VI. Eleventh Amendment And Sovereign Immunity

Defendants DCFS, Jones, Acolatse and McEvilly have filed a motion to dismiss
the allegations against them on the basis that they are barred by the Eleventh
Amendment. The Eleventh Amendment prohibits a federal court from imposing
retrospective monetary relief on a State for past violation of a federal law. Edelman v.
Jordan, 415 U.S. 651, 678 (1974).

DCFS is a State agency. It is established by State statute and is funded by the
State. Ill. Rev. Stat. Ch. 23, 42051, et seq. Therefore, the claims against DCFS and
DCFS employees in their official capacities seeking retrospective monetary damages is a
suit against the State. The Eleventh Amendment prohibits this Court from granting
Plaintiffs the retrospective money damages they seek from DCFS and the DCFS
employees in their official capacities. Therefore, the federal claims against DCFS and
against the individual DCFS employees in their official capacities are dismissed for lack
of subject matter jurisdiction.

However, Plaintiffs also have filed suit against DCFS employees Jones, Acolatse,
and McEvilly in their individual capacities. Many courts have held that the Eleventh
Amendment is not a bar to a suit against State actors in their individual capacities. See,
e.g., Haler v. Melo, 502 U.S. 21, 30-31 (1991). Therefore, the DCFS Defendants’
motion to dismiss the federal claims against them in their individual capacities is denied.

The DCFS Defendants next argue that they are immune from the state law claims
of conspiracy and intentional infliction of emotional distress under the doctrine of

sovereign immunity. Sovereign immunity “protects the State from interference in its

19



to a State-operated mental health facility . . . the petition shall be accompanied by a
written statement executed by a qualified certifier.” (emphasis added).

Plaintiffs claim that Benjamin was denied procedural due process by the failure to
have: a) a qualified certifier personally examine Benjamin; and b) a written statement
executed by a qualified certifier accompany his petition to a State-operated mental health
facility. Because the State statutes in question use mandatory language, we find that
these statutes could create a liberty interest that could trigger a Constitutional violation
for deprivation of procedural due process if the proper procedures were not followed.
Therefore, Benjamin may have been denied the process due him by having unqualified
certifiers examine him and make recommendations about his mental health treatment.

For these reasons, we find that Plaintiffs have stated a cause of action under §
1983 for a violation of procedural due process.

Cc. Violation of Conditions Imposed By Federal Law

Next, Plaintiffs allege that they have a cause of action under § 1983 for the
State’s alleged violation of conditions imposed upon it by the federal government in
conjunction with federal funds the State receives to provide mental health services.

Plaintiffs may have rights under the Federal Developmental Disabilities Act,
which are enforceable under §1983. Mihalcik v. Lensink, 732 F. Supp. 299, 303-04
(D.Conn.1990). At least one court has held that a State’s failure to provide such required
services violated the Federal Developmental Disabilities Act, which gives rise to a
private right of action under § 1983. See, e.g., Martin v. Voinovich, 840 F. Supp. 1175,

1203-04 (S.D. Ohio 1993),

13



Hospital(Count IV), granted as to the EMTALA claims against Anderson (Count IV),
granted as to the conspiracy claims (Count XII), and denied as to the intentional
infliction of emotional distress claims (Count XII);

Defendant DuPage County Health Department’s motion to dismiss (# 52-1) is
denied as to the § 1983 claims (Count VI), denied as to the intentional infliction of
emotional distress claim (Count XIII), and granted as to the conspiracy claim (Count
XID;

Defendant Jennifer Beisner’s motion to dismiss (# 65-1) is granted as to the
EMTALA claims in Count X, denied as to the § 1983 claims in Count X, granted as to
the conspiracy claim (Count XII), and denied as to the intentional infliction of emotional
distress claim (Count XIII);

Defendants Illinois Department of Children and Family Services (DCFS), Debbie
McEvilly, Gloriana Acolatse and Margaret Jones’ motion to dismiss (# 50-1) is granted
as to all federal claims against DCFS and Defendants Jones, McEvilly and Acolatse in
their official capacities (Counts VII, VIII, IX, and XV) because such claims are barred by
the Eleventh Amendment. However, Counts VII, VIII, IX and XV remain against
Defendants Jones, McEvilly and Acolatse in their individual capacities. Counts XII and
XI are dismissed against DCFS, Jones, McEvilly, and Acolatse on the basis of
sovereign immunity. Count XIV for preliminary injunction against DCFS is dismissed
for failure to state a claim. The motion is denied in all other respects; and

Defendant Stephanie Brennan’s motion to dismiss (# 54-1) is denied as to the §
1983 claim (Count V), granted as to the conspiracy claim (Count XII), and denied as to
the intentional infliction of emotional distress claim (Count XIII).

23



have no further inpatient hospitalization, and no further psychological assessment for
continuing hospitalization, despite the fact that Benjamin’s medical record was allegedly
replete with behaviors consistent with severe mental illness. Thereafter, on April 10,
2000, Dr. Baber discharged Benjamin from Linden Oaks Hospital. Upon discharge,
Benjamin was then taken to jail, where Plaintiffs allege that he was deprived of his right
to medical care and education.

