Luis A. Serna v. Kevin Goodno ( 2009 )


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  •                      United States Court of Appeals
    FOR THE EIGHTH CIRCUIT
    ___________
    No. 05-3441
    ___________
    Luis A. Serna,                        *
    *
    Plaintiff - Appellant,       *
    *    Appeal from the United States
    v.                              *    District Court for the District of
    *    Minnesota.
    Kevin Goodno; Jerry Zimmerman,        *
    *
    Defendants - Appellees.      *
    ___________
    Submitted: November 12, 2008
    Filed: June 3, 2009
    ___________
    Before MELLOY, BOWMAN, and SMITH, Circuit Judges.
    ___________
    MELLOY, Circuit Judge.
    Luis A. Serna is an involuntarily civilly committed “sexually dangerous person”
    currently detained as part of the Minnesota Sex Offender Program (the “Program”)1
    at a treatment facility in Moose Lake, Minnesota. Staff at Moose Lake discovered a
    cell-phone case in a common area, considered cell phones to be security and treatment
    risks, and began to search for a suspected contraband phone. They first searched the
    common area and then viewed a surveillance videotape, but they found no phone and
    1
    We previously discussed the term “sexually dangerous person” and the
    Minnesota Sex Offender Program in Senty-Haugen v. Goodno, 
    462 F.3d 876
    , 880–81
    (8th Cir. 2006).
    were unable to determine who had dropped the case. Administrators next instituted
    facility-wide, visual body-cavity searches of all patients. The body-cavity searches
    did not result in discovery of a phone.
    Serna brought a 42 U.S.C. § 1983 civil-rights claim against a Program
    administrator and against the head of Minnesota’s Department of Human Services in
    their official and individual capacities. Serna alleged that the search was unreasonable
    under the Fourth Amendment of the U.S. Constitution and sought damages and
    injunctive relief. The district court2 held that the state had not waived its sovereign
    immunity and that the Eleventh Amendment of the U.S. Constitution barred Serna’s
    official-capacity claims for damages. Regarding Serna’s other claims, the district
    court granted summary judgment, holding that the search was not constitutionally
    unreasonable. In the alternative, the district court rejected the individual-capacity
    claims, holding that Serna failed to allege sufficient personal involvement by the
    present defendants.
    Serna does not appeal the Eleventh Amendment dismissal of the official-
    capacity claims for damages. Regarding the official-capacity claims seeking
    injunctive relief and the individual-capacity claims, the particular facts of Serna’s case
    present a close question of constitutional law, but, ultimately, we hold that the search
    was not unreasonable. Accordingly, we affirm the judgment of the district court.
    2
    The Honorable James M. Rosenbaum, United States District Judge for the
    District of Minnesota, adopting the Report and Recommendation of Susan Richard
    Nelson, United States Magistrate Judge for the District of Minnesota.
    -2-
    I.    Background
    Prior to his commitment, Serna had been convicted of sex offenses and had
    completed his criminal sentences. A state court determined in civil proceedings in
    2000 that Serna was a “sexually dangerous person” and committed him to the custody
    of the Program for an indeterminate number of years pending completion of his
    treatment. The Program has held Serna in civil custody for approximately nine years.3
    Staff discovered a cell-phone case at the Moose Lake facility on October 28,
    2003, in a common area accessible by patients, staff and some visitors. Staff searched
    the common area where they discovered the case, but they found no phone. Staff then
    viewed a surveillance videotape of the common area. The videotape revealed some
    identifiable patients, but staff were unable to determine whether one of the identifiable
    patients had dropped the case. The defendants claim that, based on this information,
    administrators suspected a patient was the source of the cell-phone case (and
    potentially harbored a phone) but believed they could not narrow their suspicion to
    any one patient or group of patients. Administrators ordered facility-wide room
    searches and visual body-cavity searches to find a contraband phone. There is no
    evidence to suggest that the less-invasive room searches preceded the visual body-
    cavity searches.
