deliberate indifference is an element of a conditions of confinement claim
How later courts described this case
- deliberate indifference is an element of a conditions of confinement claim
- “Deliberate indifference requires knowledge of a medical condition.”
- “[I]t may happen that in light of the duties assigned to specific officers or employees the need for more or different training is so obvious . . . that the policymakers of the city can reasonably be said to have been deliberately indifferent to the need.”
- “[T]he concept of constructive knowledge is familiar enough that the term ‘deliberate indifference’ would not, of its own force, preclude a scheme that conclusively presumed awareness from a risk’s obviousness.”
Written by the judges who cited it.
The opinion
IN THE UNITED STATES DISTRICT COURT
NORTHERN DISTRICT OF TEXAS
DALLAS DIVISION
MARY ALBRITTON, §
§
Plaintiff, §
§
v. § Civil Action No. 3:23-CV-01723-N
§
HENDERSON COUNTY TEXAS, et §
al., §
§
Defendants. §
MEMORANDUM OPINION AND ORDER
This Order addresses Defendant Henderson County’s motion to dismiss for
improper venue, or in the alternative, to transfer venue [7], Southern Health Partner’s
(“SHP”) motion to dismiss for failure to state a claim [13], and Philip R. Taft Psy.D &
Associates PLLC and Philip R. Taft, Psy.D’s (collectively the “Taft Defendants”) motion
to dismiss for failure to state a claim [15]. For the following reasons, the Court denies the
motions.
I. ORIGINS OF THE DISPUTE
Plaintiff Mary Albritton filed this lawsuit as next friend of Cody Albritton in
response to the alleged harm Cody suffered during his incarceration at the Henderson
County Jail. Cody was thirty at the time of the incident, but he has the “mental age” of a
six-year-old. Pl.’s Compl. ¶ 1 [1].1 In addition to Cody’s intellectual disabilities, Cody
1 The Court accepts the allegations in Plaintiff’s complaint as true for the purpose of this
Order.
also suffers from schizoaffective disorder, obsessive-compulsive disorder, chronic
insomnia, and serious heart conditions including cardiomyopathy and chronic systolic
heart failure. Id. Cody takes approximately eighteen daily medications to treat his
psychological and physical ailments. Id at ¶ 16. Without his regular medications, Cody
can be in considerable danger, for example, without his heart medication, his heart can go
into atrial fibrillation. Id. Furthermore, Cody’s intellectual disability prevents him from
understanding what is happening to him or communicating to those around him the
physical or psychological harm that results from missing his various medications. Id.
Additionally, the fear that results from his lack of understanding of what is happening to
him can trigger his schizoaffective disorder. Id.
Cody came to be in custody of the Henderson County Jail through a series of events
beginning on January 17, 2022, when Plaintiff Mary Albritton, Cody’s mother, made an
emergency call seeking to have emergency medical services come calm Cody who was
exhibiting uncontrollable and disruptive behavior. Id. at ¶ 17. Instead, law enforcement
officers responded, and when Cody presented increasingly aggressive behavior, the
officers arrested Cody. Id. at ¶ 18. The officers brought Cody to the hospital for medical
clearance and a doctor cleared Cody to be taken to jail. Id. at ¶ 19. The doctor gave the
officers a signed order for the jail to continue giving Cody his regularly prescribed
medication along with a list of those medications. Id. at ¶ 20. The medical staff gave Cody
none of these medications, despite Albritton providing an SHP nurse with the medications.
Id. at ¶¶ 20, 39. Instead the jail substituted Cody’s Xanax prescription with Librium,
despite noting that Cody was likely to suffer withdrawal symptoms from not receiving his
usual dosage of Xanax. Id. at ¶ 39. Even more, Albritton alleges that Cody was not given
the substituted Librium prescription. Id. at ¶ 40. Surveillance footage confirms he was not
given any medication whatsoever after 7:30 am on the 18th of January, in clear
contradiction of the jail’s medication administration records. Id. The jail provided no
video of Cody in the cell for his first nine hours at the jail and claimed to not have video
of this time when asked to produce. Id. at ¶ 21 n.1.
Cody’s stay at the Henderson County jail lasted approximately forty-eight hours.