Apparently while Benjamin was in jail, Gloriana Acolatse (“Acolatse”), a DCFS
caseworker, recommended that Benjamin be placed in shelter care at the Center House
for Boys. Plaintiffs allege that Benjamin was deprived of his right to medical care and
education while at the Center House for Boys. Debbie McEvilly (“McEvilly”), another
DCFS caseworker, took over Benjamin’s case, and recommended that Benjamin remain
in shelter care at the Center House for Boys instead of obtaining the in-patient psychiatric
treatment that Benjamin allegedly required. Benjamin remained at the Center House for
Boys until May 10, 2000, when Benjamin’s treating physician, Dr. Schwartz, allegedly
ordered that Benjamin be admitted to Glen Oaks Hospital. However, Plaintiffs allege
that Jennifer Beisner (“Beisner”), a DCFS evaluator, blocked Benjamin’s admission into
Glen Oaks Hospital. According to Plaintiffs, Beisner then called the police and had
Benjamin put back in jail, where Benjamin spent two weeks, allegedly without the
necessary medical care or education. On May 24, 2000, Benjamin was admitted to
Maryville Academy.

Plaintiffs further allege that on September 11, 2001, the Honorable Stanley Austin
of the Eighteenth Judicial Circuit, DuPage County, Illinois entered an order finding that,
at the time of Benjamin’s discharge from Linden Oaks Hospital, Benjamin was a

4



»

performance of the functions of government and preserves its control over State coffers.
Send Park Nursing Ctr. v. Miller, 104 Ill.2d 169, 188 (1984).

The Illinois State Lawsuit Immunity act, 745 ILCS 5/1 provides that the State of
Illinois is immune from suit in any court, except as provided in the Illinois Court of
Claims Act, 705 ILCS 505/8, which vests jurisdiction over state tort claims against the
State in the Illinois Court of Claims. It is clear that these state immunity rules apply to
Plaintiffs’ state law claims in federal court. See Reichmann v. Sheahan, 270 F.3d 430,
441 (7" Cir. 2001).

For these reasons, we find that DCFS and its employees are entitled to sovereign
immunity on the state law claims in Counts XII and XIII. These claims must be pursued
in state court regardless of any subject matter jurisdiction we have over federal claims in
this court. See Centagon, Inc. v. Sheahan, 142 F. Supp.2d 1077, 1083 (N.D. Ill 2001).
Therefore, Counts XII and XIII are dismissed against DCFS, Jones, McEvilly, and
Acolatse.

VI. Qualified Immunity

Defendants Jones, McEvilly and Acolatse next argue that they are entitled to
qualified immunity. Qualified immunity protects government officials from individual
liability under § 1983 for actions taken while performing discretionary functions, unless
their conduct violates clearly established statutory or constitutional rights of which a
reasonable person would have known. Harlow v. Fitzgerald, 457 U.S. 800, 812 (1982).
Therefore, before defendants can be liable, ‘[t]he contours of the right must be
sufficiently clear that a reasonable official would understand that what he is doing
violates that right.” Anderson v. Creighton, 483 U.S. 635, 640 (1987).

20



IX. Claims Against Defendants Baber And Sinha

On March 31, 2004, we dismissed Count I (medical malpractice) against
Defendant Riaz Baber, Count I (medical malpractice) against Defendant Shoba Sinha,
Count XII (civil conspiracy) against Sinha and Baber; and Count XIII (intentional
infliction of emotional distress) against Sinha and Baber without prejudice. In our
Opinion, we indicated that “at the time we decide the remaining pending motions to
dismiss filed by the other defendants in this case, if it is determined that Plaintiffs have
adequately alleged federal causes of action against other defendants, we will reconsider
whether to exercise supplemental jurisdiction over the state law claims of Defendants
Sinha and Baber.

Now that this day is upon us and we have decided that the Complaint does state
federal causes of action against other defendants, we will exercise supplemental
jurisdiction over the state law claims of Defendants Sinha and Baber. Therefore, Counts
Land XIII are reinstated against Defendant Baber. Counts II and XIII are reinstated
against Defendant Sinha. We decline to reinstate Count XII (civil conspiracy) because
Plaintiffs have failed to adequately allege a cause of action for civil conspiracy as
mentioned earlier in this Opinion.

CONCLUSION

For the foregoing reasons, we grant in part and deny in part the motions to
dismiss Plaintiffs’ complaint brought by Defendants. Specifically:

Defendants Edward Hospital, Linden Oaks, and Bruce Anderson’s motion to
dismiss (# 49-1) is granted as to the medical malpractice claims against Anderson (Count
Ill), denied as. to EMTALA claims against Edward Hospital and Linden Oaks

22



agreement between the parties, Plaintiffs would be able to replead their claim for civil
conspiracy at that point. Therefore, Count XII is dismissed against all Defendants.

