U.S. Court of Appeals for the Eighth Circuit, 1993 Pretrial detainee's § 1983 claims for medical neglect and improper solitary confinement dismissed for failing to allege facts showing deliberate indifference.

Pretrial detainee's § 1983 claims for medical neglect and improper solitary confinement dismissed for failing to allege facts showing deliberate indifference.

Marcus Davis v. Calzona Hall, Director of Justice Services St. Louis County Jail Mohammad Alam, M.D. Spectrum Emergency Care
U.S. Court of Appeals for the Eighth Circuit · Decided May 28, 1993 · Fagg, Peck, Magill
992 F.2d 151 (Federal Reporter, Second Series)

Outcome: Affirmed for appellee.

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Counsel

Henry W. Cummings, St. Charles, MO, for plaintiff-appellant., Robert E. Fox, Clayton, MO, and Robert E. Staed, Jr., St. Louis, MO, for defendants-appellees.

Marcus Davis v. Calzona Hall, Director of Justice Services St. Louis County Jail Mohammad Alam, M.D. Spectrum Emergency Care

What happened

The facts of the case, in plain language.

Marcus Davis was a pretrial detainee with a broken ankle transferred to St. Louis County Jail.

Davis requested transfer to the infirmary due to his broken ankle, but officials denied his request.

Davis was placed in solitary confinement at the Chesterfield facility due to his medical condition.

Davis did not allege that his medical condition went untreated or received inadequate treatment.

What the court decided

Marcus Davis, a pretrial detainee transferred between correctional facilities with a broken ankle, sued under § 1983 alleging deliberate indifference to medical needs. He claimed officials denied him access to the infirmary and crutches and improperly placed him in solitary confinement at a second facility. The district court dismissed for failure to state a claim. The Eighth Circuit affirmed, holding that Davis failed to state sufficient facts showing deliberate indifference—his pleading demonstrated only disagreement with medical judgments—and his solitary confinement claim lacked facts showing punitive intent rather than legitimate penological purpose. The court further held that mere negligence cannot support a § 1983 action.

  1. In the Eighth Circuit, in the absence of a clearly established higher standard, pretrial detainees' claims of inadequate medical care are analyzed under the deliberate indifference standard, with such claims governed by the Due Process Clause of the Fourteenth Amendment rather than the Eighth Amendment. (*153)
  2. A pretrial detainee fails to state a § 1983 claim for deliberate indifference to medical needs based on denial of preferred accommodations when the complaint does not allege that the underlying injury went untreated or that treatment received was inadequate; mere disagreement with medical judgment is insufficient. (*153)
  3. Placement of a pretrial detainee in solitary confinement based solely on a medical condition does not constitute unconstitutional punishment under the Due Process Clause unless the complaint alleges specific facts showing that officials acted with punitive intent; a conclusory assertion of punishment is insufficient. (*153)
  4. Mere negligence does not support a cause of action under 42 U.S.C. § 1983. (*153)

How the court reached its decision

The court's reasoning, step by step.

Whether a pretrial detainee states a § 1983 deliberate-indifference claim by alleging denial of infirmary access and crutches, without alleging that the injury went untreated or that medical treatment was inadequate. Davis did not allege that his broken ankle went untreated or that the treatment he received was inadequate; his complaint reflected only displeasure with the decisions of medical and prison personnel to deny infirmary access and crutches. Davis failed to allege facts sufficient to show deliberate indifference to his medical needs, and the district court correctly dismissed the claim under Rule 12(b)(6).

Whether placement of a pretrial detainee in solitary confinement based on his medical condition constitutes unconstitutional punishment under the Due Process Clause. Davis provided no facts in his complaint showing that prison officials intended to punish him; his conclusory assertion that placement in solitary confinement due to his medical condition constituted punishment was insufficient. The district court correctly dismissed the solitary confinement claim because Davis's conclusory pleading failed to allege facts demonstrating punitive intent.

Whether a § 1983 plaintiff may recover on a theory of mere negligence. Davis alleged only that Appellees' negligence was the proximate cause of his injuries. Having failed to state a federal § 1983 cause of action, and with no diversity of citizenship present, there was no jurisdictional basis for the negligence claims. The negligence claim failed to state a cause of action under § 1983, and the entire action was properly dismissed.

Key quotes from the opinion

Notable passages from the opinion, in the court's own words.

