoneNerbal Order:
Outcome
Verbalizes
Understanding
Verbalizes
Understanding
Cosign Required: No
No
Completed by Beaudouin, Robert MD on 07/01/2016 10:47
Gem ated 07/01/2016 10:47 by Beaudouln, Robert MD
Bureau of Prisons - NYM
Page 3 of 3
Bureau of Prisons
Health Services
Clinical Encounter
Inmate Name: NGONO, ANDRE
Date of Birth: 03/24/1972
Encounter Date: 07/20/2016 10:00
Reg#: 77244-054
Facility: NYM
Unit:
Z03
Sex:
M
Race: BLACK
Provider: Joaquin, Y. MLP
lnjc1ry Assessment - Non-work related encounter performed at Special Housing Unit.
SUBJECTIVE:
INJURY
1
Provider:
Joaquin, Y. MLP
Date of Injury:
07/20/2016 09:46
Date Reported for Treatment:
Work Related:
No
Work Assignment:
UNASSG
Pain Location:
Knee-Left
Pain Scale:
5
Pain Qualities: Dull
07/20/2016 10:10
Where Did Injury Happen (Be specific as to location):
Special housing unit Holding cell
Cause of Injury (Inmate's Statement of how injury occurred):
Inmate was combative and angry. Stated "I have an injury".
Symptoms (as reported by inmate):
Left knee pain.
OBJECTIVE:
Temperature:
.!lfill1.
Time
07/20/2016
10:31 NYM
Fahrenheit
97.2
Celsius Location
36.2 Oral
Provider
Joaquin, Y. MLP
Pulse:
Rate Per Minute
07/20/2016 10:31
103
Location
Rhythm
Provider
Via Machine
Regular
Joaquin, Y. MLP
Blood Pressure:
.!lfill1.
Iiln.!!.
07/20/2016 10:31 NYM
SaO2:
Value
146/96
.!lfill1.
Time
07/20/2016
10:31 NYM
Location
Right Arm
Position
Sitting
Value(%) Air
100 Room Air
Cuff Size
Provider
Adult-regular Joaquin, Y. MLP
Provider
Joaquin, Y. MLP
Exam:
General
Affect
Yes: Cooperative, Irritable
J;x:im Comments
Inmate was on the floor in the holding cell secured by staff. Questioned inmate Ngono about injuries He stated "I have
an injury. He was combative, angry and trying to get up from the floor.
Later on inmate became cooperative and allow medical assessment for injuries.
He has a bruise/abrasion on left knee. No deformities, no tenderness to the palpation. no lacerations, no hematomas.
Inmate has good range of motion on his left knee. Ambulates without any difficulties.
Area cleaned with sterile saline solution and betadine. Sterile large Band-Aid applied.
ASSESSMENT:
Superficial injury of knee, S80919S - Current
Generated 07/20/2016 10:47 by Joaquin, Y. MLP
Bureau of Prisons ~ NYM
Page 1 of 2
lnr,1ate Name: NGONO, ANDRE
Date of Birth:
03/24/1972
Encounter Date: 07/20/2016 10:00
Sex:
M
Race: BLACK
Provider: Joaquin, Y. MLP
Reg#: 77244-054
Facility: NYM
Unit:
Z03
PLAN:
New Medication Orders:
Rx#
Medication
Order Date
Ibuprofen Tablet
07/20/2016 10:00
Prescriber Order
600 mg Orally - three times a
day x 3 day(s) -- As needed for
left knee pain.
Take it with food.
Indication: Superficial injury of knee
Disposition:
r'ollow-up at Sick Call as Needed
Patient Education Topics:
Date Initiated Format
Counseling
Handout/Topic
Access to Care
Provider
Joaquin, Y.
07/20/2016
Hand & Respiratory Hygiene
Joaquin, Y.
07/20/2016
Counseling
Copay Required: No
TelephoneNerbal Order:
Outcome
Verbalizes
Understanding
Verbalizes
Understanding
Cosign Required: Yes
No
Completed by Joaquin, Y. MLP on 07/20/2016 10:47
Requested to be cosigned by Beaudouin, Robert MD.
