Blackshear Julian v. Amin et al
Filing
97
ORDER signed by Judge J P Stadtmueller on 3/13/2020. John/Jane Doe Defendants are DISMISSED. 47 , 59 and 60 Plaintiff's Motions to Compel are DENIED. 48 , 62 , 84 , 85 , 88 , 89 and 91 Plaintiff's Motions re Writing In strument are DENIED. 51 Plaintiff's Motion for Daily Legal Recreation Time is DENIED. 64 Plaintiff's Motion to Appoint Counsel is DENIED. 55 Defendants' Motion to Strike is GRANTED; 53 Plaintiff's Motion for Summary is STRICKEN. 67 Defendants' Motion for Summary Judgment is GRANTED. CASE DISMISSED with prejudice. See Order. (cc: all counsel, via mail to Julian R Blackshear at Waupun Correctional Institution)(jm)
UNITED STATES DISTRICT COURT
EASTERN DISTRICT OF WISCONSIN
JULIAN R. BLACKSHEAR,
Plaintiff,
v.
Case No. 18-CV-853-JPS
TINA AMIN, MARIANA TOKAR,
MICHELLE WILINSKI, MICHAEL
MAYER, AMY EPPING, DR.
MARCELO CASTILLO, STEPHANIE
O’NEILL, CHARLES VENA, and
JOHN and JANE DOES,
ORDER
Defendants.
1.
INTRODUCTION
Plaintiff Julian Blackshear (“Blackshear”) is currently incarcerated at
Waupun Correctional Institution. At all times relevant to this suit, he was
incarcerated at Racine Correctional Institution (“RCI”). In May and July of
2017, Blackshear was placed in clinical observation status due to threats of
suicide. He alleges that the defendants, all RCI employees, either were
deliberately indifferent to the hazards in his observation cell or failed to
provide him proper medical attention while he was in observation status,
all in violation of his rights under the Eighth Amendment.1
Blackshear also named multiple John and Jane Doe defendants, but he did
not file an amended pleading to name any of them. The Court permitted him
ninety days from entry of the scheduling order to identify the Doe defendants and
warned that failure to do so would result in dismissal of those defendants without
further notice. (Docket #46 at 3). Because Blackshear never amended his pleading
to identify the Doe defendants, those defendants are dismissed.
1
Blackshear has filed myriad motions in this case, including inter alia
motions for the return of his pen, motions for daily legal recreation time,
discovery-related motions, a motion for a “due process violation,” motions
for a preliminary injunction, and a summary judgment motion. The Court
will address Blackshear’s outstanding motions at the end of this order. The
Court turns first, though, to the defendants’ fully-briefed motion for
summary judgment, (Docket #67), because it resolves this case in its
entirety. As explained below, the defendants’ motion will be granted, and
this case will be dismissed.
2.
STANDARD OF REVIEW
Federal Rule of Civil Procedure 56 provides that the court “shall
grant summary judgment if 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); see Boss v. Castro, 816 F.3d 910, 916 (7th
Cir. 2016). A fact is “material” if it “might affect the outcome of the suit”
under the applicable substantive law. Anderson v. Liberty Lobby, Inc., 477 U.S.
242, 248 (1986). A dispute of fact is “genuine” if “the evidence is such that a
reasonable jury could return a verdict for the nonmoving party.” Id. The
court construes all facts and reasonable inferences in the light most
favorable to the non-movant. Bridge v. New Holland Logansport, Inc., 815 F.3d
356, 360 (7th Cir. 2016).
3.
RELEVANT FACTS
The following facts are material to the disposition of the defendants’
motion for summary judgment. They are drawn from the parties’ factual
Page 2 of 26
briefing. (Docket #69–#77, #81–#83, #86, #93). The Court will discuss the
parties’ principal factual disputes as appropriate.2
At all times relevant to this suit, Blackshear was an inmate at RCI.
The Defendants were all RCI employees: Stephanie O’Neill (“O’Neill”) was
a captain, Charles Vena (“Vena”) was a sergeant, Tina Amin (“Amin”) and
Michael Mayer (“Mayer”) were lieutenants, Amy Epping (“Epping”) was a
nurse, Marcello Castillo (“Dr. Castillo”) was a psychiatrist, and Michelle
Wilinski (“Wilinski”) and Mariana Tokar (“Tokar”) were psychological
associates.
3.1
Blackshear’s Mental Health Treatment
Wilinski first saw Blackshear on March 17, 2016. She noted that
Blackshear was evasive about his current mental health concerns and his
goals for treatment, and that his focus seemed solely to be receiving
psychiatric medications. Blackshear disputes this, saying he was
“undecided and impulsive,” and that it was one of the first times he had
sought help. (Docket #81 at 2). Wilinski did not see Blackshear again until
2017, when he was placed on observation status, as explained further
below.
Dr. Castillo provided psychiatric care to Blackshear at various times
between September 28, 2016 and April 27, 2017. Their first visit was
occasioned by Blackshear’s self-referral because he wanted to receive
psychiatric medication. Dr. Castillo says that he believed Blackshear’s sole
purpose for the appointment was for secondary gain, such as getting a
The Court will not discuss the instances where Blackshear says that he
disputes the defendants’ proposed fact but either cites no evidence in support of
his dispute or includes an explanation of his dispute that does not actually address
the defendants’ proposed fact.
