https://drive.google.com/file/d/1FO0dV6YOx0JvP_M_Yi3lXEXK2rdTniqi/view?usp=drive_link
Pg. 4
- Rozzi calls Wala
Lead psychologist since 2017, prior no work
Assigned by admin to treat RA (always DOC)
Communicated about personal and private matters. Contact frequency varied
- daily for a month (upon arrival/suicide watch)
- weekly for 4 mos. until 4/2023
- then went back to daily (with her or staff, Masters level therapists; 4 under Wala)
Contact usually occurs while Rick in cell during “rounds,” at cell door, offered 1x/week out of cell
Rounds = “how ya doin?” through the door slit. Don’t even open the port door. That’s MH rounds for people in solitary.
Sometimes Rick’s in a cell but not A107 (?)
Rounds = dozens a day, not much time spent.
Pg. 5
- Rick placed in a holding area for Wala’s visits
- Suicide watch from RDC when he arrived, didn’t sign anything b/c he couldn’t have a pen
She doesn’t know if she addressed confidentiality right away
Waivers eventually signed? she doesn’t know
8 items that don’t qualify as confidential
Circumstances of his cell?
- 8x12, 7 days/wk, rec time/week she thinks “supposed to be” 3x week
- If on suicide watch, no recreation time as they wear smocks (caveman garb), deterrent for rec time because genitals out.
Diener objects: how is red relevant w/ psych??
Rozzi says: she should know about anything like that. Moving on…
She “probably” viewed cell videos
RA paced a lot, it could be a form of rec., 15 steps each way?
She thinks he had a light on all the time.
She “doesn’t know” about suicide watch? but it’s “probably good idea to have light on”
Pg. 6
Wala noticed RA’s scratched window.
Acknowledged he slept/ate on floor
RA told Wala there was bug problem and rats
She says it can be “distressing”
“Was Rick in 1 of 4 most isolated cells?” “Yes”
“Other inmates yell?” “Yes”
- “Kill yourself” “Babykiller”
She says it bothered her, also the noise bothered him (and her)
Wala was familiar with Rick’s cardiac history and long history of depression
No formal process for psych eval, “a structured interview” lasting 15-20 mins
Wala knew he had MDD, and “by their standards” not a serious condition (but she disagrees)
In 2019 RA was hospitalized for depression
Psychotropics since age 25
File indicated he was a risk for suicidal ideation.
Pg. 7
“History of GAD?” “Yes”
“DPD? More severe anxiety when separated from family?” “Yes”
**“Code D” was Rick at some point
Codes A-E = Stage of acuteness of symptoms
RA was fragile when admitted, thrown in solitary, verbally taunted
“Eggshell?” “Yes”
“Any records indicating he was suicidal at intake?” “No, but high risk due to charges”
“Admin was gonna keep him there no matter what (in Nov)”, no matter what she said
“He was on restrictions until he left Westville”
“3-ish hours rec/week ‘offered’”
Suicide blanket = hard blanket
Pg. 8
“Did you order companions?” “No, nothing at all.” She can suggest it
There were problems with Rick’s companions from the start
Companions talked to Rick about his case (and other inmates, at least 1 inmate told family)
Rick told her he was frustrated with companions
Wala agrees they are untrustworthy
When RA advised Wala that they were asking him questions, she didn’t do anything about it
She doesn’t love it, but it is the system.
Companions are paid. They are jobs.
March 2023 - Psych expert for ISP, Wala “thinks” it was shut down. Dr. Goldberg?
Wala did ask for Rick’s consent per orders, but let him make the decision and he said “no”
Pg. 9
Therapeutic Services/Counseling Sessions
RA was Dr. Wala’s 1st pretrial/unconvicted patient
Sometimes they went down the hall for more involved sessions.
RA would sometimes go in 3’x3’ “cage” triangular concrete walls, gate in front, see-thru grate
Area @ Wabash that’s similar. Vertical bars, “shark cage style.” Wala went to Wabash...
Rozzi describes “traditional” therapy session to the community. Not what Allen experienced.
