Larson v. Minnesota Department of Human Services

U.S. District Court, District of Minnesota

Larson v. Minnesota Department of Human Services

Trial Court Opinion

               UNITED STATES DISTRICT COURT                          
                  DISTRICT OF MINNESOTA                              
HOLLIS J. LARSON,                                                        
                                  Civil No. 23-1823 (JRT/DJF)        
                   Plaintiff,                                        

v.                                                                       
                             MEMORANDUM OPINION AND ORDER            
MINNESOTA DEPARTMENT OF HUMAN         ADOPTING REPORT AND                
SERVICES; MINNESOTA SEX OFFENDER        RECOMMENDATION                   
PROGRAM; and JODI HARPSTEAD, DHS                                         
Commissioner; NANCY JOHNSTON,                                            
MSOP’s Executive Director; TERRANCE                                      
KNEISEL, MSOP’s Facility Director; JOHN                                  
BARRY, MSOP’s Medical Director;                                          
ELIZABETH PETERSON, MSOP’s                                               
Assessment Department Director; GARY                                     
ANKARLO, MSOP Psychologist; BLAKE                                        
CAREY, MSOP Group Supervisor; DAVID                                      
MILES, MSOP Clinical Director; KATIE                                     
MACDOWELL, MSOP Clinical Director;                                       
DAVID LINDLBAUER, MSOP Primary                                           
Therapist; KAYLA TAYLOR, MSOP Primary                                    
Therapist; MICHAEL WOODS, State                                          
Ombudsman for Mental                                                     
Health/Developmental Disability; NICOLE                                  
BODER, MSOP’s Health Services Director;                                  
KRISTA GILPIN, MSOP Registered Nurse;                                    
ANDREW CHRISTENSEN, DHS ADA                                              
Coordinator; all in their personal and                                   
individual capacities,                                                   

                  Defendants.                                        

Hollis J. Larson, MSOP, 1111 Highway 73, Moose Lake, MN 55767, pro se 
Plaintiff.                                                           
 Sarah L. Krans, MINNESOTA ATTORNEY GENERAL’S OFFICE, 445 Minnesota   
 Street, Suite 1400, St. Paul, MN 55101, for Defendant Michael Woods.  

 Morgan  Alexander,  MINNESOTA  ATTORNEY  GENERAL’S  OFFICE,  445     
 Minnesota Street, Suite 1100, St. Paul, MN 55101, for Defendants.    


 Plaintiff Hollis J. Larson filed this action against the Minnesota Department of 
Human Services (“DHS”), the Minnesota Sex Offender Program (“MSOP”), and various 
MSOP/DHS officials in their individual and official capacities, as well as Michael Woods, a 
regional ombudsman not employed by DHS or MSOP, alleging broadly that his post-
traumatic  stress disorder  (“PTSD”)  went  undiagnosed  for  many  years while he  was 
committed at the MSOP facility in Moose Lake, Minnesota.   Magistrate Judge Dulce J. 
Foster filed a report and recommendation (“R&R”) recommending that most of Larson’s 
claims  be  dismissed  but  that  his  claim  for  unlawful  punishment  against  the  DHS 
Defendants in their official capacity and his discrimination claims against DHS continue.  
Larson filed a very broad objection.  The DHS Defendants respond to Larson’s objections 
but do not object to the Magistrate Judge’s recommendations that four claims proceed: 

the official capacity unlawful punishment claim against the DHS Defendants and all three 
disability discrimination claims against DHS.  Without any objections, the Court will allow 
those claims to proceed.  Reviewing the remainder of the R&R, the other claims fail to 
survive the motions to dismiss.  Accordingly, the Court will overrule Larson’s objections 

and adopt the entirety of the R&R.  The claims against Woods and MSOP will be dismissed.  
The claims against the DHS Defendants in their individual capacity will be dismissed.  The 
official capacity unlawful punishment claim, claim 1, against the DHS Defendants and the 
disability discrimination claims, claims 4–6, against DHS will proceed.   

                       BACKGROUND                                     
I.   FACTS                                                                
 Neither party objects to the R&R’s comprehensive factual background so the Court 
will adopt it in full.  (R. & R. at 2–11, May 16, 2024, Docket No. 78.)  The Court will only 

briefly summarize the relevant facts here.                                
 Larson is currently civilly committed at the MSOP facility in Moose Lake.  (Am. 
Compl. ¶ 1, Oct. 6, 2023, Docket No. 30.)  During his time at MSOP, he has filed several 
complaints against various defendants alleging mistreatment and denial of rights.  E.g., 

Larson v. MSOP, et al., No. 13-1074, 
2024 WL 448305
 (D. Minn. Feb. 6, 2024).  In addition 
to Larson’s individual actions, a large class action, of which  Larson was a member, 
addressed  the  conditions at MSOP.   Karsjens  v.  Piper,  
845 F.3d 394
 (8th Cir. 2017) 
(“Karsjens I”); Karsjens v. Lourey, 
988 F.3d 1047
 (8th Cir. 2021) (“Karsjens II”); Karsjens v. 

Harpstead, 
74 F.4th 561
 (8th Cir. 2023) (“Karsjens III”), cert. denied, 
144 S.Ct. 814
 (2024).    
Nonetheless, Larson filed the current action raising new allegations surrounding his 
treatment at MSOP.  (See generally Am. Compl.)                            
 Here, Larson’s allegations center around the diagnosis and treatment of his PTSD.   

(Am. Compl. ¶¶ 24–34, 38, 42, 48–49, 54–58, 63, 65, 72, 78, 89, 94.)  While Larson mostly 
makes  generalized  claims  against  all  the  Defendants,  his  Amended  Complaint  does 
contain some specific allegations.  (See generally Am. Compl.)            
 Katie MacDowell features as the object of many accusations.  Larson charges 
MacDowell with misdiagnosing his PTSD as “various ‘diagnoses’” despite Larson providing 

her with hospital records noting a Traumatic Brain Injury (“TBI”) and a list of his physical 
and psychological trauma.  (Id. ¶¶ 24–27.)   Larson alleges that MacDowell intentionally 
ignored the information Larson presented and refused to do a PTSD diagnostic checklist.  
(Id. ¶¶ 28–31.)  He also claims that while MacDowell made “Incident Reports,” she did 

not report numerous events of Larson smearing feces on cell walls and himself and even 
eating feces on one occasion.  (Id. ¶¶ 40–41.)  Larson further alleges that MacDowell is 
not a licensed psychologist but rather a clinical social worker working under “another 

MSOP employee’s license.”  (Id. ¶¶ 35–36.)                                
 After five years of misdiagnosis, Larson claims he was properly diagnosed with 
PTSD by “actual psychologist” Gary Ankarlo based on the same information available to 
MacDowell, except for one additional TBI in 2019.  (Id. ¶¶ 32–34, 49.)  Larson alleges that 

his delay in receiving the correct diagnosis exacerbated his PTSD symptoms.  (Id. ¶¶ 42, 
58.)                                                                      
 Apart from the misdiagnosis and delay, Larson claims that MSOP punished him for 
manifestations of his undiagnosed PTSD.  (Id. ¶¶ 57–58, 88, 92–93, 97, 106.)  He describes 

receiving disciplinary reports after exhibiting PTSD symptoms, which precluded him from 
fully accessing MSOP’s facilities and treatment programs.  (Id. ¶¶ 57–58, 60.)  Another 
alleged  result  of  Larson’s  delay  in  diagnosis  was  significant  time  spent  in  solitary 
confinement, including 24 of the last 30 months.  (Id. ¶¶ 58, 70, 81, 85, 101.)   

