Showing posts with label prisoners rights. Show all posts
Showing posts with label prisoners rights. Show all posts

Monday, August 8, 2011

Transgender People’s Right to Access Medical Treatment in Prison Upheld by Federal Court

The U.S. Court of Appeals for the Seventh Circuit today upheld the right of transgender people to receive medical care while they are incarcerated. The American Civil Liberties Union, the ACLU of Wisconsin and Lambda Legal had challenged a Wisconsin law that prohibited prison doctors from prescribing hormone treatment or sex reassignment surgery to transgender inmates.

“This was a discriminatory law that cruelly singled out transgender people by denying them – and only them – the medical care they need,” said John Knight, senior staff attorney with the ACLU Lesbian Gay Bisexual and Transgender Project. “Too often the medical needs of transgender persons are not treated as the serious health issues that they are. We are glad that the appeals court has found that medical professionals, not the Wisconsin legislature, should make medical decisions for inmates.”

The appeals court wrote: “Surely, had the Wisconsin legislature passed a law that DOC inmates with cancer must be treated only with therapy and pain killers, this court would have no trouble concluding that the law was unconstitutional. Refusing to provide effective treatment for a serious medical condition serves no valid penological purpose and amounts to torture.”

In 2005, the state of Wisconsin passed a law that barred prison doctors from providing transgender inmates medically necessary hormone therapy or sex reassignment surgery while in state custody. The ACLU, the ACLU of Wisconsin and Lambda Legal sued the state on behalf of transgender inmates, some of whom had been receiving hormone treatment in Wisconsin prisons for years. An injunction was granted to continue hormone treatment until a ruling was made. In April 2010, after a full trial, a federal district court struck down the so-called “Inmate Sex Change Prevention Act.”

“The court correctly ruled that denying prisoners medical treatment constitutes cruel and unusual punishment,” said Dru Levasseur, Lambda Legal’s transgender rights attorney. “The medical needs of transgender people don’t disappear once they enter prison. We’re glad that the court has ruled that the legislature cannot outlaw the only effective treatment for some people with Gender Identity Disorder.”

“This decision should make it abundantly clear that it is unconstitutional to deny transgender inmates hormone therapy and sex reassignment surgery absent a medical basis for doing so,” said Larry Dupuis, legal director of the ACLU of Wisconsin.

Read more about this case including the text of the court's decision on the American Civil Liberties Union Fields v. Smith case profile page or on Lambda Legal's case page.

Media coverage of the court victory included stories in the Wisconsin State Journal (AP wire stories ran in Chicago, the Twin Cities and other areas in the country), Milwaukee Journal Sentinelthe Advocate, the Wall Street Journal law blog and LGBT-related blogs around the country.

Thursday, August 19, 2010

ACLU of WI Wins Federal Lawsuit Over Grossly Deficient Health Care in WI Women's Prisons

Here is an update on how the ACLU is settling a lawsuit charging inadequate care at the Taycheedah women’s prison. Dramatic improvements in medical and mental health care will ensure female prisoners receive same levels of care as male inmates.

The American Civil Liberties Union, the ACLU of Wisconsin and the law firm Jenner and Block have filed papers seeking court approval of an agreement to settle a longstanding class-action lawsuit charging that grossly deficient medical and mental health care jeopardized the lives of female prisoners at the state’s largest women’s prison.

As part of the agreement, filed on August 20th in the U.S. District Court for the Eastern District of Wisconsin, state officials have agreed to implement a number of significant structural improvements aimed at ensuring that constitutionally adequate levels of care are provided to all prisoners at the Taycheedah Correctional Institution (TCI), and that female prisoners receive the same levels of mental health care as the state’s male prisoners.

“Today’s settlement is a real victory for all female prisoners at TCI who will no longer have to suffer needlessly in a system that fails to comply with the requirements of the U.S. Constitution,” said Gabriel Eber, staff attorney with the ACLU National Prison Project. “This settlement will lead to dramatic improvements in the quality of health care prisoners will receive.”

Under terms of the settlement agreement, state correctional officials must hire a full-time medical director who will oversee all health care at TCI, be on-site five-days-a-week and be devoted to administration and patient care. State officials will also be required to hire a consultant charged with regularly monitoring the medical care being provided to prisoners, provide recommendations about how to improve care and analyze TCI’s compliance with agreed-upon health care performance standards.

