Evans, et al v. Lopinto, et al, No. 2:2018cv08972 - Document 151 (E.D. La. 2022)

Court Description: ORDER AND REASONS: IT IS HEREBY ORDERED that CHJ Defendants' 67 Motion for Summary Judgment On Plaintiffs' 1983 Claims and Request for Punitive Damages is GRANTED IN PART, DENIED IN PART, and DEFERRED IN PART, as detailed herein. Signed by Chief Judge Nannette Jolivette Brown on May 31, 2022. (mp)

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Evans, et al v. Lopinto, et al Doc. 151 Case 2:18-cv-08972-NJB-JVM Document 151 Filed 05/31/22 Page 1 of 37 UNITED STATES DISTRICT COURT EASTERN DISTRICT OF LOUISIANA CLINTON EVANS et al. CIVIL ACTION VERSUS NO. 18-8972 JOSEPH LOPINTO et al. SECTION: “G”(1) ORDER AND REASONS In this litigation, Plaintiffs Clinton Evans and Jeresa Morgan (collectively, “Plaintiffs”) bring claims individually and on behalf of their deceased son, Jatory Evans (“Evans”), against Defendants CorrectHealth Jefferson (“CHJ”), Jefferson Parish, Sheriff Joseph Lopinto (“Lopinto”), Corrections Administrator and Deputy Chief Sue Ellen Monfra (“Monfra”), Deputy Christopher Mayeaux (“Mayeaux”), Dr. William Lo (“Dr. Lo”), David Jennings (“Jennings”), and Ironshore Specialty Insurance Co. (“Ironshore”), (collectively, “Defendants”). 1 Plaintiffs allege that Defendants failed to properly monitor Evans while he was incarcerated in Jefferson Parish Correctional Facility (“JPCC”) and that their acts or omissions lead to Evans’ death by suicide. 2 Pending before the Court is Defendants CHJ, Ironshore, Jennings and Dr. Lo’s (collectively “CHJ Defendants”) “Motion for Summary Judgment On Plaintiffs’ 1983 Claims and Request for Punitive Damages.” 3 1 Rec. Doc. 6 at 2–5. 2 Id. at 1. 3 Rec. Doc. 67. 1 Dockets.Justia.com Case 2:18-cv-08972-NJB-JVM Document 151 Filed 05/31/22 Page 2 of 37 CHJ Defendants argue that they are entitled to summary judgment because (1) all of Plaintiff’s § 1983 claims fail because the Medical Review Panel found that CHJ Defendants’ treatment was not below the standard of care; (2) CHJ cannot be held vicariously liable for Jennings’ and Dr. Lo’s conduct; and (3) Plaintiffs cannot establish punitive damages against any of the CHJ Defendants. For the reasons described in detail below, CHJ Defendants are not entitled to summary judgment on all claims. Specifically, the Court finds that the Medical Review Panel’s opinion does not preclude Plaintiffs from establishing a deliberate indifference claim. The Court further finds that although Plaintiffs cannot establish a deliberate indifference claim against Dr. Lo, a reasonable jury could find that Jennings acted with deliberate indifference. As a result, the jury may also award punitive damages against Jennings. Because the Fifth Circuit is currently considering whether a private corporation performing government functions can be held vicariously liable under § 1983 and whether such a corporation can face punitive damages, the Court defers ruling on those issues pending the Fifth Circuit’s decision on those issues. Thus, considering the motion, the memoranda in support and in opposition, and the applicable law, the grants the motion in part, denies it in part, and defers ruling in part. I. Background A. Factual Background The Amended Complaint alleges that Evans was a pre-trial detainee in the custody and care of the Jefferson Parish Sheriff’s Office at JPCC when he died by hanging in his cell on September 27, 2017. 4 Plaintiffs allege that Evans had an extensive history of PTSD for which he had 4 Rec. Doc. 38. 2 Case 2:18-cv-08972-NJB-JVM Document 151 Filed 05/31/22 Page 3 of 37 previously been treated with medication. 5 Plaintiffs aver that Evans reported numerous incidents of mental distress while at JPCC.6 For example, Plaintiffs aver that Evans was seen by Social Worker David Jennings after reporting that he felt like he was going crazy, could not sleep, and described other PTSD symptoms, and Jennings referred him to a psychiatrist to be evaluated for psychosis. 7 In December 2016, Plaintiffs allege Evans reported that he was having headaches and experiencing feelings of “jitteriness and shaking.” 8 In February 2017, Plaintiffs aver that Evans was seen by Jennings after reporting that he was having flashbacks of his deployment to Afghanistan. 9 Plaintiffs aver that Jennings “simply noted that [Evans] was in no acute distress.”10 The following day, Plaintiffs allege that Evans reported again that he was “having visions from [his] Afghanistan events (deployment) and other events,” and that he had “painful knots in his arms and legs.” 11 Plaintiffs aver that he also reported not being able to sleep. 12 Plaintiffs allege that Evans was not seen by Jennings or Dr. Lo in response to these reports. 13 Plaintiffs alleged that on March 25, 2017, Evans was placed on suicide watch after wrapping a towel around his neck. 14 Plaintiffs aver that the reason for his placement on suicide 5 Id. at 5. 6 Id. at 6. 7 Id. 8 Id. at 6 9 Id. 10 Id. 11 Id. at 7. 12 Id. 13 Id. 14 Id. 3 Case 2:18-cv-08972-NJB-JVM Document 151 Filed 05/31/22 Page 4 of 37 watch was listed as “severe depression.” 15 Plaintiffs contend that Evans was never seen by Dr. Lo or any other psychiatrist while on suicide watch. 16 Rather, Plaintiffs aver that two days after being put on suicide watch, Evans was seen by Jennings, who then discharged Evans. 17 Plaintiffs allege that his discharge did not include any kind of “step-down process,” and that Evans did not receive a follow up visit which he was supposed to have a week after discharge. 18 Plaintiffs aver that on May 10, 2017, Evans reported “multiple nightmares, anxiety issues, depression with [his] thoughts, [and] thinking about [his] own death.” 19 Nevertheless, Plaintiffs allege that Evans was not seen until May 17 by Jennings. 20 Plaintiffs aver that during this visit, Evans noted that his mother and sister were “the reasons that he did not act on his thoughts of suicide.” 21 Nevertheless, Plaintiffs aver that Jennings reported that Evans was in no acute distress. 22 Plaintiffs allege that on May 28, 2017, Evans requested a mental health referral. 23 Plaintiffs aver that Evans saw Dr. Lo, and reported that he was having nightmares and flashbacks. 24 Plaintiffs aver that Dr. Lo noted an “an impression of a mood disorder… and an anxiety disorder,” and 15 Id. 16 Id. at 8. 17 Id. 18 Id. at 8–9. 19 Id. 20 Id. at 9. 21 Id. 22 Id. 23 Id. 24 Id. 4 Case 2:18-cv-08972-NJB-JVM Document 151 Filed 05/31/22 Page 5 of 37 prescribed Risperidone. 25 Nevertheless, Plaintiffs allege that Evans “continued to experience significant periods of despondence and expressed to others that a desire to commit suicide was always in the back of his mind.” 26 Additionally, Plaintiffs aver that Evans was placed on suicide watch for a second time on September 1, after a member of the defense team reached out to a JPSO deputy expressing concerns that Evans might harm himself. 27 Plaintiffs allege that Evans was seen by Jennings on September 1, and that Jennings “scored his suicide risk as low with a note to follow up with the mental health provider.” 28 Plaintiffs allege that he was kept on suicide watch for nearly a week and, although he was seen by nurses, he did not see Jennings or Dr. Lo, nor did he receive counseling or other therapy. 29 Plaintiffs aver that Jennings discharged Evans on September 6, 2017, stating that Evans told him he was “good,” had no intention of harming himself, and had hope for his future.30 Plaintiffs aver that throughout the rest of September, Evans was in “acute and increasing psychological distress” which Plaintiffs allege other JPCC detainees began to notice. 31 Plaintiffs 25 Id. at 9–10. 26 Id. at 10. 27 Id. 28 Id. 29 Id. 30 Id. at 11. 31 Id. 5 Case 2:18-cv-08972-NJB-JVM Document 151 Filed 05/31/22 Page 6 of 37 aver that Evans saw Dr. Lo again on September 14, 2017, during which Dr. Lo increased Evans’ medication. 