Two in custody deaths have families questioning new policy

Two in-custody deaths have families
questioning new policy
Original Article Source: http://www.indystar.com/article/20121020/NEWS02/210200351/Two-
custody-deaths-families-questioning-new-policy?nclick_check=1

Mary Harris took her last drink July 28.

Two days later, she took her last breath.

Harris, a 48-year-old mother of two college students, suffered alcohol withdrawal
convulsions and died in the Marion County Jail.

An estimated 35 percent of the 50,000 people sent to the jail each year are drunk or
high. Some fight. Some stumble. Some fall.

But they almost never die.

Harris' death was especially unusual because it was the second in-custody, alcohol-
related death in nine days last summer.

Kenneth Flannery died July 21, his birthday, on the way to the Marion County lockup.

Witnesses said the 35-year-old was falling-down drunk when he was arrested and taken
to the Arrestee Processing Center. Police said Flannery kicked and fought them. He
was put in a jail van but never saw the inside of a cell. When the wagon arrived at the
jail, Flannery was struggling for his life. He died 37 minutes later.

Neither Flannery nor Harris was taken to the hospital in time to prevent the death. Their
families want to know why.

They also want to know whether the answer is in a cost-cutting decision made earlier
this year by Sheriff John Layton. Facing a budget deficit, Layton began asking police
officers to send directly to jail, rather than to a hospital, those who were drunk, pepper-
sprayed or stunned. He also cut the number of inmates who went from jail to the
hospital.
Layton told The Star earlier this year that his decision had reduced the number of
inmate visits to the hospital from an average of 80 per month to 12. That is a savings of
about $900 for each ambulance ride and $1,500 for an emergency room visit.

It's unclear whether Flannery or Harris were subject to the shift in practice or even if
going to the hospital would have saved them. Sheriff's Lt. Louis Dezelan said "cost
savings had absolutely nothing to do with these two cases."

The coroner ruled that Harris died of seizures due to alcohol withdrawal syndrome.
Flannery died of drug and ethanol intoxication following a struggle with police, the
coroner said. The secondary cause was positional suffocation and obesity. The death
was ruled an accident.

Neither the sheriff nor the Indianapolis Metropolitan Police Department will comment on
the deaths until internal investigations are complete.

Mary Harris' former husband, Rick Harris, said he is baffled by how a trespassing arrest
ended in death.

"It just seems like if someone is going through (withdrawal)," Harris said, "they would be
under close observation."

Flannery's mother is pondering how, overnight, a birthday celebration became a funeral
preparation.

"It is ungodly what happened," June Flannery, 57, said. "He died on his birthday. What
did he do that he deserved to die?"

Whether or not the cost-cutting decision played any role in their deaths, the sheriff's
policy begs scrutiny, said Marc Mauer, executive director of the Sentencing Project in
Washington, D.C., a group that favors criminal justice reforms.

He says that law enforcement agencies looking to cut costs should look last to health
and safety, if only to protect themselves.

"It's risky; a lot can go wrong," he said. "You're saying a certain number of people
needed to go to the hospital before and now all of a sudden they don't. What changed
except the money situation?
"It's really irresponsible, even unethical."

It's unclear whether either Harris or Flannery asked to go to the hospital.

Todd Harper, a spokesman for Indianapolis EMS, said an ambulance went to the scene
of Flannery's arrest but did not take him to the hospital.

He said medical privacy laws prevented him from disclosing why Flannery was not
hospitalized but said the decision is made by paramedics and the patient -- not law
enforcement -- regardless of the sheriff's policy.

"It is a patient preference decision," Harper said, "and also a medical necessity
decision."

                        Mary Harris
The circumstances of Mary Harris' death were rare, but her longtime battle with alcohol
was all-too-familiar, doctors and substance counselors said.

As a Ball State University student, Harris was a sociable drinker. After her children
Jacob and Kelsey were born, she drank more heavily.

But then she quit, her ex-husband said. Mary Harris put the bottle down for 14 years
and settled into an average middle class routine.