    Teams consisting of two male staff members conducted the visual body-cavity
    searches on the patients, all of whom were male. The teams conducted the searches
    3
    The Program has a duty “to provide care and treatment” to committed persons
    in its Moose Lake facility, Minnesota Statute § 246B.02, and it attempts to teach
    detainees how to control their dangerous sexual behaviors so that they can eventually
    return to the community. Serna submitted a petition for discharge in 2006. The State
    denied his petition, in part, because he “failed to explain why he was no longer in need
    of in-patient treatment and supervision.” Serna v. Goodno, No. A06-331, 
    2006 WL 1985765
    , at *1 (Minn. Ct. App. July 18, 2006) (unpublished).
    -3-
    pursuant to written and oral instructions that directed staff members to ask for
    compliance with the search, conduct each search individually in a large private
    bathroom, and visually inspect the patients’ bodies according to a set protocol. As a
    part of that protocol, staff asked each patient to lift his genitals. Staff also instructed
    each patient to turn, bend over slightly, and spread his buttocks. There was no
    physical contact with the patients during the searches. It appears undisputed that
    personnel conducted searches of approximately 150 patients. Serna does not contend
    that facility personnel executing the searches breached the protocol or otherwise acted
    in an unprofessional manner. He does allege, however, that his consent to the search
    was not valid given the custodial nature of the environment, a threat of discipline if
    he failed to consent, and his apparent lack of choice in the matter.
    There is no suggestion that officials suspected Serna, in particular, possessed
    the phone presumed to have accompanied the case. In fact, Serna had been confined
    at Moose Lake for three years prior to the search and had not possessed any drugs,
    weapons, or other contraband during that time. Other patients in the Program had
    been found in recent possession of cell phones, however, and had used cell phones in
    ways counter to security and treatment goals. Given such instances, administrators
    deemed cell phones to pose a treatment and security threat to patients and a security
    threat to staff, past victims, and prospective victims.
    Administrators did not focus their search efforts on the patients identified in the
    surveillance tape or on patients with a recent history of possessing cell phones or other
    contraband. In fact, in their briefing to our court, the defendants present arguments
    broader than the facts of Serna’s case, claiming that they may use facility-wide, visual
    body-cavity searches anytime they harbor a generalized suspicion of contraband.4
    4
    We note that the Program maintains a separate facility that has adopted a
    policy imposing stricter limits on the use of visual body-cavity searches. The
    defendants in the present case distinguish that facility from the Moose Lake facility
    as involving different treatment and security concerns.
    -4-
    Ultimately, the facility-wide, visual body-cavity searches failed to reveal a cell
    phone. Based on a tip from a patient, however, staff discovered a phone in the room
    of a patient in a protective-isolation unit two days after commencing the body-cavity
    searches. Because the patient was in protective isolation, he did not have access to the
    common area where the case was found, and the defendants argue that this fact
    demonstrates that the phone was an object capable of being passed among detainees
    and secreted on or within patients’ bodies.
    II.   Discussion
    A.     Involuntarily Civilly Committed Persons Retain Liberty Interests
    Analogous to Pretrial Detainees
    Neither we nor the Supreme Court have determined the appropriate standard for
    considering whether a particular search violates the Fourth Amendment rights of a
    person who is involuntarily civilly committed. We have, however, identified the
    constitutional standard applicable to an alleged violation of the Fourth Amendment
    rights of an involuntarily committed person based upon a seizure. See Andrews v.
    Neer, 
    253 F.3d 1052
    , 1061 (8th Cir. 2001). The plaintiff in Andrews, who was
    lawfully involuntarily committed, brought a 42 U.S.C. § 1983 suit alleging that a
    seizure using excessive force violated his Fourth Amendment rights. 
    Id. at 1055,
    1061. In a matter of first impression, we determined that such a Fourth Amendment
    seizure claim “should be evaluated under the . . . standard usually applied to
    excessive-force claims brought by pretrial detainees.” 
    Id. at 1061.
    In making this determination, we considered whether involuntarily committed
    persons are more like arrestees, pretrial detainees, or convicted prisoners. 
    Id. We concluded
    that the best analogy is to pretrial detainees because “confinement in a state
    institution raise[s] concerns similar to those raised by the housing of pretrial detainees,
    such as the legitimate institutional interest in the safety and security of guards and
    -5-
    other individuals in the facility, order within the facility, and the efficiency of the
    facility’s operations.” 