Cosign documentation will be displayed on the following page.
Generated 07/20/2016 10:47 by Joaquin, Y. MLP
Bureau of Prisons - NYM
Page 2 of 2
Bureau of Prisons
Health Services
Clinical Encounter
Inmate Name: NGONO, ANDRE
Date of Birth: 03/24/1972
Encounter Date: 08/18/2016 13:47
Reg#: 77244-054
Facility: NYM
Unit:
Z03
Sex:
M
Race: BLACK
Provider: Evangelista, C. MLP
Injury Assessment - Non-work related encounter performed at Health Services.
SUBJECTIVE:
INJURY
1
Provider:
Date of Injury:
Work Related:
Pain Location:
Pain Scale:
O
Pain Qualities:
Evangelista, C. MLP
Date Reported for Treatment:
08/18/2016 12:45
Work Assignment:
UNASSG
N
08/18/2016 13:47
Where Did Injury Happ
SHU- K tier
Cause of Injury (Inmate's St
t of how injury occurred):
Inmate was put in forced cell move
allowing orders and refusing to be cuffed. QC was sprayed.
Symptoms (as reported by inmate
Inmate combative and screaming in t
sprayed. Abrasion noted on right foot
s. Tearing with no noted breathing problem after OC was
AT this time no other injuries to Inmate was noted.
OBJECTIVE:
Pulse:
Time
Rate Per Minute
08/18/2016 13:56
Date
92
Location
Provjder
Evangelista, C. MLP
Blood Pressure:
~
IiJM.
.)8/18/2016 13:56 NYM
.\liilite.
Location
Position
158/88
Provider
angelista, C. MLP
Exam Comments
Inmate combative, screaming and refused to cooperate. OC was sprayed and deco
·n the
and nasal mucosa cleaned on face. Abrasion noted on dorsal portion of right toot( 1-2cm
I
cleaned with antiseptic. Vitals done, no noted breathing problem. Inmate was seen a few m·
give his medications, where inmate was washing himself in his cell and flooding the floor stil a
any further complaints.
ASSESSMENT:
shower. Tearing
(2-3 cm),
r the move to
ill follow up for
Injury, unspecified, T1490 - Current
PLAN:
Disposition:
Follow-up at Sick Call as Needed
Follow-up in 12-24 Hours
Patient Education Topics:
Date Initiated Format
Generated 08/18/2016 14:06 by Evangelista, C. MLP
HandoutCTopic
Bureau of Prisons - NYM
Provider
Outcome
Page 1 of 2
Inmate Name: NGONO, ANDRE
Date of Birth: 03/24/1972
Encuunter Date: 08/18/2016 13:47
Sex:
M
Race: BLACK
Provider: Evangelista, C. MLP
Date Initiated Format
08/18/2016
Counseling
Copay Required: No
TelephoneNerbal Order:
HandoutCTopic
Access to Care
Reg#: 77244-054
Facility: NYM
Unit:
Z03
Provider
Evangelista, C.
Outcome
Verbalizes
Understanding
Cosign Required: Yes
No
Completed by Evangelista, C. MLP on 08/18/2016 14:06
Requested to be cosigned by Bussanich, A. MD/CD.
Cosign documentation will be displayed on the following page.
Generated 08/18/2016 14:06
by Evangelista,
C. MLP
Bureau of Prisons - NYM
Page 2 of 2
Bureau of Prisons
Health Services
Cosign/Review
Inmate Name:
NGONO, ANDRE
Date of Birth:
03/24/1972
Encounter Date: 08/18/2016 13:4 7
Sex:
Provider:
M
Evangelista, C. MLP
Cosigned by Bussanich, A. MD/CD on 08/18/201616:13.