Never did therapeutic evaluation, but she provided handouts on depression and anxiety
Wala provided RA with “Man’s Search for Meaning” book
Crossword Puzzles, Crayons, etc.
Her abilities are limited by admin/DOC
Basic conversation, meds, about it
“We talk about suicide to make sure they’re safe”
Pg. 10
“Ever talk to Rick about exceptions to patient/doctor privacy/privilege?” “I don’t think so”
‘Do you know what the exceptions are?’
She rattled off everything BUT confessions related to facts of a homicide/charges
‘Ever get a waiver?” She doesn’t know
She technically works for Centurion + DOC contract, is paid by Centurion
There have been a few switches over time, “every 3 years the contract renewed”
“Rounds” reports made approx daily. Original notes are shredded.
She agrees those original notes are best record
She says RA proclaimed his innocence at the beginning, focused on wife, worried about her
In December 2022 RA told her he was being treated badly
Pg.11
Wala’s notes
March ‘23 - RA told her “I don’t feel right”
She acknowledges his “baseline is depression”
4/4/23 - “Poor, Critical, Deteriorating” and per Wala’s notes:
- Suicidal Ideation
- Delusions.
- ‘Death would bring relief’
- Insomnia
- Poor appetite
- Hopelessness
- Low Self Esteem and more
4/12/23 - more critical
- Banging head, self harm (emergent involuntary meds = 1x)
- 4/13 - “Grave Disability”
- Consuming feces
- Considering involuntary meds (needle)
- Hearing held and involuntary meds are scheduled
Pg. 12
4/21/23 - She had a convo with RA related to incompetency to stand trial, though not her call
She thought things were going downhill.
Disjointed thoughts
5/3/23 - RA said “I wanna confess”
- she questioned if he was being truthful any of these times.
5/17/23 - disorganized thinking accelerated
5/18/23 - (p. 177 depo shown to her) due for next injection
Vegetative state of depression
(Janis crying)
5/22/23 - “Psychotic Reaction to Stress”
June 2023 - “Depression at Peak”
Physiological = trembling, stuttering, knees buckling, eyes bulging.
7/11/23 - some signs of restoration
October 2023 - still having cage sessions.
- Proclaiming innocence but ‘already sentenced’
- Maybe 12 out of 3K inmates get regular injections
Pg.13
November - still being taunted and harassed
In her notes over time:
“a break”
“psychotic process occurring March-June”
“Dx of Psychotic”
Catatonic, disorganized speech, serious mental illness
- Rozzi says “he was sent here for SAFETY, right?”
‘As a doctor, do you agree he met criteria for severe mental illness’
“No doubt”
‘Yet the court said ‘you’re safe here’… That doesn’t change his brain’
“Correct”
Serious mental illness (SMI): 30 DAYS SOLITARY MAX, PER INDIANA CODES
Wala acknowledges this, “because of known, documented effects”
“There are exceptions… extreme danger to others”
Wala says “Not Rick”
“Rick was in there (solitary) for 12 months?”
“Yes”
Pg.14
Questions about IPAC v. IDOC in Southern Dist. Court
Diener objects - ‘not relevant!’
Rozzi says ‘this case is when those policies were born’
Rozzi’s offer of proof, Gull allows
Hands Gull exhibit from 2016 case conclusion
Sections 27, 28, 29 refer to DSM IV for MDD = SMI - ADOPTED BY COURT
“Shame on you DOC, you violated rights”
Diener is pissed, shaking her head
Rozzi hands Wala docs refreshing her on exceptions, reminds her of specific exception where statements related to homicide are not privileged
Rick was not informed of this exception per Wala
Rozzi discusses Code of Conduct set by APA
10 min Break - Janis and Kathy both crying as courtroom let out
Was RA coerced + influenced by his environment?
Diener says this is what we’re trying to determine
Pg.15
3:15 pm - Wala still on stand
“Mr. Allen contends he was treated in a way inconsistent w/ guidelines, as he intends to file “disability”? ‘Wala has no authority to declare DOC violated policies with his ‘SMI.’ We still have to prove ‘human created coercion’...” per Diener
Rozzi - foundation… “Are you familiar w/ DSM-IV?”
