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Hampton Roads Regional Jail
Correct Care Solutions
Feb 11, 2017 pilotonline.com
Feds probing ex-Norfolk Sheriff Bob McCabe's ties to jail contractor. What is Correct Care Solutions?
Federal investigators are probing the relationship between former Norfolk Sheriff Bob McCabe’s office and Correct Care Solutions, the jail’s medical contractor since 2004. But what is Correct Care Solutions? Gerald “Jerry” Boyle founded the company in 2003, after previously heading a similar business named Prison Health Services. CCS employs nearly 11,000 people in 38 states and Australia, according to the Nashville, Tenn.-based company’s website. It provides medical and behavioral health services for nearly 250,000 patients at local, state and federal facilities, including jails, prisons, hospitals and civil commitment centers. The bulk of those employees – more than 6,000 – work at 333 detention facilities like the Norfolk City Jail. It handles medical services for four of six jails in South Hampton Roads. The city’s Sheriff’s Office was required last year to pay the company a base amount of about $3.8 million, according to a copy of the contract obtained by The Virginian-Pilot. The contract was signed in December 2010 and was for up to six years. It should have ended Dec. 16, but the office does not appear to have signed any new contracts with CCS or any other medical provider. An attorney for the Sheriff’s Office declined to comment on the status of the contract, referring questions to a spokeswoman who she said was out of the office until next week. The Sheriff’s Office has contracted with CCS since June 2004, when then-Sheriff McCabe signed his first six-year deal with the company. That contract called for a base compensation of just over $3 million in the first year. The latest contract, signed in 2010, saw price increases after the first, second and fourth years. Before CCS, the Sheriff’s Office contracted with Boyle’s former company. The Chesapeake and Portsmouth sheriff’s offices also contract with CCS, as does the Hampton Roads Regional Jail. The Virginia Beach sheriff contracted with the company until May 2015, when he signed a three-year contract with NaphCare Inc. of Birmingham, Ala. Western Tidewater Regional Jail does not contract with an outside company for medical services, choosing to hire staff directly. Federal prosecutors secured two grand jury subpoenas last month, seeking documents relating to the Sheriff Office’s and CCS. The subpoenas were served months after McCabe’s name surfaced in a public corruption case. One subpoena was issued to the Sheriff’s Office on Jan. 18; the other went to the city of Norfolk on Jan. 27. The records requested must be turned over to a federal grand jury, which meets Feb. 22. Among other things, the subpoenas seek records of payments or items of value from CCS to McCabe and other Sheriff’s Office employees. They reference gifts, airline travel, hotel expenses, professional and college sporting events, fishing charters, auto racing schools, concerts, campaign contributions and use of condominiums in Nashville. Calls to McCabe – who has previously denied any wrongdoing – were not returned. Spokespeople for the Sheriff’s Office and CCS declined to comment on the investigation. McCabe, the sheriff since 1994, announced in late December that he was stepping down effective Feb. 1 after previously announcing that he would seek re-election. McCabe’s former second in command, Joseph Baron, was sworn in last week as interim sheriff. Over the years, CCS has been the target of at least 35 federal lawsuits in Virginia. Judges dismissed most of the cases, but eight are pending. One of the pending lawsuits names McCabe as a co-defendant. It involves an inmate of the Hampton Roads Regional Jail, which started contracting with Correct Care in December 2015. McCabe headed the regional jail on an interim basis for about four months last year before resigning toward the end of December.

