Giddings v. Centurion Behavioral Health Staff

CourtDistrict Court, D. Maryland
DecidedJuly 13, 2023
Docket1:22-cv-02516
StatusUnknown

This text of Giddings v. Centurion Behavioral Health Staff (Giddings v. Centurion Behavioral Health Staff) is published on Counsel Stack Legal Research, covering District Court, D. Maryland primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Giddings v. Centurion Behavioral Health Staff, (D. Md. 2023).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF MARYLAND

WARREN GIDDINGS, *

Plaintiff, *

v. * Civ. No. DLB-22-2516

CENTURION BEHAVIORAL HEALTH * STAFF, et al., * Defendants. *

MEMORANDUM OPINION Self-represented plaintiff Warren Giddings, presently incarcerated at Jessup Correctional Institution (“JCI”), filed this civil rights action pursuant to 42 U.S.C. § 1983 against Centurion Behavioral Health Staff, Dr. Claudia Howard, M.D., Dr. Oludolapo Kale, M.D., Dr. Chase Butala, M.D., and Christina Mullins, R.N. (collectively, the “Centurion defendants”); the Maryland Department of Health Board of Professional Counselors and Therapists Staff and the Maryland Board of Nursing Staff (collectively, the “Boards”); Centurion Medical Director, Centurion Regional Director, “Psychologist Robinson,” JCI Psychiatrist, JCI Psychology Staff, and JCI Psychologist/Therapist. ECF 1, 11. Giddings states that in May 2022, his psychiatric medication was discontinued, causing him depression, irrational thoughts, and mood swings. Id. at 2, 4. He alleges that the defendants ignored his requests to have the medication reinstated. He also alleges he was stripped of vocational training credits, good conduct credits, and his minimum classification status based on a false report and after a hearing for which his competency was not properly assessed. Against all defendants, he asserts claims of deliberate indifference to a serious medical need, medical malpractice, and a due process violation. Id. at 2–7. Giddings seeks $10 million in damages as well as declaratory and injunctive relief. Id. at 3.1 None of the defendants has been served. The Centurion defendants received a copy of the complaint and agreed to respond without having been served. ECF 9, 14. They moved to dismiss the complaint or, in the alternative, for summary judgment. ECF 16. Giddings opposed the motion

and moved for the Court to serve the Boards. ECF 8, 18. Having reviewed the submitted materials, the Court finds that no hearing is necessary. See Loc. R. 105.6 (D. Md. 2021). For the reasons set forth below, the Centurion defendants’ motion, construed as one for summary judgment, is granted. Giddings’ motion to serve the Boards is denied, and his claims against the Boards and the remaining defendants are dismissed pursuant to 28 U.S.C. § 1915A. I. Background In 2020, Giddings, who at the time was incarcerated at a state facility in Hagerstown, Maryland, was prescribed Lithium to treat his bipolar disorder. See ECF 16-4, at 2. On April 1, 2022, he complained about side effects to Tina Carder, R.N., and asked for a different medication.

ECF 16-1, ¶ 5. She told him he had to wait for the results of pending lab tests to discuss treatment options. Id. On April 11, 2022, Dr. Howard met with Giddings and discontinued the prescription in order to take “the safest course regarding his medication.” ECF 16-4, at 7. At the time, Giddings showed no signs of mania, psychosis, chronic depression, or anxiety, and he denied homicidal or

1 Giddings did not name the individual defendants in the caption of the complaint, but he referenced Dr. Howard, Mullins, and Robinson within his statement of claim and stated in his supplement that all defendants referenced in his complaint should be listed as defendants. ECF 1, 11. The defendants provided the names of Drs. Kale and Butula. Because Giddings stated he was “not sure” whether they were involved in the facts of this case and that he was “not entirely sure of the identity of all Centurion defendants, other than their job title,” the Court treats all of the individuals named in the complaint and identified by the defendants as named defendants. suicidal ideations. ECF 16-4, at 7-11. At that time, the bloodwork taken on March 30 showed Giddings had elevated ALT/AST levels, sodium below the normal limit, and was experiencing side-effects related to Lithium such as weight gain, increased thirst, and increased urination. ECF 16-4, at 11, 33. According to Dr. Howard, Giddings’ weight gain put him at risk for Diabetes Mellitus and Metabolic Syndrome, both of which are precursors to cardiovascular disease. ECF

16-2, ¶ 5. Moreover, Giddings had developed hypothyroid disease while taking Lithium, and his kidneys were being adversely affected. Id. Dr. Howard was concerned that continuing the medication would cause “irreversible damage.” Id. Giddings requested sick visits on April 21, 25, and twice on April 26 because he felt that he needed to be on a mood stabilizer. ECF 16-4, at 38-39. On April 22, Mullins evaluated Giddings and noted that Giddings was concerned about the discontinuation of his Lithium. ECF 16-4, at 35. She told him that they needed to wait for lab results from bloodwork that was scheduled for May (four weeks after Lithium was discontinued) before restarting the medication or prescribing another one. ECF 16-1, ¶ 8. Giddings became verbally abusive and called her a

“stupid roach” and a “bitch,” and Mullins wrote a ticket against Giddings. ECF 16-4, at 35. Mullins saw Giddings again on April 26 and explained that “it is not the intent to withhold mental health services. However, it is our intent to provide mental health services in a safe capacity, with the least amount of harm.” Id. at 18 (emphasis in original). She noted that illicit drug use could be causing the side effects Giddings was experiencing. ECF 16-1, ¶ 9. Mullins stated that the safest course of action would be to analyze lab work regarding Giddings’ liver function before continuing or starting a new medication regimen. ECF 16-4, at 18. Giddings became combative again, and Mullins ended the visit prematurely and wrote another ticket. Id. On April 29, Dr. Glenroy Robinson evaluated Giddings for individual counseling, during which time Giddings appeared to be stable, although “tense” and “agitated.” Id. at 41–42. Giddings denied any recent or current suicidal or homicidal ideations. Id. On May 13, Mullins noted that the lab work results were in and a follow up visit with the psychiatrist was scheduled for May 16. Id. at 43. On May 16, Dr. Howard met with Giddings to

review his labs and explained that, based on his mental status exam and his admission that he was “taking medication from another inmate” and “he d[id] not know what he was taking,” Dr. Howard was unable to prescribe medications due to possible drug interactions. Id. at 45. Dr. Howard noted that Giddings was clinically stable at the time of the visit. Id. Giddings alleges in his unverified complaint that when his psychiatric medication was discontinued, he began experiencing depression, irrational and homicidal thoughts that were “spiraling out of control,” mood swings, and personality changes. ECF 1, at 2, 4. He claims he reported his symptoms to the Centurion Medical and Regional Directors but was ignored. Id. at 4. Giddings also alleges he informed Mullins, who “refused to do anything” and instead “falsified

an incident report” against him. Id. In addition, he claims Robinson and Dr. Howard ignored him, which he asserts amounted to deliberate indifference. Id. at 5. Around May 26, 2022, Giddings was transferred to JCI. See ECF 16-1, ¶ 13. On May 30, he requested a sick visit and was referred to a mental health care provider for follow-up. ECF 16- 4, at 53. On June 6, JCI Psychiatrist Dr. Kirsten George evaluated Giddings and reinstated his Lithium prescription. Id. at 56–57. According to Giddings, the JCI psychiatrist said“ there was no reason for [the Hagerstown psychiatrist] to take [you] off of your meds. . . . She was wrong to have taken you off it.” ECF 1, at 5.

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