[Senate Hearing 118-568]
[From the U.S. Government Publishing Office]



                                                        S. Hrg. 118-568

                  LEGACY OF HARM: ELIMINATING THE ABUSE
                         OF SOLITARY CONFINEMENT

=======================================================================

                                HEARING

                               before the

                       COMMITTEE ON THE JUDICIARY
                          UNITED STATES SENATE

                    ONE HUNDRED EIGHTEENTH CONGRESS

                             SECOND SESSION

                               __________


                             APRIL 16, 2024

                               __________


                          Serial No. J-118-62

                               __________

         Printed for the use of the Committee on the Judiciary





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                        www.judiciary.senate.gov
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                               ______
                                 

                 U.S. GOVERNMENT PUBLISHING OFFICE

58-785                    WASHINGTON : 2025









                       COMMITTEE ON THE JUDICIARY

                   RICHARD J. DURBIN, Illinois, Chair

SHELDON WHITEHOUSE, Rhode Island     LINDSEY O. GRAHAM, South Carolina, 
AMY KLOBUCHAR, Minnesota                 Ranking Member
CHRISTOPHER A. COONS, Delaware       CHARLES E. GRASSLEY, Iowa
RICHARD BLUMENTHAL, Connecticut      JOHN CORNYN, Texas
MAZIE K. HIRONO, Hawaii              MICHAEL S. LEE, Utah
CORY A. BOOKER, New Jersey           TED CRUZ, Texas
ALEX PADILLA, California             JOSH HAWLEY, Missouri
JON OSSOFF, Georgia                  TOM COTTON, Arkansas
PETER WELCH, Vermont                 JOHN KENNEDY, Louisiana
LAPHONZA BUTLER, California          THOM TILLIS, North Carolina
                                     MARSHA BLACKBURN, Tennessee

                 Joseph Zogby, Majority Staff Director
                Katherine Nikas, Minority Staff Director









                            C O N T E N T S

                              ----------                              

                           OPENING STATEMENTS

                                                                   Page

Durbin, Hon. Richard J...........................................     1
Graham, Hon. Lindsey O...........................................     2

                               WITNESSES

Boyd, Roy........................................................     8
    Prepared statement...........................................    38
    Questions submitted with no response returned................    75
Davis, Nicole....................................................     6
    Prepared statement...........................................    40
Goodwin, Gretta L................................................     5
    Prepared statement...........................................    45
    Responses to written questions...............................    76
Peeler, Katherine R..............................................     9
    Prepared statement...........................................    62
    Responses to written questions...............................    78

                                APPENDIX

Items submitted for the record...................................    37










 
                  LEGACY OF HARM: ELIMINATING THE ABUSE
                         OF SOLITARY CONFINEMENT

                              ----------                              


                        TUESDAY, APRIL 16, 2024

                              United States Senate,
                                Committee on the Judiciary,
                                                    Washington, DC.
    The Committee met, pursuant to notice, at 10 a.m., in Room 
G50, Dirksen Senate Office Building, Hon. Richard J. Durbin, 
Chair of the Committee, presiding.
    Present: Senators Durbin [presiding], Whitehouse, Coons, 
Blumenthal, Hirono, Booker, Ossoff, Welch, Butler, Graham, 
Grassley, Hawley, Kennedy, Tillis, and Blackburn.

         OPENING STATEMENT OF HON. RICHARD J. DURBIN, 
           A U.S. SENATOR FROM THE STATE OF ILLINOIS

    Chair Durbin. This meeting of the Senate Judiciary 
Committee will come to order. Today the Committee will address 
the solitary confinement in Federal prisons and immigration 
detention facilities. Twelve years ago, in 2012, I convened the 
first-ever Congressional Hearing on solitary confinement. I'm 
disappointed to report that, more than a decade later, the 
overuse of solitary confinement remains a stain on our Nation. 
I would like to turn to a video that depicts the impact of 
solitary confinement on those who've experienced it.
    [Video is shown.]
    Chair Durbin. One of the men who appeared in that video you 
just saw was Anthony Graves, a witness at my 2012 hearing. His 
testimony will stick with me for the rest of my life. Mr. 
Graves spent 18 years on death row, 16 years in solitary 
confinement, and then he was exonerated and released. Mr. 
Graves' testimony gave us a glimpse into the impact of solitary 
on the human mind. At the time of our hearing, Mr. Graves had 
been out of prison for 2 years, but I can remember very vividly 
that he was not free from the ravages of his time in solitary.
    Prolonged exposure to solitary confinement can be as 
profound and permanent as traumatic brain injury and can result 
in psychological and physical disabilities. And let me remind 
you, the vast majority of the people who are in solitary 
confinement will one day be released. Research by experts and 
testimony from countless people who have spent time in solitary 
documents how it worsens preexisting medical and mental health 
conditions and creates conditions that didn't previously exist.
    I held a follow-up hearing 2 years ago, after my 2012 
hearing. We heard from Damon Thibodeaux, whom you saw in the 
video. Mr. Thibodeaux tragically died in 2021 from COVID-19. He 
spent 15 years in solitary confinement before he was exonerated 
and released in 2012. He told us, ``I do not condone what those 
who have killed and committed other serious offenses have done, 
but I also don't condone what we do to them when we put them in 
solitary for years on end and treat them as subhuman. We are 
better than that. As a civilized society, we should be better 
than that.''
    Mr. Thibodeaux was right. We should be better. As the late 
John McCain, our former colleague and friend who spent over 5 
years as a prisoner of war in Vietnam, said, ``It's an awful 
thing, solitary. It crushes your spirit, weakens your 
resistance more effectively than any form of mistreatment.''
    After my hearings, the Obama administration took some 
important steps to reduce the use of restricted housing in the 
Federal prison system. Unfortunately, under the Trump 
administration that progress stalled, and the rate of 
individuals in solitary steadily increased. BOP Director Peters 
told this Committee this is one of her priorities, but 
unfortunately, as I have pointed out numerous times, numbers in 
solitary in the Federal system are higher today than they were 
2 years ago. This is deeply disappointing.
    We are seeing the same alarming pattern in ICE detention 
facilities. In the last 5 years alone, ICE has placed people in 
solitary confinement over 14,000 times, with an average 
duration of 27 days. In 2023, of those detained in solitary in 
ICE facilities, an estimated 56 percent had mental health 
conditions, up from 35 percent in 2019. Tragic stories of 
lengthy detention in solitary have surfaced. Last month, a man 
died in the ICE facility in Tacoma, Washington, after he was 
held in solitary for almost the entirety of his 4 years in ICE 
detention. Individuals who violate our criminal immigration 
laws must be held accountable, but they should be detained in a 
humane manner that does not violate fundamental human rights.
    We in Congress can't just blame it on the executive. We 
must look in the mirror and acknowledge our obligation to 
eliminate the abuse of solitary. That's why I reintroduced the 
Solitary Confinement Reform Act with Senator Coons and the 
Restricting Solitary Confinement in Immigration Detention Act 
with Senator Schatz. I hope my colleagues will join me in 
making these bills the laws of the land. I now recognize 
Senator Graham.

         OPENING STATEMENT OF HON. LINDSEY O. GRAHAM, 
        A U.S. SENATOR FROM THE STATE OF SOUTH CAROLINA

    Senator Graham. Thank you, Mr. Chairman. So, I think this 
hearing really should be entitled, The Effect on the American 
People of Catch and Release. You know, I'll be glad to talk 
with you about solitary confinement and traditional detention 
and what effect it may have on people, but I imagine it's a 
tool that most jailors need, to protect not only the population 
of prisoners but probably the individual itself.
    But in terms of ICE detention, that this--that 1 percent of 
the people detained, according to the GAO, are put in such 
conditions--what I want to point out to the American people: 
there is no detention, effective detention, when it comes to 
illegal immigrants coming to our border. There are about 40,000 
bed spaces, and we're talking 3 million encounters. The catch 
and release program is just one of the greatest pull factors. 
Eighty-something percent of the people in the alternative 
detention program never show up. So, really, I think the 
problem America faces from detention is the lack of it, when it 
comes to people coming across our border. And the price of this 
policy by the Biden administration is pretty darned high.
    The Ibarra case, the gentleman accused of killing Ms. Riley 
in Georgia--apprehended in September 2022, released on parole; 
2023, charged with a crime in New York; October 2023, charged 
with stealing from Walmart; and now faces charges of killing 
Ms. Riley. This is one example of a parole catch and release 
program completely out of control. You probably saw the example 
of a couple of cops being beaten up by a gang of thugs. All of 
those people, for the most part, were supposed to be in ICE 
detention, and New York didn't detain them, and they are out on 
the streets beating up cops, and they run to California.
    Encounters in Fiscal Year 2023: 2.5 million. We're on track 
now to do over 3 million, at the rate we're going, and again, 
there's 40,000 bed spaces. So, Mr. Chairman, I would suggest we 
have a hearing about the effect of fentanyl on the country. 
We're the only Committee really of jurisdiction that hasn't had 
a hearing about fentanyl. I suggest we have a hearing about the 
catch and release phenomenon that's leading to Americans being 
killed and injured from policies that--totally out of control.
    When it came to Mr. Ibarra, I asked a question: on what 
basis was he paroled? Under the law, you can only be paroled 
for two specific reasons: if you have a unique humanitarian 
need or you have a particular benefit to the country. An 
individual analysis. We got the report back. Do we have it? The 
analysis of why he's paroled--do you have his parole file? I'm 
going to introduce that in the record, and I'd like unanimous 
consent to introduce the actual document in his case.
    There's absolutely no indication of why he was paroled. 
There's no indication anybody did an individual analysis, as 
required by law. Just says the guy was paroled. This is a 
symptom of a greater problem. And, Mr. Chairman, I think what 
we need to be talking about more robustly than we are is the 
effect on the American people of having a catch and release 
program with no limits. Thank you.
    Chair Durbin. Senator Graham, we've had oversight hearings 
for all of the law enforcement agencies responsible for 
fentanyl and other crimes committed in this country, and on a 
bipartisan basis members have had ample opportunity to ask 
questions. Fentanyl is a serious, serious problem. A recent 
briefing, last week or the week before, with Anne Milgram, the 
head of the Drug Enforcement Administration, just made that 
point, as clear as could be, to me, and I will not resist any 
efforts to have hearings on fentanyl or any other narcotic 
threatening our country.
    When it comes to the issue of immigration and border, what 
I suggest is the idea of a Bipartisan Committee. Perhaps we 
could pick someone like the Senator from Oklahoma, Republican 
Senator, to be the spokesman for their side. We'll have Chris 
Murphy from our side and Kyrsten Sinema, as well. Let them come 
up with a bipartisan proposal for changing the laws at the 
border and making sure that we do everything we can to bring 
order to the situation.
    I would suggest that, in earnest, were it not for the fact 
that we did exactly that. At the suggestion of Senator Graham 
and other Republicans, we put together this Bipartisan 
Committee and asked them to produce reforms for the border that 
relate to the executive branch as well as to our own branch of 
government. Unfortunately, when we made that suggestion, a 
Presidential candidate named Donald Trump said, stop it. I 
don't want anything done on this issue before November. And so 
he said if there're people who want to blame me for this, go 
ahead and blame me.
    I blame him. And I blame him for the lack of effort for a 
bipartisan solution to a problem which requires that. It's a 
serious issue. You've raised it many times. I think we 
should've used that bipartisan bill as the platform to do 
something about it. I hope that you'll reconsider your 
position.
    Senator Graham. Mr. Chairman, I promise I won't hold the 
hearing up but respond very quickly, if I may, just for a 
second?
    Chair Durbin. Sure. Of course.
    Senator Graham. Thank you. As to the parole problem, on 
average, the Obama-Trump years was about 5,000 per year 
paroled. We're talking about 800 to a million people paroled. 
You don't need a law to fix that. That's a discretionary 
decision. That's a policy choice by the Biden administration. 
President Biden hints that he may do something dramatic on the 
border. Well, the first thing he could do, Mr. President, 
President Biden, is stop abusing parole.
    Hopefully I'll have the file here, in a minute, and I can 
introduce into the record how the man that was paroled that 
wound up being charged with killing Ms. Riley--there is 
absolutely no analysis under the law as to why he was paroled. 
I want the American people to know that this man, facing 
charges, was detained by our system, paroled out, and without 
any analysis as to whether or not he deserved parole. That goes 
on hundreds of thousands of times a year, and you don't need a 
law to fix that. You need a president to fix it, because he's 
the one that caused the problem. Thank you.
    Chair Durbin. And, for the record, President Biden 
supported the bipartisan bill, which was stopped by Donald 
Trump and his followers. I hope that you'll reconsider that 
position.
    Today, we welcome four witnesses. Our first is Gretta 
Goodwin, the Director of Homeland Security and Justice at the 
Government Accountability Office, which recently issued reports 
on the use of solitary confinement in Federal prison and 
immigration detention. Joined by Nicole Davis, Executive 
Director of the Talk2Me Foundation, incarcerated for more than 
13 years in a Federal prison, in FCI Danbury in Connecticut.
    We also welcome Dr. Katherine Peeler, Assistant Professor 
of Pediatrics at the Harvard Medical School and Medical Expert 
for Physicians for Human Rights. She worked with Physicians for 
Human Rights on an exhaustive report about the overuse of 
solitary confinement in Immigration and Customs Enforcement. 
Ranking Member Graham, would you like to introduce your 
witness?
    Senator Graham. Thank you, Mr. Chairman. Sheriff Roy Boyd 
we're honored to have as our witness today. He's the sheriff of 
Goliad. Did I get it right, Sheriff? A county in Texas. He's a 
seventh-generation Texan and has over 3 decades of experience 
in law enforcement. He has been a member of the Unified Command 
for border security operations in Texas since 2008. He started 
an Operation Lone Star Task Force, which has 30 participating 
law enforcement agencies, local, who have come together to 
fight transnational criminal activity across Texas. Thank you, 
Sheriff.
    Chair Durbin. If the witnesses would please stand to be 
sworn in. Raise your right hand.
    [Witnesses are sworn in.]
    Chair Durbin. Let the record reflect that all four 
witnesses have answered in the affirmative. Ms. Goodwin, you 
may proceed with your opening statement.

