“mere ‘disagreements between an inmate and a physician over the inmate’s proper medical care’ are not actionable absent exceptional circumstances.”
How later courts described this case
- “mere ‘disagreements between an inmate and a physician over the inmate’s proper medical care’ are not actionable absent exceptional circumstances.”
- “A serious psychological impairment can qualify as [a serious] medical need.”
- mere negligence or malpractice does not violate the Eighth Amendment
Written by the judges who cited it.
The opinion
IN THE UNITED STATES DISTRICT COURT
FOR THE WESTERN DISTRICT OF NORTH CAROLINA
ASHEVILLE DIVISION
CIVIL CASE NO. 1:21-cv-00115-MR
JAMES LARKIN KETCHERSID, JR., )
)
Plaintiff, )
) MEMORANDUM OF
vs. ) DECISION AND ORDER
)
BRET D. MURPHY, )
)
Defendant. )
_______________________________ )
THIS MATTER is before the Court on Defendant Bret D. Murphy’s1
Motion for Summary Judgment [Doc. 45].
I. BACKGROUND
The incarcerated Plaintiff James Larkin Ketchersid, Jr. (“Ketchersid” or
simply, “the Plaintiff”), proceeding pro se, filed this action pursuant to 42
U.S.C. § 1983 addressing incidents that allegedly occurred at the Marion
Correctional Institution. [Doc. 1: Complaint]. The Plaintiff’s unverified
Amended Complaint2 [Doc. 13: Am. Complaint; Doc. 13-1: Am. Compl.
1 “Brett Murphy” in the Complaint. The Clerk will be instructed to correct the Defendant’s
name in the Court’s record.
2 The original Complaint [Doc. 1] is also unverified. The Supplemental Complaint [Doc.
14], is verified but it was stricken and, in any event, it does not address Defendant
Murphy’s alleged deliberate indifference.
Attachment] passed initial review against Defendant Bret D. Murphy for
deliberate indifference to serious medical/mental health needs. [See Doc.
25: Order on Initial Review]. The Plaintiff seeks compensatory, punitive, and
nominal damages, and injunctive relief. [Doc. 13: Am. Complaint at 5; Doc.
13-1: Am. Complaint Attachment at 8].
Defendant Murphy filed the instant Motion for Summary Judgment.
[Doc. 45: MSJ; see Doc. 46: MSJ Memo.]. Thereafter, the Court entered an
Order in accordance with Roseboro v. Garrison, 528 F.2d 309 (4th Cir. 1975),
advising Plaintiff of the requirements for filing a response to the summary
judgment motion and of the manner in which evidence could be submitted to
the Court. [Doc. 50: Roseboro Order]. The Plaintiff has not responded, and
the time to do so has expired.3 This matter is ripe for disposition.
II. STANDARD OF REVIEW
Summary judgment shall be granted “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). A factual dispute is
genuine “if the evidence is such that a reasonable jury could return a verdict
3 The Roseboro Order was entered one day before the Plaintiff’s Notice of Change of
Address was docketed. [See Docs. 50, 51]. On March 1, 2023, the Clerk mailed a copy
of the Roseboro Order to the Plaintiff’s updated address in an abundance of caution.
More than 30 days have elapsed since the Roseboro Order was re-mailed, and the
Plaintiff has not responded.
for the nonmoving party.” Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248
(1986). A fact is material only if it might affect the outcome of the suit under
governing law. Id.
The movant has the “initial responsibility of informing the district court
of the basis for its motion, and identifying those portions of the pleadings,
depositions, answers to interrogatories, and admissions on file, together with
the affidavits, if any, which it believes demonstrate the absence of a genuine
issue of material fact.” Celotex Corp. v. Catrett, 477 U.S. 317, 323 (1986)
(internal citations omitted).