Bureau of Prisons
~
NYM
Reg#:
Race:
Facility:
77244-054
BLACK
NYM
Bureau of Prisons
Health Services
Clinical Encounter
Inmate Name: NGONO, ANDRE
Date of Birth: 03/24/1972
Encounter Date: 08/18/2016 13:47
Reg#: 77244-054
Facility: NYM
Unit:
Z03
Sex:
M
Race: BLACK
Provider: Evangelista, C. MLP
Injury Assessment - Non-work related encounter performed at Health Services.
SUBJECTIVE:
INJURY
1
Provider:
Date of Injury:
Work Related:
Pain Location:
Pain Scale:
O
Pain Qualities:
Evangelista, C. MLP
08/18/2016 12:45
Date Reported for Treatment:
Work Assignment:
UNASSG
08/18/2016 13:47
Where Did Injury Happ
cific as to location):
SHU- K tier
t of how injury occurred):
Cause of Injury (Inmate's St
allowing orders and refusing to be cuffed. OC was sprayed.
Inmate was put in forced cell move
Symptoms (as reported by Inmate
Inmate combative and screaming int
s. Tearing with no noted breathing problem after OC was
sprayed. Abrasion noted on right foot
AT this time no other injuries to Inmate was noted.
OBJECTIVE:
Pulse:
Date
Rate Per Minute
08/18/2016 13:56
Provider
92
Evangelista, C. MLP
Blood Pressure:
Location
08/18/2016 13:56 NYM
Position
158/88
Exam Comments
·n the
Inmate combative, screaming and refused to cooperate. OC was sprayed and deco
and nasal mucosa cleaned on face. Abrasion noted on dorsal portion of right foot( 1-2cm
I
cleaned with antiseptic. Vitals done, no noted breathing problem. Inmate was seen a few m·
give his medications, where inmate was washing himself in his cell and flooding the floor stil a
any further complaints.
ASSESSMENT:
shower. Tearing
(2-3 cm),
r the move to
ill follow up for
lnj.iry, unspecified, T1490 - Current
PLAN:
Disposition:
Follow-up at Sick Call as Needed
Follow-up in 12-24 Hours
Patient Education Topics:
Date Initiated Format
Generated 08/18/2016 14:06 by Evangelista, C, MLP
Handout/Topic
Bureau of Prisons ~ NYM
Provider
Outcome
Page 1 of 2
Inmate Name: NGONO, ANDRE
Date of Birth: 03/24/1972
Encounter Date: 08/18/2016 13:47
Sex:
M
Race: BLACK
Provider: Evangelista, C. MLP
HandoutCTopic
Date Initiated Format
08/18/2016
Counseling
Copay Required: No
TelephoneNerbal Order:
Access to Care
Reg#: 77244-054
Facility: NYM
Unit:
Z03
Provider
Evangelista, C.
Outcome
Verbalizes
Understanding
Cosign Required: Yes
No
Completed by Evangelista, C. MLP on 08/18/2016 14:06
Requested to be cosigned by Bussanich, A. MD/CD.
Cos•gn documentation will be displayed on the following page.
Gene.rated 08/18/2016 14:06 by Evangelista, C. MLP
Bureau of Prisons~ NYM
Page 2 of 2
Bureau of Prisons
Health Services
Cosign/Review
Inmate Name:
NGONO, ANDRE
Date of Birth:
03/24/1972
Encounter Date: 08/18/2016 15:32
Sex:
Provider:
M
Evangelista, C. MLP
Cosigned by Bussanich, A. MD/CD on 08/18/2016 16:14.
Bureau of Prisons~ NYM
Reg#:
Race:
Facility:
77244-054
BLACK
NYM
Bureau of Prisons
Psychology Services
SHU Review
Inmate Name:
**SENSITIVE BUT UNCLASSIFIED**
NGONO, ANDRE
Reg #:
77244-054
Date of Birth:
03/24/1972
Sex:
Date:
08/18/2016 07:58
Provider: Schlessinger, K. PsyD/PhD
Placed in SHU:
Status:
07/01/2016
ADMIN.DETENTION
Type:
Threat to Self:
SHU
Low
Basis of Review:
Mental Status:
Inmate was interviewed
No significant mental health issues.
