Investigators' interviews with correctional officers at a state prison in Tucson, Ariz., suggest that the officers' indifference and lack of basic first aid training allowed an inmate to bleed to death after his second suicide attempt.
The recorded interviews were obtained by KPNX-TV, the NBC affiliate in Phoenix, which has spent much of the past year digging into the suicide of Anthony Clayton Lester, 26, in July 2010.
The station reports that Lester, who was serving a 12-year sentence for aggravated assault, had a long history of mentally illness and had tried to kill himself the previous month. But he was taken off his medications and was removed from a suicide watch two days before his death.
When he was returned to the general prison population, he was issued a standard prison hygiene kit that included a razor — which he used to slit his throat, wrists and groin.
Investigators' interviews with responding officers, aired this week by KPNX, recorded one officer saying he held back from assisting Lester because he didn't want to have to "wallow" in the sheer amount of blood in the cell.
In another recording, an officer is asked about correctional staffers' first aid training. His response: "I had first aid, but I don't consider it as first aid training."
Watch the two-part report by Wendy Halloran of KPNX:


The actions of Arizona Dept. of Corrections administrators and prison guards all the way up and down the chain of command are inexcusable, as well as unconscionable, with respect to the suicide of Anthony Lester. This mentally ill prisoner was taken off his prescribed mental health medications and not housed in a mental health facility -- despite the clear and written recommendations of his sentencing judge -- by an uncaring and, apparently, completely unconcerned DOC chain of command. This story amply demonstrates the problem we have throughout our entire country with using prisons as places to house seriously mentally ill people who belong in licensed mental health facilities. Thanks for investigative reporter Wendy Halloran for bringing this tragic story to light. If this country continues to incarcerate its citizens at the rate/capita that we do (Arizona ranks 7th/capita), then we have to be committed to providing the resources and professional staff to take care of the medical, mental health and other human needs of our prisoners. Otherwise, we need to much more seriously explore community treatment options, which have been proven to work.
Thank you Donna for breaking this down for us. A succinct explanation of the current and far reaching impact of current practises within our prison systems.
Takes less tax dollars to train and oversee prison staff so that they work with honest dedication of carrying out the mission of their jobs.Following is a direct quote taken from the Arizona Department Of Corrections website, "I am honored to serve more than 10,000 well-trained corrections professionals who are dedicated to public, staff and inmate safety by effectively employing sound correctional practices, efficient operational procedures and proven programming opportunities for inmates." End quote. Had this quote,- which is a promise, a promise to all of us, including our inmates,- been respected by the correction officers, Tony would be alive today. Tony's death is a horrific loss. Unnecessary. Preventable.
Thank you MSNBC for helping us to bring to light one of America's greatest tragedies, our treatment of the seriously mentally ill. Arizona incarcerates the highest percentage of those with mental illness in the nation being second only to Nevada. In Arizona, if you have a serious mental illness, you are over nine times more likely to be in jail or prison than in a public mental health hospital bed. Anthony Lester's voice must be heard. Our non-profit agency, David's Hope, is dedicated to securing mental health treatment rather than incarceration for all those living with a mental illness. For help or just to share, you can find us at davidshopeaz.org
I want to thank you for for airing the 2 segmentson Tony Lester. I have 3 questions. Why didn't Director Ryan's office issue a statement about the over 8000 employees receiving suicide prevention training during the 1st segment? When did the trainings begin? What was the quality of those trainings? Thank you again so much. Our system cannot be changed without raising awareness first.
Patti Jones, Mesa Az
First and Foremost I would like to express my deepest gratitude to Wendy Halloran and Channel 12 KPNX News in Phoenix, Az for their excellence in journalistic skills in exposing this horrific tragedy that happened last July 11, 2010, when a severe mentally-ill inmate whose mental health needs were totally disregarded and he was regarded as a manipulator , gaimer of the system; even though his court appointed psychiatrists and sentencing judge highly recommended he be placed in menrtal health unit. Wendy Halloran and channel 12 KPNX news have worked tenaciously for a year to expose the deplorable treatment of the mentally-ill within the ADOC. It is through channel 12 KPNX and Wendy Halloran that these most vulnerable inmates now have a voice that is now heard. Her report exposed the sheer travesty that exists within the ADOC not only on ground level but throughout the whole system especially on the adminstrative level. It is not only alarming , but appalling how the Department itself has so little regard for human life with absolutely no respect for life what so ever. We captured the world's most inhumane individual Osama Bin Laden; then why is it then, that we have a department head that has so little regard for human decency; for so little regard for humanity. Perhaps now through MSNBC bringing such light to such a travesty; that such a change may erect out of such a horrific tragedy. Perhaps now our Department of Justice may become aware of such violations of civil rights that they may open an investigation into the ADOC. It is time that we stop living in the dark ages and start humanizing our mentally-ill prisoners and send a message that their lives matter!!!! If we can just save just one life than our Beloved Tony's Voice will have been heard and his death will not be in vain. Again Much Gratitude to MSNBC for taking Wendy Halloran's and Channel 12 KPNX MAGNIFICENT investigative report to a national level,perhaps now lives will be saved. May God Bless You MSNBC and Wendy Halloran, Channel 12 KPNX for their excellence in journalistic skills. Patti Jones
The Tony Lester Story is just the tip of the iceberg as an indicator how Arizona prisons marginalize human beings inside their prisons. The fact that Tony Lester was convicted as a mentally ill person is a tragedy in its own merits but what really criminalized his death was the total deliberate indifference shown for his civil rights, his humanity and all those other severely mentally ill prisoners that are filling our prisons up under the Governor's policy of mass incarceration. It is with much urgency the ACLU and the Department of Justice should proceed and investigate these prison policies related to suicide prevention, suicide watches, mentally ill treatment plans, and the housing of such disabled persons while incarcerated and left untreated, unprogrammed and certainly left unsupervised in their needs to be compliant with their medication and special needs. As a former corrections administrator, I have seen the toxic and harsh culture result in an attitude of apathy that is demonstrated by the fact that officers are ill prepared and trained to handle such emergencies and rely on raw supervisory skills to get through their shifts without leadership, instruction or direction from competent management rarely prepared for such critical tasks of life preservation and sound first aid rendered in the manner prescribed by established medical standards and mental health care. I have been made privy of this entire investigative packet and find it to contain alleged criminal conduct in content and context but will refrain from calling it criminal as the case is in litigation and hopefully result in changes how the ADOC practices its treatment of the severely mentally ill and others requiring closer supervision and special housing. The leadership culture within this prison system is that of Abu Ghraib and if you look at the specific individuals, you will find the dots connect to the horrific event in that Iraqi prison as Arizona is tainted with DNA of Abu Ghraib as it continues to stack up an unusual amount of "natural deaths", suicides and homicides since the current administration took over in January 2009.
