Cathy Minix v. Frank Canarecci ( 2010 )


Menu:
  •                              In the
    United States Court of Appeals
    For the Seventh Circuit
    Nos. 09-2001 & 09-2817
    C ATHY M INIX,
    Plaintiff-Appellant,
    v.
    F RANK C ANARECCI, JR., et al.,
    Defendants-Appellees.
    Appeals from the United States District Court
    for the Northern District of Indiana, South Bend Division.
    No. 05 C 144—Robert L. Miller, Jr., Judge.
    A RGUED D ECEMBER 2, 2009—D ECIDED F EBRUARY 26, 2010
    Before B AUER, K ANNE, and T INDER, Circuit Judges.
    T INDER, Circuit Judge. While incarcerated at the
    St. Joseph County Jail, Gregory Zick, an inmate with a
    history of suicidal tendencies, took his own life. Zick’s
    mother, Cathy Minix, brought suit under 42 U.S.C. § 1983
    against several jail officials for their alleged deliberate
    indifference to Zick’s suicide risk. The district court
    granted summary judgment in favor of the defendants.
    We affirm.
    2                                  Nos. 09-2001 & 09-2817
    I. Background
    Gregory Zick was a mental health patient at Indiana’s
    Richmond State Hospital. In March 2003, Zick was on
    leave from the hospital at the request of his mother, Cathy
    Minix, to attend a family funeral. Unfortunately, Zick
    became separated from Minix and, on March 22, was
    arrested on charges of theft and battery.
    Zick was incarcerated at the St. Joseph County
    Jail. During booking, jail personnel noted that Zick had
    laceration scars on his wrist and neck, and Zick admitted
    to attempting suicide in the previous month. It was
    also learned that Zick was taking several prescription
    medications to inhibit suicidal thoughts, and the jail
    arranged for Zick to continue receiving those medications.
    The jail provided for inmates’ health care by contracting
    with outside companies. Memorial Home Care, Inc. had
    an agreement with the jail to provide medical, dental, and
    psychiatric care. Dr. Douglas David was a Memorial
    employee who performed medical director services at
    Memorial’s jail facility, and Nurse Jeanne James was
    the manager of the facility who supervised the nursing
    staff. The jail also had an agreement with Madison
    Center, Inc., a community mental health center, to
    provide mental health services on a referral basis.
    Shortly after Zick’s incarceration, a jail classification
    officer wrote a letter to Nurse James indicating that Zick
    should be placed on a suicide watch in light of his
    recent suicide attempt and depressed attitude. Zick was
    accordingly housed in medical segregation for observa-
    tion. A few days later, on March 27, Madison employee
    Nos. 09-2001 & 09-2817                                    3
    Christine Lonz met with Zick during her weekly visit to
    the jail for mental heath assessments. Lonz, who had
    experience but no formal licensure in mental health
    treatment, did not review Zick’s medical chart or list of
    medications. She also did not speak with any jail
    personnel regarding Zick’s condition or learn that he
    had been placed on a suicide watch. During her deposi-
    tion, Lonz testified that she could not recall the specifics
    of her conversation with Zick, only that he was generally
    polite and cooperative. After speaking with Zick, Lonz
    filed a brief report noting that Zick denied having
    suicidal thoughts.
    The same day as Lonz’s assessment, Nurse James pre-
    pared a form requesting that Zick be taken off suicide
    watch in medical segregation and transferred into the
    general population, noting that Zick denied having
    suicidal tendencies.
    About a month later, on April 21, Zick refused his
    medications, and jail officers noted that a blade was
    missing from Zick’s razor. Officers moved Zick to medical
    segregation for a suicide watch and charged Zick with
    “attempted suicide,” improper use of materials, and
    disruptive conduct. Over the next two days of observa-
    tion in medical segregation, nurses reported that Zick
    was alert and polite and denied suicidal thoughts, and
    on April 23, James arranged for Zick’s transfer out of
    medical segregation. Because Zick had been charged
    with attempted suicide and other violations, he was
    transferred to disciplinary segregation rather than back
    into the general population. A jail officer saw Zick in his
    4                                  Nos. 09-2001 & 09-2817
    cell at dinner time, just after 4:00 p.m., but the next re-
    corded check on Zick was not until 11:00 p.m., when an
    officer discovered that Zick had used his bed sheet to
    hang himself from the bars on his cell window. A nurse
    soon arrived and determined that Zick was unresponsive.