IV. _ Intentional Infliction Of Emotional Distress

Count XIII alleges a cause of action for intentional infliction of emotional distress
against all Defendants. In Illinois, a plaintiff asserting an intentional infliction of
emotional distress claim must allege that: 1) the defendant’s conduct was extreme and
outrageous; 2) defendant intended (or knew with high probability) that his or her actions
would cause severe emotional distress; and 3) the defendant’s conduct in fact caused
severe emotional distress. Welsh v. Commonwealth Edison Co., 306 Ill. App. 3d 148,
154, 713 N.E.2d 679 (1999); Public Finance Corp. v. Davis, 66 Il1.2d 85 (1976).

In this case, Plaintiffs allege that “Defendants, individually and collectively,
abused their position of authority by their direct or indirect reckless, extreme, intentional
and outrageous conduct toward Benjamin.” We find that, viewing the complaint in the
light most favorable to Plaintiffs, the alleged abuse of Benjamin’s rights could constitute
conduct on the part of Defendants that is extreme in degree and goes beyond all possible
bounds of decency. Therefore, we deny the motions to dismiss the intentional infliction
of emotional distress claim.

Moreover, Defendants are not afforded immunity under the Illinois Tort
Immunity Act, 745 ILCS 10/6-107(a)(1), for this tort because Plaintiffs have alleged bad
faith, improper motives and other elements of intentional, willful and wanton misconduct
on the part of these Defendants. See Briggs v. North Shore Sanitary Dist. 914 F. Supp.
245, 252 (N.D. Ill. 1996) (Illinois Tort Immunity Act does not protect employees from
willful and wanton misconduct).

17



Oaks Hospital for the purpose of furnishing health care services of a different type than
those provided by Edward Hospital. Accordingly, Defendants Edward Hospital’s and
Linden Oaks Hospital’s motion to dismiss Count IV is denied.

IL. Counts Alleging Violations Under §1983

Counts V - X and XV are brought under 42 U.S.C. §1983 (“§1983”). These
counts allege that various county and state workers deprived both Benjamin and Mrs.
Binkley of certain rights that are protectable under §1983.

In order to state a claim for a violation of 42 U.S.C. 1983, a plaintiff must allege
that a defendant’s actions were taken under color of state law and that those actions
deprived plaintiff of a constitutional right. Parratt v. Taylor, 451 U.S. $27 (1981).
However, Section 1983 does not delineate constitutional rights. In Gonzaga v. Doe, 536
U.S. 273 (2002), the Supreme Court emphasized that:

§1983 merely provides a mechanism for enforcing individual rights ‘secured’
elsewhere, i.e., rights independently ‘secured by the Constitution and laws’ of the United
States. ‘[OJne cannot go into court and claim a ‘violation of § 1983'-—for § 1983 by itself
does not protect anyone against anything.

Id. at 284 (citations omitted).

Plaintiffs allege that Defendants, acting under the color of state law, violated
“constitutional rights . . .guaranteed to Benjamin under the Fourteenth Amendment to the
United States Constitution.” Counts V - X, which allege a violation of Benjamin’s rights
by Beisner, Jones, Acolatse, McEvilly, Brennan, and DuPage County Health Department
can be whittled down to three general claims. First, Plaintiffs contend that Benjamin was
“involuntarily committed” while at Linden Oaks Hospital, in jail, and at the Center

9



Association v. State of Illinois, 783 F.2d 716, 727 (7th Cir. 1986). At the same time, a
court must grant a motion to dismiss if it “appears beyond doubt that the plaintiff can
prove no set of facts in support of his claim which would entitle him to relief.” Conley v.
Gibson, 355 U.S. 41, 45-46 (1957); see also Jackson v. E.J. Brach Corp., 176 F.3d 971,
978 (7th Cir. 1999)(“a complaint which consists of conclusory allegations unsupported
by factual assertions fails even the liberal standard” of federal notice pleading
requirements). In addition, a court is not bound by the legal characterizations that the
plaintiff assigns to those facts. Republic Steel Corp. v. Pennsylvania Engineering Corp.,
785 F.2d 174, 183 (7th Cir. 1986).

I. EMTALA Claims

In Count IV, the Plaintiffs allege a claim under the Emergency Medical
Treatment and Active Labor Act (“EMTALA”), 42 U.S.C. §1395(dd) ef seq. against
Defendants Edward Hospital, Linden Oaks Hospital, and Anderson. Furthermore,
Plaintiffs appear to allege violations of EMTALA by other individual defendants in this
action in their claims brought under 42 U.S.C. §1983.

A. EMTALA Claim Against Individual Defendants

As an initial matter, EMTALA “creates a cause of action only against a
participating hospital. The statutory definition of participating hospital does not
encompass an individual physician.” King v. Ahrens, 16 F.3d 265, 271 (8th Cir. 1994).
Plaintiffs concede this point in their response briefs and have agreed to withdraw the
EMTALA claim as against Anderson. Accordingly, Plaintiffs have failed to state an
EMTALA claim against Anderson, and this Court grants Defendant Anderson’s motion

to dismiss Count IV against him. Furthermore, Plaintiffs have agreed to withdraw their

6



dependent minor and was without proper medical or other remedial care recognized
under State law, or other care necessary for his well-being, through no fault, neglect or
lack of concern by his parents, guardian, or custodian.

