United States Court of Appeals
For the First Circuit
No. 00-2369
JOSÉ O. GARCÍA,
Plaintiff, Appellant,
v.
CITY OF BOSTON, JOHN DOE, JOHN DOE, II,
BOSTON EMERGENCY SERVICE TEAM, AND
NEW ENGLAND MEDICAL CENTER HOSPITALS, INC.,
Defendants, Appellees.
APPEAL FROM THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF MASSACHUSETTS
[Hon. Morris E. Lasker, U.S. District Judge]
Before
Torruella, Chief Judge,
Campbell, Senior Circuit Judge,
and Bownes, Senior Circuit Judge.
William E. Gately, Jr., on brief, for appellant.
William J. Donahue, Assistant Corporation Counsel, with whom
Merita A. Hopkins, Corporation Counsel, were on brief, for appellee
City of Boston.
Alan B. Rindler, with whom Rindler Morgar, P.C. and Nadine Nasser
Donovan, were on brief, for appellees Boston Emergency Services Team
and New England Medical Center Hospitals, Inc.
June 12, 2001
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Per Curiam. Appellant José O. García appeals a decision
granting summary judgment in favor of appellees City of Boston
("City"), Boston Emergency Services Team ("BEST"), and New England
Medical Center Hospitals, Inc. ("NEMC"). We affirm.
On August 19, 1994, García was arrested by the Boston Police
Department ("BPD") after he was involved in a domestic disturbance. He
was charged with violating Mass. Gen. Laws ch. 209A (threats of
violence under Massachusetts Domestic Violence Law) and Mass. Gen. Laws
ch. 265, § 13D (assault and battery upon police officers).1 The BPD
took him to the station, where he was booked and placed in a cell.
Because García was arrested on a Friday night, he would not be
arraigned until Monday morning.
That evening, García, in an apparent suicide attempt, made
some superficial cuts to his wrist with the aluminum top of a juice
container. An ambulance was called, but it was determined that García
did not want nor need further medical treatment. He was then placed on
the suicide list and handcuffed to the "suicide wall,"2 located in the
booking area.
1 In addition to the new charges, García had an outstanding default
warrant issued against him.
2 The "suicide wall" was a bar in the booking area to which prisoners
who were identified as suicide risks were handcuffed in order to more
closely monitor them.
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On Saturday evening, still handcuffed to the suicide wall,
García somehow obtained matches and lit himself on fire. He was taken
to Boston City Hospital ("BCH") where he received treatment for first
and second degree burns. While at BCH, a resident psychiatrist
evaluated García, and concluded that he was a suicide risk. Steps were
taken to facilitate an inpatient admission to an area hospital.
Because BCH did not have inpatient facilities, BEST3 was contacted in
order to locate an appropriate facility for García. García was
uninsured, and therefore ineligible for admission into a private
facility. His only option, then, was a Department of Mental Health
("DMH") center.
Accordingly, DMH Adjudicator Jim Galvin was contacted about
admitting García to a facility. Galvin took the position that because
García was under arrest and not yet arraigned, it would violate a DMH
policy to admit him. In order to obtain admission, García had to
either be arraigned or have the charges against him dropped. There was
no judge available to arraign García. In addition, the BPD refused to
drop the charges against García because of their severity. After an
unsuccessful attempt by the BPD to persuade BCH to allow García to
3 BEST is a program of the NEMC's Department of Psychiatry. Its stated
function is to "provide timely, quantitative assessment and disposition
for individuals in the Boston Area who require emergency psychiatric
services."
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stay, under police guard, until his Monday morning arraignment, García
was returned to the station and handcuffed to the suicide wall.
Upon his return to the station, García again obtained some
matches and lit his shirt on fire. The fire was quickly extinguished
without injury. Shortly thereafter, Officer William Cullinane
distributed lunches to the prisoners locked to the suicide wall.
Somehow, García was able to remove Officer Cullinane's gun from his
holster and began firing the weapon. Officer Cullinane and another
prisoner on the suicide wall were shot by García before Officer Stephen
Fahey shot García in the arm, causing García to drop Officer
Cullinane's weapon.