Thank you Wendy Halloran, KPNX, and MSNBC for bringing Tony's tragic and preventable suicide to light. This is more than just an isolated incident. One week before Tony died, Dana Seawright was brutally beaten at Lewis Prison in a gang hit and hate crime because he was black and became friends with a Mexican. The case was closed unsolved, despite a host of witnesses and specific suspects and the culpability of guards who left his dorm unattended when the beat down took place - then watched him gag on blood and vomit without rendering aid. It was three hours before a helicopter got him to the hospital. He died five days later. The homicide and suicide rates in Arizona's state prisons have skyrocketed under the current administration, and mentally ill (Shannon Palmer, Jerry Kulp, James Jennings, Lasasha Cherry to name a few) and women prisoners in particular (Susan Lopez, Brenda Todd, Marcia Powell) have been dying of gross neglect, some begging for medical or psychiatric attention that comes too late, if at all. I've read the state's own records, and found at least one homicide (Pete Calleros) staged to look like a suicide for which no one was prosecuted - one of the suspects even got paroled without having received so much as a ticket. Please follow upon this story - The ACLU and Prison Law Office are even poised to file suit over these conditions and seek an injunction to protect vulnerable prisoners. No one else's child, father, sister or friend need to die like these folks have. ADC Director Chuck Ryan needs to step down.
Thank you Arizona Prison Watch for your comments.
Firstly, Wendy Halloran - thank you for an excellent investigative report. Very few reporters even bother about the prison population in this country so I commend you for your hard work and diligence in getting national attention brought to the issues of the mentally ill who are incarcerated in Arizona's Department of Corrections. Secondly, as a resident and tax payer in the State of Arizona I am disgusted at what is taking place in the Arizona Department of Corrections. If it is not blatantly obvious to everyone having seen this report then let me spell it out 'INCOMPETENT LEADERSHIP"!!! which starts with Charles Ryan, the Director of the Arizona Department of Corrections. If this report does not scare the heck out of the Governor's Office, who appointed Mr Ryan, then I am not quite sure what is going to do it! Perhaps a few more dead bodies and some more massive lawsuits will do the trick??? This is not the first case of a mentally ill person dying under Charles Ryan's watch and it will not be the last. If CHARLES RYAN was half the man he pretends to be he would admit he cannot do the job and step down before another person loses their life in his prison. With regards to the correctional officers lacking the very necessary training and resources they need I go back to my original point - incompetent leadership and the obvious failure to provide what is required to operate a safe prison lies with Mr. Charles Ryan.
Perhaps if everyone who has family or friends in the penitentiary will speak out or write their congressman, congresswoman, legislator or even their district reps telling them enough is enough.. human lives are at stake and nobody cares?? what's wrong with that picture. Desensitived administrators working overtime to fill prison beds with victims rather than prison management according to rules of law and civility. The might $$$ has taken control of our minds and hearts and treats prisoners as assets rather than human beings. One dies and another is incarcerated regardless whether they are mentally ill or not.. a body is $$$ to Arizona prison management teams nothing else. This must be addressed and someone must be held accountable at the top. These correctional officers deserve leadership and are not getting it..
"... horrific tragedy..."???? I read several instances of that phrase in reference to Lester's suicide and the lack of reaction by a "trained" prison guard who didn't hazard his own life and health to save a possibly infected convict from himself. WOULD YOU? I think every cell should be equipped with a slip-knotted steel noose hung from the ceiling and a step-stool.
Of course, "Bob", only you would be dense enough to completely read over what is going on and only see a single phrase that would suit your taste. No, it is not about a passive prison guard putting his oh-so-important life at risk to save a "dangerous" and "delinquent" criminal from suicide as you would see it. But rather, the idiotic choices of not putting a mental patient who was well advised to be placed under medication and to be housed in a special unit for the mentally ill to avoid situations like this. This is about the lack of responsibility we as a community place upon our prisons to do the right thing and rehabilitate the prisoners. After all, that is what they were built for, but I would not expect you to know that. It's the backwards-thinking primates like you, "Bob", that have allowed our prison system to stem into the hell-hole it is today.
But I digress. Thank you, Wendy, for helping our family and my dear cousin's story to hit the sunlight and show what exactly is going on with these so called "professionals". You have done a wonderful job with your message and I could only hope the best for this story's snowball effect.
What kind of ignorant person says such a thing?
Me. It's prison, people, not a hospital. Prison is for punishment, not treatment. If you don't like it, don't break the law.
