Williams v. Secretary Pennsylvania Department of Corrections ( 2017 )


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  •                                       PRECEDENTIAL
    UNITED STATES COURT OF APPEALS
    FOR THE THIRD CIRCUIT
    _____________
    No. 14-1469
    _____________
    CRAIG WILLIAMS,
    Appellant
    v.
    SECRETARY PENNSYLVANIA DEPARTMENT OF
    CORRECTIONS; DORINA VARNER, Chief Grievance
    Coordinator; TINA FRIDAY, Records Officer, in her
    individual and official capacity; JEFFREY R. ROGERS,
    Manager, in his individual and official capacity; TRACY
    SHAWLEY, Grievance Coordinator, in her individual and
    official capacity; LOUIS FOLINO, in his individual and
    official capacity
    _____________
    APPEAL FROM THE UNITED STATES
    DISTRICT COURT FOR THE WESTERN DISTRICT
    OF PENNSYLVANIA
    (No. 2-12-cv-00944)
    District Judge: Honorable Mark R. Hornak
    _____________
    No. 15-1390
    _____________
    SHAWN T. WALKER,
    Appellant
    v.
    MICHAEL A. FARNAN; SECRETARY PENNSYLVANIA
    DEPARTMENT OF CORRECTIONS; SUPERINTENDENT
    GRATERFORD SCI; CINDY G. WATSON, and others to be
    named later
    _____________
    APPEAL FROM THE UNITED STATES
    DISTRICT COURT FOR THE EASTERN DISTRICT
    OF PENNSYLVANIA
    (No. 2-07-cv-04977)
    District Judge: Honorable R. Barclay Surrick
    _____________
    Argued
    April 18, 2016
    ____________
    2
    Before: McKEE*, Chief Judge, FUENTES*, and ROTH,
    Circuit Judges.
    (Opinion Filed: February 9, 2017)
    ______________
    James J. Bilsborrow, Esq. [ARGUED]
    Weitz & Luxenberg
    700 Broadway
    New York, NY 10003
    Attorney for Appellants
    John G. Knorr, III, Esq. [ARGUED]
    Office of Attorney General of Pennsylvania
    Strawberry Square
    Harrisburg, PA 17120
    Kemal A. Mericli, Esq.
    Office of Attorney General of Pennsylvania
    564 Forbes Avenue
    6th Floor, Manor Complex
    Pittsburgh, PA 15219
    *
    Judge McKee was Chief Judge at the time this appeal was
    argued. Judge McKee completed his term as Chief Judge on
    September 30, 2016.
    *
    Judge Fuentes assumed senior status on July 18, 2016.
    3
    Randall J. Henzes, Esq.
    Claudia M. Tesoro, Esq.
    Office of Attorney General of Pennsylvania
    3rd Floor
    21 South 12th Street
    Philadelphia, PA 19107
    Attorneys for Appellees
    ______________
    OPINION OF THE COURT
    ______________
    McKEE, Circuit Judge.
    I. INTRODUCTION
    We are asked to decide whether there is a
    constitutionally protected liberty interest that prohibits the
    State from continuing to house inmates in solitary
    confinement1 on death row after they have been granted
    resentencing hearings, without meaningful review of the
    continuing placement. For the reasons set forth below, we
    conclude that there is and that the Due Process Clause of the
    Fourteenth Amendment therefore limits the State’s ability to
    subject an inmate to the deprivations of death row once the
    death sentence initially relied upon to justify such extreme
    1
    This level of confinement is also sometimes referred to as
    “administrative segregation.”
    4
    restrictions is no longer operative.2 However, we also hold
    that, because this principle was not clearly established before
    today, the prison officials (“Defendants”) in this consolidated
    appeal are entitled to qualified immunity.
    Accordingly, we will affirm the district courts’ grants
    of summary judgment in favor of Defendants based on
    qualified immunity. In reaching this conclusion, we stress
    that this liberty interest, as explained more fully below, is
    now clearly established.
    II. FACTS AND PROCEDURAL HISTORY
    Craig Williams and Shawn T. Walker (“Plaintiffs”)3
    are inmates in the custody of the Pennsylvania Department of
    Corrections (“DOC”). Each was sentenced to death and
    housed on the death row of his respective institution
    following imposition of his death sentence. Eventually, their
    death sentences were vacated, but several years elapsed
    before they were resentenced to life without parole.4 In the
    2
    Plaintiffs have both had their death sentences vacated but
    were nevertheless detained in solitary confinement on death
    row. We take no position on whether any inherent risk posed
    by inmates whose death sentences are still active and viable is
    sufficient to raise a presumption that their continued
    confinement on death row is justifiable.
    3
    This Court consolidated Williams’s and Walkers’ appeals.
    We thank James J. Bilsborrow, Esq., appointed counsel, for
    his pro bono representation of Plaintiffs in this matter.
    4
    “Vacated” as used throughout this opinion refers to
    situations where a defendant has initially been sentenced to
    5
    interim, Plaintiffs were kept on death row until their appeals
    were finally decided. Accordingly, they spent several years
    in the solitary confinement of death row from the date their
    death sentences were vacated, until they were finally
    resentenced to life imprisonment and placed in the general
    population.5
    After their sentences were vacated, each Plaintiff
    brought suit seeking damages6 from various DOC officials.7
    death, but has subsequently been granted a new sentencing
    hearing.
    5
    As defined by DOC policy, the “general population” is a
    “status of confinement for an inmate who is not in
    Administrative or Disciplinary Custody or other type of
    special housing.” DC-ADM 802, Administrative Custody
    Procedures, JA at 94 ¶E.
    6
    Walker sued Defendants in their individual capacities. He
    initially sought injunctive and declaratory relief in addition to
    damages. His transfer from death row mooted all but his
    damages claim. See Sutton v. Rasheed, 
    323 F.3d 236
    , 248 (3d
    Cir. 2003) (per curiam) (“An inmate’s transfer from the
    facility complained of generally moots the equitable and
    declaratory claims.”).
    7
    Williams sued Defendants in their individual and official
    capacities. He filed suit against John Wetzel, Secretary
    Pennsylvania DOC; Dorina Varner, Chief Grievance
    Coordinator; Tina Friday, Records Officer; Jeffrey R. Rogers,
    Program Manager; Tracy Shawley, Grievance Coordinator;
    and Louis N. Folino, Superintendent. Walker filed suit
    against Michael A. Farnan, Chief Counsel; Jeffrey A. Beard,
    Secretary Pennsylvania DOC; David DiGuglielmo,
    6
    Their suits allege the officials violated their Fourteenth
    Amendment rights to due process by continuing to subject
    them to the deprivations of solitary confinement on death row
    without meaningful review of their placements after their
    death sentences had been vacated.8 Inasmuch as the claimed
    liberty interest turns on the conditions of Plaintiffs’
    confinement, we will first describe those conditions and the
    legal authority relied upon to impose it, and then address
    whether those conditions violate a constitutionally protected
    liberty interest.
    A. Confinement on Death Row
    Plaintiffs were placed on death row after receiving
    their death sentences pursuant to 61 Pa. Cons. Stat. § 4303,
    which provides:
    [T]he secretary [of corrections]
    shall, until infliction of the death
    penalty . . . keep the inmate in
    solitary confinement. During the
    confinement, no person shall be
    allowed to have access to the
    inmate without an order of the
    sentencing court, except the
    following:
    (1) The staff of the department.
    Superintendent; and Cindy G. Watson, Chief Grievance
    Officer.
    8
    Plaintiffs also initially asserted substantive due process and
    Eighth Amendment claims against the DOC that they do not
    pursue on appeal.
    7
    (2) The inmate’s counsel of
    record or other attorney requested
    by the inmate.
    (3) A spiritual adviser selected by
    the inmate or the members of the
    immediate family of the inmate.9
    Plaintiffs assert that this provision no longer applied to them
    once their death sentences were vacated. They further stress
    that they did not receive meaningful review of their
    continuing placement on death row to determine if the
    deprivations of that placement were necessary.
    In total, Walker spent approximately twenty years on
    death row. Roughly eight of those years were spent after he
    had been granted a resentencing hearing.10 Williams spent
    twenty-two years on death row, with six of those years
    following his grant of resentencing.11
    1. Walker
    After his death sentence was vacated, Walker
    remained on death row where he was confined in a
    windowless seven by twelve feet cell for almost twenty-four
    hours a day. There, like other death row inmates at SCI-
    Graterford, he lost “virtually all communication [with] the
    9
    61 Pa. Stat. and Cons. Stat. § 4303, formerly codified at §
    3003.
    
    10 Walker v
    . Farnan, No. CIV. A. 07-4977, 
    2015 WL 390424
    ,
    at *1-2 (E.D. Pa. Jan. 29, 2015).
    11
    Plaintiffs Br. at 4-6.
    8
    general population and the outside world.”12 Walker was
    permitted four (non-legal) visits per month. During those
    visits he was “locked in a closet-sized room, behind a
    reinforced sheet of glass . . . . [and was] not permitted
    physical contact with any of his visitors . . . .”13 Even
    Walker’s meals were provided in the isolation of his cell.
    Walker was permitted to leave his cell only five times
    a week for two-hour intervals of exercise in the open air, in a
    restricted area known as the “dog cage.”14 However, to enter
    the “dog cage,” Walker first had to undergo an invasive strip
    search.15 To avoid the psychological and physical intrusion
    of these “full” body searches, Walker did not leave his cell
    for open air exercise for nearly seven years.16
    Walker alleges that his prolonged confinement on
    death row in these constricting conditions has taken a toll on
    his mental and physical well-being. He describes these
    12
    JA at 193 ¶36.
    13
    
    Id. at 195
    ¶60.
    14
    
    Id. at 193-94
    ¶47.
    15
    The precise nature of the strip searches Walker was
    subjected to is not evident in the record. Correctional facility
    strip searches have been described elsewhere as requiring an
    inmate to “lift and shake his genitalia, . . . bend over, spread
    his buttocks in the direction of the officer so that he may look
    at [the inmate’s] anus, then made to squat and cough, and
    afterwards [the inmate is] hand cuffed behind his back[.]”
    Incumaa v. Stirling, 
    791 F.3d 517
    , 522 (4th Cir. 2015), as
    amended (July 7, 2015).
    16
    JA at 193-94, 283 ¶6.
    9
    effects as “long term and debilitating.”17 For example, due to
    the constant noise of other inmates on death row, and a “fear
    of being executed accidentally,” Walker developed
    insomnia.18 He also claims to suffer from uncontrollable
    body tremors and severe emotional distress.
    2. Williams
    Williams’s plight on death row at SCI-Greene was
    similar to Walker’s. He remained confined to his cell for
    almost twenty-two hours a day after his death sentence was
    vacated. His meals were also provided in the confines of his
    cell. Williams explains that because medical consultations
    were provided at his cell door, inmates in separate cells could
    hear his exchanges with medical providers, which
    compromised his privacy. During the short intervals that
    Williams was not in his cell, but in the prison yard, law
    library, or shower, he was held inside a small locked cage that
    continued to restrict his movement and freedom of
    association. Like Walker, he was only permitted non-contact
    visits.
    B. Plaintiffs’ Legal Proceedings
    Plaintiffs filed numerous prison grievances based on
    continually being subjected to these deprivations. Those
    grievances were unsuccessful. Plaintiffs then filed the suits
    that are before us in these consolidated appeals. The
    procedural background leading to these suits is as follows.
    17
    