    Id. Other circuits
    have relied upon Andrews in considering
    constitutional claims raised by involuntarily committed individuals. See, e.g., Hydrick
    v. Hunter, 
    500 F.3d 978
    , 997–98 (9th Cir. 2007); Davis v. Rennie, 
    264 F.3d 86
    , 102,
    108 (1st Cir. 2001). But see Aiken v. Nixon, 
    236 F. Supp. 2d 211
    , 236 (N.D.N.Y.
    2002) (finding civilly committed persons akin to prison visitors for the purpose of
    considering the constitutionality of visual body-cavity searches), aff’d, 80 F. App’x
    146, 147 (2d Cir. 2003) (unpublished).
    The similarity in the grounds for detaining persons awaiting trial and persons
    determined to be sexually dangerous supports application of the analogy to pretrial
    detainees in the present case. One reason pretrial detainees are kept in custody prior
    to trial is “because there is cause to believe that they are dangerous.” Johnson-El v.
    Schoemehl, 
    878 F.2d 1043
    , 1048 (8th Cir. 1989). For example, under the Bail Reform
    Act of 1984, individuals charged with federal criminal offenses shall be detained prior
    to trial if “no condition or combination of conditions will reasonably assure . . . the
    safety of any other person and the community.” 18 U.S.C. § 3142(e)(1). Similarly,
    commitment under Minnesota law as a sexually dangerous person “requires a finding
    of future dangerousness.” Hince v. O’Keefe, 
    632 N.W.2d 577
    , 581 (Minn. 2001)
    (quotation omitted). An individual committed as a sexually dangerous person in
    Minnesota is, by statutory definition, “dangerous to the public.” Minn. Stat. §
    253B.02, subdivs. 17, 18(c).
    Although decided under the Due Process Clause of the Fourteenth Amendment,
    another Supreme Court case, Youngberg v. Romeo, 
    457 U.S. 307
    (1982), further
    supports application of the pretrial-detainee standard in Serna’s case. There, the Court
    considered the constitutionality of the conditions of confinement for an involuntarily
    committed, mentally disabled man. 
    Youngberg, 457 U.S. at 309
    . In its analysis, the
    Court stated, “Persons who have been involuntarily committed are entitled to more
    considerate treatment and conditions of confinement than criminals whose conditions
    -6-
    of confinement are designed to punish.” 
    Id. at 321–22.
    After determining that the
    involuntarily committed, mentally disabled man retained constitutionally protected
    liberty interests, the Court considered whether the infringement upon his liberty
    interests violated due process. 
    Id. at 319–23.
    The Court drew an analogy between
    pretrial detainees and civilly committed persons as two groups that could be subjected
    to liberty restrictions “reasonably related to legitimate government objectives and not
    tantamount to punishment.” 
    Id. at 320–21.
    Against this backdrop, we can discern no justification for treating a Fourth
    Amendment claim based upon a search differently than a claim based upon a seizure.
    Thus, Andrews, which addresses a seizure claim, articulates the appropriate standard
    for considering whether an involuntarily committed person has been subjected to an
    unconstitutional search. See 
    Andrews, 253 F.3d at 1061
    . Youngberg illustrates the
    strength of the analogy between civilly committed persons and pretrial detainees,
    concluding these groups are similar even outside the context of a Fourth Amendment
    claim. See 
    Youngberg, 457 U.S. at 321
    –22.
    B.     The Test for Reasonableness of a Search of Pretrial Detainees or
    Involuntarily Civilly Committed Persons
    In Bell v. Wolfish, 
    441 U.S. 520
    (1979), the Supreme Court articulated a
    balancing test for determining whether searches conducted on pretrial detainees were
    reasonable under the Fourth Amendment. The Court stated:
    The test of reasonableness . . . requires a balancing of the need for the
    particular search against the invasion of personal rights that the search
    entails. Courts must consider the scope of the particular intrusion, the
    manner in which it is conducted, the justification for initiating it, and the
    place in which it is conducted.
    -7-
    
    Id. at 559.
    The searches challenged as unreasonable in Bell were visual body-cavity
    searches conducted upon detainees’ re-entry to a detention facility following their
    contact visits with outside persons. 
    Id. at 558.