Um... You don't see the point in a prison, it's to rehabilitate people that want a chance. On top of that you people who are so negative that cant see past ignorance. But i am sure you don't see the point in forgiveness either. Its not the law that should be valued its a persons life, but you would never see the point in that at all cause you have no sense of open mind and take freedom for granted. On top of that its like saying we should execute people for stealing. Plus a prison is like a hospital, instead of rehabilitating a physical part it heals the mentality. So Rene and Bob you need to see the sense of humanity and what America really is about, being good person at heart. So if you don't fully understand what the situation is leave your negative comments to yourself... Other than that there needs to be a hospital wing or emergency center to save the lives of family members. Not make excuses or put off what needs to be done. Even i a person who has no collage education can see past the negative and hateful things you put and if you two have collage education you better go back and learn how things should be properly done. My heart goes out to the families that have lost people in the prison system because of tragic happenings. We need to change things to save peoples lives, that's what the prison system is meant for not to just lock away the bad and throw away the key... Not everyone is perfect and most laws are flawed to begin with and should never be passed but that's a whole other topic.. So please help those who are willing enough to want the help thank you for understanding...
Rene278; It's so cute how naive thinking that only 'bad people' go to prison. Obviously you need to read more literature.
Being a criminal does not necessarily make someone a 'bad person', but they are still criminals.
I am just fed up with people who are much more concerned with criminals' rights than the rights of law-abiding citizens.
Those guards are not doctors, nurses, or even paramedics, and I completely understand the unwillingness to expose themselves to that much blood when the bleeder could have a communicable disease.
Rene, in response to your comment, about being fed up with people being more concerned with criminal's rights rather than law abiding citizens, perhaps you are missing this entire messege. What this story tells is a severe mentally-ill young man whom committed a crime and accepted his punishment and was willing to serve his time. First of all the JUDGE in her sentnencing recommendations requested he be placed in a mental health unit and was court ordered to stay on psychotropic medications. All these recommendations were ignored. And several guards stood around for 23 minutes and watched this young man bleed to death, what kind of a individual does this????? I understand that one does not want to become contaminated with infectious materials, but get someone from medical, this is a HUMAN BEING, Remember we went into Iraq to help the Iraqi people regain their country and their rights, we executed Sudam Hussane,we captured the world's most evil individual Osama Bin Laden, who killed so many innocent AMERICANS during the 911 tragedy. I was never so proud to be an american when I witnessed CONGRESS standing together on the capitol steps united together republican, demorcrats, liberals vowing to stand together vowing to help America through our nations worst tragedy. But is this treatment of a mentally-ill prisoner seems a little like these two men of evil that had so little regard for life. All I am stating rene, is let us band together as american to help fix this system. This young man did not need to die so horrificly and what a tragedy for his mother and his little girl. I am a mother and have worked in the health field for 34 years so I am quite aware of someone who is so mentally-ill that they loose touch with realty, when the voices torment a person so they cannot cope. Prison is no place for the mentally-ill. We are a better country than this, Please donot loose sight of this. THANK-YOU MSNBC: and more importantly WENDY HALLORAN, KPNX PHOENIX-AZ. For bringing this to light and giving a voice to the most vulnerable inmates; the mentally-ill.
I happen to be bipolar (it does appear to be genetic in my family), and while I am medicated and stable at the moment I haven't always been. While I was not medicated I did things I would give anything to take back. While my choices then were terrible, they were still mine. My aunt is pretty unstable most of the time, and I have no sympathy towards her.
I have found that my own mental illness has actually made me much less tolerant to others, especially when their illness is used as a defense or an excuse.
Rene278, I am sorry that you are also suffering , but please understand we are not using this as an excuse or defense we just would like people to see how the severe mentally- ill are treated in our Arizona prison systems, I could only imagine how this young man had to tormented with the voices. Please watch the Movie a "Beautiful Mind" in which Russell Crowe plays the brilliant mathematician John Nash who was a brilliant mathematician who won a nobel peace prize for his brilliant work he also suffered from schizophrenia just like tony so please rene, reflect upon these word and then maybe you will understand how so many people with this diagnosis suffer and I am so sorry that you suffer so:
The Judgment
31“But when the Son of Man comes in His glory, and all the angels with Him, then He will sit on His glorious throne. 32“All the nations will be gathered before Him; and He will separate them from one another, as the shepherd separates the sheep from the goats; 33and He will put the sheep on His right, and the goats on the left.
34“Then the King will say to those on His right, ‘Come, you who are blessed of My Father, inherit the kingdom prepared for you from the foundation of the world. 35‘For I was hungry, and you gave Me something to eat; I was thirsty, and you gave Me something to drink; I was a stranger, and you invited Me in; 36naked, and you clothed Me; I was sick, and you visited Me; I was in prison, and you came to Me.’ 37“Then the righteous will answer Him, ‘Lord, when did we see You hungry, and feed You, or thirsty, and give You something to drink? 38‘And when did we see You a stranger, and invite You in, or naked, and clothe You? 39‘When did we see You sick, or in prison, and come to You?’ 40“The King will answer and say to them, ‘Truly I say to you, to the extent that you did it to one of these brothers of Mine, even the least of them, you did it to Me.’
41“Then He will also say to those on His left, ‘Depart from Me, accursed ones, into the eternal fire which has been prepared for the devil and his angels; 42for I was hungry, and you gave Me nothing to eat; I was thirsty, and you gave Me nothing to drink; 43I was a stranger, and you did not invite Me in; naked, and you did not clothe Me; sick, and in prison, and you did not visit Me.’ 44“Then they themselves also will answer, ‘Lord, when did we see You hungry, or thirsty, or a stranger, or naked, or sick, or in prison, and did not take care of You?’ 45“Then He will answer them, ‘Truly I say to you, to the extent that you did not do it to one of the least of these, you did not do it to Me.’ 46“These will go away into eternal punishment, but the righteous into eternal life.”
<< Matthew 25 >>
Silly Rene, there is a BIG difference between bi-polar disorder and schizophrenia. Obviously you are lacking in listening and comprehension skills, but I bet your bi-polar disorder interferes with that as well, so I won't condemn you for your ignorance and stupidity. I doubt you even watched the videos by your comments.
However, the video is not about his mental illness, but the lack of professionalism the system showed in wrongfully placing a mentally ill person (who accepted his punishment for what he had done) and taking him off his medication. You have clearly missed "Concerned Citizen's" valid point onto your rude comment and only read what you wanted to see.
