OPINION
In this class action brought by deaf and hearing-impaired inmates in the custody of New York’s Department of Corrections, plaintiffs move for declaratory judgment as to the existence of the statutory and constitutional rights they assert, for summary judgment on all their claims pursuant to Rule 56, Fed.R.Civ.P., and for preliminary and permanent injunctive relief. The claims asserted by the plaintiffs are:
(i) discrimination based on disability in violation of § 504 of the Rehabilitation Act, 29 U.S.C. 794 (“§ 504”);
(ii) discrimination based on disability in violation of Title II of the Americans with Disabilities Act (the “ADA”), 42 U.S.C. §§ 12131-12133;
(iii) denial of due process of law in disciplinary, grievance, administrative and parole proceedings and interviews in violation of the due process clause of the Fourteenth Amendment of the U.S. Constitution, U.S. Const, amend. XIV, § 1 (the “Due Process Clause”);
(iv) deliberate indifference to the needs of deaf and hearing-impaired inmates in violation of the Due Process Clause;
(v) deprivation of equal protection under the law in violation of the equal protection clause of the Fourteenth Amendment of the U.S. Constitution, U.S. Const, amend. XIV, § 1 (the “Equal Protection Clause”);
(vi) infringement of the rights of deaf and hearing-impaired inmates to confidential medical and mental health communications and decision-making in violation of the Fourteenth Amendment of the U.S. Constitution, U.S. Const, amend. IX & XIV, § 1 and
(vii) deliberate indifference to the serious medical needs of deaf and hearing-impaired inmates in violation of the Eighth Amendment to the U.S. Constitution, U.S. Const, amend. VIII.
This Court has jurisdiction pursuant to 28 U.S.C. § 1331.
Plaintiffs have standing to press their constitutional claims under 42 U.S.C. § 1983 (“§ 1983”).
For the reasons set forth below, this motion will be granted in part and denied in part.
The Parties
Plaintiff Doris Clarkson (“Clarkson”) was from October 1988 until June 1991 an inmate incarcerated by the New York State Department of Correctional Services (“DOCS”). Clarkson has been deaf since early childhood and communicates using American Sign Language (“ASL”).
Plaintiff-intervenor Janice Whan (“Whan”) was from August 1990 until January 1992 an inmate of DOCS. Whan is hearing-impaired, suffering from congenital, degenerative hearing loss, and communicates by lip reading and with the assistance of hearing aids.
Plaintiff-intervenor Mark Brock (“Brock”) was from 1986 to 1993 an inmate of DOCS. Brock has been incarcerated in DOCS’ Downstate Correctional Facility (“Downstate”), Auburn Correctional Facility and at the Eastern Correctional Facility (“Eastern”). Brock has been completely deaf since birth, and communicates primarily through ASL.
Plaintiff-intervenor Terryton Harrison (“Harrison”) has been from February 1992 to the present an inmate of DOCS. He was incarcerated at Downstate for approximately three months and was then at Clinton Correctional Facility (“Clinton”). Previously, Harrison was incarcerated at the Elmira Correctional Facility (“Elmira”), Attica Correctional Facility (“Attica”) and at the Senso-rially Disabled Unit at Eastern (the “SDU”). Harrison is deaf, and he communicates primarily through ASL. He has virtually no residual hearing, cannot lip read well and his speech is not understood by hearing persons.
Plaintiff-intervenor Riis Powell (“Powell”) has been from early 1992 to the present an inmate of DOCS. Powell is currently incarcerated at the SDU of the Eastern Correctional Facility. Previously he was housed at the Downstate and Coxsackie Correctional Facilities. Powell is deaf from birth, has *1025 virtually no residual hearing or ability to speak, and communicates primarily through ASL. He has limited ability to communicate in written English.
Plaintiff Glennis Robertson (“Robertson”) was from May 1991 to approximately December 1993 an inmate of DOCS. Robertson is hearing-impaired, and communicates through ASL, Signed English, and lip reading. She cannot communicate well by reading or writing English. Her reading comprehension was tested by DOCS as grade level 2.9.
Plaintiff Larry Randall (“Randall”) was from 1989 to April 1994 an inmate of DOCS. He served his sentence at the Attica, Green-haven and at Southport Correctional Facilities. He was transferred to Sing Sing Correctional Facility (“Sing Sing”) after he became seriously ill, and was given medical parole in April 1994. Randall is hearing-impaired, and hears through the use of hearing aids.
These named plaintiffs represent two subclasses of deaf and hearing-impaired inmates as defined in this Court’s decision of January 25, 1993. The plaintiff class was certified as two distinct sub-classes, one male (the “Male Sub-Class”) and one female (the “Female Sub-Class”) described as follows:
(a) all present and future deaf and hearing-impaired male inmates of the New York State Department of Correctional Services who have been, are, or will be discriminated against, solely on the basis of their disability, in receiving the rights and privileges accorded to all other inmates; and
(b) all present and future deaf and hearing-impaired female inmates of the New York State Department of Correctional Services who have been, are, or will be discriminated against, solely on the basis of their disability, in receiving the rights and privileges accorded to other inmates.
Clarkson v. Coughlin, 145 F.R.D. 339, 347-48 (S.D.N.Y.1993) (“Clarkson II”). 1
Defendant DOCS is a department of New York State. Defendant Thomas A. Coughlin III is Commissioner of DOCS (“Coughlin”) and is responsible for the supervision, management and control of all DOCS facilities. DOCS receives federal financial assistance in excess of $7 million. As a department of New York State, DOCS is a “public entity” within the purview of the ADA, 42 U.S.C. §§ 12131, 12132.
Defendant Robert Greifinger is Deputy Commissioner and Chief Medical Officer of DOCS (“Greifinger”). He is responsible for the provisions of health care services to DOCS inmates, the organization and supervision of DOCS’ Division of Health Services and the performance of DOCS’ health care employees.
Defendant Susan Butler is Deputy Commissioner for Program Services of DOCS (“Butler”). She is responsible for the delivery of program services to DOCS inmates, including recreation, education and visiting.
Defendant Elaine A Lord is Superintendent of Bedford Hills Correctional Facility (“Lord”). Lord is charged with the supervision, management, and control of Bedford Hills, including directing the work and defining the duties of all subordinate officers and employees of that facility.
Defendant Bridget Gladwin is Superintendent of the Taconic Correctional Facility (“Gladwin”). Gladwin is charged with the supervision, management, and control of Ta-conic, including directing the work and defining the duties of all subordinate officers and employees of that facility.
*1026 Defendant Walter Kelly is Superintendent of Attica (“Kelly”). Kelly is charged with the supervision, management, and control of Attica, including directing the work and defining the duties of all subordinate officers and employees of that facility.
Defendant Daniel Senkowski is Superintendent of Clinton Correctional Facility (“Senkowski”). Senkowski is charged with the supervision, management, and control of Clinton, including directing the work and defining the duties of all subordinate officers and employees of that facility.
Defendant Stephen Dalsheim is Superintendent of Downstate (“Dalsheim”). Dal-sheim is charged with the supervision, management, and control of Downstate, including directing the work and defining the duties of all subordinate officers and employees of that facility.
Defendant Raul Russi is Chair of the New York State Board of Parole and Head of the New York State Division of Parole (“Russi”). He has superintendence, management and control of all New York State Board of Parole and Division of Parole hearings and services.
Defendant Richard C. Surles (“Surles”) is Commissioner of the New York State Office of Mental Health (“OMH”). Pursuant to N.Y. Corr. Law § 401, DOCS has designated the Office of Mental Health to provide psychiatric services to inmates in the State correctional system. These defendants are sometimes referred to herein collectively as the “Defendants”.
Prior Proceedings
Clarkson initiated this action by filing a Class Action Complaint on March 15, 1991. On March 26, 1991, she brought an Order to Show Cause seeking access to the requested services, among other relief. Clarkson filed her First Amended Class Action Complaint on May 10, 1991. Defendants answered on May 17,1991. On June 14,1991, the date on which Clarkson was paroled, the Defendants moved for dismissal of the action and transfer. Motions for intervention, joinder of additional defendants and class certification were filed on August 9, 1991. In an opinion of February 4, 1992 this Court granted the motions for intervention and joinder and denied all other motions pending at the time.
Clarkson v. Coughlin,
Plaintiffs filed further motions seeking joinder of additional defendants, intervention by additional plaintiffs and certification of a class. After stipulation by the parties and with permission of this Court the respective return dates of these motions were reset. By opinion dated January 25, 1993, this Court granted: (i) the additional motion to intervene, (ii) the motion to join additional defendants, (iii) leave to amend the complaint, and (iv) certification of the plaintiff class and the two sub-classes within it, one of male and one of female deaf or hearing-impaired inmates in DOCS custody. See Clarkson II.
Plaintiffs filed their Second Amended Class Action Complaint on March 29, 1993. Defendants answered once again on April 30, 1993. Plaintiffs in turn filed another Amended Complaint on June 8, 1993.
A final round of amendment to the complaint and corresponding answer concluded with Defendants’ filing on September 26, 1994. Plaintiffs filed the instant summary judgment motion on August 3, 1994. After stipulations extending the time for Defendants to file responsive papers and for Plaintiffs to reply, oral argument was heard on the within motion on February 8, 1995 at which time the motion was deemed fully submitted.
The Facts
There are two different forms of communication through manual signs commonly used by deaf people in this country — Signed English and ASL. Signed English is a form of English in which each spoken word is accorded a corresponding manual “sign” and these signs are used with their customary syntax and in their customary word order. Signed English is essentially a system for visually paraphrasing spoken English.