Once this initial burden is met, the burden shifts to the nonmoving
party. The nonmoving party “must set forth specific facts showing that there
is a genuine issue for trial.” Id. at 322 n.3. The nonmoving party may not
rely upon mere allegations or denials of allegations in his pleadings to defeat
a motion for summary judgment. Id. at 324. Rather, the nonmoving party
must oppose a proper summary judgment motion with citation to
“depositions, documents, electronically stored information, affidavits or
declarations, stipulations …, admissions, interrogatory answers, or other
materials” in the record. See id.; Fed. R. Civ. P. 56(c)(1)(a). Namely, the
nonmoving party must present sufficient evidence from which “a reasonable
jury could return a verdict for the nonmoving party.” Anderson, 477 U.S. at
248. To that end, only evidence admissible at trial may be considered by the
Court on summary judgment. Kennedy v. Joy Technologies, Inc., 269 F.
App’x 302, 308 (4th Cir. 2008) (citation omitted).
When ruling on a summary judgment motion, a court must view the
evidence and any inferences from the evidence in the light most favorable to
the nonmoving party. Anderson, 477 U.S. at 255. Facts, however, “must be
viewed in the light most favorable to the nonmoving party only if there is a
‘genuine’ dispute as to those facts.” Scott v. Harris, 550 U.S. 372, 380, 127
S.Ct. 1769, 1776 (2007). As the Supreme Court has emphasized,
“[w]hen the moving party has carried its burden under
Rule 56(c), the opponent must do more than simply
show there is some metaphysical doubt as to the
material facts …. Where the record taken as a whole
could not lead a rational trier of fact to find for the
nonmoving party, there is no ‘genuine issue for trial.’”
Matsushita Elec. Industrial Co. v. Zenith Radio Corp.,
475 U.S. 574, 586-87, 106 S. Ct. 1348 (1986)
(footnote omitted). “[T]he mere existence of some
alleged factual dispute between the parties will not
defeat an otherwise properly supported motion for
summary judgment; the requirement is that there be
no genuine issue of material fact.” Anderson v.
Liberty Lobby, Inc., 477 U.S. 242, 247-28, 106 S. Ct.
2505 (1986). When opposing parties tell two
different stories, one of which is blatantly
contradicted by the record, so that no reasonable jury
could believe it, a court should not adopt that version
of the facts for purposes of ruling on a motion for
summary judgment.
Scott, 550 U.S. at 380.
III. FACTUAL BACKGROUND
The following is a recitation of the undisputed facts.
Defendant Murphy was the psychological services coordinator at
Marion CI until May 1, 2021. [Doc. 47-6: Murphy Decl. at ¶¶ 2-4]. Murphy
was part of the Plaintiff’s treatment team, along with three other
psychologists and psychiatrists, who made decisions as a team regarding
the Plaintiff’s mental health treatment. [Doc. 47-6: Murphy Decl. at ¶¶ 4, 9].
Marion CI provides Level 3 Mental Health Services – outpatient psychiatric
services – to offenders. [Doc. 47-6: Murphy Decl. at ¶¶ 7, 8; Doc. 47-5 at 3].
As part of the Plaintiff’s treatment, he was prescribed medication. [Doc. 47-
6: Murphy Decl. at ¶ 15]. However, he continuously failed to take it. [Id.].
When the Plaintiff would complain about his medication not working,
Defendant Murphy told the Plaintiff that he needed to take his medication for
four to six weeks before they could tell if the medication was working. [Id. at
¶ 16]. However, the Plaintiff continued not to take his medication as
prescribed. [Id. at ¶ 17]. The Plaintiff also refused to stop smoking marijuana
although he had been told that marijuana could conflict with his medication.
[Id. at ¶ 18].
On February 20, 2021, the Plaintiff was charged with a disciplinary
infraction for substance possession and he was placed in restrictive housing
(RH). [Doc. 47-2: MSJ Ex at 1 (Offender Infractions); Doc. 48: Med. Records
at 1]. Defendant Murphy visited the Plaintiff on February 25, 2021. [Doc.
48: Med. Records at 1]. At that meeting, the Plaintiff “denie[d] current SIB,
suicidal or homicidal ideation, intent or plan.” [Id.]. Defendant Murphy noted
that the Plaintiff had made “[l]ittle progress due to drug relapse,” and he
scheduled the Plaintiff for a follow-up appointment. [Id.].
On March 7, 2021 at 0007 hours, the Plaintiff reported thoughts of
harming himself to a correctional lieutenant.4 [Doc. 47-2: MSJ Ex at 2
(Incident Report)]. The Plaintiff was placed on self-injury precautions (SIP)
and he was seen by a staff psychologist. [Id.; Doc. 48: Med. Records at 3].