STATEMENT OF GRETTA L. GOODWIN, DIRECTOR, HOMELAND SECURITY AND 
   JUSTICE, GOVERNMENT ACCOUNTABILITY OFFICE, WASHINGTON, DC

    Ms. Goodwin. Chair Durbin, Ranking Member Graham, and 
Members of the Committee, I appreciate the opportunity to 
discuss the use of restrictive housing in BOP and ICE 
facilities. Federal correction and immigration detention 
facilities can place individuals in restrictive housing in 
certain circumstances. This type of housing generally consists 
of one-or two-person cells that isolate individuals from the 
general population. Numerous studies have reported that time 
spent in isolation can cause detrimental health impacts such as 
anxiety, depression, post-traumatic stress disorder, and self-
harm or suicide. In recent years, BOP and ICE have placed 
thousands of people in restrictive housing.
    My statement today will discuss the extent to which BOP has 
addressed recommendations from prior studies and BOP and ICE 
manage and oversee their use of restrictive housing. Two 
studies made 87 recommendations to BOP about its management and 
use of restrictive housing. In 2014, an independent contractor 
selected and paid for by BOP issued 34 recommendations. In 
2016, the Department of Justice issued 53. The majority of 
these recommendations have not been fully addressed, and some 
are nearly a decade old.
    Last year, BOP awarded nearly $8 million to a new 
contractor to conduct another comprehensive assessment. Earlier 
this year, we issued eight recommendations to BOP about their 
restrictive housing practices. BOP and ICE can both benefit 
from improving their operations. We found that BOP does not 
have adequate and timely oversight to ensure that prisons 
correctly identify problems, such as staff not following 
policy. We also found that BOP placed individuals in its 
special management unit disproportionately by race. Black 
individuals were 38 percent of the total Federal prison 
population, yet they represented 59 percent of the population 
in this unit. In our interviews with people incarcerated in 
this unit, we heard similar information. BOP is aware of this 
disparity but hasn't evaluated why it's happening.
    ICE has policies for managing its operations, but 
information used for oversight is inconsistent. For example, 
detention facilities provide ICE with supporting documentation 
that help determine the appropriateness of placements, yet we 
found that this documentation was vague and didn't always 
contain sufficient details explaining why someone was placed in 
restrictive housing. Also, ICE's data system for tracking 
placements didn't always identify vulnerable populations, such 
as individuals with mental illness or others who may require 
additional attention. Without identifying all known detailed 
vulnerable noncitizens, ICE is limited in its ability to 
conduct oversight of their treatment and care.
    Our prior work has also shown that BOP and ICE were neither 
routinely nor comprehensively analyzing complaint data, which 
means they may be missing opportunities to identify potential 
patterns of noncompliance or areas for improvement. We analyzed 
summary information for over 1,000 complaints submitted by 
those in BOP units. These included complaints about staff 
misconduct, being denied access to rec time, and being denied 
or provided inadequate amounts of food and hygiene products 
such as toilet paper, soap, or sanitary products.
    We've reported that ICE did not have reasonable assurances 
that its field offices were investigating or resolving 
complaints in a timely manner. For example, one unit referring 
complaints to ICE field offices indicated that, for certain 
noncriminal complaints, they didn't hear back from the field 
offices 99 percent of the time.
    We've made several recommendations to BOP and ICE, and 
they've agreed with them. Implementing our recommendations is 
essential to helping both BOP and ICE improve oversight of 
restrictive housing operations, ensure compliance with relevant 
policies, and meet their directives to provide safe, well 
managed, and humane conditions of confinement. Chair Durbin, 
Ranking Member Graham, and Members of the Committee, this 
concludes my remarks. I'm happy to answer any questions you 
have.
    [The prepared statement of Ms. Goodwin appears as a 
submission for the record.]
    Chair Durbin. Thank you very much, Ms. Goodwin. Ms. Davis.

    STATEMENT OF NICOLE DAVIS, EXECUTIVE DIRECTOR, TALK2ME 
                 FOUNDATION, CHICAGO, ILLINOIS

    Ms. Davis. Chairman Durbin, Ranking Member Graham, and 
Members of the Committee, good morning.
    Chair Durbin. Good morning.
    Ms. Davis. It is with profound honor that I testify before 
you. Thank you, Chairman Durbin and the Members of the 
Committee, for holding this hearing on ending the abuse of 
solitary confinement and for inviting me to testify. Thank you 
also, Chairman Durbin, for repeatedly drawing attention to the 
torture of solitary confinement--from hearings on solitary, to 
conducting prison visits, to questioning officers about 
solitary--and moving us closer to ending this horrific 
practice.
    My name is Nicole Davis, and I am the founder of the 
Talk2Me Foundation, for kids whose parents are incarcerated, 
and the executive director of the Sisters of Support House, a 
safe house for women to keep them from being harmed. It is with 
profound honor that I stand before you today to shed light on 
the torture of solitary confinement in Federal custody and urge 
the Senate, House of Representatives, and the President to pass 
the End Solitary Confinement Act.
    My firsthand experience in BOP custody revealed the true 
horror of solitary confinement. Locked away multiple times 
during my 13 and a half years of incarceration, I suffered 
deeply once. I spent nearly a month in solitary when I first 
arrived at Danbury Correctional Facility, because of 
overcrowding. Another time, I endured almost 3 months because 
my sister allowed me to hear my daughter's voice on a three-way 
call after she had been in a terrible accident.
    Regardless of the reason I was there, each stint left me 
traumatized: anxious, breathless, and deeply depressed. I 
feared for my safety, witnessed abuse happening while locked in 
solitary. I repeatedly heard multiple officers tussling with a 
woman in her cell while she screamed for them to get their 
hands off of her. I would think to myself that if I had to be 
here, I didn't want to live. I truly felt like I had nothing 
left to live for. I cried all night until I felt sick. 
Listening to the women inside the SHU scream and cry out for 
help every night brought tears to my eyes because I was one of 
them.
    I also was scared an officer was going to come in the cell, 
harm me, even rape me. I made it out of solitary confinement 
alive. Sadly, many don't survive solitary. Nearly half of all 
BOP custody deaths by suicide occur while in solitary. Till 
this day, I can never shake what happened to the young woman in 
the cell down from me who was crying out for help. She 
continued, saying she was going to kill herself if they didn't 
let her out. I called for a staff member or a doctor to come 
check on her. A doctor came, but they didn't get her the care 
she needed, and they left her in the SHU. She died by suicide, 
and the officer came to take her body out of the cell.
    I am still traumatized by the time in solitary confinement. 
Even after a decade of freedom, the scars of solitary haunt me. 
Solitary confinement is not a place to put human beings. I am 
testifying before you today to urge the Senate, along with the 
House of Representatives and the President, to enact the End 
Solitary Confinement Act. This Act follows best practices in 
youth and mental health facilities, as well as model programs 
in adult correctional facilities, to ban solitary in all forms 
of Federal custody beyond 4 hours, because we know even a short 
period of time in solitary causes substantial harm and could 
lead to death or worsen safety for everyone.
    The Act would instead allow alternative forms of separation 
without isolation and with access to 14 hours of daily out-of-
cell time, involving meaningful human engagement and 
programming aimed at addressing the reasons why a person needs 
to be separated. These types of alternative forms of 
separation, like the CAPS and PACE programs in New York City 
jails, the Merle Cooper Program in New York State prisons, and 
the RSVP program in San Francisco jails, have been 
significantly proven to reduce violence and better support 
people's health and well-being.
    For example, the RSVP program included people who had 
carried out assault, sexual assault, and other violent acts and 
led to zero violent in-jail incidents over a 1-year period and 
reduced re-arrests for violence in the community by 83 percent. 
As someone who has endured the torture of solitary confinement, 
I know that we need the End Solitary Confinement Act 
immediately.
    In closing, I stand before you not as a survivor--not only 
as a survivor but as a voice for the countless individuals who 
have endured and are right now enduring the agonies of solitary 
confinement. I urge the Senate and the House and the President 
to enact the End Solitary Confinement Act in order to stop 
torture, improve safety, and save lives. Thank you so much.
    [The prepared statement of Ms. Davis appears as a 
submission for the record.]
    Chair Durbin. Thank you, Ms. Davis. Sheriff Boyd.