    Minix, as the personal representative of Zick’s estate,
    brought a § 1983 action against multiple defendants,
    including Madison Center, Lonz, Memorial Home Care,
    Nurse James, Dr. David, the St. Joseph County Sheriff
    (Frank Canarecci, Jr.), and several other jail and county
    officials. Minix alleged that the defendants violated
    Zick’s Eighth and Fourteenth Amendment rights by
    displaying deliberate indifference to his risk of sui-
    cide. Minix also raised supplemental claims under
    Indiana law.
    On Minix’s deliberate indifference claim, the district
    court granted summary judgment in favor of all defen-
    dants except Memorial, Dr. David, and the Sheriff in
    his official capacity. The court found a triable issue on
    whether Memorial and the Sheriff were liable for main-
    taining inadequate suicide-prevention policies at the
    jail. As for David, the court determined that a jury could
    find that David acted with deliberate indifference in
    delegating the authority to assess suicidal inmates to
    an unqualified nursing staff.
    Upon the defendants’ motion to reconsider, however,
    the district court reversed its summary judgment ruling
    with respect to Memorial and David. The court acknowl-
    edged that, in its initial ruling, the court erroneously
    relied on the opinion of one of Minix’s experts,
    Nos. 09-2001 & 09-2817                                   5
    Dr. Gutierrez, who concluded that the jail nursing staff
    lacked the required training to assess Zick’s suicide risk.
    The court further determined that Gutierrez’s opinion
    was not reliable enough to be admitted as expert
    evidence under Federal Rule of Evidence 702. With the
    exclusion of Gutierrez’s opinion, Minix’s evidence
    was insufficient to avoid summary judgment on her
    deliberate indifference claim against Memorial and David.
    That left Minix’s official-capacity claim against the
    Sheriff as the only federal claim in the lawsuit. But the
    Sheriff made Minix an offer of judgment in the amount
    of $75,000 pursuant to Federal Rule of Civil Procedure
    68. Minix accepted the offer, and the district court
    entered judgment against the Sheriff, who has since
    paid Minix the judgment amount. Having resolved all of
    Minix’s federal claims, the district court declined to
    exercise supplemental jurisdiction over Minix’s state-
    law claims and dismissed those claims without prejudice.
    Minix appeals the district court’s adverse summary
    judgment ruling on her deliberate indifference claim
    with respect to only defendants Lonz, Madison Center,
    Nurse James, Dr. David, and Memorial Home Care. The
    portions of the judgment dismissing the other jail and
    county officials are not appealed.
    II. Analysis
    A. Jurisdiction and Mootness
    We begin by addressing whether we have jurisdiction
    over this appeal, and specifically, whether Minix’s accep-
    6                                  Nos. 09-2001 & 09-2817
    tance of the Sheriff’s $75,000 offer of judgment mooted
    this case. Minix is entitled to only one full compensation
    for any single, indivisible injury caused by the
    defendants, who are each jointly and severally liable for
    that injury. Watts v. Laurent, 
    774 F.2d 168
    , 179 (7th Cir.
    1985). So if the Sheriff’s $75,000 offer of judgment was
    full compensation for Minix’s injury, Minix could not
    recover more compensation from any other defendant.
    Minix would be left with no viable claim for com-
    pensatory damages against the other defendants in this
    appeal, suggesting that her appeal is moot.