2
Page 3 of 26
specific medication prescribed to him. This belief was based in part on the
fact that Blackshear was not providing him with accurate or reliable
information about his mental health and medical history. Blackshear
disputes this, saying that he did in fact provide accurate information about
his mental health.
Dr. Castillo requested Blackshear’s previous medical and mental
health records from hospitals in Chicago and Racine and he rescheduled
Blackshear for a follow-up appointment to conduct a psychiatric
evaluation. The evaluation took place on October 13, 2016. Blackshear
claimed that he had diagnoses of schizophrenia, bipolar disorder, and
reactive attachment disorder. Dr. Castillo thought it unlikely that someone
would have all of these disorders together and, based on his evaluation, Dr.
Castillo did not find any evidence to suggest that Blackshear suffered from
any of these disorders. Instead, based on Blackshear’s lack of symptoms,
manipulative behavior for secondary gain, and apparent lying, Dr. Castillo
believed that an accurate diagnosis for Blackshear was antisocial
personality disorder. Blackshear disagrees with Dr. Castillo’s conclusion,
but he does not dispute that Dr. Castillo reached this conclusion during the
evaluation. Dr. Castillo prescribed no medication, as there are no
psychiatric medications approved to treat antisocial personality disorder.
On January 19, 2017, Dr. Castillo received the medical records that
he had requested from a Chicago hospital. The records did not provide any
evidence of a history of major mental illness or other reported medical
history. As such, Dr. Castillo did not feel that adding psychiatric medication
was necessary. Blackshear was scheduled for a follow-up appointment with
Dr. Castillo for April 27, 2017 but refused to attend the appointment. Dr.
Castillo did not see Blackshear again.
Page 4 of 26
Along with his summary judgment opposition materials, Blackshear
summitted myriad documents and records related to his medical history as
a minor, including from a case manager in Walworth County and from
Blackshear’s high school, where he was put on a behavior modification
plan. See (Docket #86 at Exhibit Z).3 These documents indicate that
Blackshear had a troubled youth, and that he was at various times
evaluated for and possibly diagnosed with mental illnesses including
reactive attachment disorder, antisocial behavior, and depression. Id. It
appears he may have been treated with medications at some point,
including antidepressants. Id. There is no evidence that Dr. Castillo had
access to, or was provided with, any of these medical records when he was
treating Blackshear.
3.2
Placements on Observation Status
Blackshear was placed on clinical observation status on three
occasions relevant to this lawsuit: from May 21, 2017 through May 26, 2017,
from June 20, 2017 through June 26, 2017, and from June 30, 2017 through
August 7, 2017. While on observation status, an inmate is monitored every
fifteen minutes to ensure his safety.
Blackshear was first placed on observation status on May 21 after
reporting to security staff that he was suicidal. Wilinski saw Blackshear on
May 24 for a mental status evaluation. During the evaluation, Blackshear
stated that he could easily harm himself without access to any significant
property. Because Blackshear alluded to thoughts of self-harm but did not
The defendants object to the Court’s consideration of these documents
because Blackshear did not serve them on the defendants. The Court has reviewed
Blackshear’s exhibits and, because they do not change the outcome of the instant
motion, the Court will consider them.
3
Page 5 of 26
report a specific plan, Wilinski thought it was best that he remain on
observation status. At the time of her evaluation, Wilinski was not aware of
Blackshear having any dangerous objects in his cell.
Wilinski saw Blackshear again the following day, May 25, for
another evaluation. Blackshear reported that the previous night he
discovered that the assistance bar in his cell near the toilet was broken and
he gave the bar to staff members. The defendants claim that Blackshear
actually broke the assistance bar himself, but for the purposes of summary
judgment, the Court will accept Blackshear’s version of this event. He asked
Wilinski to document that staff had placed a “suicidal man in a cell with
this broken bar.” (Docket #69 at 6). Wilinski discussed with Blackshear his
references to himself as a “suicidal man,” and Blackshear explained that he
was not, in fact, suicidal the previous night. Blackshear also indicated he
was not sure about his current thoughts of self-harm, so he remained on
clinical observation status.
On May 26, Wilinski saw Blackshear again for evaluation of his
mental status. Prior to meeting with Blackshear, Wilinski was informed by
a doctor at RCI that Blackshear had found metal shards in his cell—left over
from staff’s removal of the assistance bar—which he gave to staff.4 During
the May 26 evaluation, Blackshear denied thoughts, plans, or intent of selfharm and reported that he felt safe to be released from observation status.
Wilinski therefore recommended that he be released, and it appears he was
then released.
Blackshear filed grievances about the metal bar and metal shards that
remained in his cell after the bar was removed. The grievances were affirmed, and
Blackshear’s cell was cleaned of debris. See (Docket #77-2).
4
Page 6 of 26
On or around June 20, Blackshear was placed back on observation
status because he started a hunger strike. Wilinski saw Blackshear several
times for evaluation and monitoring during this time. Blackshear reported
that he wanted to show the courts that the RCI security staff and health and
psychological services personnel simply wanted him to waste away on
observation status. On June 21, Blackshear found a metal screw in his
observation cell, showed it to psychological services staff while being
evaluated, and surrendered it. An incident report was written, which Amin,
a lieutenant, reviewed. All appropriate institution staff were notified.