Count III of the First Amended Complaint alleges a medical malpractice claim
against Anderson. Count IV alleges that Edward Hospital, Linden Oaks Hospital, and
Anderson violated provisions of the Emergency Medical Treatment and Labor Act, 42
U.S.C. §1395dd(b)(1) when they “dumped” Benjamin from Linden Oaks Hospital. In
Count V, Plaintiffs allege that Brennan violated 42 U.S.C. §1983. Under Count VI,
Plaintiffs further allege violations of 42 U.S.C. §1983 by the Health Department. Counts
VII, VIU, IX, and X each allege a violation of 42 U.S.C. §1983 against Jones, Acolatse,
McEvilly, and Beisner respectively. Count XI presents a pendent state medical
malpractice claim against Linden Oaks Hospital. Count XII alleges a pendent state civil
conspiracy claim against all Defendants. Count XIII alleges a pendent claim for
intentional infliction of emotional distress against all Defendants. Count XIV requests
injunctive relief against DCFS. Lastly, Count KV alleges a violation of 42 U.S.C. §1983
against DCFS employees, Jones, Acolatse, and McEvilly.

DISCUSSION

When deciding a motion to dismiss, this Court accepts as true all “well~pleaded
factual allegations and view(s] them, along with the reasonable inferences to be drawn
from them, in the light most favorable to [the plaintiff].” Cornfield v. Consolidated High
School Dist. No. 230, 991 F.2d 1316, 1324 (7th Cir. 1993). Moreover, we must keep in
mind that a “complaint does not fail to state a claim merely because it does not set forth a

complete and convincing picture of the alleged wrongdoing.” American Nurses’

5



Likewise, we do not believe that Defendants are entitled to immunity under 745
ILCS 10/6-106(a) at this time. Plaintiffs allege that an initial diagnosis of mental illness
was made at Linden Oaks Hospital and that the subsequent examinations of Benjamin
were not properly made. Some courts have held that once an initial diagnosis is made
and treatment prescribed for it, there is no immunity if the subsequent prescription or
examination was incorrectly made. See American Nat. Bank & Trust Co. of Chicago v.
Cook County, 327 Ill. App. 3d 212, 213 (1* Dist. 2001).

Therefore, we deny the motions to dismiss the intentional infliction of emotional
distress claims on the basis of immunity. However, this issue can be revisited at the
summary judgment stage after the completion of discovery.

V. Injunctive Relief

In Count XIV of the complaint, Plaintiffs seek a preliminary injunction against
Defendant DCFS requesting: 1) that DCFS fulfill its statutory mandate to provide
community based outpatient treatment for severe mental illness in DuPage County; 2) a
copy of Plaintiffs’ records; 3) payment of Plaintiffs’ medical bills; and 4) a retraction of
its alleged previous finding that Mrs. Binkley is a child abuser and neglector.

In order to obtain a preliminary injunction, a plaintiff must show: 1) he has no
adequate remedy at law or will suffer irreparable harm if the injunction is denied; 2)
balance of harms in favor of the plaintiff; 3) a likelihood of success on the merits; and 4)
issuance of the injunction will not harm the public’s interest. Roland Machinery Co. v.
Dresser Industries, Inc., 749 F.2d 380, 382-83 (7" Cir. 1984).

In this case, Plaintiffs have failed to plead any of the necessary elements of a
preliminary injunction. For this reason, the motion to dismiss Count XIV is granted.

18



Therefore, in order to state a claim under EMTALA, a plaintiff must establish that
he “(1) went to the defendant's emergency room (2) with an emergency medical
condition, and that the hospital either (3) did not adequately screen him to determine
whether he had such a condition, or (4) discharged or transferred him before the
emergency condition had been stabilized.” Deberry v. Sherman Hospital Association,
741 F. Supp. 1302, 1305 (N.D. Ill. 1990).

In this case, Plaintiffs allege that Benjamin “presented to the emergency
department at Linden Oaks [Hospital]” on March 23, 2000. Furthermore, the Plaintiffs
assert that Dr. Sinha examined Benjamin, determined that he has an “emergency medical
condition, and that such condition was a mental illness or emotional disturbance of such
severity that hospitalization was necessary and that as such Benjamin was likely to
benefit from inpatient treatment, as Benjamin was aggressive and threatening in
behavior.” Benjamin was then treated for nineteen days at Linden Oaks Hospital, the
final nine of which were not covered by Benjamin’s insurance. Thereafter, on April 10,
2000, Linden Oaks Hospital discharged Benjamin in an allegedly unstabilized condition.

In sum, Plaintiffs have alleged that Benjamin went to Linden Oaks Hospital’s
emergency room with an emergency medical condition and that the hospital discharged
him before the emergency condition was stabilized. At this point in the litigation, and
viewing all of these asserted facts in a light most favorable to the Plaintiffs, Count IV
sufficiently states a claim under EMTALA against Linden Oaks Hospital.

Furthermore, Plaintiffs have sufficiently stated a claim against Edward Hospital
for a violation of EMTALA because Edward Hospital is the parent company of Linden
Oaks Hospital. Plaintiffs have alleged that Edward Hospital created and owns Linden

8



Counts II and XIII are reinstated against Defendant Shoba Sinha. Counts I and
XiIIl are reinstated against Defendant Riaz Baber.