32 Plaintiffs aver that on the night before he died, Evans expressed his intent to kill himself to other detainees. 33 Furthermore, Plaintiffs allege that he was “very quiet and withdrawn” on the day he died and that other detainees were concerned about his change in behavior. 34 Plaintiffs aver that shortly after roll call on September 27, 2017, Evans blocked the view into his cell with a blanket, in violation of JPSO policy. 35 Nevertheless, Plaintiffs allege that Mayeaux, the guard on duty, did nothing to remove the blanket. 36 Plaintiffs aver that other detainees began to become concerned about Evans, and tried to alert Mayeaux, who was unresponsive. 37 When detainee Furnell Daniel was permitted to leave his cell, approximately an hour after roll call, he learned of the concerns for Evans safety and went to check on him. 38 Plaintiffs aver that he looked behind the blanket and saw Evans with the sheet around his neck and his head slumped to one side. 39 Plaintiffs allege that he immediately began shouting and motioning to Mayeaux. 40 Thus, Plaintiffs aver that Mayeux 32 Id at 12. 33 Id. 34 Id. 35 Id. 36 Id. 37 Id. at 13. 38 Id. 39 Id. 40 Id. 6 Case 2:18-cv-08972-NJB-JVM Document 151 Filed 05/31/22 Page 7 of 37 was alerted about Evans’ condition no later than between 4:18 and 4:20 PM. Plaintiffs allege that Mayeux delayed for “at least five to six minutes” before calling for assistance. 41 B. Procedural Background On September 26, 2018, Plaintiffs filed a Complaint in this case. 42 On December 7, 2018, Plaintiffs filed the First Amended Complaint, which was identical to the original Complaint. 43 On January 24, 2019, Defendant Jefferson Parish filed a Motion to Dismiss and a request for oral argument on the motion. 44 The Court heard oral argument on the Motion to Dismiss on February 27, 2019, 45 and then denied the Motion to Dismiss without prejudice and gave Plaintiffs 30 days to amend the complaint. 46 On March 27, 2019, Plaintiffs filed a Second Amended Complaint, changing Plaintiffs’ allegations against Jefferson Parish, but maintaining the same allegations against other defendants. 47 Thus, the claims involved in this case are outlined below: • Count One: Section 1983 claim “Based on Establishment of a System in which Prisoners are Denied Appropriate Protection from Harm” against Defendants Lopinto and JP. 48 • Count 2: Section 1983 claim “Based on Failure to Supervise other Defendants to Ensure Patients Received Appropriate Care and Supervision to Protect Patients from Harm” against Defendants Lopinto, Monfra, and CHJ. 49 41 Id. 42 Rec. Doc. 1. 43 Rec. Doc. 6. 44 Rec. Docs. 16, 17. 45 Rec. Doc. 22. 46 Rec. Doc. 25. 47 Rec. Doc. 38. 48 Rec. Doc. 38 at 26–27. 49 Id. at 28–29. 7 Case 2:18-cv-08972-NJB-JVM Document 151 Filed 05/31/22 Page 8 of 37 • Count 3: Section 1983 claim “ Based on Deliberate Indifference to Mr. Evans’ Constitutional Right to Protection from Harm” against Defendants Lopinto, Monfra, Mayeaux, Lo, Jennings, CHJ, and JP. 50 • Count 4: Violation of the Americans with Disabilities Act and Section 504 of the Rehabilitation Act “by discriminating against and failing to accommodate a disability” against Lopinto and JP. 51 • Count 6: 52 Monell claim under § 1983 “based on establishment of policies, patterns, or practices pursuant to which inmates with serious mental health conditions are denied access to appropriate medical care and prevention from harm” against Defendants Lopinto, Monfra, and CHJ. 53 • Count 7: Medical Malpractice claim against Defendants CHJ, Lo, and Jennings 54 • Count 8: Negligence and/or Intentional Tort claim against all Defendants 55 On March 6, 2019, CHJ Defendants filed a Motion to Dismiss. 56 The Court denied the motion without prejudice and stayed the case pending the completion of a medical review panel. 57 On July 27, 2021, the stay was lifted. 58 50 Id. at 29–30. 51 Id. at 30–32. 52 Plaintiffs’ Second Amended Complaint mistakenly skips count 5. 53 Rec. Doc. 38. at 32–33. 54 Id. at 33. 55 Id. at 34 56 Rec. Doc. 27. 57 Rec. Doc. 54. 58 Rec. Doc. 57. 8 Case 2:18-cv-08972-NJB-JVM Document 151 Filed 05/31/22 Page 9 of 37 On March 8, 2022, CHJ Defendants filed the instant Motion for Summary Judgment. 59 On April 26, 2022, Plaintiffs opposed the motion. 60 On May 9, 2022, with leave of Court, CHJ Defendants filed a reply. 61 II. Parties’ Arguments A. CHJ Defendants’ Arguments in Support of the Motion for Summary Judgment CHJ Defendants argue that they are entitled to summary judgment on Plaintiff’s claims for supervisory liability in Count 2, deliberate indifference in Count 3, municipal liability in Count 6, and Plaintiff’s request for punitive damages. First, CHJ Defendants argue that all of Plaintiffs’ claims under § 1983 fail because mere negligence is not actionable under § 1983. 62 CHJ Defendants contend that because the Medical Review Panel unanimously found that CHJ Defendants were not negligent, Plaintiffs cannot possibly prove their § 1983 claims, “which requires that the defendant act with something more than mere negligence.” 63 CHJ Defendants argue that at best, Plaintiffs will be able to show only that there is a “disagreement over the treatment afforded to decedent,” but that this is insufficient to support a § 1983 claim. 64 Therefore, CHJ Defendants contend they are entitled to summary judgment on Counts 2, 3 and 6 of the Second Amended Complaint. 65 59 Rec. Doc. 67. 60 Rec. Docs. 100, 126. 61 Rec. Docs. 124, 148. 62 Rec. Doc. 67-2 at 10. 63 Id. at 11. 64 Id. 65 Id. 9 Case 2:18-cv-08972-NJB-JVM Document 151 Filed 05/31/22 Page 10 of 37 Second, CHJ Defendants argue that CHJ is entitled to summary judgment on Plaintiffs’ deliberate indifference claim because “there is no vicarious/respondeat superior liability under 1983.” 66 CHJ Defendants contend that the Supreme Court has made clear that municipal entities such as CHJ cannot be held liable based solely on the torts of its employees. 67 Therefore, CHJ Defendants argue that Plaintiffs’ claims in Count 3 that CHJ is vicariously liable must be dismissed. 68 Third, CHJ Defendants contend that Plaintiffs cannot recover punitive damages from any defendants. 69 CHJ Defendants contend that punitive damages cannot be imposed against municipalities. 70 Furthermore, CHJ Defendants argue that several district courts in this circuit have held that punitive damages similarly cannot be imposed on “private entities performing government functions,” such as CHJ. 71 As to Jennings and Dr. Lo, CHJ Defendants argue that there is no evidence to support a punitive damages award. 72 CHJ Defendants argue that punitive damages are available only where the defendant’s conduct is “motivated by evil motive or intent,” or “involves reckless or callous indifference to the federally protected rights of others.” 73 CHJ 66 Id. 67 Id. at 12. 68 Id. 69 Id. at 12–13. 70 Id. 71 Id. at 13. 72 73 Id. at 14. Id. 10 Case 2:18-cv-08972-NJB-JVM Document 151 Filed 05/31/22 Page 11 of 37 Defendants argue that there is no such evidence in this case. 74 CHJ Defendants argue that because the “medical records and unanimous Medical Review Panel Opinion demonstrate [that] [CHJ Defendants] appropriately treated [Evans] on a frequent and ongoing basis, exceeding the standard of care applicable in Louisiana, and complying with the national guidelines of NCCHC,” there is no evidence that would support an award of punitive damages. 75 B. Plaintiffs’ Arguments in Opposition to the Motion for Summary Judgment In opposition, Plaintiffs argue that CHJ Defendants are not entitled to summary judgment on their claims under Counts 2, 3, or 6, or on their request for punitive damages. First, Plaintiffs argue that the Medical Review Panel Opinion on which CHJ Defendants rely is not dispositive.76 Rather, Plaintiffs argue that the review panel opinion is “of the same weight as any expert opinion, and therefore can be challenged and rebutted by opposing expert testimony.”77 Plaintiffs argue that there is other evidence, such as medical records, testimony of CHJ witnesses, and expert reports that raise issues of fact as to whether CHJ Defendants were deliberately indifferent to Evans’ medical needs. 