    Id. at 195
    -96 ¶64.
    18
    
    Id. at 194
    ¶51.
    10
    1. Williams
    In 1988, Williams was convicted of first degree
    murder in the Philadelphia Court of Common Pleas and was
    later sentenced to death. Williams’s criminal judgment was
    affirmed on direct appeal.19 Williams then pursued relief
    under Pennsylvania’s Post Conviction Relief Act
    (“PCRA”).20 On July 11, 2006, the trial court concluded that
    Williams was entitled to a new penalty hearing. Williams
    appealed the court’s denial of his guilt phase claims, but the
    State did not appeal the court’s invalidation of the death
    sentence that was imposed at the sentencing phase. On May
    1, 2012, Williams was resentenced to life imprisonment
    without the possibility of parole. Soon thereafter, he was
    finally removed from death row at SCI-Greene and placed in
    the general population.21
    In July of 2012, Williams filed a pro se and in forma
    pauperis action under 42 U.S.C. § 1983 against various DOC
    officials. He alleged that his confinement on death row
    between the time that he was granted resentencing and the
    time his new sentence was imposed violated his substantive
    and procedural due process rights. Defendants moved for
    summary judgment, contending that Williams’s confinement
    while awaiting resentencing did not violate his constitutional
    19
    Commonwealth v. Williams, 
    615 A.2d 716
    (Pa. 1992).
    20
    42 Pa. Cons. Stat. § 9541 et seq.
    21
    Williams did not challenge the delay between his
    resentencing, which took place in May, and his transfer into
    the general population, which took place in September.
    11
    rights. Defendants also argued that they were entitled to
    qualified immunity, a defense they had raised earlier in their
    answer to Williams’s complaint.          In a Report and
    Recommendation, the assigned Magistrate Judge concluded
    that Williams’s Fourteenth Amendment procedural due
    process claim failed because he did not have a liberty interest
    in being housed in the general prison population.22 The
    Magistrate Judge also concluded that because Defendants’
    policy of keeping inmates like Williams on death row even
    after their death sentences were vacated was grounded in
    legitimate penological goals, Williams did not have a
    substantive due process claim. 23 Overruling Williams’s
    objections, the district court adopted the Report and
    Recommendation and granted Defendants’ motion for
    summary judgment.24 Williams appealed.
    2. Walker
    Walker was also convicted of first degree murder in
    the Philadelphia Court of Common Pleas in 1992, and
    sentenced to death. The verdict and sentence were affirmed
    by the Pennsylvania Supreme Court on direct appeal.25
    Walker thereafter filed for relief under the PCRA. In April
    2004, the Philadelphia Court of Common Pleas upheld his
    conviction but granted a new sentencing hearing. After
    
    22 Will. v
    . Wetzel, No. CIV. A. 12-944, 
    2014 WL 252020
    ,
    at *5 (W.D. Pa. Jan. 22, 2014). The district court adopted a
    magistrate judge’s Report and Recommendation.
    23
    
    Id. at *7-9.
    24
    
    Id. at *1.
    25
    Commonwealth v. Walker, 
    656 A.2d 90
    (Pa. 1995).
    12
    additional unsuccessful challenges to his conviction, Walker
    was resentenced to life imprisonment without the possibility
    of parole on April 12, 2012,26 and transferred to the general
    population on May 4, 2012.27
    Before his resentencing, in 2008 Walker filed a pro se
    and in forma pauperis § 1983 action alleging that his
    confinement on death row after his death sentence had been
    vacated violated his Eighth Amendment right to be free from
    cruel and unusual punishment as well as his Fourteenth
    Amendment right to due process of law.28 Pro bono counsel
    was appointed to represent Walker. The district court granted
    summary judgment in favor of Defendants.29 The court
    concluded that Defendants were entitled to qualified
    immunity because the rights Walker asserted were not clearly
    established.30     Walker’s appeal from that ruling was
    consolidated with Williams’s appeal.
    C. DOC Policy
    Defendants argue that the DOC policy that implements
    § 4303 required Plaintiffs’ continued confinement on death
    row until they were resentenced to life imprisonment. In
    relevant part, this policy states:
    S. Modification of Sentence
    26
    JA at 218.
    27
    
    Id. at 287.
    28
    Walker initially filed suit pro se and in forma pauperis.
    The district court appointed pro bono counsel to represent
    him.
    29
    Walker, No. CIV. A. 07-4977, 
    2015 WL 390424
    , at *1.
    30
    
    Id. at *4.
    13
    1. In the event that an order is
    received modifying the sentence
    of a Capital Case inmate to life
    imprisonment due to a re-
    sentencing proceeding held as the
    result of an appeal or Post
    Conviction Relief Act, . . . the
    facility Records Supervisor must
    determine whether the order is
    valid and whether the District
    Attorney intends to appeal the
    order.
    2. If the District Attorney intends
    to appeal, the inmate shall not be
    moved from the Capital Case unit
    until the appeal is resolved.
    However, the inmate may be
    moved from the Capital Case
    Unit, if the District Attorney does
    not file an appeal within 30 days.
    3. If the District Attorney does not
    intend to appeal and if the inmate
    does not remain subject to an
    execution sentence as the result of
    a prosecution other than the
    sentence modified in the order,
    14
    the inmate may be moved from
    the Capital Case Unit.31
    According to Defendants, this policy only permits
    removal from death row (referred to in the policy as the
    “Capital Case Unit”) when a death sentence has actually been
    modified. They claim that the grants of resentencing here
    merely put Plaintiffs’ sentences on hold because re-
    imposition of the death penalty was possible. In any event,
    Defendants assert they are protected from Plaintiffs’ suits by
    qualified immunity.
    III. JURISDICTION AND STANDARD OF REVIEW
    The district courts had jurisdiction under 28 U.S.C. §
    1331. We exercise jurisdiction over these consolidated
    appeals pursuant to 28 U.S.C. § 1291. Our review of the
    courts’ grants of summary judgment is plenary.32 Thus, we
    must draw all reasonable inferences in Plaintiffs’ favor.33 If
    we find there are no genuine issues of material fact, and
    Defendants are entitled to judgment as a matter of law, we
    must affirm the courts’ orders of summary judgment.34
    IV. DISCUSSION
    31
    Pennsylvania Department of Corrections Capital Case
    Procedures Manual 6.5.8.1.S; JA at 91.
    32
    See Blackhawk v. Pennsylvania, 
    381 F.3d 202
    , 206 (3d Cir.
    2004).
    33
    See Chavarriaga v. N.J. Dep’t of Corr., 
    806 F.3d 210
    , 218
    (3d Cir. 2015).
    34
    See 
    id. 15 Plaintiffs
    maintain that their confinement on death row
    without regular placement reviews after they had been
    granted new sentencing hearings violated their procedural due
    process rights under the Fourteenth Amendment.
    Accordingly, we begin with the threshold question of whether
    Plaintiffs have asserted a liberty interest sufficient to trigger
    due process protections. If we conclude they have a liberty
    interest under the Due Process Clause, we then must decide if
    that right was clearly established when the alleged due
    process violation occurred. If the right was not clearly
    established, our inquiry ends and Defendants are entitled to
    qualified immunity. If it was, we then need to determine if
    there is a genuine issue of material fact regarding the alleged
    violation of that right.
    A. Qualified Immunity
    Defendants assert that qualified immunity bars
    Plaintiffs’ claims for damages and that they are therefore not
    liable even if Plaintiffs’ protracted confinement on death row
    was unconstitutional.       Under the doctrine of qualified
    immunity, “officials performing discretionary functions
    generally are shielded from liability for civil damages insofar
    as their conduct does not violate clearly established statutory
    or constitutional rights.”35 In assessing qualified immunity
    claims, we conduct a two-part inquiry. We first determine
    whether a right has been violated. If it has, we then must
    decide if the right at issue was clearly established when
    35
    Harlow v. Fitzgerald, 
    457 U.S. 800
    , 818 (1982).
    16
    violated such that it would have been clear to a reasonable
    person that her conduct was unlawful.36
    As the Supreme Court made clear in Pearson v.
    Callahan, courts are no longer required to tackle these steps
    in sequential order.37 The decisions now on appeal represent
    both possible approaches. The district court that decided
    Williams’s case found that his constitutional rights had not
    been violated, albeit not in the context of a qualified
    immunity analysis. The district court in Walker’s case
    discussed only the second prong, concluding that because the
    right Walker alleged was not clearly established, Defendants
    were entitled to summary judgment based on qualified
    immunity.38
    Despite relaxing the “rigid order of battle”39 that
    formerly governed the analysis of qualified immunity, in
    Pearson, the Court nonetheless recognized that it is often
    appropriate and beneficial to define the scope of a
    36
    Saucier v. Katz, 
    533 U.S. 194
    , 201-02 (2001), overruled in
    part by Pearson v. Callahan, 
    555 U.S. 223
    (2009).
    37
    See 
    Pearson, 55 U.S. at 234-36
    (relaxing “the rigid order of
    battle”) (overruling Saucier, 
    533 U.S. 194
    ); see also
    Werkheiser v. Pocono Twp., 
    780 F.3d 172
    , 176 (3d Cir. 2015)
    (“Because we do not believe the right at issue here was
    clearly established, we begin with the second step.”).
    38
    Walker, No. CIV. A. 07-4977, 
    2015 WL 390424
    , at *4
    (“Even if we were to somehow conclude that there was such a
    right, it certainly was not clearly established during the period
    in question.”).
    39
    
