The Real Cost of Prisons Weblog

Interviews with prison staff members, inmates and medical personnel illustrate how a series of policy violations and miscommunications led to Powell's collapse at Arizona State Prison Complex-Perryville in Good- year. She later died at West Valley Hospital.

Among the report's findings:

• Powell passed out in her cell on the morning of May 19. A few minutes before, she had announced she was suicidal. She was taken to an outdoor cage to await transfer to a psychiatric unit. But the sergeant who saw Powell lose consciousness never reported the incident to supervisors, despite the fact that Powell said she was having trouble breathing.

• At least 20 inmates told investigators that Powell was denied water for most or all of the time she was in her cage, despite regular requests. Corrections officers said Powell was given water.

• Powell was taking psychotropic medications that made her particularly sensitive to the heat, but medical personnel did not convey that fact to corrections officers.

• After more than two hours in the sun, Powell requested to be taken back to her indoor cell. Her request was denied.

• Powell was apparently denied a request to use the restroom and defecated in the cage. A corrections officer discovered that Powell had soiled herself but left her where she was. Medical personnel would later discover feces underneath her fingernails and all over her back.

• The psychiatric unit to which Powell was awaiting transport should have accepted her hours before she died, the report found, but a series of miscommunications prevented her from being taken in.

Powell, who was serving a sentence for prostitution, said she felt suicidal at 11 a.m. on May 19 and was escorted to the outdoor cage to await transportation for psychiatric care at the prison complex detention unit.

Officers seeking to move Powell to the unit were first told that it did not have available beds. Later, another inmate in the unit refused to put handcuffs on to be taken back to her cell, causing the staff to trigger its incident command system. The incident took more than 90 minutes to resolve, during which time no other inmates were brought into the unit.

Officers monitoring Powell were wary of asking psychiatric-unit staffers to accept another inmate during the standoff, even though three beds had become available. But investigators said it would have been possible to transfer Powell, since the uncooperative inmate was locked in a secure cell.

Prison policy calls for inmates to be kept in outdoor cells for a maximum of two hours. The cells had no shade, and on the day Powell died, temperatures hit 107.5 degrees.

Officers did not properly log Powell's time in the outdoor cell or when they checked on her. When she collapsed, no one could say for certain how long she had been there.

Doctors on the scene said Powell's body temperature was at least 108 degrees but may have been higher, since their thermometers topped out at 108.

Charles Ryan, corrections department director, called Powell's death "unconscionable" and "an absolute failure."

The most bitterly disputed aspect of the case concerns whether Powell was denied water.

Nearly all of the inmates interviewed by investigators reported that Powell screamed out for water regularly but was repeatedly denied. Others said she was granted water only once or twice in nearly four hours.

"I need some water - just a drop," one inmate overheard Powell tell a corrections officer, who reportedly ignored her.

Another inmate reported that a corrections officer mockingly repeated Powell's requests for water back to her, without giving her any.

All of the corrections officers interviewed for the report said Powell had been given water throughout her outdoor confinement.

Both inmates and staff members said Powell's history of mental illness and frequent erratic behavior meant that some of her requests were not taken seriously. She did not get the staff's undivided attention until she collapsed at 2:40 p.m.

Timothy Johnson, a physician's assistant who attempted to revive Powell, swore repeatedly at investigators when asked about Powell's death.

"This should not have happened," he said.

Workers Punished In Inmate's Death
Marcia Powell Left In Outdoor Holding Cell For 4 Hours In Triple-Digit Heat
September 22, 2009

PHOENIX -- Sixteen Arizona prison workers have been disciplined or fired for the death of an inmate left in an outdoor cage.
Three of those disciplined were fired, two stepped down in place of being fired, 10 received suspensions ranging from 40 to 80 hours, and one was demoted. Two others will be disciplined after they return from medical leave.

Arizona Department of Corrections Director Charles Ryan announced the moves Tuesday, calling the death "the most significant example of abuse" of an inmate that he's aware of within the department.
"That is an absolute failure," Ryan said Tuesday. "The inmate should not have been left in the enclosure that length of time."

Ryan declined to provide the names of the corrections employees who were disciplined, saying it would be inappropriate considering they have the right to appeal their punishments.

Marcia Powell, 48, died last May, about 10 hours after she collapsed in an outdoor, unshaded holding cell at the Perryville prison in Goodyear.

Her body's core temperature had risen to 108 degrees, according to the autopsy report.

The autopsy revealed Powell had first and second-degree burns on her face, chest and arms.