Id. at ¶ 44. During that time Cody was placed in the “violent cell” which had no bed, sink,
toilet, or running water of any kind. Id. at ¶ 22. Inmates were expected to relieve
themselves using a drain in the middle of the floor and the cell maintained a smell of human
waste. Id. Cody’s intellectual disability prevented him from understanding the drain’s use,
so Cody had diarrhea in his cell on the sleeping bench which no one cleaned up during
Cody’s nearly two-day detention. Id. at ¶ 28. Cody did not eat or drink anything during
his entire stay. Id. at ¶ 26–27. The first evidence of the jail providing Cody with food or
drink was in the morning of January 18th, which Cody slapped away because his
psychological disabilities caused him to believe the jail was trying to poison him. Id. The
jail did not provide Cody with anything to drink after this incident, which means Cody
went more than 42 hours without anything to drink. Id. The jail provided Cody with food
twice more during his stay, which Cody did not touch. Id. Despite Cody’s clear signs of
psychological distress, including an incident of him stripping off all his clothes, there are
no records that correctional or medical staff checked Cody’s status. Id. at ¶¶ 25, 47.
Regardless, it is without dispute that correctional and medical staff at the Henderson
County jail had knowledge of Cody’s psychological and physical ailments. There was a
notation on his medical chart that he was supposed to be checked by medical staff every
six hours. Id. at ¶ 25. Cody’s mother informed the staff of Cody’s physical and mental
conditions and needed medications. Id. at ¶ 33. The jail staff noted on Cody’s intake
questionnaire that he had “mental retardation,” acted like a child, and that Cody had
reported hearing “voices that say bad things.” Id. at ¶ 34. Last, the jail staff made a
“continuity of care query,” which confirmed that Cody received mental health services
from the state. Id. at ¶ 35.
SHP is a private company that has a contract with the County to provide medical
care at the jail. Id. at ¶ 43. All medical staff, other than mental health services staff, are
employees of SHP. Id. Taft PLLC is a psychology practice that has a contract with the
County to provide mental health services at the jail. Id. at ¶ 48. Dr. Taft is the primary
practitioner of Taft PLLC. Id. Dr. Taft outsourced all of his clinician-level work to a
Licensed Chemical Dependency Counselor Intern, Kevin Jeffries. Id. at ¶ 50. Jeffries’s
license does not legally qualify him to treat individuals in need of mental health care. Id.
Furthermore, Albritton alleges that Taft provided no training to Jeffries, that Taft did not
supervise Jeffries, and that Taft provided no policies or procedures for Jeffries to follow.
Id. at ¶ 52-54. Despite the law prohibiting Jeffries from providing psychological services,
Taft employed Jeffries to provide all mental health care at the jail, leaving inmates like
Cody without access to any legally qualified mental health services. Id. at ¶ 60.
II. VENUE IS PROPER UNDER 28 U.S.C. § 1391(B)(1)
Henderson County moves for dismissal arguing that venue is improper in the
Northern District of Texas. Under 28 U.S.C. § 1391(b), venue is proper in “a judicial
district in which any defendant resides, if all defendants are residents of the State in which
the district is located.” 28 U.S.C. § 1391(b)(1). As alleged in Albritton’s complaint and
not refuted by the Defendants, the Taft Defendants reside in the Northern District of Texas,
Dallas Division, and SHP also resides in Texas pursuant to 28 U.S.C. § 1391(c)(2), because
it conducts business in many locations across Texas, subjecting itself to the personal
jurisdiction of the district courts where it conducts business. Pl.’s Compl. ¶ 12. Because
all Defendants reside in Texas and Defendants reside specifically in the Northern District
of Texas, venue is proper under section 1391(b)(1). Accordingly, the Court denies
Henderson County’s motion to dismiss for improper venue.
