State ex rel. Sandy v. Spatny

CourtOhio Supreme Court
DecidedApril 3, 2026
Docket2025-0960
StatusPublished

This text of State ex rel. Sandy v. Spatny (State ex rel. Sandy v. Spatny) is published on Counsel Stack Legal Research, covering Ohio Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
State ex rel. Sandy v. Spatny, (Ohio 2026).

Opinion

[Until this opinion appears in the Ohio Official Reports advance sheets, it may be cited as State ex rel. Sandy v. Spatny, Slip Opinion No. 2026-Ohio-1176.]

NOTICE This slip opinion is subject to formal revision before it is published in an advance sheet of the Ohio Official Reports. Readers are requested to promptly notify the Reporter of Decisions, Supreme Court of Ohio, 65 South Front Street, Columbus, Ohio 43215, of any typographical or other formal errors in the opinion, in order that corrections may be made before the opinion is published.

SLIP OPINION NO. 2026-OHIO-1176 THE STATE EX REL. SANDY v. SPATNY, WARDEN. [Until this opinion appears in the Ohio Official Reports advance sheets, it may be cited as State ex rel. Sandy v. Spatny, Slip Opinion No. 2026-Ohio-1176.] Mandamus—Inmate failed to present clear and convincing evidence demonstrating that he has a clear legal right to receive drug-addiction treatment of his choice or that warden has a clear legal duty to make it available to him— Writ denied. (No. 2025-0960—Submitted January 6, 2026—Decided April 3, 2026.) IN MANDAMUS. __________________ The per curiam opinion below was joined by KENNEDY, C.J., and FISCHER, DEWINE, BRUNNER, DETERS, HAWKINS, and SHANAHAN, JJ. SUPREME COURT OF OHIO

Per Curiam. {¶ 1} In this original action for a writ of mandamus, relator, Joseph Sandy, seeks to compel respondent—Jerry Spatny, the warden of Grafton Correctional Institution (“Grafton”), where Sandy is confined—to make available to him medication-assisted-treatment (“MAT”) in the form of buprenorphine or methadone for a drug addiction. Spatny filed an answer denying most of Sandy’s allegations and asserting that Sandy has “no clear legal right to . . . placement in a MAT program which is not medically appropriate after he refused prior placement in a medically appropriate MAT program.” This court granted an alternative writ, setting a schedule for the submission of evidence and briefs. 2025-Ohio-4537. {¶ 2} The evidence establishes that appropriate Grafton staff members screened Sandy for the MAT program and that based on their clinical assessment, they recommended that he begin treatment with naltrexone. Sandy declined, objecting to the recommended form of treatment. For the reasons explained below, we conclude that Sandy has not presented clear and convincing evidence demonstrating that he has a clear legal right to receive the treatment of his choice or that Spatny has a clear legal duty to make it available to him. Moreover, the evidence shows that Sandy has an adequate remedy in the ordinary course of the law. Therefore, we deny Sandy’s complaint for a writ of mandamus. I. BACKGROUND {¶ 3} Unless otherwise indicated, all language quoted in Part I of this opinion is taken from the affidavit of Kristine Edwards, B.S.N., R.N., C.H.S.A., which Spatny submitted into evidence. Edwards is employed by the Ohio Department of Rehabilitation and Correction (“DRC”) as its policy and strategic- initiative administrator and as director of its MAT program. A. Medication-assisted treatment (MAT) {¶ 4} Medication-assisted treatment is “a type of addiction treatment that provides maintenance pharmacotherapy using an antagonist and/or agonist