STATEMENT OF ROY BOYD, SHERIFF, GOLIAD COUNTY SHERIFF'S OFFICE, 
                         GOLIAD, TEXAS

    Mr. Boyd. Chairman and Members of the Committee, I'm here 
today to testify about inmate segregation within the confines 
of a county jail in the State of Texas. All county jails in 
Texas are subject to the rules of the Texas Commission on Jail 
Standards, which oversees and enforces the regulations set 
forth by processes put in place by the Texas legislature. As 
the sheriff of Goliad County, I am responsible for the 
operation of a jail authorized to hold no more than 48 inmates 
at a time. Other counties like Harris or Dallas hold thousands 
of inmates on any given day; however, regardless of the size of 
the facility, all county jails in the State of Texas must 
comply with the exact same regulations.
    Since this Committee is discussing what is referred to as 
solitary confinement, I'll provide you with some of the 
information about classification of inmates as required by 
Chapter 271 under Title 37, Part 9 of the Texas Administrative 
Code. Under this code, each sheriff is to develop and implement 
an objective classification plan, which must be approved by the 
Texas Commission on Jail Standards.
    In Texas, inmates shall be classified and housed in the 
least restrictive housing available without jeopardizing staff, 
inmates, or public, utilizing risk factors which include the 
following: current offense or conviction, offense history, 
escape history, institutional disciplinary history, prior 
convictions, alcohol and/or drug abuse, and stability factors. 
Classification criteria cannot include race, ethnicity, or 
religious preference. Custody levels and special housing needs 
shall be assessed, to include minimum, medium, and maximum 
custody levels and the replacement and release of inmates to 
and from special units, including protective custody, 
administrative separation, disciplinary separation, and mental 
and medical health housing, including known pregnant inmates.
    With regards to segregation of inmates, the following are 
the rules which jails in the State of Texas must comply with. 
Female inmates shall be separated by sight and sound from male 
inmates. Inmates assigned to a detoxification cell shall be 
transferred to a housing or holding area as soon as they can 
properly care for themselves. The status of persons confined to 
a violent cell shall be reassessed and documented at least 
every 24 hours for continuance of status.
    Inmates who require protection or those who require 
separation to protect the safety and security of the facility 
may be housed in administrative separation. The status of 
inmates placed in administrative separation shall be reviewed 
and documented at least every 30 days for continuance status. 
Inmates housed in administrative separation shall retain access 
to services and activities unless the continuance of those 
services and activities would adversely affect the safety and 
security of the facility.
    Single cells may be utilized for disciplinary or 
administrative separation. Inmates in administrative separation 
shall be provided access to a day room for at least 1 hour a 
day. Inmates in disciplinary separation shall be provided a 
shower every other day. The Goliad County Sheriff's Office is a 
participating member of the ICE 287(g) program; however, our 
facility is not authorized to house Federal inmates, including 
ICE detainees. As such, under our agreement with ICE, the 
Goliad County Jail classifies and houses inmates under the 
rules and regulations of the Texas Jail Commission standards.
    Unfortunately, there is much misunderstanding and false 
information about the role of law enforcement in housing of 
inmates. As the sheriff and chief law enforcement officer of 
the county that I serve, it is my responsibility to provide a 
safe environment for the people who have been ordered to remain 
in the Goliad County Jail. Once someone is arrested by law 
enforcement, the sheriff is responsible for housing that 
person. I do not have a say about the bond that they receive or 
the amount. This is done by a magistrate. I do not have a say 
about whether an inmate remains in jail or is released. This is 
a decision of the court.
    These lawful powers remain under separate government 
authorities to prevent the violation of rights of the persons 
arrested and placed in jail. As a sheriff and public servant, 
it is my belief that every person is made in the image of God 
and shall be treated fairly, in accordance with the rules and 
regulations and laws as provided by the Texas legislature. That 
concludes my statements, and I'll be happy to answer any 
questions. Thank you.
    [The prepared statement of Mr. Boyd appears as a submission 
for the record.]
    Chair Durbin. Thank you very much, Sheriff. Dr. Peeler.

 STATEMENT OF KATHERINE R. PEELER, MD, MA, ASSISTANT PROFESSOR 
  OF PEDIATRICS; MEDICAL EXPERT, PHYSICIANS FOR HUMAN RIGHTS, 
         HARVARD MEDICAL SCHOOL, BOSTON, MASSACHUSETTS