This case is set for status on October 21, 2004 at 9:00 a.m.

Oh CA fiplenbou. 2,204

Wayne R. Andersen.
United States District Judge

It is so ordered.

24



t

roe)
‘Minute Order Forma (06/97)

United States District Court, Northern District of Illinois

Name of Assigned Judge Wayne R. Andersen Sitting Judge if Other
or Magistrate Judge 7 than Assigned Judge
CASE NUMBER 2 C2508 DATE 9/30/2004
CASE Benjamin Binkley et al vs. Edward Hospital et al
TITLE
[In the following box (a) indicate the party filing the motion, e-g., plaintiff, defendant, 3rd party plaintiff, and (b) state briefly the nature
MOTION: of the motion being presented.]
DOCKET ENTRY:
ag oO Filed motion of { use listing in “Motion” box above.]
(2) im Brief in support of motion due
@) im Answer brief to motion due__ . Reply to answer brief due.
(4) a Ruling/Hearing on set for at
(5) o Status hearing[held/continued to] [set for/re-set for] on set for at
(6) oO Pretrial conference[held/continued to] [set for/re-set for] on set for at :
(7) 0 Trial[set for/re-set for] on. at
(8) im (Bench/Jury trial] [Hearing] held/continued to at
(9) QO This case is dismissed [with/without] prejudice and without costs[by/agreement/pursuant to]
OOFRCP4(m) OLocal Rule 41.1 ClFRCP41(a\(1) CO FRCP41(a)(2).

(10) MW (Other docket entry} Enter MEMORANDUM, OPINION AND ORDER: Motion [49-1] is

granted. Motion [52-1] is denied. Motion [65-1] is granted. Motion [50-1] is granted. Motion

[54-1] is denied. Counts II and XIII are reinstated against Defendant Shoba Sinha. Counts I and

XIII are reinstated against Defendant Riaz Baber. Status hearing set for 10/21/2004 @ 9:00 a.m.
(11) @ [For further. detail see order attached to the original minute order.]

No notices required, advised in open court.

No notices required. umber of notices

SEP PBd 200

Notices mailed by judge’s staff.

Notified counsel by telephone.

wv | Docketing to mail notices,

Mail AO 450 form.

Copy to judge/magistrate judge.

dae mile navice
courtroom sled

deputy’s
initials

TSA

ailing deputy initials

central Clerk’s Office



A. Benjamin’s Liberty Interest In Receiving Rehabilitative Mental
Health Treatment

Plaintiffs first allege that Benjamin was an involuntarily committed mental
patient and had a liberty interest under the Fourteenth Amendment’s Due Process Clause
to rehabilitative mental health treatment. The Supreme Court has held that the State has
an affirmative duty to provide services to the involuntarily committed. DeShaney v.
Winnebago County Dept. of Social Services, 489 U.S. 189 (1989). The DeShaney Court
held that “the substantive component of the Fourteenth Amendment’s Due Process
Clause requires the State to provide involuntarily committed mental patients with such
services as are necessary to ensure their ‘reasonable safety’ from themselves and others.”
Id. at 196.

There exists an “affirmative duty by the State actor to provide basic human needs
e.g., food, shelter, medical care, and reasonable safety.” Estelle v. Gamble, 97 S. Ct.
285, 290-91 (1976). However, such “affirmative duty to protect arises not from the
State’s knowledge of the individual’s predicament or from its expressions of intent to
help him, but from the limitation which it has imposed on his freedom to act on his own
behalf.” Jd. at 290-91.

While it is questionable whether Benjamin was, indeed, involuntarily committed
(especially in the Linden Oaks setting) and not free to act on his own behalf, Plaintiffs
allege that he was involuntarily committed. At this stage of the litigation, we must accept
their allegations as true. Plaintiffs further allege that Benjamin did not receive the
individualized care and treatment that he required for his mental condition. Therefore,

the Defendants’ alleged failure to provide necessary mental health care to Benjamin

1h



House for Boys (“Center House”). According to the Plaintiffs, because he was
involuntarily committed to these places, he had a right to individualized rehabilitative
mental health treatment and special education services.

Second, Plaintiffs allege that Beisner, Jones, Acolatse, McEvilly, and Brennan
each violated Benjamin’s procedural due process rights because, “upon information and
“belief,” none were “qualified certifiers” as defined by law. Plaintiffs also attempt to hold

the DuPage County Health Department liable for allowing unqualified individuals to
perform mental health services. Plaintiffs again assert that Benjamin has a liberty
interest to individualized mental health treatment and special education services, and that
because the Defendants were not qualified certifiers, he was denied his rights without
proper procedure.

Third, Plaintiffs claim that they have a cause of action under § 1983 for the
State’s alleged violation of conditions imposed upon it by the federal government,
associated with federal funds the State received to provide such services. Specifically,
Plaintiffs allege that they have rights under the Federal Developmental Disabilities Act,
42 U.S.C. §15024(c)(G)(5), and 42 U.S.C. §300x-1, which are enforceable under $1983.

