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Solitary Confinement and the Eighth Amendment

Maite A. Cintron Pastrana, Neil Harjai, Robert L. Weisman and J. Richard Ciccone
Journal of the American Academy of Psychiatry and the Law Online June 2025, 53 (2) 208-211; DOI: https://doi.org/10.29158/JAAPL.250026-25
Maite A. Cintron Pastrana
Fellow in Forensic Psychiatry
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Neil Harjai
Resident in Psychiatry
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Robert L. Weisman
Professors of PsychiatryDirectors, Forensic Psychiatry Fellowship Department of PsychiatryUniversity of Rochester Medical CenterRochester, New York
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J. Richard Ciccone
Professors of PsychiatryDirectors, Forensic Psychiatry Fellowship Department of PsychiatryUniversity of Rochester Medical CenterRochester, New York
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  • severe mental illness
  • Eighth Amendment
  • solitary confinement
  • qualified immunity
  • deliberate indifference

Placement of a Prisoner with Severe Mental Illness in Solitary Confinement May Constitute a Violation of the Eighth Amendment

In Finley v. Huss, 102 F.4th 789 (6th Cir. 2024), the U.S. Court of Appeals for the Sixth Circuit considered Timothy Finley’s claims of constitutional violations related to his being placed in administrative segregation for months while in prison. The court affirmed the lower court’s grant of summary judgment to defendants on procedural due process and statutory discrimination claims. But the Sixth Circuit reversed and found that summary judgment was improper for the defendants on Mr. Finley’s Eighth Amendment claim because Mr. Finley presented sufficient evidence of violations of his clearly established rights.

Facts of the Case

In May 2016, Mr. Finley, an inmate with a history of severe mental illness and repeated misconduct, could not be managed in a lower level prison and was transferred to a high-security facility. In August 2016, after reporting repeated thoughts of self-harm, he was placed in a suicide observation cell. While there, he refused prescribed medications, smuggled a razor into his cell, and proceeded to cut himself and then swallow the razor. Mr. Finley was subsequently brought to the hospital on two occasions where attempts to extract the razor failed. On September 6, 2016, while on suicide watch, Mr. Finley’s prison psychiatrist and resident unit manager recommended transfer to the residential treatment program, a more intensive treatment setting. His assigned mental health professional, Mandy Salmi, RN, denied this transfer. In her judgment, the transfer was not clinically indicated. Mr. Finley then requested transfer to the interim care program. This was also denied.

The next day, Mr. Finley returned to the general population. The following day, an officer searched Mr. Finley’s cell and discovered improvised metal tools intended for television repair. He was charged with possession of a weapon and placed in temporary solitary confinement, pending the outcome of a disciplinary hearing. While confined, he cut himself with another razor and wrote “death” on the walls with his blood. This prompted a nine-day transfer to a suicide observation cell, where he continued to self-harm by cutting himself, overdosing, and swallowing razors.

On September 14, 2016, Deputy Warden Erica Huss, chair of the prison’s Security Classification Committee, decided not to return Mr. Finley to solitary confinement because of concerns that his mental health would deteriorate. On September 17, he was placed in the general population. The following day, he once again obtained a razor and refused to return it, leading to another placement in the suicide observation cell. While in the cell, he swallowed the razor and was transferred to the hospital for emergency surgery. On returning to the prison, he was placed in a suicide observation cell and faced misconduct charges. At the hearing for these charges, Mr. Finley asserted he should not be held responsible because his behavior was the result of his mental illness. He was found guilty of the misconduct charges and placed in solitary confinement, where, the following day, he again swallowed a razor requiring hospital treatment.

Following his return to the prison, he reported he was suicidal and was placed in a suicide observation cell. Within a week, Mr. Finley was charged with misconduct for refusing to follow procedure and disobeying a direct order. The Security Classification Committee met later in October 2016 to determine whether Mr. Finley should be placed in solitary. Despite warnings from Nurse Salmi about his deteriorating mental health, Deputy Sarah Schroeder reinstated solitary confinement without exploring alternatives or completing a mandated mental health assessment. He remained in solitary confinement for three months.

In solitary, Mr. Finley filed a pro se lawsuit alleging Eighth and Fourteenth Amendment violations and disability discrimination under the Americans with Disabilities Act (ADA) and the Rehabilitation Act against Deputy Warden Huss and Acting Deputy Warden Schroeder. The district court granted summary judgment to the defendants on all claims. Mr. Finley appealed this decision to the Sixth Circuit.

Ruling and Reasoning

The Sixth Circuit Court of Appeals affirmed summary judgments on Mr. Finley’s due process and ADA claims, finding adequate procedural protections and that his confinement was not discriminatory but related to his misconduct. But it reversed the grant of summary judgment on his Eighth Amendment claims, highlighting the officials’ failure to consult mental health professionals or follow policy when placing Mr. Finley in solitary confinement, despite the known risk. This failure potentially breached Mr. Finley’s Eighth Amendment right prohibiting “cruel and unusual punishment” by overlooking his serious mental health concerns and history of self-mutilation.