Adjustment:
Satisfactory, segregation
not detrimental
Low
M
Facility NYM
Threat to Others:
UnitTeam:
7
Comments
Monthly SHU Review Note
Note: This SHU review is a brief evaluation of this inmate's current mental status in SHU. Although an inmate may
exhibit adequate adjustment to his SHU confinement and a lack of acute distress at this current time, it does not
preclude the fact s/he may suffer from a psychological disorder requiring additional psychological services. This SHU
review is also not a risk assessment of an inmate's potential for violent behaviors. Rather, it is an assessment of
whether the inmate exhibits any aggressive or violent behaviors at the time of the SHU review.
Subjective/Objective data: Inmate displayed no evidence of depression or suicidality and appeared to be adequately
adjusting to SHU placement. This adjustment was determined by clinical presentation, his self report and Unit
personnel statements.
Assessment/Plan: Inmate is currently psychologically stable. He has been instructed to contact Psychology
Department staff for support should he request, or be in need of mental health services. Unit staff are aware of the
referral process. Inmate will be seen on an as needed basis or monthly for SHU reviews.
Completed by Schlessinger, K. PsyD/PhD on 08/18/2016 09:27
Generated 08/18/2016 09:27 by Schlessinger, K.
Bureau of Prisons - NYM
Page 1 of
1
Bureau of Prisons
Psychology Services
Disruptive Behavior Intervention
Inmate Name:
Date of Birth:
Date:
NGONO,ANDRE
03/24/1972
08/18/2016 13:36
Sex:
Provider:
M
Facility: NYM
lmeri, Darlene PsyD
''SENSITIVE BUT UNCLASSIFIED"
Reg #:
77244-054
Unil Team: 7
Comments
This writer was contacted at about 12:10 PM to engage in confrontation avoidance with Mr. Ngono to have him submit to
restraints for a cell rotation. When this writer initially saw Mr. Ngono, he uncovered his window on the cell door and
asked this writer what type of Psychology does this writer practice. He stated the only type that works in prison is
Skinner. He stated behavioral interventions only work. He stated he is not going to come out of his cell and will have to
be forced. He stated that he is ready for staff and showed this writer the soapy water on the cell floor. He said he will
hurt staff if they hurt him. He stated he was forced to come to prison and they will have to force him to leave his cell.
He did not want to answer psychological history questions. His PSIQ that he completed on 3/07/16 was reviewed and
he denied any mental health history, any past suicidal thoughts or attempts, and any substance abuse. His BEMR
intake when he first arrived was also reviewed and during that interview he denied any mental health history and any
past suicide attempts.
Current Mental Status: When being interviewed by this writer he was pleasant and exhibited a neutral mood with a
mildly restricted range of affect. His speech was logical and coherent, with no loosening of associations or tangential,
circumstantial or irrelevant speech. Auditory and visual hallucinations were not reported, and delusions were not elicited.
He denied current suicidal ideation. He was future oriented. He does not appear to be an immediate danger to self. He
denied thoughts of hurting others unless someone hurts him.
During confrontation avoidance at about 12:48 PM, he acknowledged this writer and stated he already had a
conversation with this writer. He did not uncover the window on his cell door this time and he refused to submit to
restraints for the cell rotation. Confrontation Avoidance was unsuccessful.
During the use of force, Mr. Ngono was combative, was screaming, and was refusing to cooperate.
He was educated about both routine and emergency procedures for contacting Psychology staff. No follow up is
needed at this time. However, he was encouraged to self-refer to Psychology if needed. If he remains in SHU, he will
be seen by Psychology in SHU Rounds and in SHU Reviews.