Although ASL also utilizes manual signing, it is best thought of as a foreign language used by American deaf people, with its own grammar and syntax. Proficiency in Signed *1027 English, regardless of degree, does not facilitate communication in ASL, and vice versa.
The certification exam administered by the National Registry of Interpreters for the Deaf is considered the most reliable means of ascertaining the competence of a sign language interpreter. See Joint Committee on Access to the Courts, Improving the Access of Deaf and Hearing-Impaired Litigants to the Justice System, 48 The Record of the Association of the Bar of the City of New York, 834, 839 (1993). A qualified sign language interpreter is defined in the federal regulations appurtenant to the ADA as one who is “able to interpret effectively, accurately, and impartially both receptively and expressively, using any necessary specialized vocabulary.” 28 C.F.R. § 35.104.
A telephone communication device for the deaf (“TDD”) is a device which uses the electronic transmission of text to allow deaf persons to communicate via telephone, with deaf persons or hearing persons who have access to a TDD, or with hearing persons who do not have a TDD, via a third-party relay service. Telecommunication is facilitated for some hearing-impaired people by use of amplified handsets.
A closed-eaptioned decoder is an apparatus which “subtitles” the spoken text on television or film so that deaf and hearing-impaired persons can follow television programs.
Visual alarm systems are devices which visually alert deaf persons to emergencies such as building fires, by means of a flashing light or other visual cue. Hearing impaired individuals who are not completely deaf are sometimes assisted through the installation of amplified alarms.
Berthlynn Terry (“Terry”) is DOCS’ Deputy Commissioner for Affirmative Action and the head of its Office of Affirmative Action which is responsible for development and implementation of policies regarding inmates with disabilities. Terry is the person identified by DOCS as having knowledge and information pertaining to compliance with the Rehabilitation Act and the ADA. In deposition testimony she indicated that she was unaware of any “formal mechanism” in the prison system by which inmates can discuss their needs for reasonable accommodations based on disabilities. The documentary record reveals no form by which inmates could request such an accommodation, and defendants did not submit their evaluation, required by the ADA, of their programs for disabled inmates.
Lorraine Waldron, a corrections counselor employed by DOCS at Downstate (“Wal-dron”) has taken classes in sign language. In a system which assigns a corrections counselor to every inmate, Waldron has been and is assigned as the counselor to some of the male class members who arrived at Downstate for reception and classification. According to her declaration, Waldron’s sign language abilities are “not highly developed.” The record is silent on whether Waldron can communicate in ASL, the primary mode of communication used by several of the male named plaintiffs.
Although a precise number is not alleged, the parties agree that at any given time there may be over fifty inmate members of the plaintiff class. The complete range of auxiliary aids and assistive devices required to permit class members to participate fully in and benefit from the programs, services and activities DOCS makes available to non-disabled inmates is not present in each of the facilities in which class members are incarcerated.
Up to thirty deaf and hearing-impaired and visually-impaired male inmates may be, at any given time, serving part of their sentences in the SDU, which is a special unit within Eastern for persons with sensorial disabilities where they receive services to accommodate their disabilities. Prior to placement in the SDU all of the deaf and hearing-impaired male inmates spend months in DOCS’ reception and classification facilities (“Reception Facilities”) which are not equipped or staffed to provide the complete range of auxiliary aids and assistive devices they require. Members of the Male SubClass are incarcerated in general population facilities for some or all of their incarceration. At these facilities the full range of auxiliary aids and assistive devices is either incomplete or wholly unavailable. Members *1028 of the Female Sub-Class are incarcerated in general population facilities for the entire length of their, incarceration, because the SDU presently houses only male inmates and is the only such facility in the DOCS system.
Individuals committed to DOCS’ custody are first sent to facilities designated as Reception Facilities where they are processed and assessed to determine appropriate long-term facility placements in the correctional system. The statutorily mandated purpose of program and classification procedures is:
to assure the complete study of the background and condition of each inmate in the care or custody of the department and the assignment of such inmate to a program that is most likely to be useful in assisting him [sic] to refrain from future violations of the laws. Such procedures ... shall require ... consideration of the physical, mental and emotional condition of the inmate; ... his educational and vocational needs; ... the danger he presents to the community or to other inmates; the recording of continuous case histories ...; and periodic review of case histories and treatment methods used.
N.Y. Correction Law § 137(1). Downstate is a Reception Facility.
At the Reception Facilities information is acquired from inmates through interviews with counselors and review of background materials which accompanied inmates into DOCS’ custody. DOCS is required by New York statute to conduct a psychiatric evaluation of each inmate. N.Y. Correction Law § 148 (McKinney 1987). Inmates who are identified as having special medical or mental health needs are sent to a special unit within a Reception Facility, called “extended classification” to undergo more extensive educational, medical and intelligence testing. While incarcerated in a Reception Facility inmates receive no educational, vocational or rehabilitative training. After some time in a Reception Facility, each inmate is placed more or less permanently in a long-term DOCS facility. Inmates who go though extended classification are evaluated by classification analysts and other professionals, and as a result of these evaluations may be assigned to specialized units within DOCS for their long-term placement. Some, but not all, of the deaf and hearing-impaired male inmates are referred from extended classification to the SDU. Other deaf or hearing-impaired inmates who may need the services provided in the SDU are referred to other long-term facilities because of medical, security or disciplinary reasons.
Upon arrival in any DOCS’ facility, inmates are assigned counselors who are to work with inmates throughout their prison stay. DOCS’ counselors are required to evaluate the educational, vocational and programmatic needs of inmates in their custody. Counselors are required to conduct appropriate psychological, intelligence, educational and vocational evaluations as are necessary to make appropriate program and service placements. It is the counselor’s role to supplement the evaluation process with input from inmates regarding programs which may be helpful to them.
State administrative regulations encourage DOCS to provide telephone and television privileges to all inmates in DOCS custody. See 7 N.Y.C.R.R. § 320.3(e) (“[v]isiting, phone calls, and correspondence shall be encouraged as a vital part of rehabilitation.”) DOCS is required to maintain a grievance process through which inmates can seek redress when actions or inaction of DOCS’ staff negatively affect their incarceration. See 9 N.Y.C.R.R. § 7654. DOCS is charged with maintaining inmates in a safe physical environment. New York Correction Law § 45(6). DOCS is responsible for providing inmates with timely and appropriate medical and mental health care. New York Correction Law §§ 45(6), 148. Finally, inmates have procedural due process protections in disciplinary and parole board proceedings. See 7 N.Y.C.R.R. Part 250 et seq. (disciplinary proceedings); 9 N.Y.C.R.R. § 8000 et seq. (parole proceedings).
Defendants are aware of Plaintiffs’ respective hearing disabilities and the extent to which these disabilities interfere with each inmate’s ability to participate in DOCS programs and activities.
Plaintiff Clarkson has been deaf since early childhood. She has virtually no speech *1029 ability and her comprehension of spoken or written English is severely limited. Her primary language is ASL. Clarkson is unable to lip read or communicate in Signed English.
Clarkson was incarcerated in the Bedford Hills Correctional Facility for almost three years from October 1988 to June 1991. Defendants knew that she needed a sign language interpreter and assistive devices in order to communicate effectively. She never received the services of a qualified sign language interpreter, nor any assistive devices, such as a TDD. Clarkson was never provided with access to a qualified sign language interpreter for medical or psychiatric care, even after the Superintendent of Bedford Hills was notified that Clarkson had been administered the Human Immunodeficiency Virus (HIV) test without her knowledge and informed consent. The priest who advised Clarkson regarding her rights to consent or refuse HIV testing could not communicate effectively with her in ASL.
Clarkson was prescribed three daily medicines. Because she is deaf and Defendants could not communicate effectively with her, however, she never understood what they were for. It was alleged that she had a psychiatric condition, yet no evaluation or counseling of her mental health condition was done in the presence of a sign language interpreter.
Clarkson was enrolled in educational programs while at Bedford Hills, including Adult Basic Education and Arts and Crafts but she received no instruction through a sign language interpreter.
Before Clarkson was to meet with the Parole Board in March 1991, she attended several interviews with Parole Board staff to ascertain her plans for the future. She was not provided with an interpreter at these interviews.
Janice Whan suffers from congenital, degenerative hearing loss caused by prenatal exposure to rubella. She also suffers from glaucoma. Whan’s hearing loss got progressively worse while she was an inmate at DOCS’ Taconic Correctional Facility from August 1990 until January 1992. Originally she required only one hearing aid but by the time she was released from DOCS’ custody she needed two.
Whan communicates with hearing people by reading lips, but depends on hearing aids to give much needed auditory cues when trying to follow conversation. She requested the hearing aids and DOCS did not provide them' until ten months after her request. While at Taconic, Whan could not hear the fire alarm, could not follow television because there is no closed-caption decoder and lacked the amplified handset that she needed in order to use the telephone.
Whan had difficulty following her prison orientation and other programs. Whan explained her problems to the Program Committee and her counselors, but no action was taken to provide her with the requisite hearing aids or accommodations she needed to hear and lip read more effectively. On several occasions DOCS’ medieal staff loudly discussed Whan’s medieal problems in close proximity to other inmates.
Plaintiff Brock is deaf and has been deaf since birth. His primary method of communication is ASL.- Brock cannot read or write English well. In order to make himself properly understood, Brock requires the assistance of a qualified sign language interpreter.
