Office of the Public Guardian v. Elliot Hospital

District Court, D. New Hampshire·Decided September 20, 2022·No. 1:21-cv-00705·Unknown

Opinion

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF NEW HAMPSHIRE

Office of the Public Guardian

v. Civil No. 21-cv-705-LM Opinion No. 2022 DNH 115 P Elliot Hospital, et al.

O R D E R

The Office of the Public Guardian, in its capacity as guardian of Seth Brunelle, sues defendants Elliot Hospital and Joey Scollan, Doctor of Osteopathic Medicine, (the “Elliot Defendants”) and Hillsborough County. Against the Elliot Defendants, the Guardian brings claims under 42 U.S.C. § 1983 for violations of the First, Eighth, and Fourteenth Amendments and medical malpractice claims under New Hampshire law.1 Prior to the close of discovery, the Elliot Defendants move for summary judgment. Doc. no. 12. They argue that they are not liable under § 1983 because they did not act under color of state law, and that, absent the § 1983 claims, the court lacks supplemental jurisdiction over the state-law claims. The Guardian

1 On September 8, 2022, the court granted the Guardian’s motion to amend the complaint. The Guardian filed that motion after the Elliot Defendants moved for summary judgment. The amended complaint differs from the original complaint only in that it: (1) includes additional allegations related to defendant Hillsborough County’s policies; and (2) withdraws the Guardian’s § 1983 claims under the First and Eighth Amendments against Hillsborough County. The Elliot Defendants did not object to the motion to amend. Nor have they argued that the changes in the objects. For the following reasons, the court denies the motion without prejudice as to the Fourteenth Amendment claims to allow the Guardian additional time to

complete discovery, denies the motion without prejudice as to the medical malpractice claims, and grants the motion as to the First and Eighth Amendment claims.

STANDARD OF REVIEW Summary judgment is proper only if the moving party can demonstrate that there is no evidence in the record to support a judgment for the nonmoving party.

Borges v. Serrano-Isern, 605 F.3d 1, 5, 8 (1st Cir. 2010); see also Fed. R. Civ. P. 56(a). If the moving party succeeds in making that showing, “the burden shifts to the nonmoving party, who must, with respect to each issue on which she would bear the burden of proof at trial, demonstrate that a trier of fact could reasonably resolve that issue in her favor.” Borges, 605 F.3d at 5. In evaluating a motion for summary judgment, the courts must view the evidence in the light most favorable to the

nonmoving party, must draw all reasonable inferences in that party’s favor, and may neither make credibility determinations nor weigh the evidence. Harris v. Scarcelli, 835 F.3d 24, 29 (1st Cir. 2016); Hicks v. Johnson, 755 F.3d 738, 743 (1st Cir. 2014). BACKGROUND2 Brunelle has a longstanding history of psychiatric and substance abuse issues with numerous hospitalizations for mania, psychosis, catatonia, and

physically aggressive behavior. Brunelle’s medical providers treated him over the years with a variety of prescription medications. In addition, starting at least eight years before the summer of 2018, Brunelle’s medical providers treated him using electroconvulsive therapy. At the time of the events giving rise to this case, Brunelle was receiving electroconvulsive therapy treatment on a weekly basis. Both medications and electroconvulsive therapy were necessary for managing Brunelle’s mental health issues.

On May 23, 2018, Brunelle was an inpatient in the psychiatric unit of Elliot Hospital. On that day, an officer with the Manchester Police Department, which maintains a detail at Elliot Hospital, responded to a complaint that Brunelle had physically assaulted security personnel at the hospital. The officer arrested Brunelle, and he was subsequently charged with four counts of assault. Brunelle

2 For the purposes of their motion for summary judgment, the Elliot Defendants stipulated to all the factual allegations in the complaint. The court therefore accepts the allegations in the complaint as true for the purposes of this order. See In re Durability Inc., 212 F.3d 551, 555 (10th Cir. 2000) (“Generally, on motions for summary judgment, courts regard stipulations of fact as admissions of the parties that are conclusive without further evidentiary support in the record.”). While the court has granted the Guardian's motion to amend the complaint, the parties do not argue that the additional allegations affect the motion for summary judgment and the court does not relay them in this order. In addition to the allegations, the court has also considered the affidavits and documentary evidence the parties attached to their briefs. Consistent with the summary judgment standard, the court considers the facts in the light most favorable to the Guardian. was apparently brought to the Hillsborough County House of Corrections—known as Valley Street Jail—after his arrest. The following day, the New Hampshire Circuit Court issued a bail order. The

Circuit Court ordered police officers to transport Brunelle from Valley Street Jail to the New Hampshire State Hospital for an evaluation and admission. The order stated that, upon admission to the State Hospital, Brunelle was to remain there until hospital staff determined it was appropriate to discharge him. The bail order directed Brunelle to comply with all treatment and testing recommendations, including taking all prescribed medications and submitting to diagnostic testing. The bail order added that Brunelle would be held on $1,000 personal recognizance

for the duration of his stay at the State Hospital. Finally, the bail order provided that, if the State Hospital discharged Brunelle, his personal recognizance bail would immediately convert to $1,000 cash bail. About a week and a half into his stay, the State Hospital and Brunelle’s parents, who were his legal guardians at the time, began discussing a conditional discharge from the State Hospital and a transfer to Westbridge, a residential

treatment facility in Manchester. See RSA 135-C:50 (authorizing administrators of facilities holding involuntarily committed individuals, such as the State Hospital, to discharge those individuals subject to specified conditions, including ongoing out- patient treatment at community mental health programs or transitional housing programs). They also established a contingency plan if Brunelle became symptomatic while at Westbridge. Under this plan, Brunelle’s parents were to take him to the emergency room and initiate an involuntary emergency admission so he could receive mental health treatment. See RSA 135-C:27-28 (establishing a procedure for individuals to petition for involuntary emergency admissions to the State Hospital). Next, Brunelle’s parents and State Hospital staff would determine

whether to initiate a temporary revocation of the conditional discharge and, if necessary, place him on the wait list for readmission to the State Hospital. See RSA 135-C:51 (establishing a procedure for revoking an individual’s conditional discharge if they violate the terms of their conditional discharge). About a month and a half after his admission—on July 10—Brunelle moved to amend his bail conditions to facilitate the State Hospital’s decision to conditionally discharge him to Westbridge. The motion sought to continue his

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