non-medical prison official can rely on the expertise of medical personnel unless there is evidence official was aware medical personnel were mistreating or not treating an inmate
How later courts described this case
- non-medical prison official can rely on the expertise of medical personnel unless there is evidence official was aware medical personnel were mistreating or not treating an inmate
- explaining that purely psychological injuries may support an Eighth Amendment conditions of confinement cause of action under the Prison Litigation Reform Act for injunctive relief, nominal damages, and punitive damages
- cleaned 5 Mr. Council testified during his deposition that he did not believe Dr. Sacchetti spoke with or contacted medical staff. Dkt. 189 at 177-78. up
- non-movant receives the "benefit of reasonable inferences from the evidence, but not speculative inferences in his favor"
Written by the judges who cited it.
The opinion
UNITED STATES DISTRICT COURT
SOUTHERN DISTRICT OF INDIANA
TERRE HAUTE DIVISION
BRANDON MICHAEL COUNCIL, )
)
Plaintiff, )
)
v. ) No. 2:21-cv-00302-JPH-MKK
)
GINA SACCHETTI Dr., )
THOMAS J. WATSON Warden, )
)
Defendants. )
ORDER GRANTING DEFENDANTS' MOTION FOR SUMMARY JUDGMENT
Plaintiff Brandon Council alleges that Defendants were deliberately
indifferent to his serious mental health needs while he was an inmate in the
Special Confinement Unit ("SCU") at United States Penitentiary – Terre Haute
("USP – Terre Haute"). Mr. Council and Defendants have each moved for
summary judgment. Dkts. [188], [194]. For the reasons below, Mr. Council's
motion is DENIED and the Defendants' motion is GRANTED.
I.
Standard of Review
A motion for summary judgment asks the Court to find that a trial is
unnecessary because there is no genuine dispute as to any material fact and,
instead, the movant is entitled to judgment as a matter of law. See Fed. R. Civ.
P. 56(a). When reviewing a motion for summary judgment, the Court views the
record and draws all reasonable inferences from it in the light most favorable to
the nonmoving party. Khungar v. Access Cmty. Health Network, 985 F.3d 565,
572–73 (7th Cir. 2021). It cannot weigh evidence or make credibility
determinations on summary judgment because those tasks are left to the fact-
finder. Miller v. Gonzalez, 761 F.3d 822, 827 (7th Cir. 2014). A court only has to
consider the materials cited by the parties, see Fed. R. Civ. P. 56(c)(3); it need
not "scour the record" for evidence that might be relevant. Grant v. Trs. of Ind.
Univ., 870 F.3d 562, 573−74 (7th Cir. 2017) (cleaned up).
A party seeking summary judgment must inform the district court of the
basis for its motion and identify the record evidence it contends demonstrates
the absence of a genuine issue of material fact. Celotex Corp. v. Catrett, 477 U.S.
317, 323 (1986).
Whether a party asserts that a fact is undisputed or genuinely disputed,
the party must support the asserted fact by citing to particular parts of the
record, including depositions, documents, or affidavits. Fed. R. Civ. P. 56(c)(1)(A).
Failure to properly support a fact in opposition to a movant's factual assertion
can result in the movant's fact being considered undisputed, and potentially in
the grant of summary judgment. Fed. R. Civ. P. 56(e).
When reviewing cross-motions for summary judgment, all reasonable
inferences are drawn in favor of the party against whom the motion at issue was
made. Valenti v. Lawson, 889 F.3d 427, 429 (7th Cir. 2018) (citing Tripp v. Scholz,
872 F.3d 857, 862 (7th Cir. 2017)). The existence of cross-motions for summary
judgment does not imply that there are no genuine issues of material fact. R.J.
Corman Derailment Servs., LLC v. Int'l Union of Operating Engineers, Loc. Union
150, AFL-CIO, 335 F.3d 643, 647 (7th Cir. 2003).
Mr. Council also filed a motion for "default judgment," arguing Defendants
failed to respond to his summary judgment motion. Defendants' motion for
summary judgment, however, responds to Mr. Council's arguments. And
regardless, "[e]ven where a non-movant fails to respond to a motion for summary
judgment, the movant still has to show that summary judgment is proper given
the undisputed facts." Robinson v. Waterman, 1 F.4th 480, 483 (7th Cir. 2021)
(cleaned up).