She carted the children to school in the morning, worked all day -- she was a
saleswoman for years at Mays Chemical and held jobs at Gerdt and Kittle's furniture
stores -- hustled to the gym at night and attended Alcoholics Anonymous meetings.

"She was very intellectual, very professional, very productive," Rick Harris said.

But three years ago, she started drinking again.

Kelsey had enrolled at Butler University. Jacob had shipped off to DePauw University
three years earlier.

"Could have been the empty-nest syndrome," Harris said.

The downward spiral was steep.
She drank heavily. Their marriage dissolved. She began getting into trouble.

Nine days before her death, Mary Harris was arrested for public intoxication. Police
found her drunk in a car in a liquor store parking lot on West Washington Street. When
police asked her where she was, she replied, "Right here." They took her to jail.

A few days after she was released, she was picked up again by police who answered a
burglar alarm at the Mapleton-Fall Creek Development Corp., 130 E. 30th St.

She was sitting at a desk on a Saturday afternoon while the burglar alarm rattled. Police
said she appeared drunk.

Rick Harris thinks she might have been attending AA meetings there.

She was taken to the jail about 2:30 p.m. On Monday morning, she was scheduled to
see a nurse. A guard moved her to a holdingcell at the jail, 40 S. Alabama St., at 6:58
a.m.

Two minutes later, other prisoners in her holding cell shouted that she was having a
seizure.

The guard called for a medic, and two nurses arrived at 7:03 a.m. By 7:06 a.m., she
stopped breathing. The nurses began mouth-to-mouth resuscitation.

A doctor rushed in at 7:10 a.m. Jail paramedics came at 7:18 a.m. An ambulance
arrived a minute later. At 7:37 a.m., she was rushed to Wishard Memorial Hospital,
where doctors used a defibrillator to try to start a heartbeat.

It didn't work.

Mary Harris was pronounced dead at 8:05 a.m. July 30.

The coroner said her death was natural. A fatty liver and a dilated heart contributed to it.

"Everything possible was done by deputies, medics and medical personnel at Wishard,
but it was still not enough," IMPD officer Kelly Hayes wrote in a report.

The jail had given Mary Harris a depressant, Valium, to control alcohol withdrawal
symptoms. But she suffered the seizure anyway, a police report said.
Rick Harris shudders at the thought of her sweating and trembling in a room full of
strangers, then seizing up.

"Was she sitting there shaking?" he asked. "I can't imagine how terrible it would be."

                       Ken Flannery
Although Ken Flannery, an only child, and his mother had few material possessions,
they shared what they did own.

"He was always here for me, and I was always there for him," June Flannery said. "If he
needed a place to stay, he could come stay here in the trailer. If I needed a place, I'd go
with him."

He was born in Ohio and came to Indianapolis with his mother when he was 3. He
dropped out of high school but earned a GED diploma. He held a series of odd jobs and
played keyboards in a rock band with his friends.

Flannery and his girlfriend had three children together, the oldest a 13-year-old girl, who
lived with his girlfriend's mother.

June Flannery said her son "wasn't bad into drinking; it didn't consume his life."

And recently, she said, she had seen a spiritual side emerge, if ever so slightly.

"I encouraged him to watch Christian television with me, and he had been doing it more
and more," she said. "He was really trying to take in the Lord because he had a few bad
habits. I think I saw him coming around."

On July 21, he was with a group of friends, celebrating his birthday. His mother called
and asked him if he wanted to go to Golden Corral in Greenwood for a birthday dinner.
He declined: His friends had just ordered pizza.

"That's the last I heard of him," his mother said. "Everything was fine."

His last stop on his last birthday was an upstairs apartment at a complex near Stop 11
Road and Madison Avenue on the Far Southside.
He had been visiting a relative nearby and stopped for a few beers. Shortly after, he left
and walked south on Madison. He seemed composed and in good spirits.

"A woman who lives in the complex told me she saw him and he smiled at her and gave
her the peace sign," said his aunt, Mary Bell, 48.

It was unclear where he was going. But he ended up in a strip mall in the 8100 block of
Madison.