The report also turned up traces of medication in Powell’s blood for treating Parkinson’s disease and depression.

Ryan said at the time Powell was left in the cell nearly twice as long as she should have under department policy.

Ryan said Powell's cell was 20 yards from a staffed control room from where corrections officers should have been watching her.

Donna Hamm, director of Tempe-based Middle Ground Prison Reform, said the employees' punishment helps show other prison workers that they will be held accountable for their actions.

"There was an established policy, and had it been followed, Marcia Powell would be alive today," Hamm said.

She said County Attorney Andrew Thomas should charge the employees involved in Powell's death.

"If that happens, the message is crystal clear to department employees about their responsibilities and the consequences of not following their own policy," Hamm said.

Powell arrived at the Perryville prison in August 2008.

Powell was placed alone in the cell while being moved to an onsite detention unit after seeing a prison psychologist. Ryan said a disturbance at the detention unit prompted Powell's placement in the holding cell. He would not elaborate on the nature of the disturbance.

Ryan said officers gave Powell bottled water, as required under prison policy.

Officers did not remove her after two hours as they should have done under department policy, according to Ryan.

"It is intended to be temporary," Ryan said. "It is not intended to be a place where they are held for an inordinate amount of time."

Powell had been in and out of state prisons and had a long history of mental illness, Ryan said.
http://www.kpho.com/news/21071761/detail.html

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AZ corrections workers disciplined in inmate death
By AMANDA LEE MYERS (AP) – 9-22-09

PHOENIX — Sixteen Arizona corrections employees have been fired, suspended or otherwise disciplined for their roles in the death of an inmate left in an outdoor holding cell for four hours in triple-digit heat and for a "wait-them-out" practice at the prison where she died.

Three of those disciplined were fired, two stepped down in place of being fired, 10 received suspensions ranging from 40 to 80 hours, and one was demoted. Two others will be disciplined after they return from medical leave.

Arizona Department of Corrections Director Charles Ryan announced the moves Tuesday, calling the death the "most significant example of abuse" of an inmate that he's aware of within the department.

Marcia Powell, who was serving a 27-month sentence for prostitution, died from heat-related complications hours after she collapsed May 19 in an uncovered outdoor cell at the Perryville prison in the west Phoenix suburb of Goodyear. She had been in the cell for nearly four hours, despite a policy that set a two-hour limit.

Powell, 48, was being held in the outdoor cell while being transferred from one section of the prison to an observation ward after seeing a psychologist. An autopsy report showed she had first- and second-degree burns on her face and body and a core body temperature of 108 degrees.

"That is an absolute failure," Ryan said Tuesday. "The inmate should not have been left in the enclosure that length of time."

The autopsy also found that Powell's death was an accident and that she had anti-psychotic drugs in her system. Such drugs are known to make people more susceptible to heat-related illnesses.

Ryan declined to provide the names of the corrections employees who were disciplined, saying it would be inappropriate considering they have the right to appeal their punishments. Those disciplined included a deputy warden, a prison psychologist, a chief of security and various officers.

A call to the union that represents Arizona corrections workers was not immediately returned Tuesday evening.

During the administrative investigation of Powell's death, Ryan said investigators with the Office of the Inspector General uncovered a so-called "wait-them-out" practice at the Perryville prison that went on for about a year. Inmates were placed in outdoor and indoor holdings cells for hours at a time as an alternative to using force, he said.

While Powell was not in a holding cell under that practice, Ryan said, an inmate was left in an outdoor cell for 20 hours three days before Powell's death; she did not require medical treatment. He said no one died under the "wait-them-out" practice.

The state prisons system ended its use of outdoor prison cells weeks after Powell's death. Arizona's 10 prisons had 233 outdoor cells for temporarily holding inmates awaiting transfer to punishment wards, medical units, other prisons or work assignments.

Ryan said the cells at Perryville are now used as exercise or short-term waiting areas. They are now shaded, and have misters and benches.

The criminal investigation into Powell's death is finished and at the Maricopa County attorney's office, which will decide if any corrections employees will be charged.

Donna Hamm, director of Tempe-based Middle Ground Prison Reform, said the employees' punishment helps show other prison workers that they will be held accountable for their actions.

"There was an established policy, and had it been followed, Marcia Powell would be alive today," Hamm said.

She said County Attorney Andrew Thomas should charge the employees involved in Powell's death.

"If that happens, the message is crystal clear to department employees about their responsibilities and the consequences of not following their own policy," Hamm said.

Copyright © 2009 The Associated Press. All rights reserved.
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