Mr. Council's motion for "default judgment" is DENIED. Dkt. [205].
II.
Factual Background
A. Parties
In 2019, Mr. Council was sentenced to death after a jury found him guilty
of bank robbery resulting in death and using and carrying a firearm during and
in relation to a crime of violence in a manner causing death. See United States
v. Council, 77 F.4th 240 (4th Cir. 2023). Mr. Council's death sentence was later
commuted to a life sentence without the possibility of parole. See
https://www.justice.gov/pardon/media/1382291/dl?inline.
The SCU at USP – Terre Haute houses federal inmates who have been
sentenced to death. Dkt. 188-1 ¶ 5 (Watson declaration). Mr. Council appears
to remain housed at USP – Terre Haute in the SCU. See
https://www.bop.gov/inmateloc/ (last visited March 17, 2026).1
1 The current administration is attempting to move Mr. Council and others whose death
sentences were commuted to ADX – Florence, the Bureau of Prison's supermax prison
in Colorado. Mr. Council and others are pursuing a lawsuit to prevent such a move. See
At all times relevant to the allegations in Mr. Council's complaint, Thomas
Watson was the Complex Warden for the Federal Correctional Complex – Terre
Haute, which includes USP – Terre Haute, dkt. 188-1 ¶ 1, and Dr. Gina Sacchetti
was a staff psychologist at USP – Terre Haute, dkt. 188-6 ¶¶ 2, 6 (Sacchetti
declaration). Dr. Sacchetti previously served as the primary staff psychologist
between March 2021 and January 2023. Id.
B. Facts
The decision to house Mr. Council in the USP – Terre Haute SCU, as with
other federal death row inmates, was made by the Bureau of Prison's ("BOP")
Designation and Sentence Computation Center in Texas, not by USP – Terre
Haute officials. Dkt. 188-1 ¶ 6. USP – Terre Haute officials promulgate policies
governing SCU conditions and operations. Id. ¶ 8. Those policies were modified
during the COVID pandemic to reduce the risk of disease transmission. Id. ¶ 7.
Under applicable policies for the SCU, (1) a staff psychologist must perform
an initial psychological assessment within 14 days of an inmate's assignment to
the SCU; and (2) "mental status examinations" must occur every 30 days
thereafter; and (3) a staff psychologist should assist inmates with problems and
provide individual counseling as needed. Dkt. 188-2 at 8 ("Operation and
Security of the Special Confinement Unit (SCU)"). SCU inmates in "Phase I," the
Taylor et al. v. Trump et al., No. 1:25-cv-3742-TJK (D.D.C.). On February 11, 2026, the
District Court for the District of Columbia entered a preliminary injunction prohibiting
the transfer of Mr. Council and the other plaintiffs to ADX while that suit proceeds. Id.
at dkt. 70.
strictest security level, are allowed 5 hours a week out-of-cell recreation time and
access to the law library. Dkt. 188-2 at 10, 15.
On November 6, 2019, Mr. Council underwent a psychological intake
screening performed by a non-defendant. Dkt. 188-7 at 75-76 (Mr. Council's
psychology records). Although Mr. Council self-reported a prior episode of
suicidal thoughts when he was 11 or 12, he stated that he had never previously
been diagnosed with a mental illness as an adult or that he had received any
psychiatric medications. Id. at 75; dkt. 189 at 116. The psychologist gave Mr.
Council a "Care Level" of "CARE1-MH." Dkt. 188-7 at 76. This is the BOP's
lowest-level mental health designation. Dkt. 189 at 124.
USP – Terre Haute psychology staff perform weekly walkthroughs in the
SCU. Dkt. 189 at 121. Records related to Mr. Council reflect that Dr. Sacchetti
evaluated Mr. Council on January 12, 2022 (30-day SCU review), December 22,
2021 (at Mr. Council's request), December 8, 2021 (SCU review plus consultation
at Mr. Council's request), November 3, 2021 (SCU review), October 27, 2021 (at
Mr. Council's request), October 13, 2021 (at Mr. Council's request), October 6,
2021 (SCU review), September 22, 2021 (at Mr. Council's request), September 1,
2021 (SCU review), August 25, 2021 (at Mr. Council's request), August 4, 2021
(SCU review plus consultation at Mr. Council's request), July 7, 2021 (SCU
review), June 8, 2021 (SCU review), May 19, 2021 (SCU review plus consultation
at Mr. Council's request), April 7, 2021 (SCU review plus consultation at Mr.