 In addition to allegations of punishment, Larson alleges that he has not received 
his desired care for his PTSD.  (Id. ¶¶ 57, 60, 67–68, 95.)  He requested treatment in the 
form  of  eye  movement  desensitization  and  reprocessing  (“EMDR”)  therapy  and 
neurofeedback but has yet to receive those treatments because the Moose Lake facility 

is ill-equipped.  (Id. ¶¶ 57, 73.)  Larson submitted a request, later denied by Kristin Gilpin 
and Nicole Boder, to be transferred to the MSOP facility in St. Peter, Minnesota as it is 
better  suited  to  provide  treatment.    (Id.  ¶¶  63–64.)    While  neuropsychological 

assessments and other screenings have been approved for Larson, Elizabeth Peterson 
allegedly paused Larson’s neuropsychological assessments because Larson was placed in 
a high security area.  (Id. ¶¶ 94–95.)  Larson notified Michael Woods and the Adult Abuse 
Hotline of MSOP’s alleged withholding of treatment, but he has not yet heard a response.  

(Id. ¶ 79.)                                                               
 Larson describes his PTSD as a disability that severely limits his ability to care for 
himself.  (Id. ¶¶ 70, 77–78.)  For his disability, he sought reasonable accommodations 
under the Americans with Disabilities Act (“ADA”).  (Id. ¶ 54.)  Gilpin and Boder denied 

this request as well.  (Id. ¶ 55.)  Larson sought to appeal this decision, but in doing so, he 
alleges that Gilpin and Boder intentionally omitted relevant information.  (Id. ¶ 74.)  
Nonetheless, Larson filed an ADA Modification Appeal Request, and Andrew Christensen 
denied that appeal.  (Id. ¶ 76.)                                          

 In response to Larson’s repeated requests for treatment and his ADA reasonable 
accommodations appeal, he claims many defendants retaliated against him and increased 
punishments.  (Id. ¶¶ 75, 81, 87, 102, 106, 114.)  He further alleges that these defendants 
established “prison-like policies” beyond what was reasonably necessary to serve the 

purpose of confinement.  (Id. ¶¶ 80, 84, 111, 115.)  Larson states that the thirteen years 
of punishment he endured resulted in physical and emotional injuries.  (Id. ¶¶ 92, 107.)  
II.  PROCEDURAL HISTORY                                                   
 Larson’s Amended Complaint raises ten causes of action: (1) Violations of Due 

Process – Unlawful Punishment, (2) First Amendment Retaliation, (3) Failure to Train and 
Supervise,  (4)  Disability  Discrimination,  (5)  Violation  of  Section  504  of  the  Federal 
Rehabilitation Act (“RA”), (6) Violation of the Minnesota Human Rights Act (“MHRA”), (7) 

Retaliation  and  Coercion,  (8)  Denial  of  Treatment  for  Serious  Medical  Need,  (9) 
Negligence, and (10) Supplemental State Torts against many different defendants.  (Id. 
¶¶ 120–160.)  The defendants can be grouped into two categories.  Michael Woods is 
employed as a state ombudsman for mental health/developmental disability.  (Id. ¶ 18.)  

The remaining defendants, Jodi Harpstead, Nancy Johnston, Terrance Kneisel, John Barry, 
Elizabeth Peterson, Gary Ankarlo, Black Carey, David  Miles,  Katie MacDowell,  David 
Lindlbauer, Kayla Taylor, Nicole Boder, Krista Gilpin, and Andrew Christensen are officials 
of DHS or MSOP (collectively “DHS Defendants”).  (Id. ¶¶ 7–17, 19–21.)  Larson brings the 
claims against all the defendants in their individual and official capacities.  (Id. ¶ 22.)   

 Claims 1, 2, and 7–10 are brought against all the defendants.  (Id. ¶¶ 121, 124149, 
152, 155, 159.)  Claim 3 includes all the defendants except Ankarlo, Miles, Taylor, Woods, 
Boder, Gilpin, and Christensen.  (Id. ¶ 127.)  Claims 4–6 are alleged only against DHS and 
MSOP.  (Id. ¶¶ 134, 139, 144.)  All the defendants moved to dismiss.  (Woods Mot. to 

Dismiss, Nov. 30, 2023, Docket No. 58; Mot. to Dismiss, Dec. 1, 2023, Docket No. 66.) 
TheMagistrate Judge recommended granting Woods’s motion and dismissing all claims 
against Woods.  (R. & R. at 39.)  In addition, the Magistrate Judge recommended granting 

in part and denying in party the DHS Defendants’ motion to dismiss, allowing claim 1 for 
declaratory and injunctive relief to proceed against DHS Defendants acting in their official 
capacity and allowing claims 4–6 against only DHS.  (Id. at 39–40.)       
 Larson objected to the R&R mostly on the ground that the record is insufficiently 

established.    (See  Pl.’s  Obj.,  June  3,  2024,  Docket  No.  79.)    Larson  challenged  the 
recommended  dismissal  of  claims  against  Woods  claiming  he  did  allege  personal 
involvement  by Woods.  (Id.  at  1.)   He also  disagreed  with  the  Magistrate  Judge’s 
recommendation as to the DHS Defendants by restating previous arguments or claiming 

a misunderstanding by the Magistrate Judge.  (Id. at 2–3.)  All the defendants responded 
to Larson’s objections but do not themselves object to the R&R.  (Woods Resp. to Obj., 
June 11, 2024, Docket No. 84; Resp. to Obj., June 17, 2024, Docket No. 85.)  
                        DISCUSSION                                    
I.   STANDARD OF REVIEW                                                   
 After a magistrate judge files an R&R, a party may file “specific written objections 

to the proposed findings and recommendations.”  Fed. R. Civ. P. 72(b)(2).  “The objections 
should specify the portions of the magistrate judge's report and recommendation to 
which objections are made and provide a basis for those objections.”  Mayer v. Walvatne, 

No. 07–1958, 
2008 WL 4527774
 at *2 (D. Minn. Sept. 28, 2008).  For dispositive motions, 
the Court reviews de novo a “properly objected to” portion of an R&R.  Fed. R. Civ. P. 
72(b)(3).  When reviewing a properly objected to portion of an R&R, the Court will review 
the case from the start, as if it is the first court to review and weigh in on the issues.  See 

Salve Regina Coll. v. Russell, 
499 U.S. 225, 238
 (1991) (“When de novo review is compelled, 
no form of appellate deference is acceptable.”).  “Objections which are not specific but 
merely repeat arguments presented to and considered by a magistrate judge are not 
entitled to de novo review, but rather are reviewed for clear error.”  Montgomery v. 

Compass Airlines, LLC, 
98 F. Supp. 3d 1012, 1017
 (D. Minn. 2015).         
 A document filed by a pro se litigant is to be liberally construed and must be held 
to a less stringent standard than formal pleadings drafted by lawyers.  Erickson v. Pardus, 
551 U.S. 89, 94
 (2007).  The Eighth Circuit has liberally construed otherwise general pro 

se objections to R&Rs and required de novo review of all alleged errors.  See Belk v. 
Purkett, 
15 F.3d 803, 815
 (8th Cir. 1994).  However, “pro se litigants are not excused from 
failing to comply with substantive and procedural law.”  Burgs v. Sissel, 
745 F.2d 526, 528
 
(8th Cir. 1984).                                                          

II.  ANALYSIS                                                             
 As Larson is pro se, the Court will liberally construe his general objections and 
review de novo his Amended Complaint.  However, some objections do not warrant de 
novo review even when made by a pro se plaintiff.  Even pro se pleadings must provide 

sufficient facts under Federal Rule of Civil Procedure 8(a) to put defendants on notice.  
Erickson, 
551 U.S. at 93
; Gerstner v. Sebig, LLC, 
386 F. App’x 573, 575
 (8th Cir. 2010).   
Therefore, the Court will not review claims 9 and 10 further because the Court finds no 
clear error in the Magistrate Judge’s recommended dismissal and Larson simply states 

that more factual development is needed.  The Court will also not review DHS Defendants’ 
qualified immunity, official capacity damages, or the discrimination claims1 because those 
portions of Larson’s objections align with the Magistrate Judge’s conclusions and thus are 

objections in name only.                                                  
 The Court will clarify that the Magistrate Judge recommended that MSOP as an 
entity be dismissed because it is not an entity that can be sued but is rather a program 
that DHS “establishes and maintains.”  Minn. Stat. § 246B.02; Sorenson v. Minnesota, No. 