78 Plaintiffs argue that Jennings was aware of Evans’ risk of suicide and failed to take reasonable measures to abate it. 79 Plaintiffs highlight evidence of Jennings knowledge that Evans 74 Id. 75 Id. 76 Rec. Doc. 126 at 8. 77 Id. at 7–8. Plaintiffs also argue that the medical review panel opinion was improperly rendered because the oaths were improperly administered. Id. at 28–29. 78 Id. at 8. 79 Id. 11 Case 2:18-cv-08972-NJB-JVM Document 151 Filed 05/31/22 Page 12 of 37 was suicidal, including that Evans was a veteran with a history of PTSD, that he was facing serious criminal charges, and that he had attempted suicide at JPCC in March of 2017. 80 Plaintiffs also point to evidence of Jennings’ conduct to suggest that he was indifferent to Evans’ risk of suicide. Plaintiffs argue that Jennings discharged Evans from his first suicide watch without following up and that Jennings’ interactions with Evans were not confidential. 81 Plaintiffs further contend that after placing Evans on suicide watch for a second time, Evans did not receive any treatment while on suicide watch and was ultimately discharged by Jennings. 82 Plaintiffs argue that this was done in violation of CHJ policy requiring daily visits. 83 Plaintiffs also contend that upon discharge, Jennings did not place Evans on any kind of “step down” program. 84 Plaintiffs similarly argue that Dr. Lo was aware of Evans’ risk of suicide and failed to take reasonable measures to abate it. 85 Plaintiffs highlight evidence suggesting Dr. Lo’s awareness of Evans’ risk of suicide, including that Dr. Lo knew Evans was facing serious charges, he had been asked to determine if Evans suffered from psychosis, he knew Evans was a veteran with a history of PTSD, he knew Evans had attempted suicide, he knew Evans requested to see a psychiatrist for suicidal ideations, he knew Evans was taking medication, he knew Evans was expressing suicidal thoughts, and he knew that Evans requested stronger medication. 86 Plaintiffs argue that despite 80 Id. at 9. 81 Id. at 12. 82 Id. at 14. 83 Id. 84 Id. at 15. 85 Id. at 19. 86 Id. at 20. 12 Case 2:18-cv-08972-NJB-JVM Document 151 Filed 05/31/22 Page 13 of 37 this knowledge, Dr. Lo failed to provide appropriate treatment. 87 Plaintiffs contend that Dr. Lo did not see Evans in a confidential setting, but rather in a hallway where anybody could hear their conversations. 88 Furthermore, Plaintiffs argue that Dr. Lo did not see Evans as frequently as he should have, and that Dr. Lo failed to properly monitor Evans’ medication. 89 In addition, Plaintiffs argue that Dr. Lo’s prescribing Risperdal was done “without documenting any clinical basis for doing so.” 90 Plaintiffs point to their expert’s report indicating that Risperdal, when prescribed improperly, can cause worsening depression, and that it is not approved for treatment of PTSD.91 Lastly, Plaintiffs highlight evidence that although Dr. Lo’s notes from Evans’ September 14, 2017 visit reflected that Evans was suffering from hallucinations, paranoia and psychosis, Dr. Lo “simply persisted with his clinically inappropriate medication, untimely follow-up, and nonprivate cursory evaluation.” 92 As to CHJ, Plaintiffs argue that CHJ Defendants are not entitled to summary judgment because the only basis offered in its motion was the findings of the medical review panel.93 Plaintiffs contend that its claims in Counts 2 and 6 as to CHJ are that CHJ failed to supervise or train its employees and has a pattern of failing to treat patients with mental illnesses. 94 Plaintiffs 87 Id. 88 Id. at 20–21. 89 Id. 90 Id. at 22. 91 Id. 92 Id. at 24–25. 93 Id. at 25. 94 Id. 13 Case 2:18-cv-08972-NJB-JVM Document 151 Filed 05/31/22 Page 14 of 37 contend that the findings of the medical review panel do not provide evidence regarding these claims. 95 Plaintiffs argue that the Medical Review Panel made only two findings with respect to CHJ: (1) that neither CHJ or its employees deviated from the standard of care; and (2) that CHJ was accredited by the NCCHC during Evans’ detainment. 96 However, Plaintiffs argue that they have provided evidence that is sufficient to create a dispute of fact as to whether CHJ deviated from the standard of care, and that CHJ’s accreditation alone is not dispositive of CHJ’s conduct. 97 In addition, Plaintiffs argue that the latter finding is inaccurate, as the NCCHC found that CHJ was not incompliance with three of its standards. 98 Next, Plaintiffs argue that respondeat superior claims and punitive damages are permitted against private companies like CHJ. 99 Plaintiffs argue that Monell rule that municipalities are not liable based on respondeat superior does not extend to private companies. 100 Similarly, although Plaintiffs acknowledge that punitive damages cannot be imposed against municipalities, Plaintiffs argue that the same rule does not apply to private corporations such as CHJ. 101 C. CHJ Defendants’ Arguments in Further Support of the Motion In reply, CHJ Defendants first argue that they are entitled to summary judgment because disagreement with how CHJ Defendants treated Evans is insufficient to establish the constitutional 95 Id. at 26. 96 Id. 97 Id. 98 Id. at 27. 99 Id. at 30. 100 Id. 101 Id. at 33. 14 Case 2:18-cv-08972-NJB-JVM Document 151 Filed 05/31/22 Page 15 of 37 violation necessary under § 1983. 102 CHJ Defendants contend that Plaintiffs must show that CHJ Defendants “refused to treat [Evans], ignored his complaints, intentionally treated him incorrectly, or engaged in similar conduct.” 103 CHJ Defendants argue that the testimony of Plaintiff’s own expert, Dr. Elliot, demonstrates that Plaintiffs cannot meet this standard. 104 CHJ Defendants rely on the following statements from Dr. Elliot: (1) that he thought Jennings and Dr. Lo were “to the best of [their] ability . . . doing what [they] thought was the right thing”; (2) that medical staff responded to Evans’ reports; (3) that Dr. Elliot’s opinions are based on his disagreement with the medical care provided; and (4) that Dr. Elliot agreed with the decision to take him off of suicide watch based on the information Jennings had. 105 CHJ Defendants next argue that CHJ’s alleged failure to comply with three NCCHC standards does not establish liability under § 1983.106 CHJ Defendants contend that such standards are not constitutional minimums, and therefore the failure to follow one “does not rise to the level of deliberate indifference.” 107 CHJ Defendants also argue that CHJ’s alleged violation of its own policies does not establish a constitutional violation. 108 CJH Defendants contend that the failure to follow a CHJ 102 Rec. Doc 148. 103 Id. at 2. 104 Id. at 15. 105 Id. at 6. 106 Id. 107 Id. at 6–7. 108 Id. at 7. 15 Case 2:18-cv-08972-NJB-JVM Document 151 Filed 05/31/22 Page 16 of 37 policy shows “at most, negligence and cannot support a finding of deliberate indifference.” 109 In any event, CHJ Defendants argue that although Plaintiffs contend that Jennings failed to follow up with Evans after he returned from court in violation of CHJ policy, the evidence demonstrates that Evans did not actually go to court on the day in question. 110 CHJ Defendants further contend that Jennings and Dr. Lo’s failure to evaluate Evans in a confidential setting does not rise to the level of deliberate indifference. 111 In order to establish a constitutional violation in this context, CHJ Defendants argue that Plaintiffs must show that Evans’ medical records were intentionally disclosed or that CHJ Defendants intentionally “fostered an atmosphere of intentional disclosure with deliberate indifference to constitutional rights.” 