Council's request), March 16, 2021 (at Mr. Council's request), and March 3, 2021
(SCU review plus consultation at Mr. Council's request). Dkt. 188-7 at 1-39.
During several visits with Dr. Sacchetti and other mental health providers,
Mr. Council stated that his conditions of confinement in the SCU amounted to
"torture" and cruel and unusual punishment and were causing him mental
health problems. See, e.g., id. at 33. Dr. Sacchetti advised Mr. Council to direct
his concerns about the conditions of his confinement, including the limited
amount of out-of-cell time, to other USP – Terre Haute staff. Id. Otherwise, she
attempted to provide Mr. Council with various psychological coping skills. Id.
Mr. Council also discussed with Dr. Sacchetti on several occasions the
possibility of his taking psychiatric medication. Dr. Sacchetti repeatedly
explained to Mr. Council that, as a psychologist and not a psychiatrist, she could
not prescribe medications. Dkt. 189 at 147-49. She more than once encouraged
Mr. Council instead to put in a sick call request to USP – Terre Haute Health
Services if he wished to explore taking medication. Dkt. 188-7 at 26, 14; dkt.
189 at 190-93.
On October 27, 2021, Dr. Sacchetti advised Mr. Council that he could
bring up the topic of possibly taking psychiatric medication when he had his
upcoming chronic care appointment with a physician. Dkt. 189 at 172-73.
During that appointment with Dr. William Wilson on November 5, 2021,
however, Mr. Council did not mention psychiatric medication. Id. at 201. During
his deposition, Mr. Council testified that he did not know at that time that he
could do so.2 Id. at 201.
2 Also, even though Mr. Council claims he later became aware that Dr. Wilson could
prescribe psychiatric medications, he has never asked Dr. Wilson to do so. Id. at 67.
Also in the fall of 2021, Dr. Sacchetti raised Mr. Council's concerns about
the SCU conditions of confinement to the USP – Terre Haute Chief Psychologist.
Dkt. 188-6 ¶ 12. And in December 2021, she contacted USP – Terre Haute
Health Services to make them aware of Mr. Council's request for psychiatric
medication.3 Id.; dkt. 188-7 at 4.
Besides Dr. Sacchetti, Mr. Council never sought or discussed obtaining
psychiatric medication with any psychological provider. See Dkt. 189 at 130,
151-52.
Mr. Council submitted grievances to Warden Watson about the SCU
conditions and the psychological harm they were causing him, but the
grievances did not result in any change in those conditions. Dkt. 195-1 at 4-5.
C. Procedural History
Mr. Council filed this action on August 2, 2021. Dkt. 1. The Court screened
and dismissed the original complaint and gave Mr. Council the opportunity to
amend. Dkt. 10. Mr. Council filed an amended complaint, which the Court also
deemed subject to dismissal because he failed to sign it but gave him another
opportunity to amend. Dkts. 19, 20. On October 28, 2021, Mr. Council filed his
second amended complaint. Dkt. 21. Upon screening it, the Court concluded:
3 Mr. Council asserts Dr. Sacchetti must be lying about these discussions, and/or that
any documentation indicating a discussion took place must be a forgery. See dkt. 199
at 13-15. Mr. Council has no personal knowledge or evidence, however, to support this
speculation. He notes that the designated medical records do not contain a cross-
reference from medical staff mentioning whether Dr. Sacchetti had talked to anyone
about his desire for psychiatric medication. The absence of such cross-documentation
does not contradict Dr. Sacchetti's sworn statement or the documentation in the
psychology records that she did have that discussion.
Liberally construed, the second amended complaint
states a claim against Warden Watson and Dr. Sacchetti
for deliberate indifference to a serious medical need.
Specifically, the second amended complaint alleges that
prolonged solitary confinement has aggravated Mr.
