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.