“Yes”
“Bible?”
“Yes!”
“Familiar w/ suit between IPAC v IDOC?”
“Yes”
Rozzi tells Gull as lead psychologist, Wala does have authority + experience to speak to what governs DOC’s treatment of their patients
- Diener: “Wala you said Mr. Allen did not (?) meet DOC criteria?!”
- Mentions 30 day policy and brief psychotic disorder
- Wala says even brief psychotic disorder meets threshold for SMI and 30-day policy
- This would be a “new” dx for Rick + -iin hearings “she can’t speak of” it was determined that “safekeeper status overruled SMI 30-day policy”
Pg.16
Diener: how does a dx of SMI change exception to privilege re: homicide?
Rozzi: discusses Wala’s personal knowledge of case
- You followed on SM? Yes
- Involved listening to podcasts, etc? Yes
- Follow on Facebook? Yes
- Significant knowledge of the case before treating RA? Yes
- You visited MHB? Yes
- Out of curiosity on a detour intentionally? Yes
- Follow more closely after Kegan Kline info? Yes
- Interested in KK drops? Yes
- More closely after Allen? Yes
- Intentional routine to listen to podcasts about the case on work commute? Yes
- You sought out info re: KK at work? Yes
- On “Insight”/“Insite” software, could read Private Docs and Personal history.
- You did this re. KK? Yes
- Is this a policy violation? Yes
Pg.17
- Comment on Facebook after he was arrested and had been your patient? Yes, in 2024
- re: recommended podcasts
- At one point you talked to RA about SM content? Yes… I told him he had supporters because he thought everyone hated him
- Rozzi hands her ethical considerations from APA
- Principle B: accept responsibilities, seek resolve from conflict
- Acknowledge your SM Activity could be a violation? I don’t disagree
- Principle E: Rights to Dignity/Privacy
- Acknowledge your posting runs afoul? “It’s a gray area”
- Conflict of Interest Principle
- Agree it was a conflict being personally + legally involved? Yes
- Participating online could interfere with objectivity? No, not using what I read/ heard to treat
- Following others? No.
Pg.18
- You obtained confidential info? Yes
- Made notes? Yes
- You destroyed those notes? Yes
- Violation of Rule 4.0? “Not sure, everybody does it. ‘What do I do w/ all that paper?’”
- Rule says you must have a conversation about privacy/confidentiality/exceptions… Did you?
- Don’t think so. Another doc may have.
- Other standards of Recordkeeping? Shows her APA guidelines
“Getting the impression you aren’t familiar”
- “Not as much as I should be… in terms of destroying records, we’ve always done it.”
- Rules around looking out for maintaining strict records for potential litigation.
- Liability for DOC if records subpoenaed but they were destroyed.
Pg.19
- Diener objects: appear trying to discredit Wala, but how does this support claim RA’s environment was coercive?
- Rozzi points back to Judge Diener violating RA’s due process with safekeeping order w/o a hearing + placing him in DOC custody, DOC Rules, procedures, etc.
- Judge Gull agrees with Rozzi. It is relevant.
- Rozzi hands her SMI guidelines from APA. “I do. Wouldn’t do it in retrospect. Runs afoul.”
- Rozzi hands out DOC (4/2022) Directive 4.03(?)
- Mentions IPAS Settlement re: treatment of prisoners in Restrictive Housing Unit (RHU)/SEG
- Identifies facilities appropriate for SMI, Westville not listed
- 30-day policy? Wala agrees it was only ignored because of safekeeping status
- “What I was told. Not my call. Wish I could have.”
Pg.20
“Psychosis Induced by stressors pertaining to confinement” per Wala
- Rozzi done. About 2.5 hours.
- **Diener x Wala**
- Anything important from notes left out of the report? No.
- Early on Rick made most of small space + took care of himself? Yes, hygiene, eating, etc.
- Was there an order for 24/7 monitoring?