Brock was an inmate at Downstate for over six months. Shortly after Brock moved to intervene in this case, he was transferred to the SDU. On a previous incarceration from 1986 to 1988 Brock was housed in the SDU, except for several months when he was transferred to the Auburn Correctional Facility for disciplinary or security reasons.
During his time at Downstate, Brock was not provided with the services he needs despite his obvious hearing-impairment, his direct requests for assistance, and a notation sent from the Rikers Island Pre-Screening Unit to DOCS staff at Downstate which indicated that Brock “requires sign language.” Although Downstate is a Reception Facility which does not offer inmates educational or vocational programming, the few programs, services and privileges offered to hearing inmates at Downstate were not accessible to *1030 Brock because he is deaf. Because Brock does not write English well and was not given access to a qualified sign language interpreter, he was unable to explain his medical condition during doctor’s appointments and he could not participate in an Alcoholics Anonymous (“AA”) counseling program. His educational, vocational and medical needs were never evaluated with the assistance of an interpreter. Nor was he provided with adequate sign language interpreter services during disciplinary proceedings. At Downstate, Brock’s counselor assisted him in his disciplinary proceeding. Although the counselor was familiar with Signed English, she is not fluent in ASL and is not a qualified interpreter. Brock could not make himself understood by his counsel- or or anyone else at Downstate.
Brock’s request to his counselor for a TDD was denied. He was told that she could make calls for him. Consequently, Brock could not make private telephone calls. In addition, he could not watch television because there was no closed-caption decoder. Brock missed morning count because he could not hear the public announcement system. He was at risk of harm because there was no visual alarm system. None of these services were provided to Brock during his incarceration at Auburn either.
Harrison is a deaf inmate who is currently incarcerated at Clinton. Harrison has virtually no residual hearing and primarily communicates in ASL. Harrison cannot lipread well and his speech is not understood by hearing persons.
Between 1985 and 1987, Harrison was housed at Elmira for approximately six months, then at the SDU for two years. For security reasons, Harrison was then transferred out of the SDU to Attica.
Harrison began his current incarceration in February 1992 at Downstate, where he was placed in extended classification because of his deafness and mental health needs. The classification analyst recommended that although Harrison’s needs could best be served in the SDU at Eastern, he should be placed in an alternative maximum security setting because of prior problems he had dealing with deaf inmates at the SDU. Harrison was transferred to Clinton on May 30, 1992.
At Clinton, Harrison was considered for inclusion in two special programs. He was denied admission into the Merle Cooper Program, a therapeutic program for inmates because he was found “unable to benefit from group therapy due to hearing impairment.” Initially he was also denied admission to the Assessment and Program Placement Unit (“APPU”), a special unit for victim prone inmates, because “Harrison is a deaf mute, a condition for which the APPU program has no services.” Harrison was transferred to the Clinton APPU on or about November 14, 1992 where he presently does not have access to a sign language interpreter.
At no DOCS-facility other than the SDU was Harrison provided with access to qualified sign language interpreters or other services he needed to participate in prison programs and activities. At Attica, Harrison was denied all programming because of his deafness and stayed in his cell twenty-four hours a day. At no DOCS facility was he permitted to participate in a group drug and alcohol rehabilitation program because he had no access to an interpreter. In the Clinton APPU, there are no programs or services accessible to deaf inmates.
Harrison has been disciplined in several DOCS facilities without being provided a qualified sign.language interpreter either in preparation for or during his disciplinary proceedings. On January 6, 1994, Harrison was disciplined for disobeying two direct orders from corrections officers that he did not understand. The record contains the statement by a corrections officer: “Harrison was ordered to pick up a cup in the mess hall. I ordered him by pointing to the cup because I know that he is deaf.” On another occasion a corrections officer reported that he ordered Harrison “with directed hand motions” to clean up a mess. Although Harrison asked in writing for a sign language interpreter to be present at the disciplinary hearing, he was told by the hearing officer at the hearing that Clinton does not have access to sign language interpreters. The hearing was conducted by an exchange of written messages.
*1031 While at Attica, Harrison received fifteen days in “keeplock” after a disciplinary hearing in which he was not provided with an interpreter. Harrison also met with parole officers at Attica and Elmira without being provided with an interpreter.
Plaintiff Powell is a deaf inmate who has been in DOCS’ custody since February 1992. On May 12, 1992, Powell was transferred from the extended classification at Downstate to the SDU. Powell was previously incarcerated at the SDU and at DOCS’ Coxsaekie Correctional Facility (“Coxsaekie”).
Powell has been totally deaf since birth with.virtually no residual hearing or ability to speak, and limited ability to communicate in written English. Powell’s reading comprehension level, as tested by DOCS, .is at a third grade level.
The New York State Supreme Court Justice who sentenced Powell wrote a letter to Defendants stating that Powell “needs two levels of sign language interpreters to comprehend and to communicate.” Defendants were made aware of Powell’s requirements when they received a Presentence Investigation Report on Powell from the New York City Department of Probation, dated January 23, 1992, advising them about the types of services and assistive devices he would need to function in a DOCS facility:
Powell is a deaf mute and was interviewed with the aide [sic] of two sign language interpreters. Powell stated that while he has been incarcerated, he has been unable to communicate with other inmates, hence, rendering him isolated, and “left out.” Powell requests that he be housed with other deaf inmates and that he be kept informed of the daily activities at the correctional facility. In addition, the defendant stated “a telephone communication system for the deaf and closed captioned television would enable him to keep contact with his family and with the ‘outside world.’ ”
During his incarcerations at Downstate, and his earlier incarcerations at Elmira and Coxsackie, Powell was not provided with access to a qualified sign language interpreter for any purpose, including disciplinary proceedings. Although allowed to enroll in Downstate’s AA program, Powell could not understand or participate in the AA program because there was no qualified sign language interpreter present. He was not provided with a TDD, a closed captioned television decoder, or a flashing alarm for morning count or fire drills. He did not have any means of understanding the public announcement system.
Plaintiff Robertson has been severely hearing-impairéd since birth. While she has limited residual hearing in her left ear with hearing aids, to communicate with others she depends mainly upon ASL, Signed English and lip reading.
Robertson’s ability to lip read is not sufficient for her to communicate with the hearing world by lip reading alone. 2
Robertson cannot communicate well by reading or writing English. Her reading comprehension is at the 2.9 grade level. Robertson was an inmate at DOCS’ Grove-land Correctional Facility (“Groveland”) and then at Bedford Hills Correctional Facility from May 1991 to approximately December 1993. Her transfer to Bedford Hills was the result of a disciplinary hearing at Groveland in which she was not provided with an interpreter, and which resulted in a three month period of severely limited privileges.
Robertson’s programming options were curtailed because she was not provided with a sign language interpreter. She was removed from a drug counseling program at Groveland when correctional staff realized she could not follow the group discussions. Robertson was then repeatedly denied access to such a program at Bedford Hills during 1992. Robertson’s failure to enter a drug counseling program was used in part to deny her application for temporary release. She has requested assistive services and an interpreter at both Groveland and Bedford Hills, *1032 but they have not been provided. Lack of auxiliary aids impeded her ability to talk to her children’s foster mother on the telephone and to watch television.
Plaintiff Randall was a hearing-impaired inmate in DOCS custody from 1989 to April 1994 when he was given a medical parole. Randall served his sentence at Attica and, after he became seriously ill, at Sing Sing. Randall has severe hereditary bilateral sen-sorineural hearing loss in both ears. Randall requires two hearing aids. From February 1991 to June 1991, one of Randall’s hearing aids was broken and he was forced to use only one aid. From June 1991 to on or about May 1992, both of Randall’s hearing aids were broken, and he was without any means of communication for that period. Randall could not function in a school program without his hearing aids, and he was denied access to a work program. He was without a work or educational program for over one year due to his being without hearing aids. No alternative accommodation was made to permit Randall to benefit from any prison school or work program.. Additionally, Randall was not provided with an amplified telephone handset which he requires in order to communicate by telephone.
Plaintiff Ripie has been an inmate in DOCS’ custody since November 9,1993. She has been incarcerated at the Bedford Hills Correctional Facility. Ripie is deaf and communicates only through ASL. Prior to her arrival at Bedford Hills, the staff at the Broome County Jail, the Southern Tier Independent Center, and Ripic’s lawyer all informed DOCS of her need for a sign language interpreter, a TDD and a closed caption decoder. The New York State Advocate for the Disabled was also involved in efforts to obtain accommodations for Ripie’s disability-
Four months after her arrival at Bedford Hills, Ripie received some of the services she needs. Instead of access to a qualified sign language interpreter, Bedford Hills identified two inmates to translate for Ripie when needed. They are not certified interpreters, and they are not always available. They are sometimes unable to translate such that Rip-ie can understand and be understood. Ripie has several serious medical conditions, including congenital heart failure, and during medical appointments, she is unable to comprehend doctors’ medical recommendations and is unable to ask follow-up questions about treatment options and medications.
Ripie has been depressed and suicidal since her incarceration but none of her communications with Defendants’ medical or mental health staff have been through qualified sign language interpreters.
No vocational evaluation of Ripie was done because no sign language interpreter was available. She was assigned to two classes, a basic education class and a horticulture class. An inmate who can sign is also enrolled in the basic education class; she translates, but inadequately. When that inmate is absent, Ripie is completely cut off from goings on the class. In the horticulture class Ripie is entirely without the benefit of translation.