Defendant Murphy saw the Plaintiff on March 8, 2021. [Doc. 48: Med.
Records at 6]. The Plaintiff told Murphy that he was upset because he was
being referred to ICON5 after having been found guilty of the disciplinary
infraction. [Id.]. The Plaintiff’s SIP precautions were continued. [Id.].
Defendant Murphy saw the Plaintiff again on March 9, 2021, and the
Plaintiff reported ongoing suicidal thoughts. [Id. at 8]. The Plaintiff’s SIP
4 The correctional lieutenant is not a defendant in this case.
5 “Intensive control” is the long-term removal of close custody felon or minimum custody
level I misdemeanant inmates from the general inmate population to confinement in a
secure area.” NCDPS Policy & Procedures C.1301(a).
was extended and the Plaintiff’s treatment team, including Defendant
Murphy, continued to meet with him daily. [Id. at 8, 10, 12, 14, 16, 21]. The
Plaintiff was also continuously observed and monitored by correctional staff
pursuant to applicable policy and procedures. [Doc. 47-6: Murphy Decl. at ¶
22].
On March 14, 2021, the Plaintiff was taken off of SIP and was placed
on observation after the Plaintiff reported that his self-injury ideation had
stopped. [Doc. 48: Med. Records at 23]. He continued to be observed and
monitored by psychological staff. [Id. at 25, 27, 33, 34, 36, 38]. The Plaintiff
refused to attend sessions with Defendant Murphy on March 30, 2021 and
April 8, 2021. [Id. at 35, 41].
During his stay on RH, the Plaintiff asked to be transferred to another
camp for TDU6 and to see a psychiatrist. [See id. at 18, 29, 31, 42, 43, 44,
45]. On April 13, 2021, Defendant Murphy referred the Plaintiff to the
6 A Therapeutic Diversion Unit is a “designated and secured housing unit staffed by
behavioral health, nursing, and custody and additional ancillary staff….” Health and
Wellness Services Policies and Procedures, TX1-15(III)(b). Its purpose of TDU is to
“decrease the population of offenders with mental illness in Restrictive Housing and time
spent in Restrictive Housing by such offenders; decreasing rates of release of offenders
with mental illness to the community from Restrictive Housing; decreasing offender
violent, self-injurious/suicidal, or otherwise disruptive behavior; providing evidence-based
and multidisciplinary behavioral health-oriented therapeutic programming to offenders;
and preparing offenders for successful transitions from more to less restrictive
environments within NCDPS prisons or to the community at large.” Id. at I.
psychiatrist for a possible medication reevaluation. [Id. at 42]. The Plaintiff
was provided Level 3 Mental Health Services while he was at Marion CI.
[Doc. 47-6: Murphy Decl. at ¶ 12]. Therefore, there was no need for the
Plaintiff to be transferred to another facility. [Id. at ¶ 13].
On April 28, 2021, Dr. Hewitt told the Plaintiff that his ICON had been
disapproved and that his time in RH was over. [Doc. 48: Med. Records at
48]. On May 3, 2021, Hewitt removed the Plaintiff from behavior observation
and noted:
Inmate has been trying to use his mental health
status M3/SIP/Bx Obs to get out of ICON. Inmate
was informed last week that his ICON was
disapproved and now inmate is trying to use his
mental health status to get out of RH and back on
‘the yard.’
[Id. at 49].
IV. DISCUSSION
Claims under 42 U.S.C. § 1983 based on an alleged lack of or
inappropriate medical or mental health treatment fall within the Eighth
Amendment’s prohibition against cruel and unusual punishment. Estelle v.