III. THE COURT DECLINES TO TRANSFER THE CASE
Henderson County moves in the alternative to its motion to dismiss for improper
venue that the Court transfer the case to the Eastern District of Texas, Tyler Division for
convenience. “For the convenience of parties and witnesses, in the interest of justice, a
district court may transfer any civil action to any other district or division where it might
have been brought.” 28 U.S.C. § 1404(a). In the Fifth Circuit, a district court has “broad
discretion in deciding whether to order a transfer.” Caldwell v. Palmetto State Sav. Bank,
811 F.2d 916, 919 (5th Cir. 1987). When considering a motion to transfer venue, a district
court must consider “a number of private and public interest factors, ‘none of which can
be said to be of dispositive weight.’” In re Volkswagen of Am., Inc., 506 F.3d 376, 380
(5th Cir. 2007) (en banc) (quoting Action Indus., Inc. v. U.S. Fid. & Guar. Co., 358 F.3d
337, 340 (5th Cir. 2004)). The private factors include: (1) access to sources of proof; (2)
the availability of the compulsory process power; (3) costs to witnesses of appearing; and
(4) any other practical considerations affecting the ease and expense of trial. Id. at 380.
The public interest factors include: (1) judicial economy; (2) interests associated with
having local interests decided locally; (3) forum familiarity with the law at issue; and (4)
problems arising from conflict of law. Id. In general, “[p]laintiff’s choice of forum is
entitled to deference” such that the burden falls on the party seeking a transfer to show
“good cause” why the case should be relocated. Id. at 384. Accordingly, “[w]hen the
transferee forum is no more convenient than the chosen forum, the plaintiff’s choice should
not be disturbed. When the transferee forum is clearly more convenient, a transfer should
be ordered.” Id.
Here, the Court finds Henderson County cannot show good cause for transfer
because venue in the Tyler Division of the Eastern District of Texas would be, at best, no
more convenient than this district. The private interest factors do not favor venue transfer.
Henderson County does not refute Albritton’s assertion that most, if not all, evidence is
electronic. The difference in convenience for witnesses traveling to Tyler versus Dallas is
not extreme. The burden of the slight added costs to the Defendants would be shifted onto
the out of state Plaintiffs, and possibly create a heavier burden on Plaintiffs by moving the
case further from a major airport if venue were transferred to Tyler. Similarly, the public
interest factors do not favor transfer. The impact of transfer on the judicial economy factor
is neutral at best. As for the “local interests being decided locally” factor, three out of four
of the defendants are “at home” in the Dallas division and Texas residents in general have
a vested interest in operations of Texas jails, especially those near to where they live.
Finally, there is no issue involving conflicts of law and the Dallas Division is just as
familiar with the law that will govern this case as the Tyler Division. Accordingly,
Henderson County fails to show “good cause” and the Court denies Henderson County’s
motion to transfer. The Court now turns to SHP and the Taft Defendants’ individual
motions to dismiss for failure to state a claim.
I. LEGAL STANDARD FOR A 12(B)(6) MOTION
When ruling on a Rule 12(b)(6) motion to dismiss, a court must determine whether the
plaintiff has asserted a legally sufficient claim for relief. Blackburn v. City of Marshall, 42
F.3d 925, 931 (5th Cir. 1995). A viable complaint must include “enough facts to state a
claim to relief that is plausible on its face.” Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570
(2007). To meet this standard, a plaintiff must “plead[ ] factual content that allows the
court to draw the reasonable inference that the defendant is liable for the misconduct
alleged.” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009). A court generally accepts well-pled
facts as true and construes the complaint in the light most favorable to the plaintiff. Gines
v. D.R. Horton, Inc., 699 F.3d 812, 816 (5th Cir. 2012). But a court does not accept as true
“conclusory allegations, unwarranted factual inferences, or legal conclusions.” Ferrer v.
Chevron Corp., 484 F.3d 776, 780 (5th Cir. 2007). A plaintiff must provide “more than
labels and conclusions, and a formulaic recitation of the elements of a cause of action will
not do.” Twombly, 550 U.S. at 555. “Factual allegations must be enough to raise a right to
relief above the speculative level on the assumption that all the allegations in the complaint
are true (even if doubtful in fact).” Id. (internal citations omitted).
II. THE COURT DENIES SHP’S MOTION
SHP asks the Court to dismiss Albritton’s negligence claim against it because (1)
Albritton did not provide any pre-suit notice in accordance with Texas Civil Practice and
Remedies Code section 74.052, (2) Albritton did not sufficiently plead a duty of care owed
to Cody by SHP, and (3) Albritton did not sufficiently plead any injury caused by SHP’s
alleged breach of duty.