Council's mental health issues, that these defendants
are aware of those issues, but that they have not taken
steps within their authority to alleviate those issues—
such as removing him from solitary confinement,
reporting the effect of solitary confinement on his
mental health, or ensuring that he be evaluated for
medication by a psychiatrist.
Dkt. 23 at 3.
Mr. Council filed a third amended complaint seeking $100 million in
damages. Dkt. 101 at 7. The Court screened the third amended complaint and
concluded, "Mr. Council's Eighth Amendment damages claims alleging deliberate
indifference to a serious medical need shall proceed against Warden Watson and
Dr. Sacchetti in their individual capacities under the theory set forth in Bivens
v. Six Unknown Named Agents of the Federal Bureau of Narcotics, 403 U.S. 388
(1971) and Carlson v. Green, 446 U.S. 14 (1980)." Dkt. 100 at 6.
On June 13, 2023, this action was stayed while Mr. Council pursued a
direct appeal of his convictions and sentence. Dkt. 119. On October 29, 2024,
the stay was lifted after the Supreme Court denied certiorari from the Fourth
Circuit's affirmance of Mr. Council's convictions and sentence, thus ending the
direct appeal process. Dkt. 149.
On May 1, 2025, Mr. Council filed a motion for summary judgment. Dkt.
194. On May 2, 2025, Defendants filed a motion for summary judgment. Dkt.
188.
III.
Discussion
Mr. Council presents two categories of claims: (1) the conditions of
confinement in the Terre Haute – USP SCU were damaging to Mr. Council's
mental health and Defendants' failure to change those conditions or move Mr.
Council out of the SCU violated the Eighth Amendment; and (2) the mental
health treatment he received in the SCU was inadequate and amounted to
deliberate indifference in violation of the Eighth Amendment.
A. Conditions of Confinement
Defendants argue that Mr. Council's claim based on his placement in the
SCU adversely impacting his mental health cannot proceed under Bivens. Mr.
Council's only response is that this Court allowed Bivens claims to proceed at
screening. See dkt. 199 at 7. But screening orders are not final orders, and the
Court may reconsider them under Federal Rule of Civil Procedure 54(b). See
Galvan v. Norberg, 678 F.3d 581, 587 (7th Cir. 2012). The Court concludes that
Mr. Council's claim based on allegations that placement in the SCU adversely
impacted his mental health cannot proceed under Bivens.
There is no Congressional authority to award damages against federal
officials who violate the Constitution while acting under color of federal law.
Ziglar v. Abbasi, 582 U.S. 120 (2017). Fifty years ago, the Supreme Court held in
Bivens that district courts have the implied authority to award damages against
federal officials for unreasonable searches and seizures in violation of the Fourth
Amendment. 403 U.S. at 397. That implied authority was extended twice: first,
to actions alleging gender discrimination in federal employment in violation of
the Fifth Amendment, Davis v. Passman, 442 U.S. 228, 249 (1979); and second,
to actions alleging deliberate indifference to a prisoner's serious medical needs
in violation of the Eighth Amendment, Carlson v. Green, 446 U.S. 14, 24 (1980).
But these "three cases—Bivens, Davis, and Carlson—represent the only
instances in which the Court has approved of an implied damages remedy under
the Constitution itself." Ziglar, 582 U.S. at 131.
In the past four decades, the Court has declined to create any new contexts
for Bivens claims. Egbert v. Boule, 142 S. Ct. 1793, 1799-1800 (2022) (listing
cases). Expanding Bivens to a new context is a "disfavored judicial activity."
Ziglar, 582 U.S. at 135.
To determine whether a Bivens remedy is available to a plaintiff suing a
federal actor, the Court makes a two-step inquiry. First, it asks whether the claim
presents a new Bivens context by determining whether "the case is different in a
meaningful way from previous Bivens cases decided by [the Supreme Court]."
Ziglar, 582 U.S. at 139. Second, if the claim presents a new Bivens context, the
Court then asks whether there are any special factors that counsel hesitation
about extending a damages remedy to the new context. Egbert, 142 S. Ct. at
1803.