Gamble, 429 U.S. 97, 104 (1976). To state a claim under the Eighth
Amendment, a plaintiff must show a “deliberate indifference to serious
medical needs” of the inmate. Id.; see Buffington v. Baltimore Cnty., Md.,
913 F.2d 113, 120 (4th Cir. 1990) (“A serious psychological impairment can
qualify as [a serious] medical need.”). “Deliberate indifference requires a
showing that the defendants actually knew of and disregarded a substantial
risk of serious injury to the detainee or that they actually knew of and ignored
a detainee’s serious need for medical care.” Young v. City of Mt. Ranier,
238 F.3d 567, 575-76 (4th Cir. 2001) (citations omitted).
To be found liable under the Eighth Amendment, a prison official must
know of and consciously or intentionally disregard “an excessive risk to
inmate health or safety.” Farmer v. Brennan, 511 U.S. 825, 837 (1994);
Johnson v. Quinones, 145 F.3d 164, 167 (4th Cir. 1998). “[E]ven if a prison
doctor is mistaken or negligent in his diagnosis or treatment, no constitutional
issue is raised absent evidence of abuse, intentional mistreatment, or denial
of medical attention.” Stokes v. Hurdle, 393 F. Supp. 757, 762 (D. Md. 1975),
aff’d, 535 F.2d 1250 (4th Cir. 1976).
A “serious medical need” is “one that has been diagnosed by a
physician as mandating treatment or one that is so obvious that even a lay
person would easily recognize the necessity for a doctor’s attention.” Iko v.
Shreve, 535 F.3d 225, 241 (4th Cir. 2008) (internal quotation marks omitted).
An official acts with deliberate indifference if he had actual knowledge of the
prisoners serious medical needs and the related risks but nevertheless
disregards them. DePaola v. Clarke, 884 F.3d 481, 486 (4th Cir. 2018). The
prison 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.” Farmer, 511 U.S. at 837.
The Plaintiff alleges that Defendant Murphy inflicted severe mental
distress on him by delaying treatment for his Mental Health Level 3
conditions of panic disorder, PTSD, anxiety, and depression between March
1, 2021 and May 11, 2021,7 which resulted in mental pain and suffering.
[Doc. 13: Am. Complaint at 5; Doc. 13-1: Am. Complaint Attachment at 1-8].
The undisputed forecast of evidence presented by Defendant Murphy,
however, establishes that the Plaintiff received Mental Health Level 3
services at Marion CI, and that there was no need for the Plaintiff to be
transferred to another facility. The Plaintiff received nearly daily care for his
mental health including several appointments with psychiatrists. While the
Plaintiff failed to improve, that failure was due, at least in part, to his refusal
to take his mental health medication consistently and his refusal to stop
taking controlled substance. Also, the Plaintiff’s complaints were partially
motivated by his desire to avoid ICON. The Plaintiff has not forecast any
7 According to the Plaintiff, he was shipped to Maury CI on May 11, 2021. [Doc. 13-1 at
8]. However, Defendant Murphy was only employed by NCDPS through May 1, 2021.
[Doc. 47-6: Murphy Decl. at ¶ 2].
evidence whatsoever that the mental health care he received was
inadequate, or that Defendant Murphy was deliberately indifferent to his
serious medical or psychological needs. The Plaintiff’s disagreement with
the care that Defendant Murphy and the rest of his treatment team provided
is insufficient to survive summary judgment. See Miltier v. Beorn, 896 F.2d
848, 852 (4th Cir. 1990) (mere negligence or malpractice does not violate the
Eighth Amendment); Scinto v. Stansberry, 841 F.3d 219, 225 (4th Cir. 2016)
(“mere ‘disagreements between an inmate and a physician over the inmate’s
proper medical care’ are not actionable absent exceptional circumstances.”).
The Plaintiff has not raised a genuine issue for trial and the Defendant’s
Motion for Summary Judgment is granted.8
IV. CONCLUSION
For the reasons stated herein, the Court grants Defendant’s Motion for
Summary Judgment and this action will be dismissed with prejudice.
8 Because the Plaintiff has not presented a forecast of evidence that Defendant Murphy
violated a constitutional right, Defendant Murphy is entitled to qualified immunity on
Plaintiff’s § 1983 claim against him. As such, the Court grants summary judgment on this
ground as well.
ORDER
IT IS, THEREFORE, ORDERED that Defendants’ Motion for Summary
Judgment [Doc. 45] is GRANTED and this action is DISMISSED WITH
PREJUDICE.
The Clerk is respectfully directed to replace “Brett Murphy” with Bret D.
Murphy in the Court’s record, and to terminate this action.
IT IS SO ORDERED.
Martifi Reidinger ee
Chief United States District Judge “AES
12