Because Blackshear was on observation status, Amin did not feel that
further action was necessary. Blackshear ended his hunger strike on June
26 and was removed from clinical observation status.
Blackshear’s third placement on observation status began on June 30
after he covered his cell window with a towel and informed security staff
that he was experiencing thoughts of harming himself and others.
Blackshear had also been punching his cell window, causing his knuckles
to bleed and leaving blood spots on the window. Blackshear confirmed that
he had no other self-inflicted injuries at that time. He was taken to a hospital
for evaluation of his hand, and an x-ray showed no acute damage. BandAids were placed over the abrasions on his hand. He was then placed on
clinical observation status, with an officer sitting outside his cell monitoring
him continuously.
On July 2, O’Neill, a captain, was called to Blackshear’s unit because
he was repeatedly punching the wall in his cell in an attempt to harm
himself. Upon arriving at Blackshear’s cell, O’Neill verbally attempted to
get Blackshear to stop harming himself, but Blackshear continued punching
the cell wall. O’Neill told Blackshear that the injury to his hand seemed
Page 7 of 26
minor and that if his grandmother were there, she would tell him to rub
dirt on it. Blackshear avers that he felt taunted and humiliated by this,
because his grandmother and his parents had abandoned him.
O’Neill explained to Blackshear that if he would not stop harming
himself, he may have to be placed in mechanical bed restraints for his
safety. In response, Blackshear stated that he “had been trying to be placed
in bed restraints for the last three days.” (Docket #69 at 9). O’Neill consulted
with the psychological services unit, and the together they decided
Blackshear would be placed in mechanical bed restraints. Blackshear
submitted to this without incident. His placement into bed restraints was
captured on video, which the defendants have included with their
summary judgment submission. No serious injury can be seen in the video.
Once he was restrained in a bed in his room, a nurse arrived to assess
Blackshear’s hand injury. She determined that his hand was not broken and
that his vitals were stable. Then Dr. Kozmin conducted a psychological
evaluation of Blackshear and determined that Blackshear would remain in
the restraints for the full twelve hours. Following this, four checks were
conducted on Blackshear by RCI staff. The checks included nursing staff
checking vitals, allowing an opportunity for Blackshear to urinate, and
conducting a range of motion procedure. At each of the four checks,
Blackshear was offered water and the use of the portable urinal.
Blackshear was released from the bed restraints at 5:15 a.m. the next
day. He was not resistive, he reported no injuries beyond the hand injury
he sustained the day prior, and stated he had no plans to continue selfharming behavior. Blackshear continued to complain about pain and
swelling in his hand, and he demanded an x-ray. Medical staff at RCI again
assessed his hand and saw no need for further treatment beyond cleaning
Page 8 of 26
the cut. Nonetheless, on July 6, RCI ordered an x-ray, which showed “[n]o
fracture or dislocation.” (Docket #71-1 at 117).
On July 8, as meals were being passed out in Blackshear’s unit,
Blackshear provided to correctional officer Freeman (“Freeman”) a
sharpened toothbrush and a small piece of a needle. He also informed
Freeman officer that he had swallowed a piece of the needle. Freeman
notified sergeant Vena, who then called the health services unit, from
whom he received instructions to monitor Blackshear. The health services
staff did not instruct Vena to do anything else. Vena notified lieutenant
Jones about the items Blackshear had handed over.
Blackshear claims that he stabbed himself more than 100 times with
one or both of these objects before he handed them over. But there is simply
no evidence in the record to support Blackshear’s story, apart from his own
statement. Contemporaneous reports from correctional officers do not
mention any stabbing. See, e.g., (Docket #70-1 at 246) (observation log notes
that Blackshear spoke with Lt. Jones at 1:15 p.m. and was asleep at 1:30 p.m.;
does not note any injury); (Docket #70-2 at 10) (“Blackshear showed c/o
Freeman an object that appeared to be a piece of a needle. He stated that he
swallowed it. Lt. Jones notified + HSU.”); (Docket #70-3 at 14) (“Blackshear
reported to staff the swallowed a needle—HSU notified and gave staff
directions, he also had a toothbrush but ofc got it from inmate.”). Blackshear
claimed in his second amended complaint that nurse Epping knew he had
stabbed himself and denied him medical care, but Epping did not work on
July 8. Blackshear’s only evidence to the contrary is that Epping is the nurse
usually present in the segregation unit, so he “assumed” she was working
that day. (Docket #81 at 5). Blackshear was seen by psychological services
staff as soon as two days later, the reports from whom make mention of
Page 9 of 26
stabbing wounds or of Blackshear’s complaints about pain from having
stabbed himself. (Docket #72-1 at 272). Finally, Vena specifically denies that
Blackshear had stabbed himself. (Docket #96 at 3) (“At no time on July 8,
2017 did Blackshear stab himself, especially not over 100 times. Blackshear
provided an unknown object to staff, which was removed [from] his cell,
and the Health Services Unit was contacted.”).5
On July 21, Blackshear called Amin over to his cell and showed her
several small wire-like pieces of metal that appeared to be pieces of staples
or needles. Blackshear claims to have found them in his cell. Blackshear
voluntarily placed the metals pieces into a Styrofoam cup so Amin could
take them away. Amin disposed of the pieces of metal, notified the
restrictive housing unit captain, and completed an incident report. The next
day, July 22, Blackshear gave lieutenant Mayer three staple-like metal
pieces that he reportedly found in his call. Blackshear allowed Mayer to
take the metal pieces away without incident. Mayer told Blackshear that if
Blackshear filed several motions to compel the defendants to give him
photos of his injuries from the alleged stabbing. (Docket #47, #59, #60). Specifically,
Blackshear wanted RCI to find video footage of him from July 8, capture still
images of his alleged stabbing wounds, and print out copies of those images for
his use in this case. See (Docket #86 at Exhibit W). Blackshear encloses of copy of
an information request he submitted to RCI asking for the photos, which shows
that RCI informed him it had no such video footage of him. Id. The defendants’
discovery responses also indicate that RCI has no record of any photos of
Blackshear’s arms. Id. The defendants explain in their summary judgment brief
that they have no record of Blackshear’s alleged stabbing injury because he did not
stab himself; they had no reason to refer him to a nurse to treat his stabbing
wounds or document his stabbing wounds because he didn’t have any. In fact,
there is nothing in the record to suggest Blackshear even complained of a stabbing
injury on July 8. That allegation appears to have been invented for this lawsuit.
