. Union- i . iaf-MantanaiFoundationf . .. .- . AMERICAN CIVIL amok of MONTANA If}? mu rub AT I 'f a?Department 1 Health .iand i . .- .. Standing. bring lawsuitstbehalf- .. Our conclusions result from more than a year of investigation, including a . 7-review of thousands of prison and hospital records, interviewsiwith -.dozens of With mental illness, and a December-.2013 inspection ofiMSPi-by a nationally ,1fecognizedexpert in prison._memal._health care. The. meat sexiws - - Paconstitutional Violatiensaed unjusti?ablepractiees include the. following: deliberately medicationfrom priseners with . I i pettern of deliberately refusing to diagnose priSo_i1ers as suffering from mental illness despite clear-evidence supporting such diagnoses; . - I .- with mentalillness-locked inselitary _.eoe?nement .22. . to. 24.11.01.11'3 a day for months. and in some casesyears, which exacerbates. their. 5111964185.. .- - Selith Withmental illness for 7 .. inappropriate behavior, in theabsence of any legitimate system for .. .. determining Whether. that-behavior was. the result: of their illness? I prisoners with clothesbedding, landzhuman contact as part Of. so'ealled I-i?edi?cation ..pllnish.jpri_sone_rs. for behavior resultingfromtheir-mental illness? I II .I :?bSenceof any they-{12% I I - - T?maierit-Y of. prisoners with mental illnessfragmented administrative. system that fails toidentify and track I I "individuals with mental illness and fails to take their mental illness into accents: when classifying. andhonsing - -. that ?estains despite__. I 3 - in the. ._s.ys_t.eniic. mistreatixiwt:inp?wnerswith. . 5 :_--illness. investigation has .reveeledth'at _.td-IMSP--plrisehers . - . - Prisoners .th . are disliked by the Code. efPi?isOIiBer?tW?enIMSH andiMSP-aandthe Ydu'e (Moiitanafaiid U454;iceiietitutiem'SOut form,j.MSP sandiMsli. lair-e. that Disability Rights Montana will ?le a lawsuit to stop these ongoing Violations, if necessary,_ However, it is We can work with the Department of {Corrections and the Department of Health and Human Services .. . . . to. resalve. .tihismatterxin a. . -- - "individualsWith-idental illnes'S-fh? treatm??t and. guaranteed -- - Iby our.fe_d.er_a1._ and-"State Constitutions,[Given the . . 1 this._m.atter Please Contact us bV'Ma'rch 14131.1 if V?u'wish t0. discussmtenfial that - - -- . -. .. a detailed explanation of the numerousconstitutionalI . MSH E. I Exhibi?Ai-Sets of with mental illness-W110 from . -. l- - I . History-Of Meat-31 Health constitutionalfViolations regarding-its cfprisonersmh mental 11111933,, - In its 2003decisi<>nein 2003. MT 134, 316mm. 103,, 5.68 133(1372 . -. - I constitutionalf?blig'atiOn -.t0.P.rOv.id.e.prisoners withiappxopriate.mentalhealth, .. "i treatment, .dfto Eliminate illnesses. Stated; . 71:1 ..the. case of. the mentallyill, basic human needs must be 111.9% .. along . Opportunities I -.develgp -- '."Camcitiesa . .- I I . .. - f?b?h?wiolf'51119di?9'ati9i1 ldisreg'ard thegiixiriate;'fdignityibf .. -. iican?Q-t . - 7- -- . --7*thefplight --inmat.e.s .?lik'e especially . 