Finally, Plaintiffs allege a § 1983 violation against Jones, Acolatse and McEvilly
for their alleged wrongful actions against Mrs. Brennan. Plaintiffs allege that these
DCFS workers “indicated” Mrs. Binkley as a child abuser and neglector in an attempt to
coerce her into accepting Benjamin for discharge to his home. Plaintiffs claim that these
actions violated Mrs. Brennan’s liberty interest.

We will address each of these arguments in turn.

10



claims for a violation of EMTALA in Count X, which is brought under 42 U.S.C. §1983.
While it is not entirely clear what Plaintiffs allege. If Plaintiffs are attempting to allege a
violation of EMTALA through an action under 42 U.S.C. 1983 against individual
defendant Beisner, that claim is also dismissed with prejudice.

B. EMTALA Claim Against Edward Hospital and Linden Oaks
Hospital

Because the EMTALA claims have been dismissed against the individual
defendants, the remaining EMTALA claims now properly lie only against Edward
Hospital and Linden Oaks Hospital. Section 42 U.S.C. §1395dd(b)(1) states as follows:

(b) Necessary stabilizing treatment for emergency medical conditions and
labor

(1) In general

If any individual (whether or not eligible for benefits under this
subchapter) comes to a hospital and the hospital determines that the
individual has an emergency medical condition, the hospital must
provide either -

(A) within the staff and facilities available at the hospital, for such
further medical examination and such treatment as may be required
to stabilize the medical condition, or

(B) for transfer of the individual to another medical facility in
accordance with subsection (c) of this section.

Additionally, 42 U.S.C. §1395dd(e)(3)(A) defines the term “to stabilize” as follows:

‘To stabilize’ means, with respect to an emergency medical condition...
to provide such medical treatment of the condition as may be necessary to
assure, within reasonable medical probability, that no material
deterioration of the condition is likely to result from or occur during the
transfer [which includes the discharge of individuals] of the individual
from a facility.



In this case, Plaintiffs aliege that these DCFS employees performed evaluations
of Benjamin and made recommendations knowing them to be false. Plaintiffs allege that
Jones recommended that Mrs. Brennan be indicated for child abuse, when she knew that
fact to be false... Plaintiffs allege that Jones had Benjamin sent to jail when she knew he
did not belong there. In the end, it may turn out that the DCFS employees were merely
doing their jobs conducting evaluations and making recommendations. However, it may
also turn out that they knowingly made false and wrong recommendations in order to
harm Plaintiffs and deny them of their constitutional rights.

In this case, we do not yet know enough facts to determine whether clearly
established rules of law were violated. Once the facts are uncovered, the DCFS
employees’ actions “may turn out to be so severe and obviously wrong that the
defendants should have known they were violating . . . [Benjamin’s] constitutional rights.
Brokaw y. Mercer County, 235 F.3d 1000, 1023 (7" Cir. 2000). Therefore, Defendants
Jones, McEvilly, and Acolatse’s motion to dismiss on the basis of qualified immunity is
denied.

VII. Medical Malpractice Against Anderson

In Count II, Plaintiffs purport to state a claim for medical malpractice against
Defendant Bruce Anderson. However, nowhere in the Complaint do Plaintiffs plead that
Mr. Anderson is a physician. Moreover, they do not allege that he provided medical care
or owed a duty to comply with the medical standard of care. Therefore, Defendants’

motion to dismiss Count III is granted.

21



for a transfer of Benjamin to a state operated mental health facility; however, these
requests were refused.

On April 5, 2000, Benjamin’s attending physician, Dr. Baber, informed Mrs.
Binkley that Benjamin’s medical condition was stable and that Benjamin would be
discharged from Linden Oaks Hospital the next day. Plaintiffs, however, allege that
Benjamin was on suicide and assault precautions and was receiving fifteen minute checks
by the hospital staff to ensure his safety and the safety of others.

Mrs. Binkley refused to accept Benjamin for discharge on April 6, 2000 believing
that he suffered from severe unstabilized mental illness. On April 7, 2000, Mrs. Binkley
was notified by Anderson and Paula Albright (“Albright”), associate general counsel for
Edward Hospital, that if Mrs. Binkley did not accept Benjamin for discharge on that date,
Albright would notify the Illinois Department of Children and Family Services (“DCFS”)
that Mrs. Binkley was neglecting her child. Plaintiffs further allege that Albright and
Anderson notified Mrs. Binkley that they would pursue her for present and future unpaid
medical bills.

On April 8, 2000, allegedly at the request of Anderson and Albright, DCFS
investigator Margaret Jones (“Jones”) recommended that Mrs. Binkley be “indicated for
child abuse, child abandonment, and medical neglect of Benjamin,” and that Benjamin be
discharged from the hospital and placed in jail. Furthermore, Plaintiffs allege that Sheryl
Duer (“‘Duer”), an employee of Linden Oaks Hospital, contacted Stephanie Brennan
(“Brennan”), an employee of the DuPage County Health Department (“Health
Department”), to evaluate Benjamin for a transfer to a state operated mental health

facility. According to the complaint, Brennan allegedly recommended that Benjamin

3



In this case, Plaintiffs allege that the State actors failed to provide Benjamin with
comprehensive community based mental health services. As mentioned above, a State’s
failure to provide such required services can give rise to a private cause of action under §
1983 for the State’s violation of conditions imposed upon it by the federal government,
associated with federal funds the State receives to provide such services. See Martin,
840 F. Supp. 1175; Mihalcik, 732 F. Supp. 299. Therefore, Defendants’ motions to
dismiss Plaintiffs’ §1983 claims on this ground are denied.

