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Supreme Court affirmed the denial of summary judgment dismissal in a jail suicide case. Rappaport v. Corr. Med. Care, 159 N.Y.S.3d 205 (N.Y. App. Div. 2021)

The case of Adam Rappaport highlights the legal responsibilities of law enforcement and medical providers in ensuring the safety of individuals in custody. Rappaport was found hanging in his cell, which led to a lawsuit against several parties, including Correctional Medical Care, Inc. (CMC) and the Town of Guilderland. The plaintiff, individually and as the administrator of Rappaport’s estate, brought forth claims of negligence, wrongful death, and violations of federal law.

Background Facts
Adam Rappaport had a history of heroin use and was in the process of withdrawing when he was arrested on October 15, 2014. The following day, he was transferred from the custody of the Town of Guilderland to Albany County for detention at the Albany County Correctional Facility (ACCF). Upon his transfer to ACCF, Rappaport underwent a screening process conducted by a nurse employed by Correctional Medical Care, Inc. (CMC). During this screening, the nurse noted Rappaport’s history of heroin abuse, anxiety, depression, and bipolar disorder. Rappaport reported that he had injected two bundles of heroin the day before his arrest and informed the nurse that he had never considered or attempted suicide. Despite his medical history and the fact that he was withdrawing from heroin, Rappaport was placed in the general population rather than being referred to the mental health unit.

Over the next two days, withdrawal checks were conducted on Rappaport, but no significant symptoms were noted. However, on October 18, 2014, Rappaport was found hanging in his cell. This led to a lawsuit filed by Rappaport’s estate against several parties, including CMC and the Town of Guilderland. The plaintiff alleged negligence, wrongful death, and violations of 42 USC § 1983, claiming that the defendants had failed to properly care for Rappaport and prevent his suicide. Both CMC and the Town of Guilderland sought summary judgment to dismiss the claims against them.

Issue
Whether Correctional Medical Care, Inc. (CMC) and the Town of Guilderland were negligent in their duties to properly screen, supervise, and care for Adam Rappaport while he was in custody. Specifically, the court had to determine if the defendants’ actions or inactions contributed to Rappaport’s death and whether his suicide was a foreseeable consequence of their alleged negligence. The court also needed to address whether CMC adhered to its own policies and procedures when it decided not to place Rappaport under constant supervision or refer him for a further mental health evaluation. Additionally, the court examined whether the Town of Guilderland was negligent in failing to report Rappaport’s suicidal risk to the officials at ACCF.

Holding
The court ultimately affirmed the order of the Supreme Court, which denied the defendants’ motions for summary judgment.

Rationale
The court’s decision was based on several key factors. First, the court considered the evidence presented by CMC regarding Rappaport’s initial screening and subsequent care while he was in custody at ACCF. CMC provided testimony and expert opinions suggesting that the screening process and withdrawal checks conducted on Rappaport were in line with the applicable standard of care. However, the plaintiff’s expert countered this by arguing that CMC had failed to adhere to its own policies and procedures, particularly regarding the assessment of Rappaport’s mental health and suicidal tendencies. The plaintiff’s expert also pointed out that Rappaport should have been placed under constant supervision due to his recent heroin use and withdrawal, which was not done.

The court also took into account the testimony of the booking officer and the nurse who conducted Rappaport’s screening at ACCF. The nurse’s screening form indicated that Rappaport had previously been incarcerated at ACCF and had a history of counseling and mental health treatment. Despite this, Rappaport was not referred to the mental health unit, and his withdrawal checks were not conducted as frequently as required. The court found that these omissions raised questions about whether CMC had followed its own protocols and whether these failures contributed to Rappaport’s death.

As for the Town of Guilderland, the court examined whether the officers who transferred Rappaport to ACCF had adequately communicated his mental health history and suicidal tendencies to the ACCF staff. The Town argued that Rappaport’s suicide was not foreseeable and that they had no obligation to inform ACCF of his mental health history. However, the court found evidence suggesting that the officers were aware of Rappaport’s suicidal thoughts and mental health history and that they should have communicated this information to ACCF. The court concluded that there was a factual question as to whether the Town’s failure to report this information constituted negligence.

Furthermore, the court addressed the issue of foreseeability, which is a key element in determining negligence. The defendants argued that Rappaport’s suicide was an unforeseeable, spontaneous act and that they could not have predicted or prevented it. However, the court noted that the foreseeability of harm is typically a question of fact to be determined by a jury, especially in cases involving suicide. The court found that the evidence presented by the plaintiff raised a triable issue of fact regarding whether Rappaport’s suicide was a foreseeable consequence of the defendants’ actions or inactions.

In addition, the court rejected the defendants’ argument that the actions of ACCF staff or Rappaport’s father constituted superseding causes that broke the causal chain. The court explained that, under New York law, a superseding cause is an event that intervenes between the defendant’s conduct and the plaintiff’s injury, and which is sufficient to break the chain of causation. However, the court found that the actions of ACCF staff and Rappaport’s father were not superseding causes and that the defendants could still be held liable for their alleged negligence.

Finally, the court addressed the issue of summary judgment, which is a legal procedure used to resolve a case without a trial when there are no genuine issues of material fact. The court explained that summary judgment is only appropriate when the moving party can demonstrate that there are no disputed issues of fact and that they are entitled to judgment as a matter of law. In this case, the court found that there were several factual disputes that needed to be resolved by a jury, including whether CMC adhered to its policies and procedures, whether the Town of Guilderland was negligent in its handling of Rappaport’s transfer, and whether Rappaport’s suicide was a foreseeable consequence of the defendants’ actions. As such, the court denied the defendants’ motions for summary judgment and allowed the case to proceed to trial.

Conclusion

The case of Adam Rappaport is a stark reminder of the responsibilities that law enforcement and medical providers have in ensuring the safety and well-being of individuals in custody. The court’s decision to deny the defendants’ motions for summary judgment underscores the importance of following established protocols and procedures, particularly when dealing with individuals who have a history of substance abuse and mental health issues.

If you or a loved one has suffered serious injuries while incarcerated in a New York prison, it’s important to immediately seek legal help. Contact an experienced New York prisoner abuse lawyer at Stephen Bilkis & Associates to discuss your rights and potential claims, and to ensure you receive the justice and compensation you deserve.

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