Litigation

Hospital successfully petitioned to involuntarily commit and forcibly medicate a voluntary, legally competent patient at a psychiatric hospital, even though she was willing to remain at the hospital and accept other treatment.  The Supreme Judicial Court reversed, holding that state law does not allow a hospital to petition to commit solely to obtain an expedited […]

The State of Alabama has signed a Settlement Agreement to provide a range of intensive home-based services to thousands of Medicaid-eligible youth with Autism Spectrum Disorder (ASD) or Serious Emotional Disorder (SED).  The Agreement, entered in response to a demand letter and proposed ESDPT class action lawsuit prepared by the Alabama Disabilities Advocacy Program (ADAP) […]

Opponents of the state’s plan to close a public psychiatric hospital sought to enjoin the closing. Residents of the hospital successfully intervened to ensure that they were not transferred to another hospital but instead were discharged to the community.

Class action lawsuit alleging New Hampshire officials violated Title II of the ADA by unnecessarily segregating individuals with serious mental illness in a state-operated nursing facility [Glencliff] and a state psychiatric facility [New Hampshire Hospital].  A comprehensive settlement agreement, approved by the Court in 2014, requires the State to significantly increase the capacity and the […]

Class action lawsuit on behalf of 23,000 people with serious mental illness in Maricopa County, Arizona, many of whom are homeless or living in unregulated congregate board and care homes.  After the Arizona Supreme Court held that a state statute requires the provision of community mental services to all persons with serious mental illness, the […]

Settlement Approved The federal district court in Ball v. DeWine has approved a comprehensive Settlement Agreement designed to increase access to home and community-based services and provide individuals with intellectual and developmental disabilities a meaningful, informed choice between integrated services and Intermediate Care Facilities (ICFs). In its April 24, 2020 opinion, the Court concluded that […]

Ongoing litigation to challenge the use of physical aversives to modify behavior of severely disabled children. CPR represented several individual students in substituted judgment cases opposing aversives, as well as a several guardians and attorneys in the class action case concerning the Commonwealth’s efforts to regulate or prohibit electric shock devices.

Consent decree mandated creation of comprehensive system of less restrictive alternatives for all residents of the Northampton State Hospital resulting in the closing of the institution.  Litigation concluded January 4, 1992.

Class action on behalf of 1200 persons with developmental disabilities in four Florida state institutions seeking integrated community services; settlement agreement entered June 2005 requiring the closure of two institutions and improved discharge planning procedures and increased placements at the two other facilities.

Civil commitment order may not restrict the movements of a committed indidvual to a building.  Decisions about privilege level are for the hospital clinicians, not judges.

Court holds that “behavior modification” programs at Bridgewater State Hospital, a forensic prison, such as a “phase program” and the use of segregation cages are a form of restraint and violated state law.

After five years of litigation, the parties reached a settlement agreement that limited the use of solitary confinement for prisoners with mental illness and required DOC to create and maintain at least two secure treatment units as alternatives for these prisoners.  Many of the important provisions of the settlement, particularly limits on the use of […]

Class action seeking the discharge and appropriate placement of all residents of the Metropolitan State Hospital who no longer need to be institutionalized; case settled and hospital closed, with most residents placed in appropriate community settings.

Final Settlement Agreement approved in 2002 that establishes a plan for the development of community-based services as alternatives to incarceration in juvenile detention facility.

Long standing class action that challenged the unconstitutional conditions of confinement and lack of community supports for individuals with intellectual and developmental disabilities in the District of Columbia.  Filed in February of 1976, the case ended January 10, 2017, when the Court held the District finally was in substantial compliance with multiple court orders.  Originally, […]

Current Status: On March 19, 2020, the Court denied the State of Georgia’s Motion to Dismiss the GNETS case.   The Court accepted the arguments made by CPR and its co-counsel in their brief opposing the Motion to Dismiss and a supplemental brief submitted after oral argument that Plaintiffs should be allowed to prove that the GNETS system violates […]

Class action on behalf of 9,000 persons with brain injuries in nursing facilities and rehabilitation hospitals in Massachusetts who, with appropriate supports, can live in integrated community settings.  A comprehensive settlement agreement, approved by the Court in 2009, required the Commonwealth to develop community living arrangements and supports, a new community service system for persons […]

Class action on behalf of 1500 residents of New Mexico’s two institutions for persons with developmental disabilities. After a lengthy trial, the Court issues a 202 page decision in 1990 finding violations of constitutional and statutory rights, and orders the parties to negotiate corrective action plans.  In 1997, the State elected to close both institutions […]

Challenge to state statute that permits the incarceration of women with substance use issues in prison, even though they have not been charged with a crime.  The State amended the statute to forbid the commitment of women to correctional settings and significantly expanded the availability of voluntary, community drug treatment.

Class action on behalf of residents of the G.P. Wood State Hospital in central Florida resulted in a consent decree to remedy unconstitutional conditions at the Hospital, phase down of the facility, and the creation of appropriate community supports for all class members.  In 2000, the US Department of Justice intervened in support of a […]

This is the first class action in the nation that challenged segregated sheltered workshops as a violation of the Americans with Disabilities Act (ADA).  Filed in 2012, the case, was brought on behalf of thousands of people with disabilities in Oregon’s sheltered workshop system.  Many of these individuals have spent years, even decades, stuck in […]

New England Adolescent Research Institute and United States v. Massachusetts Housing Finance Authority:  This is a housing discrimination case under the 1988 Fair Housing Act Amendments challenging state housing financing agency’s decision to withdraw support for bond financing to school for adolescents with serious emotional disturbance, in response to opposition of local town officials to […]

Represented organizational plaintiff and class of persons in two state public DD institutions who seek community placement.  In response to the State’s announcement of intent to close a large ICF/MR, residents of facility seek to reopen an old institutional reform case, claiming a violation of the ongoing injunctive order.  The First Circuit reversed the district […]

Class action case on behalf of almost 2000 persons with intellectual and developmental disabilities in nursing facilities.  The initial Settlement Agreement approved in 1999 required the Commonwealth of Massachusetts to provide community placement to 1100 persons and specialized services and active treatment to all persons while they remain in a nursing facility.  After several findings […]

UPDATE: November 3, 2020 First Circuit Finds Plaintiffs Are Eligible for Attorney’s Fees In this longstanding Medicaid EPSDT case brought on behalf of approximately 30,000 children with Serious Emotional Disturbance (SED), in 2019 the District Court rejected the State’s claim that it had complied with the 2007 Judgment, and denied their motion to end all […]

Current Status:  The district court denied class certification and dismissed the case, and the plaintiffs appealed the decision. The court of appeals dismissed the case holding that the plaintiffs including members of the class and organizational plaintiffs had not fully exhausted administrative remedies. Class action alleging the City of Springfield violated the ADA by segregating and […]

Civil rights damage action challenging the mandatory search, restraint, and forcible stripping of a woman with psychiatric disabilities in the hospital’s emergency department.  Case settled for significant damages as well as an agreement to make systemic reforms of hospital’s policies, procedures, and training program for ED staff.

Class action on behalf of over 4,000 individuals with intellectual and developmental disabilities who are unnecessarily segregated in nursing facilities in Texas, in violation of the ADA, § 504, the Medicaid Act, and the Nursing Home Reform Amendments to the Act. Update: Five Week Trial Concludes.  In 2013, the parties negotiated an interim settlement that […]