    Still, even assuming that the Sheriff’s offer fully com-
    pensated Minix’s injury (which is doubtful, when com-
    pared with verdicts in other jail suicide cases, see, e.g.,
    Woodward v. Corr. Med. Servs., 
    368 F.3d 917
    , 920, 930
    (7th Cir. 2004) (upholding $250,000 in compensatory
    and $1.5 million in punitive damages)), we conclude
    that the offer does not moot Minix’s appeal. Instead,
    Minix’s acceptance of the Sheriff’s offer merely gives
    the remaining defendants a possible defense that, should
    they be found liable, Minix is precluded from recovering
    additional compensatory damages from them. See Re-
    statement (Second) of Judgments § 49 (1982) (“A judgment
    against one person liable for a loss does not terminate a
    claim that the injured party may have against another
    person who may be liable therefor.”); Restatement (Second)
    of Torts § 885(3) & cmt. e (1979) (Compensation paid
    by one jointly and severally liable tortfeasor diminishes
    the plaintiff’s claim against the remaining tortfeasors.).
    We also note that, even if Minix were precluded from
    seeking additional compensatory damages, the possi-
    Nos. 09-2001 & 09-2817                                        7
    bility of punitive damages would avoid mootness with
    respect to several defendants. Minix’s complaint
    demands, in addition to compensatory damages, punitive
    damages against the defendants in this case. Although
    the principle of joint and several liability prevents
    Minix from recovering duplicative compensatory
    damages, it does not affect the defendants’ individual
    liability for punitive damages, which are assessed sepa-
    rately against each defendant. Bosco v. Serhant, 
    836 F.2d 271
    , 281 (7th Cir. 1987) (clarifying that the principle of one
    full recovery applies only to compensatory, not punitive,
    damages). Moreover, the $75,000 judgment paid by the
    Sheriff could not have been towards any punitive
    damages claim, since Minix obtained that judgment
    against the Sheriff in his official rather than individual
    capacity. This official-capacity claim against the Sheriff
    is considered one against a municipality, and municipali-
    ties are immune from punitive damages in § 1983 suits.
    United States ex rel. Chandler v. Cook County, Ill., 
    277 F.3d 969
    , 977 (7th Cir. 2002) (citing City of Newport v. Fact
    Concerts, 
    453 U.S. 247
    , 271 (1981)); see also Hill v. Shelander,
    
    924 F.2d 1370
    , 1374 (7th Cir. 1991) (“[P]unitive damages
    [may] be recovered against a government actor only in
    an individual capacity suit.”). It follows as a matter of
    law that Minix has not recovered any punitive damages
    from the Sheriff or anyone else, and her punitive
    damages claims against the individual defendants in
    this appeal—Lonz, James, and David—present a live
    controversy.
    8                                     Nos. 09-2001 & 09-2817
    B. Deliberate Indifference Liability Under § 1983
    We review de novo the district court’s grant of sum-
    mary judgment for the defendants, construing the
    evidence and all reasonable inferences in favor of Minix.
    Johnson v. Saville, 
    575 F.3d 656
    , 659 (7th Cir. 2009) (citation
    omitted).
    The Eighth Amendment’s ban on “cruel and unusual
    punishments” requires prison officials to take reasonable
    measures to guarantee the safety of inmates, including
    the provision of adequate medical care. Farmer v.
    Brennan, 
    511 U.S. 825
    , 832 (1994). Although the Eighth
    Amendment applies only to convicted persons, pretrial
    detainees like Zick are entitled to the same basic
    protections under the Fourteenth Amendment’s due
    process clause. Accordingly, we apply the same legal
    standards to deliberate indifference claims brought
    under either the Eighth or Fourteenth Amendment.
    Thomas v. Cook County Sheriff’s Dep’t, 
    588 F.3d 445
    , 452 n. 1
    (7th Cir. 2009).
    An Eighth Amendment claim based on inadequate
    medical care contains two elements: (1) the prisoner
    suffered an objectively serious harm that presented a
    substantial risk to his safety, and (2) the defendants
    were deliberately indifferent to that risk. Collins v.
    Seeman, 
    462 F.3d 757
    , 760 (7th Cir. 2006). In this prison
    suicide case, the first element is automatically satisfied
    because “it goes without saying that suicide is a serious
    harm.” 