As an initial matter, the Texas Supreme Court ruled that “an abatement of the cause
of action for a duration of sixty days in the event that plaintiff fails to give the required
notice” is the proper remedy for failing to meet this notice provision. Schepps v.
Presbyterian Hosp. of Dallas, 652 S.W.2d 934, 938 (Tex. 1983); see also Rice v. Pfizer,
Inc., 2006 WL 1932565, at *3 (N.D. Tex. July 7, 2006) (“Compliance with [§ 74.051] is
mandatory; however, failure to comply will not result in dismissal of the claim.”).
Accordingly, the Court abates the case for sixty days due to Albritton’s failure to give
notice.
Next, SHP asks the court to determine that Albritton’s state law negligence claim is
a health care liability claim subject to Chapter 74 of the Texas Civil Practices and Remedies
Code. Section 74.001(a)(13) defines a health care liability claim as:
[A] cause of action against a health care provider or physician for treatment,
lack of treatment, or other claimed departure from accepted standards of
medical care, or health care, or safety or professional or administrative
services directly related to health care, which proximately results in injury to
or death of a claimant, whether the claimant’s claim or cause of action sounds
in tort or contract.
TEX. CIV. PRAC. & REM. CODE § 74.001(A)(13). From this definition Texas courts identify
the three elements for a health care liability claim as: “(1) the defendant is a health care
provider or physician; (2) the claimant’s cause of action is for treatment, lack of treatment,
or other claimed departure from accepted standards of medical care, health care, or safety
or professional or administrative services directly related to health care; and (3) the
defendant’s alleged departure from accepted standards proximately caused the claimant’s
injury or death.” Loaisiga v. Cerda, 379 S.W.3d 248, 255 (Tex. 2012). Albritton admits
her pleadings “unquestionably fit[] the framework of a traditional medical malpractice
claim.” Pl.’s Resp. SHP Mot. to Dismiss 4 [23]. But Albritton responds that SHP is a
correctional medical provider, which gives SHP “additional duties to monitor and protect
the health and safety of inmates when it is aware of specific risks to a particular inmate’s
health.” Id. The fact that a health care provider works in a correctional facility does not
change the Court’s analysis because the definition for medical care under section
74.001(a)(19) includes care performed while in confinement, like in a jail. See TEX. CIV.
PRAC. & REM. CODE ANN. § 74.001(a)(19). (“‘Medical care’ means any act defined as
practicing medicine . . . performed or furnished, or which should have been performed, by
one licensed to practice medicine in this state for, to, or on behalf of a patient during the
patient’s care, treatment, or confinement.”). The Court holds that Albritton’s negligence
claim against SHP is in fact a health care liability claim.
As for the elements of a health care liability claim, SHP argues that Albritton failed
to state a standard of care or any injury that occurred because of the breach of that standard
of care. Under Texas law, “[t]he general duty of a physician or health care provider is to
act as a reasonably prudent physician or health care provider would act in the same or
similar circumstances.” Martinez v. Pfizer Inc., 388 F. Supp. 3d 748, 769 (W.D. Tex. 2019)
(citing Chambers v. Conaway, 883 S.W.2d 156, 158 (Tex. 1993)). As an initial matter,
SHP does not rebut Albritton’s pleading that “SHP is vicariously liable for the conduct of
[its] employees, which was performed entirely within the course and scope of their
employment.” Pl.’s Compl. ¶ 114. Albritton alleges that the SHP medical staff completely
failed to monitor Cody’s health, citing both the National Commission on Correctional
Health Care (“NCCHC”) standards and SHP’s own written policies as standards of care.
See Pl.’s Compl. ¶¶ 74–79. Albritton also alleges that “[a] reasonable medical professional
adhering to the standard of care would not have allowed an at-risk individual with Cody’s
health conditions to languish for nearly two days in a violent cell, without food, water,
basic human hygiene, bedding, or a reasonable opportunity to sleep.” Id. at ¶ 80. SHP
takes issue with Albritton’s use of its own policies and NCCHC policies to allege a standard
of care, and the Court notes that these policies do not prove a standard of care. However,
at the motion to dismiss stage, the Court is tasked with accepting well pled facts as true,
and the Court concludes that Albritton has met its burden of pleading facts regarding the
standard of care owed to Cody by the SHP medical staff, and that the medical staff breached
that standard of care.