At 7:35 p.m., a woman called 911 to report that he was stumbling and falling down in
the parking lot.

"He got up and he's walking, but he's going to go down again," the caller told 911. "He
either needs an ambulance or police. We need somebody here."

When police arrived at 7:36 p.m., they said he was combative. They noted in a report
that he "had a history of violence."

He had served four stints in prison since 2000 for intimidation, residential entry and two
battery convictions.

He had finished two years' parole for the most recent battery just six weeks earlier.

Officer Marshall Hoskins wrote that Flannery "physically and forcefully resisted arrest"
by "kicking his legs, thrashing his body."

He grabbed the leg of an officer while he was on the ground, Hoskins wrote.

A transcript of police dispatches obtained by The Star shows he may have been
shocked with a stun gun and pepper-sprayed.

At 7:48 p.m., Hoskins requested permission from a supervisor to use a stun gun on
Flannery. At the same time, Hoskins requested an ambulance to treat his own thumb
injury.

The ambulance arrived at 7:54 p.m. It left, empty, at 8:10 p.m. At 8:12 p.m., Hoskins
requested permission to use pepper spray. Five minutes later, the jail wagon left with
Flannery for the Arrestee Processing Center.
When the wagon arrived at the center at 8:40, the driver opened the rear door.

"Resistor is down {$326} awake and breathing {$326} no medic needed yet," the driver
reported.

Minutes later, his diagnosis changed.

"Medic step it up, Sally port critical ... doing CPR not awake and breathing," he said at
8:42.

"Still working," he reported at 8:51.

The records released to The Star don't indicate what happened between then and 9:07
p.m., when a request was made for an IMPD homicide detective to go to the APC.

Ken Flannery was pronounced dead at 9:17 p.m. His mother was notified at 3:37 a.m.
the next morning.

                        Circumstances
Medical and treatment experts said that specific circumstances might have contributed
to the deaths of Harris and Flannery.

Harris was a heavy drinker in withdrawal -- and alcohol withdrawal, unlike a heroin
withdrawal, can be fatal.

"If they are daily drinkers and they stop suddenly, it can be very dangerous," said Dr.
Barbara Davis of the Fairbanks Treatment Center. "We don't advise everyday drinkers
to go 'cold turkey.' We treat them here with sedatives and monitor them closely."

Withdrawals happen most often eight to 24 hours after the drinking stops, but the
possibility of seizures lasts for days, Davis said.

During a seizure, oxygen to the brain is cut off. Warning signs are nausea, tremors,
accelerated heartbeat, sweating and anxiety. Confusion, loss of balance and collapse
are the most severe symptoms.

Because of body type and other factors, Davis said, women are more susceptible to
seizures than men.
"I wonder why they didn't rush her to the hospital," said Charlene Harris, 83, Harris'
mother-in-law. "They have dealt with alcoholics before, so it would seem that they would
know that the first days after are when people go through withdrawals. They should
have procedures because it seems like that could save lives."

Flannery's family, likewise, is wondering if more could be done.

Brian Drummy, a Bloomington lawyer retained by Flannery's mother, said a witness told
him Flannery was handcuffed behind his back and shackled at the ankles.

He said ambulance records showed there were impressions from the floor of the van on
his chest when he arrived at the jail, suggesting Flannery might have been lying down
on his chest with his hands behind his back.

He said Flannery's alcohol level was about 0.20 percent, which would seem to be less
than a fatal dose. And he believed that "asphyxiation is definitely preventable."

"No one deserves to die," Drummy said. He said he was considering filing a lawsuit
against the sheriff or the city.

Flannery's aunt, Mary Bell, told The Star that her nephew took medication for a nervous
condition and smoked marijuana occasionally. But, she said, he didn't use other drugs
and was not violent.

"He was just a normal guy," Bell said, "no different than a lot of others who grow up on
the Southside."

Flannery was buried in a plywood box at a Southside cemetery. His mother was not
given the opportunity to see his body.