Ripie is similarly forced to depend on other inmates to communicate with DOCS personnel in the medical and mental health context. An OMH psychiatrist who evaluated Ripie without the aid of a qualified sign language interpreter, noted that Ripie is “understandably frustrated and‘nervous’ about the difficulty in communicating in the prison environment. Her worries/concerns are appropriate and not out of proportion to these objective stressors.”
Discussion
The legal standards applicable to Plaintiffs’ motion will be applied to the facts described above.
In their failure to provide notice of rights to accommodations and available assistance, to consult with disabled inmates as to the most effective form of accommodation, to complete a statutorily required self-evaluation and to formulate and effectuate grievance procedures regarding accommodations, Defendants have violated the ADA. By failing to provide interpretive services during reception and classification, through the absence' or inadequacy of assistive communications devices for telephone and television and by their failure to provide visual safety alarms, Defendants have violated both § 504 of the Rehabilitation Act and the ADA.
*1033 By their failure to make reasonable accommodations to facilitate full participation by class members in educational, vocational and rehabilitative contexts such as classes and counselling sessions, Defendants have violated class members’ constitutional due process rights and the ADA.
Further, by their failure to provide qualified interpreters or other needed assistive devices for medical and mental health treatment Defendants have violated class members’ constitutional due process rights and, in those cases in which communication between patient and medical personnel is essential to the efficacy of treatment, violated the Eighth Amendment’s proscription against cruel and unusual punishment.
By their failure to provide qualified interpreters or other needed assistive devices for disciplinary, grievance and parole proceedings, Defendants have violated class members’ constitutional due process rights. Finally the Female Sub-Class has suffered an equal protection violation by virtue of Defendants’ creation and maintenance of the males-only SDU, which created a classification based on gender without a strong justification.
A. Rule 56 Standards for Summary Judgment
Plaintiffs move for summary judgment in their favor pursuant to Rule 56. The Rule 56 motion for summary judgment is “an integral part” of the Federal Rules of Civil Procedure and facilitates the overall purpose of the Rules as stated in Rule 1, namely, “to secure the just, speedy and inexpensive determination of every action.”
Celotex Corp. v. Catrett,
The Second Circuit has repeatedly noted that “[a]s a general rule, all ambiguities and inferences to be drawn from the underlying facts should be resolved in favor of the party opposing the motion, and all doubts as to the existence of a genuine issue for trial should be resolved against the moving party.”
Brady v. Town of Colchester,
Bare assertions cannot serve to raise genuine issues of material fact and a non-movant opposing summary judgment may not rest upon conelusory allegations or denials.
See
Rule 56, Fed.R.Civ.P.;
Park Ave. Tower Assocs. v. City of New York,
A material fact is one that would “affect the outcome of the suit under the governing law.”
Anderson v. Liberty Lobby, Inc.,
Summary judgment is appropriate under these standards as to Plaintiffs’ claims that (i) Defendants have violated the notice, consultation, self-evaluation and grievance procedure requirements of the ADA; (ii) Defendants have violated both the Rehabilitation Act and the ADA by their failure to provide interpretive services for various aspects of reception and classification; (iii) the absence or inadequacy of assistive communications devices for telephone and television and the absence of visual safety alarms violates both the ADA and the Rehabilitation Act; (iv) Defendants’ failure to make reasonable accommodations to facilitate full participation by class members in educational, vocational and rehabilitative contexts such as classes and counselling sessions violates the ADA and Plaintiffs’' due process rights; (v) Defendants’ failure to provide qualified interpreters and/or other assistive devices during medical and mental health treatment violates class members’ constitutional due process and privacy rights, and in those cases in which communication between patient and medical personnel is essential to the efficacy of treatment, the Eighth Amendment’s proscription against cruel and unusual punishment;, (vi) Defendants’ failure to provide qualified interpreters and/or other assistive devices in disciplinary, grievance and parole proceedings violates class members’ due process rights; (vii) transfers out of, or refusals to transfer into, the SDU for disciplinary, safety, medical or mental health reasons violate the ADA and the Rehabilitation Act; and (viii) Defendants’ creation and maintenance of a special prison unit at which all or most of the needs of deaf and hearing-impaired inmates are accommodated — the SDU — but from which women are excluded based on gender violates the equal protection rights of the Female Sub-Class, about which there are no genuine issues of material fact.
B. Declaratory Judgment
Plaintiffs seek declaratory judgment as to the rights of the Plaintiff class. This Court has authority to render a declaratory judgment pursuant to 28 U.S.C. § 2201(a), which states:
In a ease of actual controversy within its jurisdiction ... any court of the United States, upon the filing of an appropriate pleading, may declare the rights and other legal relations of any interested party seeking such declaration, whether or not further relief is or could be sought. Any such declaration shall have the force and effect of a final judgment or decree and shall be reviewable as such.
The two criteria guiding the policy in favor of rendering declaratory judgments are (1) whether the judgment will serve a useful purpose in clarifying and settling the legal relations in issue, and (2) whether it will terminate and afford relief from the uncertainty, insecurity and controversy giving rise to the proceeding.
See Continental Casualty Co. v. Coastal Savings Bank,
Under these authorities declaratory judgment is appropriate with respect to: the class’ claims of violations of the Due Process Clause, the Rehabilitation Act and the ADA in Defendants’ failure to provide accommodations in vocational and academic classroom instruction and in alcohol and drug rehabilitation counselling; Plaintiffs’ claim that provision of medical treatment to class members without the assistance of a qualified interpreter, or other assistive devices, violates class members’ privacy, due process and Eighth Amendment rights; the class’ claim that Defendants’ failure to provide interpretive services or other assistive devices to class members during disciplinary, grievance and parole proceedings is a violation of their *1035 due process rights and of the ADA and the Rehabilitation Act; and Plaintiffs’ claim that Defendants’ creation and maintenance of a special prison unit at which all or most of the needs of deaf and hearing-impaired inmates are accommodated, and which special unit is not available to women deprives Female Sub-Class members of equal protection under the law.
C. Injunctive Relief
Plaintiffs seek a preliminary and permanent injunction. The standard for granting a preliminary injunction in this Circuit is a showing of (1) irreparable injury and (2) a likelihood of success on the merits or (a) sufficiently serious questions going to the merits to make them a fair ground for litigation and (b) the balance of hardships tipping in favor of the movant.
Blum v. Schlegel,
The standard for a permanent injunction is essentially the same as for a preliminary injunction with the exception that the plaintiff must actually succeed as to the merits rather than a showing of likelihood as to that success in some future proceeding.
See, e.g., Amoco Production Co. v. Village of Gambell,
With respect to all of the claims for which summary judgment is granted, the requirement of irreparable harm has been met and Plaintiffs have succeeded on the merits.
Statutory Claims
Section 504 of the Rehabilitation Act
Plaintiffs allege that DOCS has discriminated against them in violation of § 504 of the Rehabilitation Act. Section 504 guarantees that individuals who are qualified to participate in a program or activity will have meaningful access to the program or activity if offered by a grantee of federal funds.
See Alexander v. Choate,
*1036
The Rehabilitation Act has been held to apply to prisoner claims as a general matter.
See Harris,
No otherwise qualified individual with handicaps ... as defined in ... this title ... shall, solely by reason of her or his handicap, be excluded from the participation in, be denied the benefits of, or be subjected to discrimination under any program or activity receiving Federal financial assistance.
29 U.S.C. § 794.
The term “otherwise qualified” is defined in the regulations as “[w]ith respect to services, a handicapped person who meets the essential eligibility requirements for the receipt of such services.” 28 C.F.R. § 42.540(Z);
see Rothschild,
The regulations implementing § 504 elaborate upon the meaning of nondiscriminatory access to programs and services for disabled individuals:
A recipient [of federal financial assistance] may not discriminate on the basis of handicap in the following ways directly or through contractual, licensing, or other arrangements under any program receiving Federal financial assistance:
(i) Deny a qualified handicapped person the opportunity accorded others to participate in the program receiving Federal financial assistance(;)
(ii) Deny a qualified handicapped person an equal opportunity to achieve the same benefits that others achieve in the program receiving Federal financial assistance ....
(iv) Deny a qualified handicapped person an equal opportunity to participate in the program by providing services to the program.
28 C.F.R. § 42.503(b)(1).
The Second Circuit has held that in order to state a claim under Section 504, plaintiffs must establish that: (1) they are “handicapped persons” under the Act; (2) they are “otherwise qualified” to participate in the offered activity or program or to enjoy the services or benefits offered; (3) they are being excluded from participation or enjoyment solely by reason of their disability; and (4) the entity denying plaintiffs participation or enjoyment receives federal financial assistance.
See Rothschild,
Defendants concede that Plaintiffs are “handicapped persons” under the Act and that DOCS receives federal funding. They attempt to join issues of fact as to whether Plaintiffs are “otherwise qualified” for the services or benefits in question and as to whether they are being denied participation solely by reason of disability.
As is set out in detail below, Defendants have violated § 504 of the Rehabilitation Act by failing to provide interpretive services during reception and classification, through the absence' or inadequacy of assistive communications devices for telephone and television, by their failure to provide visual safety alarms and by their failure to make reasonable accommodations to facilitate full participation by class members in educational, vocational and rehabilitative contexts such as classes and counselling sessions. With regard to each of these areas there are no genuine factual issues and it is established that class members are “otherwise qualified” to participate in the offered activities and programs or to enjoy the services or benefits offered and that they are being excluded from participation or enjoyment solely by *1037 reason of their disability, the other elements of a prima facie § 504 claim having been conceded.