García subsequently brought this suit against the City,
alleging violations of his constitutional rights under 42 U.S.C. § 1983
and the Massachusetts Civil Rights Act, Mass. Gen. Laws ch. 12, § 11I.
He later amended his complaint to include claims of negligence and
breach of contract against BEST and the NEMC. The City, and BEST and
NEMC collectively, moved for summary judgment, which the district court
granted as to all claims. García v. City of Boston, 115 F. Supp. 2d 72
(D. Mass. 2000) (Mem. and Order).
Ruling on the City's motion, the district court held the
following. As to García's excessive and unreasonable force claim,
García failed to fulfill any of the requirements of the four-part test
that the district court applied. See Johnson v. Glick, 481 F.2d 1028,
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1033 (2d Cir. 1973), rejected on other grounds, Graham v. Connor, 490
U.S. 386 (1989). Specifically, the district court held that there was
"a clear need for the use of force" when Officer Fahey shot García in
the arm, namely because García was firing a gun and had already shot an
officer and a fellow prisoner. García, 115 F. Supp. 2d at 81. In
addition, that force was proportionate to the need, and, considering
the circumstances, García's injury was relatively minor. Id. Finally,
"there [wa]s absolutely no evidence" of bad faith on the part of
Officer Fahey or that his actions were taken "maliciously or
sadistically for the very purpose of inflicting harm." Id.
Even construing the material facts in the light most
favorable to García, Campbell v. Wash. County Technical Coll., 219 F.3d
3, 5 (1st Cir. 2000), we can perceive no construction of the evidence
that could sustain this claim. Without commenting on the appropriate
test to be employed when evaluating an excessive and unreasonable force
claim in these circumstances,4 we affirm the holding of the district
court on this issue.
As to García's denial of medical and psychological care
charge, the district court first identified a "duty to attend to a
4 In declining to comment, we note only that neither the Supreme Court
nor this circuit have established a test for this factual scenario.
Compare Johnson, 481 F.2d at 1033 (test used above), with Bell v.
Wolfish, 441 U.S. 520, 535-37 (1979) (evaluating conditions of pre-
trial detention), and Evans v. Avery, 100 F.3d 1033, 1038 (1st Cir.
1996) (high speed police pursuits).
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prisoner's 'serious medical needs.'" García, 115 F. Supp. 2d at 82
(quoting Estelle v. Gamble, 429 U.S. 97, 104 (1976)). The court found
that García's psychological problems constituted serious medical needs.
Id. García, however, did not demonstrate that his failure to receive
inpatient treatment was the result of "an unconstitutional custom or
policy." Id. at 83. The BPD did have a policy for handling suicidal
prisoners like García. It was García's unusual situation, of being
uninsured and pre-arraignment, coupled with the DMH's policy of
refusing to admit psychiatric patients who had not been arraigned, that
resulted in García not being placed in a facility. "Deliberate
indifference" to García's medical needs played no role in this
incident. Id. at 82-83 (quoting Estelle, 429 U.S. at 104). Thus,
García's § 1983 claim necessarily failed. Id. at 84.
We agree with the district court's reasoning and conclusion
and affirm on that basis. We also affirm the district court's holding
that García's failure to establish a § 1983 claim essentially equates
to a failure to establish a claim under the Massachusetts Civil Rights
Act. Id.
The district court also held that García's negligence and
contract claims against BEST and NEMC could not be sustained. Id. at
77. García alleged two theories under negligence: medical malpractice
and administrative negligence. The district court found that a medical
malpractice claim was not viable, because García could not demonstrate,
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as required by Massachusetts medical malpractice law, that a physician-
patient relationship between García and either BEST or NEMC existed.
Id. at 78. We agree. The administrative negligence claim is even
weaker, and we affirm the district court's conclusion that neither BEST
nor NEMC was negligent. Id. at 79.
Citing its prior holding that the DMH policy was the cause
of García not being admitted to an inpatient facility, the district
court concluded that BEST and NEMC fulfilled the terms of their
services contract. As such, García's contract claim failed. Id. at
80. Again, we agree with the district court in this regard.
Having upheld the holdings of the district court in all
respects, we affirm the granting of summary judgment and dismissal of
this complaint.
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