Man dies in jail after being restrained for 46-hours, county to pay $5 million settlement
Andrew Holland died from a blood clot after being restrained for over 46 hours
Andrew Holland died from a blood clot after being restrained for over 46 hours–The County of San Luis Obispo has agreed to pay the family of Andrew Holland a $5 million settlement after his death at County Jail in January. Holland died from a blood clot while in custody at the San Luis Obispo County Jail after being strapped to a chair for more than 46 hours, according to reports. Holland had reportedly been placed into the containment device after he was observed causing harm to himself.
According to a report by the County Coroner, Holland was strapped into a seven-point harness chair at 6:55 p.m. Jan. 20, and was released from the chair at 4:43 p.m. Jan. 22. The coroner noted that Holland refused food and water “numerous times” during his restraint. On surveillance video, Holland could be seen lying naked on his stomach in the cell at 4:55 p.m. At 5:02 p.m., Holland “appears to be having respiratory distress,” and at 5:08 p.m., Holland stopped moving, according to the coroner’s report.
Holland had been ordered by a judge to be removed from the jail and treated at the county’s inpatient psychiatric facility 12 days before his death, but the facility was unable to accept him, according to the sheriff’s office. Additional efforts were made to transfer him to the Psychiatric Health Facility during this time, according to the sheriff’s office. Custody deputies and medical staff tried unsuccessfully to revive him.
Holland had been ordered by a judge to be removed from the jail and treated at the county’s inpatient psychiatric facility 12 days before his death, reports say.
“Andrew Holland’s death at County Jail was a tragedy that should never have happened,” said Assistant County Administrative Officer Guy Savage. “It’s clear that counties and jails across the nation face systemic problems as the number of inmates with mental illness continues to climb. We are focused on fixing those problems here in San Luis Obispo County.”
County officials say they have taken a “hard look at the circumstances leading up to Mr. Holland’s death.” Since January, the county has made changes in an effort to prevent a tragedy like this from reoccurring. Some of the more significant changes include:
• There are only 16 beds at the County’s only Psychiatric Health Facility, but there are about 600 County Jail inmates at any given time and a substantial number of these inmates suffer from mental illness. The County Health Agency changed protocols to ensure that the facility can now promptly accept mentally ill inmates who are a danger to themselves or others.
• The sheriff’s office discontinued the use of its restraint chair and has updated its restraint policies. Restraint chairs are commonly used in emergency situations at jails across the state to prevent inmates from harming themselves.
• The sheriff’s office has also restricted the amount of time an inmate can spend in a safety cell to no more than 72 hours. Now, after 48 hours, only a Health Agency psychiatrist can extend the amount of time an inmate can spend in a safety cell, and only by 24 hours after an in-person assessment of the inmate. After 48 hours in a safety cell, an inmate must be either cleared for jail housing, cleared for an extended stay in a safety cell by a psychiatrist, admitted to the County Psychiatric Health Facility, or transported to a hospital.
• Both the sheriff’s office and the health agency have added dedicated supervision of the medically and mentally ill inmates at county jail and have increased communication between the sheriff’s staff and health agency staff.
The county has also changed important policies and procedures at county jail and the psychiatric health facility, provided additional staff training, and improved oversight and communications between the sheriff’s office and the county health agency to address the treatment of the medically and mentally ill inmates at county jail.
“The Sheriff’s Office recognizes the tragedy of this situation and we are committed to working with the health agency to ensure something like this does not happen again,” said Sheriff-Coroner Ian Parkinson.
Holland, a 36-year-old Atascadero resident who had been struggling with mental illness much of his adult life, was in custody since September 2015 and faced multiple charges, including resisting arrest, battery, and a probation violation.
“We feel terrible about what happened to Mr. Holland. The County Health Agency is dedicated to making the changes necessary to prevent this type of event from ever happening again,” said County Health Agency Director Jeff Hamm.
Holland’s family and the county agreed to settle out of court rather than engage in lengthy, expensive and stressful litigation. Most of the funds to pay the settlement will come from the county’s medical malpractice insurance, less a $10,000 deductible the county is required to pay. For more information, visit www.slocounty.ca.gov.
Comments