Instead, the coroner's office gave June Flannery a photocopy of his face after death. In
it, Flannery's eyes are closed, and he has two large bruises high on each jawbone and
one above his left eye.

To learn more about alcohol withdrawal and the many symptoms that come along with
it, visit here.

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Two in custody deaths have families questioning new policy

  • 1. Two in-custody deaths have families questioning new policy Original Article Source: http://www.indystar.com/article/20121020/NEWS02/210200351/Two- custody-deaths-families-questioning-new-policy?nclick_check=1 Mary Harris took her last drink July 28. Two days later, she took her last breath. Harris, a 48-year-old mother of two college students, suffered alcohol withdrawal convulsions and died in the Marion County Jail. An estimated 35 percent of the 50,000 people sent to the jail each year are drunk or high. Some fight. Some stumble. Some fall. But they almost never die. Harris' death was especially unusual because it was the second in-custody, alcohol- related death in nine days last summer. Kenneth Flannery died July 21, his birthday, on the way to the Marion County lockup. Witnesses said the 35-year-old was falling-down drunk when he was arrested and taken to the Arrestee Processing Center. Police said Flannery kicked and fought them. He was put in a jail van but never saw the inside of a cell. When the wagon arrived at the jail, Flannery was struggling for his life. He died 37 minutes later. Neither Flannery nor Harris was taken to the hospital in time to prevent the death. Their families want to know why. They also want to know whether the answer is in a cost-cutting decision made earlier this year by Sheriff John Layton. Facing a budget deficit, Layton began asking police officers to send directly to jail, rather than to a hospital, those who were drunk, pepper- sprayed or stunned. He also cut the number of inmates who went from jail to the hospital.
  • 2. Layton told The Star earlier this year that his decision had reduced the number of inmate visits to the hospital from an average of 80 per month to 12. That is a savings of about $900 for each ambulance ride and $1,500 for an emergency room visit. It's unclear whether Flannery or Harris were subject to the shift in practice or even if going to the hospital would have saved them. Sheriff's Lt. Louis Dezelan said "cost savings had absolutely nothing to do with these two cases." The coroner ruled that Harris died of seizures due to alcohol withdrawal syndrome. Flannery died of drug and ethanol intoxication following a struggle with police, the coroner said. The secondary cause was positional suffocation and obesity. The death was ruled an accident. Neither the sheriff nor the Indianapolis Metropolitan Police Department will comment on the deaths until internal investigations are complete. Mary Harris' former husband, Rick Harris, said he is baffled by how a trespassing arrest ended in death. "It just seems like if someone is going through (withdrawal)," Harris said, "they would be under close observation." Flannery's mother is pondering how, overnight, a birthday celebration became a funeral preparation. "It is ungodly what happened," June Flannery, 57, said. "He died on his birthday. What did he do that he deserved to die?" Whether or not the cost-cutting decision played any role in their deaths, the sheriff's policy begs scrutiny, said Marc Mauer, executive director of the Sentencing Project in Washington, D.C., a group that favors criminal justice reforms. He says that law enforcement agencies looking to cut costs should look last to health and safety, if only to protect themselves. "It's risky; a lot can go wrong," he said. "You're saying a certain number of people needed to go to the hospital before and now all of a sudden they don't. What changed except the money situation?
  • 3. "It's really irresponsible, even unethical." It's unclear whether either Harris or Flannery asked to go to the hospital. Todd Harper, a spokesman for Indianapolis EMS, said an ambulance went to the scene of Flannery's arrest but did not take him to the hospital. He said medical privacy laws prevented him from disclosing why Flannery was not hospitalized but said the decision is made by paramedics and the patient -- not law enforcement -- regardless of the sheriff's policy. "It is a patient preference decision," Harper said, "and also a medical necessity decision." Mary Harris The circumstances of Mary Harris' death were rare, but her longtime battle with alcohol was all-too-familiar, doctors and substance counselors said. As a