Brian Farabee v. Robert Gardella

131 F.4th 185
Court of Appeals for the Fourth Circuit·Decided March 11, 2025·No. 21-7220·Published·Cited by 10 cases

Opinion

PUBLISHED

UNITED STATES COURT OF APPEALS FOR THE FOURTH CIRCUIT

No. 21-7220

BRIAN DAMON FARABEE, Plaintiff - Appellant,

v.

DR. ROBERT GARDELLA, Psychiatrist; CHRISTY F MCFARLAND, Psychologist; DANIEL HERR, Deputy Assistant Commissioner,

Defendants - Appellees.

Appeal from the United States District Court for the Western District of Virginia, at Roanoke. Michael F. Urbanski, Senior District Judge. (7:16-cv-00326-MFU-JCH)

Argued: October 29, 2024 Decided: March 11, 2025

Before GREGORY and HARRIS, Circuit Judges, Louise W. FLANAGAN, United States District Judge for the Eastern District of North Carolina, sitting by designation.

Reversed and vacated by published opinion. Judge Gregory wrote the opinion, in which Judge Harris and Judge Flanagan joined. Judge Harris wrote a concurring opinion.

ARGUED: Jordan L. Moran, GOODWIN PROCTER, LLP, Washington, D.C., for Appellant. Brendan Chestnut, OFFICE OF THE ATTORNEY GENERAL OF VIRGINIA, Richmond, Virginia, for Appellees. ON BRIEF: James Nikraftar, Santa Monica, California, Samarth Prashant Bhat, New York, New York, Andrew Kim, GOODWIN PROCTER, LLP, Washington, D.C., for Appellant. Jason S. Miyares, Attorney General, Allyson K. Tysinger, Senior Assistant Attorney General, Karen A.D. Taylor, Senior Assistant Attorney General, Andrew N. Ferguson, Solicitor General, Erika L. Maley, Principal Deputy Attorney General, M. Jordan Minot, Assistant Solicitor General, OFFICE OF THE ATTORNEY GENERAL OF VIRGINIA, Richmond, Virginia, for Appellees.

GREGORY, Circuit Judge:

Brian Farabee suffers from borderline personality disorder and has spent all of his adult life hospitalized for treatment or imprisoned for crimes committed while he was hospitalized. Farabee filed the underlying action pursuant to 42 U.S.C. § 1983 against Dr. Robert Gardella, a staff psychiatrist at Western State Hospital; Dr. Christy McFarland, a staff psychologist at Western State Hospital; and Daniel Herr, a Deputy Assistant Commissioner of Behavioral Health Services for the Virginia Department of Behavioral Health and Development Services (collectively, “Appellees”). Farabee alleges that Appellees violated his right to Due Process, denied him clinically recommended treatment, unnecessarily restrained and isolated him in violation of his right to Due Process; denied him the right to free association; forcibly medicated him; seized his person; and discriminated against him in violation of his rights under the United States Constitution and the Americans with Disabilities Act (“ADA”).

Without first providing Farabee with an opportunity to conduct discovery or ensuring that he was properly informed of Federal Rule of Civil Procedure Rule 56’s (“Rule 56”) requirements, the district court granted Appellees’ summary judgment on all of his claims on the grounds that the record was devoid of a material dispute of fact and that Appellees were entitled to summary judgment. We conclude that the district court erred in granting pre-discovery summary judgment on Farabee’s claims. Accordingly, we vacate the district court’s summary judgment decisions without reaching the merits and remand this case for further proceedings.

I.

Brian Farabee has suffered from and been periodically hospitalized for severe mental illness since childhood. Farabee v. Clarke, 967 F.3d 380, 384 (4th Cir. 2020). In 1999, while a patient in Virginia’s Eastern State Hospital, Farabee attempted to take his own life by setting his bed sheets on fire after learning of a family member’s death. Id.; see also J.A. 152. He was charged with arson but ultimately deemed not guilty by reason of insanity (“NGRI”) due in part to an evaluation by clinical psychologist, Dr. Kevin McWilliams, who diagnosed Farabee with borderline personality disorder. Clarke, 967 F.3d at 384; J.A. 457. Other doctors who have treated Farabee also offered the same diagnosis. J.A. 458.