D. Mrs. Brennan’s Liberty Interest

Finally, Plaintiffs allege a violation of § 1983 because DCFS “indicated” Mrs.
Binkley as a child abuser and neglector, based upon the recommendation of Jones,
Acolatse, and McEvilly. DCFS allegedly placed Mrs. Binkley’s name in the State
registry of “indicated” child abusers, under the Abused and Neglected Child Reporting
Act, 325 ILCS 5/1, et. seq.

Courts have held that a person has a liberty interest in not being listed as a child
abuser and neglector, because that would damage a person’s reputation. See Bohn v.
Dakota County, 772 F.2d 1433, 1436, n.4 (8" Cir. 1985); Cavarretta y. DCFS, 277
Ill. App. 3d 16, 24-25 (2TM Dist. 1996). In Cavarretta, the Court held that DCFS violated
a person’s liberty interest when it placed the person’s name in the State registry of
“Gndicated” child abusers. 277 Il. App. 3d at 24-25.

We conclude that Mrs. Brennan’s reputation and liberty interest could have been
violated by the actions of the DCFS personnel in wrongfully reporting her as a child
abuser and neglector. Therefore, we find that Plaintiffs have stated a cause of action
under § 1983 for a violation of Mrs. Brennan’s liberty interest.

14



In sum, we conclude that Plaintiffs have properly alleged causes of action for
violations of § 1983. Therefore, the motions to dismiss Counts V, VI, VII, VII, IX, X,
and XV for failure to state a cause of action are denied.

UL Civil Conspiracy

In Count XII, Plaintiffs attempt to state a claim based upon civil conspiracy.
Plaintiffs claim that all Defendants participated in “a common scheme to commit an
unlawful act or a lawful act in an unlawful manner in order to deprive Benjamin of
appropriate medical and psychological care.”

In Illinois, civil conspiracy consists of a combination of two or more persons for
the purpose of accomplishing, by some collaborating action, either an unlawful purpose
or a lawful purpose by unlawful means. Adcock v. Brakegate, Ltd., 164 Ill.2d 54, 62-63
(1994). Plaintiffs need to allege both an agreement between the conspirators and an act
in furtherance of the agreement. Id. See also Webb v. Local 73, Service Employees
International Union, 2002 WL 31049841 (N_D. Ill. 2002).

In this case, Plaintiffs’ complaint lacks any factual allegations necessary to
establish the nature of the alleged agreement between the Defendants. Moreover, the
complaint is devoid of any facts to show how the Defendants worked together to carry
out this alleged common scheme. Merely “{IJumping all defendants acts together, [and]
adding the word ‘conspiracy’ adds nothing” to substantiate such a claim. Stanley v.
Litscher, 213 F.3d 340 (7" Cir. 2000); Indeck North American Power Fund v., Norweb,
Pic., 316 Ill. App. 3d 416 (1* Dist. 2000).

For these reasons, we find that Plaintiffs have failed to state a claim for relief

based upon civil conspiracy. If discovery should reveal proof of the existence of an

16



BACKGROUND

Plaintiffs Benjamin Binkley (“Benjamin”), a minor, and Rebecca Binkley (“Mrs.
Binkley”), his mother (hereinafter collectively referred to as “Plaintiffs”) have filed their
First Amended Complaint (“Complaint”). In this Complaint, the Plaintiffs allege that on
March 23, 2003, Benjamin presented to the emergency room at Linden Oaks Hospital,
where he was examined by the on-call physician, Dr. Shoba Sinha (“Dr. Sinha”). Dr.
Sinha allegedly determined that Benjamin had an emergency medical condition and that
such a condition was mental illness or emotional disturbance of such severity that
hospitalization was necessary. At approximately 2:30 a.m. on March 23, 2003, Benjamin
was admitted to the locked adolescent inpatient unit at Linden Oaks Hospital.

The next day, Mrs. Binkley allegedly reported to Diana Halley (“Halley”), an
employee of Linden Oaks Hospital, that Benjamin’s health insurance would expire at
midnight on the tenth day of admission and that Mrs. Binkley believed Benjamin was in
need of long term residential care for his severe mental illness. Halley allegedly noted in
Benjamin’s medical chart that his insurance would soon be exhausted. Plaintiffs further
allege that, due to Mrs. Binkley’s inability to pay for extended medical care, Linden Oaks
ceased all efforts to provide reasonable and necessary medical care to Benjamin. In
addition, Plaintiffs contend that Dr. Sinha and Dr. Riaz Baber (“Dr. Baber”) falsified
Benjamin’s medical record in order to make Benjamin’s severe mental illness appear
stabilized, when in fact it was not. During the time that Benjamin was admitted in
Linden Oaks Hospital, Mrs. Binkley allegedly made multiple requests to Drs. Baber,