    The Court ultimately rejected the
    detainees’ claims and concluded that the searches at issue were not unreasonable. 
    Id. As justification
    for the searches, officials had cited security concerns and stated the
    searches were necessary to “discover . . . [and] deter the smuggling of weapons, drugs,
    and other contraband into the institution.” 
    Id. Officials also
    had noted that the
    searches were in lieu of invasive monitoring of visits between detainees and outside
    persons. 
    Id. at 559
    n.40. The Court noted the highly invasive nature of the search,
    stating, “We do not underestimate the degree to which these searches may invade the
    personal privacy of inmates.” 
    Id. at 560.
    Ultimately, however, the Court determined
    that the security concerns outweighed the inmate’s privacy interests because “[a]
    detention facility is a unique place fraught with serious security danger. Smuggling
    of money, drugs, weapons, and other contraband is all too common an occurrence.”
    
    Id. at 559.
    In rejecting the Fourth Amendment challenge to the visual body-cavity searches
    and in rejecting several other claims related to different aspects of the detainees’
    conditions of confinement, the Court in Bell adopted a general tone of deference to
    detention-center officials. See 
    id. at 562
    (“The wide range of ‘judgment calls’ that
    meet constitutional and statutory requirements are confided to officials outside of the
    Judicial Branch of Government.”). Subsequent cases involving pretrial detainees also
    employ this same tone and reasoning. See, e.g., Block v. Rutherford, 
    468 U.S. 576
    ,
    588–91 (1984) (noting the limited scope of review under Bell in considering pretrial
    detainees’ claims and stating that the determination of a protocol for room searches
    was “a matter lodged in the sound discretion of the institutional officials”). In Block,
    the Supreme Court emphasized the need for deference to institutional officials in
    “difficult and sensitive matters of institutional administration and security,” and
    highlighted the “limited scope of the judicial inquiry under [Bell].” 
    Block, 468 U.S. at 588
    , 589.
    -8-
    Although Bell clearly articulated a broad balancing test for assessing the
    reasonableness of a visual body-cavity inspection, Serna and the present defendants
    phrase their arguments regarding the reasonableness inquiry in terms of the
    individualized suspicion or degree of suspicion necessary to justify a search. The
    defendants state probable cause is not required (which Serna does not contest) and
    appear to argue that no level of individualized suspicion is required. Serna argues that
    something akin to individualized reasonable suspicion must exist to justify visual
    body-cavity searches. We believe that the Court in Bell made a clear choice to
    employ the balancing test rather than build its analysis on a degree-of-suspicion
    framework. Accordingly, the parties’ focus is misplaced, and, for the reasons set forth
    below, we reject the parties’ invitation to champion this one aspect of the inquiry over
    the other factors present in the balancing test.
    We note that the parties’ suspicion-based approach is not surprising given the
    usual standards and analyses applicable in the context of Fourth Amendment claims
    outside the context of criminal or civil detention. The Court in Bell addressed the
    issue of individualized suspicion only in passing, however, and did not clearly
    articulate what level of individualized suspicion it found to exist based on the facts of
    the case. The Court stated, “[W]e deal here with the question whether visual body-
    cavity inspections . . . can ever be conducted on less than probable cause.” 
    Id. at 560.
    Clearly, then, the Court viewed the officials in Bell as lacking probable cause to
    justify their searches. A dissenting Justice in Bell went so far as to characterize the
    majority as not requiring reasonable suspicion; although, the majority did not
    characterize its own holding as such. See 
    id. at 563
    (Powell, J., dissenting in part) (“In
    view of the serious intrusion on one’s privacy occasioned by such a search, I think at
    least some level of cause, such as reasonable suspicion, should be required to justify
    the anal and genital searches described in this case.”). The Eleventh Circuit
    subsequently stated that because the majority elected not to amend its opinion to
    address Justice Powell’s concern, the majority likely did not demand even reasonable
    suspicion. See Powell v. Barrett, 
    541 F.3d 1298
    , 1307–08 (11th Cir. 2008) (en banc).
    -9-
    Whether this is true, the Eleventh Circuit’s commentary, at a minimum, highlights the
    fact that the Court in Bell did not clearly articulate a particular level of individualized
    suspicion required to justify visual body-cavity searches.