    Dr. Peeler. Chair Durbin, Ranking Member Graham, Members of 
the Committee, thank you for the opportunity to testify today. 
I'm here to testify about the health effects and impacts of 
solitary confinement. The use and misuse of solitary 
confinement is widespread in the United States. Solitary 
confinement causes severe and long-lasting mental and physical 
health harms, and it can amount to torture. I lead an 
immigration lab about the immigration detention conditions in 
the U.S. as they pertain to the health of those detained. My 
most recent study about solitary confinement in Immigration and 
Customs Enforcement, or ICE, detention was published this past 
February and informs much of what I will discuss today.
    No one should be in solitary confinement. It helps no one, 
hurts everyone, and better, proven alternatives exist. Solitary 
confinement syndrome is well known in the medical literature 
and is characterized by symptoms such as anxiety, panic 
attacks, difficulty with memory, hallucinations, and paranoia. 
While many of the acute symptoms may improve once a person is 
no longer confined, longer-lasting medical issues remain, 
including post-traumatic stress disorder, depression, and 
difficulties with social interaction.
    The effects in ICE solitary confinement are no different. 
In our study, we analyzed ICE data about the use of solitary 
from 2018 to 2023. During that time period, we found that ICE 
placed people in solitary confinement more than 14,000 times. 
The U.N. threshold for torture with respect to solitary 
confinement is anything greater than 15 days, because it is 
recognized beyond that window that many of those severe 
symptoms that I just mentioned become less reversible.
    The average duration of ICE solitary confinement, in our 
study, was 27 days--almost two times longer than the UN's 
threshold for torture. Our review of the data also show that 
use of solitary confinement was indiscriminate. One immigrant 
was placed in solitary for 29 days for ``using profanity'' and 
another for 38 days because they refused to get out of bunk 
during count.
    The other portion of our study consisted of interviews of 
26 individuals who had been in solitary confinement in ICE 
detention. They described anxiety, depression, paranoia while 
in solitary--all consistent with the past literature that I 
just cited in other settings. More than 50 percent of those who 
we interviewed required mental health care while in solitary 
confinement. Unfortunately, 23 percent had to wait more than a 
month to be seen by a mental health care provider, and another 
23 percent were never seen at all.
    Access to medical care for serious physical health issues 
was inadequate. Individuals who experienced chest pain and head 
trauma waited up to a week to be seen by a medical 
professional. And, finally, numerous people reported to us 
being placed in solitary confinement when needing medical 
isolation for infectious illnesses. Solitary confinement is not 
an appropriate way to medically isolate an individual.
    However, alternatives to solitary confinement do exist. 
They are more humane. They achieve detention facilities' safety 
goals. They improve the health of all, including those who work 
in these settings. For example, the North Dakota Department of 
Corrections and Rehabilitation undertook a program that 
resulted in an almost 75 percent decrease in the use of 
solitary confinement during a recent 4-year study period. By 
tightening their discretion about who might need solitary 
confinement and training their staff about how to de-escalate 
someone who needed separation, they achieved this incredible 
decrease in solitary confinement. Importantly, both 
incarcerated persons and staff members reported improvements in 
their health and well-being, enhanced interactions with one 
another, and less exposure to violence following the program, 
not more.
    I want to close with a recent example that rings true with 
what our research found. And you've heard his name already 
today by Chair Durbin. Charles Leo Daniel was a 61-year-old man 
from Trinidad and Tobago. He suffered from severe mental 
illness, and he died just last month at an ICE detention center 
in Tacoma, Washington while in solitary confinement. In his 
most recent stint, he had spent almost 4 years in solitary. 
This is not how we should care for those with mental illness. 
Solitary confinement unquestionably leads to severe detrimental 
health effects, and what's more, sensible alternatives exist.
    My asks to you are this: pass legislation eliminating 
solitary confinement completely and, until then, drastically 
limit its use in the United States. Reallocate funding within 
jails, prisons, and detention systems to proven alternatives to 
solitary confinement, with a focus on assisting the underlying 
issue in a humane and productive manner. Thank you for holding 
this hearing, and thank you for shining light on this important 
issue.
    [The prepared statement of Dr. Peeler appears as a 
submission for the record.]
    Chair Durbin. Thank you, Dr. Peeler. Each Senator will have 
5 minutes to ask questions, and I'll start. Dr. Peeler, I would 
agree with almost everything you've said, save one particular 
point. I visited a maximum detention facility in Illinois, and 
I asked if I could go into the area of isolation or solitary 
confinement, and I spoke to five of the inmates. Four of them I 
could describe, but in the interest of time, I will focus on 
one.
    He was a white male individual who looked to be about 35 
years old. I asked him how long he was in. He said, originally 
20 years, now 50. I said, how did it go from 20 to 50? He said, 
I told them that if they put anybody in the cell with me, I'd 
kill them, and I did. They put someone in there, and I killed 
them.
    I thought to myself, Durbin, get real. This individual 
cannot share a cell with anyone. I wouldn't want to. No one 
would want to. So, there has to be some alternative for those 
who need to be isolated for their own sake and the sake of the 
guards and the other inmates.
    Having said that, I do believe that the examples that 
you've given and the ones that I've seen otherwise show the 
abuse of this practice in the extreme. To think that 
individuals are incarcerated and isolated for months, if not 
years, at a time is unthinkable. Why is it, if we have strong 
reactions against physical cruelty, we don't have any strong 
reaction against mental cruelty? And this is certainly cruel to 
even a person who would be described as normal, let alone those 
suffering from mental illness. Ms. Goodwin, is there any 
particular recommendation you'd like to point out, of the 87 
that you've made to the Bureau of Prisons, that you think would 
make a difference?
    Ms. Goodwin. Thank you, Senator Durbin. So, of those 87 
recommendations, there are about 54 that remain open. Some of 
them do speak to the need to reexamine whether solitary 
confinement is the way to go. BOP itself is on record as saying 
it might not be the best way, particularly in terms of reducing 
recidivism. So, we stand by the recommendations that we made, 
and we've been paying attention to the--you know, the open 
recommendations and working closely with BOP to see how they 
plan to meet those. But there are some that speak to looking 
for alternatives to solitary confinement, looking for some way 
to--because there are people who do need to be contained and 
confined, and so--asking BOP to think through ways that they 
might use alternatives to solitary confinement, alternatives to 
restrictive housing.
    Chair Durbin. Ms. Davis, did you have visitation by 
counselors or ministers or chaplains or anyone during the 
period of your isolation?
    Ms. Davis. No. Thank you----
    Chair Durbin. You need to turn the mic on.
    Ms. Davis. Thank you for that question, Senator Durbin. No, 
I did not. No one came back there to check on me.
    Chair Durbin. How long were you in solitary----
    Ms. Davis. The first time I was in, I was in there 30 days, 
due to overcrowdings on the compound. There was no beds.
    Chair Durbin. And then subsequently were you incarcerated 
in similar fashion?
    Ms. Davis. Yes.
    Chair Durbin. For how long a period of time?
    Ms. Davis. A year and a half.
    Chair Durbin. Could you tell me the general nature of the 
offense that led to your isolation?
    Ms. Davis. Well, I was airlifted to Danbury, because that's 
where I was designated to do my time. And the first time that I 
came there, I was put in solitary confinement because, once 
again, there was no beds available for me to be in. So, they 
put me in segregation housing.
    Chair Durbin. What about the subsequent time, for a year 
and a half? What----
    Ms. Davis. Because they said I made a three-way calling, 
three-way phone call.
    Chair Durbin. A three-way phone call?
    Ms. Davis. Yes. That's the time when my daughter was in a 
terrible accident, and when I called home to speak with my 
sister, she switched over and made the call to the hospital 
where my daughter was at, so that is considered a three-way 
calling, and it violated BOP rules.
    Chair Durbin. Did you ask for any counseling, medical 
counseling or otherwise?
    Ms. Davis. Yes. Once I was released out of segregation 
housing, I went to my counselor, Ms. Bidwell, and she told me I 
had to fill out a call-out to speak with a counselor, and when 
I did that, no one ever answered my call-out.
    Chair Durbin. Dr. Peeler, you mentioned North Dakota, I 
believe. It appears that they have done, on a statewide basis, 
some reforms that have virtually eliminated solitary. Is that 
true?
    Dr. Peeler. The program that I looked at looked at several 
prisons within North Dakota, and they have drastically reduced 
it by about 25 percent. I'm not sure if it was across the 
entire State or not, but in the two main men's prisons--the 
study did not include the women's prison--solitary confinement 
has been drastically, drastically reduced.
    Chair Durbin. I would just say, before I hand it off here, 
that this is frustrating for me. I've been involved in this for 
12 years. An article by Dr. Atul Gawande inspired me to get 
into this issue. I cannot understand how States are showing 
such leadership in this area and we are failing so badly. I'm 
going to call on Director Peters, clearly, to explain why she 
has not implemented the GAO recommendations and hold her 
accountable for that. Senator Graham.
    Senator Graham. Thank you, Mr. Chairman. Ms. Davis, what 
prison are we talking about here?
    Ms. Davis. Danbury Correctional, FCI.
    Senator Graham. And that's in what State?
    Ms. Davis. What did you say?
    Senator Graham. What State?
    Ms. Davis. Danbury, Connecticut.
    Senator Graham. Okay. And you were isolated for a year and 
a half for making a three-way phone call?
    Ms. Davis. Yes.
    Senator Graham. Okay. Thank you. Sheriff Boyd, tell me 
about the 287(g) program. Local law enforcement works with the 
Federal Government how?
    Mr. Boyd. Yes, sir. We are a participating member of 
287(g), and what that is, is, at the Goliad County Sheriff's 
Office, this allows us to enter into the Federal computer 
system, identify somebody who is a criminal alien, and then 
actually go into the system to have a detainer placed upon 
them. So, at the sheriff's office, I have one of the deputies--
Virginia Escojido is trained by ICE in order to go in and 
perform that function. What we do is we identify individuals 
who are illegal aliens who have already been arrested on 
criminal charges and are in jail. There is a misunderstanding 
that that is something we do in the field, and we cannot and we 
do not. It's only for those people who are inmates within the 
jail that are identified as illegal aliens and are potentially 
eligible for an ICE detainer.
    Senator Graham. So, what's a sanctuary city or county? How 
do they differ from what you do?
    Mr. Boyd. In Goliad, we enforce the laws provided to us by 
the legislative body in the State of Texas. Basically what you 
have in a sanctuary city is a governmental body that decides 
that they do not wish to enforce the laws that have been passed 
by the----
    Senator Graham. So, in a sanctuary----
    Mr. Boyd [continuing]. Legislative body.
    Senator Graham [continuing]. City or county, they'll have 
somebody detained, they'll find out they're in illegal status, 
they refuse to cooperate with the Federal Government to get the 
person detained or issue a detainer. Is that correct?
    Mr. Boyd. That is correct.
    Senator Graham. Okay. Here in Texas, I'm sure you have a 
lot of encounters. Is illegal immigration a problem for Texas 
law enforcement?
    Mr. Boyd. Much like that chart that you put up there a 
while ago, that showed over 400 percent increase in 
apprehensions, Goliad County Sheriff's Office, prior to the 
current Presidential administration, arrested on average 77 
people a year. Last year, we arrested 482 people. And so our 
number one charge is, of course, drugs, which is tied to the 
open border. And then we also have quite a few people that come 
to jail for smuggling and engaging in organized criminal 
activity. It has had a tremendous impact on the communities 
throughout south Texas, including ours.
    Senator Graham. Back to the Ibarra case. This individual's 
facing murder charges in Georgia. He was apprehended, paroled 
in September 2022; has a law enforcement engagement in New 
York, I think in October of that year. So, we've finally got 
the file, and it says--I can introduce the entire file, if 
you'd like, and I'll just--this one little sentence, here: 
``Parole due to detention capacity at central processing center 
in El Paso, Texas.''
    [The information appears as a submission for the record.]
    Senator Graham. Now, that's what his file shows. He wasn't 
paroled because he had a unique benefit to the country or they 
had a humanitarian need, as the law requires. He was paroled 
because of capacity problems.
    Ms. Peeler, in one of your reports, I think you--or 
recommendations you made to ICE--have you made recommendations 
to ICE?
    Dr. Peeler. We did. We made recommendations to ICE in our 
report, Senator.
    Senator Graham. Okay. And one of them said they should 
require a presumption of release from ICE detention for people 
that have been--reported existing vulnerabilities, including 
but not limited to people with serious medical conditions, 
mental health conditions, disabilities, LGBTQIA people, and 
survivors of torture and/or sexual violence. So, you recommend 
a presumption that they should be released, that category, but 
not limited to that category?
    Dr. Peeler. Senator, I've been asked to talk about the 
health effects of solitary confinement, and given that the 
effects are extremely detrimental, particularly for vulnerable 
populations--and that ICE has directives protecting those 
populations--it would be an improvement for their health for 
them to be presumptively----
    Senator Graham. But we----
    Dr. Peeler [continuing]. Released.
    Senator Graham [continuing]. Should--in this category but 
not limited to this category, there should be a presumption of 
release?
    Dr. Peeler. I believe----
    Senator Graham. Not a----
    Dr. Peeler [continuing]. That would improve----
    Senator Graham [continuing]. Presumption----
    Dr. Peeler [continuing]. The health of that population.
    Senator Graham. Not a presumption of, you know, not being 
put in isolation but just being released? Is that what you're 
recommending?
    Dr. Peeler. Yes, sir.
    Senator Graham. Wow. So, mental health problems--real 
quick, Sheriff. How many people involved in the criminal 
justice system have mental health problems, and if they weren't 
controlled in some fashion, they would be a harm to themselves 
or others? Is that a common problem you face?
    Mr. Boyd. Yes, sir, it is. I think one of the problems that 
we need to look at from both the State and maybe the Federal 
side is the fact that we generally lack the space for people 
who are in need of mental health to go to actual mental health 
facilities. And those people are being shoved in the criminal 
justice system, which they should not. But on the other side, I 
will tell you that--from a law enforcement perspective, I will 
tell you that the vast majority of people that I see suffering 
from mental health, that mental health issue is actually the 
side effect of the drug abuse that they've partaken in, which 
of course goes right back to the open border issue that we have 
and the drugs that are flowing in at the hands of the Mexican 
cartels.
    Senator Graham. Thank you.
    Chair Durbin. Senator Hirono.
    Senator Hirono. Thank you, Mr. Chairman. I'd just like to 
note for the record that when we start talking about 
undocumented persons committing crimes, et cetera--immigrants 
commit crimes at much lower rates than U.S. citizens. And also, 
regarding the drug problem, fentanyl coming into our country, 
most of those drugs are coming in through the--by U.S. 
citizens. So, you know, it would be good if we can deal with 
facts. And thank you, Mr. Chairman, for noting that we actually 
had a bipartisan bill that dealt with the border issues, which 
a former President said, kill it, so it was killed--why we need 
comprehensive immigration reform.
    So, getting on to the subject of solitary confinement, 
Professor Peeler and others, thank you all for testifying. I 
think it is very clear that the effects of solitary confinement 
continue far beyond the time of the confinement. And I believe, 
Ms. Peeler, you noted a report that you did on this issue, and 
you made two recommendations that I'd like to have you talk a 
little bit more.
    One was for DHS to publicly commit to ending solitary 
confinement and issue directives on that commitment. And the 
second was to require all facilities to report within 24 hours 
when someone is put into solitary confinement. So, is this 
basically to, one--everything that you all have testified 
regarding solitary confinement--there must be alternatives, and 
you did note that North Dakota used one of these alternatives, 
but was it also to point out how extensively solitary 
confinement is used within DHS? Can you talk a little bit more 
about these two recommendations you made?
    Dr. Peeler. Senator, yes. Thank you so much. Solitary 
confinement is certainly widespread in ICE detention. It is 
used for disciplinary means, often for very minor infractions, 
despite stated guidelines for its appropriate use--or use, I 
should say, as directed by ICE at this time--as well as it's 
used for administrative segregation; for medical isolation, 
which I discussed already, which is not how medical isolation 
looks in the outside world; theoretically for protecting 
vulnerable populations, although, again, when people ask for 
protection, they're not generally asking for solitary 
confinement; and for other reasons. And so as a result, because 
it is so detrimental to health, we have asked that it end 
entirely in ICE detention.
    With respect to the timeline, as it stands right now, ICE 
is supposed to report up within its chain of command, when a 
person with vulnerabilities has been placed in solitary 
confinement, within 72 hours--and 72 hours is a very long time 
for someone to be in solitary confinement who already has 
preexisting vulnerabilities--and not until 2 weeks for all 
others. And that is an extremely long period of time. And so we 
have asked that the timing of notification be much sooner, so 
that people can be reassessed and, ideally, taken out of 
solitary confinement or provided other alternatives as needed.
    Senator Hirono. So, DHS could approve or go ahead with 
these two recommendations, then, especially the reporting one, 
which would indicate to us how frequently solitary confinement 
is used. What was the reason that they did not take up your 
recommendation for a quicker timeframe for notification?
    Dr. Peeler. I can't speak to their decisions for why they 
did or did not do certain things at this time. But I would 