1 -. i-WhenLE-that inmate {tin . iof-fth?. a 7 31The-Court conduded that ?behavior modi?CatiOIi and living Conditions constitute cruel and. unusual punishment Whenthey examrbate - ?the. prisoners. mental health conditim and ordered. MSP: to. conform its. Operations to . with.mentalfillness are still I -. to after the, 3" mental. health Email-that two face'dfa?oither laWsuit, l-St'aite, I I i indiVidiialsffound their} SQEtmECingi?dge. would. -- I 'disbipline practices-for.juveniles -- - into. '3 20.1.2 to impleth - :cha?gessregarding its. diagnoses;monitoring; treatment .3andfdispiplining of -. -- - (prisoners.WithLmentalillness- . andfmentalihealth Ex??i?ts gde'SCfribed. detrimental J?ffebts use. bf 5 - found {thatpl?ison?rs withinental 11.111988 regularly ?le 3- grievames. reg?i'ding the -.q11.1a.1i_ty.f0f mental: health hare-"they {rageivg 111011161ng - .all?gatidns diagnosegand con?nementghasjon If I - - pris'oners?fmental. State}. Theo'verwhelming need I-forfmental health services-is - - -- - - mental . - I -an.swe.redx-.9Ver .hy..px.is.on?rs alone. .. MSRS . . -. -. i 3 for Shr?ddingPrisoners?: "Written requests for mental T-health; -. . i 1 ?mental illness ..p.leading for their loved One to be_.pu? back 0:1 needed. medications . {It is. and: health.- staff are - .. - 1 Pris?ners-With 5 a -- -- i II cOhStitutionail?qlations ._Conti_nue tole?st 'k?ov?ledgez $132.18 I - Pimp. isfsiblefitbjawid icon?bl?iq ?pris?n?rmay stafVe if not; suffer-61." I-die if not Adequate . 5.01;. 1910, 1928(2011). --Me.dical.c.are.includes. - ?mentalihealth car-a .1282, -. _.9b._ligation t9 provide. basic a. 1 5 . - re.QHirem.?nt.?..t.o. -P..r..0vide saccessitq adequate. "mentaljh?alth f; If ?shes-"mate. fails tor-meet. this :bbligation, . "it. tifail..$gre.sses the. substantive 'iflimits 01.1.. State: 3a?tion Set-bye I 199-5)- for -. .j -. physicaljills; "and. as its constitutional icbligationsat -. ini?iital - . requiress..t_hat.p_risgns _-12_qaintain :0 screen,an a. 3 evaluate . inmates ..fer-medicaland-mental 2.6112303 V- . Couaty; - New "29.0 F43df'1175; 1.89 "to prairideime?tal. "intakermuldibe .fognd.._ deliberatelyindifferent), "f?Dzeilivery? . 5. inmates.re?nes -. - - 7 I Colman - - - - "-"MSP-has nomeaningful System. for-identifying; classifying, 'andmnitpring -- .- prisoners. with. mentalillnesa MSP: -.0.f?cials. do. mt. know-the. number Ofprfisoners 7 -- ;-With mental 1.1111958. i-Thereis no. poliCy: or. procedure [to 0r. Classify .iprispners . according-:9 their: level. ofmental health ofp-risonerS-With during. intake..cazmccur weeks after. :admiSSiOii,Zizivhich .iS 1.011Ccipieisi - -. land. ?outff?fidat .7'dem?ntia, ?og?itive disorders that result in a signi?cant functio?ai impairment - i .actSOf self-harm, or. other behaviors. that-have . .. 1 "onjlife. orbn mental. OristhSical.?health, also-have. swims mental ?lnessii "Similarly, - "Pristiners.idiagnosed 1-personality,disprder isinWlYing .O-f or-cherfzb.ehaviors Ea. .seriouslysadver3eEffect. on - - :0himenta1 or;thSiCaI?healthgalso -- - side?nition Emludes. personalitx-ldisorders, EMS ip'nly-toi'Axis .1 .. .. i Sis. certi?catien. in. has bean-cha?ged foralte-Wd - fa -re..'s.u1t.o ?a subsequentmental health.eivalgationinby licensedmentalihealth 1 - -. Plans"-.George insept-fzoos) -. 2. that. Mic)"; -. i '1 5 i - 3 tr, ofcozzt.,7876 21.4.3.7 1 Pa. 1.9.95) .iacticin settlement.after-notingthat "settlement - -. - - the rusi?bf ;-Dept.fzbf I. 1' 1 -- 5- -. Americanf-qurgction'al _3 .. . - -.'P1.anfeba.se.d 0.1.133 -evalua.tion3bY-xa. licensred. mentali-health.pmfeSSiQnal. 7 ACA Standard Sta?dafd. 'i . .?healthservices awarding-.to individual f- - -. ., '1 If IDBSPite-th?? ??d??tionalCorr-actional. Standards} - I fiap'mars treatment at with the - .