    Pearson, 555 U.S. at 234
    .
    17
    constitutional right. Doing so “promotes the development of
    constitutional precedent” and is especially valuable “with
    respect to questions that do not frequently arise in cases in
    which a qualified immunity defense is unavailable.”40 The
    analytical approach is thus left to appellate courts to resolve
    in the context of the individual case, and the constitutional
    question, before it.41
    “Because we believe this case will clarify and
    elaborate upon our prior jurisprudence in important and
    necessary ways,” we exercise our discretion under Pearson to
    reach the qualified immunity steps in sequence.42
    Accordingly, we will first determine whether Plaintiffs’ rights
    were violated and then decide if Defendants should have
    qualified immunity from suit. We adopt this approach for
    several reasons, not the least of which is the salience of the
    underlying questions to the ongoing societal debate about
    solitary confinement. But at a more basic level, lawsuits by
    prisoners, whether about conditions of confinement or other
    aspects of incarceration, are frequently—and, we stress, not
    inappropriately—met with qualified immunity defenses from
    defendants.43    Thus, defining rights when given the
    40
    
    Id. at 236.
    41
    See 
    id. 42 Doe
    v. S.C. Dep’t of Soc. Servs., 
    597 F.3d 163
    , 169-70 (4th
    Cir. 2010).
    43
    See, e.g., Gilmore v. Hodges, 
    738 F.3d 266
    , 273 (11th Cir.
    2013) (“A claim of deliberate indifference to a serious
    medical need in violation of the Eighth or Fourteenth
    Amendments necessarily arises only where the plaintiff is
    incarcerated, and a qualified immunity defense is generally
    18
    opportunity to do so not only inures to the benefit of potential
    plaintiffs, it also informs prison personnel and others about
    what is appropriate. Those responsible for discharging the
    difficult responsibility of administering our nation’s prisons
    deserve clear statements about what the law allows.
    B. Protected Liberty Interest
    1. Sandin, Wilkinson, and Shoats44
    available to the public official or officials against whom the
    plaintiff brings suit. . . . Thus, we see precious little reason to
    delay the resolution of the constitutional question until a later
    date, since any later case raising this question will almost
    surely be decided in the same context of qualified
    immunity.”).
    44
    Both Plaintiffs’ and Defendants’ appellate briefs focus on
    these and similar cases, and specifically the “atypical and
    significant hardship” standard from Sandin and its discussion
    of state-created liberty interests. However, our cases hold
    that prisoners whose sentences have been vacated, and who
    have not yet been resentenced, are treated as pretrial detainees
    for purposes of constitutional inquiry, even if their criminal
    conviction has not been reversed. See Stevenson v. Carroll,
    
    495 F.3d 62
    , 67 (3d Cir. 2007). “Unlike sentenced prisoners,
    who . . . must look to state law for the protection of their
    personal liberties, pre-trial detainees have liberty interests
    firmly grounded in federal constitutional law.” Fuentes v.
    Wagner, 
    206 F.3d 335
    , 341 (3d Cir. 2000) (quoting Cobb v.
    Aytch, 
    643 F.2d 946
    , 957 (3d Cir. 1981) (en banc)). In
    Carroll, as here, the “[institution did] not contest the status of
    the appellants as pretrial detainees . . . .” Carroll at 67.
    19
    A liberty interest may arise from the Constitution or
    “from an expectation or interest created by state laws.”45
    Here, Plaintiffs contend they had a state-created liberty
    interest under the Fourteenth Amendment. To establish such
    an interest in the conditions of confinement context, courts
    generally require a showing that the alleged liberty interest is
    substantial.46 To rise to the level of a liberty interest, the right
    Moreover, we have emphasized that Sandin, which
    concerned the due process rights of a sentenced prisoner, does
    not apply in the pretrial-detainee context. 
    Fuentes, 206 F.3d at 342
    n.9; see also Dilworth v. Adams, 
    841 F.3d 246
    , 252
    (4th Cir. 2016) (“Every federal court of appeals to consider
    the question has concluded that Sandin’s ‘atypical and
    significant hardship’ standard does not govern the procedural
    due process claims of pretrial detainees.”); Bistrian v. Levi,
    
    696 F.3d 352
    , 372-73 (3d Cir. 2012) (discussing the different
    due process standards).
    We will nevertheless use the Sandin framework here,
    as both parties suggest. The standards applicable to
    sentenced inmates provide a floor for treatment of pretrial
    detainees, who are generally entitled to greater comparative
    freedom from unconstitutional punishments and deprivations
    of process. See 
    Bistrian, 696 F.3d at 375
    . Moreover, since
    we find, as explained below, that Plaintiffs prevail in part
    even under the more demanding Sandin analysis, we would
    reach the same result even under the standard we set forth in
    the Fuentes and Stevenson line of cases.
    45
    Wilkinson v. Austin, 
    545 U.S. 209
    , 221 (2005).
    46
    We are not persuaded by Defendants’ attempt to insert a
    second criterion, namely, that a “state-created” interest must
    20
    alleged must confer “freedom from restraint which . . .
    imposes atypical and significant hardship on the inmate in
    relation to the ordinary incidents of prison life.”47
    The Supreme Court’s decisions in Sandin v. Conner48
    and Wilkinson v. Austin49 guide our inquiry into what
    be formalized through law or policy. It is clear under Sandin
    v. Conner that we must consider the extent of the hardship,
    not whether the State has expressly written the right into law
    or policy. 
    515 U.S. 472
    , 481-82 (1995) (“[E]ncourag[ing]
    prisoners to comb regulations in search of mandatory
    language . . . creates disincentives for States to codify prison
    management procedures . . . [to] avoid creation of ‘liberty’
    interests.”); see also Shoats v. Horn, 
    213 F.3d 140
    , 143 (3d
    Cir. 2000) (“In [Sandin], the Supreme Court announced a new
    standard for determining whether prison conditions deprive a
    prisoner of a liberty interest that is protected by procedural
    due process guarantees.”); Parker v. Cook, 
    642 F.2d 865
    , 867
    (5th Cir. 1981) (“Since states rarely if ever explicitly label
    their creations as ‘liberty interests,’ we must look to the
    substance of the state action to determine whether a liberty
    interest has been created. And whether this substance is
    embodied in a constitution, statute, regulation, rule, or
    practice is of no significance.”). Indeed, a contrary result
    would allow states to impose any level of extreme
    deprivations and escape remediation under the Due Process
    Clause by simply not writing the countervailing liberty
    interest into law or incorporating it into pronounced policy.
    47
    Griffin v. Vaughn, 
    112 F.3d 703
    , 708 (3d Cir. 1997)
    (emphasis added) (quoting 
    Sandin, 515 U.S. at 484
    ).
    48
    
    515 U.S. 472
    (1995).
    49
    
    545 U.S. 209
    (2005).
    21
    constitutes an “atypical and significant” hardship. In 1995,
    the Court held in Sandin that no liberty interest was
    implicated by an inmate’s placement in solitary confinement
    for thirty days as discipline for disruptive behavior.50 The
    holding was based on the Court’s conclusion that disciplinary
    solitary confinement was “within the expected perimeters of
    the sentence imposed” and therefore, was not atypical.51 A
    decade later, in Wilkinson, the Court held that conditions at a
    “Supermax” facility were such a severely constricting
    environment that they gave rise to a state-created liberty
    interest.52 The Court explained, “Supermax facilities are
    maximum-security prisons with highly restrictive conditions,
    designed to segregate the most dangerous prisoners from the
    general prison population.”53 The Court concluded that long-
    term incarceration in the Supermax at issue was “synonymous
    with extreme isolation.”54 Consequently, the Court held that
    the challenged conditions of confinement were atypical
    “under any plausible baseline.”55 The inmates therefore had a
    50
    
    Sandin, 515 U.S. at 486
    (“We hold that Conner’s discipline
    in segregated confinement did not present the type of
    atypical, significant deprivation in which a State might
    conceivably create a liberty interest.”).
    51
    
    Id. at 485.
    52
    
    Wilkinson, 545 U.S. at 223-24
    .
    53
    
    Id. at 213.
    54
    
    Id. at 214.
    55
    
    Id. at 223.
    In coming to this conclusion, the Wilkinson
    Court also considered the fact that placement in this
    Supermax facility disqualified an otherwise eligible inmate
    for parole consideration. 
    Id. at 224.
    Contrary to Defendants’
    assertions, we need not consider the absence of this factor
    22
    liberty interest under the Fourteenth Amendment’s Due
    Process Clause in not being subjected to these conditions
    absent procedural protections that ensured the confinement
    was appropriate.56
    As Wilkinson recognized, “[i]n Sandin’s wake the
    Courts of Appeals have not reached consistent conclusions
    for identifying the baseline from which to measure what is
    atypical and significant.”57 Given Wilkinson’s guidance, in
    Shoats v. Horn we established the following two-factor
    inquiry: (1) the duration of the challenged conditions; and (2)
    whether the conditions overall imposed a significant hardship
    in relation to the ordinary incidents of prison life.58 Applying
    that inquiry in Shoats, we concluded that “virtual isolation for
    almost eight years” in solitary confinement created a
    protected liberty interest.59
    here. Parole was not Plaintiffs’ to lose. In any event, this
    consideration was not essential to the Court’s finding of a
    protected interest in Wilkinson. See Westefer v. Snyder, 
    422 F.3d 570
    , 590 (7th Cir. 2005) (“Illinois’ contention that the
    liberty interest identified in Wilkinson turned exclusively on
    the absence of parole constitutes, [in] our view, far too
    crabbed a reading of the decision.”).
    56
    
    Wilkinson, 545 U.S. at 224
    .
    57
    
    Id. at 223.
    58
    
    213 F.3d 140
    , 144 (3d Cir. 2000); see also Powell v. Weiss,
    
    757 F.3d 338
    , 346 (3d Cir. 2014) (noting that Shoats is this
    court’s governing standard).
    59
    
    Shoats, 213 F.3d at 144
    .
    23
    Shoats involved a suit by an inmate confined in
    administrative custody because of his history of violence.60
    The inmate was serving a life sentence for murder when he
    escaped from custody.61 During the escape, Shoats stabbed
    several guards.62    Given his violent behavior and the
    perceived threat to others, Shoats was placed in
    administrative custody when finally recaptured. Under then
    existing prison policy, “there [was] no maximum period of
    confinement in administrative custody.”63 Rather, release
    back to the general population was dependent on “an
    evaluation of many factors.”64 These included behavior while
    in administrative custody, “continued risk, safety of others,
    and recommendations of prison personnel, including
    treatment staff.”65
    In discussing Shoats’ claim that indefinite detention in
    administrative custody violated his right to due process, we
    described      what     administrative    custody     involved.
    Administrative custody meant that inmates were “not allowed
    to have radios, televisions, telephone calls (except emergency
    or legal), personal property except writing materials, or books
    other than legal materials and a personal religious volume.”66
    “Non-legal visits [were limited to] one per week . . . under
    appropriate security procedures designated by the [prison’s]
    60
    