    Regardless of what level of individualized suspicion existed in Bell—something
    less than probable cause, reasonable suspicion, or something less than reasonable
    suspicion—the facts and holding of Bell illustrate that some unarticulated level of
    individualized suspicion was present and that the Court necessarily considered this
    fact in its application of the balancing test. The detainees in Bell were subjected to
    invasive visual body-cavity searches upon re-entry after contact visits with outsiders.
    Accordingly, those detainees subject to search were persons who had heightened
    access to contraband materials. The facts of Bell, then, preclude us from adopting the
    defendants’ argument that Bell involved a blanket policy applied without attempts to
    distinguish between different members of a detainee population. Given the facts of
    Bell, and the Court’s articulation of the balancing-test factors, suspicion is relevant to
    the analysis, and we should treat it as part of the “scope,” “manner,” or “justification”
    factors of the balancing test. See 
    Bell, 441 U.S. at 559
    .
    We reach this conclusion because certain justifications for searches and certain
    circumstances in which searches are conducted demand less individualized suspicion
    than others. For example, had the triggering evidence in this case suggested the
    presence of a more acute danger such as lethal drugs or a weapon (rather than a cell
    phone, which as discussed below, presents an indirect form of danger within a facility
    housing sexually dangerous persons), the administrators’ apparent rush to conduct
    highly invasive searches of the entire population, on balance, more clearly would have
    been reasonable. If the triggering evidence had been a prohibited but relatively benign
    object, however, it would have seemed, on balance, less reasonable to move quickly
    towards a method of searching that is so highly and personally invasive. Similarly,
    if the common area had been common only to a small subset of the detainees at Moose
    Lake, it would have been much less reasonable to conduct facility-wide, visual body-
    -10-
    cavity searches. As these hypotheticals indicate, we view the question of
    individualized suspicion as an inherent component of the Court’s balancing test, and
    we decline the parties’ invitation to rest our analysis too heavily on this factor.
    C.     Application of the Test to Determine whether there was a Violation of
    a Clearly Established Constitutional Right.
    The defendants assert qualified immunity as a defense to suit based on Serna’s
    claims against them in their individual capacities. Qualified immunity generally
    shields “[g]overnment officials performing discretionary functions . . . from liability
    for civil damages insofar as their conduct does not violate clearly established statutory
    or constitutional rights of which a reasonable person would have known.” Harlow v.
    Fitzgerald, 
    457 U.S. 800
    , 818 (1982). We employ a two-part inquiry to determine
    whether a lawsuit against a public official alleging a constitutional violation can
    proceed in the face of an assertion of qualified immunity. See Saucier v. Katz, 
    533 U.S. 194
    , 200–01 (2001).
    In Saucier, the Court set forth the two-part test with a mandatory sequence for
    analysis. First, courts were to consider whether, “[t]aken in the light most favorable
    to the party asserting the injury, . . . the facts alleged show the officer’s conduct
    violated a constitutional right[.]” 
    Id. at 201.
    The “existence or nonexistence of a
    constitutional right” was, therefore, a threshold question. 
    Id. Second, courts
    were “to
    ask whether the right was clearly established.” 
    Id. This second
    question is a fact-
    intensive inquiry that “must be undertaken in light of the specific context of the case,
    not as a broad general proposition.” 
    Id. “For a
    right to be deemed clearly established,
    the ‘contours of the right must be sufficiently clear that a reasonable official would
    understand that what he is doing violates that right.’” Buckley v. Rogerson, 
    133 F.3d 1125
    , 1128 (8th Cir. 1998) (quoting Anderson v. Creighton, 
    483 U.S. 635
    , 640
    (1987)). In other words, “[o]fficials are not liable for bad guesses in gray areas; they
    -11-
    are liable for transgressing bright lines.” Davis v. Hall, 
    375 F.3d 703
    , 712 (8th Cir.
    2004) (quotation omitted).
    The Court’s primary rationale in Saucier for making the sequential analysis
    mandatory was to ensure the development of clear standards as to the underlying
    questions of constitutional law. 