State officials must also complete construction by June 2012 of an off-site women’s resource center that will accept prisoners from TCI who need inpatient-level psychiatric services. Construction of planned annexes at TCI which will provide space for out-of-cell therapeutic activities and group and individual therapy for prisoners with serious mental illnesses must also be completed by June 2012.

Additionally, state officials must make a number of improvements to ensure the safety and access to core programs and services of prisoners with disabilities, including providing prisoners with hearing impairments access to sign language interpreters, reading assistance and Braille materials for prisoners with vision impairments and increased maintenance of paths, walkways and thoroughfares between buildings.

“The health care system at TCI has been in crisis for years and today’s settlement agreement is a monumental step toward achieving much-needed improvements and accountability,” said Larry Dupuis, Legal Director of the ACLU of Wisconsin. “The measures that will be put in place will have a positive impact not only on the prisoners at TCI but on the communities to which prisoners will return upon release.”

The first-of-its-kind class action lawsuit was filed in 2006 by the ACLU on behalf of women prisoners at TCI. The lawsuit charged that the state prison system put the lives of women prisoners at risk through grossly deficient health care, provided far inferior mental health treatment as compared to men and failed to provide reasonable accommodations to allow prisoners with disabilities to access basic prison services.

The lawsuit sought reforms to the system so that constitutionally adequate care be made available. Last year, U.S. District Court Judge Rudolph T. Randa entered a preliminary injunction ordering that significant changes be made immediately to TCI's dangerous system of administering medications to prisoners.

The ACLU's lawsuit charged that the prison's health system violates the Constitution's Eighth Amendment prohibition on cruel and unusual punishment and that the mental health care system violated the Fourteenth Amendment guarantee of equal protection, because the women received mental health care far inferior to what male prisoners receive.

A copy of the settlement agreement is available online.

We've blogged before about our progress in the case. As the lawsuit is being settled, the story is getting media attention from Wisconsin Public Radio (RealPlayer audio), the Milwaukee Journal Sentinel, the Wisconsin State Journal, UPI and News Talk WTAQ.com. The Milwaukee Journal Sentinel article has a lively comments section, so please post your comments in support of the continued work of the ACLU of Wisconsin to secure humane conditions in our state prison system.

Friday, April 2, 2010

Victory! Federal Court Says Transgender People Allowed Medical Treatment in Prison

On Wednesday, March 31, the U.S. District Court for the Eastern District of Wisconsin struck down a law that barred transgender people from receiving medical care while they are incarcerated. The American Civil Liberties Union and Lambda Legal challenged the law in January 2006 on behalf of transgender prisoners, some of whom had been receiving hormones in Wisconsin prisons for years prior to the passage of the law.

"This decision recognizes that many transgender prisoners require individualized medical treatment. While the court’s ruling does not require any particular treatment, it does mean that doctors are the ones who make these medical decisions," said John Knight, a senior staff attorney with the ACLU’s LGBT Project. "The court’s decision is just common sense."

Overriding concerns raised by of the Department of Corrections medical personnel, the Wisconsin legislature passed a law, effective in January 2006, that prohibited prison doctors from deciding the best course of treatment for transgender people by barring them from prescribing any type of hormone therapy or sex reassignment surgery for transgender people in state custody.

"The court understood that medical treatment is critical for transgender people and that medical decisions should be made by doctors not legislators," said Dru Levasseur, Lambda Legal’s Transgender Rights attorney. "The state cannot decide to withhold treatment from people because they disapprove of their gender identity or medical needs: it’s unconstitutional."

The lawsuit charged that it is a violation of the Constitution’s guarantee of equal protection as well as the guarantee against cruel and unusual punishment to bar transgender inmates from access to individualized medical care. The legal groups based their challenge on federal case law that establishes that health care providers must determine proper treatment for all prison inmates.

The court ruled that the statute’s ban on medical care constitutes deliberate indifference to the plaintiff’s serious medical needs in violation of the Eighth Amendment inasmuch as enforcement of the statute results in the denial of hormone therapy without regard for the individual medical needs of inmates and the medical judgment of their health care providers.

