Allen v. Iranon

99 F. Supp. 2d 1216, 1999 U.S. Dist. LEXIS 21869, 1999 WL 1894253
CourtDistrict Court, D. Hawaii
DecidedJuly 15, 1999
DocketCiv. 97-00175 ACK
StatusPublished
Cited by4 cases

This text of 99 F. Supp. 2d 1216 (Allen v. Iranon) is published on Counsel Stack Legal Research, covering District Court, D. Hawaii primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Allen v. Iranon, 99 F. Supp. 2d 1216, 1999 U.S. Dist. LEXIS 21869, 1999 WL 1894253 (D. Haw. 1999).

Opinion

FINDINGS OF FACT AND CONCLUSIONS OF LAW

KAY, District Judge.

FINDINGS OF FACT

1. Plaintiff Terence Allen, M.D., graduated from the University of California at San Francisco School of Medicine in 1976.

2. Dr. Kim Marie Thorburn graduated from the same school at the same time. Drs. Allen and Thorburn met in medical school and began living together in 1973.

3. After residency, Dr. Thorburn worked as a staff physician at various correctional institutions.

4. Dr. Allen went through additional training in anatomic and clinical pathology and became a board certified anatomic pathologist in 1982. He worked in the San Francisco Coroner’s Office for five years, and the Los Angeles County Coroner’s Office for another five years. He also had a private practice as a forensic pathologist for defense attorneys.

5. Defendant Guy Hall was named Warden of the Halawa Correctional Facility (“Halawa” or “HCF”) in November 1993, and he remained in that position until November 1995. In November 1995, he became Administrator for the Inspection, Evaluation and Compliance Division of the Department of Public Safety (“PSD” or “Department”). He resigned in July 1998.

6. Defendant George Iranon was the Director of the Department of Public Safety, first in an acting capacity and then as Director from July 1994 through December 1996.

7. Defendant Eric Penarosa was Deputy Director for Corrections from the early 1990s, and has been Acting Warden and then Warden at Halawa since November 1, 1995.

8. PSD had an Internal Affairs unit (“LA”), which had as one of its functions the duty to investigate complaints of misconduct made against employees of PSD.

9. The types of misconduct IA investigated included breaches of security and violations of the Department’s Standards of Conduct. The Standards of Conduct, among other things, required employees to treat each other with respect and to cooperate with each other.

10. Dr. Thorburn was recruited to the position of Administrator of the Health Care Division of the Hawaii Department of Corrections in order to bring the Hawaii prisons into compliance with national standards for inmate health care. One of the first projects she undertook was to develop written policies and procedures for the administration of health care in Hawaii’s prisons, including Halawa. These policies and procedures were first approved in the late 1980s by then-Director Harold Falk. They were further developed and refined during the tenure of the next Director, George Sumner. All of the relevant policies and procedures were in place when Defendant George Iranon took over the Department in July of 1994. These were the policies and procedures that governed the practice of medicine by Dr. Allen throughout his tenure in the Hawaii correctional system.

11. At that time, there were an insufficient number of physicians employed by the State to provide adequate services to *1219 the inmates, so the State hired private physicians on a “fee-for-service” basis.

12. The Department of Corrections relied heavily upon physicians associated with the Kokua Kalihi Valley Clinic (“KKVC”) to provide the additional physicians needed.

13. After Dr. Thorburn arrived, she notified the director of KKVC that she wanted the clinic to hire Dr. Allen so that he could provide services to the Department. Dr. Thorburn disclosed the nature of her relationship with Dr. Allen at that time. Dr. Allen then began working for KKVC and providing services part-time to the PSD on a fee-for-service basis.

14. Halawa housed the State’s High and Medium Security units. It had a combined population of approximately 1,200 inmates. Both the High and Medium Security units had Special Holding units, which were segregation cells. Halawa had a medical unit consisting of a Physician II position, a Physician I position, which was part-time, and a nursing staff headed by a Nurse V, who reported directly to Dr. Thorburn. Both the High and Medium Security units had clinics, and the Medium Security Unit had an infirmary.

15. This case is highly illustrative of the inherent tension between security staff and medical staff in correctional settings. Issues of medical autonomy and medical confidentiality were friction points throughout Dr. Allen’s ten years of work at Hawaii’s correctional facilities. This tension was aggravated by the intimate relationship between Plaintiff and Dr. Thorburn, and further exacerbated by the fact that some of the Halawa staff believed, rightly or wrongly, that Dr. Thorburn favored and protected Plaintiff, always came to his defense, and unquestioningly supported his decisions.

16. In 1990, Dr. Allen was in the Hala-wa Medium Security Special Holding Unit (“MSSH”) waiting to be released from a secured area by the Adult Corrections Officers (“ACOs”). Dr. Allen became impatient. The ACOs had a bulletin board, and on the board were articles and depictions that Dr. Allen found offensive. He had seen the postings on numerous occasions, but had not expressed his displeasure. This time, due to his irritation at having to wait, Dr. Allen began tearing articles from the board. ACO Chico Salgado, who was stationed in the unit, confronted Dr. Allen and told him he had no right to come into the unit and tear things off the bulletin board. The confrontation between Salga-do and Dr. Allen escalated, then culminated when Dr. Allen set off a fire alarm. The fire alarm necessitated evacuating the prison. Dr. Thorburn and Dr. Allen both acknowledged that Dr. Allen’s behavior regarding this incident was inappropriate.

17. From 1987 through March of 1994, Dr. Allen publicly disclosed on several occasions mistreatment of inmates by ACOs. He provided testimony critical of the prison administration in 1990 at a legislative committee hearing on conditions in the prisons. During this same period he also had disagreements on occasion with security personnel about medical issues, such as his need to examine inmates without shackles, and the need for complete privacy during medical exams. Despite such incidents over this seven year period, Dr. Allen was never referred to Internal Affairs, locked out of a facility, or otherwise disciplined. Rather, these problems were handled administratively.

18. Dr. Allen continued to see signs of inmate abuse at Halawa after Guy Hall was appointed Warden in late 1993. Dr. Allen testified that, although there were no physical signs of abuse, the inmates showed signs of psychological abuse. Dr. Allen sent a memo to Guy Hall in December of 1993, expressing his concern about conditions at MSSH. According to Dr. Allen, such concerns included psychological abuse of inmates, which was manifested in increasing signs of inmate stress, hunger strikes and generalized decompensation. Warden Hall did not respond to Dr. Allen’s memo.

*1220 19. Dr. Allen consulted Dr. Thorburn about these problems, and she suggested that Dr. Allen call the Attorney General’s office. Dr. Allen telephoned Deputy Attorney General (“AG”) Tom Farrell, referring to the situation as an “epidemic.” Farrell arranged to meet with Dr. Allen on March 1,1994.

20.

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Bluebook (online)
99 F. Supp. 2d 1216, 1999 U.S. Dist. LEXIS 21869, 1999 WL 1894253, Counsel Stack Legal Research, https://law.counselstack.com/opinion/allen-v-iranon-hid-1999.