The Court will not compel the defendants to produce evidence they do not have.
Blackshear’s motions to compel will be denied.
5
Page 10 of 26
found more items in his cell, he should report it to staff for immediate
removal.
Wilinski saw Blackshear on July 25 for an evaluation. During this
appointment, Blackshear reported that his thoughts of self-harm continued.
Wilinski claims that during this appointment, Blackshear seemed more
focused on suing RCI staff rather than working toward his personal growth.
Wilinski completed several more mental status evaluations on Blackshear
before he was ultimately removed from observation status on August 7,
2017.
Following his removal from observation, Blackshear saw a different
psychiatrist, Dr. Chen. Whereas Dr. Castillo had found no evidence of
mental illness during his evaluations of Blackshear, Dr. Chen diagnosed
Blackshear with panic disorder and prescribed a psychiatric medication for
him. Blackshear says the reason for the difference is that Dr. Chen took
Blackshear seriously and Dr. Castillo had not. The defendants say that
Blackshear reported new symptoms to Dr. Chen, including chronic night
terror, panic attacks, depression, anxiety, and hallucinations. The medical
staff at RCI who observed Blackshear regularly during observation,
including Wilinski, claim that they did not see evidence of the symptoms
Blackshear reported to Dr. Chen.
3.3
Metal Objects in Blackshear’s Cell
When inmates are placed into observation status, they are only
allowed property that is deemed appropriate by the psychological services
unit staff. On occasion, inmates are allowed items from their personal
property while on observation status in order to create the least restrictive
environment possible. Any such property is scanned for contraband using
a metal detection wand.
Page 11 of 26
On several occasions, including during the summer of 2017 as
described above, Blackshear was found to have small metal objects in his
cell while on observation status. Staff came to suspect that Blackshear was
sneaking contraband into his cell through his personal property. For
example, on December 30, 2017, Blackshear requested his bible from his
personal property. After he received the bible, he made superficial cuts to
his arm. This prompted security staff to search his property, including his
bible, where they found small pieces of razor blades. After removing the
razor blade and returning the bible to Blackshear, staff observed him
searching through his bible, presumably for the razor blade. Blackshear
disputes that he snuck the razor blade into his cell; he says he found it in
his cell and placed it in his bible. But he does not dispute that during an
evaluation with Wilinski shortly after this incident, he admitted that he had
placed the razor blade in his bible. He also reported that he was not having
thoughts of self-harm.
Regardless of whether or not Blackshear was actually sneaking
contraband into his cell through his personal property, it is undisputed that
RCI decided to step up the screening of Blackshear’s property in an effort
to prevent him from gaining access to dangerous objects. The metal
detection wand was not was sufficiently detecting the small pieces of metal,
so RCI staff began taking Blackshear’s property to be run through the metal
detection scanner located at the entrance of the institution.
4.
ANALYSIS
Blackshear was permitted to proceed against the defendants on
Eighth Amendment claims of deliberate indifference to his serious medical
needs. His claims can be sorted into three categories. First, Blackshear
claims that Dr. Castillo was deliberately indifferent to his serious mental
Page 12 of 26
health conditions by failing to prescribe him psychiatric medication.
Second, Blackshear claims that defendants Mayer, Tokar, Wilinski, O’Neill,
and Amin, were deliberately indifferent to his risk of committing suicide or
self-harm because they knew his cell contained dangerous materials and
did not have it adequately cleaned or generally failed to protect Blackshear
from himself. Finally, he claims that defendants Vena and Epping were
deliberately indifferent because they knew he stabbed himself over 100
times on July 8, 2017 and did not get him medical assistance.
4.1
Prescription of Psychiatric Medication
First, Blackshear claims that Dr. Castillo was deliberately indifferent
to his serious mental health conditions because he did not treat Blackshear
with psychiatric medications. To show deliberate indifference, a plaintiff
must prove that “(1) [he] had an objectively serious medical condition; (2)
the defendants knew of the condition and were deliberately indifferent to
treating [him]; and (3) this indifference caused [him] some injury.” Gayton
v. McCoy, 593 F.3d 610, 620 (7th Cir. 2010).
