A federal choose said this week that she’s going to start fining California doubtlessly tens of 1000’s of {dollars} each day after greater than 200 jail inmates killed themselves throughout eight years wherein state corrections officers failed to finish court-ordered suicide prevention measures.
Addressing a continual tragedy that has plagued the state for many years, Chief U.S. District Decide Kimberly Mueller mentioned she’s going to begin the fines April 1 — $1,000 a day for every of 15 unmet safeguards till all of the state’s 34 grownup prisons are in full compliance.
On the identical time, she’s going to impose fines for the state’s failure to rent sufficient psychological well being professionals. And he or she set a listening to for August to gather greater than $1.7 million in fines which have collected since 2017 below a earlier order punishing delays in transferring inmates to state psychological hospitals.
“The court docket is at a vital crossroads,” Mueller wrote weeks forward of her order, which was made public Tuesday. She mentioned inmates with severe psychological problems make up greater than one-third of California’s jail inhabitants of about 96,000 and so they have “waited far too lengthy for constitutionally satisfactory psychological well being care.”
State officers mentioned they’ll overview the choose’s orders. California Division of Corrections and Rehabilitation spokesperson Vicky Waters mentioned in an announcement that “suicide prevention is an important situation for us.”
In court docket filings, state officers objected to Mueller’s setting “an unworkable, all however unattainable commonplace.” They pointed to decrease suicide charges every of the final two years, after twenty years of California persistently exceeding the nationwide suicide fee for state jail methods. The 15 suicides in 2021 had been the fewest in twenty years and half the annual common over that interval. Attorneys representing inmates say there have been 19 deaths by suicide final 12 months, although the official report isn’t out but.
These current decrease suicide charges are “important enhancements and absolute proof of success,” Paul Mello, an lawyer representing the state, informed Mueller at a Feb. 10 listening to. A court-appointed suicide prevention knowledgeable, Lindsay Hayes, mentioned the explanations for the sudden drop are unclear and the impact of the coronavirus pandemic will have to be analyzed.
Suicides in California prisons have lengthy been seen as a key indicator that the jail system isn’t offering satisfactory psychological well being care. Mueller’s predecessor dominated within the class-action lawsuit 27 years in the past that California was offering unconstitutionally poor psychological well being care to inmates. But federal judges have struggled to drive enhancements regardless of repeated orders within the case.
This time, Mueller is appearing after Hayes discovered that the division nonetheless is failing to satisfy the requirements regardless of an order courting to 2015. The safeguards embody issues like suicide prevention coaching, suicide threat evaluations, suicide-resistant cells, and checking on weak inmates each half-hour, and sometimes extra often, to verify they aren’t harming themselves.
“They’re very commonplace for prisons and jails across the nation, and so they’re not doing them,” mentioned Michael Bien, one of many attorneys representing inmates.
Amongst those that corrections officers say killed themselves is 31-year-old John Pantoja. He died by hanging in June, utilizing a ligature torn from a bedsheet, in response to the Sacramento County coroner.
Pantoja was a humorous, loving, caring, wholesome, athletic younger man till he went into California’s juvenile justice system at age 16, his sister and father informed KHN in an interview Tuesday.
He emerged a modified man 5 years later, they mentioned.
“He got here out together with his psychological state simply completely depleted,” with a number of psychological well being diagnoses, together with schizophrenia, and exhibiting temper swings according to bipolar dysfunction, Elizabeth Pantoja mentioned. “Previous to entering into, we didn’t see these indicators. … That was reverse of how we knew him.”
Inside a number of months of his launch from juvenile lockup, he engaged in a theft and shootout with Chula Vista police in 2012. His defense on the time was that he had been trying “suicide by cop,” engaging an officer to kill him. As soon as in jail, Amado Pantoja mentioned, John heard voices he blamed on the psychological well being medicines he was prescribed. Amado and Elizabeth mentioned John appeared to be wanting ahead to a birthday go to from his household and a 2026 parole listening to primarily based on his younger age on the time of his crime.
His psychological well being actually deteriorated within the final 5 years, when he was repeatedly put in solitary confinement and reduce off from household visits through the pandemic, they mentioned. Extra lately, the tv he handled like a type of remedy had been damaged, though his household was sending him a brand new one, and he’d seen medical staff with complaints of continual ache.
He died the following day with a half-dozen medicine in his system, together with medicines for despair, ache, and seizures.

In a report of prisoner suicides between January 2020 and April 2022, Hayes often detailed missed alternatives to stop deaths:
- An inmate at a Sacramento County most safety jail killed himself with punctures to his neck on Christmas Eve 2020, hours after he was seen ingesting liquid cleanser in his cell. Correctional officers mentioned he additionally “had been appearing irrationally, wired, pacing backwards and forwards, crying, distressed after a collection of phone calls together with his household.” A disaster counselor talked to him at his cell door as a result of he refused to return out, however he denied he supposed to kill himself. The counselor requested no additional questions, citing a scarcity of privateness, and the inmate killed himself a number of hours later.
- An inmate on the state jail in Tehachapi was discovered hanging from a air flow grate by a sheet in his cell on Jan. 5, 2020. He had a years-long historical past of reducing his wrists and different self-destructive conduct, together with repeatedly within the two days earlier than his loss of life. A counselor determined hours earlier than his suicide that he wasn’t severe. However a subsequent overview discovered his self-harm — alongside together with his “weird statements and elevated paranoid delusions” — ought to have been sufficient warning. He left behind a observe indicating he feared different inmates had been plotting his homicide.
- A prisoner was discovered hanging by a sheet in his cell within the substance abuse therapy facility in Corcoran the day earlier than Thanksgiving 2021. His 11 years in jail had been spent largely in psychological well being applications for repeatedly reducing himself and hallucinations of voices saying folks had been attempting to kill him. A medical chart entry that he’d been seen by a counselor the day he died “was falsified by the clinician.” A division overview discovered “a regarding sample” of psychological well being suppliers saying they’d provide him interventions however by no means offering them.
Mueller, who had signaled for weeks that she would impose each day fines, mentioned through the February listening to that they had been wanted to “make sure that the suggestions are carried out” after the state missed repeated deadlines to adjust to almost half the court-ordered safeguards.
“The court docket finds additional delay within the defendants’ full implementation of the required suicide prevention measures is unacceptable,” Mueller wrote in her newest order.
Mueller additionally ordered fines for every unfilled place exceeding a ten% emptiness fee within the required variety of psychological well being professionals wanted to take care of inmates with severe psychological problems. These fines shall be primarily based on the utmost wage for every job, together with some that prime out at or close to $300,000 per 12 months, and Mueller mentioned she would schedule a listening to to seek out the state in contempt and order cost if the fines accumulate for 3 consecutive months.
The state has been out of compliance on filling the vacancies for greater than 4 years, Mueller mentioned, noting that greater than 400 positions are vacant statewide.
Mueller imposed $1,000-a-day fines in 2017 in an try to finish a continual backlog in sending inmates to state psychological services. She has by no means collected the cash — however now she has set the August listening to to take action.
Below her present order, the fines will equally maintain accumulating so long as Hayes determines the state isn’t complying. As soon as his overview is full — a course of that beforehand has taken many months — Mueller mentioned she would schedule a listening to on the cost of fines.
This story was produced by KHN, which publishes California Healthline, an editorially unbiased service of the California Health Care Foundation.