According to the ACLU and Lambda Legal, Wisconsin is the only state in the country to have enacted a law denying transgender people access to medical care while in state custody. The legal team includes John Knight, a senior staff attorney with the ACLU LGBT Project; Larry Dupuis, Legal Director of the ACLU of Wisconsin; Cole Thaler and Levasseur, former and current Transgender Rights Project attorneys at Lambda Legal and cooperating attorney Erik Guenther of Hurley, Burish & Stanton, S.C.

Find out more about the Sundstrom v. Frank case on-line, on the Lambda Legal website or read the judge's order.

The news did get some media attention in Wisconsin. There was an article in the Milwaukee Journal Sentinel article and on WISN-ABC 12. The news will likely fuel lots of transphobic sentiments like what you'd find in the Dakota Voice blog (noteworthy: bloggers are pointing out how judges are either elected or appointed by elected officials and that elections matter).

But despite such backlash, things are changing for the trans community. For example, this year, the Obama Administration has added transgender/gender identity to the list of classes of people against whom discrimination in federal employment is prohibited. Check out this page on the ACLU website that answers lots of questions about the rights of transgender people and the law. It covers discrimination law, family law, criminal hate crimes and more.

Saturday, November 28, 2009

One Step Closer to Fixing Inadequate Care at WI Women's Prison

ACLU Lawsuit Charging Inadequate Care At Women’s Prison To Proceed: Federal Judge Rejects State Request To Dismiss Class Action Lawsuit

This week, a federal judge denied a request by Wisconsin state officials to dismiss a class action lawsuit filed by the American Civil Liberties Union, the ACLU of Wisconsin and the law firm of Jenner & Block charging that grossly deficient health care and mental health treatment jeopardizes the lives of women prisoners at a state prison.

In a sternly-worded ruling, U.S. District Court Judge Rudolph T. Randa said there “is a great deal of evidence demonstrating that there are systemic and gross deficiencies in staffing, facilities and procedures” at the Taycheedah Correctional Institution (TCI), Wisconsin’s largest women’s prison, and that the evidence suggests that state prison officials “are and have been subjectively aware of the risks that are posed by the administration of medical and mental health care at TCI.” Judge Randa described the state’s attempt to have the case dismissed as “curious” given that the state’s own expert witness described health care at TCI as a system “designed to let people ‘fall through the cracks.’”

“I am pleased that the court is allowing our litigation to proceed and look forward to bringing the case to trial,” said Gabriel Eber, staff attorney with the ACLU National Prison Project. “Without court-ordered changes, women at TCI will continue to suffer needlessly in a system that still fails to comply with the requirements of the Constitution.”

In a first-of-its-kind class action lawsuit filed in 2006 on behalf of women prisoners in Wisconsin, the ACLU charges that the state prison system puts the lives of women prisoners at risk through grossly deficient health care, provides far inferior mental health treatment as compared to men and fails to provide reasonable accommodations to allow prisoners with disabilities to access basic prison services. Judge Randa’s decision allows all three claims to proceed to trial.

The lawsuit asks the court to order reforms to the system so that constitutionally adequate care is made available. In April 2009, Judge Randa entered a preliminary injunction ordering that significant changes be made immediately to TCI’s dangerous system of administering medications to prisoners.

The ACLU’s lawsuit charges that the prison’s health system violates the Constitution’s Eighth Amendment prohibition on cruel and unusual punishment. The lawsuit also charges the health system violates the Fourteenth Amendment guarantee of equal protection, because the women receive mental health care far inferior to what male prisoners receive. The ACLU says in the lawsuit that these lapses in mental health care occur against the backdrop of a prison system that has a suicide rate of twice the national average.

“Judge Randa’s decision recognizes a ‘mountain of evidence’ showing the continued failure of state officials to fix a system that has been in crisis for years,” said Larry Dupuis, Legal Director of the ACLU of Wisconsin. “It is far past time that state officials be held accountable.”

The lawsuit names as defendants a number of senior officials in the state corrections department as well as Wisconsin Governor Jim Doyle.

A copy of Judge Randa’s ruling is available online as well as a copy of the ACLU complaint.