Silly, silly, Rene. What does this have to do anything with "using mental illness as a scapegoat"? Again, please work on your reading and comprehension skills to prevent any further humiliation of yourself.
I don't suffer; I choose to take my medication and I am quite stable.
I am aware of the difference, Gwen; support groups are open to all, not just bipolar patients. I am familiar with the research, medications, and therapy treatment for numerous disorders. I also learned a lot as a peer counselor and crisis center volunteer.
My opinions are based on direct experience. I feel no humiliation, but your own condescension is quite revealing.
Okay if you fully understand being mentally ill you sought help, as was Anthony my cousin couldn't get it in time. People in good nature tend to hide things not to worry there loved ones and fight a battle with there illness. But what you fail to see is your not putting yourself in his position you two are completely different people. So next time don't make yourself look high and mighty by comparing your situation with his and if your really ill you would speak good of people in need of help. You don't understand situation so please don't write things to make it what its not... The topic was how the person was treated and died cause of lack of care NOT the law its about the guards failing to have the proper care, so please watch the video more carefully instead of looking at the negative aspect of breaking the law. No its not good to violate laws but you seem to not get the point its about the care of inmates not getting proper medical care. Our government gives terrorists free medical exams instead of getting our citizens the medical care they should be getting. Again this isn't about you this is about people that get killed because lack of medical training... So please don't make this about you and compare your illness to my cousins, he had something way different than what you had so don't compare or even bring up your personal health issues when its not about you... And if you are researching on this don't make dumb comments help others find help instead of pointing the rights and wrongs. Or the do's and don'ts cause you are making yourself look foolish by arguing when you should be understanding from one ill person to another... So please help us spread this word and save lives... Thank you...
Rene278 I really do not think gwen is trying to be condescending she is only trying to point out the obvious that even court appointed officials saw the need; the critical need for this young man to be placed on a psychiatric unit and was court ordered to stay on his medication and yes you are right MEDICATION is quite important part of any treatment plan and you should know this; that you can not just stop any psychotropic medications, it could put someone especially a paranoid schizophrenic into a major psychotic breakdown. There is a huge difference between a person diagnosed with bipolar disorder and schizophrenia. I think all that Gwen and I are trying to present is the huamnistic side of this unfortunate tragedy. You cannot just take a diabetic off insulin, the same is so important to anyone with a severe mental illness. A little compassion and humility. Read my previous comment Matthew 25 maybe you will see the point.
Once again, you are reading what you want to see and instead of seeing my point, you make it about yourself. I guess that is also a part of being bi-polar besides being unable to comprehend what I am saying.
Me? Condescending? Let's read over your first post before you decide to speak again:
"Me. It's prison, people, not a hospital. Prison is for punishment, not treatment. If you don't like it, don't break the law."
-- Such a thing to post on a story about the mistreatment of the mentally ill who become incarcerated. Way to make yourself look even more like a clown, miss "peer counselor" with bi-polar disorder. Why not try remembering that direct experience as a counselor? LOL.
Sadly yes. Deliberate indifference is more than not responding to an ICS, it also includes not taking action during the response itself. I agree though, correctional officers lack the needed training to handle massive critical lacerations to ones neck. I also understand the fear these officers must have felt when facing such vast amounts of blood given the amount of Hepatitis, HIV and other communicable diseases running rapid like a plague in our prisons. But the incident commander has every single resource at their disposal available to them. Did they call for towels to cover the blood so attempts to control bleeding could be made? Did they apply direct pressure to the wound the absolute most basic blood loss control method? Did they call for a PPE cart equipped with blood gel, jump suits, squeegee, mop, goggles and masks? I know they are trained in at least these skills. How long was it before the on call nurse arrived? I feel the answers to these questions will lead us back to square one, deliberate indifference occurred.
In this case there was more deliberate indifference. Classification allowed this mentally unstable man to become a General Population inmate. The judge even made clear in the trial he was concerned for the mental instability of the individual. The inmate cried out to staff over and over for help with his mental health. Accountability need not just be on the staff who responded but on the psychology department, classification officer, warden and State Prison Director.
What happened here was a sad travesty and the only light that can come of it is the education our correctional system can gain from it. But such a thing can only happen as long as we never forget and never back off fighting to change the status quo.
There are lots of bad politicians, appointees and to be sure lobbyists in the Arizona government. But one man stands out as having the singular largest track record of failures, mistakes and down right atrocities under their failing leadership. That man is Arizona Department of Corrections Director Charles L Ryan.
Director Ryan has been plagued by his own inability to lead and oversee his administration. Under his authority he has repeatedly surprised the citizens of this state with his failure. After Dora Schrirro left with former Governor Napolitano Director Ryan inherited the administration. During the early days of his Administration under his interim, an inmate by the name of Marcia Powell died while being held in an out door enclosure awaiting transportation to a mental health watch. This was quickly followed up by two more men who died in Tucson of the same cause of death from exposure. Fourteen staff were promptly terminated to lay blame, appease the public and media. Of those staff, twelve have returned to their jobs after proving they were not to blame. But the majority of them lost their retirements and seniority. The DOC quickly installed shade, water fountains and rewrote policies regarding holding inmates outdoors. This is a clear display of reactive over proactive, but it also showed the coming pattern of Director Ryan's leadership, to point the finger down hill and always be reactive and never proactive.