 1 The Magistrate Judge indicated dismissal would be appropriate if Larson predicated his 
discrimination claims on improper treatment.  Larson objects to this conclusion.  Because the 
Court is unaware specifically on which bases Larson brings his discrimination claims, and the 
claims survive the motion to dismiss, the Court can address these potential issues as they arise.  
21-671, 
2021 WL 6335107
, at *3 (D. Minn. Sept. 13, 2021).  Because Larson maintains this 
action against DHS, the organization that administers the MSOP program, it will dismiss 

all claims against MSOP itself.                                           
 Larson’s objections warranting review can be grouped into two categories, those 
against Woods and those against the DHS Defendants.  Although many of the objections 
to Woods’s dismissal are similar, he is distinguishable as a defendant.   

 A.   Woods                                                           
 Larson brought claims 1–2 and 7–102 against Woods in his official and individual 
capacities; the Magistrate Judge recommended dismissing them all.  Larson objects.  Of 
note, Woods is not employed by DHS or MSOP; rather he is a regional ombudsman with 

the ability to receive complaints and advocate for people in state programs for mental 
health treatment.  Larson conflates Woods with the DHS Defendants.        
 Any official capacity claim fails because Woods is protected by sovereign immunity 

and  the  exception  for  prospective  injunctive  relief  does  not  apply.    The  Eleventh 
Amendment preserves a state’s sovereignty by prohibiting a federal court from exercising 
jurisdiction when the defendant is a state.  U.S. Const. amend. XI; EEE Minerals, LLC v. 
State of North Dakota, 
81 F.4th 809, 815
 (8th Cir. 2023).  Employees of a state acting in 

their official capacity function as the state under sovereign immunity.  Zajrael v. Harmon, 



 2 As clarified above, the Court will not review claims 9 and 10 because Larson simply 
objected on the basis that the factual record is underdeveloped.          
677 F.3d 353, 366
 (8th Cir. 2012).  The Ex Parte Young doctrine provides a limited exception 
to  sovereign  immunity  when  the  plaintiff  seeks  prospective  relief  from  an  ongoing 

violation of federal law.  Minnesota RFL Republican Farmer Lab. Caucus v. Freeman, 
33 F.4th 985
, 989–90 (8th Cir. 2022).                                        
 Larson excludes Woods from his request for injunctive relief except for the request 
that the Court “prohibit[] all defendants from continuing to violate . . . Larson’s rights.”  

(Am. Comp. at 30.)  The prospective relief Larson seeks against Woods is too vague.  Clavin 
Klein Cosms. Corp. v. Parfums de Coeur, Ltd., 
824 F.2d 665
, 669 (8th Cir. 1987) (describing 
that broad injunctions requiring a party to follow the law contradict Federal Rule of Civil 

Procedure 65(d)’s required specificity).  The official capacity claims against Woods fail and 
will thus be dismissed.3                                                  
 The individual claims likewise fail.  Larson inserts Woods into many accusations but 
provides no factual support to suggest that Woods had the authority to make any of the 

determinations Larson claims are unconstitutional.  First, Larson maintains that he was 
unfairly punished by being placed in solitary confinement, but Woods did not play a role 
in Larson’s placement within MSOP.  Second, Larson claims retaliation for previous 
complaints and cases.  But again, Woods did not process any of these complaints, nor did 

he take any of the allegedly retaliatory actions.  Finally, Larson alleges that Woods 



 3 To the extent Larson suggests sovereign immunity does not apply to an ADA claim 
against Woods, the discrimination claims only named MSOP and DHS as defendants.   
disregarded Larson’s medical needs to a level akin to criminal recklessness.  However, 
Woods only had the authority to review actions and make recommendations to MSOP—

no actual power to make treatment decisions.  
Minn. Stat. § 245.94
.  As such, none of the 
claims Larson brings against Woods survive because Larson has not alleged that Woods is 
personally responsible for any of the alleged constitutional violations.  Beck v. LaFleur, 
257 F.3d 764, 766
 (8th Cir. 2001) (stating that a claimant must allege sufficient personal 

involvement to sustain an individual capacity claim).  Woods’s alleged failure to advocate 
for Larson is not a constitutional violation.                             
 Larson takes issue with the dismissal of all the claims against Woods, but Larson 

attributes any perceived culpability of the DHS Defendants to Woods.  Woods, however, 
can only advise MSOP of complaints and make recommendations, and has no authority 
to effect change or force certain decisions.  The claims against Woods do not survive and 
will be dismissed.                                                        

 B.   DHS Defendants                                                  
 The objections to the following claims against the DHS Defendants are the only 
objections  that  require  the  Court’s  attention:  (1)  Individual  Capacity  Unlawful 
Punishment, (2) First Amendment Retaliation, (3) Failure to Train and Supervise, (4) ADA 

Retaliation, and (5) Denial of Treatment.                                 
      1.   Individual Capacity Unlawful Punishment                    
 Larson disagrees with the Magistrate Judge’s recommendation to dismiss the 
individual capacity unlawful punishment claims because more discovery is required.4   He 

also  argues  that  because  his  injunctive  relief  claims  are  proceeding,  there  is  an 
“inference” that he is suffering irreparable harm, and thus it would be improper to dismiss 
the individual capacity claims for damages.                               

 However,  the  Magistrate  Judge simply allowed  the  official  capacity claim for 
injunctive relief to proceed and did not make a finding that injunctive relief was proper. 
The Court reaches the same conclusion.  Just because Larson’s claim for injunctive relief 
can proceed past the motion to dismiss stage does not mean that he will ultimately be 

successful.  Further, as explained above under the state tort claims, the fact that the 
record should be more established does not allow a claim to survive a motion to dismiss.   
 Larson’s individual capacity unlawful punishment claims fail because he makes no 

specific allegations about any defendants inflicting any particular punishments.  Like the 
allegations lodged against Woods, Larson fails to allege sufficient personal involvement.  
Beck, 
257 F.3d at 766
.  As such, his individual capacity unlawful punishment claims will be 
dismissed.                                                                



 4 Larson states that he is unable to handle this additional discovery without the aid of an 
attorney.  Larson previously requested appointment of counsel, which the Magistrate Judge 
denied.  Because Larson did not appeal that order, Larson’s request to appoint counsel is not 
properly before the Court.                                                
      2.   First Amendment Retaliation                                
 A claim for First Amendment retaliation requires allegations that “(1) [the plaintiff] 

engaged in constitutionally protected activity; (2) the defendant took adverse action that 
would ‘chill a person of ordinary firmness from continuing in the activity’; and (3) the 
defendant  took  the  adverse  action  because  of  the  plaintiff’s  protected  activity.”  
Sorenson, 
2021 WL 6335107
, at *5 (citing Eggenberger v. W. Albany Twp., 
820 F.3d 938, 943
 (8th Cir. 2016)).  Here, Larson engaged in protected activities: filing complaints with 
MSOP and initiating federal cases.  He also made sufficient showing that the alleged 
adverse  action  would  create  a  chilling  effect  because  he  was  frequently  moved  to 
different areas within the facility and deprived of access to various programming.   

 Where Larson’s claim fails is the nexus between his protected activity and the 
adverse actions.  Larson does not sufficiently allege that MSOP officials took actions 
specifically  because  of  his  repeated  complaints  and  court  actions,  instead  making 

conclusory allegations that the decisions were retaliatory.  Larson also concedes his 
behavioral outbursts may at least partially explain his restrictive placements at MSOP.  
Without additional factual support connecting the protected activity and alleged adverse 
action, Larson’s First Amendment retaliation claim fails and will be dismissed.    