Title II of the ADA
Like the Rehabilitation Act, the ADA and the regulations promulgated thereunder, 28 C.F.R. Part 35, prohibit discrimination on the basis of disability. The ADA became effective as of January 1992. Title II of the statute prohibits discrimination by public entities and provides:
no qualified individual with a disability shall, by reason of such disability, be excluded from participation in or be denied the benefits of the services, programs, or activities of a public entity, or be subjected to discrimination by any such entity.
42 U.S.C. § 12132.
Title II of the ADA regulates the conduct of public entities. In particular a public entity may not, either directly or through contractual, licensing, or other arrangements:
(b)(l)(i) Deny a qualified individual with a disability the opportunity to participate in or benefit from [an] aid, benefit, or service;
(ii) Afford a qualified individual with a disability an opportunity to participate in or benefit from the aid, benefit or service that is not equal to that afforded others;
(iii) Provide a qualified individual with a disability with an aid, benefit or service that is not as effective in affording equal opportunity to obtain the same result, to gain the same benefit, or to reach the same level of achievement as that provided to others; [or]
(vii) Otherwise limit a qualified individual with a disability in the enjoyment of any right, privilege, advantage, or opportunity enjoyed by others receiving the aid, benefit, or service.
28 C.F.R. § 35.130(b).
The definition of “public entities” includes any state or local government or any department or agency thereof, or other instrumentality of a state or local government. See 42 U.S.C. § 12131(1). The meaning of “qualified individual with a disability” for purposes of Title II, derived via reference to the corresponding regulation promulgated under the Rehabilitation Act, is a person with a disability who, with or without a reasonable accommodation, “meets the essential eligibility requirements for the receipt of’ the benefits or services in question. See 28 C.F.R. § 42.540(i) (defining handicapped individual who is “otherwise qualified” under Rehabilitation Act); 42 U.S.C. § 12133 (requiring that remedies, procedures and rights under Title II of ADA are identical to those under § 504 of the Rehabilitation Act).
As under the Rehabilitation Act, the protections afforded by the ADA turn on whether, with or without reasonable accommodations in programs and services, a disabled individual meets the essential eligibility requirements to participate in the program or receive the benefit in question. See 42 U.S.C. § 12131(2).
The requirements for stating a claim under the ADA are virtually identical to those under § 504 of the Rehabilitation Act.
See Martin v. Voinovich,
In addition to its anti-discrimination provisions, the Department of Justice’s regulations implementing the ADA enumerate oth *1038 er affirmative obligations imposed by the ADA on state agencies. Plaintiffs assert that Defendants have failed to meet these additional affirmative requirements.
First, public entities are required to provide disabled persons with the opportunity to request the auxiliary aids and services of their choice and give “primary consideration” to the preferences expressed. DOJ, Technical Assistance Manual, Title II, ADA, II-7.1100.
The ADA also requires that persons with disabilities receive notice of the protections the statute affords them. Public entities must “make available to ... beneficiaries, and other interested persons information regarding the ... protections against discrimination as assured them by the Act and this part.” 28 C.F.R. § 35.106. In addition, 28 C.F.R. § 35.163 provides that “a public entity shall ensure that interested persons, including persons with impaired ... hearing, can obtain information as to the existence and location of accessible services, activities, and facilities.”
ADA-related regulations require public entities to determine the most appropriate auxiliary aid or service, and stress the importance of consultation with disabled individuals, because they are most familiar with their particular disabilities and are in the best position to determine what type of aid or service will be effective. DOJ, Technical Assistance Manual, Title II, ADA, II-7.1100.
The ADA also requires covered entities to conduct a “self-evaluation” of agency programs, services and physical plant to determine what modifications of policy and structure are necessary to comply with the ADA. 28 C.F.R. § 35.105. “Once a public entity has identified policies and practices that deny or limit the participation of individuals with disabilities in its programs, activities, and services, it should take immediate remedial action to eliminate the impediments to full and equivalent participation.” DOJ, Technical Assistance Manual: Title II of the ADA, II-8.2000. Even where agencies earlier conducted a self-evaluation under the Rehabilitation Act, the ADA requires the agency to expand the self-evaluation to incorporate programs or services not covered under § 504 or not included in the § 504 self-evaluation. 28 C.F.R. § 35.105(d). Agencies were given until January 26,1993, one year from the effective date of the Department’s regulations, to complete the ADA self-evaluation.
Finally, regulations promulgated under the ADA require covered entities to develop a grievance mechanism available to individuals who claim that the state or local agency has failed to honor some or all of its affirmative obligations to make programs and services accessible to disabled individuals. See 28 C.F.R. § 35.107.
As will be discussed in detail, Defendants have violated the ADA by their failure to notify class members of the protections to which they are entitled under the ADA, consult with class members as to effective accommodations, perform a self-evaluation and provide a grievance mechanism concerning the accessibility of programs and services; their failure to provide interpretive services during reception and classification, through the absence or inadequacy of assistive communications devices for telephone and television and by their failure to make reasonable accommodations to facilitate full participation by class members in educational, vocational and rehabilitative contexts such as classes and counselling sessions. As with § 504, the there are no genuine factual issues regarding the fact categories just described. The elements of a prima facie claim under Title II of the ADA having been established summary judgment in favor of Plaintiffs will issue.
Constitutional Claims
Denial of Due Process
Plaintiffs assert that they have been unable, due to Defendants’ failure to provide interpretive services and assistive devices, to invoke or fully participate in various proceedings to protect their rights while incarcerated, including, inter alia, the grievance mechanism, disciplinary and good-time proceedings, change-of-status hearings and preliminary parole board proceedings, in violation the due process clause of the Fourteenth Amendment. Plaintiffs also note that such deprivations violate state laws and regulations. See 7 N.Y.C.R.R. Part 250 et seq., *1039 (disciplinary proceedings); N.Y. State Executive Law§ 259-i(7), 9 N.Y.C.R.R. § 8000 et seq. (parole proceedings); 7 N.Y.C.R.R. § 701.10, 9 N.Y.C.R.R. § 7654 (grievance procedures); 7 N.Y.C.R.R. § 260 et seq. (good behavior allowances).
Prisoners claiming a procedural due process violation under the Fourteenth Amendment must demonstrate that they have been deprived of a protected liberty or property interest by governmental action.
Meachum v. Fono,
Courts have identified specific liberty interests of inmates upon which a state cannot impinge without due process.
See Washington v. Harper,
Plaintiffs assert that they have been deprived of liberty and property interests without due process by Defendants’ failure to provide them with qualified sign language interpreters for all aspects of disciplinary proceedings. New York State inmates have a.protected liberty interest, created by State regulations, in remaining free from administrative confinement, which interest triggers due process requirements.
See Russell v. Coughlin,
That process to which inmates are entitled regarding administrative confinement is comprised of notice of the charges against them and an opportunity to present their views to the prison official charged with deciding whether confine them.
Helms,
An inmate confined pending a disciplinary hearing is entitled to an informal opportunity to be heard within a reasonable time after his confinement, perhaps even before his hearing.
See Gittens,
Inmates’ opportunity to be heard and refute disciplinary charges must be “meaningful” and is not so if the inmate is deprived of the right to call witnesses.
See Jermosen v. Coughlin,
DOCS is obligated by New York State regulations to provide non-English speakers with assistants and translators in disciplinary process.
See
7 N.Y.C.R.R. Pts. 251 and 253. The Appellate Division has held that an inmate who does not speak English must be provided with an assistant or a translator who speaks the inmate’s language and failure to meet this requirement eliminates the inmate’s meaningful opportunity to defend against the charges.
See Rivera v. Smith,
Plaintiffs assert a protected liberty interest in parole board proceedings. Mandatory language in a state parole statute may create such an interest,
see Board of Pardons v. Allen,
Specifically as to class members, Plaintiffs assert the existence of liberty interest created by state statute mandating interpreters for the deaf at all proceedings before the parole board. N.Y.Exec.L. § 259-i(7) (providing that “whenever any deaf person participates in an interview, parole release hearing, preliminary hearing or revocation hearing, there shall be appointed a qualified interpreter who is certified by a recognized national or New York State credentialing authority”). As a general matter, due process is understood require an opportunity to heard in a meaningful manner.
See Mathews v. Eldridge,
Plaintiffs argue that New York law also endows inmates with a protected property interest in receiving a program of education. The statute provides, in relevant part: “[E]ach inmate shall be given a program of education which, on the basis of available data, seems most likely to further the process of socialization and rehabilitation.” N.Y. Correction Law § 136 (McKinney 1987). With reference to
Hewitt,
Plaintiffs’ final assertion regarding due process is that Defendants have infringed upon their right, insured by the Due Process Clause, to confidential medical and mental health communications and decision-making. Inmates have a significant liberty interest in avoiding the unwanted administration of medical treatment.
Washington v. Harper,
Plaintiffs also assert that their constitutional right to privacy
3
in medical treatment is violated by Defendants’ practice of using amateur interpreters, especially other inmates, dining medical visits who do not have an obligation to keep matters discussed in their presence confidential. Prison inmates retain a constitutional right to privacy concerning medical information about them.