Sinha, and Bruce Anderson (“Anderson”), the facility director of Linden Oaks Hospital,



IN THE UNITED STATES DISTRICT COURT
FOR THE NORTHERN DISTRICT OF ILLINOIS
EASTERN DIVISION

BENJAMIN BINKLEY, a minor, by his parent

and next best friend, REBECCA BINKLEY;

and REBECCA BINKLEY, individually,
Plaintiffs, No: 02 C 2508

v.
Judge Wayne R. Anderson

HOSPITAL & HEALTH SERVICES, an
Illinois not-for-profit corporation; CHARTER
LINDEN OAKS BEHAVIORAL HEALTH
SYSTEM d/b/a LINDEN OAKS HOSPITAL,
an Illinois corporation; ILLINOIS
DEPARTMENT OF CHILDREN AND
FAMILY SERVICES; DuPAGE COUNTY
HEALTH DEPARTMENT; RIAZ BABER, M.D., )
BRUCE ANDERSON; SHOBA SINHA, M.D.; )
JENNIFER BEISNER; STEPHANIE BRENNAN; )
MARGARET JONES; GLORIANA ACOLATSE; )
and DEBBIE McEVILLY,

)
)
)
)
)
)
}
EDWARD HOSPITAL d/b/a EDWARD )
)
)
)
)
)
)
)

Veer

Defendants.

MEMORANDUM OPINION AND ORDER
This matter is before the Court on the motions of Defendants Stephanie Brennan,
Edward Hospital, Linden Oaks Hospital, Bruce Anderson, DuPage County Health
Department, Jennifer Beisner, Illinois Department of Children and Family Services,
Debbie McEvilly, Gloriana Acolatse, and Margaret Jones to dismiss the Plaintiffs’ First
Amendment Complaint pursuant to Fed. R. Civ. P. 12(b)(6). For the following reasons,

the motions are granted in part and denied in part.



could be a deprivation of his liberty interest, in violation of his substantive due process
rights under the Fourteenth Amendment. Therefore, we believe that Plaintiffs have
stated a cause of action for violation of Benjamin’s liberty interest, and the motions to
dismiss are denied on this ground.

B. Procedural Due Process Rights

Plaintiffs next argue that Benjamin’s procedural due process rights have been
violated because Defendants did not follow the requirements imposed by certain state
statutes. These statutes require that, if admission is sought to a State-operated mental
health facility, the individual seeking admission must be examined by a “qualified
certifier.” 405 ILCS 5/3-504 and 3-601.1 In this case, Plaintiffs allege that Defendants
Brennan, Beisner, Jones, Acolatse and McEvilly did not possess the qualifications
necessary to be a qualified certifier. Thus, Plaintiffs argue that these Defendants had no
business making recommendations regarding Benjamin’s mental health services.

A State statute can create a liberty interest that could trigger a Constitutional
violation for deprivation of procedural due process if fair procedures are not followed to
deprive a plaintiff of that interest. See Kraushaar v. Flanigan, 45 F.3d 1040, 1048 (Cha
Cir. 1995). “{C]ourts will find a liberty interest only if the state’s statute or regulation
used language of an unmistakably mandatory character, requiring that certain procedures
‘shall,’ ‘will’ or ‘must’ be employed.” Kraushaar, 45 F.3d at 1048.

In this case, the State statutes at issue (405 ILCS 5/3-504 and 3-601.1) do use
such mandatory language. Section 5/3-504(a) states that “no minor shall be admitted to
a State-operated mental health center until a written statement . . . has been obtained
from a qualified certifier.” Likewise, Section 5/3-601.1 states ”[i]f admission is sought

12



E. DuPage County Health Department‘s Motion

Defendant DuPage County Health Department argues that it cannot be held liable
under § 1983 because it is not vicariously liable for the torts of its employees. It is well
established that the “language of § 1983 . . . cannot be easily read to impose liability
vicariously on governing bodies solely on the basis of the existence of an employer-
employee relationship with a tortfeasor.” Monell v. Dept. of Social Services of City of
New York, 436 U.S. 658 (1978).

However, when the execution of a government’s policy or custom, whether made
by its lawmakers or by those whose acts may fairly be said to represent official policy,
inflicts the injury, the government as an entity is responsible under § 1983. Monell at
694. “The plaintiff who wants a judgment against the municipality under [Section 1983]
must be able to trace the action of the employees who actually injured him to a policy or
other action of the municipality itself.” Bethesda Lutheran Homes and Services, Inc. v.
Leean, 154 F.3d 716, 718 (7" Cir. 1998).

Here, Plaintiffs have alleged independent improper actions on behalf of the
Health Department itself which could constitute a custom or policy. Plaintiffs allege that
the Health Department intentionally allowed unqualified individuals to perform mental
health evaluations, ensured that its mental health evaluators do not classify people as
mentally ill and failed to maintain appropriate community mental health facilities.
Plaintiffs allege that these actions are the standard operating procedure of the Health
Department. We find that these allegations sufficiently allege that a policy or custom of
the municipality itself caused injury to Plaintiffs. For these reasons, DuPage County
Health Department’s motion to dismiss the § 1983 claims against it is denied.

is