Completed by lmeri, Darlene PsyD on 08/18/2016 15:51
Generated 08/18/201615:51
by lmeri, Darlene PsyD
Bureau of Prisons - NYM
Page 1 of 1
Bureau of Prisons
Psychology Services
Disruptive Behavior Intervention
Inmate Name:
Date of Birth:
Date:
NGONO,ANDRE
03/24/1972
08/19/2016 07:53
M
Sex:
Provider:
Facility: NYM
lmeri, Darlene PsyD
.. SENSITIVE BUT UNCLASSIFIED**
Reg #:
77244-054
Unit Team: 7
Comments
(Note from 8/18/16)
This note was entered as a referral yesterday, but should have been entered as a "Disruptive Behavior Intervention"
note.
This writer was contacted at about 3:00 PM on 8/18/16 to again engage in confrontation avoidance with Mr. Ngono to
have him submit to restraints to be taken out of his cell. When this writer saw Mr. Ngono, he stated that we already had
a conversation earlier and that he did not ask for Psychology. He again stated he is not going to come out of his cell
and will have to be forced. When asked if he was trying to get himself hurt, he stated he was not. During the interview
when asked about his case, he stated he has not done his Pre-Sentence Investigation yet, but stated he may be
sentenced to 10 to 20 years in prison. He stated he is self-sufficient.
He was pleasant and respectful toward this writer but he said he is not going to submit to restraints. He stated to tell
them to come and get him. A few minutes laier SHU Officer Scott spoke to Mr. Ngono and Mr. Ngono agreed to submit
to restraints to see Medical.
Current Mental Status: He was pleasant and smiled during the interview. He exhibited a neutral mood with a full range
of affect. His speech was logical and coherent, with no loosening of associations or tangential, circumstantial or
irrelevant speech. Auditory and visual hallucinations were not reported, and delusions were not elicited. He denied
current suicidal ideation. He was future oriented. He does not appear to be an immediate danger to self. He denied
thoughts of hurting others unless someone hurts him
He was again educated about both routine and emergency procedures for contacting Psychology staff. No follow up is
needed at this time. However, he was encouraged to self-refer to Psychology if needed. If he remains in SHU, he will be
seen by Psychology in SHU Rounds and in SHU Reviews.
Completed by lmeri, Darlene PsyD on 08/19/2016 08:36
Generated 08/19/2016 08:36 by lmeri, Darlene PsyD
Bureau of Prisons - NYM
Page 1 of 1
Bureau of Prisons
Psychology Services
Sexual Abuse Intervention
Inmate Name:
Date of Birth:
Date:
NGONO, ANDRE
03/24/1972
09/06/2017 11 :45
Sex:
Provider:
M
Facility: BRO
McCabe, Joseph PhD
**SENSITIVE BUT UNCLASSIFIED''
Reg #:
77244-054
UnitTeam: G
Comments
As per Program Statement 5324.12 and the Institutional Supplement on Sexually Abusive Behavior Prevention and
Intervention, all allegations of Sexual Abuse/Assault will be promptly and effectively reported and investigated.
Date/Time of Incident: 08/21/2016 (approximately)
Date/Time Psychology Aware: 09/06/2017 at approximately 0830
Date/Time of Intervention: 09/06/2017 at approximately 930
Inmate NGONO is a 45 year old African American male on Holdover status.
During today's interview, inmate NGONO reported the following:
Approximately one year ago while incarcerated at MCC Manhattan, inmate NGONO reported that he was the victim of
sexual assault by staff. Per his report, he was celled with an inmate who was smoking K2 which resulted in a physical
altercation as inmate NGONO did not approve of smoking in his cell. While in SHU, inmate NGONO did not perceive
that his "minimum care" needs were being met. He reported engaging in a verbal altercation with one staff member. At
this point inmate NGONO reported that he became non-compliant with staff requests "until my needs were met." On
approximately 08/21/2016, he was ordered to submit to restraints which he refused. A DCT team was used to extract
him from the cell and while inmate NGONO was holding on the frame of the desk, he alleges that an officer reached into
his boxers and grabbed his testicles until he released his grip of the frame. Inmate NGONO reported experiencing
testicular pain for which he states he was brought to health services. He reported later submitting a BP-8 and stated that
his complaint has been forwarded to "Washington D.C. office for investigation."