      3.   Failure to Train and Supervise                             
 Liability for failure to train or supervise arises when a supervisor “(1) had notice of 
a  pattern  of  unconstitutional  acts  committed  by  subordinates;  (2)  was  deliberately 
indifferent to or tacitly authorized those acts; and (3) failed to take sufficient remedial 
action; (4) proximately causing injury to [the plaintiff].”  Livers v. Schenck, 
700 F.3d 340, 355
 (8th Cir. 2012) (internal quotation marks omitted).  Ultimately, Larson would need to 

allege that the supervisors knew the training policies and supervision were likely to result 
in a constitutional violation.  
Id. at 356
.  He fails to do so in his Amended Complaint.   
 The only allegation that arguably falls under this claim is that MacDowell was 
insufficiently supervised or trained because she was only a licensed as a social worker and 

not  as  a  psychologist.    Larson  also  references  the  policy  that  MSOP  allows  non-
psychologists to work under other employee’s licenses.  Larson claims that, standing 
alone, the fact that MacDowell is not a licensed psychologist makes her unqualified to 

make any mental illness diagnoses.  But Larson does not support this contention.  Further, 
Larson alleges that the policy which allowed clinical social workers to practice under 
another employee’s license satisfied the knowledge requirement that actions were likely 
to result in a constitutional violation. That allegation is also unsupported.  The Court has 

no basis for concluding that a diagnosis from a clinical social worker rather than a fully 
licensed  psychologist  is  per  se  unconstitutional.    Even  liberally  construed,  without 
additional information, Larson’s failure to train and supervise claim cannot survive and 
will be dismissed.                                                        

      4.   ADA Retaliation Claim                                      
  To adequately plead an ADA retaliation claim, Larson needed to allege that “(1) he 
engaged in statutorily protected activity; (2) adverse action was taken against him; and 
(3)  a  causal  connection  exists  between  the  adverse  action  and  protected  action.”  
Rinehart v. Weitzell, 
964 F.3d 684, 689
 (8th Cir. 2020).  Here, Larson alleges that he filed 
an ADA appeal, a protected activity, 
id.
 at 689 n.6, and that in retaliation Gilpin and Boder 

omitted information from the appeal to justify its denial.  Taking those allegations as true, 
the Court finds the omission problematic.  The behavior, though, does not meet the 
standard for adverse action in an ADA retaliation claim.  Adverse action under the ADA 
must  be  serious  enough  to  dissuade  the  reasonable  person  from  engaging  in  that 

protected conduct.  Cf. Garrison v. Dolgencorp, LLC, 
939 F.3d 937
, 942–43 (8th Cir. 2019) 
(discussing ADA retaliation in the employment context).  While Larson alleges that the 
removal or omission of the information from his ADA appeal dissuaded him from filing 

any more appeals, his hesitation to appeal is insufficient.  Instead, it must be enough to 
dissuade the reasonable person.  
Id.
  Here, the Court concludes that the conduct of 
omitting information in an ADA appeal would not dissuade the reasonable person from 
filing ADA accommodation requests or appeals and thus does not constitute an adverse 

action.  Without an adverse action, Larson’s ADA retaliation claim necessarily fails.  The 
Court will dismiss claim 7.                                               
      5.   Denial of Treatment                                        
 Larson’s denial of treatment is properly construed as arising under the due process 

clause of the Fourteenth Amendment.  Senty-Haugen v. Goodno, 
462 F.3d 876, 889
 (8th 
Cir.  2006);  see  also  Karsjens  II,  988  F.3d  at  1051–52.    The  standard  for  deliberate 
indifference  under  the  Fourteenth  Amendment  is  the  same  as  under  the  Eighth 
Amendment.  Senty-Haugen, 
462 F.3d at 889
.  Deliberate indifference is a higher standard 
than gross negligence, and the plaintiff must show that a known excessive risk to health 
was disregarded.  Gibson v. Weber, 
433 F.3d 642, 646
 (8th Cir. 2006).  To meet the 

deliberate indifference standard, a plaintiff must show a “mental state akin to criminal 
recklessness.”  Allard v. Baldwin, 
779 F.3d 768, 772
 (8th Cir. 2015) (citing Vaughn v. Gray, 
557 F.3d 904, 908
 (8th Cir. 2008)).  Dissatisfaction with medical treatment and negligent 
misdiagnosis do not rise to the level of deliberate indifference.  Davis v. Hall, 
992 F.2d 151, 153
 (8th Cir. 1993); Allard, 
779 F.3d at 772
.                        
 Larson fails to make any allegations that any defendants acted with the mental 
state akin to criminal recklessness.  He does allege that MacDowell did not diagnose him 

with PTSD, but that can be explained by a difference in medical opinion or a worsening 
condition that only warranted a diagnosis five years later.  He claims that he requested 
transfer to a different facility to receive ESMR and neurofeedback therapy and that he did 
not receive approved assessments.  But he also concedes that Gilpin and Boder explained 

that he was not a candidate for placement at the St. Peter facility and that, depending on 
his placement within the Moose Lake facility, some treatments and assessments were 
unavailable.  Further, Larson relies on the times when he smeared feces on himself as 
evidence  of  deliberate  indifference.    Without  question,  incident  reports  were  filed.  

Although Larson may not have liked the response, there was a response, and it was not 
so lacking as to amount to criminal recklessness.                         
 Larson’s objection to the Magistrate Judge’s recommendation to dismiss his failure 
to treat claim seems to challenge the standard applied.  Specifically, Larson notes that he 

is not an “inmate” and is entitled to “any treatment he chooses.”  (Pl.’s Obj. at 10.)   Larson 
is not an inmate, but the “deliberate indifference” standard still applies to those civilly 
committed at MSOP.  Senty-Haugen, 
462 F.3d at 889
.  Larson provides no citation for his 
declaration that he can receive any treatment he chooses.                 

 As  pleaded,  Larson’s  delayed  treatment  claims  do  not  state  a  Fourteenth 
Amendment violation and must be dismissed.                                
                       CONCLUSION                                     
 Woods’s motion to dismiss will be granted in its entirety because he had no 

authority to  make decisions affecting Larson.   All claims against MSOP will also be 
dismissed because it is a program maintained by DHS and thus MSOP is not an appropriate 
defendant.  While some claims against DHS and the DHS Defendants continue, others lack 

sufficient factual basis to survive.  The Magistrate Judge recommended that four claims 
proceed: Larson's three disability discrimination claims against DHS and his one official 
capacity unlawful punishment claim against the DHS Defendants; Defendants did not 
object  to  those  recommendations.   Therefore,  the  Court  will  adopt  those 

recommendations and allow only those four claims to proceed.  The Court will dismiss all 
the other claims, adopt the R&R, and overrule Larson’s objections.        

ORDER

 Based on the foregoing, and all the files, records, and proceedings herein, IT IS 

HEREBY ORDERED that:                                                      
 1.  Plaintiff’s Objections [Docket No. 79] to the Report and Recommendation are 
   OVERRULED;                                                         
 2.  The Report and Recommendation [Docket No. 78] is ADOPTED;        

 3.  Defendant Woods’s Motion to Dismiss [Docket No. 58] is GRANTED;  
 4.   DHS Defendants’ Motion to Dismiss [Docket No. 66] is DENIED in part and 
   GRANTED in part as follows:                                        
      a.  All claims against MSOP are DISMISSED with prejudice.       

      b.  All individual capacity claims against DHS Defendants are DISMISSED 
        without prejudice.                                            
      c.  All official capacity claims for damages are DISMISSED with prejudice. 
        d.  Only the following claims will proceed: 
              i.  Claim  1  seeking  declaratory  and  injunctive  relief for  unlawful 
                 punishment against DHS Defendants in their official capacity; and 
              ii.  Claims 4-6 seeking declaratory and injunctive relief against only 
                 DHS. 