112 CHJ Defendants contend that there is no evidence that Evans medical records were intentionally disclosed or that there was an atmosphere of intentional disclosure. 113 Defendants further reiterate their argument that CHJ cannot be held liable based on respondeat superior. CHJ Defendants contend that Supreme Court and Fifth Circuit precedent make clear that “a private prison management company and/or medical provider sued under 1983 should be treated as a municipality/state actor.” 114 109 Id. at 8 (quoting Smith v. New Orleans City, 2020 WL 6582284 at *7 (E.D. La. Nov. 10, 2020)). 110 Id. at 8–9. 111 Id. at 10. 112 Id. 113 Id. 114 Id. at 11–12. 16 Case 2:18-cv-08972-NJB-JVM Document 151 Filed 05/31/22 Page 17 of 37 Lastly, CHJ Defendants reurge that Plaintiffs are not entitled to punitive damages. 115 CHJ Defendants contend that the medical records, the Medical Review Panel Opinion, and testimony from both parties’ experts establishes that Jennings and Dr. Lo treated Evans and did not ignore him. 116 CHJ Defendants further argue that there is no evidence that they were “motivated by evil intent.” 117 III. Legal Standards A. Legal Standard on a Motion for Summary Judgment Summary judgment is appropriate when the pleadings, discovery, and affidavits demonstrate “no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law.” 118 To decide whether a genuine dispute as to any material fact exists, the court considers “all of the evidence in the record but refrain[s] from making credibility determinations or weighing the evidence.” 119 All reasonable inferences are drawn in favor of the nonmoving party. 120 Yet “unsupported allegations or affidavits setting forth ‘ultimate or conclusory facts and conclusions of law’ are insufficient to either support or defeat a motion for summary judgment.”121 If the entire record “could not lead a rational trier of fact to find for the non-moving party,” then no genuine issue of fact exists and, consequently, the moving party is entitled to judgment as a 115 Id. at 15–16. 116 Id. 117 Id. at 16. 118 Fed. R. Civ. P. 56(a); see also Little v. Liquid Air Corp., 37 F.3d 1069, 1075 (5th Cir. 1994). 119 Delta & Pine Land Co. v. Nationwide Agribusiness Ins. Co., 530 F.3d 395, 398–99 (5th Cir. 2008). 120 Turner v. Baylor Richardson Medical Center, 476 F.3d 337, 343 (5th Cir. 2007) (quoting Reeves v. Sanderson Plumbing Prods., Inc., 530 U.S. 133, 150 (2000)) 121 Galindo v. Precision Am. Corp., 754 F.2d 1212, 1216 (5th Cir. 1985); Little, 37 F.3d at 1075. 17 Case 2:18-cv-08972-NJB-JVM Document 151 Filed 05/31/22 Page 18 of 37 matter of law. 122 The nonmoving party may not rest upon the pleadings. 123 Instead, the nonmoving party must identify specific facts in the record and articulate the precise manner in which that evidence establishes a genuine issue for trial. 124 The party seeking summary judgment always bears the initial responsibility of showing the basis for its motion and identifying record evidence that demonstrates the absence of a genuine issue of material fact. 125 “To satisfy this burden, the movant may either (1) submit evidentiary documents that negate the existence of some material element of the opponent’s claim or defense, or (2) if the crucial issue is one on which the opponent will bear the ultimate burden of proof at trial, demonstrate that the evidence in the record insufficiently supports an essential element of the opponent’s claim or defense.” 126 If the moving party satisfies its initial burden, the burden shifts to the nonmoving party to “identify specific evidence in the record, and to articulate” precisely how that evidence supports the nonmoving party’s claims. 127 The nonmoving party must set forth “specific facts showing the existence of a ‘genuine’ issue concerning every essential component of its case.” 128 The nonmovant’s burden of demonstrating a genuine issue of material fact is not satisfied merely by creating “some metaphysical doubt as to the material facts,” “by conclusory 122 Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 587 (1986). 123 Celotex Corp. v. Catrett, 477 U.S. 317, 325 (1986). 124 See id.; Ragas v. Tenn. Gas Pipeline Co., 136 F.3d 455, 458 (5th Cir. 1998). 125 Celotex, 477 U.S. at 323. 126 Duplantis v. Shell Offshore, Inc., 948 F.2d 187, 190 (5th Cir. 1991) (quoting Little, 939 F.2d at 1299). 127 Forsyth v. Barr, 19 F.3d 1527, 1537 (5th Cir. 1994), cert. denied, 513 U.S. 871 (1994); see also Morris v. Covan World Wide Moving, Inc., 144 F.3d 377, 380 (5th Cir. 1998). 128 Morris, 144 F.3d at 380; see also Bellard v. Gautreaux, 675 F.3d 454, 460 (5th Cir. 2012). 18 Case 2:18-cv-08972-NJB-JVM Document 151 Filed 05/31/22 Page 19 of 37 allegations,” by “unsubstantiated assertions,” or “by only a scintilla of evidence.” 129 Moreover, the nonmoving party may not rest upon mere allegations or denials in its pleadings. 130 IV. Analysis In the instant motion, CHJ Defendants move for summary judgment on Counts 2, 3, and 6 of Plaintiffs’ Second Amended Complaint as well as Plaintiffs’ request for punitive damages. Under Count 2, Plaintiffs assert a claim under § 1983 for the “failure to supervise other defendants to ensure patients received appropriate care and supervision to protect patients from harm.” 131 In Count 3, Plaintiffs assert a claim under section § 1983 for deliberate indifference to Evans’ constitutional rights.132 In Count 6, Plaintiffs assert a Monell claim under § 1983 “based on establishment of policies, patterns or practices pursuant to which inmates with serious mental health conditions are denied access to appropriate medical care and prevention from harm.” 133 Plaintiffs also request punitive damages. 134 Title 42 U.S.C. Section 1983 provides that every “person” who, under color of any statute, ordinance, regulation, custom, or usage of any State subjects, or “causes to be subjected,” any person to the deprivation of any federally protected rights, privileges, or immunities shall be civilly liable to the injured party. “Section 1983 provides a cause of action against any person who 129 Little, 37 F.3d at 1075 (internal citations omitted). 130 Morris, 144 F.3d at 380. 131 Rec. Doc. 38 at 28. 132 Id. at 29. 133 Id. at 32. 134 Id. at 35. 19 Case 2:18-cv-08972-NJB-JVM Document 151 Filed 05/31/22 Page 20 of 37 deprives an individual of federally guaranteed rights ‘under color’ of state law.” 135 “The traditional definition of acting under color of state law requires that the defendant in a § 1983 action have exercised power ‘possessed by virtue of state law and made possible only because the wrongdoer is clothed with the authority of state law.’” 136 Thus, to establish a claim under § 1983, a plaintiff must establish (1) a violation of rights secured by the Constitution or laws of the United States and (2) demonstrate that the alleged deprivation as committed by a person acting under color of state law. 137 The Fifth Circuit has recognized that “[t]he constitutional rights of a pretrial detainee . . . flow from both the procedural and substantive due process guarantees of the Fourteenth Amendment.” 138 The Court has further explained that “[t]hese rights include the right to medical care and the right to protection from known suicidal tendencies.” 139 Specifically, detainees have a right “not to have their serious medical needs met with deliberate indifference.” 140 To succeed on a claim for deliberate indifference, a plaintiff must show that (1) the official was ‘aware of facts from which the inference could be drawn that a substantial risk of serious harm exists’ and (2) the official actually drew that inference. 141 However, “[a]n official is not liable unless he ‘knows of 135 Filarsky v. Delia, 566 U.S. 377, 383 (2012) (quoting 42 U.S.C. § 1983). 136 West v. Atkins, 487 U.S. 42, 49 (1988) (quoting United States v. Classic, 313 U.S. 299, 326 (1941)). 137 Randolph v. Cervantes, 130 F.3d 727 (5th Cir. 1997). 