    Id. (quotation omitted).
    The second, “deliberate
    indifference” element requires a dual showing “that the
    defendant: (1) subjectively knew the prisoner was at
    Nos. 09-2001 & 09-2817                                        9
    substantial risk of committing suicide and (2) inten-
    tionally disregarded the risk.” 
    Id. at 761
    (citing Matos
    ex rel. Matos v. O’Sullivan, 
    335 F.3d 553
    , 557 (7th Cir. 2003)).
    With these standards in mind, we address whether
    Minix has shown a genuine issue of material fact on her
    deliberate indifference claims against each of the five
    defendants in this appeal—Lonz, Madison Center, Nurse
    James, Dr. David, and Memorial Home Care. Minix has
    sued Lonz, James, and David in both their individual
    and official capacities. In the sections that follow, our
    discussions of each of the three individual defendants
    pertain to Minix’s individual-capacity claims. As for
    Minix’s official-capacity claims against the individual
    defendants, we treat those claims the same as Minix’s
    claims against these defendants’ corporate employers,
    Madison Center and Memorial Home Care. See Kentucky
    v. Graham, 
    473 U.S. 159
    , 165-66 (1985).
    1. Lonz
    Beginning with Christine Lonz, the Madison Center
    employee who assessed Zick shortly after his incarcera-
    tion, we conclude that Lonz is entitled to summary judg-
    ment because she lacked knowledge of “the significant
    likelihood that [Zick] may imminently seek to take his
    own life.” 
    Collins, 462 F.3d at 761
    . Lonz assessed Zick in
    March 2003, after he was first placed on a suicide watch.
    During that assessment, Zick was polite and coopera-
    tive and denied having suicidal thoughts. It is also undis-
    puted that Lonz did not know about Zick’s suicidal
    history or even about his placement on the suicide
    10                                     Nos. 09-2001 & 09-2817
    watch. Absent any knowledge of Zick’s risk of suicide,
    it cannot be said that Lonz was deliberately indifferent
    to that risk. See 
    id. at 761
    n.2 (noting that prison
    officials lacked knowledge of medical records that indi-
    cated the inmate’s suicidal tendencies); 
    Matos, 335 F.3d at 557
    (noting that officials were unaware of a prior
    recorded suicide attempt).
    Minix criticizes Lonz’s assessment of Zick, claiming that
    any qualified mental health professional would have
    probed more deeply into Zick’s psychological history
    and discovered his recent suicidal tendencies. Assuming
    that Lonz’s assessment was inadequate, the fact that
    she “ ‘should have been aware’ ” of Zick’s risk of suicide is not
    enough to show the required, actual knowledge of
    serious harm. 
    Collins, 462 F.3d at 761
    (quoting Estate of
    Novack ex rel. Turbin v. County of Wood, 
    226 F.3d 525
    ,
    529 (7th Cir. 2000)). Lonz’s alleged incompetence in
    assessing Zick shows, at most, negligence, which is insuf-
    ficient for Minix to avoid summary judgment on her
    deliberate indifference claim. See 
    Matos, 335 F.3d at 557
    .
    2. Madison Center
    Lonz’s employer, Madison Center, is a corporation that
    contracted with the jail to perform the public function of
    providing mental health services to inmates. Such con-
    tractors are treated the same as municipalities for
    liability purposes in a § 1983 action. See Woodward v. Corr.
    Med. Servs., 
    368 F.3d 917
    , 927 n.1 (7th Cir. 2004). “A munici-
    pality may be liable for harm to persons incarcerated
    Nos. 09-2001 & 09-2817                                    11
    under its authority ‘if it maintains a policy that sanctions
    the maintenance of prison conditions that infringe
    upon the constitutional rights of the prisoners.’ ” 
    Novack, 226 F.3d at 530
    (quoting Payne v. Churchich, 
    161 F.3d 1030
    , 1043 (7th Cir. 1998)). The municipal policy or
    practice must be the “direct cause” or “moving force”
    behind the constitutional violation, which a plaintiff
    may show directly by demonstrating that the policy is
    itself unconstitutional. 