- RDC for 1 day, she provided those orders “because of high profile nature”
**Who did this at RDC?
Pg.21
- When guards took over… did they engage like companions?
- She nodded head, said “I can’t watch them.”
- See them engage? not more than normal, bringing food, etc.
- ever witness solicitation of statements? I didn’t witness.
- ISP wanted to talk to Allen or you?
- Me I think? About Allen. She thought it was strange. Talked to Rick + decided not to.
- Baseline is depressed + anxious? Yes
- May 2023 “Huge volume of docs” (I didn’t see them)
- 4/4 circums changed - Yes. Notes present disorg. thought and speech process. Brain change in presentation. Considered mental atty visit may be stressor at the time.
- Back on 5x 24/7 watch — 24/7.
- Quotes came from the companions.
Pg.22
- Prior to 4/4 did he say found God? Can’t remember but not religious @ intake
- 4/5 notes/report last chg in status
- Statements abt facts + circumstance of charges
- Casual convo, how feeling, doesn’t ask about charges.
- He shared: Does he relate newfound religion to the crime?
- Don’t think so? Reads last line + says yes.
- affect all over place… smiling to crying. Sharing info w/o prompt.
- His reports about feelings are ‘questionable’ aka untruthful.
- Improved w/ injections
- She told him it was not in interest to make comp. statements + his atty wouldn’t advise”
- Allen seems to be feigning memory lapse + confusion, per Wala’s notes
Pg.23
- **4/12/23 - “Refusing to come in from Rec” in her notes**
- On one day asked to decide if Psychosis vs feigning
- videos of him being moved to doc to get injection.
- **HALDOL**
- injections + oral. Weekly haldol nightly for sleep
- “Still many days comm. impossible”
- “many have been overmedicated”
- “slept a lot after inj.: Allen would say he was just laying there”
- Also got Prozac (as he got it Pre arrest) when?
- Dr. Martin came 1x week
- Consulted about Allen sometimes
- Improved eventually and haldol d/c’d.
**Page 24:**
- There’s feigning tests. You use them?
- Wala: "No don’t have them."
- Rozzi: "Just crayons + pencils huh?"
- lost 30-40 lbs in 2 mos. technically “obese” @ intake but not like omg unhealthy.
- He wanted to go to "Logansport State Hospital" because he thought fam. could see him there.
- **State calls Hashman**
- ISP for ~30 yrs, Det. for 17
- assisted in homicide
- involved in Delphi early 2020 Marshals Regional Task Force
- Once Allen arrested, he put in charge of monitoring communications.
---
**Page 25:**
- **“Call her again”**
- "Wanna tell my wife what I’ve done. I want you to hear it."
- Rozzi interrupts - "Did he tell you what wife said?"
- Rick said “She doesn’t believe me” to Wala.
- Diener wants to address “Stressors”
- Lack of consistent conversation w/ team, and sometimes Rick felt they didn’t want to hear from them.
- Period of time he wanted to confess to a lot of people - "Yes"
- And something about finding God brought him comfort. Diener claims Rick said “I’m gonna get right w/ God”
- Rozzi to Wala - Says here you’ll notice you’ll note progress, reports... but notes were destroyed!
- Dr. Wala has never seen Silence of the Lambs? Red flag.
- Haldol shots into Grune even though “feigning”??
- Running from 1 side of cell to other smashing head face + head bruised.
---
**Page 26:**
- **obese @ intake** skipped meals to “have some control + be healthier”
- "I lost weight, I was healthy, then April ’23 tanked and was not healthy, eventually rebounded to healthier weight."
- Some day in April very talkative. “I had a lot to say” + kinda smiles @ Rick maternally
- or kill all fam + friends then myself. climbs up sink. “I’m too much coward. I don’t want to die.”
- Anxiety significant
- Deep significant
- other symptoms not significant
- (can’t follow SH Diagnostic)
- **5/3 seeing Rick** He asks for help, calls wife, had tablet broken. She did not answer.
- obtained a cordless phone, found #, helped dial.