138 Garza v. City of Donna, 922 F.3d 626, 632 (5th Cir. 2019) (quoting Hare v. City of Corinth, 74 F.3d 633, 639 (5th Cir. 1996)) 139 Id. (internal citations omitted). 140 Kelson v. Clark, 1 F.4th 411, 417 (5th Cir. 2021). 141 Id. (quoting Dryer v. Houston, 964 F.3d 372, 389 (5th Cir. 2020). 20 Case 2:18-cv-08972-NJB-JVM Document 151 Filed 05/31/22 Page 21 of 37 and disregards an excessive risk’ to a plaintiff’s safety.” 142 Deliberate indifference “cannot be inferred merely from a negligent or even a grossly negligent response to a substantial risk of serious harm.” 143 Instead, a plaintiff “must show that the officials refused to treat him, ignored his complaints, intentionally treated him incorrectly, or engaged in any similar conduct that would clearly evince a wanton disregard for any serious medical needs.” 144 For these reasons, deliberate indifference is “an extremely high standard to meet.” 145 In a § 1983 claim for failure to train or supervise, a plaintiff must show that (1) the supervisor either failed to train or supervise 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. 146 To assert a 1983 clean against a municipality rather than an individual, a plaintiff must establish both (i) “that a constitutional violation occurred” and (ii) “that a municipal policy was the moving force behind the violation.” 147 Under the latter, a plaintiff must show three things: (1) an “official policy or custom ‘was a cause in fact of the deprivation of rights inflicted,’ 148 (2) the 142 Id. (citing Garza v., 922 F.3d at 635). 143 Id. (quoting Thompson v. Upshur Cnty., 245 F.3d 447, 459 (5th Cir. 2001)). 144 Id. (quoting Domino v. Tex. Dept’ of Crim. Just., 239 F.3d 447, 756 (5th Cir. 2001)). 145 Id.(quoting Domino, 239 F.3d at 756)). 146 Goodman v. Harris County, 571 F.3d 388, 395 (5th Cir. 2009) (quoting Smith v Brenoettsy, 158 F.3d 908, 911–91 (5th Cir. 1998)). 147 Sanchez v. Young Cnty., Texas, 956 F.3d 785, 791 (5th Cir. 2020), cert. denied, 141 S. Ct. 901, 208 L. Ed. 2d 455 (2020). 148 Spiller v. City of Texas City, Police Dept., 130 F.3d 162, 167 (5th Cir. 1997) (quoting Leffall v. Dallas Indep. Sch. Dist., 28 F.3d 521, 525 (5th Cir. 1994)). 21 Case 2:18-cv-08972-NJB-JVM Document 151 Filed 05/31/22 Page 22 of 37 policy “served as a moving force” behind the constitutional violation, 149 and (3) the policy was decided on by a policymaker with “either actual or constructive knowledge of the alleged policy.” 150 Here, CHJ Defendants argue that they are entitled to summary judgment for three reasons: (1) CHJ Defendants argue that all of Plaintiff’s § 1983 claims fail because negligence is not actional able under § 1983; (2) CHJ Defendants argue that Plaintiff’s claims in Count 3 for deliberate indifference against CHJ should be dismissed because § 1983 does not permit claims for vicarious liability; and (3) CHJ Defendants argue that Plaintiffs cannot recover punitive damages. The Court will address each argument in turn. A. CHJ Defendants’ Argument that All of Plaintiffs § 1983 Claims Fail Based on the Medical Review Panel’s Determination CHJ Defendants argue that they are entitled to judgment on all of Plaintiffs’ § 1983 claims because the Medical Review Panel determined that CHJ Defendants did not fail to meet the applicable standard of care. 151 Plaintiffs raised state law claims for medical malpractice in Count 8. 152 On July 8, 2019, the Court stayed this action pending an opinion by a medical review panel formed pursuant to the Louisiana Medical Malpractice Act. 153 Louisiana law states that “[n]o action against a health care provider . . . may be commenced in any court before the claimant’s 149 Id. (internal citations and quotation marks omitted). 150 Cox v. City of Dallas, 430 F.3d 734, 748–49 (5th Cir. 2005) (citing Piotrowski v. City of Houston, 237 F.3d 567, 579 (5th Cir. 2001)). 151 Rec. Doc. 67-2 at 10–11. 152 Rec. Doc. 38 at 2, 33. 153 Rec. Doc. 54. 22 Case 2:18-cv-08972-NJB-JVM Document 151 Filed 05/31/22 Page 23 of 37 proposed complaint has been presented to a medical review panel.” 154 The Medical Review Panel in this case rendered its opinion on May 4, 2021, finding that the evidence “does not support the conclusion that [CHJ Defendants] failed to meet the applicable standard of care.” 155 According to CHJ Defendants, this determination means that Plaintiffs will not be able to prove that CHJ Defendants acted “with something more than mere negligence,” which is required to establish deliberate indifference. 156 Nevertheless, the Medical Review Panel’s determination is not conclusive proof foreclosing Plaintiffs’ claims. Under Louisiana law, the panel’s opinion is not even dispositive as to whether there was medical malpractice. The Louisiana Supreme Court has explained that although the panel’s opinion is “admissible as evidence in any action subsequently brought” in court, the opinion “shall not be conclusive.” 157 Rather, “as with any expert testimony or evidence, the medical review panel opinion is subject to review and contestation by an opposing viewpoint,” and “the jury as trier of fact, is free to accept or reject any portion or all of the opinion.” 158 In addition, Louisiana law permits a party to challenge the board’s opinion if its decision was based on its resolution of disputed material facts. 159 Although the panel’s opinion may be strong evidence against Plaintiffs’ claims to the jury, at the summary judgment stage the Court must “refrain[] from 154 La. Rev. Stat. § 40:1231.8(B)(1)(a)(i) (formerly La. Rev. Stat. § 40:1299.47(B)(1)(a)(i)). 155 Rec. Doc. 67-4. 156 Id. 157 McGlothlin v. Christus St. Patrick Hosp., No. 10-2775 (La. 7/1/11); 65 So. 3d 1218, 1227. 158 Id. at 1227. 159 Id. at 1229–30. 23 Case 2:18-cv-08972-NJB-JVM Document 151 Filed 05/31/22 Page 24 of 37 making credibility determinations or weighing the evidence.” 160 Therefore, the panel’s opinion does not necessarily preclude Plaintiffs from demonstrating “something more than mere negligence.” As a result, Defendant is not entitled to summary judgment on this basis. Plaintiffs provide various pieces of evidence in support of their argument that CHJ Defendants acted with deliberate indifference. “[E]ach defendant’s subjective deliberate indifference, [or lack thereof], must be examined separately.” 161 Thus, the Court turns to that inquiry now. 1. Alleged Deliberate Indifference of Jennings Plaintiffs contend that Jennings was deliberately indifferent to Plaintiffs medical needs. In support, Plaintiffs point to various pieces of evidence in the record suggesting that throughout Evans’ detention, Jennings failed to ensure that Evans saw Dr. Lo, failed to follow up with Evans on numerous occasions, 162 that Jennings interactions with Evans were short and did not take place in a confidential setting, 163 and that Jennings took only cursory notes during their meetings.164 Plaintiffs also provide evidence that Jennings’ assessed Evans on September 1, 2017, and documented the following: IM state he is having SI. Has no plans, but does not know what the future holds. Does not know about his future. Said he hears voices of his ex-girlfriend and is dead now. SI associated with his legal problems. PTSD is attributed to being to was [sic] in Iraq and Afganastan [sic]. No past suicide attempts. Denied command hallucinations. Feeling depressed – poor sleep. Wakes up at night, energy level 160 Delta & Pine Land Co. v. Nationwide Agribusiness Ins. Co., 530 F.3d 395, 398–99 (5th Cir. 2008). 161 Stewart v. Murphy, 174 F.3d 530, 537 (5th Cir. 1999); see also Tamez v. Manthley, 589 F.3d 764, 770 (5th Cir. 2009). 162 Rec. Doc 126-7 at 20–30. 163 Rec. Doc. 126-2. 164 Id. 24 Case 2:18-cv-08972-NJB-JVM Document 151 Filed 05/31/22 Page 25 of 37 ‘alright’, decreased appetite, rumination, hopeless. IM said his depression a 10 on 10 scale. 