“It is well established law that a convicted prisoner must show that prison officials were deliberately indifferent to his medical needs to prove a violation of the eighth amendment.”
Deliberate indifference standard —
“solitary confinement is not necessarily unconstitutional especially when based solely on the prisoner's medical condition”
Solitary confinement not inherently unconstitutional when based on medical condition —
“Disagreement with a medical judgment is not sufficient to state a claim for deliberate indifference to medical needs.”
Disagreement with medical judgment insufficient for claim —
“Mere negligence is not sufficient to support a cause of action under § 1983.”
Negligence insufficient under § 1983 —

Cases the court relied on

Earlier decisions the court cited as authority for its ruling.

  • Bell v. Wolfish (441 U.S. 520 (1979)) — Established that pretrial detention conditions do not constitute punishment if reasonably related to a legitimate governmental purpose, providing the controlling constitutional framework for Davis's solitary confinement and due process claims.
  • Estelle v. Gamble (429 U.S. 97 (1976)) — Established the deliberate indifference standard for prisoner medical-care claims under the Eighth Amendment, which the court imported as the applicable standard for Davis's Fourteenth Amendment medical-care claims.
  • Johnson-El v. Schoemehl (878 F.2d 1043 (8th Cir. 1989)) — Held that pretrial detainees' claims are governed by the Fourteenth Amendment and applied the deliberate indifference standard in the Eighth Circuit, directly controlling the analytical framework adopted in this case.
  • Smith v. Marcantonio (910 F.2d 500 (8th Cir. 1990)) — Held that disagreement with a medical judgment is insufficient to state a § 1983 claim for deliberate indifference to medical needs, the specific rule applied to dismiss Davis's infirmary and crutches claim.
  • Daniels v. Williams (474 U.S. 327 (1986)) — Established that mere negligence cannot support a § 1983 cause of action, directly controlling the dismissal of Davis's negligence-based claim.

Cases that cite this one

334 later published cases cite this decision. The 18 that cite it most often are listed here.

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Full opinion

The complete text of the court's opinion as published.

Opinion

PER CURIAM.

Marcus Davis appeals from the district court’s 1 dismissal of his § 1983 action on the grounds of failure to state a claim upon which relief can be granted. For the reasons stated below, we affirm.

I. FACTS

On May 23, 1991, Appellant Marcus Davis, a pretrial detainee, was transferred from the Manard Correctional Institution at Chester, Illinois to the St. Louis County Jail in Clayton, Missouri. Davis had a broken ankle which he had sustained at the Manard facility. Upon arrival at the St. Louis County Jail, he was placed in the general jail population. Because of the broken ankle, Davis requested a transfer to the infirmary. His request was denied by Appellee Dr. Alam, who Davis alleges is an employee of Spectrum Emergency Care, and Justice Services which is under the control of Appellee Hall. Additionally, Davis alleges that Alam and Hall took his crutches away from him so that he had to be carried to the toilet by jail personnel. Shortly thereafter, he was transferred to the jail at Chesterfield, Missouri. He was placed in solitary confinement due to his medical condition. On May 27, 1991, while showering without assistance from jail personnel, Davis fell. He was taken to the hospital and diagnosed with muscle spasms.

Davis brought a § 1983 action alleging that Appellees had shown deliberate indifference to his medical needs by refusing him admission to the infirmary in the St. Louis County jail and by transferring him to the Chesterfield facility which was not equipped to handle handicapped persons. He also alleged that his rights were violated because he was placed in solitary confinement due to his medical condition. Davis also alleged that Appellees’ negligence caused his injury.

Appellees filed motions to dismiss pursuant to Fed.R.Civ.P. 12(b)(6). The district court found that Davis had failed to plead sufficient facts indicating Appellees’ deliberate indifference to his serious medical needs. This appeal followed.

II. ANALYSIS

“[A] complaint should not be dismissed for failure to state a claim unless it appears beyond doubt that the plaintiff can prove no set of facts in support of his claim which would entitle him to relief.” Conley v. Gibson, 355 U.S. 41, 45-46, 78 S.Ct. 99, 102, 2 L.Ed.2d 80 (1957). Furthermore, the court must view the facts in the light most favorable to the plaintiff and assume that the allegations contained in the complaint are true. Haggy v. Solem, 547 F.2d 1363, 1364 (8th Cir. 1977). Civil rights pleadings are construed liberally. However, they must not be conclusory and must set forth facts which state a claim as a matter of law. Nickens v. White, 536 F.2d 802, 803 (8th Cir. 1976).