1. "New Context"
Carlson extended a Bivens remedy to the context of an Eighth Amendment
claim based on deliberate indifference to a serious medical need. However, "[a]
claim may arise in a new context even if it is based on the same constitutional
provision as a claim in a case in which a damages remedy was previously
recognized." Hernandez v. Mesa, 140 S. Ct. 735, 743 (2020).
A case might differ in a meaningful way because of the
rank of the officers involved; the constitutional right at
issue; the generality or specificity of the official action;
the extent of judicial guidance as to how an officer
should respond to the problem or emergency to be
confronted; the statutory or other legal mandate under
which the officer was operating; the risk of disruptive
intrusion by the Judiciary into the functioning of other
branches; or the presence of potential special factors
that previous Bivens cases did not consider.
Ziglar, 582 U.S. at 140.
In Ziglar, the Supreme Court held that Fifth Amendment due process
claims by suspected terrorist detainees alleging they were subjected to
unconstitutional conditions of confinement bore "little resemblance" to the
claims in Bivens, Davis, or Carlson, and therefore presented a "new context".
Since then, several courts have applied Ziglar to foreclose Bivens conditions of
confinement claims arising under the Eighth Amendment, including claims
related to prolonged placement in solitary confinement. See, e.g., Cohen v.
Trump, 2024 WL 20558 at *3 (2nd Cir. Jan. 2, 2024), cert. denied (declining to
extend Bivens to Eighth Amendment claim of unconstitutional conditions of
solitary confinement); Mammana v. Barben, 856 F. App'x 411, 414 (3d Cir. May
21, 2021) (Eighth Amendment allegation of "deliberate indifference" to prisoner's
welfare based on confinement in segregation bore "little resemblance" to
Carlson's medical deliberate indifference claim); Tate v. Harmon, 54 F.4th 839,
847 (4th Cir. 2022) (Eighth Amendment claim of unconstitutional conditions of
confinement in segregation unit was a Bivens "new context"); Sebolt v. Tyndall,
2021 WL 4948959 (S.D. Ind. Oct. 25, 2021) (inmate's claim of unconstitutional
conditions of confinement in USP – Terre Haute segregation unit presented new
Bivens context).
In DeBenedetto v. Salas, 2023 WL 6388127 (N.D. Ill. Sept. 29, 2023), the
plaintiff alleged that while placed in a segregation unit in a federal prison, he
"experienced significant mental health issues and his psychological condition
deteriorated." His lawsuit alleged that the defendants violated his Eighth
Amendment rights by subjecting him "to prolonged solitary confinement despite
their knowledge of his serious mental illness and that the confinement
exacerbated his mental health issues . . . ." Id. at * 2. The court found that this
claim presented a new Bivens context, rejecting the plaintiff's argument that his
claim should proceed under Carlson. "While DeBenedetto's allegation about
prolonged solitary confinement might be construed as an attempt to raise a claim
for deliberate indifference to serious mental health problems, which is somewhat
similar to Carlson, the claim still presents a new context because DeBenedetto
does not allege that the conditions of his solitary confinement caused him to
receive inadequate medical care or that he was denied medical treatment." Id. at
* 6. In other words, the relevant "'mechanism of injury'" was the conditions of
confinement, not deliberate indifference to medical needs. Id. (quoting Cohen v.
United States, 640 F. Supp.3d 324, 338 (S.D.N.Y. 2022), aff'd, 2024 WL 20558
(2nd Cir. 2024)).
The Court finds DeBenedetto's reasoning persuasive in concluding that
Mr. Council's claim presents a new Bivens context. A conditions-of-confinement
claim very often has as an underlying factor the psychological and/or mental
harm that such conditions cause an inmate. See Thomas v. Illinois, 697 F.3d
612, 614 (7th Cir. 2012) (explaining that purely psychological injuries may
support an Eighth Amendment conditions of confinement cause of action under
the Prison Litigation Reform Act for injunctive relief, nominal damages, and
punitive damages). Concluding that that a claim alleging that a prisoner has
suffered psychologically from conditions of confinement is identical to Carlson
would represent an expansion of Bivens. Mr. Council's claim essentially alleges
that being confined in the SCU is in and of itself an Eighth Amendment violation
and therefore presents a new Bivens context. Mr. Council's allegations that his
confinement in the SCU directly impacted his mental health does not change the
outcome.