Apr 10, 2016 richmond.com
Inspector general report says multilevel failures led to Va. man's death in jail
The doctors and nurses responsible for providing health care to inmates at the Hampton Roads Regional Jail failed to properly assess Jamycheal Mitchell before he died of “wasting syndrome” in his feces-smeared cell last August. That’s one of the conclusions reached by the Office of the State Inspector General in a report released Tuesday that attempts to explain how a 24-year-old mentally ill man accused of stealing $5 worth of snacks from a Portsmouth convenience store died behind bars. Mitchell was supposed to be treated for his mental illness at Eastern State Hospital near Williamsburg, but because of a series of clerical errors, he was kept in a cell at Hampton Roads Regional Jail for 101 days. While there, he lost 46 pounds and refused every opportunity he had to shower and recreate with other inmates, jail officials said. His leg also became severely swollen with fluid, but the jail reports for June 15 provided to the inspector general’s office indicated that no action was taken by health care professionals. He was taken to a clinic 15 days later and appeared “disheveled, psychotic and uncooperative.” The report notes that the records provided by NaphCare, the company that contracted with the jail to provide medical and mental health care services, were “incomplete and inconsistent.” Also, patients were expected to “put in sick call requests” on their own. “As the individual was thought to lack capacity to assist an attorney in his own defense, expectations that the individual would have the ability to seek out medical treatment independently while acutely symptomatic seems unreasonable and likely to fail,” according to the inspector general’s report. Even though NaphCare has been replaced by a new contractor, “a change in provider offers limited promise of improvement in care or documentation in the absence of a change in oversight practices.” “Review of NaphCare records raised significant concerns regarding the quality of assessment, care, follow-up and documentation,” the report says. “It is those professionals trained and licensed to provide clinical care who have a duty to provide that care, and the agency that contracts with the provider is responsible for ensuring that care is provided.” Still, the review didn’t fully delve into the medical care Mitchell should have received at the jail. The report said select information “was reviewed to identify additional areas for future review.” NaphCare has not returned several calls for comment in recent weeks. Lt. Col. Eugene Taylor III, an assistant superintendent of the jail, said last week that no policies or procedures had changed since Mitchell’s death because an internal investigation found no wrongdoing on the part of jail employees. Taylor said the decision not to renew the contract with NaphCare when it expired in December did not have to do with Mitchell’s death. The inspector general report detailed a series of shortcomings that went beyond the failings of medical staff. The report found fault with mental health providers on the state and local levels as well. The recent Department of Behavioral Health and Developmental Services audit of how the state handled Mitchell’s death doesn’t effectively address systemic problems, and a risk of recurrence remains, the inspector general’s report says. Mark Krudys, an attorney representing Mitchell’s family, said the report “details multiple and extreme failures by those charged with caring for Jamycheal. It also notes broader systemic failures across multiple agencies that affected Jamycheal and others suffering from mental illness.” G. Douglas Bevelacqua, a former inspector general who investigated mental health services, said both reports leave Virginians with unanswered questions. “Regrettably, after reading the OSIG Critical Incident Report and the DBHDS Investigative Report, I cannot answer the basic question of how did corrections staff and mental health workers allow Mitchell to waste away in plain sight for 3½ months,” Bevelacqua said. Pressure had been building for the release of the report in the past few weeks. In a news release issued Tuesday, State Inspector General June W. Jennings defended the length of time it took to complete the report. “We took the time necessary to ensure that this report addressed the issues we have the authority to investigate,” Jennings said in the statement. “It is our belief that the individual in question, and all those who suffer with mental illness and encounter the justice system, are deserving of the in-depth review conducted by our office.” Several weeks ago, Bevelacqua and Pete Earley, a former Washington Post reporter and prominent mental health author, questioned why the report still hadn’t been released seven months after Mitchell’s death. Last week, four advocacy organizations, including the National Alliance on Mental Illness of Virginia and the Portsmouth NAACP, sent a letter to Gov. Terry McAuliffe urging him to force the inspector general’s office to immediately release the results of its investigation. McAuliffe said he would not interfere with the investigation and that he would let it run its course. The review involved the Department of Behavioral Health and Developmental Services, Eastern State Hospital, Hampton Roads Regional Jail, the Portsmouth Department of Behavioral Healthcare Services, Portsmouth General District Court, NaphCare Inc. and Bon Secours Maryview Medical Center. “We are glad that the OSIG has finally, almost eight months after the tragic and unnecessary death of Jamycheal Mitchell, released their investigation report,” said Mira Signer, executive director of the National Alliance on Mental Illness of Virginia. “We look forward to reviewing it, and we truly hope that it provides useful information in the ongoing quest for accountability and system transformation in Virginia.”

June 20, 2004
Three inmates at Hampton Roads Regional Jail in Portsmouth who suffer from mental illnesses say the jail's medical staff failed to prescribe drugs that effectively treat their conditions.  For months they were wracked with feelings of hopelessness, anxiety, sleeplessness and delusional thoughts, they say. Sometimes they even wanted to harm themselves.  The men didn't get the medicine they requested until the end of May, after repeated calls to the press and to an advocacy group for the mentally ill. Since then, they say they're feeling better.  Hampton Roads Regional Jail holds about 1,060 inmates from Hampton, Newport News, Norfolk and Portsmouth. Of those, about 260 inmates are treated for mental illness by Prison Health Services, Inc., a private company that provides health care to inmates in 400 jails and prisons in 35 states. The quality of medical care for mentally ill inmates treated by private companies has been the subject of investigations and lawsuits throughout the country in recent years. In Virginia, officials are examining the quality of mental health care at jails and prisons to see if mentally ill inmates are receiving the proper medications. The issue boils down to this: Mental health advocates say these private companies often care more about their bottom lines than about the well-being of inmates. They say these companies are reluctant to prescribe expensive drugs, even if they provide the most effective treatment.  Prison health care companies typically devise their own pre-approved lists of drugs that often don't include more expensive, proven drugs, said Valerie Marsh, director of the Alliance. They can prescribe drugs not on the list, Phelps said, but they may be reluctant to do it.  (Dailypress.com)