Later Director Ryan was appointed by Governor Brewer to become the actual Director and his status as an interim had been lifted. It was after this period of his term, the most publicized escape in modern history took place. The Management Training Corp, Kingman Complex Escape. There has never been such a massive breakdown in security practices, documented so well, as there was during this escape. First, the cousin / girlfriend of one of the inmates was caught attempting to smuggle in drugs to the facility, her visitation was not revoked for any time other than that visit and she was not arrested. Second, the inmate was using the drugs to negotiate cell phone usage with other inmates who smuggled one in earlier. Third, recorded institutional phone calls clearly detected a code for escape plots by the word "camping." Nothing was done other than to keep an eye out. Fourth, correctional staff at the facility were propping open a door to the inner perimeter because they were hot. Fifth, the outer zone alarms to the facility were activating falsely and staff had become desensitized to the alarm sounds. This had gone on for months and months and was well documented. Sixth, those very alarms had not received servicing in over two years. Seventh, prison inspections or audits had been skipped at the facility due to time and budget keeping oversight at a minimum. Eighth, there was only one staff member from the DOC working at the facility reporting to the Director about the goings on at the private prison. Ninth, inmates were often running about without identification for face to ID checks, thus making counts more about paper than actual accountability. Tenth, when the private prison changed custodial housing from level two inmates to level three inmates, Kingman Police were never notified of the change so they could increase patrols in the area. Eleventh, the perimeter officer was supposed to be posted with a partner, but under staffing had him working alone. In fact the lack of staff was so bad the perimeter officer was doubling as an escort. It was at this time he was escorting, that a woman drove onto the perimeter tossed wire cutters over the fence to three awaiting inmates who simply walked out the door propped open by a rock to meet her. They cut the fence, staff ignored the alarm and they drove off into the sunset. Later, on their lamb, they shot at Colorado Police, robbed a trucker and killed two tourists in New Mexico. Director Ryan blames the facility, his liaison / monitor in charge of oversight, he blames staff complacency and he blames Schrirros classification system. Director Ryan does not accept any blame for himself. But here is how things really are, one or two mistakes is an officers fault, two or three mistakes is the fault of a staff supervisor, three or four mistakes is the fault of the Warden and Monitor. A complete totality of mistakes is the fault of the Director and no-one else's, for it is he that is truly in charge. Ryan appointed the monitor, Ryan reviewed the audits and alarm maintenance records, Ryan failed to make the notifications to the local authorities that custody levels had changed. Ryan was again reactive and not proactive and made changes to policy. Ryan is also an Adviser to Management Training Corp and they kept the contract they had, even though they failed so horribly.
Next was a turn of events that was not very shocking, but none the less true. Ryan had slowly been changing they way administrators interacted with staff. The conditions of the working relationship between staff and administrators had become toxic, to the point of a Department wide hostile working environment. The union Arizona Correctional Peace Officers Association stepped in and had members and non members (still DOC staff) alike sign a petition of No Confidence in Director Ryan's leadership. It was so serious local news channel five stepped up to cover the story. The letter was submitted to Governor Brewer and no action was taken of any kind.
During the years of 2010 and 2011 there was a shortage of a drug needed to execute inmates by lethal injection. But Ryan and Brewer had a need and desire to keep the truck rolling and make sure that executions continued. Some how the unavailable drug manifested (one of three required) in Director Ryan's hands. Lawyers of inmates to be executed were fighting to verify they legality of the drugs acquisition. Eventually even the press became concerned over where Ryan had got the drug. For weeks legal services and media alike were utilizing the Freedom of Information Act to learn how Ryan had obtained the drug. Eventually it had came about that he got it not through medical supply but from veterinary supply. It was ruled safe for human use in executions but did cause much embarrassment to the state.
There have been many more injustices from inmates not being properly triaged and diagnosed, to off site work crew inmates escaping custody, like a female working at the auto auction who simply started a car and drove away. Her behavior was unchecked, because the lowest custody inmates are allowed to work under the supervision of the employees contracting their labor and an officer who drives from sight to sight counting them. Ryan stated after her apprehension that the revenue generated from unsupervised off site crews out weighs the risk to the public for these rare escapes that occur. Tell that to the bank teller she robbed and set the tellers desk of on fire.
Privatizing prisons has been an ongoing affair and no state is deeper and faster in this process than Arizona. Director Ryan has been going along with this either because he supports the idea or he is going along with his superiors authority. (Governor Brewer) The private prison lobby in Arizona is incredibly powerful with men like Chuck Coughlin, a lobbyist for several private prison contractors and also being the policy adviser to Governor Brewer. Ryan had a responsibility to the legislators, to provide an in depth cost analysis between private and public prisons to determine which has more savings. Numbers from various studies have reflected both sides being winners in other research. But those numbers can be fudged based on who is taking them and their end goal. Ryan never generated this cost comparison and submitted it to the state
Tony and I had been close friends for nearly ten years before his suicide, and it was always evident to me that he was suffering from a mental illness. He was truly a good person and if only he had been in the proper care and had received the appropriate help that the judge in his case and a psychiatrist recommended, I know in my heart of hearts that he could have been rehabilitated and could have lived a happy, productive life. He was treated like garbage. The crime he committed was wrong, but he had so much more potential than he was given credit for.
This complete and utter disregard for human life simply can't be swept under the rug and I'm glad that his voice is finally being heard, because it was clearly ignored by the state up and until the day he died.
Who watches someone bleed out the way he did and does absolutely nothing? They shouldn't be trusted with anyone else's life. I'd have thought that working in a prison would mean you'd have to know how to handle life-threatening situations.
Thank you so much for the coverage and investigation.
I want to thank Wendy Halloran, Channel 12 News, MSNBC, and my mother, Patti Jones, for helping to bring to light the terrible injustice suffered by my cousin, Anthony Clayton Lester. The system failed him in every possible way and it is a tragedy to say the least. The last year has opened my eyes to the carelessness, impunity, and unaccountability in which certain officials in our current system operate. Someone truly needs to be held accountable for this tragedy; not just to find justice for Tony, but to help others in the future. Keep spreading the word. Peace.
Wendy, thank you for everything you have done. I am sincerely grateful for all of your effort into this story-- especially tracking down Director Ryan and allowing him to show what kind of a person he is on television. The story made a great impact on not only me and my family, but to everyone else who had watched it. Your passion for your work certainly glows with the amount of dedication you put in. We are lucky to have you on our side!