The Court notes that this ruling does not dispose of Albritton’s duty to serve on SHP
expert witness testimony to establish the standard of care as required by section 74.351 of
the Texas Civil Practice & Remedies Code. Albritton is beholden to following Rule 26(a)’s
procedural requirements for disclosing an expert. See Passmore v. Baylor Health Care
Sys., 823 F.3d 292, 296–97 (5th Cir. 2016) (determining that Rule 26 controls over section
74.351 regarding the deadline for plaintiff to submit expert testimony); see also FED. R.
CIV. P. 26(a). Accordingly, the Court holds that Albritton pled sufficient facts to establish
a duty of care and breach of that duty of care.
Last, SHP argues that Albritton fails to allege that any actual injury to Cody
occurred because of the alleged breach of the standard of care. But Albritton sufficiently
pled facts that Cody suffered both physical and psychological harm by withholding of his
regular medications and through SHP’s failure to provide any continuity of care to Cody.
Pl.’s Compl. ¶ 79. The SHP staff knew of both Cody’s mental disabilities and doctor
ordered medication, as indicated by Cody being on SHP’s benzodiazepine’s withdrawal
protocol, jail staff noting on Cody’s intake questionnaire that “they thought he had ‘mental
retardation’ and was ‘acting like a child,’” and that the “continuity of care query” returned
an “exact match,” identifying Cody as a person who received mental health services from
state programs. Pl.’s Compl. ¶ 34-35, 123. Facts that support Cody’s ongoing mental
health crisis include his (1) inability to sleep for two nights straight, (2) refusal to eat or
drink anything, (3) leaving a pool of diarrhea on the bench on which he was supposed to
sleep, and (3) disrobing completely for no apparent reason. Pl.’s Compl. ¶¶ 24-28.
Furthermore, the Court can reasonably infer that Cody may have suffered an episode of
atrial fibrillation from his lack of receiving his medications, as Cody takes the medication
daily to prevent such an injury from occurring and the fact that atrial fibrillation can be
caused by dehydration and stress — both conditions Cody experienced while in the jail.
Pl.’s Compl. ¶ 45. Accordingly, Albritton pled sufficient facts to state an injury upon
which relief can be granted and the court declines to dismiss Albritton’s health care liability
claim against SHP.
III. THE COURT DENIES THE TAFT DEFENDANTS’ MOTION
The Taft Defendants ask the Court to dismiss Albritton’s section 1983 claims,
negligence claim, and Americans with Disabilities Act (“ADA”) claim against them. The
Taft Defendants also take issue that Albritton’s pleadings use “Taft” to plead facts to state
various section 1983 claims against Dr. Taft, the person, and Taft PLLC, the company and
request the Court to order Albritton to replead to provide a more definite statement of her
claims. As an initial matter, Albritton has not alleged a violation of the ADA by the Taft
Defendants. See Pl.’s Compl. ¶¶ 82–97. Furthermore, as Albritton argues, Dr. Taft, as the
owner and primary practitioner of Taft PLLC, makes decisions regarding mental health
care at the PLLC. Therefore, Albritton refers to the Taft Defendants as Taft
interchangeably and collectively because many of the same facts can be attributed to Dr.
Taft and Taft PLLC depending on the type of section 1983 claim at issue. The Court can
reasonably infer when such facts apply to Dr. Taft, the PLLC, or both depending on the
claim at issue. The Court now turns to Albritton’s section 1983 and negligence claims.
The Taft Defendants argue that Albritton failed to state a claim against Dr. Taft in
his individual capacity. But Albritton argues she states a claim for a “unlawful condition
of confinement.” Pl.’s Resp. Taft Defs.’ Mot. to Dismiss 12 [15]. The Court holds that
Albritton states sufficient facts to state a claim against Taft for his deliberate indifference
to Cody’s serious medical needs.