It is well established law that a convicted prisoner must show that prison officials were deliberately indifferent to his medical needs to prove a violation of the eighth amendment. Estelle v. Gamble, 429 U.S. 97, 104, 97 S.Ct. 285, 291, 50 L.Ed.2d 251 (1976). In this case, however, Davis was a pretrial detainee, and to punish such a detainee prior to an adjudication of guilt would constitute a violation of due process of law. Bell v. Wolfish, 441 U.S. 520, 535, 99 S.Ct. 1861, 1871, 60 L.Ed.2d 447 (1979). Thus, Davis’ claims are properly analyzed under the due process clause of the fourteenth amendment rather than the eighth amendment. Johnson-El v. Schoemehl, 878 F.2d 1043, 1048 (8th Cir. 1989). Although this court has suggested that a more stringent standard than deliberate indifference would be appropriate in assessing pretrial detainees’ claims of inadequate medical care, no standard has been clearly established. Id. at 1055 n. 8; Boswell *153 v. Sherburne County, 849 F.2d 1117, 1121 (8th Cir. 1988), cert. denied, 488 U.S. 1010, 109 S.Ct. 796, 102 L.Ed.2d 787 (1989) (noting a split in the circuits on this issue, but declining to announce a different standard for pretrial detainees in the Eighth Circuit). In Johnson-El, this court used the deliberate indifference standard in its analysis of pretrial detainees’ claims of inadequate medical care. Most other courts that have addressed the issue have held that the deliberate indifference standard applied to pretrial detainees. E.g., Danese v. Asman, 875 F.2d 1239, 1243 (6th Cir. 1989), cert. denied, 494 U.S. 1027, 110 S.Ct. 1473, 108 L.Ed.2d 610 (1990); Jones v. Johnson, 781 F.2d 769, 771 (9th Cir. 1986); Garcia v. Salt Lake County, 768 F.2d 303, 307 (10th Cir. 1985); Whisenant v. Yuam, 739 F.2d 160, 163 n. 4 (4th Cir. 1984). Contra, Cupit v. Jones, 835 F.2d 82, 85 (5th Cir. 1987) (pretrial detainees entitled to “reasonable medical care” unless the failure to supply it is reasonably related to a legitimate governmental objective). In the absence of a clearly established standard for pretrial detainees’ claims of inadequate medical care in the Eighth Circuit, we apply the deliberate indifference standard in the analysis of this case. However, we note that even under the more stringent standards suggested by Cupit, Davis’ claims would fail.

Davis first argues that his constitutional rights were violated when Appellees denied him access to his crutches and the infirmary at the St. Louis County Jail. We agree with the district court that Davis has failed to allege facts sufficient to show Appel-lees’ deliberate indifference to his medical needs. He has not alleged that his injury went untreated or that the treatment he received was inadequate. Davis has merely expressed his displeasure with the judgment of the medical and prison personnel involved. Disagreement with a medical judgment is not sufficient to state a claim for deliberate indifference to medical needs. Smith v. Marcantonio, 910 F.2d 500, 502 (8th Cir. 1990). Thus, we conclude that the district court correctly dismissed Davis’ action for failure to state a claim.

Davis next argues that his placement in solitary confinement at the Chesterfield facility constituted unconstitutional punishment for a pretrial detainee. In Wolfish, 441 U.S. at 538, 99 S.Ct. at 1873, the Supreme Court stated that in evaluating the constitutionality of prison conditions implicating pretrial detainees’ liberty interests, the court must decide whether a particular condition is imposed for the purpose of punishment or whether it is but an incident of some other legitimate government purpose. Conditions or restrictions of pretrial detention that are reasonably related to a legitimate governmental objective do not, without more, amount to punishment. Id. at 539, 99 S.Ct. at 1874. In Hancock v. Unknown United States Marshal, 587 F.2d 377, 378-79 (8th Cir. 1978), this court held that solitary confinement is not necessarily unconstitutional especially when based solely on the prisoner’s medical condition. Davis has provided no facts in his complaint to show that prison officials had the intent to punish him. His conclusory statement that placement in solitary confinement due to his medical condition constituted punishment is insufficient to state a claim.

Finally, Davis complains that Appel-lees were negligent and that their negligence was the proximate cause of his injuries. Mere negligence is not sufficient to support a cause of action under § 1983. Daniels v. Williams, 474 U.S. 327, 328, 106 S.Ct. 662, 663, 88 L.Ed.2d 662 (1986). Since Davis has failed to state a federal cause of action and there is no diversity of citizenship in this case, there is no basis for jurisdiction over the negligence claims. Accordingly, we affirm the district court’s dismissal of this action.

1

. The Honorable Clyde S. Cahill, United States District Judge for the Eastern District of Missouri.

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