See Harris v. Thigpen,
As will be set out in detail below, Defendants have violated class members’ Fourteenth Amendment right to due process and *1042 class members’ constitutional right to privacy in their failure to provide qualified interpreters or other needed assistive devices for medical and mental health treatment and disciplinary, grievance and parole proceedings. Summary judgment will be granted in favor of Plaintiffs to that extent. Summary judgment will also issue in favor of Plaintiffs regarding the due process violation in Defendants failure to provide interpreters and other assistive devices in educational and coun-selling settings.
Cruel and Unusual Punishment
The Supreme Court has held that “deliberate indifference to serious medical needs of prisoners constitutes the ‘unnecessary and, wanton infliction of pain’ proscribed by the Eighth Amendment.”
Estelle v. Gamble,
The Court of Appeals has held that for inmates to establish deliberate indifference to serious medical needs they must show that the deprivation of medical care was sufficiently serious , in objective terms, and that the charged officials must have acted with a sufficiently culpable state of mind.
See Hathaway v. Coughlin,
In examining the “seriousness” element in class actions, courts have looked for systemic deficiencies in the provision of medical care to the inmate class or a pattern of conduct indicative of indifference to the serious medical needs of class members.
See Eng v. Smith,
Under certain circumstances, delay or denial of inmates’ access to medical care amounts to deliberate indifference.
See Es
telle,
Regarding the “state of mind” element it is said that deliberate indifference requires more than negligence, but less than conduct undertaken for the very purpose of causing harm,
see Farmer v. Brennan,
— U.S. -, -,
*1043 As will be seen, there are no genuine issues of material fact regarding Plaintiffs’ assertion that failure to provide interpretive services and assistive devices during medical and mental health treatment rises to a systemic deficiency in all of those instances of medical care to class members in which communication between the patient and medical personnel are essential to the efficacy of the treatment in question. Therefore summary judgment will be granted as to Plaintiffs’ Eighth Amendment claim regarding only that limited set of instances.
Equal Protection
Plaintiffs assert that Defendants deny members of the Female Sub-Class equal protection of the law because Defendants provide them with fewer and less comprehensive accommodations than are provided to those male deaf and hearing-impaired inmates incarcerated at the SDU. It is first worth noting that the existence of the Male Sub-Class in this action is not inconsistent with Plaintiffs’ equal protection charge. Simply put, many of the wrongs complained of any particular member of the Male SubClass would be alleviated if that inmate were placed in the SDU. But Defendants do not contest the fact that female inmates cannot be placed in the SDU and no corresponding facility for sensorially disabled female inmates exists in New York State for women. Thus Defendants’ exclusion of members of the Female Sub-Class from the SDU creates a classification based on gender.
The equal protection clause of the Fourteenth Amendment requires that state government classifications based upon gender “serve important governmental objectives and be substantially related to achievement of those objectives.”
Caban v. Mohammed,
In order for a gender-based classification to withstand an equal protection challenge, the proponent of the classification must put forth an ‘“exceedingly persuasive justification’ for the challenged classification.”
See Kirchberg v. Feenstra,
In
Casey
the female inmates alleged,
inter alia,
that the defendants, the Arizona Department of Corrections, provide male inmates with a more comprehensive program of mental health services than they provided to female inmates.
Casey,
After the facts pertinent to Plaintiffs’ equal protection claim are reviewed, infra, it will be seen that no genuine issue of material fact has been framed as to Plaintiffs’ claim under *1044 the Equal Protection Clause and summary judgment in favor of Plaintiffs will be granted.
Legal Conclusions as to the Eight Fact Categories
Class members argue for the application of the above-described legal theories across different factual areas in which they have alleged wrongs. The conclusions set forth above as to the wrongs Plaintiffs have asserted are grouped below into eight distinct but interrelated fact categories: (i) notice, consultation, self-evaluation and grievance procedures; (ii) provision of interpretive services for various aspects of reception and classification; (iii) absence or inadequacy of assistive communications devices for telephone and television and absence of visual safety alarms; (iv) failure to make reasonable accommodations to facilitate full participation by class members in educational, vocational and rehabilitative contexts such as classes and counselling sessions; (v) provision of qualified interpreters for medical and mental health treatment; (vi) provision of qualified interpreters in disciplinary, grievance and parole proceedings; (vii) transfers of class members into or out of the SDU for disciplinary, safety, medical or mental health reasons; (viii) creation and maintenance of a special prison unit at which all or most of the needs of deaf and hearing-impaired inmates are accommodated — the SDU — which is not available to women. These are each taken in turn.
Facts mentioned in the following discussion have been asserted and documented by Plaintiffs and either admitted or denied con-clusorily without support by Defendants.
For certain of the fact categories, since one or both of the criteria for declaratory judgments, namely either that such a declaration will serve a useful purpose in clarifying and settling the legal relations in issue, and/or such a declaration will terminate and afford relief from the uncertainty, insecurity and controversy giving rise to the proceeding, a declai-atory judgment will be articulated in that section.
See Continental Casualty Co. v. Coastal Savings Bank,
1. Notice, Consultations, Self-Evaluation and Grievance Procedures
(a) Notice
As a public entity, DOCS is obligated by the ADA to make available to class members information regarding both the protections against discrimination provided by the statute and the existence and location of accessible services, activities and facilities. See 28 C.F.R. §§ 35.106; 35.163. Plaintiffs have amply supported their assertion that Defendants fail to comply with these requirements and Defendants have framed no genuine issue of fact as to this failure. Defendants concede that they have posted no signs and have distributed no information in compliance with these requirements. Defendants have distributed an ADA manual to DOCS staff, but it does not provide information to class members about the accommodations that are available to them nor does it contain procedures for DOCS employees’ handling of inmate requests for accommodation.
(b) Consultations and Request Mechanism
As a public entity DOCS must provide disabled inmates with an opportunity to request the auxiliary aids and services of their choice. See DOJ, Technical Assistance Manual, Title II, ADA, II-7.1100. No class member has ever had the benefit of any direct discussion with DOCS staff about their own need for interpreters or auxiliary aids and devices. DOCS has no procedures in place by which to evaluate inmate requests for reasonable accommodation.
Written requests by or on behalf of Plaintiffs for reasonable accommodations have either been denied (without fulfilling the very limited criteria under the ADA by which such requests may legally be denied), never responded to, or referred back to the inmate to address the request to someone else. What little action was taken in response to requests from class members was not timely. *1045 Defendants are in violation of the ADA’s requirements as to request procedures.
(c) Self-Evaluation
DOCS has failed to comply with the ADA’s mandate to evaluate its programs and facilities for compliance with ADA. In 1981, DOCS produced a report entitled § 504 Self-Evaluation. The § 504 Self-Evaluation did not include any assessment of inmate barriers to programs or physical plan access for inmates. Regulations promulgated under the ADA require DOCS to expand that self-evaluation to include programs and facilities not covered under § 504. See 28 C.F.R. § 35.105(d). DOCS has just completed the physical plant and personnel portions of the self-evaluation required under the ADA. These do not include an evaluation of the housing of inmates, thus those accommodations which require changes in physical plant, such as alarm systems, have not to date been evaluated. No evaluation of inmate programs or services was conducted. Terry conceded in her deposition that DOCS does not have adequate staff to review all the relevant programs in all DOCS facilities. Thus, there is no issue as to whether DOCS is in violation of the self-evaluation obligations imposed under the ADA.
(d) Grievance Mechanisms
The record indicates that DOCS has expanded its pre-existing inmate grievance protocol to permit the filing of complaints about disability discrimination. DOCS’ Office of Affirmative Action is -the office which Defendants have identified as the office to which any such grievances are to be chan-nelled. At the time of her deposition, Terry, who is in charge of that office, knew of no grievances received in her office from or on behalf of disabled inmates seeking accommodations or assistive services. Yet, the record indicates that several class members made numerous requests for accommodations or. assistive services to at least one, if not several DOCS officials. It is' conceded that none of these were channelled to Terry’s office. The statute imposes an affirmative obligation upon public entities to create and maintain a coherent procedure by which requests for accommodations and assistive services can ultimately have some effect. Brock and Harrison have both managed to lodge formal requests with DOCS officials only to be told that they had to make the same request to someone else or that the assistance they needed was simply not available. Thus, there is no genuine issue as to DOCS’ failure to establish an effective grievance procedure for class members regarding accommodations and assistive services in facilities other than the SDU. DOCS is therefore in violation of the ADA in this respect.
It should be noted here that Defendants argue that the absence of requests exonerates them of any duty to make reasonable accommodations or provide assistive services under the ADA and the Rehabilitation Act. Rather, this absence is indicative only of DOCS’ failure to comply with their obligation to create and maintain procedures for requests and grievances regarding accommodations and assistance.
In sum, there are no genuine issues of material fact as to Defendants violation of the provisions of the ADA and the Rehabilitation Act regard to notice of rights and availability of accommodations and assistive services, consultations with disabled persons as to most effective available measures, self-evaluation and grievance procedures. Summary judgment ánd injunctive relief will issue in favor of the Plaintiff class on these points.
Since it will serve the purpose of clarifying Defendants’ obligations under the ADA as to this fact category, the Court hereby declares that an evaluation of programs and services, as well as facilities, available to disabled inmates is a required part of defendants’ self-evaluation under the statute.