“A pretrial detainee’s constitutional right to medical care, whether in prison or other
custody,” is derived from the Fourteenth Amendment. Wagner v. Bay City, Tex., 227 F.3d
316, 324 (5th Cir. 2000). The legal standard applicable to Albritton’s medical care claim
depends on whether the alleged unconstitutional conduct is an “condition of confinement”
or “episodic act or omission.” Tamez v. Manthey, 589 F.3d 764, 769 (5th Cir. 2009)
(internal citations omitted). Albritton argues she brings a claim for conditions of
confinement. When a pretrial detainee challenges “general conditions, practices, rules, or
restrictions of pretrial confinement,” courts evaluate whether the condition was
“reasonably related to a legitimate governmental objective.” Hare v. City of Corinth, Miss.,
74 F.3d 633, 644–47 (5th Cir. 1996); see also Bell v. Wolfish, 441 U.S. 520, 539 (1979).
“A condition is usually the manifestation of an explicit policy or restriction.” Shepherd v.
Dallas Cnty., 591 F.3d 445, 452 (5th Cir. 2009). Here Albritton pled sufficient facts that
Dr. Taft contracted with medically unqualified Jeffries “to handle all of [Taft’s]
responsibilities under the contract” with Henderson County. Pl.’s Compl. ¶ 50. Albritton
argues that Taft’s abandonment of his patients at the jail amounted to “a wholesale denial
of mental health care to inmates at the jail and imposed a harmful condition that was ‘not
reasonably related to a legitimate goal.’” Pl.’s Resp. Taft Defs.’ Mot. to Dismiss 113. The
Court agrees. The system for inmates to access mental health care at the Henderson County
Jail amounted to a condition that left the inmates with no avenues to access mental health
care and this dereliction of care cannot be reasonably related to any legitimate
governmental objective.
The Taft Defendants argue that Taft cannot be liable under section 1983 because
Albritton “fails to allege the Dr. Taft even knew about Mr. Albritton’s confinement in the
violent cell, must less ignored him or treated him incorrectly,” and without knowledge of
Cody, the Dr. Taft cannot be deliberately indifferent to Cody’s serious risk of harm. Taft
Defs.’ Mot. to Dismiss 3. The Taft Defendants are correct that “[t]o prevail on a conditions
of confinement claim, an inmate must prove that prison officials acted, or failed to act, with
deliberate indifference to a substantial risk of serious harm” United States v. Wright, 2020
WL 6710802, at *3 (N.D. Tex. Nov. 13, 2020); see also Herman v. Holiday, 238 F.3d 660,
664 (5th Cir. 2001) (deliberate indifference is an element of a conditions of confinement
claim); United States v. Gonzales, 436 F.3d 560, 573 (5th Cir. 2006) (deliberate
indifference is an element of a denial of medical treatment claim). Furthermore, “[f]or an
official to act with deliberate indifference, ‘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.’” Smith v. Brenoettsy, 158 F.3d 908, 912 (5th Cir. 1998)
(quoting Farmer v. Brennan, 511 U.S. 825, 837 (1994)); see also Nottingham v.
Richardson, 499 Fed. Appx. 368, 376 (5th Cir. 2012) (“Deliberate indifference requires
knowledge of a medical condition.”). But “[u]nder exceptional circumstances, a prison
official’s knowledge of a substantial risk of harm may be inferred by the obviousness of
the substantial risk.” Reeves v. Collins, 27 F.3d 174, 176 (5th Cir. 1994); see also Farmer,
511 U.S. at 840 (“[T]he concept of constructive knowledge is familiar enough that the term
‘deliberate indifference’ would not, of its own force, preclude a scheme that conclusively
presumed awareness from a risk’s obviousness.”).
