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Prison death demands a fix
JEFF GERRITT
September 1, 2006

Timothy Joe Souders died on Aug. 6, after spending most of his last four days bound naked to a steel bed in four-point restraints, soaked in his own urine. At 21, Souders' life was tragically short and, in many ways, just plain tragic. Mentally ill and unable to get help, Souders ended up alone and dead in a hot, segregated cell at Southern Michigan Correctional Facility in Jackson.

His parents did not know how he died. Steven Souders and Theresa Vaughn of Adrian learned the details two weeks later from my Aug. 20 report in the Free Press. A woman who played bingo at the hall where Timothy Souders worked as a caller brought a copy of the paper to his memorial service that day. Steven Souders, 41, a journeyman machine repair worker, said the Michigan Department of Corrections told him his son died in his sleep.

MDOC denies that, but Timothy Souders' death helped push Gov. Jennifer Granholm to order an overdue independent review of prison health care. His story touched a nerve in Michigan, which has closed most of its mental health facilities during the last few decades. Thousands of the state's mentally ill have ended up on the street or in homeless shelters, jails or prisons.

Geoffrey Fieger's law firm will file a wrongful death lawsuit against MDOC employees and Correctional Medical Services Inc., attorney Paul Broschay told me this week. CMS is the private, Missouri-based company under contract for primary care physicians and other services in Michigan state prisons.

I never met Timothy Souders, but the photos of him that his parents showed me in Adrian last week looked nothing like the bloated mug shot of prisoner No. 580074 that ran on MDOC's Web site. At 5-foot-8, he looked fit, handsome and happy, about 60 pounds lighter than the 235 he weighed in prison, and well-toned from work as a union roofer. Souders had dropped out of high school and moved out of his parents' house when he was 17. Because of his mental disability, he received Social Security benefits.

Before he was arrested in March 2005, Souders worked part time calling bingo games at the Lenawee County fairgrounds. He was popular with the older players, who called him Opie, after the character on "The Andy Griffith Show." Senior citizens and young kids were his heart. In many ways, Souders was a boy inside a man's body.

"When Tim was on his meds, he was a good person, a loving, caring person," said Vaughn, 40.

But Souders had a troubled side. His record showed five misdemeanors, including disorderly conduct, assault and battery and alcohol and marijuana charges. On March 4, 2005, he stole two paintball guns from a Meijer store in Adrian and threatened a police officer with a knife.

"Go ahead, kill me," Souders said before an officer stunned him with a Taser. Souders was charged with resisting arrest and assault. After police took him to jail, Souders stabbed himself in the stomach seven times with a knife he had concealed. Later, he tried to hang himself with a noose made with fabric from jail coveralls. He was charged with malicious destruction of police property.

Souders was screaming for help, but no one was listening. He went to prison on Nov. 1, having received a one- to four-year bit for assault, resisting arrest and destroying police property. It turned into a death sentence.


  APA BOARD FOR THE ADVANCEMENT OF PSYCHOLOGY IN THE PUBLIC INTEREST  STATEMENT REGARDING 60 MINUTES SEGMENT "THE DEATH OF TIMOTHY SOUDERS"
In 2004, there were more than 2.1 million inmates in the nation's prisons and jails. In U.S. prisons, the rate of mental illness is three times higher than in the general population (Human Rights Watch, 2004). Almost 1 million people with serious mental illnesses are jailed each year. History of mental disorders is the second most frequent health problem reported by incarcerated populations, but mental health services within the corrections systems are woefully inadequate and correctional staff are not trained to provide for this population. In his Mental Health Report in 1999, the Surgeon General called for better mental health services for the incarcerated, more supportive transitional strategies and better post-incarceration services.

The American Psychological Association views the incidents depicted on the 60 Minutes segment “The Death of Timothy Souders” on Feb. 11, 2007 as documentation of the little progress made in assuring good mental health services for the incarcerated. It made clear to friends, family and policy-makers how devastating the impact can be. The APA Board for the Advancement of Psychology in the Public Interest (BAPPI) praises 60 Minutes for presenting this story that draws attention to the need for all cities, counties and states to review their policies and adequacy of staffing to address the mental health needs of incarcerated persons.

