Opinion

Rusk v. Mueller

Court
District Court, S.D. Illinois
Filed
Sep 23, 2025
Cited by
0 cases
Authority
More cited than 39.4%

“[F]orcible injection of medication into a nonconsenting person's body represents a substantial interference with that person's liberty” because “drugs can have serious, even fatal, side effects.”

How later courts described this case

  • “[F]orcible injection of medication into a nonconsenting person's body represents a substantial interference with that person's liberty” because “drugs can have serious, even fatal, side effects.”
  • To show deliberate indifference, a plaintiff must show the provider’s response was so inadequate that no minimally competent professional would have acted similarly.

Written by the judges who cited it.

The opinion

IN THE UNITED STATES DISTRICT COURT

FOR THE SOUTHERN DISTRICT OF ILLINOIS

NICHOLAS RUSK )

)

Plaintiff, )

)

vs. ) Case No. 23-cv-0953-SMY

)

CAILEE MUELLER, )

)

Defendant. )

MEMORANDUM AND ORDER

YANDLE, District Judge:

Plaintiff Nicholas Rusk, a former pre-trial detainee at Chester Mental Health Center, filed

this lawsuit under 42 U.S.C. § 1983 against nurse practitioner Cailee Mueller, alleging

constitutional violations for forced treatment. Now pending before the Court is Defendant’s

motion for summary judgment (Doc. 59). Plaintiff did not file a response.1 For the following

reasons, the motion is GRANTED.

Factual Background

The following facts, derived from Defendant Mueller’s affidavit and Plaintiff’s medical

records, are undisputed unless otherwise indicated: Plaintiff Nicolas Rusk has a history of

psychiatric issues, including schizoaffective disorder, bipolar I disorder, alcohol dependence and

cannabis abuse. He has numerous alcohol-related convictions beginning in 2011 (Doc. 59-1, pp.

8–9). On December 20, 2020, Plaintiff was found unfit to stand trial in Peoria County on charges

of theft and criminal trespass (Id., pp. 2–3). Following an incident in March 2021 in which Plaintiff

1 When a party fails to respond, the Court may accept the movant’s statement of facts as true. FED. R. CIV. P.

56(e)(2). Accordingly, the Court accepts Defendant’s statement of facts as true in considering its motion for

summary judgment.

assaulted an officer while incarcerated at Peoria County Jail, Plaintiff was transferred to Chester

Mental Health Center (“Chester”) on April 7, 2021 (Doc. 59-1, pp.4–5, 30; Doc. 59-2, p.2 ¶¶8–9).

Upon admission to Chester, Plaintiff consented to treatment with Sertaline and Trazodone

for depression and insomnia, respectively (Doc. 59-1, p. 10; Doc. 59-2, p. 2 ¶10). From April

through June 2021, multiple fitness assessment noted Plaintiff’s ongoing delusions and paranoia,

including conspiracy theories involving population control, numerology, chemicals and COVID

chips in food (Doc. 59-1, pp. 6–17, 22). He also threatened violence against a peer and exhibited

escalating hostility toward his treatment team (Id., p. 18).

On July 20, 2021, Defendant Cailee Mueller prepared a petition for administration of

authorized involuntary treatment, seeking to administer Risperidone for Plaintiff’s schizophrenia

(Doc. 59-1, p. 23). On August 5, 2021, Plaintiff initially objected, but consented to begin

Risperidone, up to 16 mg daily after Defendant informed him of potential side effects of

Risperidone and alternative medication to address his condition. (Id., pp. 25, 29).

On August 10, 2021, Plaintiff reported that Risperidone had helped him write better and

that he was feeling good (Id., p. 26). Defendant recommended a dosage increase, to which Plaintiff

agreed, resulting in a dose of 2 mg at bedtime (Id., 29). On August 11, 2021, Plaintiff refused

Risperidone due to abdominal pain and constipation (Doc. 59-1, pp. 28–29; Doc. 59-2, p. 5 ¶29).

Defendant respected this refusal and prescribed a stool softener (Doc. 59-2, p. 5 ¶29).