DATED:  September 30, 2024                        day Medan 
at Minneapolis, Minnesota.                         JOHN R. TUNHEIM 
                                         United States District Judge 

                                 -20- 

Trial Court Opinion

               UNITED STATES DISTRICT COURT                          
                  DISTRICT OF MINNESOTA                              
HOLLIS J. LARSON,                                                        
                                  Civil No. 23-1823 (JRT/DJF)        
                   Plaintiff,                                        

v.                                                                       
                             MEMORANDUM OPINION AND ORDER            
MINNESOTA DEPARTMENT OF HUMAN         ADOPTING REPORT AND                
SERVICES; MINNESOTA SEX OFFENDER        RECOMMENDATION                   
PROGRAM; and JODI HARPSTEAD, DHS                                         
Commissioner; NANCY JOHNSTON,                                            
MSOP’s Executive Director; TERRANCE                                      
KNEISEL, MSOP’s Facility Director; JOHN                                  
BARRY, MSOP’s Medical Director;                                          
ELIZABETH PETERSON, MSOP’s                                               
Assessment Department Director; GARY                                     
ANKARLO, MSOP Psychologist; BLAKE                                        
CAREY, MSOP Group Supervisor; DAVID                                      
MILES, MSOP Clinical Director; KATIE                                     
MACDOWELL, MSOP Clinical Director;                                       
DAVID LINDLBAUER, MSOP Primary                                           
Therapist; KAYLA TAYLOR, MSOP Primary                                    
Therapist; MICHAEL WOODS, State                                          
Ombudsman for Mental                                                     
Health/Developmental Disability; NICOLE                                  
BODER, MSOP’s Health Services Director;                                  
KRISTA GILPIN, MSOP Registered Nurse;                                    
ANDREW CHRISTENSEN, DHS ADA                                              
Coordinator; all in their personal and                                   
individual capacities,                                                   

                  Defendants.                                        

Hollis J. Larson, MSOP, 1111 Highway 73, Moose Lake, MN 55767, pro se 
Plaintiff.                                                           
 Sarah L. Krans, MINNESOTA ATTORNEY GENERAL’S OFFICE, 445 Minnesota   
 Street, Suite 1400, St. Paul, MN 55101, for Defendant Michael Woods.  

 Morgan  Alexander,  MINNESOTA  ATTORNEY  GENERAL’S  OFFICE,  445     
 Minnesota Street, Suite 1100, St. Paul, MN 55101, for Defendants.    


 Plaintiff Hollis J. Larson filed this action against the Minnesota Department of 
Human Services (“DHS”), the Minnesota Sex Offender Program (“MSOP”), and various 
MSOP/DHS officials in their individual and official capacities, as well as Michael Woods, a 
regional ombudsman not employed by DHS or MSOP, alleging broadly that his post-
traumatic  stress disorder  (“PTSD”)  went  undiagnosed  for  many  years while he  was 
committed at the MSOP facility in Moose Lake, Minnesota.   Magistrate Judge Dulce J. 
Foster filed a report and recommendation (“R&R”) recommending that most of Larson’s 
claims  be  dismissed  but  that  his  claim  for  unlawful  punishment  against  the  DHS 
Defendants in their official capacity and his discrimination claims against DHS continue.  
Larson filed a very broad objection.  The DHS Defendants respond to Larson’s objections 
but do not object to the Magistrate Judge’s recommendations that four claims proceed: 

the official capacity unlawful punishment claim against the DHS Defendants and all three 
disability discrimination claims against DHS.  Without any objections, the Court will allow 
those claims to proceed.  Reviewing the remainder of the R&R, the other claims fail to 
survive the motions to dismiss.  Accordingly, the Court will overrule Larson’s objections 

and adopt the entirety of the R&R.  The claims against Woods and MSOP will be dismissed.  
The claims against the DHS Defendants in their individual capacity will be dismissed.  The 
official capacity unlawful punishment claim, claim 1, against the DHS Defendants and the 
disability discrimination claims, claims 4–6, against DHS will proceed.   

                       BACKGROUND                                     
I.   FACTS                                                                
 Neither party objects to the R&R’s comprehensive factual background so the Court 
will adopt it in full.  (R. & R. at 2–11, May 16, 2024, Docket No. 78.)  The Court will only 

briefly summarize the relevant facts here.                                
 Larson is currently civilly committed at the MSOP facility in Moose Lake.  (Am. 
Compl. ¶ 1, Oct. 6, 2023, Docket No. 30.)  During his time at MSOP, he has filed several 
complaints against various defendants alleging mistreatment and denial of rights.  E.g., 

Larson v. MSOP, et al., No. 13-1074, 
2024 WL 448305
 (D. Minn. Feb. 6, 2024).  In addition 
to Larson’s individual actions, a large class action, of which  Larson was a member, 
addressed  the  conditions at MSOP.   Karsjens  v.  Piper,  
845 F.3d 394
 (8th Cir. 2017) 
(“Karsjens I”); Karsjens v. Lourey, 
988 F.3d 1047
 (8th Cir. 2021) (“Karsjens II”); Karsjens v. 

Harpstead, 
74 F.4th 561
 (8th Cir. 2023) (“Karsjens III”), cert. denied, 
144 S.Ct. 814
 (2024).    
Nonetheless, Larson filed the current action raising new allegations surrounding his 
treatment at MSOP.  (See generally Am. Compl.)                            
 Here, Larson’s allegations center around the diagnosis and treatment of his PTSD.   

(Am. Compl. ¶¶ 24–34, 38, 42, 48–49, 54–58, 63, 65, 72, 78, 89, 94.)  While Larson mostly 
makes  generalized  claims  against  all  the  Defendants,  his  Amended  Complaint  does 
contain some specific allegations.  (See generally Am. Compl.)            
 Katie MacDowell features as the object of many accusations.  Larson charges 
MacDowell with misdiagnosing his PTSD as “various ‘diagnoses’” despite Larson providing 

her with hospital records noting a Traumatic Brain Injury (“TBI”) and a list of his physical 
and psychological trauma.  (Id. ¶¶ 24–27.)   Larson alleges that MacDowell intentionally 
ignored the information Larson presented and refused to do a PTSD diagnostic checklist.  
(Id. ¶¶ 28–31.)  He also claims that while MacDowell made “Incident Reports,” she did 

not report numerous events of Larson smearing feces on cell walls and himself and even 
eating feces on one occasion.  (Id. ¶¶ 40–41.)  Larson further alleges that MacDowell is 
not a licensed psychologist but rather a clinical social worker working under “another 

MSOP employee’s license.”  (Id. ¶¶ 35–36.)                                
 After five years of misdiagnosis, Larson claims he was properly diagnosed with 
PTSD by “actual psychologist” Gary Ankarlo based on the same information available to 
MacDowell, except for one additional TBI in 2019.  (Id. ¶¶ 32–34, 49.)  Larson alleges that 

his delay in receiving the correct diagnosis exacerbated his PTSD symptoms.  (Id. ¶¶ 42, 
58.)                                                                      
 Apart from the misdiagnosis and delay, Larson claims that MSOP punished him for 
manifestations of his undiagnosed PTSD.  (Id. ¶¶ 57–58, 88, 92–93, 97, 106.)  He describes 

receiving disciplinary reports after exhibiting PTSD symptoms, which precluded him from 
fully accessing MSOP’s facilities and treatment programs.  (Id. ¶¶ 57–58, 60.)  Another 
alleged  result  of  Larson’s  delay  in  diagnosis  was  significant  time  spent  in  solitary 
confinement, including 24 of the last 30 months.  (Id. ¶¶ 58, 70, 81, 85, 101.)   