certainly hope that they take up our recommendation, because as 
we've even seen in our own data, the information that we 
requested via Freedom of Information Acts does not always 
necessarily align with other data that they have, and so 
there's many discrepancies, as also noted by Ms. Goodwin in her 
GAO report. So, the more data that we have, the quicker 
timelines that we understand what's going on, the faster we can 
help people improve their health.
    Senator Hirono. I think that in any situation where there 
are persons in confinement and there're those who have power 
over them, that regardless of what kind of criteria, what 
prohibitions, what limitations we impose, it is very difficult 
to make sure that that is actually happening. So, Ms. Goodwin, 
you noted that the GAO had made 87 recommendations; 54 of them 
remain open. Can you indicate, of the 54 which are open, which 
are the ones that you think are most important for 
implementation?
    Ms. Goodwin. Thank you, Senator. So, the 87 recommendations 
weren't made by GAO. They were made by an independent 
contractor----
    Senator Hirono. Thank you. I----
    Ms. Goodwin [continuing]. With BOP----
    Senator Hirono [continuing]. Stand corrected.
    Ms. Goodwin. And then we issued a restrictive housing 
report, earlier this year, where we put eight recommendations 
on the table. And they're about finding alternatives to the use 
of restrictive housing, making certain that, you know, whatever 
BOP does do when they make those decisions, there is some kind 
of analysis and evaluation of the effectiveness of them.
    Senator Hirono. So, my time is running out. Is BOP aware of 
the North Dakota situation or what they did there, as testified 
to by Ms. Peeler?
    Ms. Goodwin. That, I'm not sure. That would be a question 
for BOP.
    Senator Hirono. Thank you.
    Chair Durbin. Thank you, Senator. Senator Welch.
    Senator Welch. Thank you. Ms. Davis, you said you were in 
solitary for a year and a half for a three-way phone call?
    Ms. Davis. Senator Durbin and Senator, I want to correct 
that. I was in solitary confinement for 87 days for the three-
way call, but in the total amount of me being incarcerated 
throughout my time, it was a year and a half.
    Senator Welch. So, literally, it was a three-way phone call 
that----
    Ms. Davis. Yes.
    Senator Welch [continuing]. It involved talking to your 
daughter, who was in the hospital?
    Ms. Davis. Yes.
    Senator Welch. You know what? That is, like, shocking, so 
it's almost--can you explain it more? It's hard to believe it. 
I mean, that's so shocking.
    Ms. Davis. It happens all the time, Senator. If you make a 
three-way phone call, they will put you in the SHU for a 
disciplinary hearing until DHO come to see you, and----
    Senator Welch. Just----
    Ms. Davis [continuing]. Once----
    Senator Welch. All right. Thank you. Can you describe what 
it was, day to day, in solitary? Did you have books?
    Ms. Davis. Yes, you can have books in there. You can have 
magazine. My day to day was sitting there, writing letters to 
my family, to let them know that I was in there, and----
    Senator Welch. And who did you--did you see anybody during 
the time you were in solitary?
    Ms. Davis. Only person that I seen was the officer.
    Senator Welch. And how often was that?
    Ms. Davis. When they come past to give us mail, as well as 
serve us the food.
    Senator Welch. And did you have any--were you in a cell 
where there were adjoining cells and you could even talk loudly 
enough to have interaction with a fellow inmate?
    Ms. Davis. Yes. The cells are side by side, and one time I 
did get a roommate, where I can talk with her. But, yes, I did 
have corresponding with the other ladies from screaming from 
cell to cell.
    Senator Welch. So, how did you end up feeling, and how did 
it affect you after 87 days in solitary?
    Ms. Davis. I felt like I had nothing to live for, because I 
didn't understand why I would be in the SHU for such a long 
period of time. I was depressed for a long time.
    Senator Welch. Okay. Dr. Peeler, the medical consequences 
and psychological and emotional consequences of solitary are 
well known, right, and universally the opinion is it's 
extremely damaging to the person in solitary?
    Dr. Peeler. In short order, yes.
    Senator Welch. All right. And aside from the situation that 
Senator Durbin described, where a person is so violent that--
absolutely has to be segregated, for the safety of others, the 
use of it, as I understand it, is oftentimes to control the 
behavior of a person, right?
    Dr. Peeler. Yes, Senator.
    Senator Welch. And often----
    Dr. Peeler. We found many instances for minor infractions, 
where people are placed in solitary, similar to what Ms. 
Davis----
    Senator Welch. And, Sheriff, you mentioned something that I 
know is true, and that is that the mental health situation--the 
prisons are the last resort. People who have serious mental 
health issues end up in prison, and they oftentimes have 
behavior challenges, correct?
    Mr. Boyd. That's correct. I firmly believe that if we, as a 
country, did a better job of identifying and helping people 
with their mental health, that many of them would not end up 
incarcerated, because the mentally ill do not need to be in 
jail. They need assistance.
    Senator Welch. You know, I'm in agreement with you. I was a 
public defender. I agree with that. I think you're right. And 
you don't have the resources, and then it becomes the last 
resort, where people who have a mental health issue--you can't 
control them. And I don't know if it's out of frustration or 
safety, but they go in solitary confinement and it gets worse.
    I mean, the real question I have is whether there should be 
a ban in effect--with very, very severe limitations for the 
Durbin situation that we heard about--on the use of solitary 
confinement. And I'll ask you to answer that, Dr. Peeler, but 
it really comes, Sheriff, from my experience being similar to 
yours--that you're asking the jails and the criminal justice 
system to deal with mental health. So, Dr. Peeler, do you want 
to respond to that?
    Dr. Peeler. Senator, yes. So, as it pertains to the health 
effects of those in solitary, I think, you know, the reason why 
the North Dakota program was seemingly so successful is that 
they--what they did is they sent correctional officers from 
North Dakota over to Norway, to study their program. They came 
back and were so amazed at how much better the health and 
safety of people were there that they immediately came back 
and, before they implemented any other reforms, they 
functionally took everyone out of solitary who was there 
administratively. That was the first thing they did.
    And then they really reassessed how they were placing 
people into solitary confinement who were there for potential 
behavioral escalations or for safety reasons. And they 
implemented a kind of an improved version of restriction. So, 
people might be separated, but they would be separated for not 
22 hours a day, or maybe they would be separated--they would be 
separated the entire time, but they would have more time 
outside of their actual solitary confinement cell--all of which 
led to better health outcomes and all of which generally 
improves the safety of the system in which they're in.
    Senator Welch. Okay. Thank you. I yield back. Thank you 
all.
    Chair Durbin. Thanks, Senator Welch. Before I recognize 
Senator Tillis, I would like to ask Ms. Davis and Ms. Goodwin a 
question. When the director of the Bureau of Prisons was before 
us in February and I asked her what steps she would take to 
immediately reduce the use of restrictive housing, she stated 
that almost 40 percent of the people in restrictive housing 
have chosen to be there voluntarily and that BOP is actively 
working to integrate them with the general population. Is that 
your finding, as well, Ms. Goodwin, the GAO?
    Ms. Goodwin. So, we're not familiar with that number. What 
we know is there are about 7--at the time of our report, there 
were about 700 people in protective custody. About 678 of them 
were there voluntarily. They asked to be, for numerous reasons. 
Maybe they were afraid for their life. Maybe there was a gang 
fight or something, and they wanted to be put in protective 
housing.
    But what's important here, I think, is while someone 
might've asked for protective custody, I can't imagine that 
they asked to be put in the SHU. And so when we talk about 
finding alternatives, this is one of the things that we are 
asking BOP to pay attention to. And this is also part of those 
87 recommendations, because, you know, there are 11,600 people 
in restrictive housing, in general. Of those, 700 were in 
protective custody. That's not 40 percent.
    And then if you look at just the 700, 600-plus, 678 of 
them, asked to be there. They asked for some kind of--to be 
isolated, for many reasons. Maybe they were afraid of their 
lives, for whatever reason. But we don't think that they asked 
to be put in the SHU. So, they----
    Chair Durbin. Understood.
    Ms. Goodwin. So, they didn't ask to be isolated in the way 
that they are.
    Chair Durbin. Understood. Ms. Davis, I'm going to come back 
to you after the others have had a chance to ask. In respect to 
Senator Tillis, who waits patiently, time and time again, I 
recognize you.
    Senator Tillis. Thank you, Mr. Chair. Actually, I am here 
to ask a brief question, but I also wanted to--last week, some 
of y'all may have described my comments as a rant on the All 
Cops Are Bastards run, but I want to thank Senator Butler, 
because she heard what I've been saying for about five 
different meetings: I just want it off the website. And to her 
credit, she worked with the people at Act Blue.
    They've erased the website that was raising money on the 
concept that all cops are bastards, so I wanted to publicly 
thank Senator Butler for doing that. I don't like coming to 
this meeting and ranting, but that was something that just got 
under my skin for about a year, and I'm glad to see that it's 
been erased from the internet, best I can tell.
    Chair Durbin. Senator, your rants are appreciated.
    Senator Tillis. Thank you. Now, you know, I, years ago--
actually, I think I was a rank-and-file member in the State 
legislature--I went to visit a close security prison in North 
Carolina. And it was during a campaign, and we had a gentleman 
there who I believe was running for Lieutenant Governor on the 
other side of the aisle. We're meeting with Bureau of Prisons. 
We're in a close security State prison, and we had this 
gentleman say, you know, I don't think there are any bad people 
in this prison. There're just good people who've done a bad 
thing.
    And I saw the warden of this particular prison. He sat 
back. He said, sir, it's very true. There are good people in 
this prison that did a bad thing. But there are a lot of people 
in this prison that would kill you if you were in the same room 
with them. And so I don't think anybody is here saying that we 
need to eliminate solitary confinement as an alternative, or at 
least I assume not. I'd like to confirm that. But we have to 
get smarter on how we're actually dealing with people, 
particularly people with profound behavioral health challenges.
    So, Sheriff, tell me: what more do we need to do? I mean, 
to what extent are these abuses bad people, you know, making a 
bad decision, versus people maybe with not the appropriate 
training or insight into some of these people in the prison 
population who have to go into solitary confinement?
    Mr. Boyd. One of the problems that we face all throughout 
government is ensuring that we hire the proper people that are 
going to make the right decisions and take care of the people. 
As a sheriff, I feel responsible for the safety and welfare of 
the inmates that are placed within my custody. I want them to 
do as best as they can, get out, and go on and live a 
productive life. But as you stated, some people are just not 
going to do that.
    I think that if you're looking at it from the Federal side, 
to be quite honest with you, if you want to get the facts and 
know what to do, then you don't need us sitting up here. What 
you need is some actual prison guards from the Federal system 
to come up here and testify about their experiences and why 
they do the things that they need to do, because a lot of times 
they will act and they will do things, and it will be looked at 
from the outside, and that view will be completely wrong.
    I know that, in the State of Texas, even if you do go into 
separation cells and you're by yourself, you still have the 
right to things like so much daylight per week, exercise every 
day. You still have the right to your correspondence. You still 
have the right to all the things that all the other inmates do, 
unless you become so much of a danger that it's too difficult 
for us to take you out of your cell without endangering other 
individuals.
    And so I think that, from a Federal side, if you wish to 
look at a really good example of how to do things in a most 
humane fashion, Brandon Wood is the director of the Texas 
Commission on Jail Standards, and I think that they've done a 
really great job of balancing that. And if the Federal policy 
would mimic something like what the State of Texas has, you 
would probably find far less heartburn over how things 
function, if the Feds did the same as the State of Texas.
    Senator Tillis. Sheriff, are you familiar with the CALEA 
law enforcement certifications?
    Mr. Boyd. Yes, sir. When I was the assistant chief at the 
Victoria Police Department, we were CALEA certified.
    Senator Tillis. Yes. Are there--I supported that for a 
small town. We were one of the first towns in North Carolina of 
our size to actually have our law enforcement officers CALEA 
certified, because they're great on community policing, de-
escalation, those sorts of things. And is there equivalent for 
Bureau of Prisons employees, some sort of certification?
    Mr. Boyd. I do not know if there is something that goes 
across on the Federal side, so I just can't say, Senator.
    Senator Tillis. Okay. Well, we'll look into it, because, 
you know, again, I think about the same challenge we have in 
law enforcement--we're not necessarily having people line up to 
do this tough job in prisons, and I don't know, I wasn't able 
to listen to the testimony beforehand, but I still believe, 
unless somebody can prove me with empirical data otherwise, 
that solitary confinement is a necessary part of an escalation 
with someone who's a ward of the Federal Government, in this 
case who represent a danger to themselves or to others, but I 
also think we always--we should always be pressing the envelope 
to figure out a better, more humane way to do it.
    But I'm not sure if anyone here has taken the position that 
it should be eliminated entirely, but you'd be really hard 
pressed to tell me why I would eliminate this as a tool, 
because when you do that, it's like what we see in States that 
decriminalize things. Check with Oregon. It's not working out 
well. They're re-implementing. We need these tools, because not 
everybody in those prisons are good people that did a bad 
thing.
    Mr. Boyd. May I say something real quick, Senator?
    Senator Tillis. Yes, sir.
    Mr. Boyd. So, I will tell you that if you completely ban 
the separation of inmates into single cells, then what you'll 
have is you will not be able to recruit prison guards, because 
they will be killed by some of these inmates.
    Senator Tillis. No doubt in my mind. Thank you, Sheriff. 
Thanks, everybody.
    Chair Durbin. Thank you, Senator Tillis. Senator Ossoff.
    Senator Ossoff. Thank you, Mr. Chairman, and thank you to 
our panelists. Ms. Goodwin, on the subject of reform, BOP 
contracted a study in 2014 on solitary confinement and 
restrictive housing practices. There was a 2016 DOJ report. 
Between the two of them, 87 recommendations were made. Your GAO 
report found that the Federal Bureau of Prisons has not 
implemented 54 of those 87 recommendations. First of all, is it 
your assessment that that's because of policy decisions that 
have been made that diverge from the recommendations, or is it 
a lack of administrative will or capacity to implement them?
    Ms. Goodwin. Thank you, Senator. I think in some cases it's 
policy decisions that the Bureau makes. In other 
circumstances--and I think we talk about this in the report--
maybe BOP ultimately didn't agree with the recommendations, 
particularly that the contractor made, but we--you know, when 
we issued our 8 recommendations earlier this year, some of them 
focused on: BOP really needs to address the outstanding 54, and 
then we added some additional ones that focused on, you know, 
understanding what their administrative remedy program looks 
like and a number of others. And now they've contracted with 
another entity, for $8 million, to conduct another assessment 
of their program, and so that'll just be more recommendations 
that they'll have to contend with.
    Senator Ossoff. And I ask that question not necessarily 
because all 87 of these recommendations need to be or should be 
implemented, but it's a significant number of them that have 
not been. Has BOP at least put in writing somewhere a 
substantive explanation, justification, or assessment of each 
one?
    Ms. Goodwin. An assessment of each one? Of the remaining 
54?
    Senator Ossoff. Well, have they explained in a substantive 
way, where they've declined to implement or where they've----
    Ms. Goodwin. Oh. Yes.
    Senator Ossoff [continuing]. Agreed to implement, why?
    Ms. Goodwin. Yes. And we talk about that in the report, 
because we asked them about all of them. And in some cases, 
they might not have felt they were relevant. In some cases, you 
know, policy decisions changed. And in other cases, they 
might've felt it might've been too challenging, too difficult. 
And in other cases, they might just not have agreed with the 
recommendation.
    Senator Ossoff. Okay. So, of those outstanding 87 
recommendations from those two studies and from your own 
recommendations at GAO, what would you identify as the top two 
or three priorities that BOP should focus on?
    Ms. Goodwin. Well, we submit that all of them are 
priorities. If----
    Senator Ossoff. Let's prioritize the priorities.
    Ms. Goodwin. Well, the GAO ones. But we would ask--you 
know, part of our 8 speak to their need to address the 
remaining 54. And so all of them----
    Senator Ossoff. I'd still like----
    Ms. Goodwin [continuing]. I'm----
    Senator Ossoff [continuing]. Respectfully to ask you to----
    Ms. Goodwin. Which ones----
    Senator Ossoff [continuing]. Highlight----
    Ms. Goodwin [continuing]. Of the 50----
    Senator Ossoff [continuing]. A couple of the most----
    Ms. Goodwin [continuing]. The 63?
    Senator Ossoff [continuing]. Pressing priorities, in your 
view, please.
    Ms. Goodwin. Okay. Well, we talk about, from our 
recommendations, we are asking BOP to develop an extensive 
approach and detailed outline of how they're going to address 
the remaining ones. We're also asking them to look across all 
of their facilities and think through where some deficiencies 
might be--this speaks to one of the reasons why they're on our 
high-risk list--evaluating existing programs, making 
determinations and decisions about how effective they are, and 
then finding ways to address and correct them.
    Senator Ossoff. Evaluation and review are important. What's 
the one policy change that you believe BOP could make today 
that would have the most significant positive impact?
    Ms. Goodwin. Probably asking them to make decisions about 
how they're going to approach all of the open recs, make some 
decisions about how they're going to--if they decide--well, let 
me back up. So, BOP is on record as saying restrictive housing 
might not be the best way, and there are some concerns about 