--patie..nt consideratipn His "=news?acumentingthese -. '9 131793319148. diagnoses. ibyg'quali?ed tire?tment?rm-idem. re.c9rds.i-sh9w 3 'psy?hiatriSt-con .. .. . .. . -. 59f . 1 :stemy? :m-esence of. .. 1 .. . I of. his convey disdain and in -_.Show; iaffmali?gering? 7-017, in father 7 ff9-igni.ng mental The-.PSWhiatriiSt 31.3139me - With - - dismissive - .. . . .. . - 3 - 2'2: - - - -- 39thersfon the I 11mg does: :Qn'ot. theseihqmn?beings are Page 2d. 1.34, (allegation.that-mental - 5 1 i health.professional?d?vmgraded -- to Supported'Eighth 2435.5, "903 .1999). . violation 7 DOG I -- i-Eslibstantial illness.) :iOfl-behavior'ris. Clearlevi?laition . . -. - -- - - .I that lasts. ?ve minutes or 1983.. are - .. discontinued fro-mo?hermental health facilities1:0 PriSOners illriess, :?WhiCh deliberate, - staff to. idenrthe.-.exist91icebf .. 511111988. in testrea?-its - - - . the - 911591191?f-isolatedzin sells-for. :22 day. ?915 - - - [there [were -. objections ital-it. "considerablemmber of the. jspristmers . .. into. a. .?Semif?fatuous - ..imp-OBS..ib1.eEto..amuse iivwl?ntlyimam; subsequent.Service. .- .. .. .. .. 57-.f9der31 confisdewib?d Sablitary..CQn?nement Lof priSonerls -.With mutal illness. .jas. f?the 803 .246, ?s-?as -- 2th? -..symp.t0ms 0f $1 mental-illness and-assan. -. - - :--151?iSOhGr-Sz ?196. - I'VS-Blimlis itif?atmelit ili?ictson prisms . 5- - are. threewayslin to[third.Eiisisth?.l?nfomd; 1 I. 2 357116738517; 2012)." '5'The_ court I - - {Ibis_Fint?anivable 40m? . so?iet3rfwonldput its. limprmatmn -.. mentally - TQSHU, "knowing {that . - .- ?will -..3:pr9bab1y befall. ithose. {inmates-. 1: With -. respect-to .. . - 51:11.31control punish '11111988531'9. i -- I I on Correctmnal Care - -. I . America?Bar AS??Ociatiori Treatment OfE-ifi?o?efs-Standards: -- - 5 .4 . be; Placed. in. .19ngrtem .- - .should showedgsettings. *Lexaxcerbfate -the.ir.m;enta1 - -- - -. -. - -- -. - 45426.7; in. i . i_ 3. "i?segr? Serif-10951.77'i-P-risoners.. Qf-adult. - i. fi_nmate.s.fwith sexinus mental-illness, rare. Exceptions,'lishosald time in an appr?p?ately designed outdoor#913? - J?s?xtrem?. mental lillnessg-i 2' - IiSiiffera. *apdRe?tri?t?di?d "i'SagziAd :Seg 1outs.idei;on {the imp At the?meat-restrictive; levelsAlthough?lost C6113 ?oSted or Cove-red With 7- - The. least levels of ?0139. - ardent: prisoners-at level. is. entitledillne'ssfiti 75?diS?iP11naL?Ydetentidn, the?1111:9330involve. even. '3 to month - . . - 1 Can-result C?tti?g Whiting sham; health1-pxofessmna1s ifaCLilitating; :rather manegaxaung3-hiin '7 - IDeSPite in which . from - 5 - a $1161935-. ?Infs..tit.tietionfViolafted amcw?ther - .. . - - - - -. . DQJ .. fa?d .th?Y-37; ti1th.! ?10.11and . x-Qpeople and n??ousnessiairound at ?rst -i501atiozi?i?"incredibly. - - i that period of time. their inabilitym interact ._and . . . them othershit-receivi?ga51.329121. -. - -- While - - - - me?tal health services. during mental-health itechnician will -. .. - weeklongerlit-takesftoTaffectja aconcurrence .i..staff A'Furthermora .?the 'frp-OSsible-'t0-'mqpitor'--the ractlces of-thgt staff - . . - - ark-$933113 . -. tog-PriQVide Services .toiwera'?loo - -. .- . - . "of. - due ipxocesfs'ii?h'atsoeverPrior 5 I . - . Prisoners receive-come 'iher? -:thatr?we have rb?d itheymnt - .iAt .MSP, transferred. _-from?-MSH-is not.assignedia,treatment -. 7? 7 .- -. .. . h.an 2.011reigaridinjg 1''53- CD 5 --deiliberatic?iis# As. ld??fi?rocess . .. .. . ibis-p utential "future. -- 'l - - 1 relevant'tigationfs (a . 5.. . --