Thursday, November 5, 2015

RIVERSIDE COUNTY: Jail health care lawsuit settled

Blog note: this article references a 2012 grand jury report.
Riverside County has tentatively settled litigation that challenged the quality of medical and mental health care for inmates in the county’s five jails.
But how much it will cost taxpayers to improve that care is unknown, although the expense is likely to add millions of dollars a year to an already-squeezed county budget.
Officials announced the settlement Friday. The county Board of Supervisors agreed to the terms Tuesday during a closed-session meeting.
The jails are operated by the Sheriff’s Department.
“We don’t know the exact effect because the costs have not been determined,” Capt. David Teets said Friday. “We don’t have a lot of information right now.”
The proposed settlement, which needs court approval, ends litigation filed in 2013 by the Berkeley-based Prison Law Office in conjunction with a San Francisco law firm.
The civil rights class-action lawsuit, filed in federal court on behalf of four county jail inmates, sought a court order to correct what plaintiffs described as inadequate health care for the county’s roughly 3,900 inmates.
One inmate alleged he had to wait two months to see a doctor. Another said delays led to scar tissue build-up that prevented the safe removal of a temporary filter supplying blood to her heart.
A 2012 county grand jury report also criticized jail health care. A lack of staffing hindered inmates’ access to legally entitled mental health services, the jury found.
Prison Law Office has sued counties throughout California seeking jail improvements. It was one of the firms that sued the California prison system regarding crowded conditions.
In 2011, the U.S. Supreme Court upheld a court order that forced California to reduce its prison population by 33,000. That led to realignment, which shifted responsibility for certain low-level, nonviolent offenders from the state to counties.
Realignment sent inmates who previously would have done time in state prison to county jails. Riverside County’s jails were not designed to handle inmates with multiyear sentences, and the county was already under a federal court order to ease crowding.
“The aging jail population and incidence of mental illness in detention facilities have complicated efforts to provide services in jails statewide,” the county’s news release read.
The county lost more than $200 million in revenue due to the Great Recession of 2007-08, and that hurt detention health and other programs, the news release read.
To comply with the crowding court order, the county has released thousands of inmates early. A $330 million project will add more than 1,200 beds to the Indio jail, and officials are seeking up to $80 million in state funding to renovate the Larry D. Smith Correctional Facility in Banning and add space for educational programs.
MORE STAFFING
Lawyers for the county sought to dismiss the lawsuit, saying the inmates who complained about care did not take prescribed medicine and failed to attend medical appointments while in custody. The proposed settlement arose from mediation sessions between the parties, the county’s news release read.
Settlement terms call for increased staffing, telemedicine – the remote diagnosis and treatment of patients through communications technology – and telepsychiatry to expand jail health care services. Inmates will have an easier time requesting services, and inmates with certain disabilities “will be appropriately accommodated,” according to the news release.
Court-appointed experts will monitor the county’s compliance with the settlement, which drew praise from Supervisor Marion Ashley.
October 30, 2015
The Press Enterprise
By Jeff Horseman


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