2. "Special Factors"
In applying this factor, a district court "faces only one question: whether
there is any rational reason (even one) to think that Congress is better suited to
weigh the costs and benefits of allowing a damages action to proceed." Egbert,
142 S. Ct. at 1805 (emphasis in original) (cleaned up). Additionally, "a court may
not fashion a Bivens remedy if Congress already has provided, or has authorized
the Executive to provide, 'an alternative remedial structure.'" Id. at 1804 (quoting
Ziglar, 582 U.S. at 137). And this is true even if the individual plaintiff alleges
that he does not have access to the alternative remedy. Id. at 1807 ("whether a
given remedy is adequate is a legislative determination that must be left to
Congress, not the federal courts").
The BOP's administrative remedy process, 28 C.F.R. § 542.10 et seq.,
provides inmates with the ability to seek formal review of any complaint related
to the conditions of their confinement. Additionally, in Ziglar, the Supreme Court
recognized the availability of injunctive relief to address conditions-of-
confinement claims such as Mr. Council's. 582 U.S. at 144. Indeed, a fellow
inmate, represented by the American Civil Liberties Union, is pursuing class
action injunctive relief related to the USP – Terre Haute SCU conditions of
confinement. Kadamovas v. Director, Federal Bureau of Prisons, 2:23-cv-00022-
MPB-MKK (S.D. Ind.). And to the extent injunctive relief cannot make Mr.
Council whole for any past injuries, the Federal Tort Claims Act allows for the
recovery of damages against the United States under certain circumstances
where federal agents, including prison officials, commit a state-law tort against
an inmate. Additionally, when Congress passed the Prison Litigation Reform Act
in 1995, it did not expand the availability of Bivens actions against federal
officials. See Sargeant v. Barfield, 87 F.4th 358, 367-68 (7th Cir. 2023).
Furthermore, "[w]ith respect to . . . claims against . . . Executive Officials, it must
be noted that a Bivens action is not 'a proper vehicle for altering an entity's
policy.'" Ziglar, 582 U.S. at 140 (quoting Correctional Services Corp. v. Malesko,
534 U.S. 61, 74 (2001)).
Here, Mr. Council is essentially trying to use a claim for money damages
to force a change in government policies related to placement in the SCU and the
conditions therein. There are ample reasons to conclude that "special factors"
would not warrant expanding Bivens into this context. Defendants are therefore
entitled to summary judgment with respect to Mr. Council's claims that his initial
and continuing placement in the SCU in and of itself violated the Eighth
Amendment.
B. Deliberate Indifference to Serious Medical Needs
Mr. Council's remaining claim is based on allegations that federal officials
were deliberately indifferent to his serious mental health needs. Defendants
argue that this claim cannot proceed under Bivens because Mr. Council's alleged
medical needs are not comparably serious to those that existed in Carlson. The
Seventh Circuit recently explained, however, that claims generally may proceed
under Bivens/Carlson if they "arise from allegedly constitutionally inadequate
medical care in a federal prison . . . ." Watkins v. Mohan, 144 F.4th 926, 934 (7th
Cir. 2025). The fact that a particular plaintiff's inadequate medical care was not
related to a medical emergency does not place it outside Carlson. Id. at 935. The
Court concludes that Mr. Council's claim alleging deliberate indifference to his
mental health needs may proceed under Bivens and proceeds to address the
merits of Defendants' motion for summary judgment.
Although this case arises under Bivens, the Eighth Amendment deliberate
indifference standard is identical to the standard applied in state prisons for
cases arising under 42 U.S.C. § 1983. See id. at 937-38 (noting for qualified
immunity purposes that federal prison medical and correctional staff "can
consult decades of circuit precedent applying the deliberate-indifference
standard" in state prisons and county jails, in addition to federal prisons).
"Prison officials can be liable for violating the Eighth Amendment when they
display deliberate indifference towards an objectively serious medical need."