    Id. at 142-43.
    61
    
    Id. at 141.
    62
    
    Id. 63 Id.
    at 142.
    64
    
    Id. 65 Id.
    66
    
    Id. 24 Program
    Review Committee (PRC).”67 Finally, inmates in
    administrative custody were not eligible to participate in any
    educational programs “and all meals [had to be] eaten in the
    inmates’ cells.”68 We concluded that these deprivations were
    such a significant departure from the hardships normally
    attendant to incarceration that Shoats had a liberty interest in
    not being made to endure them indefinitely.69
    2. Plaintiffs’ Atypical Hardship
    a. Duration of Segregation
    Plaintiffs have shown atypical hardship. In Sandin, the
    Court found that thirty days in solitary confinement did not
    give rise to a protected interest.70 In Wilkinson, the Court
    found that essentially indefinite confinement with the extreme
    deprivations imposed there did give rise to a protected
    interest.71 The hardship Plaintiffs experienced here is far
    more analogous to the extreme deprivation in Wilkinson than
    the much shorter and less severe infringement on liberty that
    was present in Sandin. Both Plaintiffs remained in solitary
    confinement on death row for years—many multiples of
    Sandin’s thirty days—after the initial justification for
    subjecting them to such extreme deprivation (their death
    sentences) ceased to exist.72 Plaintiffs’ isolation on death row
    67
    
    Id. 68 Id.
    69
    
    Id. at 144.
    70
    
    Sandin, 515 U.S. at 486
    -87.
    71
    
    Wilkinson, 545 U.S. at 224
    .
    72
    Defendants’ argument that Plaintiffs are responsible for the
    length of these periods of confinement because they initiated
    prolonged appeals of their convictions is both meritless and
    25
    lasted six and eight years. We see no meaningful distinction
    between those periods of extreme deprivation and the eight
    years of solitary confinement that we concluded in Shoats
    was “not only atypical, but [] indeed ‘unique.’”73 Although
    we do not suggest that it would be considered atypical under
    Sandin, we do note that researchers have found that even a
    few days in solitary confinement can cause cognitive
    disturbances.74
    Here, as in Wilkinson and Shoats, Plaintiffs’
    placements on death row were indefinite.75 In Wilkinson,
    “placement at [the Supermax] is for an indefinite period of
    time, limited only by an inmate’s sentence. For an inmate
    serving a life sentence, there is no indication how long he
    disappointing. Plaintiffs’ exercise of their rights to appellate
    review is simply irrelevant to our assessment of the
    constitutionality of their conditions of confinement.
    73
    
    Shoats, 213 F.3d at 144
    (noting also that the DOC “would
    be concerned about the psychological damage to an inmate
    after only 90 days of such confinement and would generally
    recommend transfer to the general population after 90 days as
    a consequence”) (emphasis in original); see also Wilkerson v.
    Goodwin, 
    774 F.3d 845
    , 855 (5th Cir. 2014) (“[T]he duration
    in segregated confinement that courts have found does not
    give rise to a liberty interest ranges up to two and one-half
    years.”).
    74
    Stuart Grassian, Psychiatric Effects of Solitary
    Confinement, 22 Wash. U. J.L. & Pol’y 325, 331 (2006)
    [hereinafter Grassian].
    75
    See JA at 192 ¶31 (“Walker’s solitary confinement is
    indefinite.”) (emphasis added).
    26
    may be incarcerated . . . once assigned there.”76 And in
    Shoats, we found the deprivations were indefinite because
    there was no maximum period for the inmate’s placement in
    solitary confinement.77      Likewise, Plaintiffs’ continued
    confinement on death row after their death sentences were
    vacated continued for years with no ascertainable date for
    their release into the general population. Plaintiffs could not
    even hope to be released based on prison PRC review because
    these pro forma assessments did not consider the necessity of
    their severe conditions of confinement. Obviously, had
    Plaintiffs’ respective appellate proceedings stretched far
    beyond six and eight years, so would their respective
    placements on death row. Indeed, Defendants argue this is
    precisely what the DOC policy would have required. In
    Defendants’ view, so long as re-imposition of the death
    penalty was possible, the automatic deprivations of death row
    were mandatory.
    This indefiniteness contrasts sharply with other
    common forms of solitary confinement, such as the punitive
    segregation that is discussed in Sandin.78 The duration of the
    deprivations that follow from that seclusion is often
    predetermined and fixed79 unless the inmate’s behavior is
    thought to require an additional period of segregation.80
    76
    
    Wilkinson, 545 U.S. at 214-15
    .
    77
    
    Shoats, 213 F.3d at 142
    , 144.
    78
    
    Sandin, 515 U.S. at 475-76
    , 485-86.
    79
    See, e.g., 
    id. at 475-76
    (noting that prior to the inmate’s
    placement in solitary confinement, he was sentenced to a term
    of thirty days of administrative segregation).
    80
    See JA at 251, 18:5-13.
    27
    Here, Walker and Williams could have been the most
    compliant inmates in a given facility, and exhibited no signs
    they would endanger themselves or others. They would still
    have been relegated to death row indefinitely even though
    they had won new sentencing proceedings and were not under
    active sentences of death. This would follow even if the
    professionals who are part of the prison PRC reviewed their
    placements and concluded that that level of confinement was
    not otherwise warranted. We therefore have no trouble
    holding that the conditions they had to endure while awaiting
    resentencing constitute an “atypical . . . hardship on the
    inmate in relation to the ordinary incidents of prison life.”81
    b. Plaintiffs’ Significant Hardship
    As in Shoats, it is undisputed that the conditions
    Plaintiffs experienced on death row “differ significantly from
    ‘routine’ prison conditions in Pennsylvania state
    institutions.”82 Among the range of hardships we have
    already noted, Plaintiffs were confined to their respective
    cells for twenty-two to twenty-four hours a day and ate all
    meals accompanied only by the emptiness within the walls of
    their cells. In addition, Williams was placed inside a small
    locked cage during much of the limited time he was allowed
    to leave his cell and Walker was subjected to invasive strip
    searches each time he left his cell for exercise. As discussed
    below, a body of research has shown that such conditions can
    81
    
    Griffin, 112 F.3d at 708
    (emphasis added) (quoting 
    Sandin, 515 U.S. at 484
    ).
    82
    
    Shoats, 213 F.3d at 144
    .
    28
    trigger devastating psychological consequences, including a
    loss of a sense of self.83
    These are also stark departures from conditions in the
    general prison population, and Defendants readily concede as
    much:      “Regarding the comparison of conditions of
    confinement for capital case inmates with those [in the]
    general population, it is admitted that they are more strict than
    those for general population.”84 The record establishes that,
    unlike those confined on death row, inmates in the general
    population have: Access to open air activities without strip
    searches; regular access to windows and natural light; daily
    access to showers; and the right to more frequent visits where
    contact is permitted. General population inmates also have
    access to group religious services, while death row inmates
    are limited to religious tapes. A variety of jobs and
    vocational programs—including clothing factory jobs,
    culinary training, and barbershop training—are limited to
    inmates in the general population. Likewise, group sport
    activities are reserved for the general population. General
    population inmates can make phone calls as frequently as
    their funds allow. On death row, outside of attorney calls,
    only three fifteen minute calls are allowed per week.
    The district court that ruled        on Walker’s claim
    recognized these discrepancies. The          court stated in no
    uncertain terms that “[t]he conditions      of confinement [on
    death row] are much more restrictive        than in the general
    83
    See infra notes 144-171.
    84
    JA at 63 ¶13; see also JA at 176 ¶9.
    29
    population at Graterford.”85 For instance, “Plaintiff’s contact
    with individuals other than prison staff was extremely limited
    [on death row]. Plaintiff received each of his three meals per
    day in his cell. By contrast, the general population at
    Graterford eats in communal dining rooms.”86 Thus, while
    general population affords inmates regular human contact,
    inmates on death row such as Plaintiffs are deprived of such
    interaction. Even the most basic activities of daily living,
    such as eating, are done in utter solitude.
    Numerous studies on the impact of solitary
    confinement show that these conditions are extremely
    hazardous to well-being. Accordingly, it is precisely this type
    of isolation that led the courts in Shoats and Wilkinson to
    conclude that the deprivations of solitary confinement
    implicate a protected liberty interest. In Shoats, we gave
    great weight to the fact that the inmate was “confined in his
    cell for 23 hours a day, five days a week, and 24 hours a day,
    two days a week . . . . [and] eats meals by himself.”87
    Similarly, in Wilkinson the Supreme Court grounded a liberty
    interest on its finding that “[i]nmates must remain in their
    cells, which measure 7 by 14 feet, for 23 hours per day” and
    “[a]ll meals are taken alone in the inmate’s cell instead of in a
    common eating area.”88 These conditions of extreme social
    isolation cannot be meaningfully distinguished from the
    deprivations suffered by Plaintiffs here.
    85
    Walker, No. CIV. A. 07-4977, 
    2015 WL 390424
    , at *1.
    86
    Id.
    87
    
    Shoats, 213 F.3d at 144
    .
    88
    
    Wilkinson, 545 U.S. at 214
    .
    30
    In fact, in some respects, Plaintiffs’ conditions were
    more severe than those the Supreme Court found atypical and
    significant under “any plausible baseline.”89 Walker’s cell
    was even smaller than the cells in Wilkinson,90 and the
    inmates in Wilkinson were not subject to invasive strip
    searches when they left their cells. Accordingly, Plaintiffs
    have sufficiently alleged the significant and atypical
    conditions of confinement that give rise to a protected liberty
    interest.
    3. Defendants’ Alternate Standard
    Defendants assert that the appropriate standard in this
    case is not the general prison population as in Wilkinson and
    Shoats. Instead, they claim the metric we should use is the
    conditions imposed on “inmates serving similar sentences” or
    what Plaintiffs’ convictions have “authorized the State to
    impose.”91 Defendants thus claim the baseline of comparison
    here is death row itself92 because Plaintiffs remain eligible for
    the death penalty.93 Therefore, Defendants argue that
    89
    
    Id. at 223
    (emphasis added).
    90
    The size of Williams’s death row cell is not apparent in the
    record.
    91
    Defendants Br. at 26.
    92
    Defendants also suggest the comparator is conditions in
    general (non-death row) solitary confinement. This standard
    is untenable. It assumes, with no factual basis, that if
    Plaintiffs had been removed from death row earlier, they
    would necessarily have been placed in general solitary
    confinement as opposed to the general prison population.
    93
    