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© 2007 American Psychological Association
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Surveillance Tape: Timothy Souders Restraint and Death
CAUTIONARY NOTE: This surveillance tape is difficult to watch.
Windows Media | Real | MP3

This video documents the four days that TS, a mentally ill 21-year-old Michigan prisoner, spent shackled to a cement slab as punishment for flooding his segregation cell during a heat wave in August 2006. Much of the time, the segregation log indicates that he was screaming. He ate and drank little during those four days, and he was not taking his psychotropic medication. He received no meaningful medical or mental care while in segregation. A physician saw him once (not shown on the video), but simply examined the sores on TS' wrists caused by the restraints; he did not even take vital signs. The video shows the sores on TS' back resulting from staff's failure to intervene when he was lying in his own waste. At the end of the four days, as shown on the video, a nurse went to TS' cell and took vital signs, reporting that he had a "faint pulse." Notwithstanding that finding, the nurse left TS to die in his cell. The autopsy found that he died from hyperthermia, with dehydration as a contributing factor. At the time of TS' death, the prison had been operating with no on-site psychiatric services for the 1400 prisoners since May 2006. (ACLU)

Prison was no place for Souders, who had a bipolar disorder. He took medications for multiple conditions, including manic depression, psychosis and hypertension. Souders received seven misconduct reports: four for simply being out of place and another three for fighting, assaulting a prisoner and destroying property.

Roughly 24% of Michigan's nearly 50,000 inmates have a history of mental illness, Corrections spokesman Russ Marlan said. MDOC must do a better job of accommodating them, including improving communication between security and health care staff, and between Corrections and the Department of Community Health.

Mental health staff at the Southern Michigan Correctional Facility tried to transfer Souders to Huron Valley Center in Ypsilanti, a psychiatric hospital for prisoners, but a transfer coordinator working for Community Health failed to move him. The state Health Department has reassigned that coordinator and is investigating the incident. Still, someone from Corrections, knowing Souders' condition, should have had enough sense or sympathy to pick up a phone and try to get him out of that segregated cell in Jackson. At one point, the heat index probably reached 106, and medications put Souders at high risk for heat-related injury or death.

MDOC maintains procedures were followed. If that's true, the department needs to take a serious look at those procedures.

"I want to know this is never going to happen to another human being," said Vaughn, Souders' mother.

In the end, the state must be held accountable for this unnecessary death, but Souders should have received help long before he went to prison. Over the last two weeks, Souders' parents have received a barrage of calls from reporters and attorneys. Unfortunately, Timothy Joe Souders had to die before someone paid attention.

Copyright © 2006 Detroit Free Press Inc.

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Video Shows Mentally Ill Prisoner's Slow Death
By Pat Shellenbarger
The Grand Rapids Press
October 11, 2006

KALAMAZOO -- All Timothy Joe Souders wanted was a shower.

Instead, the 21-year-old mentally ill inmate was locked in a segregation cell and shackled to a steel table. Four days later, on Aug. 6, the Adrian resident was dead, apparently because of extreme heat and dehydration, a doctor appointed by U.S. District Judge Richard Enslen concluded.

As a result, attorneys representing inmates in a lawsuit filed in the 1980s to improve prison medical care are asking Enslen to expand the case to include treatment for mentally ill prisoners.

During a hearing in Enslen's courtroom Wednesday, attorneys in the class-action suit played a video shot by Southern Michigan Correctional Facility guards and a surveillance camera showing Souders as he was led away in shackles to a segregation cell.

Video excerpts from the next four days showed his physical and mental decline, ending as personnel at the Jackson prison administered CPR in an attempt to revive him.

Souders' mother, Theresa Vaughn, sat in the front row and sobbed as she watched a courtroom television showing her son slowly dying.

Dr. Jerry Walden, an Ann Arbor physician called by the inmate's attorneys, testified a combination of the heat, lack of water and medications Souders was taking for bipolar disorder and numerous physical ailments, including high blood pressure and obesity, likely caused his death.

The state Department of Corrections had declared a heat emergency during the period Souders was shackled to the table. On the video, guards entering the cell can be seen wiping sweat from their faces and heard complaining of the heat.

During the four days Souders was shackled, he was not seen by a psychiatrist or other medical doctor.

"Tragically, there was not a psychiatrist on the staff at the time," Walden testified. "I think almost everybody dropped the ball, unfortunately."

Souders was not the only mentally ill inmate to die at Jackson in recent months. Without naming the inmates, Walden listed several others whose mental illnesses contributed to their deaths.

A schizophrenic inmate died Aug. 17 of congestive heart failure and liver failure, testified Dr. Robert Cohen, appointed by Enslen to monitor health care in the Jackson prisons.

Due to his mental illness, the inmate refused medical care, Cohen said. A request for a court order forcing him to undergo treatment was stalled in the Department of Corrections for five weeks.

"Instead, he died for lack of treatment," Cohen testified. "He needed help. Eventually, he died of a treatable illness, a very treatable illness. ...

"I find this chilling."

Most of the hearing, which continues through Friday, focused on Souders, who was serving time for resisting arrest, destroying police property and assault.

For an hour and 15 minutes Wednesday, courtroom spectators watched the video as guards entered the cell, shackled Souders to a table and periodically checked on him. As time passed, he became more agitated, cursed the guards and struggled with them. Repeatedly, he refused water.