Inmate NGONO was offered victim advocacy services. He stated that he was not interested in an external or internal
victim advocate at this time. He was provided with the phone number for the toll-free national sexual assault hotline. He
was offered individual counseling through Psychology Services but declined the need for services at this time. He was
informed of ways to seek assistance if need and agreed to do so if matters changed for him.
Inmate NGONO denied having safety concerns during this interview. His mental status was examined and was
determined to be nominal at the time of this interview. He denied any suicidal or homicidal ideation at this time. He will
continue to be seen in accordance with Psychology Service's policy.
Findings/Recommendation:
1. At the time of this report inmate denies imminent risk of sexual assault or physical harm.
2. Notifications have been made to Operations Lieutenant.
3. Psychology Services follow-up was not requested nor is required at this time. He was advised how to request
additional services as needed/desired both during standard and off-duty working hours.
4. For the next 90 days, or longer if deemed necessary, the inmate will be monitored to ensure there is no retaliation.
Completed by McCabe, Joseph PhD on 09/06/201711:51
Reviewed by Segal, Michael PsyD/Chief Psychologist on 09/12/2017 09:08
Generated 09/12/2017 09:08 by Segal, Michael PsyD/Chief
Bureau of Prisons - BRO
Page 1 of 1
Bureau of Prisons
Psychology Services
Intake Screening
Inmate Name:
Date of Birth:
Date:
NGONO, ANDRE
03/24/1972
09/06/2017 11 :50
Sex: M
Facility: BRO
Provider: McCabe, Joseph PhD
**SENSITIVE BUT UNCLASSIFIED**
Reg #: 77244-054
UnitTeam: G
Limits of Confidentiality
Limits of confidentiality were reviewed with inmate NGONO. He expressed an understanding of the limits of confidentiality and
consented to be interviewed accordingly.
Data Source(s)
The following data sources were reviewed in conjunction with this Initial Intake Evaluation: Self-Report, SENTRY, Other.
Inmate NGONO was seen after indicating that he had been a victim of sexual assault while incarcerated.
Mental Health History and Current Symptoms
No history of mental health issues was noted.
No history of prior mental health treatment was noted.
No current mental health symptoms were noted.
No suicidal ideation, attempts, or self-harm were noted.
Substance Abuse
No history of substance abuse was noted.
No history of substance abuse treatment was noted.
Sex Offenses
No sexual offense convictions were noted.
No history of sexual predation iri a correctional setting was noted.
Relevant Psychosocial History
Noteworthy psychosocial issues: History of Sexual Victimization.
Inmate NGONO reported that he was the victim of sexual assault while incarcerated at a prior facility. Per his report, an
officer grabbed his testicles during a cell extraction while he was housed in SHU. Please refer to his sexual abuse
intervention note dated 09/06/2017 for further details.
Adjustment to Incarceration
No adjustment to incarceration concerns.
Findings
Care Level:
CARE1-MH
Inmate NGONO's current mental health care level will be Care1-MH. He does not exhibit any current symptoms that would
require an assignment of Care2-MH. This care level may always be re-examined at any time. He will continue to be seen, at a
minimum, in accordance with the Treatment and Care of Inmates with Mental Illness policy. He was advised how to contact
Psychology Services should he require assistance in the future.
Recommendations
The following psychological services are recommended: Follow-Up Appointment.
Inmate NGONO was offered the loll free phone number to the national sexual assault hotline and follow-up from
Psychology Services to address his reported history of sexual victimization while incarcerated, He declined this
recommendation at the lime of this intake screening. He was informed how to contact the psychology department should
he require services at a later point in time.
Completed by McCabe, Joseph PhD on 09/06/2017 11:57
Reviewed by Segal, Michael PsyD/Chief Psychologist on 09/11/201714:54
Generated 09/11/201714:54 by Segal, Michael PsyD/Chief
Bureau of Prisons - BRO
Page 1 of 1
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