what it might have on--the effects it might have on recidivism. 
So, the biggest thing BOP needs to do is to do kind of an 
internal analysis of their programs, what's important, what's 
effective, and the ones that aren't, try to figure out ways to 
make them better.
    Senator Ossoff. I think I'm going to have my team follow up 
with yours on this. And, you know, what I'd like to do--and 
recognizing that evaluation, review, assessment on an ongoing 
basis are important, you know, what I'd like, for our 
engagement to end, is for me to have a sense of the one or two 
specific policy changes that GAO deems most substantively 
necessary in the short term.
    Let's just talk a little bit about protective custody. 
There are, as I understand, about 700 individuals in BOP 
facilities who are in protective custody. That is, there's a 
real or perceived threat to that individual's safety. You 
identify some potential alternatives. In some cases, however, 
is use of special housing or isolation or solitary confinement 
the only practical solution?
    Ms. Goodwin. Not the only practical--well, in some cases, 
yes. For the 700 that are in protective custody at the time of 
our report, 22 were there because there were some major 
violations or there were some concerns about their safety. The 
other 678 were there voluntarily, for fear of whatever might 
happen to them. The concern here is, for those 678--and even 
for the 22, but for those 678, I don't think that they wanted 
to be placed in the SHU.
    When they asked for protective custody, I don't think--and 
we, of course, can't confirm this, because we didn't talk to 
678, but I don't think that they wanted to be isolated that 
way. They just wanted to find a way to be protected. And so 
part of the spirit of the recommendations speak to: there's got 
to be another way than to put people in a cell and lock them 
away, if they're asking for protective custody. So, BOP, can 
you figure out what----
    Senator Ossoff. Yes.
    Ms. Goodwin [continuing]. That could look like?
    Senator Ossoff. That's an important one. I have no doubt 
that few, if any, of them want to be placed in the SHU, having 
visited----
    Ms. Goodwin. Yes.
    Senator Ossoff [continuing]. One of these Special Housing 
Units. It's not a place I think anyone would wish to be placed.
    I would like, Mr. Chairman, to ask unanimous consent to 
enter into the record the statement which was submitted by the 
Council of Prison Locals 33 from Mr. Frank Bailey, with their 
views on the subject matter of the hearing.
    Chair Durbin. Without objection.
    [The information appears as a submission for the record.]
    Senator Ossoff. And I want to thank each of the witnesses 
and you, Mr. Chairman, for convening this. Obviously, some very 
significant human rights and security issues at stake in this 
discussion. Thank you.
    Chair Durbin. Thank you very much. Senator Coons is on the 
way. I'm going to ask a question or two, in anticipation of his 
arrival. Dr. Peeler, in my lifetime there has been a pretty 
dramatic change in the attitude of most people toward mental 
illness and mental health. We went so far as to amend the 
hospitalization insurance legislation, the Obamacare, to cover 
mental illness, addiction, as well as physical illness. And it 
was a bipartisan effort.
    I've seen evidence, as well, of people who are much more 
open and conversant about mental challenges. I watched a lot of 
basketball over the last few months, and I'm sure a number of 
people have, too. I couldn't get over how many colleges were 
asking young people watching the game to come to their college 
and suggesting that they offered mental health counseling as 
part of the services of the university. That's all encouraging, 
from my point of view. It's an indication that things are 
better.
    When it comes to mental health and mental issues in 
incarceration, we draw an interesting line. If I said, well, I 
want to be sure to contain this prisoner, so I want to be able 
to beat him with a stick at least once a day, people would say, 
are you crazy? Physical cruelty like that is unacceptable in a 
civilized society. You only do it when--a matter of self-
defense, that sort of thing. But if you say to somebody, I 
incarcerate you for 80 days in isolation or in SHU, people say, 
well, sometimes that has to be done. Can you differentiate 
physical aspects of cruelty with mental aspects?
    Dr. Peeler. Senator, mental health is part of overall 
health. So, as you just eloquently stated, there's been a real 
kind of recognition of that in the past many years and decades, 
that you really can't separate the two. One cannot have 
complete whole health, as defined by the WHO, without also 
having optimal mental health. And so whether or not someone is 
being physically beaten or, you know, functionally mentally 
beaten, it is bad for one's health. And so they are 
equivalently bad, and they will lead to worse health outcomes 
overall, as I indicated, both short-term outcomes as well as 
long-term outcomes for that person.
    Chair Durbin. And the reality is, as Dr. Gawande's article 
reminded me, the majority of these people will one day be 
released back into society. Ms. Goodwin, I think, used the term 
recidivism. I think you're the first person to say the word at 
this hearing, but that is part of the conversation, as well. 
Does that experience of isolation mean that the person is 
likely or less likely to be able to assimilate themselves back 
into society? Is that not a consideration?
    Dr. Peeler. Senator, so, you know, I recently went to a 
talk by another expert on prisons and jails and health, in 
general, who has studied the Norway system extensively. And one 
of the things that she said I had not heard but I thought was 
really interesting is that apparently if you go into Norway, a 
person will say to you, if you just kind of ask the general 
populace what they think about the jail and prison system in 
Norway--they'll say, people go to court for a sentence; they go 
to prison to become better neighbors. And so I believe that if 
we continue to harm those who are in our prisons and jails and 
ICE detention systems, we are making it drastically harder for 
them to function in society, and it is not surprising that they 
would then have higher recidivism rates.
    Chair Durbin. Ms. Davis, you've lived it. What's your 
thought on the subject?
    Ms. Davis. Can you repeat that again, Senator?
    Chair Durbin. I just would like your reaction to this idea 
of how a person is treated in prison and what it means when 
they get out of prison, as to what their life is like.
    Ms. Davis. Solitary confinement, Senator, is torture. Any 
amount of time in solitary, whether it's 1 day, 2 days, or an 
hour, is devastating. Upon me being released from prison, I had 
this shaking when an officer would come up to me, because I was 
placed in a halfway house, and I felt that same feeling as I 
was in the SHU. I was traumatized.
    Chair Durbin. Did you have any counseling, either in prison 
or after your release?
    Ms. Davis. Yes, I had counseling after I was released.
    Chair Durbin. And did it help, I hope?
    Ms. Davis. It did. It did. It gave me the opportunity to 
gain a great relationship with my kids, because my kids was 
always wondering, you know, what was going on with me. I would 
wake up through the middle of the night, just sweating, and I 
would tell them the story of how the prison operated and how I 
was placed in the SHU. I would just tell them what took place 
with me for 13 and a half years of incarceration, and that's 
why it's so important to me, with lived experience, to end 
solitary confinement.
    Chair Durbin. Thank you for coming today and testifying. I 
see Senator Coons has arrived.
    Senator Coons. Thank you, Mr. Chairman, and thank you for 
your forbearance. There is a Foreign Relations Committee 
business meeting, the first, really, in months. Senator Booker 
is also there and is eager to join this and will try to come in 
just a few minutes, if possible. It's become quite testy but 
ultimately, hopefully, productive.
    And I'd like to thank all the witnesses for your testimony 
today. Ms. Davis, in particular, I want to thank you for your 
personal and powerful testimony about your experience. It 
cannot be easy to revisit the trauma that you underwent. Your 
fortitude and your commitment to advocacy is a demonstration of 
how incarcerated people in our country, those who have endured 
and survived mistreatment in incarceration, have so much to 
offer the rest of us as we try to reform our systems.
    I also want to specifically thank you, Chair Durbin, for 
being a great partner and a real leader in moving the Solitary 
Confinement Reform Act. It makes clear what we've long known, 
which is that solitary confinement does little to achieve its 
stated goals but can lead to lasting psychological damage that 
makes us all less safe and increases recidivism. As the co-
chair of the Senate Law Enforcement Caucus with Senator Cornyn, 
I'm cognizant that properly addressing solitary confinement 
implicates important questions of officer safety, and I'm 
committed to working with law enforcement and correction 
officer organizations, in particular, on any legislation that 
we might move forward.
    My hope is this hearing helps us begin to find a bipartisan 
path forward, because this really is not and should not be a 
partisan issue. In fact, in 2022, two quite conservative 
groups, Right on Crime and the Texas Public Policy Foundation, 
issued a call to reform Federal solitary confinement. And many 
of my colleagues on the other side of the aisle helped address 
juvenile solitary confinement as part of the First Step Act, 
but the harms of this practice are hardly confined to youth, as 
you have testified, Ms. Davis.
    So, there are things we agree on here. I hope that we will 
find the will and the strength to re-engage in criminal justice 
reform that can impact so many adults who are incarcerated and 
whose treatment while incarcerated causes real harm. Ms. Davis, 
you've testified that solitary confinement doesn't just cause 
devastating harm, can lead to death; it also makes it more 
likely someone will harm someone else. That's consistent with 
the studies cited by the Right on Crime paper that recidivism 
is higher among people with the same risk profile who are 
subjected to solitary confinement. Can you just say more; help 
me understand why this would be?
    Ms. Davis. Thank you, Senator. I think that ending solitary 
confinement--I think that we need to come up with some type of 
alternative program instead of solitary confinement, so 
therefore the incarcerated people can get the help that they 
need, because it only just continues to inflict harm when you 
place one in solitary confinement. It's not helping them. It's 
only harming them. It's torture. It's literally--it's torture, 
being inside solitary confinement, no matter how many days it 
is.
    Senator Coons. Ms. Goodwin, one of the Right on Crime 
paper's key recommendations is the need for greater 
transparency, for data about the Bureau of Prisons' practices. 
What did your report find about the Bureau of Prisons' publicly 
available data, and how could improving transparency help 
ensure better compliance with best practices?
    Ms. Goodwin. Thank you, Senator. So, one of the things that 
we found, just in terms of BOP--wasn't routinely analyzing the 
data that they had or comprehensively looking at it. And being 
a little more transparent helps everyone. It helps the 
officers, in terms of better understanding what the policies 
are, so that they don't find themselves out of compliance. If 
you're a person who's incarcerated, you have a better 
understanding of what the policies are, what might or might not 
put you in restrictive housing. So, they're some of the things 
that we've been looking at.
    Senator Coons. And reforming solitary confinement--it's 
challenging; it's important work. I recognize it can place some 
additional burdens on law enforcement officers. From your 
review, Ms. Goodwin, what are the biggest challenges that staff 
and officers might face in making and implementing reforms, and 
how could Congress or BOP or other agencies actually assist in 
a reform process?
    Ms. Goodwin. Well, in terms of the reform, I mean, you 
know, we've got the First Step Act. BOP--our understanding is 
that the director of BOP is committed to making changes to the 
use of restrictive housing, so waiting to see what those new 
policy might look like--and then, of course, we will always be 
there to review and do a report to look to see how well they're 
applying and adhering to whatever policies there are.
    The director, as we know, has said that the use of 
restrictive housing or restrictive housing, in general, might 
not be the best way. And so we know that she and her staff are 
looking to see what alternatives might look like. And so if 
there are going to be alternatives, we want to make certain 
that, before they move in that direction, whatever they're 
wanting to do, there's some evaluation of it; there's some 
input from the people who are going to have to, you know, 
implement it.
    Senator Coons. Well, let me conclude, Mr. Chairman, again, 
by thanking you and by just reflecting, Ms. Davis, that what 
you experienced and what you testified to is also what study 
has proven, which is that, when misused, when overapplied, 
solitary confinement is torture, and it imposes horrifying 
impacts on the individual that doesn't produce positive 
benefits for society. It is a lose-lose all across the board. 
So, in the interest of our values and in public safety, let's 
continue our bipartisan criminal justice reform journey and do 
more to reform solitary confinement. Thank you for your 
testimony today. Thank you, Mr. Chair.
    Chair Durbin. Thanks, Senator Coons. Before I recognize the 
next Senator, I would like to say for the record what I've said 
other times. I really believe it's valuable for every Member of 
Congress, the House and the Senate--as we spend so much time 
discussing incarceration and penalties and crime--that you at 
least take advantage once every 2 years to visit a correctional 
institution and see with your own eyes what's going on. It's an 
eye opener. It has been for me, and I continue to go that 
direction. I'd like to include Norway on the next visit. It'd 
certainly be worth our while. Under the early arrival rule, 
Senator Blackburn, you're recognized next.
    Senator Blackburn. Thank you, Mr. Chairman. I appreciate 
that. And, you know, many of us do visit prisons. And one of 
the things that repeatedly comes up is the number of repeat 
offenders and how difficult soft-on-crime policies have made it 
on our local law enforcement agencies and the judicial system--
and also the effect of fentanyl on communities. When you look 
at those that are incarcerated, the number that are there 
because of drugs and mental health issues--those are issues we 
should be doing a deeper dive on. And, Chairman, Senator Graham 
mentioned how he was surprised we were taking our time today to 
talk about solitary confinement, when we should be talking 
about H.R. 2, a border security bill.
    Number one issue with the American people right now is what 
is happening with that open border. Every town's a border town. 
Every State is a border State, because of the effects of the 
Biden open border policy. It is all intentional. It is what 
they wanted, and it's what our colleagues across the aisle 
continue to support: fentanyl racing into this country. We 
should be looking at that, Mr. Chairman. None of us want that 
in our communities. Look at the number of children that are 
being exploited by cartels that are trafficking children, and 
they're being trafficked into labor gangs. They're being 
sexually exploited. These are things that are happening, and I 
wish that we were putting our time into that.
    Now, back when I was in the House, in 2007, I introduced a 
bill, the CLEAR Act. And it would take some of those provisions 
from the 287(g) program and give authority to local law 
enforcement: when they apprehend somebody that is in the 
country illegally, they can hold them. And then ICE has to 
come, and ICE has to deport them and then reimburse that local 
law enforcement agency for what they have spent.
    So, Sheriff, I want to come to you. And thank you to each 
of you for being here today. I appreciate it. I would like to 
get your thoughts on legislation like the CLEAR Act that would 
empower local law enforcement and then have ICE deport these 
criminal illegal aliens and reimburse local law enforcement for 
what they have spent and deny Federal law enforcement funds to 
jurisdictions that will not comply with Federal immigration 
law.
    Mr. Boyd. Senator, what you're talking about is not 
something new or revolutionary. We had that at one time. If I 
remember right, it was somewhere around----
    Senator Blackburn. 287(g).
    Mr. Boyd. Well, even before then.
    Senator Blackburn. Yes.
    Mr. Boyd. Even before 287(g), in the 1980's and 1990's, we 
had officers at the Victoria Police Department who were dual 
commissioned as U.S. customs agents and local police officers. 
And they had the authorities that you're talking about. And so 
the restitution of those authorities is something that can be 
looked at by Federal authorities. And so I think that we all 
have to work together and do our part, because this open border 
that we're facing right now and the surge of transnational 
criminal activity is overwhelming us.
    I heard one of the Senators earlier say that most of the 
fentanyl is being brought in by United States citizens, and 
that is not correct. If you lived down on the border like I am, 
then what you'll find is that it's being brought here by 
transnational criminal organizations. Some of the people that 
work for cartels do live in the United States, but that product 
is being shipped here by cartel members from Mexico into the 
United States. They no longer are dependent on China for the 
precursors to make fentanyl. They have now figured out how to 
make it themselves. Those individuals in Mexico--some of the 
smartest people you'll ever meet, and they will figure out 
exactly what to do in order to generate a profit.
    And I think that we need to look at the ability to deny 
transnational criminal activity and organizations any ability 
to make profit within the United States, because I don't know 
if any of you have ever sat down with a sicario before. I have, 
on multiple occasions. When you talk about solitary 
confinement, as it's being called here--we call it separation 
in the State of Texas--those people have to remain in 
separation or they will kill somebody. It's not like the movie. 
They're not professionals. They're sloppy, and they're mean.
    And we have to deal with them in a manner that protects not 
only our correction officers but also the fellow inmates that 
are in the facility, because it doesn't matter if you're a 
jailer or an inmate. You're made in the image of God, and I 
have to protect you no matter what.
    Senator Blackburn. Thank you, Sheriff. Thank you, Mr. 
Chairman.
    Chair Durbin. Thank you, Senator. And, Senator, at a 
previous stage of the hearing, we had a similar request that we 
deal with legislation that addresses border issues, and I, for 
one, would like to remember that it was Senator Lankford's 
effort that resulted in a bipartisan bill which many of us 
actively supported.
    Senator Blackburn. Mr. Chairman, as we know, that was not a 
border security bill. It was an immigration bill, and H.R. 2, 
which is a border security bill, landed in this Committee last 
May. Last May. The first part of May.
    Chair Durbin. Let me just----
    Senator Blackburn. And----
    Chair Durbin [continuing]. Say, Senator----
    Senator Blackburn [continuing]. We should have a hearing on 
that, whether we like it or not.
    Chair Durbin. Senator----
    Senator Blackburn. Let's take it up, and let's debate it 