    Id. at 530-31.
    If a plaintiff cannot
    identify any formal policy that is unconstitutional, the
    plaintiff may show deliberate indifference through “a
    series of bad acts” creating an inference that municipal
    officials were aware of and condoned the misconduct
    of their employees. 
    Id. at 531
    (quotation omitted).
    Minix does not identify any unconstitutional policy
    that Madison adopted or condoned. Instead, Minix
    argues that Madison acted with deliberate indifference
    by sending an employee as unqualified as Lonz to assess
    mental health patients at the jail. Without more evidence
    that Madison was aware either that its employees were
    routinely providing inadequate care or that Lonz in
    particular was unqualified, Madison’s decision to send
    Lonz to the jail is not enough for municipal liability. Cf.
    
    Woodward, 368 F.3d at 927-28
    (reviewing evidence that a
    medical services contractor repeatedly acquiesced in
    its employees’ inadequate training and failure to follow
    procedure). Even if Lonz deprived Zick of adequate
    medical care, this “single instance of allegedly uncon-
    stitutional conduct does not demonstrate [Madison’s]
    deliberate indifference” to inmates’ medical needs.
    
    Novack, 226 F.3d at 531
    .
    12                                  Nos. 09-2001 & 09-2817
    Minix makes much of Madison’s representation to the
    jail that Lonz was a Qualified Mental Health Professional
    (“QMHP”), as that term is defined in the section of the
    Indiana Administrative Code providing standards for
    Medicaid-eligible mental health services. See 405 Ind.
    Admin. Code 5-21-1(c). Lonz was not a QMHP, Minix
    claims, because she lacked a master’s or doctoral degree
    in one of specified disciplines such as psychiatry, psy-
    chology, and social work. See 
    id. § 1(c)(4).
    Minix’s reading
    of the Code is too narrow, for the relevant section also
    confers QMHP status on someone “with documented
    education, training, or experience, comparable or equiva-
    lent” to that acquired through the specified degrees. 
    Id. § 1(c)(6).
    Although Lonz might have been short on
    formal licenses or degrees, she had obtained course
    work, training, and other experience in fields such as
    community health, mental illness, and the treatment of
    prisoners. More importantly, without evidence that
    Madison was on notice of inadequate inmate care by
    Lonz, we do not see how the full scope of Lonz’s qualifica-
    tions is relevant to establishing Madison’s deliberate
    indifference.
    We also conclude that Minix failed to produce
    evidence that any unconstitutional practice by Madison
    in this case was the “direct cause” of Zick’s suicide, as
    required for municipal liability. Lonz’s allegedly inade-
    quate assessment took place in March 2003, shortly
    after Zick’s incarceration at the jail and initial placement
    on a suicide watch. It was not until late April when
    different jail officials, not employed by Madison, placed
    Zick on his second suicide watch and began a series of
    Nos. 09-2001 & 09-2817                                    13
    actions that led to Zick’s death. Given this sequence of
    events, no causal link exists between Madison’s conduct
    and Zick’s “successful suicide attempt” that occurred
    several weeks later. See 
    Woodward, 368 F.3d at 928
    ; cf.
    
    Thomas, 588 F.3d at 454-55
    (finding a link between the
    practice of failing to review medical requests and the
    inmate’s death).
    3. James
    Turning to the defendants associated with Memorial
    Home Care, we begin with Minix’s claim against Nurse
    James, who managed Memorial’s facility at the jail. After
    Zick’s placement on suicide watches in both March
    and April 2003, it was James’s recommendations that led
    to Zick’s removal from suicide watch and transfer out
    of medical segregation. Shortly after the second transfer,
    Zick hanged himself in his cell. Although in hindsight
    the decision to release Zick from medical observation
    might have been a mistake, Minix’s evidence fails to
    show that James acted with deliberate indifference to
    a known risk that Zick would take his own life.