 In addition to allegations of punishment, Larson alleges that he has not received 
his desired care for his PTSD.  (Id. ¶¶ 57, 60, 67–68, 95.)  He requested treatment in the 
form  of  eye  movement  desensitization  and  reprocessing  (“EMDR”)  therapy  and 
neurofeedback but has yet to receive those treatments because the Moose Lake facility 

is ill-equipped.  (Id. ¶¶ 57, 73.)  Larson submitted a request, later denied by Kristin Gilpin 
and Nicole Boder, to be transferred to the MSOP facility in St. Peter, Minnesota as it is 
better  suited  to  provide  treatment.    (Id.  ¶¶  63–64.)    While  neuropsychological 

assessments and other screenings have been approved for Larson, Elizabeth Peterson 
allegedly paused Larson’s neuropsychological assessments because Larson was placed in 
a high security area.  (Id. ¶¶ 94–95.)  Larson notified Michael Woods and the Adult Abuse 
Hotline of MSOP’s alleged withholding of treatment, but he has not yet heard a response.  

(Id. ¶ 79.)                                                               
 Larson describes his PTSD as a disability that severely limits his ability to care for 
himself.  (Id. ¶¶ 70, 77–78.)  For his disability, he sought reasonable accommodations 
under the Americans with Disabilities Act (“ADA”).  (Id. ¶ 54.)  Gilpin and Boder denied 

this request as well.  (Id. ¶ 55.)  Larson sought to appeal this decision, but in doing so, he 
alleges that Gilpin and Boder intentionally omitted relevant information.  (Id. ¶ 74.)  
Nonetheless, Larson filed an ADA Modification Appeal Request, and Andrew Christensen 
denied that appeal.  (Id. ¶ 76.)                                          

 In response to Larson’s repeated requests for treatment and his ADA reasonable 
accommodations appeal, he claims many defendants retaliated against him and increased 
punishments.  (Id. ¶¶ 75, 81, 87, 102, 106, 114.)  He further alleges that these defendants 
established “prison-like policies” beyond what was reasonably necessary to serve the 

purpose of confinement.  (Id. ¶¶ 80, 84, 111, 115.)  Larson states that the thirteen years 
of punishment he endured resulted in physical and emotional injuries.  (Id. ¶¶ 92, 107.)  
II.  PROCEDURAL HISTORY                                                   
 Larson’s Amended Complaint raises ten causes of action: (1) Violations of Due 

Process – Unlawful Punishment, (2) First Amendment Retaliation, (3) Failure to Train and 
Supervise,  (4)  Disability  Discrimination,  (5)  Violation  of  Section  504  of  the  Federal 
Rehabilitation Act (“RA”), (6) Violation of the Minnesota Human Rights Act (“MHRA”), (7) 

Retaliation  and  Coercion,  (8)  Denial  of  Treatment  for  Serious  Medical  Need,  (9) 
Negligence, and (10) Supplemental State Torts against many different defendants.  (Id. 
¶¶ 120–160.)  The defendants can be grouped into two categories.  Michael Woods is 
employed as a state ombudsman for mental health/developmental disability.  (Id. ¶ 18.)  

The remaining defendants, Jodi Harpstead, Nancy Johnston, Terrance Kneisel, John Barry, 
Elizabeth Peterson, Gary Ankarlo, Black Carey, David  Miles,  Katie MacDowell,  David 
Lindlbauer, Kayla Taylor, Nicole Boder, Krista Gilpin, and Andrew Christensen are officials 
of DHS or MSOP (collectively “DHS Defendants”).  (Id. ¶¶ 7–17, 19–21.)  Larson brings the 
claims against all the defendants in their individual and official capacities.  (Id. ¶ 22.)   

 Claims 1, 2, and 7–10 are brought against all the defendants.  (Id. ¶¶ 121, 124149, 
152, 155, 159.)  Claim 3 includes all the defendants except Ankarlo, Miles, Taylor, Woods, 
Boder, Gilpin, and Christensen.  (Id. ¶ 127.)  Claims 4–6 are alleged only against DHS and 
MSOP.  (Id. ¶¶ 134, 139, 144.)  All the defendants moved to dismiss.  (Woods Mot. to 

Dismiss, Nov. 30, 2023, Docket No. 58; Mot. to Dismiss, Dec. 1, 2023, Docket No. 66.) 
TheMagistrate Judge recommended granting Woods’s motion and dismissing all claims 
against Woods.  (R. & R. at 39.)  In addition, the Magistrate Judge recommended granting 

in part and denying in party the DHS Defendants’ motion to dismiss, allowing claim 1 for 
declaratory and injunctive relief to proceed against DHS Defendants acting in their official 
capacity and allowing claims 4–6 against only DHS.  (Id. at 39–40.)       
 Larson objected to the R&R mostly on the ground that the record is insufficiently 

established.    (See  Pl.’s  Obj.,  June  3,  2024,  Docket  No.  79.)    Larson  challenged  the 
recommended  dismissal  of  claims  against  Woods  claiming  he  did  allege  personal 
involvement  by Woods.  (Id.  at  1.)   He also  disagreed  with  the  Magistrate  Judge’s 
recommendation as to the DHS Defendants by restating previous arguments or claiming 

a misunderstanding by the Magistrate Judge.  (Id. at 2–3.)  All the defendants responded 
to Larson’s objections but do not themselves object to the R&R.  (Woods Resp. to Obj., 
June 11, 2024, Docket No. 84; Resp. to Obj., June 17, 2024, Docket No. 85.)  
                        DISCUSSION                                    
I.   STANDARD OF REVIEW                                                   
 After a magistrate judge files an R&R, a party may file “specific written objections 

to the proposed findings and recommendations.”  Fed. R. Civ. P. 72(b)(2).  “The objections 
should specify the portions of the magistrate judge's report and recommendation to 
which objections are made and provide a basis for those objections.”  Mayer v. Walvatne, 

No. 07–1958, 
2008 WL 4527774
 at *2 (D. Minn. Sept. 28, 2008).  For dispositive motions, 
the Court reviews de novo a “properly objected to” portion of an R&R.  Fed. R. Civ. P. 
72(b)(3).  When reviewing a properly objected to portion of an R&R, the Court will review 
the case from the start, as if it is the first court to review and weigh in on the issues.  See 

Salve Regina Coll. v. Russell, 
499 U.S. 225, 238
 (1991) (“When de novo review is compelled, 
no form of appellate deference is acceptable.”).  “Objections which are not specific but 
merely repeat arguments presented to and considered by a magistrate judge are not 
entitled to de novo review, but rather are reviewed for clear error.”  Montgomery v. 

Compass Airlines, LLC, 
98 F. Supp. 3d 1012, 1017
 (D. Minn. 2015).         
 A document filed by a pro se litigant is to be liberally construed and must be held 
to a less stringent standard than formal pleadings drafted by lawyers.  Erickson v. Pardus, 
551 U.S. 89, 94
 (2007).  The Eighth Circuit has liberally construed otherwise general pro 

se objections to R&Rs and required de novo review of all alleged errors.  See Belk v. 
Purkett, 
15 F.3d 803, 815
 (8th Cir. 1994).  However, “pro se litigants are not excused from 
failing to comply with substantive and procedural law.”  Burgs v. Sissel, 
745 F.2d 526, 528
 
(8th Cir. 1984).                                                          

II.  ANALYSIS                                                             
 As Larson is pro se, the Court will liberally construe his general objections and 
review de novo his Amended Complaint.  However, some objections do not warrant de 
novo review even when made by a pro se plaintiff.  Even pro se pleadings must provide 

sufficient facts under Federal Rule of Civil Procedure 8(a) to put defendants on notice.  
Erickson, 
551 U.S. at 93
; Gerstner v. Sebig, LLC, 
386 F. App’x 573, 575
 (8th Cir. 2010).   
Therefore, the Court will not review claims 9 and 10 further because the Court finds no 
clear error in the Magistrate Judge’s recommended dismissal and Larson simply states 

that more factual development is needed.  The Court will also not review DHS Defendants’ 
qualified immunity, official capacity damages, or the discrimination claims1 because those 
portions of Larson’s objections align with the Magistrate Judge’s conclusions and thus are 

objections in name only.                                                  
 The Court will clarify that the Magistrate Judge recommended that MSOP as an 
entity be dismissed because it is not an entity that can be sued but is rather a program 
that DHS “establishes and maintains.”  Minn. Stat. § 246B.02; Sorenson v. Minnesota, No. 