Even if the Court assumes that Blackshear’s 2017 mental illness
diagnoses from Dr. Chen—based on Blackshear’s reports of chronic night
terror, panic attacks, depression, anxiety, and hallucinations—were
legitimate and serious medical conditions, satisfying the first element of his
claim, Blackshear has failed to present evidence supporting the second
element. That is, Blackshear has not created a triable issue as to whether Dr.
Castillo was deliberately indifferent to Blackshear’s mental health
conditions by not prescribing medication.
In order to show that a medical professional acting in the scope of
his employment acted with deliberate indifference to a known risk of
Page 13 of 26
substantial harm, the plaintiff must show that the doctor’s treatment
decision was “so significant a departure from accepted professional
standards or practices that it calls into question whether the doctor actually
was exercising his professional judgment.” Pyles v. Fahim, 771 F.3d 403, 409
(7th Cir. 2014). Mere “[d]isagreement between a prisoner and his doctor, or
even between two medical professionals, about the proper course of
treatment generally is insufficient, by itself, to establish an Eighth
Amendment violation.” Id. Instead, the plaintiff must show that “no
minimally competent professional” would have made the treatment
decision that the defendant made. Id.
Blackshear claims that Dr. Castillo was deliberately indifferent to his
mental health because Dr. Castillo thought Blackshear had lied about his
mental health history and, based on that belief, did not prescribe
medication. The undisputed facts show that Dr. Castillo reasonably
exercised his medical judgment in determining that Blackshear was not
suffering from psychological illnesses warranting medication. This decision
included consideration of, first, the reason for Blackshear’s visit. Blackshear
had asked for the appointment because he said he wanted medication, and
the official who completed the referral indicated that Blackshear presented
as “symptom free.” (Docket #71-1 at 110). At the start of the evaluation,
Blackshear asked Dr. Castillo to document that he suffered from several
major metal disorders, and Dr. Castillo responded that he could not make
those diagnoses at that time, so he would not document them. Dr. Castillo
asked Blackshear about his medical history and received what he believed
to be incomplete or inaccurate answers.
Dr. Castillo then reviewed available records about Blackshear’s
inmate medical history since his incarceration, which did not reveal a
Page 14 of 26
mental illness diagnosis requiring medication. He requested medical
records from the two hospitals where Blackshear claimed to have been
treated in the past, and he rescheduled Blackshear for a follow-up visit, at
which Dr. Castillo observed no new symptoms. Finally, Dr. Castillo
received and reviewed records from at least one of the two hospitals where
Blackshear had previously been treated. Those records revealed that
Blackshear had suffered a traumatic brain injury from a violent beating in
2008 but did not reveal major mental illness. Blackshear then refused to see
Dr. Castillo again.
Blackshear points to two things to demonstrate that Dr. Castillo did
not properly exercise his medical judgment. First, Blackshear argues that he
was in fact diagnosed with and treated for mental illnesses or behavior
issues in his teenage years; the various medical and court records he
submitted from his youth seem to support this. But Dr. Castillo did not have
these records during his appointments with Blackshear, and, moreover, a
prior diagnosis does not command that the diagnosis be repeated. Dr.
Castillo’s medical judgment was based on his real-time evaluation of
Blackshear’s symptoms (or lack of symptoms). And even if Dr. Castillo was
ultimately wrong in his diagnosis, which has not been proven, his error was
not the result of a deliberate failure to evaluate Blackshear’s symptoms; it
would reflect, at worst, negligence. Constitutional liability does not flow
from negligence. Berry v. Peterman, 604 F.3d 435, 441 (7th Cir. 2010)
(“Neither medical malpractice nor mere disagreement with a doctor’s
medical judgment is enough to prove deliberate indifference in violation of
the Eighth Amendment.”).
Next, Blackshear points is Dr. Chen’s later decision to prescribe
medication to Blackshear for panic disorder. See (Docket #71-1 at 105). This
Page 15 of 26
is insufficient to show Dr. Castillo’s deliberate indifference for at least two
reasons. First, Blackshear reported different symptoms to Dr. Chen than to
Dr. Castillo, and Dr. Chen’s prescription related to a symptom reported
only to him. Second, and more importantly, the fact that two doctors reach
different conclusions after each reasonably exercises his medical judgment
is not proof of deliberate indifference. Pyles, 771 F.3d at 409 (“Disagreement
between a prisoner and his doctor, or even between two medical
professionals, about the proper course of treatment generally is insufficient,
by itself, to establish an Eighth Amendment violation.”).
Therefore, there is no evidence that Dr. Castillo’s decision not to
provide Blackshear with psychiatric medication was “so far afield of
accepted professional standards as to raise the inference that it was not
actually based on a medical judgment.” Duckworth v. Ahmad, 532 F.3d 675,
680 (7th Cir. 2008) (quotation omitted). Because Blackshear has not
presented evidence that would allow a jury to find that Dr. Castillo’s
decision not to provide Blackshear with psychiatric medication amounted
to deliberate indifference, this claim will be dismissed.
4.2
Protecting Blackshear From Self-Harm
Next up is Blackshear’s claim that Mayer, Tokar, Wilinski, O’Neill,
and Amin were deliberately indifferent to his risk of committing suicide or
self-harm by failing to rid his cell of dangerous metal objects and failing to
stop him from cutting himself. The same elements of an Eighth Amendment
claim explained above apply to this deliberate indifference claim as well.