    Prior to his final release from medical segregation
    in April 2003, Zick had been under observation for two
    days, during which time he denied suicidal thoughts
    and was generally alert and positive. He displayed
    similar behavior shortly before his release from the first
    suicide watch. Given Zick’s denials of suicide, James had
    no actual knowledge that Zick would “imminently seek
    to take his own life.” 
    Collins, 462 F.3d at 761
    & n.2 (noting
    that the inmate denied having suicidal thoughts); see also
    14                                  Nos. 09-2001 & 09-2817
    
    Matos, 335 F.3d at 557
    (finding that prison mental health
    professionals lacked knowledge of a serious risk where
    the inmate never said that he felt suicidal). Even had
    Zick displayed “strange behavior” raising a suspicion
    that he might harm himself, we would hesitate to find
    a triable issue on whether James deliberately disregarded
    a substantial risk of suicide. 
    Novack, 226 F.3d at 530
    . Here,
    Zick displayed no such strange behavior or any obvious
    signs that he was an imminent suicide risk. Cf. 
    Thomas, 588 F.3d at 452-53
    (finding deliberate indifference based
    on prison officials ignoring an inmate’s visible symptoms
    of serious illness).
    To be sure, medical experts could—and did—criticize
    James’s evaluations of Zick. Minix points to expert opin-
    ions produced during the summary judgment pro-
    ceedings indicating that James displayed poor judgment
    in releasing Zick from suicide watch, and that she
    should not have taken Zick’s denials of suicide at face
    value. Still, to the extent that James committed an error
    in judgment, that error “leads only to negligence,” not to
    deliberate indifference. 
    Matos, 335 F.3d at 557
    (The defen-
    dants’ failure “not to take ‘no’ for an answer when
    Matos told them he was not suicidal” did not show deliber-
    ate indifference.).
    4. David
    Dr. David, a director of medical services at Memorial’s
    jail facility, was not directly involved in Zick’s treatment
    except to approve the prescription medications that he
    received at the jail. This lack of direct participation makes
    Nos. 09-2001 & 09-2817                                  15
    Minix’s individual-capacity claim against David more
    difficult, since individual liability under § 1983 requires
    “personal involvement in the alleged constitutional
    deprivation.” Palmer v. Marion County, 
    327 F.3d 588
    , 594
    (7th Cir. 2003). To be personally liable under these cir-
    cumstances, David must have condoned or acquiesced
    in a subordinate’s unconstitutional treatment of Zick.
    See 
    id. Although Minix’s
    evidence may cast doubt on David’s
    performance as a medical director, it does not support
    an inference that David condoned any unconstitutional
    practice by Memorial employees. David, who started at
    the jail just a few weeks before Zick’s arrival in
    March 2003, testified that he was unfamiliar with certain
    aspects of the jail’s suicide-prevention procedures, in-
    cluding how much training and experience the jail
    nurses had in assessing an inmate’s suicide risk. And as
    discussed, expert testimony questioned Nurse James’s
    treatment of Zick, suggesting that her own experience
    ultimately proved inadequate. Missing from the record,
    however, is evidence suggesting that David was aware
    that James or any other nurse was performing incom-
    petent assessments of suicidal inmates but nevertheless
    acquiesced in that practice. Cf. 
    Woodward, 368 F.3d at 927
    (discussing supervisors’ approval of their employees’
    disregard for suicide-watch procedures). Nothing
    indicates that Memorial employees had a history of
    providing incompetent care or otherwise disregarding
    jail policy for suicide prevention. See 
    Novack, 226 F.3d at 531
    (finding no evidence of a pattern of suicide that
    would support an inference that jail policies for treating
    16                                 Nos. 09-2001 & 09-2817
    mentally ill inmates were inadequate). Without knowl-
    edge of the allegedly unconstitutional care that James
    provided, David cannot be liable by mere virtue of his
    supervisory status. 
    Palmer, 327 F.3d at 594
    .