    Saucier, 533 U.S. at 201
    . After Saucier, several
    Justices criticized, or at least expressed doubt as to the wisdom of, the mandatory,
    sequential nature of the two-part test. See, e.g., Morse v. Frederick, 
    127 S. Ct. 2618
    ,
    2641–42 (2007) (Breyer, J., concurring in the judgment and dissenting in part) (noting
    the tension between the rule of Saucier and the general principal that courts should
    avoid constitutional issues when possible, and also noting difficulties associated with
    forcing courts to address constitutional claims even when those claims may not be
    well presented). Recently, the Court embraced these concerns, reversed itself, and
    eliminated the mandatory aspect of Saucier’s sequential analysis. See Pearson v.
    Callahan, 
    129 S. Ct. 808
    , 818 (2009). According to Pearson, although it is “often
    appropriate” to address the substantive claims in qualified-immunity cases, lower
    courts are now “permitted to exercise their sound discretion in deciding which of the
    two prongs of the qualified immunity analysis should be addressed first in light of the
    circumstances in the particular case at hand.” 
    Id. Qualified immunity
    only applies to claims against public officials in their
    individual capacities. See Kentucky v. Graham, 
    473 U.S. 159
    , 166–67 (1985) (noting
    that personal-immunity defenses are unavailable in official-capacity actions). Also,
    in accordance with Ex Parte Young, 
    209 U.S. 123
    (1908), the Eleventh Amendment
    bars damages claims against the states, but generally does not bar claims for
    prospective injunctive relief against public officials in their official capacities.
    Monroe v. Ark. State Univ., 
    495 F.3d 591
    , 594 (8th Cir. 2007); see Nix v. Norman,
    
    879 F.2d 429
    , 432 (8th Cir. 1989) (“[T]he Eleventh Amendment bars suits by private
    parties ‘seeking to impose a liability which must be paid from public funds in the state
    treasury . . . .” (quoting Edelman v. Jordan, 
    415 U.S. 651
    , 663 (1974))). Because
    -12-
    neither form of immunity applies to official-capacity claims for injunctive relief, the
    discretion that the Supreme Court returned to lower courts through Pearson will not,
    as a practical matter, be available in every case. Rather, where an action includes
    individual and official-capacity claims, and where a demand for injunctive relief
    against state officials is outstanding, as in the present case, it will remain necessary
    to address the underlying constitutional issues or decide the case on other grounds
    entirely.
    Turning to the application of the Bell test to the facts of Serna’s case, we
    consider the justification for the search, as compared to the scope, manner, and
    location of the intrusion. 
    Bell, 441 U.S. at 559
    . This amounts to a balancing of the
    need for the visual body-cavity search against the intrusion upon Serna’s personal
    rights. See Goff v. Nix, 
    803 F.2d 358
    , 364–66 (8th Cir. 1986) (applying Bell in the
    context of a prison).
    Regarding the defendants’ general justification for the search, security at
    detention facilities, prisons, and mental institutions alike, is undoubtedly important.
    See 
    Block, 468 U.S. at 586
    (“[T]here is no dispute that internal security of detention
    facilities is a legitimate government interest . . . .”). Specifically, security at
    institutions dedicated to the containment and treatment of mental patients is crucial
    to safety as well as treatment:
    The governmental interests in running a state mental hospital are similar
    in material aspects to that of running a prison. Administrators have a
    vital interest in ensuring the safety of their staff, other patients, and of
    course in ensuring the patients’ own safety.
    Morgan v. Rabun, 
    128 F.3d 694
    , 697 (8th Cir. 1997). Thus, “the government may
    take steps to maintain security at its institutions” where sexually violent persons are
    confined. Seibert v. Alt, 31 F. App’x 309, 312 (7th Cir. 2002) (unpublished).
    -13-
    In the instant case, the defendants rightly proffer institutional security as a
    justification for the visual body-cavity search of Serna. While illegal drugs or
    weapons are the contraband typically sought during personally invasive searches
    within detention facilities, the administrators at Moose Lake explained that cell
    phones present a “grave security threat” in the context of sexually violent persons.