Dr. McWilliams warned that “long-term placement in institutional settings virtually never prove useful for treatment of borderline personality disorder” and instead can cause the patient’s behavior to worsen. In Dr. McWilliams’s view, Farabee clinically required “much more intensive and sophisticated therapy for childhood abuse/neglect issues” than he was receiving. He also noted that medication would be ineffective in treating Farabee, stating “that pharmacological interventions have no proven utility for this disorder,” except that “a sleeping or sleepy patient is less likely to act-out.” J.A. 168. He recommended “outpatient counseling” and other services in the Virginia Beach area, where Farabee’s maternal grandparents lived and were willing to assist in his transition. Id. Additionally, he advised that “[h]ospital stays, when necessary due to self-mutilation, should be brief and not endure beyond one day.” Id. According to Dr. McWilliams, hospitalizing or committing Farabee until he is “stable” could “result in a life sentence to a psychiatric hospital.” Farabee v. Yaratha, 801 Fed. App’x 97, 99 (4th Cir. 2020).

Instead, Dr. McWilliams opined that “the right treatment for Farabee” was “dialectical behavior therapy (“DBT”), a treatment for borderline personality disorder that involves intense one-on-one discussion of past traumas and is administered by psychologists. Id. at *101.

Despite Dr. McWilliams’s recommendation, Farabee was involuntarily committed to Central State Hospital (“CSH”), where he requested but never received DBT. Id. Shortly after his arrival at CSH, Farabee was charged with two counts of malicious wounding for his role in an altercation at the hospital. Clarke, 967 F.3d at 384. He pleaded guilty and was sentenced to 20 years in prison. Id. However, the judge suspended all but three years and four months of Farabee’s sentence and placed him on supervised probation for 20 years. Id. While in prison, Farabee was again charged with malicious wounding, for an altercation with another inmate. Id. At sentencing, he asked the court to commit him, but the court “could not ‘find any clear and convincing evidence that Farabee was mentally ill’” and sentenced him to 10 years in prison in addition to his initial sentence. Id. at 384, 386.

In 2012, after Farabee completed his criminal sentences, Farabee was recommitted to Central State Hospital (“CSH”) where he was placed in the care of Dr. Sridhar Yaratha. Clarke, 967 F.3d at 384. Dr. Yaratha declined to treat Farabee with DBT despite Farabee’s prior diagnosis and another doctor’s reference to DBT as a basis for Farabee’s recommitment. Yaratha, 801 Fed. App’x at *100. According to the record, Dr. Yaratha did not offer DBT to Farabee because (1) he believed the risks of DBT outweighed its benefits to Farabee, (2) Farabee had not demonstrated that he could cooperate with therapists during a DBT session, and (3) CSH did not have a psychologist on staff who

could offer DBT. Id. at *100-01. Farabee therefore did not receive DBT during the three years he spent at CSH following his recommitment. Id. In April 2015 (as the Yaratha litigation proceeded), Virginia state officials sought to have Farabee’s probation revoked based on his involvement in another physical altercation at CSH. Clarke, 967 F.3d at 384– 85; see also Farabee v. Yaratha, No. 14-00118 (EDVA). The district court’s order directing service of Farabee’s amended complaint in Yaratha was filed on September 8, 2015, and entered on September 9, 2015. Farabee v. Yaratha, No. 14-00118 (EDVA), Docket No. 24. According to Farabee, these actions laid the foundation for the alleged constitutional violations at issue in this case.

II. 1

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Brian Farabee v. Robert Gardella, 131 F.4th 185 (4th Cir. 2025).

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