    5. Memorial Home Care
    Like Madison Center, Memorial Home Care is a corpora-
    tion that contracted with the jail to provide medical
    services, so Memorial is treated the same as a municipality
    for liability purposes under § 1983. To prevail on her
    deliberate indifference claim, Minix must show that a
    policy either adopted or condoned by Memorial caused
    Zick to receive constitutionally inadequate care. See
    
    Novack, 226 F.3d at 530
    .
    Memorial was subject to the jail’s policy of providing
    proper health care to inmates, which required Memorial
    to maintain an adequate health care staff at the jail. With
    respect to suicide prevention specifically, jail policy
    required that an inmate identified as possibly suicidal
    be assessed by a nurse as soon as possible, followed by
    continuous observation.
    Minix does not directly challenge these jail policies or
    identify any Memorial policy that was itself unconstitu-
    tional. Instead, Minix argues that Memorial violated jail
    policy by failing to ensure that suicidal inmates received
    care from persons with adequate psychiatric training.
    But similar to the failings in Minix’s claim against
    Madison Center, Minix lacks evidence that Memorial
    condoned a widespread practice of providing inadequate
    Nos. 09-2001 & 09-2817                                       17
    mental health care to inmates. Even if Zick received
    inadequate care from James or other nurses, this isolated
    failure would not show that Memorial had notice of
    ongoing conduct by its employees that created a sub-
    stantial risk of harm. Cf. 
    id. at 531
    (“[A] series of bad acts”
    may support an inference that the municipality “was
    bound to have noticed what was going on . . . .” (quotation
    omitted)).
    As additional support for her claim against Memorial,
    Minix points to the report of her expert, Dr. Gutierrez,
    indicating that the jail’s nursing staff did not have the
    training required to competently assess an inmate’s risk
    of suicide. The district court, however, found that
    Gutierrez’s report was too unreliable to be admitted as
    an expert opinion under Federal Rule of Evidence 702, so
    we must determine whether the court abused its discre-
    tion in excluding this evidence, see Smith v. Ford Motor
    Co., 
    215 F.3d 713
    , 717 (7th Cir. 2000).
    Rule 702 allows “a witness qualified as an expert by
    knowledge, skill, experience, training, or education” to
    testify as to “scientific, technical, or other specialized
    knowledge,” where such knowledge “will assist the trier
    of fact.” To be admissible under Rule 702, the expert’s
    opinion must offer more than a “bottom line.” Wendler &
    Ezra, P.C. v. Am. Int’l Group, Inc., 
    521 F.3d 790
    , 791 (7th Cir.
    2008) (per curiam) (quotation omitted). The expert must
    explain the methodologies and principles supporting the
    opinion. See Fed. R. Evid. 702 (requiring that expert
    testimony be “the product of reliable principles and
    methods”); 
    Smith, 215 F.3d at 718
    (“[T]he role of the
    18                                   Nos. 09-2001 & 09-2817
    court is to . . . examine the methodology the expert has
    used in reaching his conclusions.”).
    We conclude that the district court acted within its
    discretion in excluding Gutierrez’s report. In the relevant
    portion of the report, Gutierrez asserted that taking an
    inmate off suicide watch was “beyond the scope of educa-
    tion, training, and experience for Nursing Personnel
    employed at the Jail in March and April of 2003.” Gutierrez
    cited no medical standards or principles in support of
    that conclusion. Given Gutierrez’s failure to explain his
    methodology, the district court could conclude that the
    report offered “nothing of value to the judicial process.”
    
    Wendler, 521 F.3d at 791
    (quotation omitted). Minix there-
    fore cannot rely on Gutierrez’s report to avoid sum-
    mary judgment.
    III. Conclusion
    Zick’s suicide was tragic, but the evidence produced
    was not enough to overcome the “high hurdle” set by the
    deliberate indifference standard for liability under § 1983.
    
    Collins, 462 F.3d at 762
    . We A FFIRM the grant of summary
    judgment in favor of the defendants.
    2-26-10