Metro Jail, Nashville, Tennessee
May 23, 2010  Tennessean
A 52-year-old Davidson County inmate who suffered from inflammation in his stomach and an untreated ulcer died last year from lack of medical care, claims a federal lawsuit filed Friday. With a bloated stomach, Roy Glenn Hall Jr. was feeling ill while he sat in jail on May 24. Hall was found unresponsive on the floor of his cell at the Criminal Justice Center on Second Avenue. He was not treated while he was in Davidson County Sheriff's Office custody, even though medical staff was aware of his illness, the lawsuit states. Lawyers for Hall's estate are suing Metro, Davidson County, the Sheriff's Office, Correct Care Solutions, which has the contract for medical care, the sheriff's officers involved and the nurses individually. The sheriff's office declined to comment. Efforts to reach representatives of Correct Care Solutions were unsuccessful. Records show the sheriff's office conducted its own investigation and disciplined an officer for ignoring security precautions. That report also shows that Hall, who also had diabetes and hepatitis, complained of pain and was taken to medical staff, which sent him to his cell. Hall had been arrested on May 19 on misdemeanor warrants and was screened by medical staff, who were made aware that he was a diabetic who had liver disease and hepatitis, according to the lawsuit. Six days later, Hall was found shaking, gasping for air, saying he was going to die. He wasn't given medical treatment. He died hours later, the lawsuit states. Video image described Lawyer David Randolph Smith has also notified the parties of his intent to file a medical malpractice suit against the state. He said the case highlights the conditions in jail. Smith represented two inmates who died in Metro jail. Estelle Richardson was found dead in 2004 after a confrontation with guards and Terry Battle died of pneumonia. Hall's estate is also represented by the Human Rights Defense Center, the parent company of Prison Legal News, a magazine that advocates for inmates' rights. Alex Friedmann, associate editor of the publication, conducted his own investigation into Hall's death. Video shows Hall's bloated stomach, Friedmann said. "His stomach was obviously grossly distended," Friedmann said. "I've watched the video, and he looked nine months pregnant. "They had a dead man who had a treatable condition. Correct Care Solutions, the sheriff's office has a responsibility to keep him safe and secure." An autopsy report shows Hall had three quarts of liquid drained from his body after death. The lawsuit is seeking unspecified damages.

September 24, 2007 Fairview Observer
Two years after Correct Care Solutions won a $36 million contract to provide medical care for Metro's jail inmates, some prisoners are filing lawsuits alleging their treatment has been inadequate. The lawsuits are being filed at a time when the cost of providing medical care to inmates in Nashville is rising. The budget last fiscal year for inmate medical care was $7.8 million, but this year, the budget is $9.4 million. Most of the money goes to Correct Care Solutions, while about $250,000 pays for salaries and benefits for three Metro employees, officials said. The budget increase is because of inflation, spending in offsite care and growth in Metro's average daily inmate population, city health officials said. "We feel very good about the care we are providing," said Patrick Cummiskey, spokesman for Correct Care Solutions. "The fact that we have a couple lawsuits, that's just typical of this industry." Despite the lawsuits — a total of five in state and federal court collectively seeking $4.8 million in damages — Metro officials are pleased with Correct Care Solutions, noting that the provider ushered in changes to improve inmate medical care since winning the contract in 2005. Metro switched providers after a diabetic inmate died while the city was contracting with Prison Health Services, a company that had held the Metro contract since 1995. Allegations against the new provider range from delays in treating broken bones to failing to provide heart medication. A contract monitor for the health department reviewed the case files and found no reason for concern, said Cathy Seigenthaler, the health department's director of correctional health services. "We're satisfied with what they're doing, and we're glad to have them," Seigenthaler said.

September 12, 2005 Tennessean
Metro government officials are hoping that a two-year-old Nashville company with a virtually flawless record of service will be the cure for inmate health-care problems at the city's main lockup. After less than three years in business, Correct Care Solutions won a $36 million contract to provide medical care to Metro Jail inmates beginning Oct. 1. The contract comes after a year during which the jail's previous health company, Prison Health Services, was accused of providing substandard care to diabetic inmates after the death of one prisoner and serious illnesses of two others. Of particular concern was the Jan. 19 death of inmate Ricky Douglas, who was found unconscious in his cell hours after pleading for medical attention he didn't receive. Subsequent investigations found many problems with the training of jail health workers and the mishandling of prisoner records. The company's chief executive is Jerry Boyle, a former president and CEO of Prison Health Services who left in 2003 to form the new company. But the company's work has not gone entirely unchallenged. In Norfolk, Va., the family of a 35-year-old female inmate is questioning the care she received before her July 11 death. Relatives said the woman complained for days that her pneumonia was not being adequately treated and that her condition was not improving. In Durham, N.C., a judge ruled earlier this year that a triple homicide suspect did not receive adequate medical care after a dispute over whether jail staff withheld medication that the prisoner's family had purchased and provided. It was unclear what role Correct Care Solutions would have played in obtaining the medication from jail guards. In Santa Fe, N.M., an attorney complained to a District Court judge that her client's life-threatening medical needs were not being met. A company that operated the jail, and subcontracted medical service to Correct Care Solutions, backed out of its contract there, citing challenges in providing adequate medical services.
Correct Care officials said the problems in New Mexico involved the private prison management company and were not a reflection of its service.