That goodness that a channel and its very competent investigator reporter have chosen to shed light on this tragic situation. Were it not for their competence and professionism, this horrific death might have never come to public attention.
One has to wonder if Tony Lester should have gone to prison at all, if he was not suffering from delusions that caused him to commit the crime for which he was convicted?
More importantly is the lack of oversight that has been exercised by the management of the Department of Corrections since Director Ryan took over after Dora Schriro's departure.
Rather than accepting responsibility for the actions of his employees, not only those which resulted in Lester's death, and those of similar victims such as Marcia Powell, but also for his managers which allowed inappropriate inmates to be sent to Kingman/MTC, who should have been excluded because of the severity of their crimes and length of their criminal histories. This was clearly evident in the case of John McCluskey, who had a parole hold from Pennsylvania. At least one of his fellow homocidal escapees was, like him, a member of a security threat group (STG), white supremacists, that should have disqualified them from such transfers.
Likewise, Ryan's appointed for-profit prison monitors were clearly expected to "go along to get along," which allowed MTC to operate for years without a working alarms system, inadequately staffed with high turnover, poorly trained guards, and in the absence of a second fence that is the hallmark of virtually any medium security prison one could find anywhere in the U.S.
The apathy is pervasive and political power helps keep the for-profit system improperly monitored here in Arizona and around the country. In Oklahoma, GEO Group kept its internal policies secret, allowed a vulnerable prisoner to be placed in call with a prisoner who had repeatedly informed management he would not tolerate a cell partner, and would in fact kill any other inmate who was placed in his cell. GEO did not want to forego the revenues earned by filling that second bed. The convict did promptly murder his cellmate and GEO has been found liable in a case where the judgment amounts to $40 million, in its quest to make another $40 a day. In its Wheeler County prison in Georgia, CCA accepted a severely mentally ill prisoner, much like Ryan's team sent Lester to an appropriate placement. After a repeat arsonist was assigned by CCA to share the schizophrenic's cell, he responded by bragging loudly to other prisoners in front of his intended victim, that he intended to sodomize his cell partner that very night.
The terrified cellmate beat him to the punch, slitting his throat and smothering him. Despite that, CCA and the Georgia Department of Corrections claimed they were still "investigating" the case a year afterward, though the cause of death was no more elusive than was Lester's.
Clearly, Lester should have not been assigned to the prison to which he was sent. He should have received therapy after his suicide attempt. For him or any schizophrenic to be removed from medication, contrary to professional practice, was a gross violation of the rights of this disabled man. Giving him a razor compounded the malfeasance. Finally, for guards to have stood outside his cell for 23 minutes, failing to render assistance as Lester's life and blood slowly drained from his body, was nothing short of criminal negligence. If indeed, not being able to see one of his hands was an impediment to them rendering aid, they could have pulled his blanket away from that hand, or even could have had his cellmate do it. If it took paramedics or EMTs or other medical aid 23 minutes after guards became aware of the critical situation to arrive to deal with the situation, that is still a matter that requires answers to the public.
The prison has a responsibility to protect the public, first and foremost. It has a responsibility to protect its staff, including from blood borne diseases, but certainly that does not preclude them from exercising the common sense we would expect from any ten-year-old. Lastly, it has a responsibility to protect those committed to its care, and in this tragic case, totally failed to exercise the trust which it had been given.
Ryan's termination will not resolve this problem. It is the ultimate responsibility of Governor Brewer who would have a professional corrections system if it were an actual priority for her. She is allowing campaign contributions and a distorted spectrum of priorities that allow for such dysfunctional prison system to exist. Simply replacing Ryan with still another Terry Stewart protege, or some other bureaucrat of similar ilk, will not change the priorities that are absent from her stewardship.
All Arizonans deserve better, even those who are inmates.
Excellent commentary Frank and you are correct. Brewer is the key to prison reform. Terry Stewart theologists would likely be the same old same old in the case Ryan were to be replaced. But Ryans termination may be a warning to the next for office that careless abandon will not be tolerated by the pubic.
People who commit crimes against society give up there rights when they are convicted of those crimes. The State is not responsible for some irresonsible action by a prisoner. If some person is bent on harming themselves while incarerated let them have at it. Why should the state be responsible for some unbalanced criminal? Making excuses for others behavior and then blaming someone for not stopping it is pie in the sky liberal crap. If you can not due the time then do not committ the crime. Bleeding hearts over the criminals is really missed placed. In all species only the strong survive. Weak people should not become the burden of the state they offended in the first place. Nature takes care of those who are weak. So be glad he did not take anyone with hime.
Amazing! Your response sounds straight out of the pages of Mein Kampf! Have you been catching up on your reading assignments?
Ralph you are so eager to vent this mysterious anger against what your radio voices decry as "liberal" in order to tease more anger out of insecure white males, that you appear to be unable to read, or have reasonable empathy, or think before writing. 'Cuz if you read the article plus the stream you will note the fellow already did 12 years for aggravated assault, that's huge, but more important, the experts for the court apparently recommended urgently that the inmate get mental treatment, which the state could not be bothered providing, it seems - and that, sir, is the story addressed by the commentators. Oh and thanks for your wisdom re "liberal crap," as if treating the dangerously insane were silly liberality you cretin, oh, and nice job spelling , e.g.:"[I]f you can not due the time..." Wow, your spelling is as careless as your thinking process and your readiness to spout talk-radio prejudices.
Very sad, but if he cut his own throat, wrists and, it sounds like, his femural artery, then don't blame the poor low-paid guard, there was nothing for it, at that point. Does sound like serious "corrections" mismanagement if the court-appointed specialists' recommendations were all ignored as alleged here.
The video and audio clearly show that those four bozos stood there for at least 23 minutes watching this guy's life slowly ebb away, waiting for him to stop breathing, before the medics arrived. He can't possibly have cut his femoral artery, and probably only hit veins.