    The threat includes the potential to conduct criminal activity, including contacting past
    victims, grooming future victims, or securing child pornography. See, e.g., United
    States v. Mentzos, 
    462 F.3d 830
    , 836–37 (8th Cir. 2006) (describing a patient who
    used a phone to secure child pornography while confined in Moose Lake). Many cell
    phones also have photographic capabilities, which could be used to undermine
    institutional security by transmitting images of personnel or buildings to persons
    outside the facility. These context-specific concerns demonstrate that possession of
    a cell phone may “significantly increase the possibility that there will be breaches of
    security and that the safety of others will be placed in jeopardy.” 
    Block, 468 U.S. at 588
    . Cell phones and their potential to grant access to past or future victims for illegal
    purposes or to procure sexually explicit material also have the potential to negatively
    interfere with the Program’s treatment goals. In fact, the reaction of a Moose Lake
    detainee who actually had a phone illustrates this point. See e.g., 
    Senty-Haugen, 462 F.3d at 883
    –84 (noting the violent reaction from a patient at Moose Lake when the
    cell phone he surreptitiously had been using was seized).
    Further, the administrators at Moose Lake had specific evidence and heightened
    concerns regarding cell phones—the cell-phone case, the surveillance video, and a
    specific history regarding contraband phones and patients’ use of phones to commit
    crimes. See 
    Mentzos, 462 F.3d at 836
    –37 (discussing criminal activity conducted via
    phone from within Moose Lake by a patient in 2001); see also Franklin v. Lockhart,
    
    883 F.2d 654
    , 656 (8th Cir. 1989) (considering, in the context of a prison, the “history
    of contraband in the building” in finding justification for visual body-cavity searches
    sufficient). These facts indicate that the general justification for a search was based
    upon concrete information and not merely upon “perceived security concerns.” See
    -14-
    
    Goff, 803 F.2d at 363
    ; cf. Jones v. Edwards, 
    770 F.2d 739
    , 741 (8th Cir. 1985)
    (finding justification for the strip search of a petty misdemeanor arrestee insufficient
    where, among other things, officers had no reason to suspect possession of
    contraband). Ultimately, “[t]he public’s interest in safe and orderly [institutions] is
    significant.” 
    Goff, 803 F.2d at 365
    . As such, the general security concerns listed by
    the facility administrators in this case are “legitimate and weighty.” 
    Id. The factors
    to consider in looking at the intrusion Serna suffered include the
    manner, location, and scope of the search. 
    Bell, 441 U.S. at 559
    . A visual body-
    cavity search unquestionably is “intrusive and unpleasant.” 
    Goff, 803 F.2d at 365
    ;
    see also 
    id. at 372–74
    (Bright, J., dissenting) (discussing the nature of the intrusion
    and its impact upon the persons being searched). The intrusion of such a search is
    significant. See 
    Franklin, 883 F.2d at 656
    . Like the search we upheld in Goff,
    however, the search in this case was “not any more intrusive or demeaning than” the
    search the Court approved in Bell. Goff, 803 F2d at 365. Staff members conducted
    the searches in private bathrooms, not in public or semi-public areas. See 
    id. at 366
    (upholding search conducted “in as private a location as security concerns will
    allow”). There were no extraneous personnel or patients present; only those involved
    in the search could observe Serna’s unclothed body. Cf. 
    Jones, 770 F.2d at 742
    (noting that a strip search of an arrestee conducted in the alcove of a hallway was only
    fortuitously private in finding search unreasonable). Staff executed the searches in a
    professional manner in same-sex teams of two. 
    Goff, 803 F.2d at 366
    (considering
    the fact that the visual body-cavity search of a prisoner was conducted by an officer
    of the same sex in upholding the search as reasonable). Further, the search was
    “strictly a visual search.” 
    Id. Staff members
    did not touch Serna during the search;
    rather, they asked him to make available for visual inspection portions of his anatomy
    capable of concealing contraband. There is nothing in the record to indicate that the
    search was conducted in an abusive manner. See 
    Bell, 441 U.S. at 560
    (noting that
    a visual body-cavity search on a pretrial detainee may not be conducted in an abusive
    fashion).
    -15-
    The scope of the overall response to the discovery of a cell-phone case, namely,
    the apparent rush to conduct facility-wide, visual body-cavity searches suggests a
    disproportionate reaction. Without belaboring the point, we note that a body cavity
    is not necessarily the first place reasonable persons normally would look for a cell
    phone. Serna does not argue, however, that a cell phone cannot be secreted in this
    fashion or that cell phones are substantially different than other objects smuggled by
    this means.