Thomas v. Blackard, 2 F.4th 716, 721–22 (7th Cir. 2021). "Thus, to prevail on a
deliberate indifference claim, a plaintiff must show '(1) an objectively serious
medical condition to which (2) a [prison] official was deliberately, that is
subjectively, indifferent.'" Johnson v. Dominguez, 5 F.4th 818, 824 (7th Cir. 2021)
(quoting Whiting v. Wexford Health Sources, Inc., 839 F.3d 658, 662 (7th Cir.
2016)).
The Court assumes for purposes of the summary judgment motion that
Mr. Council's mental health condition was objectively serious. To avoid summary
judgment, then, the record must allow a reasonable jury to conclude that
Defendants acted with deliberate indifference—that is, that they "consciously
disregarded a serious risk to [Mr. Council]'s health." Dean v. Wexford Health
Sources, Inc., 18 F.4th 214, 241 (7th Cir. 2021) (cleaned up). Still, the alleged
seriousness (or not) of Mr. Council's mental health condition is relevant in
determining whether Defendants were deliberately indifferent to that condition.
Deliberate indifference requires more than negligence or even objective
recklessness. Id. Rather, Mr. Council "must provide evidence that an official
actually knew of and disregarded a substantial risk of harm." Petties v. Carter,
836 F.3d 722, 728 (7th Cir. 2016).
"Of course, medical professionals rarely admit that they deliberately opted
against the best course of treatment. So in many cases, deliberate indifference
must be inferred from the propriety of their actions." Dean, 18 F.4th at 241
(internal citations omitted).
The Seventh Circuit has held that deliberate indifference occurs when a
medical provider defendant:
• renders a treatment decision that departs so substantially
"'from accepted professional judgment, practice, or standards as
to demonstrate that'" it is not based on judgment at all. Petties,
836 F.3d at 729 (quoting Cole v. Fromm, 94 F.3d 254, 260 (7th
Cir. 1996)).
• refuses "to take instructions from a specialist." Id.
• persists "in a course of treatment known to be ineffective." Id. at
729–30.
• chooses "an 'easier and less efficacious treatment' without
exercising professional judgment." Id. at 730 (quoting Estelle,
429 U.S. at 104 n.10).
• effects "an inexplicable delay in treatment which serves no
penological interest." Id.
Here, Mr. Council does not challenge the quality of Dr. Sacchetti's
psychological care but alleges solely that she should have done more to help him
obtain a prescription for psychiatric medication. Mr. Council does not dispute
that Dr. Sacchetti repeatedly advised him that she could not prescribe such
medication and that if he wanted to try it, he would need to contact another
medical provider through USP – Terre Haute Health Services. And, despite that
knowledge, Mr. Council has never reached out to another medical provider
requesting a psychiatric medication prescription, with one possible very limited
exception.4 Furthermore, Mr. Council stated in his March 2025 deposition that
he does not think any such prescription would be of much use anyway because
his mental health problems stem from the SCU conditions of confinement. Mr.
Council also does not dispute that he had never taken psychiatric medication or
been diagnosed with a psychiatric illness before entering prison, nor that he was
given the lowest-possible mental health code under BOP policy. See dkt. 189 at
116, 124.
Mr. Council also claims Dr. Sacchetti was required to perform an "initial
psychological examination" upon him before another medical provider would or
could consider prescribing medication to him and she failed to do so. See, e.g.,
Dkt. 188-9 at 11. Although the record is clear that Dr. Sacchetti did repeatedly
evaluate him – at least once a month, as required by policy for the SCU, and
often more – he contends that these evaluations were insufficient to begin the
process of him being placed on psychiatric medication. He instead argues that
there should have been "testing," but designates no evidence regarding what type
of "test" or "tests" should have been done. Nor does he argue that Dr. Sacchetti's
evaluations were inadequate.
To prevail on a deliberate indifference medical care claim, "[i]t is not
enough that the plaintiff simply believes the treatment was ineffective or
disagrees with the doctor's chosen course of treatment. The challenged plan
4 In an interrogatory response, Mr. Council stated that he asked an "unknown nurse"
about receiving medication, but after she told him he needed to "put in a cop-out to the
Psychology department . . . I ended all attempts to acquire psychological medication."
