CHICAGO (CN) - The 7th Circuit revived some of the claims of parents who blamed Indiana prison officials and medical staff for the death of their 21-year-old schizophrenic son, who died from drinking too much water while awaiting transfer to a psychiatric hospital.
The three-judge panel ruled that Nicholas Rice's parents are entitled to a jury trial on claims that their son suffered inhumane living conditions - because prison officials failed to clean his cell, which was caked with his own urine, feces, and uneaten food - as well as Indiana state law wrongful death claims.
The prison saga and subsequent legal battle began on March 5, 2003, when Rice, of Stevensville, Mich., stole a neighbor's car and drove to a KeyBank in Nappanee, Ind. Rice threatened to detonate a bomb if the teller refused to give him money. Then he walked out of the bank without explanation or money and returned home. He was arrested for auto theft and jailed in Berrien County, Mich.
Rice had exhibited mental problems in high school and was diagnosed with undifferentiated schizophrenia. He was prescribed medications but did not always take them and stopped altogether when he was removed from his parents' medical insurance.
"It soon became apparent to the Michigan authorities that Rice had mental difficulties," 7th Circuit Judge Ilana Rovner wrote in the 84-page opinion. Rice refused to eat, was often unresponsive, and was so dirty he was hospitalized shortly after arriving at the jail. Rice was found not competent to stand trial and was committed to Kalamazoo Psychiatric Hospital for 2 months.
When he was discharged in August 2003, he was identified as a suspect in the failed Indiana bank robbery and was taken to Elkhart Jail in Indiana. He was booked in September 2003 and bail was set at $20,000, preventing his release.
Elkhart's healthcare services are contracted to Correctional Medical Services, a Missouri-based healthcare company, and the lead defendant in this case.
CMS screened Rice upon arrival and noted his schizophrenia. Dr. Bryce Rohrer, who visited Elkhart Jail once a week, wrote Rice a prescription for the anti-psychotic Seroquel.
When Rice refused to take the medication and was exhibiting troubling signs of psychosis, including refusal to eat and unresponsiveness, Rohrer petitioned the court to involuntarily commit Rice to a mental facility for 72 hours. The court grated his request and Rice was admitted to Oaklawn Psychiatric Center, which had a contract with CMS to serve inmates.
But the treating physician at Oaklawn, Dr. Salvador Ceniceros, decided that there was no reason for Rice to be there. He concluded that the significant improvement he observed within hours of Rice's arrival suggested malingering - faking psychotic symptoms. He discharged Rice within 24 hours and certified that Rice should be capable of standing trial.
Rice was committed to Oaklawn again after he continued to exhibit schizophrenic behaviors at Elkhart. He lost 50 pounds due to refusal to eat, refused to take his medication or wear clothing, and had to be forcibly removed from his cell and showered.
At one point, Rice struck a cellmate in the eye and had to be subdued with pepper spray when he refused to comply with guards' orders to step out of his cell. After being placed in a restraint chair, Rice refused to leave and remained there for 18 hours. Guards had to drag him from the chair and return him to his cell.