    Also, the failure to apply any one of several apparent and less invasive search
    methods militates against a finding of reasonableness. The justifications the
    defendants offer are general in nature, not specific to Serna, and the administrators
    possessed information that would have allowed them to partition the population into
    groups viewed as more or less likely to be in possession of the cell phone (e.g.,
    persons on the surveillance tapes or persons with a history of possessing contraband).
    In other words, although administrators had information in their possession that
    clearly directed individualized suspicion at certain patients rather than others, the
    administrators chose not to rely upon this information.
    Further, there is no suggestion that staff conducted pat-down searches of any
    inmates prior to subjecting all inmates to visual body-cavity searches. Similarly, there
    is no suggestion that staff conducted room searches prior to conducting the visual
    body-cavity searches. By all accounts, it appears that they jumped straight to facility-
    wide, visual body-cavity searches after a review of the surveillance video failed to
    show which patient had dropped the cell-phone case.
    That is not to say that officials are required in all cases to apply the least-
    intrusive methods or proceed through a series of progressively more invasive
    techniques en route to conducting highly invasive searches. The Court in Bell refused
    to adopt a less-invasive-means test. See 
    id. at 559
    n.40 (“[T]he logic of such elaborate
    -16-
    less-restrictive-alternative arguments could raise insuperable barriers to the exercise
    of virtually all search-and-seizure powers.” (quotation omitted)). And strict
    application of such a methodology would effectively deprive institutional
    administrators of the deference noted in Bell.
    Nevertheless, the Court in Bell proceeded to “assum[e] that the existence of less
    intrusive alternatives is relevant to the determination of the reasonableness of the
    particular search method at issue,” and addressed several less restrictive alternatives.
    
    Id. Further, our
    court, post-Bell, has identified the availability of less invasive search
    techniques as being material to the reasonableness of particular strip searches or body-
    cavity searches. See, e.g., 
    Jones, 770 F.2d at 742
    (holding the strip search of a leash-
    law violator was unreasonable and noting “that neither the officers nor the jailers
    attempted a less intrusive pat-down search, which would have detected the proscribed
    items they sought without infringing [the arrestee’s] constitutional protections”);
    
    Franklin, 883 F.2d at 656
    –57 (holding that semi-public, visual body-cavity searches
    of segregated prisoners upon movement between housing units or following contact
    with outsiders were not unreasonable, and stating that “the record does not support a
    finding that a less public means of searching exists that would not compromise those
    security concerns”). Thus, our cases dictate that, while it is not necessary for officials
    to employ the least-invasive search techniques available, it is proper for courts to
    consider the availability of simple, safe, and less invasive techniques that officers
    elected not to pursue when assessing the reasonableness of performing body cavity
    searches en mass on a treatment center population.
    In balancing these factors, we expressly reject the defendants’ attempt to
    establish a wide-reaching rule that any suspicion of contraband is sufficient to justify
    facility-wide, visual body-cavity searches. The defendants’ argument would
    champion the broad words and the deferential spirit of Bell over its facts and relatively
    narrow holding—the approval of invasive searches of a limited category of persons
    -17-
    based on something less than probable cause. We previously have recognized the
    limitations of Bell, and we have held that not all search techniques may be swept
    under the rug of deference to detention-center decisionmakers:
    Although we recognize that the security of detention facilities is an
    important concern of correction officials who are, in part, responsible for
    the safety of their charges, we also recognize that security cannot justify
    the blanket deprivation of rights of the kind incurred here.
    
    Jones, 770 F.2d at 742
    .
    Ultimately, however, while we hold that the specific facts of Serna’s case
    present a close question of constitutional law, the searches were not unreasonable.
    The defendants’ security and treatment concerns are genuine and serious; the searches,
    while invasive, were conducted privately, safely, and professionally; and the facility
    was reacting to a recurring problem. We view Serna’s case as an outer limit under the
    Bell test and, as such, caution facility administrators to recognize that courts’
    deference under Bell is not without limits.
    We affirm the judgment of the district court.
    ______________________________
    -18-