That sounds bad of course, but then, the guy had an edged weapon of some sort, was a violent, insane criminal, and badly wanted to die, so I don't blame them too much for not rushing in to achieve martyrdom or get infected trying to save one who, after all, wished so strongly to end it all, and all for what, so the guy can live on indefinitely in confinement and misery?
What is "sad" is how he was able to get a hold of the razor when clearly the judge stated he needed to stay on medication. What is "sad" is how they practically PLACED the razor in his hand and said, "here you go". What is "sad" is that the system killed another responsible human who accepted his jail-time and was about to finish his sentence so he could see his daughter on the outside.
That's right, poor, poor, guards. If you can't handle the job, don't take it.
To the family, it is tragic that this happened.
As for the Officers who responded, It takes a certain type of person to want to rush into a room FILLED with blood. My first responsibilty is protecting the puplic and to my family by taking care of myself and not taking anything home from work except a paycheck. If a person does not have the nessesary equipment to deal with an incident like that there should be NO reason for them to foolishly rush in and put their life at risk. The AZ officers couldn't see his hand to see a weapon, that is a sound concern.
The issue is his placement. This guy definately did not belong in general population. If the unit staff are unaware of his condition than it would be very difficult to lay blame for giving him the same issued items everybody recieves in general population. To try and blame the the line workers who basically shuffle inmates around a prison and do what their told, with or without the correct information, is not right. The mental health staff and middle managers are the ones required to pass on info with suicidal inmates and place them in the appropriate living area. While it is easy to become jaded and apathetic to inmates as a whole because let's face it, they're no there for bieng a good person, responding emergencies like this are NOT common and some people freak out over it.
In WA state there was a case of a State Patrol Officer who walked through blood in a scene and took his boots home where his small child contracted hepatitis. These are my thoughts when I respond to a incident with blood.
I appreciate your comments on one not wanting to expose onself to help a "Convicted Felon", for they have no rights and are treated beneath how our animals are treated. Perhaps this is the mentality of society, that these are felons and they do not need to be treated with any sense of humanity. That is why all prison units are readily equipped to handle such a crisis and how about calling medical. Unfortunately in this situation no medical was even alerted. These guards just rummaged through the cell looking to see if there was a suicide note, not worrying about becoming contaminated with the massive amount of blood. I do feel empathetic with these correctional officers, but in all reality there was no effort what so ever to even render any aid,and that is so totally unacceptable. It brings into question what kind if a individual just stands there and watch another human being gurgle,gasp and bleed completely out???? I know I could not but that is me. Unfortunately these guards were used as the Departments scape goat when in all reality, the gross negligence came from the administrstion, psychiatrists calling tony a manipulator, a gamer of the system. Perhaps if they would have listened to the family's attorney and family members begging to place tony in an appropriate unit, this tragey could have been avoided. These are the true culperits of the this horrific tragedy, these correctional officers should have at least used their common sense. Just remember Tony was someone's only child, someone's grandson, someone's nephew more importantly he was some little girl's daddy. So please a little human compassion before we pass judgment. God Bless, peace.
"Indifference and lack of trainings" are always the best excuses for these cop murders.
I commend Wendy on her bringing this issue to the public's attention. This was a senseless death. As an RN, I am all too aware of the potential "hazards" of coming into contact with possibly infected body fluids. As a human being, despite having no protective gear, I could not even comprehend standing and watching someone bleed to death. Is it lack of training? Absolutely. Lack of common sense? Of course. Possible apathy towards those who are incarcerated? I would say so by these individuals. No clear understanding of mental illness or the care of those suffering from this? Absolutely.
Where was the RN? Did no one contact the medical unit? It would not have taken 23 minutes for medical personnel to respond. But despite all of this, it still comes down to one thing: poor over site into proper placement and care of an inmate.
I am the mother of an inmate who is dually diagnosed (bipolar & substance abuse). Does it scare me that this could happen to him? YES. The public needs to understand that a large percentage of inmates have a mental illness diagnosis. We lock them up for the crimes that they commit, too often due to lack of mental health services in our state. We then do nothing to rehabilitate them or treat their mental illness while they are incarcerated. They are released and a large percentage re-offend, and the cycle continues.
Director Ryan and Governor Brewer must be held accountable for the conditions in our state prisons. But who will hold them to this if the public is apathetic to what happens to an inmate? There but for the grace of God, it could be your family member that we are commenting on.
Rae, thank-you for having some common sense moreover some compassion!!!! And an answer to your question no; no medical was notified and the most appalling was the 911 tape; it took seven minutes for the 911 dispatcher to find out exactly the circumstances of this situation there was no sense of urgency. Again the only way to bring change is to bring public light to the inhumane treatment of the mentally-ill, the public wants change to the treatment of these most vulnerable inmates,moreover our govonor of Az. has approved a billion dollar budget into the ADOC, and taken away from education and medicare access. This needs to be looked at. Perhaps now through MSNBC's and the FABOLOUS JOB done by investigative reporter Wendy Halloran and Channel 12 changes may erect out of this tragedy and tony's voice will live through eternity with the changes that erect. God Bless.
Kudos to Lester for removing his apparently tainted genes from the gene pool, and also for sparing the tax payers from further expenses on his upkeep.
Every prison cell should be equipped with a ceiling hook, and every prisoner should be promptly issued with a rope on first request, so that there will be no need for creativity Lester had to use to get his wish to depart. Cutting oneself in all the places with prison-issued razor - that's gross. The desire of the officer to stay as far from it as possible is completely understandable.
Fail Troll is Fail. Do not go pass go. Do not collect $200.
I worked in large Correctional Facility for over 25 years in the Administrative field and my observations of over the years of watching Guards interact with inmates can be a bit enlightening for some..
First of all I find it very interesting that the inmates were given Razors instead of Electric Shavers to shave with which were apparently not "accounted for" by the Guards as to who when and how long and why it was not returned within 15 minutes but included in a health pack?...