- Rick whispering to atty correcting something
- She doesn’t know how long w/o tablet.
---
Here's a cleaned-up version:
---
### **Rozzi Calls Wala**
- **Lead psychologist since 2017:** Assigned by admin to treat RT (always DOC). No prior work before 2017.
- **Communication:** Discussed personal and private matters. Frequency varied:
- Daily for a month (upon arrival/sex watch)
- Weekly for 4 months until April 2023
- Returned to daily (either with her or staff, Masters-level therapists under her)
- **Contact Context:** Usually while Rick was in his cell during “rounds.” He was offered out-of-cell contact once a week.
- **Rounds:** Consist of brief interactions through the door slit without opening the port door, particularly for those in solitary. Rounds cover dozens of inmates daily, with limited time spent on each.
- Rick wasn’t always in cell A107 during rounds.
---
### **Page 5:**
- **Rick in a holding area:** For her visits.
- **Suicide watch:** Began at RDC upon arrival.
- Didn’t sign anything initially because he couldn’t have a pen.
- She’s unsure if confidentiality was addressed immediately.
- Unsure if waivers were eventually signed.
- Eight items listed that don’t qualify as confidential.
- **Cell Conditions:** 8x12 feet, 7 days a week. Recreation time “supposed to be” 3x per week.
- On sex watch, no recreation as inmates wear smocks, which deter participation due to exposure.
- **Objection by Diener:** How is recreation relevant to psychology?
- Rozzi: She should be aware of anything impacting Rick moving forward.
- **Cell Videos:** She probably viewed them.
- Observed him pacing—a potential form of recreation (15 steps each way?).
- Believes he had a light on all the time.
- Uncertain about his suicide watch status but considers the light a good idea.
---
### **Page 6:**
- **Scratched Window:** She noticed it.
- Acknowledged that he slept/ate on the floor.
- Rick mentioned bugs and rats in the cell, which she says can be distressing.
- **Isolation:** Rick was in one of the four most isolated cells.
- Other inmates yelled things like “Kill yourself” and “Babykiller.”
- The noise bothered both him and her.
- **Familiarity with Rick’s Medical History:**
- Knew about his cardiac and depression history.
- No formal process for psychological evaluation—only a 15-20 minute “structured interview.”
- Diagnosed with Major Depressive Disorder (MDD), though not considered a serious condition “by their standards” (which she disagrees with).
- Hospitalized for depression in 2019; on psychotropics since age 25.
- File indicated he was at risk for suicidal ideation.
---
### **Page 7:**
- **Generalized Anxiety Disorder (GAD):** Yes
- **Panic Disorder (PD):** Yes, with more severe anxiety when separated from family.
- **“Code D” Status:** Rick was at this stage.
- Codes A-E represent stages of symptom acuteness, with E being the psych ward (Newcastle is usually the top choice for “E”).
- Rick was fragile when admitted, placed in solitary, and verbally taunted.
- No records indicated he was suicidal at intake, but he was at high risk due to the charges.
- Administration planned to keep him in solitary regardless of her input.
- He was on restrictions until he left Westville—approximately 3 hours of recreation per week were “offered.”
- Used a hard “suicide blanket.”
---
### **Page 8:**
- **Did you order companions?** No, she can only suggest it.
- Issues with Rick’s companions arose from the start; they talked to him and other inmates (one at least told his family).
- Rick expressed frustration with the companions, and she agreed they were untrustworthy.
- When he complained about them asking him questions, she didn’t take any action, acknowledging that it’s just how the system works.
- Companions are paid for their job.
- **March 2023:** A psychiatric expert at ISP (Dr. Goldberg?) possibly shut it down. Wala thinks this happened.
- Wala asked for Rick’s consent per orders but agreed it wasn’t a good situation. He eventually said no.
---
### **Page 9:**
- **Therapeutic Services/Counseling Session:**
- Rick was the first pretrial unconvicted patient. Sometimes they went down the hall for more involved sessions.
- Rick would be placed in a 3x3-foot “cage” with triangular concrete walls and a gate in front (a see-through grate).