2. Interpretive Services During Reception and Classification
Plaintiffs claim that by failing to provide qualified interpreters for various aspects of reception and classification, Defendants have violated both the Rehabilitation Act and the ADA. At Reception Facilities information is acquired from inmates through interviews. Inmates are subjected to psychological, educational and intelligence test *1046 ing. Information gleaned through these tests and interviews is then used by DOCS to determine long-term placement, educational and vocational programming, inmates need for rehabilitative services such as drug and alcohol counselling, and inmates’ medical and mental health needs. The comprehensive service of the reception and classification process and the overall benefit it conveys to each inmate is critical not only to the rehabilitative goals of incarceration but to the efficient function of the prison system as well.
Plaintiffs have asserted, and proffered affidavit evidence to the effect, that class members whose primary means of communication is ASL are not provided with interpreters who are “qualified interpreters” per regulations promulgated pursuant to the Rehabilitation Act and the ADA, in the reception and classification process. Defendants have offered proof concerning the interpretive abilities and function of one counselor at Downstate — Waldron, who interpreted for some of the class members, but have not attempted to frame an issue as to whether Waldron can “interpret effectively, accurately, and impartially both receptively and expressively, using any necessary specialized vocabulary.” See 28 C.F.R. § 35.104; DOJ, Technical Assistance Manual, Title II of the ADA, II-7.1200 (the Technical Assistance Manual notes that provision by a public entity of a the services of a staff person who signs “pretty well” would not necessarily satisfy the ADA’s requirements). More importantly, Defendants have not attempted to frame an issue as to whether DOCS provides, or has presently allocated sufficient resources to provide, all members of the Plaintiff class with a qualified interpreter for all interviews and tests during the reception and classification process at the Reception Facilities.
It is particularly true in the context of reception and classification that, as discussed above, the contention that ADA liability can only be triggered by a request for an accommodation from a person with a disability is reduced to a circularity by DOCS’ failure give proper notice and provide a coherent and effective protocol by which class members can make their needs known. The absence of these critical elements of the ADA scheme at the Reception Facilities has truly sentenced class members to a “prison within a prison”.
There being no genuine issue of material fact as whether interpretive services and as-sistive devices are available and sufficient to the needs of the Plaintiff class during reception and classification at the Reception Facilities, Defendants are in violation of the Rehabilitation Act and the ADA in this regard. Summary judgment and injunctive relief will issue in favor of Plaintiffs on this issue.
Since, as above, the purpose of clarifying DOCS’ obligations under the ADA is served, this Court hereby declares that Defendants are under an obligation to provide qualified interpreters or, where applicable other assis-tive devices, during and in all aspects of the reception and classification phase of class members.
3. Absence or Inadequacy of Assistive Communications Devices for Telephone and Television and of Visual Alarms
DOCS inmates generally have telephone privileges and are provided with controlled access to working telephones. At the SDU all deaf or hearing impaired inmates who require a TDD to make telephone calls are provided access to one. They are allotted 20 minutes per telephone call which is twice the time usually permitted for a call by a DOCS inmate.
Clarkson never had access to a TDD throughout her three years of incarceration. Brock requested a TDD while at Downstate, and instead of being provided with one, a DOCS employee with some signing ability made telephone calls for him. Harrison requested access to TDD while at Elmira in 1990 and again in 1992 while at Clinton. He did not receive access to one until February of 1993. Ripie first entered DOCS custody in November of 1993. The county jail which sent her to Bedford Hills informed DOCS of her need for a TDD. It was “months and months” before she received one. Robertson repeatedly requested a TDD because the lack of one has impeded her from effective communication with the foster mother of her children.
*1047 The SDU is equipped with special fire alarms that emit very loud sound and light up in the event of a fire or other emergency condition, making both deaf and hearing-impaired inmates aware of the emergency. Clarkson was never housed in a facility equipped with such an alarm so that she could be alerted in the event of a fire. Newton, DOCS’ Director of Mental Health, who has system-wide responsibility for so-called “special needs” programs, knows of no facility other than the SDU which is equipped with visual alarms. At various times while incarcerated at Downstate, Auburn, Elmira or Groveland, where no visual alarms were provided, plaintiffs Brock, Powell, Randall and Robertson were completely at risk in the event of fire. Class members have also at times been subject to discipline for missing morning count, which is apparently sounded through a public address or alarm system and is inaudible to class members.
There is no genuine issue of material fact as to whether the rights of class members under the ADA and the Rehabilitation Act are violated by Defendants’ failure to provide TDDs and close caption decoders wherever and whenever hearing inmates have and use telephone and television privileges.
Neither is there a triable issue as whether safety alarms which are adequate to the needs of deaf inmates are presently installed in all of the places in which they are incarcerated other than the SDU. Summary judgment will issue in favor of Plaintiffs on these points and injunctive relief will be fashioned.
4. Failure to Accommodate in Educational, Vocational and Rehabilitative Programs
Plaintiffs contend that Defendants’ failure to make reasonable accommodations in order to facilitate full participation by class members in educational and vocational classes and in alcohol and drug rehabilitative counselling programs violates the provisions of § 504 of the Rehabilitation Act and ADA on one hand, and the constitutional due process rights of class members on the other. The contrasting standards applicable to the statutory, as opposed to the constitutional, complaint are of particular import in this fact area.
(a) Education and Counselling Under ADA
Section 504 and the ADA and their respective regulations provide that qualified individuals with disabilities may not be excluded from participation in programs or be denied the benefits of services, or activities offered by public entities. See 29 U.S.C. § 794; 42 U.S.C. § 12132. Public entities are prohibited under the ADA from affording to qualified individuals with disabilities opportunities to participate in or benefit from benefits or services that are not equal to the opportunities afforded to non-disabled individuals. See 28 C.F.R. § 35.130(b). Under § 504 recipients of federal funding are similarly barred. See 28 C.F.R. § 42.503(b)(1). It is not disputed that as regards academic and vocational programs and rehabilitative counselling, class members are qualified individuals with disabilities in that, with reasonable accommodations, they meet the essential eligibility requirements for the receipt of the benefits of these vocational, academic and counselling programs. See 28 C.F.R. § 42.540(Z). DOCS violates this mandate in two ways. First, it places class members in settings where, without an accommodation, their opportunity to benefit is wholly unequal to that of non-disabled inmates. For example, after failing to perform an evaluation of class member Ripie with the assistance of a qualified interpreter, DOCS placed her in a gardening course even though she was unable to follow any of the classroom instruction. Secondly, Defendants excludes class members from some programs on the basis of their disability. DOCS’ Program Services Manual explicitly excludes disabled inmates from 26 academic and vocational programs. One criterion used for such exclusion is whether “a handicap ... substantially limits an inmate’s ability to participate” in the program, without regard to accommodation. An example of such exclusions is class member Robertson who was removed from a drug counseling program at Groveland when correctional staff realized she could not follow the group discussions. She was then repeatedly denied access to such a program at Bedford Hills because of her disability. The application of such a criterion is a clear viola *1048 tion of the ADA’s mandate. There is no genuine issue of material fact as to whether the rights of class members under the ADA and the Rehabilitation Act are violated by Defendants’ failure to make reasonable accommodations in academic and vocational classroom education and in alcohol and drug rehabilitative counselling. Summary judgment and injunctive relief will issue in favor of Plaintiffs on this question.
Declaratory judgment will issue in favor of Plaintiffs to the effect that class members are qualified, with proper accommodations, to participate in vocational and academic classroom instruction and in alcohol and drug rehabilitation counselling and that the statutory requirements that recipients of federal funds (§ 504) and public entities (ADA) make reasonable accommodations for qualified individuals with disabilities such that they have an equal opportunity to benefit from and/or participate in the programs or services offered, extends to such educational and rehabilitative programs.
(b) Due Process Rights to Education and Counselling
Plaintiffs’ assertion that Defendants’ failure to accommodate violates their due process rights is limited to education. Mandatory language in the applicable state statute endows class members with a right to education protected by the due process clause.
See
N.Y. Corrections Law § 136 (McKinneys);
Hewitt v. Helms,
5. Provision of Qualified Interpreters and Other Assistance for Medical and Mental Health Treatment
(a) Due Process Right to Informed Consent
Inmates have a significant liberty interest in avoiding the unwanted administration of medical treatment.
Washington v. Harper,
Declaratory judgment and injunctive relief will issue to the effect that provision of medical treatment to class members without the assistance of a qualified interpreter, or where applicable, other assistive devices, is a failure to provide such information as is sufficient to informed consent in a manner permitting the inmate/plaintiff to make a knowledgeable evaluation, and therefore violates the due process rights of class members to be free from unwanted medical treatment.
(b) Summary Judgment is Granted Regarding Failure to Provide Interpreters and/or Assistive Devices During Medical or Mental Health Treatment When Communication Between Patient and Medical Personnel is Critical to the Efficacy of the Treatment
Plaintiffs claim that Defendants’ failure to provide interpreters or other assistive services during medical treatment violates the Eighth Amendment’s proscription against cruel and unusual punishment. At least two class members experienced improper and possibly harmful treatment through the provision of medical treatment in the absence of qualified interpreters. Defendants have attempted to document the adequacy of some medical treatment to some class members, achieved through written communication. However, since many forms of medical and mental health treatments depend on communication between patient and medical personnel, it is established that a systemic pattern of inadequacy of treatment exists which is causing class members unwarranted suffering.
See Eng v. Smith,
(c) Constitutional Privacy Right to Confidential Treatment
Defendants have attempted to utilize fellow inmates, a chaplain and DOCS personnel who are not under any obligation to maintain the confidentiality of medical information, as makeshift interpreters for purposes of administering medical care to class members. Unless the person interpreting for purposes of medical care is bound to maintain the confidentiality of the information being exchanged,-, the inmate/patient’s constitutional privacy right is violated.
