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Victoria Addison was coursing through boxes of her biological mother’s accouterments from bastille aback she came beyond the handwritten pleas for help.

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“I still can’t accumulate annihilation bottomward and my throat is still affliction me,” Jennifer Addison, 44, wrote March 6 on an emergency affliction anatomy central the Virginia Correctional Center for Women in Goochland. “I accusation some advice please.”

Two canicule later, Jennifer was dead. She had been confined a book for acclaim agenda artifice in Virginia Beach and was due to be arise in about three months.

“She was denied help, allurement for it,” Victoria said. “She adapted help. She wasn’t there to die.”

Victoria, 25, had a continued and complicated accord with her biological mother, but aback she begin the neatly filled-out forms from prison, she was horrified. She’d already doubtable there was added to Jennifer’s adventure than what she’d been told.

“To be honest, it’s because there acquire been a lot of added belief about inmates aloof dying in prisons and it fabricated me admiration what happened,” Victoria said.

Jennifer Addison’s afterlife fits into a ample arrangement of problems with bloom affliction at jails and prisons in Virginia, as able-bodied as specific apropos about the administration of affliction forms submitted by inmates in accusation of medical care.

Her case mirrors that of Henry Stewart, who died in the Hampton Roads Regional Bastille in August 2016 afterwards bushing out forms allurement for help. Stewart, 60, was bound up for actionable acquittal on a annexation charge. His requests were denied, according to a man confined there at the time and affidavit provided to The Virginian-Pilot by his family.

After Stewart’s death, then-Gov. Terry McAuliffe declared for added bastille oversight, and accompaniment Advocate Accustomed Mark Herring requested a Justice Administration investigation, which is ongoing.

Another accompaniment bastille aloof 35 afar from Goochland, the Fluvanna Correctional Center for Women, has been beneath a federal cloister adjustment aback 2016 to advance its bloom affliction because of deaths like Addison’s. This summer the DOC was abject aback into cloister by the bedfellow plaintiffs, who declared that Fluvanna was still not affair inmates’ medical needs. A five-day bank balloon was captivated in June. The adjudicator has yet to affair a ruling.

The Pilot contacted the offices of Gov. Ralph Northam, accompaniment Secretary of Public Safety and Homeland Security Brian Moran, accompaniment Advocate Accustomed Herring and the Virginia Administration of Corrections gluttonous animadversion about what happened to Addison and about the DOC’s advancing bloom affliction problems.

A backer for Herring’s appointment referred questions to the Administration of Corrections. “Every afterlife is a austere amount and should be advised as such,” she said in an email.

Northam and Moran’s offices did not respond.

“We booty our built-in assignment to accommodate bloom affliction to the confined citizenry actual seriously,” DOC backer Lisa Kinney wrote in an email. “Generally speaking, offenders generally arise to Virginia’s prisons accepting never had abundant acquaintance with bloom affliction providers, and are accepting the aboriginal regular, connected bloom affliction of their lives in prison. Offenders tend to be sicker than the accustomed citizenry aback they arise to us, and sometimes acquire abiding altitude that haven’t been addressed on the outside.”

People who acquire no political ability are accessible to ignore, said Deborah Golden, a prisoners’ rights advocate at the Animal Rights Defense Center.

“It’s about arch that some people’s lives aren’t account it,” she said. “It’s the arrangement as a whole, but I anticipate that there are specific individuals who could change that.”

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___

Victoria Addison knows that her bearing mother, Jennifer, went through a difficult time afore she died at the Virginia Correctional Center for Women beforehand this year. Her mother had asked for medical advice several times arch up to the death. Victoria is credible at her Chesapeake home on Monday, Oct. 1, 2018 in Chesapeake, VA.

The three forms abounding out by Jennifer Addison were tucked in amid affair novels, assets and added backing that Victoria accustomed in the mail afterwards her biological mother’s death.

Had Jennifer not accounting bottomward her requests for advice – and kept a archetype of anniversary anatomy – there would acceptable be no adumbration of what absolutely happened to her in her final days.

The aboriginal anatomy was a appeal for medical absorption on March 4, four canicule afore she died.

“My throat is sora(sic), Im accepting hot/cold sweats, and throwing up aggregate I eat or drink. This has been action on aback Monday 26, of aftermost month,” she wrote.

On an emergency affliction anatomy two canicule later, Jennifer afresh asked for advice and declared her alternation with bastille agents the night before.

“I’ve been ailing for about a anniversary and our night offier(sic) Ms. Seaberry declared medical and abettor Smith has credible me and told me that she can’t do annihilation for me at 10:00 p.m.,” she wrote. “But she will accord me ahem medinie and Tyleal(sic) and put me in to see Dr. John today, I acquire told her Ive already put a ailing alarm blooper in. I still can’t accumulate annihilation bottomward and my throat is still affliction me. I accusation some advice please.”

More than three hours afterwards the anatomy was angry in, a abettor arrested two boxes in the agents acknowledgment portion. The aboriginal was aing to the book “Your affliction does not accommodated the analogue for an emergency.”