Sussex Correctional Institution, Delaware
May 31, 2014 usatoday.com

WILMINGTON, Del. — Nine inmates have filed a civil lawsuit in Superior Court against a former doctor at Sussex Correctional Institution alleging the doctor sexually assaulted them on numerous occasions "under the pretext of performing medical exams." The suit claims there was no medical reason for the contact and the doctor, Lawrence McDonald, acted "to satisfy his own prurient sexual desires." Dover attorney Stephen Hampton filed the lawsuit on behalf of the inmates this month and said the doctor's practices were so well known at SCI that correctional staffers referred to him as "Dr. Feelgood" and "the finger." Hampton said prison officials ignored repeated complaints about McDonald from both inmates and staff, defended him against the charges and retaliated against inmates who complained. Department of Correction spokesman John Painter said the department does not comment on pending litigation. McDonald could not be reached for comment and an attorney who previously has represented the doctor said he could not comment until he was authorized. The inmates claim in the lawsuit that McDonald performed unnecessary rectal exams, often without gloves, and fondled their genitals without any medical purpose. In one case, an inmate reported McDonald fondled him when he sought medical treatment for a rash on his face. In a different case, McDonald reportedly made the inmate say "thank you, doctor" after he performed rectal exams. Another inmate claims despite years of invasive examinations — that included inappropriate contact by McDonald — it was only after McDonald left the prison that he was diagnosed with hepatitis C. The suit charges that McDonald ignored or was indifferent to the prisoner's actual medical issues. A fourth inmate claimed McDonald stuck him in the groin with a needle, allegedly to draw blood, but no blood was drawn. The lawsuit is the latest reported problem at the Sussex County prison. A former guard, Christopher Peck, pleaded guilty earlier this month to six counts of having sexual relations in a detention facility. He was charged in November with having sex with at least three female inmates on 11 occasions. In July, a guard was suspended with pay on charges that he had sickened several inmates by baking Ajax or Comet into bread. Hampton said this latest lawsuit "is just another symptom of the malaise at SCI." Hampton charged that the prison and state officials had been put on notice about McDonald in 2008 when inmate Ben Roten filed afederal lawsuit alleging that McDonald had molested him. In 2007, a part-time psychiatrist resigned from SCI in protest because superiors ignored her when she reported several inmates accused a medical colleague of sexual abuse. "I was told ... that I should be a team player and let those allegations pass. ... I felt I had to resign and seek the opportunity to discuss these issues with you," wrote the psychiatrist in a letter to former DOC Commissioner Carl Danberg, according to the suit. Danberg replied that the allegations were investigated by Internal Affairs and the Medical Society of Delaware and determined to be unfounded, according to the suit. Roten's federal lawsuit was ultimately dismissed, though the suit notes that Roten, "as an unrepresented inmate, was unable to retain medical experts to contradict those employed by McDonald." McDonald no longer works at the prison. The suit alleges prison officials fired McDonald after hearing allegations made by inmate Theodore Barrett, a plaintiff in the case. The suit states Barrett was later a target of prison staff who called him "the snitch of the month" over the intercom. The prisoners who filed the suit include Barrett, Ronald Keis, Wilbur Medley, Victor Talmo, Raymond Brown, Gene Schultz, David DeJesus, Derrick Jackson and Joseph Vincent. Hampton said all had ongoing, serious medical issues that required them to frequently visit the infirmary. All nine are still incarcerated. The suit also names Correct Care Solutions LLC — the private company that employed McDonald and took over from Correctional Medical Services — along with Jill Mosser, identified as McDonald's supervisor, and Warden G.R. Johnson, Deputy Warden Linda Valentino and Correctional Officer Lamont Hammond. The lawsuit charges McDonald with battery and the intentional infliction of emotional distress and alleges constitutional violations against the remainder of the defendants, including a prisoner's Eighth Amendment protection from cruel and unusual punishment.It seeks unspecified compensatory and punitive damages and court costs.