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medication, which is combined with other comprehensive treatment services, including medical and psychosocial services.” {¶ 5} An antagonist medication, such as naltrexone, “blocks or inhibits a receptor’s activation and stops or reduces a physiological effect.” In layman’s terms, an antagonist “works like a blocker that sits in the lock” and “stops any other key (agonist or natural body chemical) from turning the lock.” {¶ 6} In contrast, “[b]uprenorphine/naloxone (aka Suboxone) is a partial opioid agonist” that “bind[s] to the same brain receptors as other opioids” and “reduces cravings and withdrawal symptoms.” In layman’s terms, an opioid- agonist medication “works like a key that fits and turns a lock, opening the door to a specific response.” “Methadone is a synthetic opioid agonist that acts on the same receptors as natural opioids, but, in correct doses, does not have the extreme euphoric effect of natural opioids.” B. DRC’s MAT program {¶ 7} Beginning in October 2022, DRC “expanded its [MAT] program” to offer treatment with naltrexone, Suboxone, or methadone “to all eligible inmates in state prison facilities” with the goal of “provid[ing] comprehensive care for individuals with opioid use disorder . . . within the Ohio correctional system.” “Upon intake, or as clinically indicated, incarcerated persons . . . are evaluated for [opioid-use disorder] and assessed for suitability for MAT” using an evidence- based questionnaire. Thereafter, Grafton clinical staff members “assess each [incarcerated person’s] substance use history, drug of choice, and drug screening results to determine the most clinically appropriate medication and treatment plan.” {¶ 8} Following the clinical assessment, an eligible incarcerated person “may” be offered treatment with Suboxone or methadone under DRC protocol No. K-12 or treatment with naltrexone under DRC protocol No. K-10. Treatment with Suboxone or methadone under DRC protocol No. K-12 is also referred to as the

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Opioid Treatment Program (“OTP”), which is part of DRC’s MAT program. An incarcerated person “may refuse or withdraw from the MAT program.” C. Case background and Sandy’s clinical assessment {¶ 9} Sandy is serving a life sentence imposed by the Erie County Court of Common Pleas for convictions for aggravated murder, tampering with evidence, and driving while under the influence of alcohol or drugs. {¶ 10} On June 13, 2024, the trial court issued an order granting a motion in which Sandy requested that he be placed in DRC’s MAT program. The court’s judgment entry states simply that Sandy “shall be placed in the M.A.T. Program” and that he “shall comply with all requirements of said program.” {¶ 11} On July 11, 2024, “prompted by the court order,” Sandy was clinically assessed for MAT by Christina Nunamaker, L.I.S.W. Nunamaker summarized the assessment in a report that Spatny submitted into evidence. {¶ 12} According to Nunamaker’s report, Sandy “arrived at approximately 7:51 AM” and “verbalize[d] an understanding that Recovery Services[1] recieved [sic] his court order” and that “the court order prompted a referral for [a] program screen to discuss treatment engagement and programming with Recovery Services.” The report indicates that Sandy “initially present[ed] calm but became irritated and dismissive”:

Upon reviewing the program screen with [Sandy], [he] was notified that he did not meet the criteria to prompt a referral to . . . [the] OTP. [Sandy] was provided with education regarding MAT services in which he stated[,] “Nobody wants Naltrexone, I don’t

1. According to the K-12 protocol, “Recovery Services” is a “Bureau of the Ohio Department of Mental Health and Addiction Services . . . that in partnership with [DRC] exists for the provision of substance use disorder treatment and associated services which support recovery from alcohol and other drug use.”

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want Naltrexone. I will file another order telling the judge to put me in [the] OTP. You have to listen to a judge[.]” [Sandy] then refused to sign the [Recovery Services Treatment Recommendations] form . . . . [Sandy] then exited the room. [Sandy] declined services. No follow up clinically warranted at this time.

{¶ 13} The Erie County clerk of courts’ online docket for Sandy’s criminal case indicates that on July 19, 2024, he filed a motion to modify the trial court’s June 13 judgment entry. In the motion, Sandy asked the court to change the wording of the entry so as to specifically order his placement “into the K12 M.A.T.

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Related

State ex rel. Sands v. Court of Common Pleas (Slip Opinion)
2018 Ohio 4245 (Ohio Supreme Court, 2018)
State ex rel. Taylor v. Glasser
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State ex rel. Slager v. Trelka
2024 Ohio 5125 (Ohio Supreme Court, 2024)

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Bluebook (online)
State ex rel. Sandy v. Spatny, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-ex-rel-sandy-v-spatny-ohio-2026.