165 Additionally, despite Jennings’ notation that Evans had “[n]o past suicide attempts,” the evidence in the record shows that Evans had made a previous suicide attempt on March 24, 2017. 166 Plaintiffs provide evidence of a JPSO deputy’s statement that he observed “Evans with a piece of fabric around his neck and on his cell gate. Inmate Evans was leaning away from the gate causing the fabric to be (appeared) tightened in an attempt to restrict air flow.” 167 The evidence further suggests that Jennings’ was aware of this attempt, as Jennings was the one who subsequently discharged him after he was placed on suicidal watch following this incident. 168 Plaintiffs provide evidence that Evans was put on suicide watch for a second time from September 1, 2017 to September 6, 2017. 169 Furthermore, Plaintiffs point to medical records indicating that Evans did not receive any mental health treatment or evaluation during those five days. 170 Plaintiffs point to Jennings’ deposition testimony confirming that he and Dr. Lo were the only mental health providers, and that Evans “wouldn’t have been seen by a mental health professional person during that period” because “[i]t was a long weekend.” 171 Plaintiffs’ further point to evidence that this was a violation of CHJ policies. For example, Plaintiffs point to evidence 165 Rec. Doc. 126-7 at 29. 166 Rec. Doc. 18. 167 Id. 168 Rec. Doc. 126-7 at 127. 169 Id. at 132–166. 170 Rec. Doc. 126 at 15. 171 Rec. Doc. 126-8 at 198. 25 Case 2:18-cv-08972-NJB-JVM Document 151 Filed 05/31/22 Page 26 of 37 of CHJ’s policy stating that the “Level 1” patient designation—which Evans received 172— “requires that the medical provider evaluate that patient every day when on site.” 173 Lastly, Plaintiffs note that Evans was ultimately discharged from suicide watch by Jennings, 174 despite the fact that Jennings was aware that two other detainees, Jerome Bell and Joshua Belcher, had recently died by hanging from their cells after Jennings discharged them from suicide watch.175 There is also evidence in the record that on September 6, 2017, the day Jennings’ discharged Evans from suicide watch, Jennings’ was in the infirmary from 9:15 AM and 9:33 AM to speak with six detainees. 176 The CHJ infirmary log book states that during this time, “Social Worker David Jennings speaks with Suicide Inmates backed by Deputy T. Wilkerson.” 177 It further states that at 9:33 AM, Jennings took three of the detainees off suicide watch, including Evans. 178 The Fifth Circuit has explained that a “disagreement about the recommended medical treatment is generally not sufficient to show deliberate indifference,” and a plaintiff must instead show that a defendant “denied him treatment, ignored his complaints, knowingly treated him incorrectly, or otherwise evidenced a wanton disregard for his serious medical needs.” 179 The 172 Rec. Doc. 126-8 at 190. 173 Rec. Doc. 126-10 at 8. 174 Rec. Doc. 126 at 15. 175 See Belcher v. Lopinto, 492 F. Supp. 3d 636, 644 (E.D. La. 2020) (Milazzo, J.) (noting that Jerome Bell and Joshua Belcher died by suicide on August 4, 2017 and August 17, 2017, respectively, after being discharged from suicide watch by Jennings). 176 Rec. Doc. 127-22 at 14–15. 177 Id. at 14. 178 Id. at 15. 179 Carlucci v. Chapa, 884 F.3d 534, 538 (5th Cir. 2018). 26 Case 2:18-cv-08972-NJB-JVM Document 151 Filed 05/31/22 Page 27 of 37 defendant’s conduct “must be ‘wanton,’ which is defined to mean ‘reckless.’” 180 However, deliberate indifference “cannot be inferred merely from a negligent or even a grossly negligent response to a substantial risk of serious harm.” 181 Another section of this Court recently considered a similar claim brought on behalf of Joshua Belcher, who also died by hanging from his cell grate after being discharged from suicide watch by Jennings. In Belcher v. Lopinto, the court was faced with the following evidence: (1) Belcher had been placed on suicide watch following a failed suicide attempt; (2) Jennings evaluated Belcher twice while on suicide watch, both of which lasted fewer than twenty minutes; (3) Belcher had been experiencing symptoms of withdrawal while at JPCC; and (4) Jennings knew that another detainee, Jerome Bell, died by hanging two weeks prior after being discharged from suicide watch by Jennings. 182 Considering these facts, the court determined that “a reasonable factfinder could therefore conclude that Jennings drew an inference of a substantial risk of harm to Belcher from the very fact that Belcher’s risk of suicide was obvious,” and that “by ordering Belcher’s discharge from suicide watch with full knowledge of Belcher’s high risk of self-harm, a factfinder could easily find that Jennings disregarded that risk.” 183 The court went on to find that Jennings’ deliberate indifference “emanated from the policies and practices of [CHJ] that were maintained and adopted with objective deliberate indifference.” 184 180 Baughman v. Hicman, 935 F.3d 302, 307 (5th Cir. 2019). 181 Dryer v. Houston, 964 F.3d 374, 381 (5th Cir. 2020). 182 Belcher v. Lopinto, 492 F. Supp. 3d 636, 655–56 (E.D. La. 2020) (Milazzo, J.). 183 Id. 184 Id. at 656. 27 Case 2:18-cv-08972-NJB-JVM Document 151 Filed 05/31/22 Page 28 of 37 Although Belcher is non-binding on this Court,185 Belcher is nevertheless instructive. In fact, Plaintiffs’ claim here is even stronger than the plaintiff’s in Belcher. Here, as in Belcher, Jennings knew that Evans had previously attempted suicide. 186 Evans had also reported to Jennings only three weeks earlier that he was experiencing suicidal ideations, that he was hearing voices of his deceased ex-girlfriend, that he had PTSD attributable to his experience serving in Iraq and Afghanistan, and that he rated his depression a ten on a scale of one to ten. 187 Furthermore, whereas the court in Belcher found that Jennings’ two, twenty minute visits with Belcher during his suicide watch supported a finding of deliberate indifference, the record here demonstrates that Jennings did not meet with Evans at all until the day of discharge. 188 Furthermore, although the record does not reflect how long Jennings spent with Evans that day prior to discharging him, the evidence does indicate that Jennings spent a total of eighteen minutes in the infirmary to visit with six detainees, and ultimately discharged three of them including Evans.189 Lastly, whereas the court in Belcher found that Jennings’ knowledge of Jerome Bell’s suicide following a premature 185 Belcher also involved the additional hurdle of demonstrating the existence of a policy or custom that was the moving force behind Jennings’ deliberate indifference. Unlike in this case where Plaintiffs sued Jennings and Dr. Lo individually, the plaintiffs in Belcher instead sued only CHJ. The Fifth Circuit has made clear that it “employ[s] different standards depending on whether the liability of the individual defendant or the municipal defendant is at issue.” Baughman v. Hickman, 935 F.3d 302, 207 (5th Cir. 2019). (quoting Olabisiomotosho v. City of Houston, 185 F.3d 521, 526 (5th Cir. 1999)). “For the individual defendant, the plaintiff must establish that the official(s) acted with subjective deliberate indifference to prove a violation of [her] constitutional rights.” Olabisiomotosho, 185 F.3d at 527 (internal quotation omitted). However, “[t]o succeed in holding a municipality liable, the plaintiff must demonstrate a municipal employee’s subjective indifference and additionally that the municipal employee's act ‘resulted from a municipal policy or custom adopted or maintained with objective deliberate indifference to the [plaintiff]'s constitutional rights.’” Id. (alteration in original) (quoting Hare, 74 F.3d at 649). Therefore, Plaintiffs here can establish a deliberate claim against Jennings individually without demonstrating that Jennings conduct was the result of a municipal policy. 186 Rec. Doc. 126-7 at 127. 187 Id. at 29 188 Rec. Doc. 126-8 at 197. 