That is, to show deliberate indifference, Blackshear must prove that “(1) [he]
had an objectively serious medical condition; (2) the defendants knew of
the condition and were deliberately indifferent to treating [him]; and (3)
Page 16 of 26
this indifference caused [him] some injury.” Gayton, 593 F.3d at 620. The
defendants argue that Blackshear has not created a jury question as to the
first or second elements.
4.2.1
Serious Medical Condition
Blackshear claims his suicidality and threats of self-harm were
objectively serious medical conditions, and that he suffered injuries from
the cuts and stabs the defendants allowed him to inflict on himself. The
defendants agree that Blackshear claimed, intermittently, to be suicidal and
threatened to hurt himself, but they argue his threats were not genuine.
Instead, they say, the evidence shows Blackshear’s threats of self-harm
where manipulation tactics employed to get desired medication and/or
amass fodder for a lawsuit against the prison, and his self-harming
incidents resulted in no serious injuries.
Generally, a completed or attempted suicide satisfies the “serious
medical condition” element of a deliberate indifference claim. Pittman ex rel.
Hamilton v. Cty. of Madison, Ill., 746 F.3d 766, 775 (7th Cir. 2014). However,
a plaintiff still bears the burden to show that his suicidal ideation or the selfharm he inflicted was indeed “objectively [and] sufficiently” serious. Collins
v. Seeman, 462 F.3d 757, 760 (7th Cir. 2006). Prison officials’ refusal to treat
“the sniffles or minor aches and pains or a tiny scratch or a mild headache
or minor fatigue—the sorts of ailments for which many people who are not
in prison do not seek medical attention,” does not violate the Eighth
Amendment. Cooper v. Casey, 97 F.3d 914, 916 (7th Cir. 1996).
The evidence demonstrates that Blackshear did not have a serious
medical need, either in suicidal ideation or in his self-inflicted wounds.
True enough, Blackshear claimed to be suicidal, and so was placed in
observation status. But no other evidence demonstrates that, during the
Page 17 of 26
relevant time period, Blackshear intended to or genuinely tried to harm
himself. After punching the wall repeatedly on July 2, 2017, Blackshear had
cuts on his knuckles but no fracture or dislocation. On July 8, 2017 when he
allegedly swallowed part of a needle and stabbed himself over 100 times,
he had no documented injury. Surely if his 100 stabbing wounds were
serious, he would have lasting injuries. In a psychiatric exam on July 12,
2017, four days after allegedly stabbing himself hundreds of times and
swallowing part of a needle, Blackshear denied that he was suicidal or
homicidal. On this evidence, no reasonable jury could find that Blackshear
suffered from a legitimate objectively serious medical condition. See Hale v.
Rao, 768 F. Supp. 2d 367, 379–80 (N.D.N.Y. 2011) (“Plaintiff cannot establish
that the superficial injury stemming from the staple he stuck into the top of
his foot or the scarred-over self-inflicted wound resulting from the paper
clip he inserted into his abdomen are sufficiently serious conditions.”).
4.2.2
Deliberate Indifference
Even if Blackshear’s self-harm threats presented a sufficiently
serious risk of harm to implicate the Eighth Amendment, the evidence
shows that the defendants were not deliberately indifferent in responding
to that risk.
With respect to self-harming or suicidal behavior, the deliberate
indifference component of an Eighth Amendment claim requires “a dual
showing that the defendant: (1) subjectively knew the prisoner was at
substantial risk of committing suicide and (2) intentionally disregarded the
risk.” Collins, 462 F.3d at 761 (citations omitted). The Collins court further
explained that
[w]ith respect to the first showing, “it is not enough that there
was a danger of which a prison official should have been
Page 18 of 26
aware,” rather, “the official must both be aware of facts from
which the inference could be drawn that a substantial risk of
serious harm exists, and he must also draw the inference.”
Estate of Novack, 226 F.3d at 529 (emphasis added). In other
words, the defendant must be cognizant of the significant
likelihood that an inmate may imminently seek to take his
own life. Id.; [Sanville v. McCaughtry, 266 F.3d 724, 737 (7th Cir.
2001)] (issue is whether the defendant was subjectively
“aware of the substantial risk that [the deceased prisoner]
might take his own life”). Liability cannot attach where “the
defendants simply were not alerted to the likelihood that [the
prisoner] was a genuine suicide risk.” Boncher ex rel. Boncher
v. Brown County, 272 F.3d 484, 488 (7th Cir. 2001).
...
[As to the second showing], [d]eliberate indifference requires
a showing of “more than mere or gross negligence, but less
than the purposeful or knowing infliction of harm.” Matos,
335 F.3d at 557; Estate of Novack, 226 F.3d at 529. We have
characterized the required showing as “something
approaching a total unconcern for [the prisoner’s] welfare in
the face of serious risks.” Duane v. Lane, 959 F.2d 673, 677 (7th
Cir. 1992). To establish deliberate indifference, a plaintiff must
present evidence that an individual defendant intentionally
disregarded the known risk to inmate health or safety. Matos,
335 F.3d at 557. A defendant with knowledge of a risk need
not “take perfect action or even reasonable action[,] ... his
action must be reckless before § 1983 liability can be found.”