Ball State University student, Harris was a sociable drinker. After her children Jacob and Kelsey were born, she drank more heavily. But then she quit, her ex-husband said. Mary Harris put the bottle down for 14 years and settled into an average middle class routine. She carted the children to school in the morning, worked all day -- she was a saleswoman for years at Mays Chemical and held jobs at Gerdt and Kittle's furniture stores -- hustled to the gym at night and attended Alcoholics Anonymous meetings. "She was very intellectual, very professional, very productive," Rick Harris said. But three years ago, she started drinking again. Kelsey had enrolled at Butler University. Jacob had shipped off to DePauw University three years earlier. "Could have been the empty-nest syndrome," Harris said. The downward spiral was steep.
  • 4. She drank heavily. Their marriage dissolved. She began getting into trouble. Nine days before her death, Mary Harris was arrested for public intoxication. Police found her drunk in a car in a liquor store parking lot on West Washington Street. When police asked her where she was, she replied, "Right here." They took her to jail. A few days after she was released, she was picked up again by police who answered a burglar alarm at the Mapleton-Fall Creek Development Corp., 130 E. 30th St. She was sitting at a desk on a Saturday afternoon while the burglar alarm rattled. Police said she appeared drunk. Rick Harris thinks she might have been attending AA meetings there. She was taken to the jail about 2:30 p.m. On Monday morning, she was scheduled to see a nurse. A guard moved her to a holdingcell at the jail, 40 S. Alabama St., at 6:58 a.m. Two minutes later, other prisoners in her holding cell shouted that she was having a seizure. The guard called for a medic, and two nurses arrived at 7:03 a.m. By 7:06 a.m., she stopped breathing. The nurses began mouth-to-mouth resuscitation. A doctor rushed in at 7:10 a.m. Jail paramedics came at 7:18 a.m. An ambulance arrived a minute later. At 7:37 a.m., she was rushed to Wishard Memorial Hospital, where doctors used a defibrillator to try to start a heartbeat. It didn't work. Mary Harris was pronounced dead at 8:05 a.m. July 30. The coroner said her death was natural. A fatty liver and a dilated heart contributed to it. "Everything possible was done by deputies, medics and medical personnel at Wishard, but it was still not enough," IMPD officer Kelly Hayes wrote in a report. The jail had given Mary Harris a depressant, Valium, to control alcohol withdrawal symptoms. But she suffered the seizure anyway, a police report said.
  • 5. Rick Harris shudders at the thought of her sweating and trembling in a room full of strangers, then seizing up. "Was she sitting there shaking?" he asked. "I can't imagine how terrible it would be." Ken Flannery Although Ken Flannery, an only child, and his mother had few material possessions, they shared what they did own. "He was always here for me, and I was always there for him," June Flannery said. "If he needed a place to stay, he could come stay here in the trailer. If I needed a place, I'd go with him." He was born in Ohio and came to Indianapolis with his mother when he was 3. He dropped out of high school but earned a GED diploma. He held a series of odd jobs and played keyboards in a rock band with his friends. Flannery and his girlfriend had three children together, the oldest a 13-year-old girl, who lived with his girlfriend's mother. June Flannery said her son "wasn't bad into drinking; it didn't consume his life." And recently, she said, she had seen a spiritual side emerge, if ever so slightly. "I encouraged him to watch Christian television with me, and he had been doing it more and more," she said. "He was really trying to take in the Lord because he had a few bad habits. I think I saw him coming around." On July 21, he was with a group of friends, celebrating his birthday. His mother called and asked him if he wanted to go to Golden Corral in Greenwood for a birthday dinner. He declined: His friends had just ordered pizza. "That's the last I heard of him," his mother said. "Everything was fine." His last stop on his last birthday was an upstairs apartment at a complex near Stop 11 Road and Madison Avenue on the Far Southside.