Albritton does not allege that Dr. Taft had any knowledge of Cody’s presence at the
Henderson County Jail, Cody’s medical condition, the lack of medical care Cody received,
Cody’s placement in the violent cell, or the actual conditions of the violent cell. Albritton
does allege that Taft (1) contracted with the County to provide mental health care services,
(2) “had Kevin Jeffries handle all of Taft’s responsibilities under contract” with Henderson
County, (3) that Jeffries as a licensed chemical dependency counselor intern was not
qualified or legally allowed under Texas law to provide psychological services, (4) that
Taft provided no training or supervision to Jeffries, (5) that Taft provided no mental health
care at the jail at all, and (6) that there was no system in which Jeffries could contact Taft
for help or advice regarding an inmate in a mental health crisis. Pl.’s Compl. ¶¶ 50-66.
Ergo, Taft was aware of the fact that no one at the jail was qualified to provide mental
health assistance for an individual like Cody experiencing a mental health crisis. Taft was
aware of facts in which he could reasonably conclude that a risk of harm existed for all
people in confinement in need of mental health services.
The substantial risk of harm of Taft flouting his responsibilities to the individuals in
need of mental health services while at the jail and outsourcing mental health care to an
unqualified individual is so obvious that it does not matter if Taft had actual knowledge of
Cody specifically or drew the inference that a substantial risk of harm existed. Taft cannot
escape liability under the guise of “lack of knowledge” when he contracted with Henderson
County to provide mental health care but had no system in place to actually provide the
contracted mental health care. It is obvious that one day an individual would be confined
at the jail and that no one at the jail was qualified to provide mental health care, resulting
in that person’s serious harm. Taft’s complete abandonment of individuals like Cody in
need of mental health services is an example of an exceptional circumstance that rises to
deliberate indifference even without Taft’s direct knowledge of Cody and Cody’s risk of
harm. Accordingly, the Court holds that Albritton pled sufficient facts to establish a section
1983 conditions of confinement claim against Dr. Taft.
Albritton pled sufficient facts to establish a supervisory liability claim against the
Taft Defendants. To recover based on supervisory liability, the plaintiff must prove “a
sufficient causal connection between the supervisor’s wrongful conduct and the
constitutional violation.” Thompkins v. Belt, 828 F.2d 298, 304 (5th Cir. 1987). “To hold
a supervisory official so liable, the plaintiff must show that: (1) the supervisor either failed
to supervise or train the subordinate official; (2) a causal link exists between the failure to
train or supervise and the violation of the plaintiff's rights; and (3) the failure to train or
supervise amounts to deliberate indifference.” Smith, 158 F.3d at 911–12 (citation
omitted). Albritton adequately pled that Taft outsourced all his clinical psychiatry work to
Jeffries, making Jeffries Taft’s subordinate official. Taft had no system in place to train
Jeffries, oversee Jeffries’s work, or have Jeffries contact Taft if a mental health emergency
arose. Pl.’s Compl. ¶¶ 50–55. This complete lack of training and supervision left Cody
without access to any legally qualified mental health care while in jail, in direct violation
to Cody’s constitutional right to having his serious mental health needs met.
Typically to establish the deliberate indifference prong for a failure to train claim,
the plaintiff must show a pattern of similar constitutional violations. Connick v. Thompson,
563 U.S. 51, 62 (2011) (“A pattern of similar constitutional violations by untrained
employees is ‘ordinarily necessary’ to demonstrate deliberate indifference for purposes of
failure to train.”) (quoting Bd. of Cnty. Com'rs of Bryan Cnty., Okl. v. Brown, 520 U.S.
397, 409 (1997)). But City of Canton left a narrow set of circumstances where the risk of
a constitutional violation due to a failure to train or supervise is so obvious as to rise to
deliberate indifference. City of Canton, Ohio v. Harris, 489 U.S. 378, 390, n.10 (1989)
(“[I]t may happen that in light of the duties assigned to specific officers or employees the
need for more or different training is so obvious . . . that the policymakers of the city can
reasonably be said to have been deliberately indifferent to the need.”). Albritton alleges
that “Taft’s system of mental health care at the jail was grossly inadequate and failed to
comply with any recognized standards for correctional mental health care . . . by providing
no legally qualified mental health care at the jail at all.” Pl.’s Compl ¶¶ 101–02. Albritton
further alleges that “no one at the jail was qualified to recognize mental health emergencies
when they occurred, and Taft had no policies in place to deal with any such emergencies.”