Cavalieri v. Shepard, 321 F.3d 616, 622 (7th Cir. 2003).
...
[In sum,] [t]he deliberate indifference standard imposes a
“high hurdle” for a plaintiff to overcome.
Id. at 761–62.
Thus, while prison staff are expected to protect inmates from selfharm, Taylor v. Wausau Underwriters Ins. Co., 423 F. Supp. 2d 882, 889 (E.D.
Wis. 2006), “[a] risk of future harm must be ‘sure or very likely’ to give rise
to ‘sufficiently imminent dangers’ before an official can be liable for
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ignoring that risk.” Davis-Clair v. Turck, 714 F. App’x 605, 606 (7th Cir. 2018)
(quoting Baze v. Rees, 553 U.S. 35, 50 (2008) (Roberts, C.J., plurality opinion)).
In this case, the evidence shows that the defendants kept careful
watch over Blackshear from the moment he expressed an urge to harm
himself. He was placed in observation, where he was checked on every
fifteen minutes. He had regular meeting with a psychologist. When he
informed staff that he found a loose assistance bar or small metal objects in
his cell, the defendants promptly took the items away from Blackshear, who
gave them up voluntarily. When Blackshear made reference to himself as a
“suicidal man” who had access to sharp metals objects, Wilinski examined
Blackshear further and he admitted he did not intend to harm himself or
have any specific plans to harm himself. There is no evidence that the
defendants believed, or had reason to believe, Blackshear intended to harm
himself with the metal objects he found in his cell. To the contrary, the
evidence shows that Blackshear simply intended to set defendants up for a
lawsuit by manufacturing a risk of danger in his cell. Finally, the defendants
acted on their suspicion that Blackshear was sneaking the small metal
objects into his cell through his personal property by stepping up their
screening of his property.
When Blackshear did actually cause himself some (minor) harm by
punching a wall on June 30 and July 2, the defendants responded by
stopping the self-harming behavior and evaluating Blackshear’s hand for
injury. The x-rays from these incidents showed no serious damage;
Blackshear required nothing more than Band-Aids and ointment. In
response to the second of these two incidents, the defendants escalated their
response by placing Blackshear in bed restraints until he had calmed down
and had been evaluated by a psychologist.
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Blackshear’s suicidality and the defendants’ response thereto stands
in contrast to cases like Pittman, 746 F.3d at 772, where the officers totally
ignored the inmate’s requests for crisis counseling, or Sanville, 266 F.3d at
739, where prison guards left a suicidal inmate in his cell, unsupervised, for
hours. By contrast, it is indisputable here that Blackshear was placed on
clinical observation immediately when he expressed an intent to harm
himself and was released only after he denied ongoing thoughts of selfharm. It is also indisputable that staff removed dangerous objects from his
cell when they learned of them and endeavored to find where the objects
were coming from in order to prevent future harm. These responses to
Blackshear’s self-harm risk fall far short of “a total unconcern for [his]
welfare.” Duane, 959 F.2d at 677. The defendants’ efforts to monitor and
counsel Blackshear, despite their doubts about the sincerity of his self-harm
threats, demonstrates not indifference but an overall concern for
Blackshear’s wellbeing. See Bowers v. Pollard, 602 F. Supp. 2d 977, 993 (E.D.
Wis. 2009) (noting that a suicidal inmate presents prison officials with “a
dilemma with no easy options”).
On this evidence, no reasonable jury could find that the defendants
were deliberately indifferent; instead, they responded reasonably to the risk
of harm to Blackshear. See Peate v. McCann, 294 F.3d 879, 882 (7th Cir. 2002)
(“[P]rison officials who actually knew of a substantial risk to inmate health
or safety are free from liability if they responded reasonably to the risk,
even if the harm ultimately was not averted, because in that case it cannot
be said that they were deliberately indifferent.”).
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4.3
Medical Attention for Alleged Stabbing Wounds
Finally, Blackshear claims that Vena and Epping were deliberately
indifferent because they knew he stabbed himself over 100 times on July 8,
2017 and did not get him medical assistance.
The claim against Epping fails from the start because the undisputed
facts show that she did not work on July 8. Individual liability under Section
1983 “requires personal involvement in the alleged constitutional
deprivation.” Colbert v. City of Chi., 851 F.3d 649, 657 (7th Cir. 2017). Because
Epping could not have been personally involved in the alleged deprivation,
the claim against her cannot proceed.
His claim against Vena also fails, because he did not experience a
substantial risk of serious harm on July 8 and, even if he had, Vena
responded reasonably. On that day, Blackshear voluntarily handed over to
officer Freeman a piece of a needle and a sharpened toothbrush. He claimed
he had harmed himself by swallowing a piece of the needle but showed no
signs of distress. There is no evidence that he claimed to have stabbed
himself at that time, and there is no evidence that he actually suffered an
injury from the alleged stabbings. Therefore, there is no evidence of a
serious risk of harm.
Freeman told Vena about the incident, and Vena contacted the health
services unit to alert them about Blackshear possibly having swallowed a
sharp piece of metal. Vena received instructions to monitor Blackshear and
was advised that he need not bring Blackshear to the health services unit at
that time. Vena is entitled to rely on the advice of the prison’s medical staff
about Blackshear’s alleged injury. See McGee v. Adams, 721 F.3d 474, 483 (7th
Cir. 2013) (prison guards entitled to rely on medical staff determination to
not exempt plaintiff from leg restraint requirement during transport).
