REMEMBERING IN ORDER TO PREVENT SIMILAR TRAGEDIES FROM HAPPENING AGAIN JEFFREY CLARK TIMOTHY SOUDERSGase 4:92-clt00110-RAE Document 2186 Filed 11/13/2006 Page 5 of 39 determined that T.S. was “floridly psychotic. Exhibiting symptoms consistent with his deseription ‘of manic episodes prior to incarceration. (Duffy Dep. Ex. 10.) Duffy thus referred T.S. to the “CSP -id.-meaning the Crisis Stabilization Program that hospitalizes and treats mentally ill prisoners at the Huron Valley Men’s Facility (a prison psychiatric hospital). (See Dufly Dep. 41 47.) Duffy had no expectation that T.S. would be transferred immediately, though, since he planned to examine TS, the following day. (See Duffy Dep. Ex. 10.) The prior suicide attempts noted by Duffy referred to a series of suicide attempts in the _alamazoo County Jail (T.S. stabbing himself in the stomach and attempting hanging); the hanging was attempted while T.S. was housed in the alamazoo Regional Psychiatric Hospital and nearly resulted in his death, (Walden Decl. 19.) Duffy completed a referral form for T.S. on the morning of August 3, 2006 before examining T.S. again later in the day. (Duffy Dep. 71.) The referral form was marked “Emergent and noted that “Prisoner decompensated . . in detention cell . .. Prisoner remained agitated . .. Associations loose, disintegrated. Unable to determine if prisoner is responding to internal stimuli... (Duffy Dep. Ex. 9 at 1.) Duffy also noted that T-S.’s psychiatric medications could not be changed due to the absence of an on-site psychiatrist. ( d. at 2.) ‘The same day Duffy received an email that the referral had been received. (Duffy Dep. 71.) He later received an email that day that the referral had been approved. ( d. at 72.) T.S. was not transferred that day, though. Defendants blame the failure to transfer upon a “transfer coordinator (ecretary) at Huron Valley who failed to transmit the transfer order to IMF, together with the scheduled leave of the transferring psychiatrist on Friday, August 4, 2006 and Mr. Dufly’s past reliance on email correspondence to affect transfer orders. (See Def’.’ Resp., Dkt. No, 2177, at 5.) Rule 22 (1): At every institution, there shall be available the services of at least one qualified medical officer lwho should have some knowledge of psychiatry. The medical services should be organized in close relation- Iship to the general health administration of the community or nation. They shall include a psychiatric service lor the diagnosis and in proper cases, the treatment of states of mental abnormallity.” (Standard Minimum Rules for the Treatment of Prisoners).