Doe v. Coughlin,
Declaratory judgment will issue to the effect that use of any sign language interpreter who is not bound to maintain confidentiality in the administration of medical treatment to' class members is a violation of their constitutional right to privacy.
6. Provision of Qualified Interpreters in Disciplinary, Grievance and Parole Proceedings
Defendants conducted disciplinary, grievance and parole hearings concerning various class members without affording them the interpretive services or assistive devices necessary to render their opportunity to be heard meaningful. Various liberty and property interests were at stake in these hearings. Such conduct by a corrections department been found to be a denial due process.
See Bonner v. Arizona Dept. of Corrections,
Defendants have, pointed out that some class members pled guilty to the disciplinary charges against them, that Plaintiffs communicated at their hearings in writing, that DOCS officials were prepared, to provide an interpreter and that class members were afforded the same treatment at parole interviews as non-deaf inmates. In this context, in which Defendants are under an affirmative burden to provide both notice of the charges against the inmate and a meaningful opportunity for the inmate to be heard, all of these assertions are beside the point. Without providing the class member in question with the particular accommodation required by that class member, it cannot be said with certainty that the inmate understands the charges or that his or her opportunity to be heard is meaningful.
The exception to the requirement for a translator or assistant articulated in
Peart v. Kelly
warrants some discussion.
Also, for the reasons just enumerated, this failure by Defendants is also a violation of the ADA and the Rehabilitation Act. Due to the. absence of interpretive services and/or assistive devices at parole and grievance hearings, class members do not receive an opportunity to benefit from the grievance process and the parole program that is equal to that of non-disabled inmates.
Declaratory judgment and injunctive relief will issue to the effect that Defendants’ failure to provide interpretive services or other assistive devices to class members during disciplinary, grievance and parole proceedings is a violation of their due process rights and of the ADA and the Rehabilitation Act.
7. Transfers Into/Out of the SDU for Disciplinary, Safety, Medical or Mental Health Reasons Violates the ADA and the Rehabilitation Act
As was mentioned previously, deaf and hearing-impaired male inmates who are housed at the SDU are not parties to this action and conditions in the' SDU are not here at issue. However class members who were housed in the SDU have been transferred from it to other facilities for disciplinary, safety and/or medical reasons. These other facilities lack to varying degrees, as has been discussed, necessary accommodations such as interpretive services, individual assistive devices, TDDs, closed caption decoders and visual safety alarms. Plaintiffs assert that such transfers violate the ADA and the Rehabilitation Act.
In one case a DOCS staff member noted that the SDU was in fact the “best” placement for plaintiff Harrison, but recommended placement in another prison, not equipped to accommodate his disability, due to his “difficulties dealing with other deaf inmates.”
In addition, Newton testified to the effect that a potentially violent inmate could not be housed at the SDU for reasons of inmate safety. At oral argument it came to light that class members may be transferred out of the SDU if they develop a medical condi *1051 tion which cannot be treated by the medical clinic within Eastern, which houses the SDU.
Assuming arguendo that all of the needs of the Plaintiff class at issue in this litigation are adequately met at the SDU, Defendants’ transfer and placement practice renders these accommodations conditional and is therefore violative of the ADA and the Rehabilitation Act. These statutes do not provide disabled individuals with an equal opportunity to participate in and benefit from programs and services •provided that they are healthy, sane and well-behaved. Rather the statutes unconditionally provide for equal opportunity with or without reasonable accommodation. DOCS’ authority and discretion regarding disciplinary confinement, administrative segregation, protective custody and medical care are well defined and described elsewhere. That authority cannot stand in tension with Defendants’ obligations under the ADA and the Rehabilitation Act. If DOCS presently lacks the capacity to perform these necessary administrative functions without removing a class member from the SDU, this must be corrected. Since no material issue of fact has been joined as to this question, summary judgment will issue in favor of Plaintiffs.
8. Absence of a Special Unit for Deaf and Hearing-Impaired Women Inmates Violates Equal Opportunity
Many, although not all, deaf and hearing-impaired male inmates have access to the services, equipment and support of the SDU. Female inmates are excluded from the SDU. Deaf and hearing-impaired male inmates in the SDU are, for the most part, provided with the interpretive services in educational, counselling and medical settings and the assistive devices that form the crux of this litigation. 4 In contrast the Female Sub-Class members receive, as has been detailed above, few or none of these accommodations. The only attribute that bars the Female Sub-Class members from entry into the SDU is the fact that they are women, thus the Defendants have created a classification based upon gender.
The only governmental interest that the Defendants have put forth to support the gender based distinction they have created is that there are more male deaf and hearing-impaired inmates requiring services than female deaf and hearing-impaired inmates. However, this does not justify differential treatment of male and female inmates.
See Casey v. Lewis,
Similarly, allegations of administrative convenience or savings of time, money and effort are insufficient justifications for Defendants’ failure to provide female deaf and hearing-impaired inmates with the same services provided to male deaf and hearing-impaired inmates.
Frontiero v. Richardson,
Therefore, under the Equal Protection Clause of the Fourteenth Amendment the Defendants must provide female deaf and hearing-impaired inmates with access to the same range of special services provided to male deaf and hearing-impaired inmates in the SDU. Inasmuch as no genuine issue of material fact has been joined regarding this issue summary judgment will be granted in favor of Plaintiffs.
Declaratory judgment will issue to the effect that Defendants’ creation and maintenance of a special prison unit at which all or most of the needs of deaf and hearing-impaired inmates are accommodated, and which special unit is not available to women has created a gender-based classification without justification and deprives Female Sub-Class members of equal protection under the law.
Remedy
Inasmuch as Plaintiffs have been granted summary judgment they have also satisfied the requirements for permanent injunctive relief. A further hearing as to the form of that relief, its implementation and timing -will be scheduled at the convenience of the parties and the Court in the event that the parties are unable to agree on the form of injunctive relief and judgment.
*1052 Conclusion
For the reasons set forth above, Plaintiffs’ motion for declaratory judgment, permanent injunction and summary judgment is granted in part and denied in part as follows:
(i) summary judgment is granted as to Plaintiffs’ claim that Defendants have violated the notice, consultation, self-evaluation and grievance procedure requirements of the ADA;
(ii) summary judgment is granted as to Plaintiffs’ claim that Defendants have violated both the Rehabilitation Act and the ADA by their failure to provide interpretive services for various aspects of reception and classification;
(iii) summary judgment is granted as to Plaintiffs’ claim that the absence or inadequacy of assistive communications devices for telephone and television and the absence of visual safety alarms violates both the ADA and the Rehabilitation Act;
(iv) summary judgment is granted as to Plaintiffs’ claim that Defendants’ failure to make reasonable accommodations to facilitate full participation by class members in educational, vocational and rehabilitative contexts such as classes and counselling sessions violates the ADA, the Rehabilitation Act and the due process rights of class members;
(v) summary judgment is granted as to Plaintiffs’ claim that Defendants’ failure to provide qualified interpreters and/or other assistive devices during medical and mental health treatment violates class members’ constitutional due process and privacy rights and in those instances of medical care in which communication between the patient and medical personnel are essential to the efficacy of the treatment, such failure violates the Eighth Amendment’s prohibition against cruel and unusual punishment;
(vi) summary judgment is granted as to Plaintiffs’ claim that Defendants’ failure to provide qualified interpreters and/or other assistive devices in disciplinary, grievance and parole proceedings violates class members’ due process rights;
(vii) summary judgment is granted as to Plaintiffs’ claim that transfers out of, or refusals to transfer into the SDU for disciplinary, safety, medical or mental health reasons violates the ADA and the Rehabilitation Act; and
(viii) summary judgment is granted as to Plaintiffs’ claim that Defendants’ creation and maintenance of a special prison unit at which all or most of the needs of deaf and hearing-impaired inmates are accommodated — the Men’s SDU — but from which women are excluded based on gender, violates the equal protection rights of the Female SubClass.
Declaratory judgments in favor of Plaintiffs as set out above are hereby granted.
Permanent injunctive relief will be granted following the hearing on remedy referred to above.
It is so ordered.
Notes
. The Court's reference in Clarkson II to "all present and future deaf and hearing-impaired male inmates of the New York State Department of Correctional Services” does not include deaf or hearing-impaired male inmates incarcerated at the SDU with the exception of those members of the Male Sub-Class who were, are or may be or may have been:
(i)only sent to the SDU after DOCS learned that they had become a plaintiff in this action;
(ii) placed at the SDU after reception and classification or extended classification and then transferred out of the SDU for disciplinary purposes, administrative segregation, protective custody, safety of other inmates, medical reasons or mental health reasons; or
(iii) only sent to the SDU after inordinate delay. Other than these exceptions, this action does not address the rights of deaf and hearing-impaired male inmates incarcerated in the SDU.
. As was noted in this Court’s prior opinion, Robertson’s correct name is Glennis Robinson, not Robertson. Due in part to Defendants' failure to accommodate for her disability, she continues to be addressed by a name that is not hers and to have all of her records entered under the wrong name. See Clarkson II at 340, n. 1.
. This privacy right is variously described as arising under the First, Fourth, Fifth and Fourteenth Amendments. In re McVane v. FDIC, 44 F.3d 1127, 1136 (2d Cir.1995).
. It must be noted that since conditions inside the SDU are not at issue in this litigation and inmates housed in the SDU are not parties to this action, this statement is not a finding of fact of this Court.