Dkt. 188-9 at 11.
must deviate so substantially from accepted professional judgment that no
reasonable physician would reach the same judgment." Thomas v. Martina, 991
F.3d 763, 772 (7th Cir. 2021) (cleaned up). Mr. Council has designated no such
evidence here. Mr. Council is the nonmoving party, so he receives "the benefit
of conflicting evidence and reasonable inferences." Stockton v. Milwaukee County,
44 F.4th 605, 614 (7th Cir. 2022). That said, he must "produce evidence
sufficient to establish [the] element[s] essential to" his claim. Id. Here, Mr.
Council designates no evidence showing that Dr. Sacchetti should have done
something differently in responding to Mr. Council's requests for psychiatric
medication.
Last, Mr. Council challenges Dr. Sacchetti's sworn assertion, supported
by documentation in his psychology records, that she brought up his requests
for medication with the USP – Terre Haute medical staff. See dkts. 199 at 13-15
(Mr. Council's summary judgment response brief); 188-6 ¶ 12 (Sacchetti
declaration); dkt. 188-7 at 4 (psychology records). Mr. Council's challenges,
however, even if they are based on sworn assertions,5 are not based on personal
knowledge as required by Fed. R. Civ. P. 54(c)(4). "[A]lthough personal knowledge
may include reasonable inferences, those inferences must be grounded in
observation or other first-hand personal experience. They must not be flights of
fancy, speculations, hunches, intuitions, or rumors about matters remote from
that experience." Payne v. Pauley, 337 F.3d 767, 772 (7th Cir. 2003) (cleaned
5 Mr. Council testified during his deposition that he did not believe Dr. Sacchetti spoke
with or contacted medical staff. Dkt. 189 at 177-78.
up). Mr. Council's challenges on this point are speculative and conclusory and
therefore insufficient to rebut Dr. Sacchetti's sworn declaration and the
corroborating psychology records. See White v. City of Chicago, 829 F.3d 837,
841 (7th Cir. 2016) (non-movant receives the "benefit of reasonable inferences
from the evidence, but not speculative inferences in his favor") (cleaned up).
In sum, the designated evidence shows that (1) Dr. Sacchetti repeatedly
advised Mr. Council that she could not prescribe psychiatric medication and that
he would need to discuss his desire for medication with medical staff; (2) Dr.
Sacchetti conducted numerous, regularly scheduled psychological evaluations
of Mr. Council and treated him in accordance with her training; (3) Dr. Sacchetti
brought up Mr. Council's desire for medication with USP – Terre Haute medical
staff; (4) Mr. Council never attempted to obtain psychiatric medication from a
qualified medical provider, despite acknowledging that he could have done so;
(5) it is unclear how serious Mr. Council's mental health issues were, especially
given his lack of a psychiatric illness diagnosis or ever having taken psychiatric
medication before entering prison and his assignment to the BOP's lowest-level
mental health code.
No reasonable jury could conclude, based on this designated evidence,
that Dr. Sacchetti was deliberately indifferent to Mr. Council's mental health
needs. And, because Dr. Sacchetti was not deliberately indifferent, it necessarily
follows that Warden Watson could not have been deliberately indifferent in his
role as a non-medical supervisory official.© See McGee v. Adams, 721 F.3d 474,
483 (7t Cir. 2013) (non-medical prison official can rely on the expertise of
medical personnel unless there is evidence official was aware medical personnel
were mistreating or not treating an inmate). Defendants are entitled to summary
judgment on Mr. Council's deliberate indifference claims.
IV. Conclusion
Mr. Council's motions for summary judgment and for default judgment are
DENIED. Dkts. [194], [205]. Defendants' motion for summary judgment is
GRANTED. Dkt. [188]. Final judgment consistent with this Order and the Court's
orders screening the second and third amended complaints, dkts. [23] and [100],
will issue separately.
SO ORDERED.
Date: 3/17/2026 Pas +
James Patrick Hanlon
United States District Judge
Southern District of Indiana
Distribution:
All ECF-registered counsel of record via email
BRANDON MICHAEL COUNCIL
63961056
TERRE HAUTE - USP
TERRE HAUTE U.S. PENITENTIARY
Inmate Mail/Parcels
P.O. BOX 33
TERRE HAUTE, IN 47808
6 The Court need not address Defendants’ argument that they are entitled to qualified
immunity on all of Mr. Council's claims.
21