Id. at ¶ 103. The risk that Taft’s dereliction of duty to oversee mental health care at the jail
would lead to inmates receiving no mental health care is so obvious as to rise to deliberate
indifference. Accordingly, the Court holds that Albritton sufficiently pled facts to state a
claim for supervisory liability.
The Taft Defendants argue that Albritton failed to state a section 1983 claim against
Taft, PLLC because private companies cannot be vicariously liable under section 1983.
Though the Taft Defendants are correct that section 1983 claims are generally only
available against state actors, private companies can be subject to Monell liability under
certain circumstances. “The standards applicable to determining liability under § 1983
against a municipal corporation are applicable to determining the liability of a private
corporation performing a government function.” Olivas v. Corr. Corp. of Am., 408 F.
Supp. 2d 251, 254–55 (N.D. Tex. 2006) aff’d, 215 F. App’x 332 (5th Cir. 2007); see also
Rodriguez v. S. Health Partners, Inc., 2020 WL 2928486, at *7 n.4 (N.D. Tex. 2020)
(determining that Monell liability could apply to SHP — a private corporation which
contracted with the County to provide medical health care).
Municipal or corporate liability under section 1983 requires proof of three elements:
“a policymaker; an official policy; and a violation of constitutional rights whose ‘moving
force’ is the policy or custom.” Piotrowski v. City of Houston, 237 F.3d 567, 578 (5th Cir.
2001) (citing Monell v. Dep’t of Soc. Services of City of New York, 436 U.S. 658, 694
(1978)). Albritton alleges, that “the County fully delegated policymaking authority to Taft
and/or collaborated with him in instituting their policies and practices.” Pl.’s Compl. ¶ 49.
Based on the allegations discussed in the Court’s discussion of conditions of confinement
in Section VI.A, supra, Albritton has alleged facts plausibly establishing that Taft and/or
Taft PLLC created a policy or custom of providing no mental health care services to the
inmates at the Henderson County Jail. Cody receiving no mental health care is the
constitutional violation, and Taft’s derelict policy of providing no mental health care to
inmates of the jail is the driving force behind this constitutional violation. Accordingly,
the Court holds that Albritton states sufficient facts to state a Monell section 1983 claim
against Taft PLLC.
For the same reasons in Section V, supra, the Court holds that Albritton’s
negligence claim against the Taft Defendants is in fact a health care liability claim, not just
a negligence claim. As previously stated, the elements for a health care liability claim are
“(1) the defendant is a health care provider or physician; (2) the claimant’s cause of action
is for treatment, lack of treatment, or other claimed departure from accepted standards of
medical care, health care, or safety or professional or administrative services directly
related to health care; and (3) the defendant’s alleged departure from accepted standards
proximately caused the claimant’s injury or death.” Loaisiga, 379 S.W.3d at 255. Like
SHP, the Taft Defendants argue that Albritton fails to “allege (1) what the standard of care
is required of the Taft Defendants, (2) any breach of the standard of care by the Taft
Defendants, or (3) how any act or omission of the Taft Defendants proximately caused
Plaintiff’s damages.” Taft Defs.’ Mot. To Dismiss 7. The Court disagrees. The same
standard of care allegations in Albritton’s complaint apply to the Taft Defendants as apply
to SHP. Moreover, the Taft Defendants allegedly breached their duty of care by providing
no mental health care services at all. Finally, the Taft Defendants breach of duty left Cody
without access to mental health care causing him both psychological and physical harm.
Accordingly, the Court holds that Albritton pled sufficient facts to state a health care
liability claim.
CONCLUSION
Because the Northern District of Texas Dallas Division is a proper venue and
Henderson County fails to show good cause for transfer, the Court denies the County’s
motion to dismiss pursuant to rule 12(b)(3) or to transfer. Furthermore, the Court
Concludes that Albritton stated plausible claims against SHP and the Taft Defendants, and
thus denies SHP and the Taft Defendants individual motions to dismiss pursuant to Rule
12(b)(6). The Court abates the case for sixty days due to Albritton’s failure to give pre-
suit notice in accordance with Texas Civil Practice and Remedies Code section 74.052.
Signed April 23, 2024.
De
Chief United States DistrictWidge
ORDER — PAGE 20