As far as commenting about Prison Guards, after a while the average Guard could care less about the inmates or their well fare...Their just bodies to be moved around, disciplined, walked, fed, escorted to various areas within the confines of the Facility etc. etc...It is them against us and it is just a matter of keeping the Mutants from eating each other and causing lawsuits and stories like this one... Generally the inmates outnumber the Guards by 35 -1 so it is difficult for the Guards to keep an eye on each inmate. And the Guards themselves rarely have any close face to face or any real interaction with the inmates or Con's. They are called Con's not as a short version of Convict, but because every minute of the day the inmates are trying to figure out a way to "Con" a Guard out of something,,it is a way of "Counting Coup" and raises the status of the Inmates to have a Guard "working for them".. Sorry, but the women over time have shown to be the most susceptible to being "conned".
Now as far as 1st Aid and such or any kind of Medical Training, with the Unions getting deeply entrenched into the Prison Systems the Guards may not be required to step on the toes of the Union Nurses and therefore are not required to have any Medical training, that is not "their job", it is a Medical Problem.....and that is the mentality that comes with Unions....When I worked there the Deputies all were required to have a CPR Card but for other emergencies only the in house Medical Staff were authorized to treat the Inmate..And you can also thank the many Lawyers and the American Crinimals Legal Unit (ACLU) for bascially keeping the Guards from assisting Inmates in distress...They learned not to after being sued hundreds of times, so it is left up to the Medical Staff...See what Lawyers and Polticians can create...
It is very common to find the Mentally Ill in Jails...back around 1978-9 then California Governor "Moonbeam" Jerry Brown closed down a large number of State and County Mental Facilities believing that these people belonged in Board & Care Facilities or Half way houses..Unleashing thousands of patients who were basically let loose unto the unkowing public. Within a year a goodly portion of these patients were under Lock and Key at the Jails and the State Prisons. I know because I worked in a Locked County Facility and lost my job because of "Moonbeams" incompetence and that is when I went to work in the County Jail System....I find it very Amusing that "Moonbeam" now has to deal with a major Correctional problem he created back in 1977...It is so fitting and I laugh every time I think about it..Finally an incompetent Demoncrat has to deal with the problem he helped create...And that is what has happened with our nation as a whole..The Democrats created this nightmare and now they have to fix it and they only way they know how is to raise taxes...They have no clue as to what they really need to do and spend more time and energy trying to blame everyone else and the Republicans for the mess they themselves created........
The only problem with this story is that it was written by an outsider who apparently is doing a lot of guessing as to what goes on inside a Prison or a Correctional Facility and is providing a rather biased uneducated view of what he assumes is going on so please do not make any judgements until the complete and full story is told...
Eddie, I apppreciate your comment imensly, and thank-you for your service working in the prison system, a job a few of us do not realize how incredibly stressful and you all put your lives on the line for oour protection. But as you said in your comment is that this story was written by an out side individual who does not know what goes on in the system itself , I beg to differ with you on this: Ms. Halloran worked for a whole year tenaciously to obtain all of tony's mental healthcare and court records she had to get Channel 12 news attorney's involved to obtain the AIU and CIU investigative reports. I have gone through HUNDREDS of pages of these documents and read over ADOC's policies and see many violations of their own policies, I also have had the fortunate oppurtunity to meet with an ex-deputy ADOC Warden, who has seen all of tony's documents and he himself has seen the gross negligence. First of all, the admistration, physcians were well aware of tony's fragile mental state and chose to ignore all the family attorney's and family warnings. But I guess this is the mentality of the correctional environment. And oh yes there is an ICS video that Ms. Halloran and channel 12 have fought so hard to obtain that shows tony, gurgling, gasping,bleeding out and the guards talking amongst themselves wondering if there is a suicide note anywhere to be found. And then the first notification call to the next of kin never was made until 11:45 pm, when the ICS was activated at 7:35 pm. And Family was told that tony was taken to the hospital with non life threatning injuries but stable. After looking over all his medical records from UMC it clearly shows that tony bleed completely out soon after he left the unit his heart stopped and the UMC's trauma surgeon worked heriocly to save him but the time he had reached the hospital he was gone and even if he did survive he would be in a vegitaive state, the trauma surgeon had to ask prison staff to take off the chains off him he was going nowhere, we were informed they had to empty out half the blood bank on him. We have all these medical documents 100's pages for only a seven hour period. And then the aftermath for tony's mother trying to find her only son not realizing how close he was to leaving this earthly presence. Then when there was finally contact with ADOC family was only told sketchy information, that he only had one neck wound, it was not until the family brought our tony home that we mortified with all the gashes throughout his body, his body was so swollen from all the trauma it did not even look like him. So you are ABSOLUTELY right please do not make any judgements until the whole story is told. This is what Ms. Halloran and Channel 12 have been fighting with ADOC to obtain, you have only heard exerts of these audos if you listened to all of them you would be appalled as a fellow correction officer how these officers behaved not to mention the admistration. This story is not the only story of negligence there have been too many to count, Shannon Palmer, Robert Medina (suicide the same day as tony), Marcia Powell,Dana Seawright, Brenda Todd,Susan Lopez are just a few that died shortly after tony, suicide or homicide???? So I agree with you please just wait and see what will transpire out of this. Just remember this could be one of your family members..
I just want to clarify just one more time I donot mean any disrespect to any correctional officers I know there are so many excellent correctional officers that do their upmost to keep staff and inmates safe. So please do not misunderstand my intentions I just mean that in this situation there has been so much negligence and again it is the corrctional officers that will take the fall and for that I am deeply sorry. I also need to clarify that with the ICS video that was taken that night Wendy Halloran and channel 12 have fought hard to obtain this but were denied access to it; it was mentioned in the wrongful death law suit filed by the family in which the attorney states this fact. So again let's wait until everything is presented then and only then we can make judgment. MSNBC and Wendy Halloran and channel12 have done an enlighting job getting this out to the viewers