and look at what has transpired at this border. I talk to 
parents every single week who have had a child impacted by 
fentanyl and people that are seeing some of these labor gangs--
I am terribly concerned about these 85,000 children that HHS 
and DHS can't find.
    Chair Durbin. Well, we could go into all of these issues, 
and we have in the past, but I will tell you that the 
bipartisan effort by Senator Lankford, the chosen 
Representative of the Senate Republicans, along with Senator 
Murphy and Senator Sinema, was the first bipartisan effort that 
moved us toward 60 votes, which is essential for passage in the 
Senate----
    Senator Blackburn. And it couldn't get----
    Chair Durbin. It got----
    Senator Blackburn [continuing]. Where it----
    Chair Durbin [continuing]. Four----
    Senator Blackburn [continuing]. Needed to go.
    Chair Durbin [continuing]. Republicans, after they'd told 
us----
    Senator Blackburn. It was not----
    Chair Durbin [continuing]. Point blank----
    Senator Blackburn [continuing]. A border----
    Chair Durbin. It----
    Senator Blackburn [continuing]. Security deal.
    Chair Durbin. Well, I'll tell you, you're wrong.
    Senator Blackburn. And I want----
    Chair Durbin. You're wrong, Senator.
    Senator Blackburn. Well, no, sir. I am not wrong----
    Chair Durbin. And H.R. 2----
    Senator Blackburn [continuing]. On that. It was an----
    Chair Durbin [continuing]. Received no----
    Senator Blackburn [continuing]. Immigration bill.
    Chair Durbin [continuing]. Democratic votes. I don't want 
to go down these rabbit holes of----
    Senator Blackburn. The American----
    Chair Durbin [continuing]. Partisan----
    Senator Blackburn [continuing]. People are expecting us to 
do it. That's why they want a trial----
    Chair Durbin. Well----
    Senator Blackburn [continuing]. On Mayorkas. And I think it 
is so wrong that----
    Chair Durbin. You're giving me----
    Senator Blackburn [continuing]. Chuck Schumer is trying 
to----
    Chair Durbin. You're----
    Senator Blackburn [continuing]. Table----
    Chair Durbin. You're----
    Senator Blackburn [continuing]. This.
    Chair Durbin. I can't keep up with all the issues you're 
throwing at me, Senator. We came today to talk about solitary 
confinement in Federal prisons, and I hope we can get back to 
that subject. At this point, Senator Kennedy is recognized.
    Senator Kennedy. Thank you. Thank you, Mr. Chairman. Thank 
you all for being here. I'm sorry I was late. I was in another 
Committee. I want to ask each of you this question, and if you 
would, be mindful of the fact that I only have 5 minutes, so if 
you could each maybe give me a 1-minute answer. If a bill 
were--and I want to talk about prisons, Federal prisons in 
general. If a bill were before the Senate to abolish solitary 
confinement in Federal prisons, what exceptions, if any, would 
you recommend that we include in that bill? Could we start down 
here?
    Ms. Goodwin. Senator, GAO would not make any 
recommendations until we've had an opportunity to review the 
bill.
    Senator Kennedy. No--Okay. Yes, ma'am?
    Ms. Davis. Thank you, Senator. At this time, I don't have 
an answer for you.
    Senator Kennedy. Okay. Sir?
    Mr. Boyd. I would recommend that you follow what the Texas 
Commission on Jail Standards has done and follow the lead of 
Brandon Wood and the outstanding leadership----
    Senator Kennedy. And what----
    Mr. Boyd [continuing]. That the State of Texas----
    Senator Kennedy [continuing]. Exceptions----
    Mr. Boyd [continuing]. Has taken.
    Senator Kennedy [continuing]. What exceptions did they 
recommend?
    Mr. Boyd. There are some exceptions within there for minor 
infractions. There is a list of things that you cannot put 
people in solitary confinement for. I don't have a 
comprehensive list of it right now, but I'd be more than happy 
to obtain that for you. So, we have over 600 points of 
compliance at local jails in the State of Texas that we must 
keep up, and so we work to ensure that we comply with all of 
those. And separation cells are one of the many things that we 
deal with, so--but I think if the Federal Government wishes to 
look at what the State of Texas has done, I think it would be 
beneficial, if there is a problem.
    Senator Kennedy. Doctor.
    Dr. Peeler. Senator, I am here to talk about the health 
effects more so than the exceptions, but I would say that I 
would recommend looking to the alternatives to solitary 
confinement that already exist in multiple cities and States 
and potentially understand what exceptions they use, to help 
inform your policy changes.
    Senator Kennedy. I must have asked a dumb question, because 
I didn't get any answers. Let me try it another way. Are there 
any instances, in the real world that we live in, that in your 
judgment solitary confinement is appropriate? Doctor, we'll 
start with you this time.
    Dr. Peeler. Senator, your question builds off of what Chair 
Durbin had actually said earlier about who might need solitary 
confinement. I think for me, as a health professional, what I 
find problematic is the current definition and use of solitary 
confinement, of 22----
    Senator Kennedy. Doctor----
    Dr. Peeler [continuing]. Hours a day.
    Senator Kennedy [continuing]. I appreciate that, but----
    Dr. Peeler. I don't think that there are----
    Senator Kennedy [continuing]. Can you answer my question?
    Dr. Peeler. Yes. Yes, sir. I don't think that there are 
uses of solitary confinement in its current iteration of 22 
hours a day, for anyone.
    Senator Kennedy. Okay.
    Dr. Peeler. I think that certain people----
    Senator Kennedy. Thank you for----
    Dr. Peeler [continuing]. Need to be separated.
    Senator Kennedy [continuing]. Being straightforward.
    Dr. Peeler. Yes. You're welcome.
    Senator Kennedy. I appreciate finally getting an answer. 
It's Sheriff, right?
    Mr. Boyd. Yes, sir.
    Senator Kennedy. Sheriff, are there any circumstances, in 
your experience, when solitary confinement is appropriate?
    Mr. Boyd. Yes, sir. I'll give you a list of some of the 
ones that are listed in the Texas Jail Commission. Interfering 
with a head count in--which we're required to do twice a day. 
Attempted----
    Senator Kennedy. So, if someone interferes with a head 
count, that--they should be in solitary confinement? They 
should be----
    Mr. Boyd. Yes. Yes, that's----
    Senator Kennedy. Okay.
    Mr. Boyd [continuing]. Something that----
    Senator Kennedy. What--what else? I----
    Mr. Boyd [continuing]. They can----
    Senator Kennedy [continuing]. Interrupted you. I just 
wanted to be sure I understand. What else?
    Mr. Boyd. Yes. So, attempted escape; possession of a 
weapon; attacking jailors or inmates; destroying security 
equipment within the facility. Those are all ones that are 
listed in the code for the State of Texas.
    Senator Kennedy. Okay. Are there any other?
    Mr. Boyd. Sometimes we use separation cells in order to 
separate gang members during times of unrest. Sometimes we 
utilize separation cells when somebody comes in initially, in 
order to prevent them from talking with or intimidating----
    Senator Kennedy. What do you----
    Mr. Boyd [continuing]. Other witnesses.
    Senator Kennedy [continuing]. Mean by separation cells?
    Mr. Boyd. It's a single-person cell. So, we will put them 
in a single-person cell so that they cannot intimidate any of 
the co-conspirators in a case. And I'll give you a good 
example, being down on the border. Sometimes we'll arrest----
    Senator Kennedy. Can I ask you this? Sorry to interrupt, 
but I'm----
    Mr. Boyd. No. Go ahead.
    Senator Kennedy [continuing]. Going to run out of time. I 
apologize, here. If a person's put in a separation cell, is 
that considered solitary confinement?
    Mr. Boyd. There is no such term in the State of Texas. It's 
separation cell, sir.
    Senator Kennedy. Okay.
    Mr. Boyd. So, I guess based off of the definition that's 
been used here, I guess you would call it that, but we call it 
separation cell under our law.
    Senator Kennedy. Well, if the prisoner's put in a 
separation cell, does he have any contact during the day with 
other prisoners?
    Mr. Boyd. Yes, they'll have vocal contact. Yes, sir.
    Senator Kennedy. They'll have what?
    Mr. Boyd. They'll have vocal contact. In a jail setting, 
you're not going to have somebody that's isolated by sound. 
They also have access to publications. They also get access to 
phone calls, any of the correspondence that comes via the mail. 
They get exposure to sunlight, and they get--they also get 
exercise every day.
    Senator Kennedy. Can I ask the other two witnesses the same 
question? Ladies? Are there any circumstances where you think 
solitary confinement is appropriate or necessary?
    Ms. Davis. Senator, I just think that, with lived 
experience, I think that no human being should be placed in 
solitary confinement.
    Senator Kennedy. Okay.
    Ms. Goodwin. And, Senator, as you know, GAO--these are 
policy decisions, and we evaluate any program with policies or 
practices, but we don't opine on policy decisions. So, if it's 
something that you all put forward as policy, we're happy to 
review it.
    Senator Kennedy. Okay. Thank you. I'm sorry I went over. 
Thank you----
    Chair Durbin. Thank you----
    Senator Kennedy [continuing]. For your indulgence.
    Chair Durbin. Thank you for attending the hearing, Senator, 
and your questions. And I'd just say, during the course of the 
hearing we'll use many terms interchangeably, and they are 
different, much different. Protective custody--you are 
separated, as the sheriff has mentioned, sometimes by your own 
choosing. I think what is different is, most people in 
corrections and incarceration don't want to use the term, 
solitary confinement. It has an odious connotation to it, and 
so they use different terms: separation, administrative 
separation, and the like.
    I think how you're treated when you're in that cell is 
different under different circumstances. Ms. Davis described 
her situation to us earlier, and it was the classic solitary 
confinement with 1 hour or 2 hours out of your cell and no 
physical contact to speak of while she was incarcerated. That 
is what I imagine it to be, no matter what the title may be. 
Senator Booker.
    Senator Booker. Mr. Chairman, I can't tell you how grateful 
I am for this hearing. To me, what's going on in the United 
States of America is astonishing to me. I think Mr. Boyd is 
correct. There are legitimate reasons, for the safety of 
incarcerated people, to use isolation. It is fundamentally 
understandable. But what is stunning to me is how widespread--
putting people in a space the size of a parking space for days 
and days upon end is a practice that is so Byzantine, so 
universally condemned by other peer nations, so torturous to 
individuals. It is stunning to me when I talk to correctional 
officers, when I talk to inmates, when I talk to families. It 
is stunning to me that this practice goes on still in our 
Nation at such a widespread level.
    There is no excuse whatsoever for torturing individuals, 
and often this is a case that is accelerated by us, because we 
are underfunding institutions that could help add to the safety 
of our correctional officers, the safety of inmates; that often 
solitary is relied on as a practice that is so extremely 
harmful to human beings and especially so to children. Ms. 
Peeler, you, in your report, call it torture. And let's explore 
that for a second. Is this some kind of left-wing idea that 
putting people in these spaces is torturous, or is there 
scientific data, study after study after study, that shows the 
harm of solitary, under whatever name it's called or euphemism 
is used?
    Dr. Peeler. Senator, the torture definition comes from the 
United Nations, and the reason why the U.N. Special Rapporteur 
picked the time of 15 days is because there is a mountain of 
scientific evidence that shows that after that period of time 
in solitary confinement, many of the acute symptoms can become 
irreversible.
    Senator Booker. So, again, mountains of scientific 
evidence. This is not up for debate, that it can cause 
permanent harm to individuals. But what about brains that 
haven't developed to the point of 25 years old? What about 
youth brains or adolescent brains? What does it do to children?
    Dr. Peeler. So, Senator, I haven't--although I take care of 
children in the ICU very frequently, I haven't studied solitary 
confinement, specifically, but I will tell you as a 
pediatrician, the pediatric brain is in constant flux, and it 
takes a lot of its information from its environment. And so----
    Senator Booker. Nineteen-, 20-, 21-year-olds?
    Dr. Peeler. Nineteen-, 20-, 21-year-olds are still 
children. They still are developing their frontal lobe. And so 
if their experience is one of torture----
    Senator Booker. Does it make people--if I'm concerned about 
the safety of my correctional officers, do people who are in 
solitary confinement for a month or 2 months--do they come out 
less dangerous to themselves and others or more dangerous to 
themselves and others?
    Dr. Peeler. They come out more dangerous, sir.
    Senator Booker. Significantly more dangerous. This has been 
studied, and we know it to be the truth. What happens to 
suicide rates?
    Dr. Peeler. Suicide rates are quite high for those who have 
been in solitary confinement. Almost 50 percent of suicides, I 
believe, in the BOP actually occur in solitary confinement. And 
Mr. Daniel, who died recently in ICE detention--a recent study 
following up of him show that there actually had been six or 
seven suicide attempts in that same facility in the last few 
months.
    Senator Booker. ``I ended up losing my mind for 2 weeks, 
even talking to myself. I thought about suicide. I still have 
those thoughts now in Senegal. Anytime I hear a door, my heart 
would start beating faster, like I was having panic, an attack. 
I still don't feel like being in confined spaces.'' These are 
people, years after being out of solitary confinement. The 
post-traumatic stress stays with them. And we know that people 
who are suffering from PTSD are a danger to themselves and can 
be, under some circumstances, a danger to others. Is that 
correct?
    Dr. Peeler. Yes, sir.
    Senator Booker. And so, Ms. Goodwin, the funding problems 
we have when it comes to correctional facilities throughout the 
United States or correctional facilities specifically for 
immigration--is this an issue leading toward the usage or 
overusage of solitary confinement?
    Ms. Goodwin. So, when you're thinking about the Bureau of 
Prisons----
    Senator Booker. Yes.
    Ms. Goodwin. Start there, and I'll talk about ICE. When 
you're thinking about the Bureau of Prisons and GAO, we've 
issued a number of reports talking about challenges with BOP 
staffing and what that could look like, and of course it 
affects all of the operations, and one of them, of course, 
would be the use of restrictive housing. When you think about 
ICE facilities, there is a concern about the facilities finding 
enough locations and the appropriate amount of bed space for 
individuals. So, both of them are concerns. Staffing is a major 
issue, and the ability to find locations that would partner 
with ICE to hold or to ensure that there are spaces for people 
to be detained is another challenge.
    Senator Booker. Right. And so, Mr. Chairman, who are we? 
We're the United States of America, and we so savagely 
underfund our prisons. Just in the last budgetary round, we cut 
funding to our prisons even more, endangering correctional 
officers, undermining their sworn duty, undermining legislation 
that we have passed through this body that helps to lower 
recidivism rates and keep people safer. Our First Step Act, 
bipartisan--we have undercut it by underfunding the Bureau of 
Prisons. But what should keep all of us up at night is the fact 
that every single day there are practices going on in our 
prisons that our correctional officers don't agree with, that 
fundamentally amount to the kind of torture that we condemn 
other nations for doing.
    This is sick. This is unacceptable. And it's un-American, 
that this practice goes on, widespread, and there are tens of 
thousands and hundreds of thousands of people who are being 
permanently affected, and their families are being impacted, 
and our public safety is being undermined. This is outrageous, 
that we talk about this as an ongoing problem in our country 
and don't do the common-sense things that should get bipartisan 
support, to stop these practices, to support our correctional 
officers, to keep them safe, to keep our prisons not to be the 
reflections of the darkest corners of our society--but our 
prisons should be places that reflect our highest virtues, like 
redemption, like second chance, like rehabilitation, like 
public safety. Thank you, Mr. Chairman.
    Chair Durbin. Thank you, Senator Booker. I'm fortunate to 
be Chair of this Committee. I'm honored with that opportunity. 
But there are sources of frustration, and this is one of them. 
This is an issue which came to my attention just by random 
reading, that article by Dr. Atul Dawande, which I recommend to 
all of you--the impact of isolation on the human mind. And I 
started this trek 12 years ago--12 years ago--through 3 
different administrations, now. And I have to say there is no 
appreciable progress that's been made. In fact, we've gone 
backward in many respects. And I wonder if it is just a basic 
economic issue which Senator Booker has raised: not enough 
people to do the job and therefore some alternatives that are 
not preferable are turned to because they're easier to do; 
whether it reflects an attitude toward incarceration or the 
people who are incarcerated, which we look the other way too 
often; whether it's racism, and that part has been raised early 
on in the course of this hearing.
    But through various leaders at the Bureau of Prisons, of 
both political parties, they have given me lip service about 
doing something, but neither one that I've worked with has 
really changed the situation. There's a frustration involved in 
it. In a democracy, you've got to accept that as part of the 
challenge. But I do believe that this is a special case. I 
believe when it comes to corrections and incarceration, we 
don't put a priority on it. These are people that we've walked 
away from, and we assume that we'll never face them again. And 
the honest answer is, yes, you will. You'll see them again at 
some point in your life. America will see them. And in the 
process, are we making their lives better?
    Ms. Davis, you're amazing. The story you tell, 13, 14 years 
in prison and coming before us today--I really thank you for 
that. That took courage to come up here and tell your story, 
and you did it. I appreciate that so very much.
    Sheriff Boyd, I was just sure that I wouldn't like you at 
all, but I do. I can't explain it. You know, I really respect 
you. You're now my favorite Texas sheriff. I don't have a long 
list, but you're at the top of it. Thank you so much for being 
here today.
    Dr. Peeler, thank you for your perspective. Being an active 
pediatrician, in addition to having your interest in this topic 
really is impressing me. And, Ms. Goodwin, you had a tough job 
today, representing the GAO, walking that tightrope, not making 
a policy endorsement but trying to be very honest and 
forthcoming with us.
    It's been a great panel. I see some friends from organized 
labor here, representing correctional officers. You're usually 
sitting at the table. Next time, you will be. I'm sorry we 
didn't have enough slots today to bring you into the effort.
    You may receive some written questions. If you do, I hope 
you'll respond to them in a timely fashion.
    Chair Durbin. With that, the hearing stands adjourned.
    [Whereupon, at 11:41 a.m., the hearing was adjourned.]
    [Additional material submitted for the record follows.]