 1 The Magistrate Judge indicated dismissal would be appropriate if Larson predicated his 
discrimination claims on improper treatment.  Larson objects to this conclusion.  Because the 
Court is unaware specifically on which bases Larson brings his discrimination claims, and the 
claims survive the motion to dismiss, the Court can address these potential issues as they arise.  
21-671, 
2021 WL 6335107
, at *3 (D. Minn. Sept. 13, 2021).  Because Larson maintains this 
action against DHS, the organization that administers the MSOP program, it will dismiss 

all claims against MSOP itself.                                           
 Larson’s objections warranting review can be grouped into two categories, those 
against Woods and those against the DHS Defendants.  Although many of the objections 
to Woods’s dismissal are similar, he is distinguishable as a defendant.   

 A.   Woods                                                           
 Larson brought claims 1–2 and 7–102 against Woods in his official and individual 
capacities; the Magistrate Judge recommended dismissing them all.  Larson objects.  Of 
note, Woods is not employed by DHS or MSOP; rather he is a regional ombudsman with 

the ability to receive complaints and advocate for people in state programs for mental 
health treatment.  Larson conflates Woods with the DHS Defendants.        
 Any official capacity claim fails because Woods is protected by sovereign immunity 

and  the  exception  for  prospective  injunctive  relief  does  not  apply.    The  Eleventh 
Amendment preserves a state’s sovereignty by prohibiting a federal court from exercising 
jurisdiction when the defendant is a state.  U.S. Const. amend. XI; EEE Minerals, LLC v. 
State of North Dakota, 
81 F.4th 809, 815
 (8th Cir. 2023).  Employees of a state acting in 

their official capacity function as the state under sovereign immunity.  Zajrael v. Harmon, 



 2 As clarified above, the Court will not review claims 9 and 10 because Larson simply 
objected on the basis that the factual record is underdeveloped.          
677 F.3d 353, 366
 (8th Cir. 2012).  The Ex Parte Young doctrine provides a limited exception 
to  sovereign  immunity  when  the  plaintiff  seeks  prospective  relief  from  an  ongoing 

violation of federal law.  Minnesota RFL Republican Farmer Lab. Caucus v. Freeman, 
33 F.4th 985
, 989–90 (8th Cir. 2022).                                        
 Larson excludes Woods from his request for injunctive relief except for the request 
that the Court “prohibit[] all defendants from continuing to violate . . . Larson’s rights.”  

(Am. Comp. at 30.)  The prospective relief Larson seeks against Woods is too vague.  Clavin 
Klein Cosms. Corp. v. Parfums de Coeur, Ltd., 
824 F.2d 665
, 669 (8th Cir. 1987) (describing 
that broad injunctions requiring a party to follow the law contradict Federal Rule of Civil 

Procedure 65(d)’s required specificity).  The official capacity claims against Woods fail and 
will thus be dismissed.3                                                  
 The individual claims likewise fail.  Larson inserts Woods into many accusations but 
provides no factual support to suggest that Woods had the authority to make any of the 

determinations Larson claims are unconstitutional.  First, Larson maintains that he was 
unfairly punished by being placed in solitary confinement, but Woods did not play a role 
in Larson’s placement within MSOP.  Second, Larson claims retaliation for previous 
complaints and cases.  But again, Woods did not process any of these complaints, nor did 

he take any of the allegedly retaliatory actions.  Finally, Larson alleges that Woods 



 3 To the extent Larson suggests sovereign immunity does not apply to an ADA claim 
against Woods, the discrimination claims only named MSOP and DHS as defendants.   
disregarded Larson’s medical needs to a level akin to criminal recklessness.  However, 
Woods only had the authority to review actions and make recommendations to MSOP—

no actual power to make treatment decisions.  
Minn. Stat. § 245.94
.  As such, none of the 
claims Larson brings against Woods survive because Larson has not alleged that Woods is 
personally responsible for any of the alleged constitutional violations.  Beck v. LaFleur, 
257 F.3d 764, 766
 (8th Cir. 2001) (stating that a claimant must allege sufficient personal 

involvement to sustain an individual capacity claim).  Woods’s alleged failure to advocate 
for Larson is not a constitutional violation.                             
 Larson takes issue with the dismissal of all the claims against Woods, but Larson 

attributes any perceived culpability of the DHS Defendants to Woods.  Woods, however, 
can only advise MSOP of complaints and make recommendations, and has no authority 
to effect change or force certain decisions.  The claims against Woods do not survive and 
will be dismissed.                                                        

 B.   DHS Defendants                                                  
 The objections to the following claims against the DHS Defendants are the only 
objections  that  require  the  Court’s  attention:  (1)  Individual  Capacity  Unlawful 
Punishment, (2) First Amendment Retaliation, (3) Failure to Train and Supervise, (4) ADA 

Retaliation, and (5) Denial of Treatment.                                 
      1.   Individual Capacity Unlawful Punishment                    
 Larson disagrees with the Magistrate Judge’s recommendation to dismiss the 
individual capacity unlawful punishment claims because more discovery is required.4   He 

also  argues  that  because  his  injunctive  relief  claims  are  proceeding,  there  is  an 
“inference” that he is suffering irreparable harm, and thus it would be improper to dismiss 
the individual capacity claims for damages.                               

 However,  the  Magistrate  Judge simply allowed  the  official  capacity claim for 
injunctive relief to proceed and did not make a finding that injunctive relief was proper. 
The Court reaches the same conclusion.  Just because Larson’s claim for injunctive relief 
can proceed past the motion to dismiss stage does not mean that he will ultimately be 

successful.  Further, as explained above under the state tort claims, the fact that the 
record should be more established does not allow a claim to survive a motion to dismiss.   
 Larson’s individual capacity unlawful punishment claims fail because he makes no 

specific allegations about any defendants inflicting any particular punishments.  Like the 
allegations lodged against Woods, Larson fails to allege sufficient personal involvement.  
Beck, 
257 F.3d at 766
.  As such, his individual capacity unlawful punishment claims will be 
dismissed.                                                                



 4 Larson states that he is unable to handle this additional discovery without the aid of an 
attorney.  Larson previously requested appointment of counsel, which the Magistrate Judge 
denied.  Because Larson did not appeal that order, Larson’s request to appoint counsel is not 
properly before the Court.                                                
      2.   First Amendment Retaliation                                
 A claim for First Amendment retaliation requires allegations that “(1) [the plaintiff] 

engaged in constitutionally protected activity; (2) the defendant took adverse action that 
would ‘chill a person of ordinary firmness from continuing in the activity’; and (3) the 
defendant  took  the  adverse  action  because  of  the  plaintiff’s  protected  activity.”  
Sorenson, 
2021 WL 6335107
, at *5 (citing Eggenberger v. W. Albany Twp., 
820 F.3d 938, 943
 (8th Cir. 2016)).  Here, Larson engaged in protected activities: filing complaints with 
MSOP and initiating federal cases.  He also made sufficient showing that the alleged 
adverse  action  would  create  a  chilling  effect  because  he  was  frequently  moved  to 
different areas within the facility and deprived of access to various programming.   

 Where Larson’s claim fails is the nexus between his protected activity and the 
adverse actions.  Larson does not sufficiently allege that MSOP officials took actions 
specifically  because  of  his  repeated  complaints  and  court  actions,  instead  making 

conclusory allegations that the decisions were retaliatory.  Larson also concedes his 
behavioral outbursts may at least partially explain his restrictive placements at MSOP.  
Without additional factual support connecting the protected activity and alleged adverse 
action, Larson’s First Amendment retaliation claim fails and will be dismissed.    