189 Rec. Doc. 127-22 at 14–15. 28 Case 2:18-cv-08972-NJB-JVM Document 151 Filed 05/31/22 Page 29 of 37 discharge from suicide watch supported a finding of deliberate indifference, here Jennings knew of both Jerome Bell and Joshua Belcher’s suicides. Given Jennings knowledge of Evans’ mental health history, his prior suicide attempt, his recent reports of suicidal ideation, and the suicides of two other inmates following discharge form suicide watch a month prior, the Court is convinced that a reasonable jury could conclude that Jennings’ decision to discharge Evans from suicide watch after only the most cursory of interactions was sufficiently reckless as to constitute deliberate indifference. 2. Alleged Deliberate Indifference of Dr. Lo Plaintiffs also contend that Dr. Lo was deliberately indifferent to Evans’ medical needs. 190 Plaintiffs point to evidence that Dr. Lo was “aware of a number of factors” that increased Evans’ risks of suicide as well as the fact that his condition was getting worse over time. 191 Specifically, as with Jennings, Plaintiffs point to the medical records demonstrating that Evans was a veteran with a history of PTSD, he had attempted suicide, he had requested to see a psychiatrist, he received medication, he expressed suicidal ideations, and that he was suffering from paranoia and hallucinations and requested stronger medication before he died. 192 Despite this knowledge, Plaintiffs contend that Dr. Lo was deliberately indifferent to Evans’ medical needs because: (1) Dr. Lo’s visits with Evans did not take place in a confidential setting; 193 (2) Dr. Lo failed to evaluate Evans with the frequency his symptoms required; 194 (3) Dr. Lo “inappropriately” 190 Rec. Doc. 126 at 19. 191 Id. at 19–20. 192 Rec. Doc. 126-7. 193 Rec. Doc. 126 at 21. 194 Id. 29 Case 2:18-cv-08972-NJB-JVM Document 151 Filed 05/31/22 Page 30 of 37 prescribed Risperdal. 195 Plaintiffs’ complaints about Dr. Lo’s treatment, however meritorious, are not sufficient to rise to the level of deliberate indifference. Plaintiffs’ claim against Dr. Lo as to the frequency, location, and method of treatment are “classic example[s] of a matter for medical judgment” which are not sufficient to establish a claim for deliberate indifference. 196 As the Fifth Circuit has explained, “[u]nsuccessful medical treatment, acts of negligence, or medical malpractice do not constitute deliberate indifference, nor does a [detainee’s] disagreement with his medical treatment, absent exceptional circumstances.” 197 A plaintiff must show that the defendant “denied him treatment, ignored his complaints, knowingly treated him incorrectly, or otherwise evidenced a wanton disregard for his serious medical needs.” 198 Here, although Plaintiffs contend that Dr. Lo’s treatment was incorrect in numerous ways, including by prescribing Evans a medication that, according to Plaintiffs is not approved to treat PTSD, 199 Plaintiffs have not offered any evidence that Dr. Lo did so intentionally. Whether Dr. Lo’s treatment of Evans was ultimately negligent, grossly negligent, or even amounted to medical malpractice is not the subject of this motion. However, assuming Dr. Lo’s treatment of Evans was inadequate, claims based on “unsuccessful medical treatment, negligence, or medical malpractice” are insufficient to establish a claim for deliberate indifference. 200 Unlike with Jennings, Plaintiffs do not point to evidence that Dr. Lo was 195 Id. at 22. 196 Dryer v. Houston, 964 F.3d 374, 381 (5th Cir. 2020). 197 Govert v. Caldwell, 463 F.3d 339, 346 (5th Cir. 2006). 198 Carlucci v. Chapa, 884 F.3d 534, 538 (5th Cir. 2018). 199 Rec. Doc. 126 at 22. 200 Delaughter v. Woodall, 909 F.3d 130, 137 (5th Cir 2018). 30 Case 2:18-cv-08972-NJB-JVM Document 151 Filed 05/31/22 Page 31 of 37 similarly involved in discharging Evans from suicide watch despite the knowledge that two other detainees had recently died by suicide following discharge. Therefore, CHJ Defendants are entitled to summary judgment on Plaintiffs’ claim that Dr. Lo acted with deliberate indifference to Evans’ medical needs. B. CHJ’s Argument that § 1983 Does not Permit Claims for Vicarious Liability CHJ Defendants argue that Plaintiffs’ deliberate indifference claim against CHJ in Count 3 should be dismissed because § 1983 does not permit claims for vicarious liability.201 Plaintiffs respond that although municipalities may not be held vicariously liable, a private company like CHJ can be. 202 As explained above, § 1983 “provides a cause of action against any person who deprives an individual of federally guaranteed rights ‘under color’ of state law.” 203 The Supreme Court has held that municipal entities are “persons” under the definition of § 1983. 204 However, the Supreme Court in Monell v. Department of Social Services of City of New York held that “a municipality cannot be held liable solely because it employs a tortfeasor—or, in other words, a municipality cannot be held liable under § 1983 on a respondent superior theory.” 205 Rather, a municipality can be liable under § 1983 “only where the municipality itself causes the constitutional violation at issue.” 206 The issue before the Court is whether CHJ—a private company—is considered a 201 Rec. Doc. 67-2 at 11–12. 202 Rec. Doc. 126 at 30. 203 Filarsky, 566 U.S. at 383 (quoting 42 U.S.C. § 1983) (emphasis added). 204 City of Oklahoma City v. Tuttle, 471 U.S. 808, 810 (1985). 205 436 U.S. 658, 691 (1978). 206 City of Canton v. Harris, 489 U.S. 378, 385 (1989). 31 Case 2:18-cv-08972-NJB-JVM Document 151 Filed 05/31/22 Page 32 of 37 municipality for these purposes. Plaintiff points to the Seventh Circuit’s decision in Shields v. Illinois Department of Corrections in support of its argument that a private corporation can be held liable on a respondeat superior theory. In that case, however, the Seventh Circuit began its analysis by noting that under controlling Seventh Circuit precedent, “respondeat superior liability does not apply to private corporations under § 1983,” but rather such a corporation can be held liable only if “the constitutional violation was caused by an unconstitutional policy or custom of the corporation itself.” 207 Acknowledging that the panel was bound by these precedents, the court went on to argue that these precedents should be reconsidered and that private corporations should be liable under a respondeat superior theory. 208 Nevertheless, the court acknowledged that all other circuits which have addressed the issue have determined that respondeat superior liability does not apply to private corporations providing government services. 209 As discussed above, to establish a claim under § 1983 the plaintiff must prove that their rights were violated by a person acting under the color of state law. 210 However, “[t]o act ‘under color’ of law does not require that the accused by an officer of the state.” 211 A private company “acts under color of state law ‘when that entity performs a function which is traditionally the exclusive province of the state.’” 212 Although the Fifth Circuit has yet to address the issue, every 207 Shields v. Ill. Dep’t of Corrs., 746 F.3d 782, 789 (7th Cir. 2014). 208 Id. at 789–96. 209 Id. at 790. 210 Rosborough v. Mgmt. & Training Corp., 350 F.3d 459, 460 (5th Cir. 2003) (quoting West v. Atkins, 487 U.S. 42, 48 (1988). 211 Id. (quoting Adickes v. S.H Kress & Co., 398 U.S. 144, 152 (1970)). 212 Id. (quoting Wong v. Stripling, 881 F.2d 200, 202 (5th Cir. 1989). 32 Case 2:18-cv-08972-NJB-JVM Document 151 Filed 05/31/22 Page 33 of 37 circuit to do so, 213 as well as every section of this Court to consider the issue, 214 has determined that like municipalities under Monell, a private entity cannot be held vicariously liable under § 1983 for the acts of its employees. Nevertheless, the Court is aware that the Fifth Circuit is currently considering this precise issue on appeal in Moore v. LaSalle Corrections, Inc., a decision from the Western District of Louisiana. 