                            A P P E N D I X

Submitted by Chair Durbin:

 AILA--American Immigration Lawyers Association--Solitary 
    Confinement--Statement........................................    79

 Frank Bailey CPL--Statement......................................    83

 FAST--Federal Anti-Solitary Taskforce--Solitary Confinement--
    Testimony.....................................................    88

 James Gilligan, M.D.--Statement..................................    97

 GAP--Government Accountability Project--Dana L. Gold, Esq........   101

 Professor Craig Haney--Testimony.................................   112

 IACHR-PM--Update.................................................   120

 Illinois Organizations Restore Justice, Uptown People's Law 
    Center, Chicago Lawyers' Committee--Civil Rights Letter Urging 
    End Solitary Confinement Act..................................   150

 Terry A. Kupers, M.D., M.S.P. Professor--Testimony...............   152

 La Resistencia and Tsuru for Solidarity--Solitary Confinement--
    Statement.....................................................   156

 Bandy X. Lee, MD, M.Div.--Statement to the U.S. Senate...........   160

 NIJC--National Immigrant Justice Center--A Heartland Alliance 
    Program--Solitary Confinement--Statement......................   164

 NIPNLG--The National Immigration Project.........................   170

 Peeler--Solitary Confinement--Testimony..........................   217

 Dr. Pablo Stewart--Solitary Confinement--Testimony...............   267

 Unlock the Box--Solitary Confinement--Testimony..................   275

Submitted by Ranking Member Graham:

 EARM View Encounter Summary......................................   278

Submitted by Senator Ossoff:

 Frank Bailey CPL Written Statement...............................    83

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