    Id. (“It is
    enough to say that, for these prisoners,
    confinement on death row is not a ‘departure’ from the
    baseline, it is the baseline.”) (emphasis in original). We note
    31
    Plaintiffs’ continued confinement on death row can hardly be
    atypical.
    This argument fails for at least two reasons. First, the
    standard Defendants propose is inconsistent with Shoats.
    There, we did not limit our focus to the conditions of solitary
    confinement, even though the DOC might think it appropriate
    to subject inmates evidencing violent tendencies such as
    Shoats’ to that level of deprivation. Rather, we judged
    Shoats’ conditions “in relation to the ordinary incidents of
    prison life” or relative to “‘routine’ prison conditions.”94 The
    terms “ordinary” and “routine” direct us to use a general
    metric (the general population), not one specific to a
    particular inmate. Second, though some courts have used the
    that in some jurisdictions, though to our knowledge
    Pennsylvania is not among them, even inmates with active
    death sentences are not always confined on death row—some
    are housed in the general population. See Arthur Liman Pub.
    Interest Program & Ass’n of St. Corr. Admin., Time-In-Cell:
    The ASCA-Liman 2014 National Survey of Administrative
    Segregation in Prison (Aug. 2015), 52-53,
    https://www.law.yale.edu/system/files/area/center/liman/docu
    ment/asca-liman_administrativesegregationreport.pdf
    [hereinafter Time-in-Cell]; Mark D. Cunningham & Mark P.
    Vigen, Death Row Inmate Characteristics, Adjustment, and
    Confinement: A Critical Review of the Literature, 20 Behav.
    Sci. & L. 191, 205 (2002); George Lombardi et al.,
    Mainstreaming Death-Sentenced Inmates: The Missouri
    Experience and its Legal Significance, 61 Fed. Prob. 3, 5
    (1997).
    94
    
    Shoats, 213 F.3d at 144
    (emphases added).
    32
    metric Defendants propose, it is unworkable in this context.95
    We cannot resolve Plaintiffs’ claims by reference to “inmates
    serving similar sentences” because, during the period at issue,
    Plaintiffs were not serving any sentence whatsoever. Their
    sentences had been vacated and resentencing had been
    ordered.
    Defendants’ other metric—what the State is authorized
    to impose—is based on a similarly mistaken premise. As we
    just explained, it is inconsistent with the analysis in both
    Wilkinson and Shoats. It also assumes that what the State is
    “authorized” to impose is determinative of our constitutional
    inquiry. However, whether Defendants were complying with
    DOC policy is irrelevant to our liberty interest analysis. As
    Plaintiffs point out, in Shoats, the DOC was following its own
    policy in providing Shoats with regular reviews and hearings
    regarding his placement in solitary confinement, and in
    keeping him there.96 But these policies were only relevant to
    our finding that Shoats’ due process rights had not been
    95
    See, e.g., Rezaq v. Nalley, 
    677 F.3d 1001
    , 1014 (10th Cir.
    2012) (“[I]t is appropriate to compare the nature of the
    challenged conditions to the type of nonpunitive confinement
    routinely imposed on inmates serving comparable
    sentences.”); Hatch v. District of Columbia, 
    184 F.3d 846
    ,
    847 (D.C. Cir. 1999) (holding that “due process is required
    when segregative confinement imposes an ‘atypical and
    significant hardship’ on an inmate in relation to the most
    restrictive conditions that prison officials . . . routinely
    impose on inmates serving similar sentences”).
    96
    
    Shoats, 213 F.3d at 142
    -43, 144-46.
    33
    violated.97 The DOC’s compliance with its policy did not
    stand in the way of us finding that Shoats had a liberty
    interest in avoiding solitary confinement. We answered the
    liberty interest question based on the conditions themselves,
    as we must if the Constitution is to be our guide.98
    Wilkinson likewise instructs that application of the
    DOC policy must be circumscribed by Plaintiffs’ liberty
    interest. In Wilkinson, the Court explained that “it is clear
    that the touchstone of the inquiry into the existence of a
    protected, state-created liberty interest in avoiding restrictive
    conditions of confinement is not the language of regulations
    regarding those conditions but the nature of those conditions
    themselves.”99 Therefore, Defendants’ reliance on their own
    policy cannot defeat Plaintiffs’ liberty interest. Rather, our
    inquiry must be governed by the conditions on death row.
    Wilkinson also counsels against weighing inmate
    dangerousness in determining whether Defendants’ continued
    confinement of Plaintiffs on death row without meaningful
    review violated their liberty interests. Defendants highlight
    the testimony of prison officials to claim that:
    97
    Id.
    98
    
    Id. at 144.
    99
    
    Wilkinson, 545 U.S. at 223
    (emphasis added); see also
    Parker v. Cook, 
    642 F.2d 865
    , 867 (5th Cir. 1981) (“[W]e
    must look to the substance of the state action to determine
    whether a liberty interest has been created. And whether this
    substance is embodied in a constitution, statute, regulation,
    rule, or practice is of no significance.”).
    34
    prisoners whose death sentences
    have been vacated, but who are
    still liable to have the death
    penalty re-imposed, present the
    same security and safety issues as
    those who are actually under a
    death sentence . . . . Thus, when a
    sentence of death is vacated on
    appeal or otherwise, the prisoner
    remains in a CCU until he or she
    is no longer exposed to the death
    penalty.100
    In Wilkinson, the Court explained: “[H]arsh conditions may
    well be necessary and appropriate in light of the danger that
    high-risk inmates pose both to prison officials and to other
    prisoners. . . . That necessity, however, does not diminish our
    conclusion that the conditions give rise to a liberty interest in
    their avoidance.”101       Thus, although dangerousness is
    certainly relevant to Defendants’ decisions about where to
    place inmates, it does not control the outcome of our due
    process analysis. It is the conditions themselves that
    determine whether a liberty interest is implicated and
    100
    Defendants Br. at 6. The district court came to a similar
    conclusion in its substantive due process analysis. It found
    the policy had a valid purpose because “[t]here is no doubt
    that an inmate in such a situation presents a heightened risk
    and threat to the safety and security of staff and other inmates
    . . . . they have ‘nothing left to lose.’” Wetzel, No. CIV. A.
    12-944, 
    2014 WL 252020
    , at *8.
    101
    
    Wilkinson, 545 U.S. at 224
    .
    35
    procedural protections must be in place to determine if the
    level of dangerousness justifies the deprivations imposed.
    4. The Scientific Consensus
    The robust body of scientific research on the effects of
    solitary confinement, combined with the Supreme Court’s
    analysis in Wilkinson and ours in Shoats, further informs our
    inquiry into Plaintiffs’ claim that they had a liberty interest in
    avoiding the extreme conditions of solitary confinement on
    death row. This research contextualizes and confirms the
    holdings in Wilkinson and Shoats: It is now clear that the
    deprivations of protracted solitary confinement so exceed the
    typical deprivations of imprisonment as to be the kind of
    “atypical, significant deprivation . . . which [can] create a
    liberty interest.”102
    A comprehensive meta-analysis of the existing
    literature on solitary confinement within and beyond the
    criminal justice setting found that “[t]he empirical record
    compels an unmistakable conclusion: this experience is
    psychologically painful, can be traumatic and harmful, and
    puts many of those who have been subjected to it at risk of
    long-term . . . damage.”103 Specifically, based on an
    examination of a representative sample of sensory deprivation
    studies, the researchers found that virtually everyone exposed
    102
    
    Sandin, 515 U.S. at 486
    .
    103
    Craig Haney & Mona Lynch, Regulating Prisons of the
    Future: A Psychological Analysis of Supermax and Solitary
    Confinement, 23 N.Y.U. Rev. L. & Soc. Change 477, 500
    (1997) [hereinafter Haney].
    36
    to such conditions is affected in some way.104 They further
    explained that “[t]here is not a single study of solitary
    confinement wherein non-voluntary confinement that lasted
    for longer than 10 days failed to result in negative
    psychological effects.”105      And as another researcher
    elaborated, “all [individuals subjected to solitary
    confinement] will . . . experience a degree of stupor,
    difficulties with thinking and concentration, obsessional
    thinking, agitation, irritability, and difficulty tolerating
    external stimuli.”106
    Anxiety and panic are common side effects.107
    Depression, post-traumatic stress disorder, psychosis,
    hallucinations, paranoia, claustrophobia, and suicidal ideation
    are also frequent results.108 Additional studies included in the
    aforementioned meta-analysis further “underscored the
    importance of social contact for the creation and maintenance
    of ‘self.’”109 In other words, in the absence of interaction
    with others, an individual’s very identity is at risk of
    disintegration.
    In light of the severity of solitary confinement
    conditions,    these   troubling   findings  are    hardly
    counterintuitive. In one of the most comprehensive surveys
    of conditions of solitary confinement to date, researchers
    104
    
    Id. at 500-03.
    105
    
    Id. at 531.
    106
    Grassian at 332.
    107
    See Haney at 500-01.
    108
    See 
    id. at 521,
    524, 530-31, 491 n.74.
    109
    
    Id. at 503.
    37
    gathered detailed data from prison directors.110 They found
    that solitary confinement cells typically range from 45 to 128
    square feet111 or, in Justice Kennedy’s words, “no larger than
    a typical parking spot.”112 The researchers also learned that
    in many jurisdictions, inmates spend twenty-three hours a day
    on weekdays, and forty-eight hours straight on weekends, in
    these miniscule spaces.113 Opportunities to stay connected
    with family and friends are also limited, with some
    jurisdictions only permitting video visits and forbidding visits
    by minors.114
    The results of all of these studies are really neither
    surprising, nor novel. Over one hundred years ago, well
    before the full emergence of the empirical research in this
    area, the Supreme Court recognized that solitary confinement
    caused “[a] considerable number of the prisoners [to] f[a]ll,
    after even a short confinement, into a semi-fatuous condition,
    from which it was next to impossible to arouse them, and
    others became violently insane.”115
    Now, with the abundance of medical and
    psychological literature, the “dehumanizing effect”116 of
    110
    Time-In-Cell.
    111
    
    Id. at ii.
    112
    Davis v. Ayala, 
    135 S. Ct. 2187
    , 2208 (2015) (Kennedy, J.,
    concurring).
    113
    Time-in-Cell at ii.
    114
    