      3.   Failure to Train and Supervise                             
 Liability for failure to train or supervise arises when a supervisor “(1) had notice of 
a  pattern  of  unconstitutional  acts  committed  by  subordinates;  (2)  was  deliberately 
indifferent to or tacitly authorized those acts; and (3) failed to take sufficient remedial 
action; (4) proximately causing injury to [the plaintiff].”  Livers v. Schenck, 
700 F.3d 340, 355
 (8th Cir. 2012) (internal quotation marks omitted).  Ultimately, Larson would need to 

allege that the supervisors knew the training policies and supervision were likely to result 
in a constitutional violation.  
Id. at 356
.  He fails to do so in his Amended Complaint.   
 The only allegation that arguably falls under this claim is that MacDowell was 
insufficiently supervised or trained because she was only a licensed as a social worker and 

not  as  a  psychologist.    Larson  also  references  the  policy  that  MSOP  allows  non-
psychologists to work under other employee’s licenses.  Larson claims that, standing 
alone, the fact that MacDowell is not a licensed psychologist makes her unqualified to 

make any mental illness diagnoses.  But Larson does not support this contention.  Further, 
Larson alleges that the policy which allowed clinical social workers to practice under 
another employee’s license satisfied the knowledge requirement that actions were likely 
to result in a constitutional violation. That allegation is also unsupported.  The Court has 

no basis for concluding that a diagnosis from a clinical social worker rather than a fully 
licensed  psychologist  is  per  se  unconstitutional.    Even  liberally  construed,  without 
additional information, Larson’s failure to train and supervise claim cannot survive and 
will be dismissed.                                                        

      4.   ADA Retaliation Claim                                      
  To adequately plead an ADA retaliation claim, Larson needed to allege that “(1) he 
engaged in statutorily protected activity; (2) adverse action was taken against him; and 
(3)  a  causal  connection  exists  between  the  adverse  action  and  protected  action.”  
Rinehart v. Weitzell, 
964 F.3d 684, 689
 (8th Cir. 2020).  Here, Larson alleges that he filed 
an ADA appeal, a protected activity, 
id.
 at 689 n.6, and that in retaliation Gilpin and Boder 

omitted information from the appeal to justify its denial.  Taking those allegations as true, 
the Court finds the omission problematic.  The behavior, though, does not meet the 
standard for adverse action in an ADA retaliation claim.  Adverse action under the ADA 
must  be  serious  enough  to  dissuade  the  reasonable  person  from  engaging  in  that 

protected conduct.  Cf. Garrison v. Dolgencorp, LLC, 
939 F.3d 937
, 942–43 (8th Cir. 2019) 
(discussing ADA retaliation in the employment context).  While Larson alleges that the 
removal or omission of the information from his ADA appeal dissuaded him from filing 

any more appeals, his hesitation to appeal is insufficient.  Instead, it must be enough to 
dissuade the reasonable person.  
Id.
  Here, the Court concludes that the conduct of 
omitting information in an ADA appeal would not dissuade the reasonable person from 
filing ADA accommodation requests or appeals and thus does not constitute an adverse 

action.  Without an adverse action, Larson’s ADA retaliation claim necessarily fails.  The 
Court will dismiss claim 7.                                               
      5.   Denial of Treatment                                        
 Larson’s denial of treatment is properly construed as arising under the due process 

clause of the Fourteenth Amendment.  Senty-Haugen v. Goodno, 
462 F.3d 876, 889
 (8th 
Cir.  2006);  see  also  Karsjens  II,  988  F.3d  at  1051–52.    The  standard  for  deliberate 
indifference  under  the  Fourteenth  Amendment  is  the  same  as  under  the  Eighth 
Amendment.  Senty-Haugen, 
462 F.3d at 889
.  Deliberate indifference is a higher standard 
than gross negligence, and the plaintiff must show that a known excessive risk to health 
was disregarded.  Gibson v. Weber, 
433 F.3d 642, 646
 (8th Cir. 2006).  To meet the 

deliberate indifference standard, a plaintiff must show a “mental state akin to criminal 
recklessness.”  Allard v. Baldwin, 
779 F.3d 768, 772
 (8th Cir. 2015) (citing Vaughn v. Gray, 
557 F.3d 904, 908
 (8th Cir. 2008)).  Dissatisfaction with medical treatment and negligent 
misdiagnosis do not rise to the level of deliberate indifference.  Davis v. Hall, 
992 F.2d 151, 153
 (8th Cir. 1993); Allard, 
779 F.3d at 772
.                        
 Larson fails to make any allegations that any defendants acted with the mental 
state akin to criminal recklessness.  He does allege that MacDowell did not diagnose him 

with PTSD, but that can be explained by a difference in medical opinion or a worsening 
condition that only warranted a diagnosis five years later.  He claims that he requested 
transfer to a different facility to receive ESMR and neurofeedback therapy and that he did 
not receive approved assessments.  But he also concedes that Gilpin and Boder explained 

that he was not a candidate for placement at the St. Peter facility and that, depending on 
his placement within the Moose Lake facility, some treatments and assessments were 
unavailable.  Further, Larson relies on the times when he smeared feces on himself as 
evidence  of  deliberate  indifference.    Without  question,  incident  reports  were  filed.  

Although Larson may not have liked the response, there was a response, and it was not 
so lacking as to amount to criminal recklessness.                         
 Larson’s objection to the Magistrate Judge’s recommendation to dismiss his failure 
to treat claim seems to challenge the standard applied.  Specifically, Larson notes that he 

is not an “inmate” and is entitled to “any treatment he chooses.”  (Pl.’s Obj. at 10.)   Larson 
is not an inmate, but the “deliberate indifference” standard still applies to those civilly 
committed at MSOP.  Senty-Haugen, 
462 F.3d at 889
.  Larson provides no citation for his 
declaration that he can receive any treatment he chooses.                 

 As  pleaded,  Larson’s  delayed  treatment  claims  do  not  state  a  Fourteenth 
Amendment violation and must be dismissed.                                
                       CONCLUSION                                     
 Woods’s motion to dismiss will be granted in its entirety because he had no 

authority to  make decisions affecting Larson.   All claims against MSOP will also be 
dismissed because it is a program maintained by DHS and thus MSOP is not an appropriate 
defendant.  While some claims against DHS and the DHS Defendants continue, others lack 

sufficient factual basis to survive.  The Magistrate Judge recommended that four claims 
proceed: Larson's three disability discrimination claims against DHS and his one official 
capacity unlawful punishment claim against the DHS Defendants; Defendants did not 
object  to  those  recommendations.   Therefore,  the  Court  will  adopt  those 

recommendations and allow only those four claims to proceed.  The Court will dismiss all 
the other claims, adopt the R&R, and overrule Larson’s objections.        

ORDER

 Based on the foregoing, and all the files, records, and proceedings herein, IT IS 

HEREBY ORDERED that:                                                      
 1.  Plaintiff’s Objections [Docket No. 79] to the Report and Recommendation are 
   OVERRULED;                                                         
 2.  The Report and Recommendation [Docket No. 78] is ADOPTED;        

 3.  Defendant Woods’s Motion to Dismiss [Docket No. 58] is GRANTED;  
 4.   DHS Defendants’ Motion to Dismiss [Docket No. 66] is DENIED in part and 
   GRANTED in part as follows:                                        
      a.  All claims against MSOP are DISMISSED with prejudice.       

      b.  All individual capacity claims against DHS Defendants are DISMISSED 
        without prejudice.                                            
      c.  All official capacity claims for damages are DISMISSED with prejudice. 
        d.  Only the following claims will proceed: 
              i.  Claim  1  seeking  declaratory  and  injunctive  relief for  unlawful 
                 punishment against DHS Defendants in their official capacity; and 
              ii.  Claims 4-6 seeking declaratory and injunctive relief against only 
                 DHS. 

DATED:  September 30, 2024                        day Medan 
at Minneapolis, Minnesota.                         JOHN R. TUNHEIM 
                                         United States District Judge 

                                 -20- 

Reference

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