  • 6. He had been visiting a relative nearby and stopped for a few beers. Shortly after, he left and walked south on Madison. He seemed composed and in good spirits. "A woman who lives in the complex told me she saw him and he smiled at her and gave her the peace sign," said his aunt, Mary Bell, 48. It was unclear where he was going. But he ended up in a strip mall in the 8100 block of Madison. At 7:35 p.m., a woman called 911 to report that he was stumbling and falling down in the parking lot. "He got up and he's walking, but he's going to go down again," the caller told 911. "He either needs an ambulance or police. We need somebody here." When police arrived at 7:36 p.m., they said he was combative. They noted in a report that he "had a history of violence." He had served four stints in prison since 2000 for intimidation, residential entry and two battery convictions. He had finished two years' parole for the most recent battery just six weeks earlier. Officer Marshall Hoskins wrote that Flannery "physically and forcefully resisted arrest" by "kicking his legs, thrashing his body." He grabbed the leg of an officer while he was on the ground, Hoskins wrote. A transcript of police dispatches obtained by The Star shows he may have been shocked with a stun gun and pepper-sprayed. At 7:48 p.m., Hoskins requested permission from a supervisor to use a stun gun on Flannery. At the same time, Hoskins requested an ambulance to treat his own thumb injury. The ambulance arrived at 7:54 p.m. It left, empty, at 8:10 p.m. At 8:12 p.m., Hoskins requested permission to use pepper spray. Five minutes later, the jail wagon left with Flannery for the Arrestee Processing Center.
  • 7. When the wagon arrived at the center at 8:40, the driver opened the rear door. "Resistor is down {$326} awake and breathing {$326} no medic needed yet," the driver reported. Minutes later, his diagnosis changed. "Medic step it up, Sally port critical ... doing CPR not awake and breathing," he said at 8:42. "Still working," he reported at 8:51. The records released to The Star don't indicate what happened between then and 9:07 p.m., when a request was made for an IMPD homicide detective to go to the APC. Ken Flannery was pronounced dead at 9:17 p.m. His mother was notified at 3:37 a.m. the next morning. Circumstances Medical and treatment experts said that specific circumstances might have contributed to the deaths of Harris and Flannery. Harris was a heavy drinker in withdrawal -- and alcohol withdrawal, unlike a heroin withdrawal, can be fatal. "If they are daily drinkers and they stop suddenly, it can be very dangerous," said Dr. Barbara Davis of the Fairbanks Treatment Center. "We don't advise everyday drinkers to go 'cold turkey.' We treat them here with sedatives and monitor them closely." Withdrawals happen most often eight to 24 hours after the drinking stops, but the possibility of seizures lasts for days, Davis said. During a seizure, oxygen to the brain is cut off. Warning signs are nausea, tremors, accelerated heartbeat, sweating and anxiety. Confusion, loss of balance and collapse are the most severe symptoms. Because of body type and other factors, Davis said, women are more susceptible to seizures than men.
  • 8. "I wonder why they didn't rush her to the hospital," said Charlene Harris, 83, Harris' mother-in-law. "They have dealt with alcoholics before, so it would seem that they would know that the first days after are when people go through withdrawals. They should have procedures because it seems like that could save lives." Flannery's family, likewise, is wondering if more could be done. Brian Drummy, a Bloomington lawyer retained by Flannery's mother, said a witness told him Flannery was handcuffed behind his back and shackled at the ankles. He said ambulance records showed there were impressions from the floor of the van on his chest when he arrived at the jail, suggesting Flannery might have been lying down on his chest with his hands behind his back. He said Flannery's alcohol level was about 0.20 percent, which would seem to be less than a fatal dose. And he believed that "asphyxiation is definitely preventable." "No one deserves to die," Drummy said. He said he was considering filing a lawsuit against the sheriff or the city. Flannery's aunt, Mary Bell, told The Star that her nephew took medication for a nervous condition and smoked marijuana occasionally. But, she said, he didn't use other drugs and was not violent. "He was just a normal guy," Bell said, "no different than a lot of others who grow up on the Southside." Flannery was buried in a plywood box at a Southside cemetery. His mother was not given the opportunity to see his body. Instead, the coroner's office gave June Flannery a photocopy of his face after death. In it, Flannery's eyes are closed, and he has two large bruises high on each jawbone and one above his left eye. To learn more about alcohol withdrawal and the many symptoms that come along with it, visit here.