    Id. at 45.
    115
    In re Medley, 
    134 U.S. 160
    , 168 (1890).
    116
    Glossip v. Gross, 
    135 S. Ct. 2726
    , 2765 (2015) (Breyer, J.,
    dissenting).
    38
    solitary confinement is firmly established. As Justice Breyer
    recognized, “it is well documented that such prolonged
    solitary confinement produces numerous deleterious
    harms.”117 A clinical review by an expert who has evaluated
    the psychiatric effects of solitary confinement in over two
    hundred inmates offers a case in point.118 This expert found
    that “disturbances were often observed in individuals who
    had no prior history of any mental illness.”119 That is to say,
    the evidence shows that the psychological trauma associated
    with solitary confinement is caused by the confinement itself.
    The relationship cannot be dismissed as merely a simple
    correlation between pre-existing mental health issues and
    placement in solitary confinement.
    This study also determined that even a short time in
    solitary confinement is associated with drastic cognitive
    changes: “Indeed, even a few days of solitary confinement
    will predictably shift the electroencephalogram (EEG) pattern
    toward an abnormal pattern characteristic of stupor and
    delirium.”120 In the words of the study’s author, solitary
    confinement is “strikingly toxic to mental functioning.”121
    As if psychological damage was not enough, the
    impact of the deprivation does not always stop there.
    Physical harm can also result. Studies have documented high
    117
    
    Id. 118 Grassian
    at 333.
    119
    
    Id. at 328-29.
    120
    
    Id. at 331.
    121
    
    Id. at 354.
    39
    rates of suicide122 and self-mutilation123 amongst inmates who
    have been subjected to solitary confinement. These behaviors
    are believed to be maladaptive mechanisms for dealing with
    the psychological suffering that comes from isolation.124 In
    addition, the lack of opportunity for free movement is
    associated with more general physical deterioration. The
    constellations of symptoms include dangerous weight loss,
    hypertension, and heart abnormalities, as well as the
    aggravation of pre-existing medical problems.125
    Personal accounts of individuals subjected to solitary
    confinement are consistent with this body of research and
    122
    See, e.g., Thomas B. Benjamin & Kenneth Lux,
    Constitutional and Psychological Implications of the Use of
    Solitary Confinement: Experience at the Maine State Prison,
    9 Clearinghouse Rev. 83, 84 (1975); Lindsay M. Hayes &
    Joseph R. Rowan, National Study of Jail Suicides: Seven
    Years Later, 32-33 (1988), http://www.ncianet.org/wp-
    content/uploads/2015/05/National-Study-of-Jail-Suicides-
    Seven-Years-Later-1988.pdf (finding that isolation is one of
    the key correlates of jail suicides).
    123
    See, e.g., Hans Toch, Mosaic of Despair: Human
    Breakdowns in Prison 52-53 (Revised ed., 1992); Stuart
    Grassian, Psychopathological Effects of Solitary
    Confinement, 140 Am. J. Psychiatry 1450, 1453 (1983).
    124
    See Frank J. Porporino, Managing Violent Individuals in
    Correctional Settings, 1 J. Interpersonal Violence 213, 219
    (1986).
    125
    See Haney at 531; Richard Korn, The Effects of
    Confinement in the High Security Unit at Lexington, 15 Soc.
    Just. 8, 16 (1988).
    40
    describe the devastating effects of extreme isolation and
    sensory deprivation. One individual who spent twenty-nine
    years in solitary confinement explained, “At times I felt an
    anguish that is hard to put into words. To live 24/7 in a box,
    year after year, without the possibility of parole, probation or
    the suspension of sentence is a terrible thing to endure.”126
    The experience drives some individuals to contemplate
    suicide.127
    The conclusion of another inmate paints a similar
    picture. He described solitary confinement as capable of
    “alter[ing] the ontological makeup of a stone.”128 Given the
    research that we have discussed, that statement cannot be
    126
    Robert King, Experience: I Spent 29 Years in Solitary
    Confinement, GUARDIAN (Aug. 27, 2010),
    https://www.theguardian.com/lifeandstyle/2010/aug/28/29-
    years-solitary-confinement-robert-king; see also Five Omar
    Mualimm-ak, Solitary Confinement’s Invisible Scars,
    Guardian (Oct. 30, 2013),
    https://www.theguardian.com/commentisfree/2013/oct/30/soli
    tary-confinement-invisible-scars (“Everyone knows that
    prison is supposed to take away your freedom. But solitary
    doesn’t just confine your body; it kills your soul . . . . Even
    now that I am out of prison, I suffer major psychological
    consequences from those years in isolation.”).
    127
    Reginald Dwayne Betts, Only Once I Thought About
    Suicide, 125 Yale L.J. F. 222, 228 (2016),
    http://www.yalelawjournal.org/forum/only-once-i-thought-
    about-suicide.
    128
    Jack Henry Abbott, In the Belly of the Beast: Letters from
    Prison 45 (1981).
    41
    dismissed merely because it is hyperbole. In fact, that inmate
    eventually committed suicide in prison.129 And as we have
    just shown, his is not the only story of solitary confinement
    followed by deterioration and self-harm. These stories
    confirm what the scores of studies130 that have examined this
    phenomenon tell us: Continued solitary confinement, the
    experience Plaintiffs complain of here, poses a grave threat to
    well-being.
    This data compels us to recognize the similarities
    between the plight of Plaintiffs, and those of Shoats and the
    inmates in Wilkinson. All were indefinitely subject to
    isolating conditions that researchers agree cause deep and
    long-term psychic harm. Such harm is the essence of the
    atypical and significant hardship inquiry required under
    Sandin and Wilkinson.
    129
    Prison Writer Jack H. Abbott Dies, Wash. Post (Feb. 12,
    2002),
    https://www.washingtonpost.com/archive/local/2002/02/12/pr
    ison-writer-jack-h-abbott-dies/b12e2969-a2e7-4530-bc72-
    d78af089023f/.
    130
    See, e.g., Henrik S. Andersen et al., A Longitudinal Study
    of Prisoners on Remand Repeated Measures of
    Psychopathology in the Initial Phase of Solitary versus
    Nonsolitary Confinement, 26 Int’l J.L. & Psychiatry 165, 173-
    75 (2003); Terry A. Kupers, What to Do with the Survivors?
    Coping with the Long-Term Effects of Isolated Confinement,
    35 Crim. Just. & Behav. 1005, 1010 (2008); David Lovell,
    Patterns of Disturbed Behavior in a Supermax Population, 35
    Crim. Just. & Behav. 985, 997 (2008).
    42
    5. Purportedly Contrary Precedent Cited by Defendants
    With one exception, which we shall discuss, the cases
    Defendants rely upon in arguing against Plaintiffs’ liberty
    interest are readily distinguishable. Those cases hold that
    inmates confined under a death sentence do not have a liberty
    interest that precludes confinement on death row without
    regular review.131 However, those inmates were all confined
    pursuant to death sentences that had not been vacated.
    Accordingly, confinement on death row was not a significant
    or atypical hardship for them. Rather, it was expressly within
    the “expected perimeters of the sentence imposed.”132 This
    logic does not apply here. Plaintiffs were no longer being
    confined under a death sentence because their death sentences
    had been vacated. Their liberty interests are thus not
    131
    Prieto v. Clarke, 
    780 F.3d 245
    , 252 (4th Cir. 2015) (“[A]
    court cannot conclude that death row inmates have a state-
    created interest in consideration for non-solitary confinement
    when the State’s established written policy expressly
    precludes such consideration.”); Smith v. Coughlin, 
    748 F.2d 783
    , 787 (2d Cir. 1984) (“[I]n light of [state law], which
    expressly mandated his confinement [on death row], appellant
    had no basis to claim to be the beneficiary of any state-
    created liberty interest.”); Parker v. Cook, 
    642 F.2d 865
    , 874
    n.7 (5th Cir. 1981) (“Because death row inmates are never
    placed in the general population or given an expectation of
    being placed in the general population, it appears that no
    liberty interest is affected when they are placed in
    administrative segregation.”).
    132
    
    Sandin, 515 U.S. at 485
    .
    43
    comparable to those of inmates with active death sentences
    that arguably require continued placement on death row.
    Defendants and the district court also relied on Clark
    v. Beard.133       There, the Commonwealth Court of
    Pennsylvania examined the same policy that is at issue here
    under circumstances that were similar to those before us.
    Clark did involve inmates confined on death row without
    active death sentences.134 However, that court’s analysis does
    not advance our inquiry. That court merely found the inmates
    failed to provide the facts necessary to establish an
    appropriate comparator for their conditions of confinement:
    “Their complaint describes the conditions in the Capital Case
    Unit, but it is devoid of any baseline against which to
    measure those conditions and determine whether they pose an
    ‘atypical and significant hardship.’”135 As a result, the court
    concluded it could not determine if the inmates’ conditions
    gave rise to a liberty interest under Sandin. Clark’s holding
    thus rested on an evidentiary determination, not a
    constitutional one rooted in the Due Process Clause. Clark
    did not decide if the inmates had a liberty interest in being
    housed outside death row.136 Consequently, Clark simply
    does not answer the question posed here.
    133
    