On August 17, 2021, Plaintiff signed a form confirming his agreement with his treatment

plan (Doc. 59-1, p. 31). Thereafter, another medical provider took over Plaintiff’s treatment and

increased Plaintiff’s Risperidone dosage to 3 mg at bedtime (Id., p. 32). Plaintiff remained

cooperative, required no court-enforced medication, and experienced significant mental

improvement (Id., pp. 37–38). He was ultimately found fit to stand trial (Doc. 59-1, p. 38; Doc.59-

2, p. 6 ¶39).

Discussion

Summary judgment is proper only if the moving party can demonstrate that there is no

genuine issue as to any material fact. Fed. R. Civ. P. 56(a); Alabama v. North Carolina, 560 U.S.

330, 344 (2010). The moving party is entitled to summary judgment if the non-moving party “has

failed to make a sufficient showing on an essential element of [his] case with respect to which [he]

has the burden of proof.” Celotex Corp. v. Catrett, 477 U.S. 317, 323 (1986). If the evidence is

merely colorable or not sufficiently probative, summary judgment may be granted. Anderson v.

Liberty Lobby, Inc., 477 U.S. 242, 249–50 (1986). Any doubt as to the existence of a genuine

issue of material fact must be resolved against the moving party. Lawrence v. Kenosha Cnty.,

391 F.3d 837, 841 (7th Cir. 2004).

Fourteenth Amendment (Count I)

The Fourteenth Amendment guards against deprivations of protected liberty interests

without due process of law. See U.S. Const., amend XIV. The United States Supreme Court has

recognized a significant liberty interest in “avoiding the unwanted administration of antipsychotic

drugs.” Washington v. Harper, 494 U.S. 210, 221 (1990) (“[F]orcible injection of medication into

a nonconsenting person's body represents a substantial interference with that person's liberty”

because “drugs can have serious, even fatal, side effects.”).

Here, although Plaintiff initially objected to the administration of Risperidone after

Defendant filed a petition for involuntary treatment, he ultimately consented to the medication on

August 5, 2021. As such, Defendant is entitled to summary judgment on this claim.

Eighth Amendment (Count II)

To prevail on an Eighth Amendment claim in the context of medical care, a plaintiff must

prove (a) the existence of an objectively serious medical need; and (b) deliberate indifference to

that condition by each defendant. Donald v. Wexford Health Sources, Inc., 982 F.3d 451, 457-58

(7th Cir. 2020). An objectively serious medical need is one that has been diagnosed by a physician

as requiring treatment or one where the need for treatment would be obvious to a lay person.

Greeno v. Daley, 414 F.3d 645, 653 (7th Cir. 2005). Deliberate indifference occurs when a

defendant knows about and disregards an excessive risk to inmate health. Id.

Plaintiff argues Defendant’s administration of Risperdal, a medication known to cause

serious side effects, in lieu of sertraline and trazadone, which were already effectively managing

his condition, constitutes deliberate indifference to his medical needs. Defendant does not dispute,

at least for summary judgment purposes, that Plaintiff has a serious health condition. The issue is

whether a reasonable jury could conclude Defendant acted with deliberately indifference.

To establish deliberately indifference, a prisoner needs to show an official “acted in an

intentional or criminally reckless manner.” Board v. Farnham, 394 F.3d 469, 478 (7th Cir. 2005).

Here, Defendant initially prescribed Plaintiff with sertraline and trazadone. After several months

of ongoing fitness assessment showing persistent delusions and paranoia, Defendant determined

that Risperdal was appropriate. Plaintiff consented to the medication after being informed of its

potential side effects. Plaintiff’s subsequent medical provider also prescribed Risperdal and

increased the dosage. Thus, no reasonable jury could find Defendant acted with deliberate

indifference. Collingnon v. Milwaukee Cty., 163 F.3d 982, 989 (7th Cir. 1998) (To show deliberate

indifference, a plaintiff must show the provider’s response was so inadequate that no minimally

competent professional would have acted similarly.). Defendant is also entitled to summary

judgment with respect to Count II.

Conclusion

For the foregoing reasons, Defendants’ motion for summary judgment is GRANTED. The

Clerk of Court is DIRECTED to enter judgment accordingly and close this case on the Court’s

docket.

IT IS SO ORDERED.

DATED: September 23, 2025

STACI M. YANDLE

United States District Judge

Page 5 of 5

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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