Mr. Finley’s Eighth Amendment claim of the prison officials’ “deliberate indifference” to a substantial risk of harm required analysis of both the objective and subjective prongs of this allegation. Objectively, Mr. Finley’s prior mental health decompensation while in solitary confinement demonstrated a serious risk of further harm to his mental health. For the subjective prong, courts look to whether the officials were aware of the risk and proceeded despite it. The court found that Mr. Finley adequately pleaded sufficient evidence for both parts of his claim, citing precedents including Farmer v. Brennan, 511 U.S. 825 (1994), which established that prison officials must be aware of and disregard an excessive risk to inmate health and safety, and Estelle v. Gamble, 429 U.S. 97 (1976), which emphasized the obligation to address serious health risks to prisoners and the illegality of willfully ignoring them.

The court noted that qualified immunity protects officials unless they violate “clearly established” constitutional rights. In Harlow v. Fitzgerald, 457 U.S. 800 (1982), the U.S. Supreme Court defined the qualified immunity doctrine, establishing a two-part test: determining whether a constitutional right was violated and whether that right was clearly established at the time of the conduct. In this case, it was deemed reasonable to expect prison officials to recognize the potential Eighth Amendment violation in placing a person with severe mental illness under harmful conditions. The court ruled that Ms. Huss and Ms. Schroeder were not entitled to qualified immunity on Mr. Finely’s Eighth Amendment claim. The court ultimately remanded the case for further proceedings to address the material facts related to the Eighth Amendment claims.

Discussion

Solitary confinement may be considered an example of good intentions gone awry. Dr. Benjamin Rush, signer of the Declaration of Independence and author of the first psychiatric textbook published in the United States, advocated for the Quaker practice involving solitude and silence to help reform the prisoner. The use of the solitary cell, where the inmate could consider his wrongdoing and become penitent, was seen as an alternative to the infliction of pain and public humiliation.

In 1790, Philadelphia’s Walnut Street Jail opened and had solitary confinement cells. In 1829, the Southeastern Pennsylvania Penitentiary opened, the word penitentiary having been derived from the word penitence. Soon after, the Quakers came to realize that the use of solitary confinement was damaging the mental health of prisoners, and they began their efforts to abolish solitary confinement (Brox J. Silence. Boston, MA: Houghton Mifflin Harcourt; 2019). In In re Medley, 134 U.S. 160 (1890), the U.S. Supreme Court first acknowledged the negative impact of long-term solitary confinement on the mental health of inmates.

The use of solitary confinement, also called “segregation,” in U.S. prisons and jails remains a contentious matter, particularly when used to house inmates with severe mental disorders, a practice that has proportionally increased as the number of individuals incarcerated has grown. On any given day, over 120,000 individuals are held in solitary confinement, many experiencing significant psychiatric disorders. The negative consequences of solitary confinement on those with preexisting mental illness results from the isolation, the duration, and the conditions of confinement. Furthermore, the practice of solitary confinement in corrections may pose ethics dilemmas for mental health professionals working in such facilities, often managing these conditions with limited resources and little influence over the policies governing use of solitary confinement (Metzner JL, Fellner J. Solitary confinement and mental illness in U.S. prisons: A challenge for medical ethics. J Am Acad Psychiatry Law. 2010 Mar;38(1): 104–8).

Psychiatric providers face considerable ethics challenges when inmates with mental illness are isolated for disciplinary or security reasons. As Metzner has pointed out, segregation of mentally ill prisoners is not necessarily a consequence of limited institutional budgets or health care resources. The use of solitary confinement often reflects the prison administrations’ view that segregation promotes institutional order as well as inmate and officer safety. The decisions of prison officials about who to place into solitary confinement, for how long, and under what conditions often reflects their idiosyncratic views. When mental health care professionals working in correctional facilities conduct their clinical rounds and remain silent about the foreseeable or actual harm to the inmate by the use of solitary confinement, they may legitimize and be complicit in possible human rights violations.

Legal cases addressing the use of solitary confinement of inmates with severe mental disorders have developed a foundation for the consideration of the violation of their Eighth Amendment rights. With continued use of solitary confinement in correctional facilities, we are likely to see further litigation on this controversial matter.

  • © 2025 American Academy of Psychiatry and the Law
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Journal of the American Academy of Psychiatry and the Law Online: 53 (2)
Journal of the American Academy of Psychiatry and the Law Online
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1 Jun 2025
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Solitary Confinement and the Eighth Amendment
Maite A. Cintron Pastrana, Neil Harjai, Robert L. Weisman, J. Richard Ciccone
Journal of the American Academy of Psychiatry and the Law Online Jun 2025, 53 (2) 208-211; DOI: 10.29158/JAAPL.250026-25

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Solitary Confinement and the Eighth Amendment
Maite A. Cintron Pastrana, Neil Harjai, Robert L. Weisman, J. Richard Ciccone
Journal of the American Academy of Psychiatry and the Law Online Jun 2025, 53 (2) 208-211; DOI: 10.29158/JAAPL.250026-25
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Keywords

  • severe mental illness
  • eighth amendment
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  • qualified immunity
  • deliberate indifference

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