    918 A.2d 155
    (Pa. Comm. Ct. 2007).
    134
    
    Id. at 159.
    135
    
    Id. at 162-63.
    136
    
    Id. As the
    district court noted here, “Defendants cited
    Clark as a basis for dismissal in their motion to dismiss. We
    were not persuaded, however, observing that the
    Commonwealth Court’s affirmance in Clark was based on the
    plaintiffs’ failure to appropriately plead a cause of action-not
    44
    For the reasons we have discussed, we now hold that
    Plaintiffs had a due process liberty interest in avoiding the
    extreme sensory deprivation and isolation endemic in
    confinement on death row after their death sentences had
    been vacated.137 However, as we explain below, we must
    nevertheless affirm the district courts’ grants of summary
    judgment in favor of Defendants because we conclude that
    they are entitled to qualified immunity.
    C. Was the Right Clearly Established?
    Having found a violation of Plaintiffs’ constitutional
    rights, we now determine whether the scope of the right was
    clearly established for the purposes of Defendants’ defense of
    qualified immunity.
    As the district court suggested, a qualified immunity
    analysis looks through the rearview mirror, not the
    necessarily on the absence of a constitutional right to be
    housed in the general population after their death sentences
    were vacated.” Walker, No. CIV. A. 07-4977, 
    2015 WL 390424
    , at *4.
    137
    As noted at the outset, only the district court that heard
    Williams’s case reached the due process question. The
    district court that decided Walker’s claim ruled on qualified
    immunity alone. Nevertheless, our conclusion regarding the
    due process right to avoid restrictive conditions of
    confinement applies equally to Walker, who was subjected to
    the same conditions under the same circumstances.
    45
    windshield.138 The inquiry focuses on the state of the relevant
    law when the violation allegedly occurred. For a right to
    have been “clearly established,” “existing precedent must
    have placed the statutory or constitutional question beyond
    debate.” 139 However, the facts of the existing precedent need
    not perfectly match the circumstances of the dispute in which
    the question arises. “[O]fficials can still be on notice that
    their conduct violates established law even in novel factual
    circumstances.” 140 Requiring that precedent and subsequent
    disputes rest on identical facts would license state actors to
    violate constitutional rights with impunity simply by varying
    some irrelevant aspect of constitutional violations.
    Here, although the precedent that existed when
    Defendants continued Plaintiffs’ confinement on death row
    should have suggested caution, it was not sufficient to inform
    Defendants that their conduct violated clearly established law.
    In arguing to the contrary, Plaintiffs cite Shoats for the
    proposition that an inmate’s due process right to avoid
    solitary confinement was clearly established.141 We agree
    that the interest in avoiding extreme seclusion in Shoats is
    analogous to Plaintiffs’ liberty interest even though Shoats
    did not involve confinement on death row. As we have
    already explained, the conditions of confinement in Shoats—
    indefiniteness and extreme seclusion—closely mirror those
    Plaintiffs suffered. Thus, Shoats is consistent with, and does
    support, Plaintiffs’ claim that they had a protected liberty
    138
    See Crawford-El v. Britton, 
    523 U.S. 574
    , 590 (1998).
    139
    Ashcroft v. al-Kidd, 
    563 U.S. 731
    , 741 (2011).
    140
    Hope v. Pelzer, 
    536 U.S. 730
    , 741 (2002).
    141
    Shoats, 
    213 F.3d 140
    .
    46
    interest. However, we are not prepared to conclude that
    Shoats was sufficient to clearly establish Plaintiffs’ due
    process interest in avoiding confinement on death row.
    Shoats was not the only relevant law in existence
    during Plaintiffs’ confinement after their sentences had been
    vacated. Section 4303142 and its implementing policy143
    setting forth the conditions for release from death row also
    bear on whether Plaintiffs’ due process rights were clearly
    established. Plaintiffs do not contest the legality of the statute
    or policy themselves. Rather, Plaintiffs concede that despite
    Shoats, the policy gave Defendants reason to believe their
    actions were lawful: “Admittedly, whether Appellants’ rights
    were ‘clearly established’ at the time of the violation is a
    difficult question. Prison officials were following a prison
    policy that required that Appellants remain on death row until
    they were resentenced.”144
    Defendants read the statute and policy as creating a
    rule that requires “prisoners like Williams and Walker, whose
    death sentences have been vacated but who are still exposed
    to the death penalty, [to] remain [on death row] until re-
    sentenced to something other than death.”145           Though
    Defendants do not parse the policy, their interpretation is not
    without support. The policy’s first criterion for removal from
    death row is “that an order is received modifying the sentence
    142
    61 Pa. Cons. Stat. § 4303.
    143
    Pennsylvania Department of Corrections Capital Case
    Procedures Manual 6.5.8.1.S; JA at 91.
    144
    Plaintiffs Supp. Br. at 4.
    145
    Defendants Br. at 13.
    47
    of a Capital Case inmate to life imprisonment due to a re-
    sentencing proceeding held as the result of an appeal or Post
    Conviction Relief Act, or as the result of a commutation.”146
    At the time in question, Plaintiffs’ sentences had not yet been
    modified to life without the possibility of parole. Their
    sentences had been vacated. Nor were their death sentences
    commuted. Because Plaintiffs do not satisfy the first
    condition for release from death row pursuant to the policy,
    we need not reach the second two criteria. We merely note
    that Defendants’ continued confinement of Plaintiffs on death
    row resulted from a reasonable interpretation of the policy.
    In recognizing the validity of Defendants’
    interpretation of the policy, we do not suggest that the
    profound liberty concerns raised by Plaintiffs’ continued
    confinement on death row can be overcome by a carefully
    worded prison policy. State policy cannot undermine a
    constitutional interest. Rather, Defendants’ policy is only
    relevant to our qualified immunity analysis because the case
    law in existence during Plaintiffs’ continued confinement on
    death row did not adequately inform Defendants that the
    policy ran counter to Plaintiffs’ protected liberty interests.
    Indeed, the limited precedent that existed on the topic
    suggested the contrary.
    Clark, as well as the district court that decided
    Williams’s claim, read the policy and underlying statute the
    same way Defendants did.147 They concluded that these
    146
    Pennsylvania Department of Corrections Capital Case
    Procedures Manual 6.5.8.1.S.1 (emphasis added); JA at 91.
    147
    Wetzel, No. CIV. A. 12-944, 
    2014 WL 252020
    , at *3
    (“[P]ursuant to the aforementioned DOC policy, the
    48
    mandates required inmates’ continued confinement on death
    row despite the fact that their death sentences had been
    vacated. In Clark, the Commonwealth Court of Pennsylvania
    described the policy as establishing that “[a]n inmate
    successful in having his capital punishment replaced by
    another sentence is eligible to be discharged from custody [on
    death row].”148 Although, as we have just noted, Shoats
    should have raised concerns and counseled caution, Shoats
    does not directly dispute Clark or Defendants’ interpretation
    of the policy because Shoats was not on death row. Thus, the
    DOC death row policy was simply not at issue there. We
    therefore cannot say Defendants’ actions here were “plainly
    incompetent” or a “knowing[] violat[ion of] the law.”149
    Accordingly, we will affirm the district courts’ grants
    of summary judgment based on qualified immunity in favor
    of all Defendants and against both Plaintiffs. We realize that
    the court that decided Williams’s case incorrectly concluded
    that Williams did not have a protected liberty interest and
    therefore did not reach the question of qualified immunity.
    However, “[w]e may affirm a judgment on any ground
    apparent from the record, even if the district court did not
    undersigned agrees with Defendants’ position as to why
    Plaintiff was confined [on death row] during the disputed
    period of time.”); 
    Clark, 918 A.2d at 161
    (“The warrant is the
    trigger for moving an inmate to [death row], but it is not the
    key to his continued stay there.”).
    148
    
    Clark, 918 A.2d at 164
    (emphasis added).
    149
    Acierno v. Cloutier, 
    40 F.3d 597
    , 616 (3d Cir. 1994) (en
    banc) (quoting Malley v. Briggs, 
    475 U.S. 335
    , 341 (1986)).
    49
    reach it.”150 Our qualified immunity analysis applies equally
    to Walker and Williams.151
    V. CONCLUSION:
    A. The Jurisprudential Shift
    Given the scientific consensus, it should come as no
    surprise that courts have recently started recognizing inmates’
    due process right to avoid solitary confinement as clearly
    established. The Court of Appeals for the Fifth Circuit’s
    decision in Wilkerson v. Goodwin is illustrative.152 There, the
    record showed that the inmate had been confined to his cell
    for approximately twenty-three hours a day for nearly forty
    150
    Kabakjian v. United States, 
    267 F.3d 208
    , 213 (3d Cir.
    2001).
    151
    As stated earlier, Williams sued Defendants in their
    individual and official capacities. The district court did not
    have to distinguish between the two types of defendants and
    claims because it decided that there was no underlying
    constitutional violation. Because we affirm on the second
    prong of qualified immunity, we do need to reach the
    distinction, as official-capacity defendants cannot take
    advantage of the qualified immunity defense. See Melo v.
    Hafer, 
    912 F.2d 628
    , 636 (3d Cir. 1990). Thus, we will
    affirm in favor of the official-capacity Defendants on the
    alternative but well-worn ground that Williams’s § 1983
    claims for money damages against the official-capacity
    Defendants were barred by Eleventh Amendment immunity.
    Betts v. New Castle Youth Dev. Ctr., 
    621 F.3d 249
    , 254 (3d
    Cir. 2010).
    152
    
    774 F.3d 845
    (5th Cir. 2014).
    50
    years, and his rights to visitation, personal property, and
    exercise had been severely curtailed.153 Recognizing the clear
    threat to liberty such conditions pose, the court denied the
    prison officials’ assertion of qualified immunity: “Viewed
    collectively, there can be no doubt that these conditions are
    sufficiently severe to give rise to a liberty interest under
    Sandin. This is particularly true in light of the district court’s
    finding that [the inmate’s] solitary confinement at Wade is
    effectively indefinite.”154
    Speaking in nearly identical terms, the Court of
    Appeals for the Second Circuit held that “[w]hatever
    confusion Sandin may have left in its wake, defendants do not
    argue, nor could a credible argument be made, that it was not
    clearly established at the time of the alleged violations that . .
    . ten years of solitary confinement[] triggered due process
    protection.”155 The Courts of Appeals for the Fourth156 and
    Sixth Circuits157 have also recognized the constitutional
    153
    
    Id. at 848-49.
    154
    
    Id. at 856.
    155
    Hanrahan v. Doling, 
    331 F.3d 93
    , 99 (2d Cir. 2003) (per
    curiam).
    156
    See Incumaa v. Stirling, 
    791 F.3d 517
    , 531 (4th Cir. 2015),
    as amended (July 7, 2015) (“Appellant offered evidence
    demonstrating that conditions in [solitary confinement] are
    significantly worse than in the general population and that the
    severity, duration, and indefiniteness of his confinement
    implicate the concerns the Supreme Court identified in
    Wilkinson.”).
    157
    See Harden-Bey v. Rutter, 
    524 F.3d 789
    , 792 (6th Cir.
    2008) (recognizing that the plaintiff, an inmate subjected to
    51
    implications of solitary confinement. In Incumaa v. Stirling,
    the Court of Appeals for the Fourth Circuit found that the
    “near-daily cavity and strip searches; the confinement to a
    small cell for all sleeping and waking hours, aside from ten
    hours of activity outside the cell per month; [and] the inability
    to socialize with other inmates” endemic to solitary
    confinement were sufficiently severe to establish a protected
    liberty interest.158 In Prieto v. Clarke, one member of that
    court went even further in a vigorous dissent, critiquing
    limitations on the due process rights of all inmates housed in
    extreme solitary confinement, even those on death row with
    active death sentences.159
    A recent decision by the United States District Court
    for the Middle District of Pennsylvania is a prime example of
    the judiciary’s increasing recognition of the scientific
    evidence of the harms of solitary confinement.160 In Johnson
    solitary confinement, “has a point. Even after a proper
    conviction and sentence, an inmate still retains a ‘liberty’
    interest, guarded by due process, with respect to state-
    imposed prison discipline that rises to the level of an ‘atypical
    and significant hardship on the inmate’” (quoting 
    Sandin, 515 U.S. at 484
    )).
    