Page 22 of 26
Therefore, even if Blackshear had presented a serious risk of harm from
swallowing a metal object—the only self-harming act Blackshear alerted
staff about—Vena responded reasonably.
5.
MISCELLANEOUS MOTIONS
Blackshear has filed many, many miscellaneous motions that do not
affect the outcome of this case but that the Court must nonetheless address.
On June 3, 2019, Blackshear filed his own motion for summary
judgment. (Docket #53). In response, the defendants filed a motion to strike,
citing the inadequacies with Blackshear’s filing. (Docket #55). On August
13, 2019, Blackshear notified the Court that he agreed with the defendants
that his summary judgment motion should be stricken. (Docket #65).
Therefore, the Court will grant the defendant’s motion and will strike
Blackshear’s summary judgment motion.
Next, Blackshear filed several motions over the course of this
litigation asking that the Court instruct RCI to give him his pen back, or to
give him a pen instead of a pencil, or to find that RCI had violated his due
process rights by withholding a pen, or to preliminary enjoin the
defendants from not giving him a pen. (Docket #48, #62, #84, #85, #88, #89,
and #91). Several of Blackshear’s submissions were indeed difficult to read
because the pencil prose did not scan well. However, that problem was
resolved after Blackshear submitted darker copies. Blackshear also filed a
motion seeking daily “legal recreation” time so he could complete his
litigation tasks. (Docket #51). He was able to submit everything required of
him in this case (and more), so it does not appear his lack of court-mandated
law library time prejudiced him. The motions regarding use of a pen and
legal recreation time will be denied.
Page 23 of 26
Finally, Blackshear filed a motion for the appointment of counsel.
(Docket #64). He claims that his traumatic brain injury “effect[s] his thought
process,” presumably making it more difficult to understand the legal
issues and procedure in this case, and that he spends significant time in
observation where he is not permitted to write pleadings or motions. Id. He
attached letters from several law firms declining to take his case. (Docket
#64-1). Recruited counsel is not appropriate for this case.
Blackshear has demonstrated that he is capable of completing the
necessary tasks of litigation, including marshalling evidence and
responding to the defendants’ arguments and factual submissions. He has
not explained or demonstrated how his traumatic brain injury has
negatively affected his performance. Further, the issues in this case, as
shown above, are not overly complex. The Court cannot say that “’the
difficulty of the case—factually and legally—exceeds [Blackshear’s]
capacity as a layperson to coherently present it.’” Navejar v. Iyiola, 718 F.3d
692, 696 (7th Cir. 2013) (quoting Pruitt v. Mote, 503 F.3d 647, 655 (7th Cir.
2007) (en banc)). Finally, Blackshear’s lack of legal training and his limited
access to resources in prison, while unfortunate, bring him in line with
practically every other prisoner litigating in this Court. District courts
cannot be expected to appoint counsel in circumstances which are common
to all or many prisoners. See Bracey v. Grondin, 712 F.3d 1012, 1017–18 (7th
Cir. 2013); Pruitt, 503 F.3d 647, 656 (observing that the Seventh Circuit has
“resisted laying down categorical rules regarding recruitment of counsel in
particular types of cases”). Doing so would place untenable burdens on
court resources. The motion will be denied.
Page 24 of 26
6.
CONCLUSION
On the undisputed facts in the record, summary judgment is
appropriate in favor of the defendants.6 The Court must, therefore, grant
the defendants’ motion, and dismiss this action with prejudice.
Accordingly,
IT IS ORDERED that the John and Jane Doe Defendants be and the
same are hereby DISMISSED;
IT IS FURTHER ORDERED that the Plaintiff’s motions to compel
(Docket #47, #59, and #60) be and the same are hereby DENIED;
IT IS FURTHER ORDERED that the Plaintiff’s motions regarding a
writing instrument (Docket #48, #62, #84, #85, #88, #89, and #91) be and the
same are hereby DENIED;
IT IS FURTHER ORDERED that the Plaintiff’s motion for daily
legal recreation time (Docket #51) be and the same is hereby DENIED;
IT IS FURTHER ORDERED that the Plaintiff’s motion to appoint
counsel (Docket #64) be and the same is hereby DENIED;
IT IS FURTHER ORDERED that the Defendants’ motion to strike
(Docket #55) be and the same is hereby GRANTED;
IT IS FURTHER ORDERED that the Plaintiff’s motion for summary
judgment (Docket #53) be and the same is hereby STRICKEN;
IT IS FURTHR ORDERED that the Defendants’ motion for
summary judgment (Docket #67) be and the same is hereby GRANTED;
and
Because the Court finds summary judgment is appropriate on the merits
on all of Blackshear’s claims, the Court does not reach the defendants’ request for
application of the doctrine of qualified immunity.
6
Page 25 of 26
IT IS FURTHER ORDERED that this action be and the same is
hereby DISMISSED with prejudice.
The Clerk of the Court is directed to enter judgment accordingly.
Dated at Milwaukee, Wisconsin, this 13th day of March, 2020.
BY THE COURT:
____________________________
J. P. Stadtmueller
U.S. District Judge
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