- A similar area exists at Wabash with vertical bars in a “shark cage style.”
- Rozzi describes “traditional” therapy sessions to the community—different from what Allen experienced.
- No therapeutic evaluation was conducted, but she provided handouts on depression and anxiety.
- Materials included “Man’s Search for Meaning” book, crossword puzzles, crayons, etc.
- Her abilities were limited by the administration/DOC to basic conversation and medication.
- They talked about suicide to ensure safety.
---
### **Page 10:**
- **Did you talk to Rick about exceptions to patient/doctor confidentiality?** Doesn’t think so.
- She isn’t sure what the exceptions are and listed everything but confessions related to harm.
- **Waiver signed?** Doesn’t know.
- **Employment:** Works for Centurion + DOC under contract (paid by Centurion). Contracts renew every three years.
- **Rounds reports:** Made approximately daily, with original notes shredded.
- She agrees that those notes were the best record.
- Rick initially proclaimed his innocence, focusing on his wife and worrying about her.
- By December 2022, he told her he was being treated badly.
---
### **Page 11:**
- **Wala’s Notes:**
- **March 2023:** Rick told her, “I don’t feel right.”
- She acknowledged his baseline was depression.
- **April 4, 2023:** Noted as “Poor, Critical, Deteriorating.”
- Suicidal ideation, delusions, believing death would bring relief, insomnia, poor appetite, hopelessness, low self-esteem, and more.
- **April 12, 2023:** Noted as more critical.
- Banging his head and self-harm.
- Emergent involuntary medication was administered once.
- **April 13, 2023:** “Grave Disability.”
- Consuming feces.
- Considering involuntary medication (injection).
- Hearing held, and involuntary medication was scheduled.
---
### **Page 12:**
- **April 21, 2023:** Conversation with Rick about incompetency to stand trial, although it wasn’t her call.
- She believed things were going downhill with disjointed thoughts.
- **May 3, 2023:** Rick said, “I wanna confess.”
- She questioned if he was being truthful during any of these times.
- **May 17, 2023:** Disorganized thinking accelerated.
- **May 18, 2023:** (C. min depo) Due for the next injection.
- Shown in a vegetative state of depression. (Janis crying)
- **May 22, 2023:** “Psychotic Reaction to Stress.”
- **June 2023:** “Depression at Peak.” Physiological symptoms included trembling, stuttering, knees buckling, eyes bulging.
- **July 11, 2023:** Signs of restoration.
- **October 2023:** Still having case sessions.
- Proclaiming innocence, but already “sentenced out of.”
- Maybe 12 out of 3,000 inmates receive regular injections.
---
### **Page 13:**
- **November 2023:** Still being taunted and harassed.
- “A break” and “psychotic process” occurred March-June.
- Diagnosed with Psychosis.
- Catatonic, disorganized speech, noted in serious mental illness notes.
- Rozzi: “He was sent here for SAFETY, right?”
- As a doctor, do you agree he met the criteria for severe mental illness? “No doubt.”
- The court said he was safe there, but that doesn’t change his brain. “Correct.”
- Severe Mental Illness (SMI) - 30 days in solitary per Indiana Code’s guidelines.
- She acknowledges this due to known, documented effects, but exceptions exist in cases of extreme danger to others (not Rick).
- Rick was there for 12 months? Yes.
---
### **Page 14:**
- **Ausbrook?**
- Questions about IPAC v. IDOC in Southern District Court.
- Diener objects, claiming it’s not relevant.
- Rozzi argues that this case led to the creation of those policies.
- Rozzi offers proof, and the judge allows it.
- Hands exhibit from the case confession to Gull, referencing DSM IV and Major Depressive Disorder (MDD) as Serious Mental Illness (SMI), adopted by the court.
- Rozzi criticizes DOC for violating rights, causing Diener to shake her head in frustration.
- Rozzi refreshes Wala’s memory about exceptions and reminds her that statements related to harm are not privileged.
- Rick was not informed of this exception according to Wala.