    158 791 F.3d at 531
    .
    159
    
    Prieto, 780 F.3d at 255-56
    (Wynn, J., dissenting) (“In my
    view, the majority opinion reads Wilkinson unnecessarily
    narrowly in signing off on Prieto’s automatic, permanent, and
    unreviewable placement in the highly restrictive conditions of
    Virginia’s death row.”).
    160
    We discuss this case merely to highlight its factual
    findings and strong reliance on scientific research, both of
    52
    v. Wetzel, the district court held that the damage of indefinite
    solitary confinement was so severe, certain, and irreparable
    that Johnson—an inmate who had been subjected to solitary
    confinement for decades—was entitled to a preliminary
    injunction requiring his transfer to the general population.161
    The district court ordered this “extraordinary remedy”162
    because Johnson, though not on death row, was subjected to
    conditions much like those Plaintiffs experienced here.
    Johnson’s “entire existence [was] restricted, for at least
    twenty-three hours per day, to an area smaller than the
    average horse stall.”163 Like Plaintiffs, Johnson was left for
    lost in the solitude of his cell walls “ad infinitum.”164
    Johnson testified about the extensive harms these conditions
    have caused him, including depression, memory loss, and
    profound hopelessness.165 A scientific expert who examined
    Johnson corroborated his symptoms, concluding that Johnson
    which are highly relevant to the issue before us. We, of
    course, do not rely on this case as precedent, or take any
    position on the merits of the court’s decision.
    161
    No. 1:16-CV-863, 
    2016 WL 5118149
    , at *12 (M.D. Pa.
    Sept. 20, 2016). The district court grounded its preliminary
    injunction in the Eighth Amendment’s prohibition against
    cruel and unusual punishment. 
    Id. at *6.
    The district court’s
    findings on the harms of solitary confinement are pertinent to
    our procedural due process analysis, which must consider the
    significance of the conditions of confinement.
    162
    
    Id. at *5.
    163
    
    Id. at *1.
    164
    
    Id. at *11.
    165
    
    Id. at *4.
    53
    has “deteriorated to the point of social death as a direct result
    of his continued isolation.”166
    The district court found robust support for Johnson’s
    claim in academic literature. It noted that researchers have
    observed that “psychological stressors such as isolation can
    be as clinically distressing as physical torture.”167 It also
    emphasized that it is not the only district court to have
    recognized the obviousness of the harms of solitary
    confinement.168 As another district court has explained, “that
    prolonged isolation from social and environmental
    stimulation increases the risk of developing mental illness
    does not strike this Court as rocket science.”169
    In our ruling today, we now explicitly add our
    jurisprudential voice to this growing chorus. In doing so, we
    rely, in part, upon the scientific consensus and the recent
    precedent involving non-death row solitary confinement.
    Those decisions advance our inquiry into the unique, yet
    analogous, scenario presented here.170 Inmates in solitary
    confinement on death row without active death sentences face
    the perils of extreme isolation and are at risk of erroneous
    deprivation of their liberty. Accordingly, they have a clearly
    established due process right under the Fourteenth
    166
    
    Id. at *8
    (emphasis added).
    167
    
    Id. at *9.
    168
    
    Id. 169 McClary
    v. Kelly, 
    4 F. Supp. 2d 195
    , 208 (W.D.N.Y. Apr.
    30, 1998).
    170
    As previously noted, pursuant to Pennsylvania law death
    row is solitary confinement. 61 Pa. Cons. Stat. § 4303.
    54
    Amendment to avoid unnecessary and unexamined solitary
    confinement on death row. The State must therefore afford
    these inmates procedural protections that ensure that
    continuing this level of deprivation is required for penological
    purposes, and is not reflexively imposed without
    individualized justification.
    B. Plaintiffs’ Due Process Right to Avoid
    Death Row Solitary Confinement is Now Clearly
    Established
    Our holding today that Plaintiffs had a protected
    liberty interest provides “fair and clear warning”171 that,
    despite our ruling against Plaintiffs, qualified immunity will
    not bar such claims in the future. As we have explained,
    scientific research and the evolving jurisprudence has made
    the harms of solitary confinement clear: Mental well-being
    and one’s sense of self are at risk.172 We can think of few
    values more worthy of constitutional protection than these
    core facets of human dignity. Accordingly, we accept
    Plaintiffs’ request that “[t]his Court . . . make clear what
    prison officials should have already known: those no longer
    171
    United States v. Lanier, 
    520 U.S. 259
    , 271 (1997).
    172
    See Stuart Grassian & Nancy Friedman, Effects of Sensory
    Deprivation in Psychiatric Seclusion and Solitary
    Confinement, 8 Int’l J.L. & Psychiatry 49, 53 (1986) (“The
    more recent literature on this subject has also nearly
    uniformly described or speculated that solitary confinement
    has serious psychopathological consequences.”).
    55
    subject to the death penalty . . . have a due process right to be
    free from indefinite conditions of solitary confinement.”173
    C. The Required Procedural Protections
    It is important to emphasize that this right to
    procedural due process protections is neither abstract nor
    symbolic, but both meaningful and required. In Shoats, upon
    finding a protected liberty interest in avoiding solitary
    confinement, we described what we considered to be
    adequate procedural protections. There, we granted summary
    judgment to the prison official defendants only because the
    procedures provided were sufficient to protect Shoats from
    being improperly held in solitary confinement.174 We noted
    that under the applicable DOC policy, “an inmate must
    receive written notice of the reason for his placement in
    administrative custody and he is entitled to receive a hearing
    before a PRC within six days of the initial transfer to
    administrative custody.”175       Most importantly for our
    purposes, “[e]very thirty days thereafter, inmates . . . have the
    opportunity to be personally interviewed by the PRC, which
    then determines whether the inmate should continue to be
    maintained in administrative custody.”176 That determination
    takes into account “a variety of factors including the safety of
    other inmates and staff [and] the continued public or
    institutional risk.”177 According to the DOC procedures as set
    173
    Plaintiffs Supp. Br. 4.
    174
    
    Shoats, 213 F.3d at 147
    .
    175
    
    Id. at 142.
    176
    
    Id. 177 Id.
    56
    forth in the record before us in this case, the PRC’s decision
    may be based on evidence such as “counselor’s reports [and]
    Psychiatric/Psychological information.”178 For Shoats, we
    found that the “record reflect[ed] that the procedures called
    for did in fact occur.”179
    We see no justification consistent with these Plaintiffs’
    constitutionally protected liberty interests for subjecting them
    to the deprivations of being housed on death row after their
    death sentences were vacated with any less procedural
    protections than we held were adequate in Shoats.180
    178
    JA at 116 ¶7.
    179
    
    Shoats, 213 F.3d at 145
    .
    180
    We note, simply to stress the importance of individualized
    placement reviews, that comparative studies examining the
    incidence of prison violence have found equivalent rates
    between death-sentenced and non-death-sentenced inmates.
    See, e.g., Mark D. Cunningham & Thomas J. Reidy, Don’t
    Confuse Me with the Facts: Common Errors in Violence Risk
    Assessment at Capital Sentencing, 26 Crim. Just. & Behav.
    20, 23-24, 27 (1999); Jon Sorensen & Robert D. Wrinkle, No
    Hope for Parole: Disciplinary Infractions among Death-
    Sentenced and Life-Without-Parole Inmates, 23 Crim. Just. &
    Behav. 542, 549-50 (1996).
    As one analysis concluded, “An expectation then that
    death row inmates will invariably commit assaults in prison
    because they have ‘nothing to lose’ appears to be unfounded.”
    Mark D. Cunningham & Mark P. Vigen, Death Row Inmate
    Characteristics, Adjustment, and Confinement: A Critical
    Review of the Literature, 20 Behav. Sci. & L. 191, 203
    57
    The review that we found adequate in Shoats is not an
    inconvenient ritual intended to shelter officials from liability
    so that they may mechanically continue an inmate’s
    confinement on death row after a sentence of death has been
    vacated without fear of sanction. Rather, such inmates have a
    right to regular and meaningful review of their continued
    placement on death row.181 In conjunction with periodic
    review, to ensure the review is meaningful, this process must
    include a statement of reasons for the continued placement on
    death row.182     Inmates must also have a meaningful
    opportunity to respond to the reasons provided.183 These
    procedures would be of little value absent the attendant right
    (2002). This conclusion may well apply here, where the
    vacatur of Plaintiffs’ death sentences made life theirs to lose.
    This is precisely why an individualized assessment of the
    necessity of continued confinement of inmates like Plaintiffs
    on death row by the prison PRC is so necessary.
    181
    See Hewitt v. Helms, 
    459 U.S. 460
    , 477 n.9 (1983) (“Of
    course, administrative segregation may not be used as a
    pretext for indefinite confinement of an inmate. Prison
    officials must engage in some sort of periodic review of the
    confinement of such inmates.” (emphasis added)), overruled
    on other grounds by Sandin, 
    515 U.S. 472
    .
    182
    See 
    Wilkinson, 545 U.S. at 226
    (“If the recommendation is
    [solitary] placement, Ohio requires that the decisionmaker
    provide a short statement of reasons. This requirement
    guards against arbitrary decisionmaking while also providing
    the inmate a basis for objection before the next decisionmaker
    or in a subsequent classification review.”); see also JA at 97
    ¶4.
    183
    See JA at 99 ¶6.
    58
    of a hearing.184 Without such protections, the Constitution’s
    guarantee of due process would be “a tale . . . full of sound
    and fury, signifying nothing.”185 As Justice Kennedy has
    explained, this would leave individuals vulnerable to
    erroneous and unjustifiable infliction of “[y]ears on end of
    near-total isolation” at “a terrible price.”186
    VI.
    For the foregoing reasons, we will affirm the district
    courts’ orders granting summary judgment in favor of
    Defendants based on qualified immunity. We also hold that it
    is now clearly established that inmates on death row whose
    death sentences have been vacated have a due process right to
    avoid continued placement in solitary confinement on death
    row, absent the kind of meaningful protections discussed
    herein.
    184
    See Wolff v. McDonnell, 
    418 U.S. 539
    , 557-58 (1974).
    185
    William Shakespeare, Macbeth, act V, sc. V.
    186
    Davis v. Ayala, 
    135 S. Ct. 2187
    , 2210 (2015) (Kennedy, J.,
    concurring).
    59