Inmate Henry Franklin, who was locked in a nearby cell, testified he kicked on his cell door and hollered for guards to help Souders.

"They told me to shut up and mind my own business and stop kicking on the door," said Franklin, who is blind.

After he talked with attorneys in the case, Franklin said he was called before a disciplinary committee, locked in segregation and his medication for glaucoma and migraines withheld. After he was released from segregation, Franklin found his typewriter broken into four pieces and his cell ransacked.

"So you're telling me you had nothing for the pain, no drops for your eyes and no typewriter?" Enslen asked.

"Yes," Franklin answered.

On the video, Souders is seen lying naked on the table, as he became delirious or psychotic, crying and screaming: "Orange, red, yellow, blue, green. I'm ready to go home."

His mother, Theresa Vaughn, stood up and left the courtroom in tears.

On the video, a nurse came in with guards to check Souders' vital signs as he yelled: "I can't breathe! Pull this off my face so I can breathe!"

The nurse answered: "Mr. Souders, the calmer you are, the sooner they're going to stop this."

As the video ended, guards were seen administering CPR. Souders was pronounced dead about 4 p.m. Aug. 6 at Jackson's Foote Hospital.

Another inmate, Craig Shivers, testified it was Souders' desire for a shower that led to his being shackled.

As Souders walked to toward the showers last July 31, a guard stopped him and said he had to first ask permission, Shivers said.

When Souders' asked permission, "the officer bust out laughing," Shivers said. "The officer never said, 'no;' he never said, 'yes.'"

When Souders proceeded to the showers, the guard called for help.

Several corrections officers arrived, shackled him and led him to a segregation cell, Shivers testified, adding Souders did not resist.

"That's what shocked me," Shivers said. "He was very polite. He just wanted a shower. That's all he wanted. He just wanted a shower."

Source: Grand Rapids Press



The Death Of Timothy Souders
Scott Pelley On The Plight Of The Mentally Ill Behind Bars

(CBS I 60 Minutes)  You wouldn't imagine these days that a mental patient could be chained to a concrete slab by prison guards until he died of thirst, but that’s how Timothy Souders died and he is not the only one.

Souders suffered from manic depression. And like a lot of mental patients in this country, he got into trouble and ended up not in a hospital, but in jail. It was a shoplifting case and he paid with his life.

As correspondent Scott Pelley reports, no one would have been the wiser, but a medical investigator working for a federal judge caught wind of Souders' death and discovered his torturous end was recorded on videotape. The tapes, which are hard to watch, open a horrifying window on mental illness behind bars.

Six months ago, Tim Souders was in solitary at the Southern Michigan Correctional Center. He was 21, serving three to five years. Though an investigation would show he needed urgent psychiatric care, Souders was chained down, hands, feet and waist, up to 17 hours at a time. By prison rules, all of it was recorded on a 24-hour surveillance camera and by the guards themselves.

The tape records a rapid descent: he started apparently healthy, but in four days Souders could barely walk. In the shower, he fell over. The guards brought him back in a wheelchair, but then chained him down again. On Aug. 6th, he was released from restraints and fell for the last time. Souders had died of dehydration and only the surveillance camera took notice. 
Timothy Souders, seen here in restraints. (CBS)
MULTIMEDIA

CLICK HERE TO WATCH EPISODE
Theresa M. Vaughn is the mother of TIMOTHY JOE SOUDERS and author of the online petition below.  Please take a moment to sign this very important petition.  Since the tragic loss of her son, Theresa has become a dedicated activist seeking to educate others about the need to ban the use of restraints in our nations' prisons and jails.


                                                  
No more Tortured Americans in US Prisons
We, as Citizens of the Human Race are requiring the removal of restraints in Prison's and Jail's, Now.

KALAMAZOO -- The use of four-point restraints as punishment for prison inmates meets the American Medical Association's definition of torture and should be discontinued, a doctor appointed by a federal judge to monitor health care in Michigan's prisons testified Friday. The continued use of restraints is "likely to result in future deaths," Robert Cohen warned U.S. District Judge Richard Enslen.  He blamed the Aug. 6, 2006 death of Timothy Joe Souders, a 21-year-old mentally ill inmate, on the fact he was shackled atop a steel table in the Southern Michigan Correctional Facility in Jackson for most of four days during a heat wave. There should be no policy
for maintaining prisoners in punitive restraints. It was that policy that led to his death."  And we demand that this Policy be Out-Lawed before anyone else gets a Death Sentence from State employee's using torture to punish Inmates, and the Mentally Ill.  Lets  start protecting those who can not protect themselves.

Jails and Prisons are supposed to rehabilitate, and house inmates,  Not Deliver Torture and Death Sentences.

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