215 Oral argument was held on May 11, 2022. The Court therefore will defer an ultimate ruling as to this argument pending the Fifth Circuit’s ruling on this issue. Therefore, at this time, CHJ Defendants are not entitled to summary judgment as to Plaintiffs’ claim in Count 3 that Defendant CHJ “is liable . . . under the doctrine of respondeat superior for the constitutional torts of its employees.” 216 C. CHJ Defendants’ Argument that Plaintiffs Cannot Recover Punitive Damages CHJ Defendants argue that they are entitled to summary judgment on Plaintiffs’ request for punitive damages because (1) punitive damages cannot be imposed against a municipal entity such as CHJ and (2) Plaintiffs cannot show that CHJ Defendants acted with “evil motive or intent.” The Court will address each argument in turn. 213 Iskander v. Village of Forest Park, 690 F.2d 126, 128 (7th Cir. 1982); Rojas v. Alexander’s Dept. Store, Inc., 924 F.2d 406, 408–09 (2d Cir. 1990); Powell v. Shopco Laurel Co., 678 F.2d 504, 506 (4th Cir. 1982); Street v. Corrections Corp. of America, 102 F.3d 810, 818 (6th Cir. 1996); Lux v. Hansen, 886 F.2d 1064, 1067 (8th Cir. 1989); Tsao v. Desert Palace, Inc., 698 F.3d 1128, 1139 (9th Cir. 2012); DeVargas v. Mason & Hanger–Silas Mason Co., 844 F.2d 714, 723 (10th Cir. 1988); Harvey v. Harvey, 949 F.2d 1127, 1129–30 (11th Cir. 1992). See also Lyons v. National Car Rental Systems, Inc., 30 F.3d 240, 246 (1st Cir.1994); Defreitas v. Montgomery County Corr. Facility, 525 Fed. App’x. 170, 176 (3d Cir. 2013). 214 Mixon v. Pohlmann, No. 20-1216, 2021 WL 6072501 at *14 (E.D. La. December 23, 2021) (Morgan, J.); Walker v. Pohlmann, No. 20-3464, 2021 WL 2579803 at *6 (E.D. La. June 23, 2021) (Feldman, J); Belcher v. Lopinto, 482 F. Supp. 3d 636, 651 (E.D. La. 2020) (Milazzo, J.). 215 429 F. Supp. 3d 285 (W.D. La. 2019). 216 Rec. Doc. 38 at 30. The Court further notes that CHJ Defendants’ motion did not argue that there was no CHJ policy or custom that was the moving force behind Evans’ constitutional violation. Therefore, the Court need not consider whether a CHJ policy or custom caused Evan’s constitutional violation. 33 Case 2:18-cv-08972-NJB-JVM Document 151 Filed 05/31/22 Page 34 of 37 1. Whether Punitive Damages May Be Imposed Against CHJ In City of Newport v. Fact Concerts, Inc., the Supreme Court considered whether a municipality could be held liable for punitive damages under § 1983. 217 The Court ultimately held that municipalities were immune from punitive damages because (1) there was no evidence that Congress intended to displace the “settled common-law” rule that municipalities were immune from such damages and (2) public policy considerations do not support exposing a municipality to punitive damages for the actions of its officials. 218 However, neither the Supreme Court nor any of the Courts of Appeals have decided whether private entities performing government functions are similarly immune from punitive damages under § 1983. Three district courts within the Fifth Circuit have held that such entities are also immune from punitive damages. 219 Nevertheless, the Court is aware that the Fifth Circuit is also considering this issue in the same appeal discussed above. 220 Oral argument was held on May 11, 2022. Therefore, the Court will similarly defer an ultimate ruling as to this argument pending the Fifth Circuit’s intervening ruling on this issue. 2. Whether Punitive Damages May be Imposed Against Jennings or Dr. Lo CHJ Defendants also argue that Plaintiffs cannot recover punitive damages against Jennings or Dr. Lo because there is “nothing to support the notion that [they] were motivated by evil motive or intent in their medical treatment. 221 Plaintiffs respond that there are “genuine issues 217 43 U.S. 247 (1981). 218 Id. at 271. 219 Id. See also Mixon, 2021 WL 6072501 at *18 (finding the reasoning in Moore persuasive and concluding that private entities performing government functions are immune from punitive damages); Carter v. Gautreaux, No. 19-105, 2021 WL 2785332 at *6 (M.D. La July 2, 2021) (citing Moore without conducting any separate analysis). 220 Moore v LaSalle Corrections, Inc., 429 F. Supp. 3d 285 (W.D. La. 2019). 221 Rec. Doc 67-2 at 14. 34 Case 2:18-cv-08972-NJB-JVM Document 151 Filed 05/31/22 Page 35 of 37 of material facts as to whether the actions and omissions” by Jennings and Dr. Lo meet the standard for punitive damages. 222 In Smith v. Wade, the Supreme Court held that a jury may award punitive damages in a § 1983 action when “the defendant’s conduct is shown to be motivated by evil motive or intent, or when it involves reckless or callous indifference to the federally protected rights of others.” 223 The Court further noted that this standard applies “even when the underlying standard of liability for compensatory damages is one of recklessness.” 224 Although Defendants argue that Plaintiffs cannot demonstrate that Jennings or Dr. Lo acted with “evil motive or intent,” Defendants ignore the second half of the Supreme Court’s punitive damages standard, allowing recovery of such damages for conduct that involves “reckless or callous indifference to the federally protected rights of others.” 225 “The callous indifference required for punitive damages is essentially the same as the deliberate indifference required for a finding of liability” under 1983. 226 As the Supreme Court explained in Wade, “[t]here has never been any general common-law rule that the threshold for punitive damages must always be higher than that for compensatory liability,” and therefore “in situations where the standard for compensatory liability is as high as or higher than the usual threshold for punitive damages, most courts will permit awards of punitive damages without 222 Rec. Doc. 126 at 34. 223 461 U.S. 30, 56 (1983). 224 Id. 225 461 U.S. 30, 56 (1983). 226 Cooper v Dyke, 814 F.2d 941, 948 (4th Cir. 1987); Castro v. Cnty of Los Angeles, 797 F.3d 654, 670 (9th Cir. 2015), affirmed 833 F.3d 1060 (9th Cir. 2016) (en banc) (incorporating “by reference the three-judge panel’s opinion as to punitive damages.”). 35 Case 2:18-cv-08972-NJB-JVM Document 151 Filed 05/31/22 Page 36 of 37 requiring any extra showing.” 227 Because the “deliberate indifference” and “reckless or callous indifference” standards are essentially the same, CHJ Defendants are not entitled to summary judgment on Plaintiffs’ request for punitive damages because the Court has determined that a reasonable jury could find that Jennings’ acted with deliberate indifference to Evans’ medical needs. However, because the Court has determined that CHJ Defendants’ are entitled to summary judgment on Plaintiffs’ deliberate indifference claims as to Dr. Lo, they are also entitled to summary judgment on Plaintiffs’ request for punitive damages related to his conduct. 227 Wade, 461 U.S. at 53. 36 Case 2:18-cv-08972-NJB-JVM Document 151 Filed 05/31/22 Page 37 of 37 V. Conclusion Based on the foregoing, IT IS HEREBY ORDERED that CHJ Defendants’ “Motion for Summary Judgment On Plaintiffs’ 1983 Claims and Request for Punitive Damages” 228 is GRANTED IN PART, DENIED IN PART, and DEFERRED IN PART. The motion is GRANTED to the extent it seeks summary judgment on Plaintiffs’ claim for deliberate indifference against Dr. Lo and Plaintiffs’ request for punitive damages as to Dr. Lo’s conduct. The motion is DEFERRED to the extent it seeks dismissal of Plaintiffs’ claims for vicarious liability and punitive damages against CHJ pending the Fifth Circuit’s resolution of these issues in a pending appeal. The motion is DENIED in all other respects. 31stday of May, 2022. NEW ORLEANS, LOUISIANA, this ___ _________________________________ NANNETTE JOLIVETTE BROWN CHIEF JUDGE UNITED STATES DISTRICT COURT 228 Rec. Doc. 67. 37

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