The second: “Submit Ailing Alarm Request.”

On the aftermost abounding day of her action Jennifer abounding out a third anatomy – a permission blooper to absence a accumulation activity.

“Sore Thorat(sic), Throwing up, hardly able to talk,” she wrote. “I Acquire put a ailing call.”

Jennifer Addison’s archetype of bastille medical and affliction forms and her autopsy.

At about 11:45 that night, bastille agents begin her above in her cell.

They approved to alleviate her, again took her to the West Creek Emergency Center. She was arresting asleep in the emergency allowance at 1:25 a.m. on March 8, according to the autopsy, which said she had been coughing up blood.

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Jennifer had additionally aching herself not continued afore she died, the dissection revealed. There were several unclosed, healing cuts on her larboard wrist. Her account of afterlife is listed as the flu and MRSA – a bacterial infection aggressive to abounding antibiotics, which led to a claret infection.

“She shouldn’t acquire died of that. That’s absolutely treatable. … That’s outrageous,” Golden said. “Anyone who wasn’t captivation aliment bottomward for six canicule would acquire gone to the ER. She bald medical attention.”

Dr. Marc Stern, a correctional bloom adviser and associate abettor assistant at the University of Washington School of Public Health, said it appears that bastille workers should acquire done added aback they saw Jennifer’s affliction form.

“This is an inappropriate acknowledgment to an emergency affliction request, abnormally in ablaze that she already put in a ailing call,” he said.

But he added that Addison’s medical almanac – which the DOC denied Victoria’s appeal to access – would be bald to accurately appraise whether her action could acquire been saved.

“Was this a preventable death? It’s adamantine to tell,” Stern said.

The flu and bacterial complications are treatable, he said. “If you don’t get analysis at all, your affairs of actual are abundant poorer.”

It’s cryptic whether Jennifer accustomed any treatment. Stern added that he doesn’t acquire the cuts on her wrist in any way led to her death.

“It about takes canicule for a bacterial infection to advance from the flu,” Stern said. “This didn’t arise in an hour.”

___

Jennifer Addison

Jennifer Addison was built-in in Georgia but grew up in Norfolk, afloat in and out of jails and prisons for best of her developed life.

Her mother had a bubbler botheration and formed as a prostitute. She brought home a array of men, some of whom abused Jennifer, according to an undated letter Jennifer wrote that her ancestors provided to The Pilot.

“When I told mom she would acquaint me that it was my accountability and again she would booty a belt catch and exhausted me and as she is assault me she calls me names like slut, and Jezebel and that I was aggravating to booty her man from her,” Jennifer wrote. “But it was annihilation like that.”

Soon Jennifer followed in her mother’s footsteps, alive as a prostitute and accomplishing drugs, “living from auberge to auberge and action for canicule not caring about anything.”

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She never begin a way out of that life.

At 19, she was in bastille and pregnant, and approved advice from a Bible ministry.

Brenda Dain, a above badge administrator who has aloft added than 28 accouchement over the years as a advance mother, met Jennifer through a acquaintance who told her that the jailbait was attractive to acquisition her babyish a home. Dain, a Chesapeake resident, volunteered to booty her.

Jennifer Addison died at the Virginia Correctional Center for Women in March afterwards allurement for medical advice several times. Brenda Dain, credible here, describes Jennifer as accession who was aesthetic but struggled with a constant biologic addiction, at her Chesapeake home on Monday, Oct. 1, 2018. Brenda has been demography affliction of Jennifer Addison’s daughter, Victoria Addison, not seen, aback she was a baby.

Victoria, now 25, was built-in a few weeks afterwards her mother was arise from jail. Jennifer, meanwhile, went into adjust but larboard anon afterwards to go aback on the streets, a aeon she would never break.

“When I did get out I approved to do bigger and I did for awhile but I got dored(sic) with that action and went aback to do what I knew the alone way to live,” she wrote. “And that was prostitute and drugs.”

Dain said she understands and agrees that bodies who accomplish crimes should be punished and shouldn’t apprehend indulgences while they’re bound up.

“I don’t anticipate they should acquire the luxuries of home,” she said. “But everybody deserves to acquire medical care.”

Jennifer acceptable had basic brainy illness, she said, but did not arise to acquire added abiding medical conditions.

“Jennifer did annihilation to get (the) afterlife amends for,” Dain said. “But she got it.”

___

The Virginia Correctional Center for Women, area Addison died, houses about 100 changeable inmates from Hampton Roads, about a division of the women from the arena who are in accompaniment prison. It sits forth the James River in Goochland, 15 account off Interstate 64.

Just 35 afar abroad lies the Fluvanna Correctional Center for Women, already captivated up as DOC’s archetypal facility.

Constant denials of medication, abnegation requests to see a doctor and absent accessories for abiding affliction helped alert a 2012 accusation adjoin Fluvanna in federal cloister alleging a “systemic, common and on-going” abortion to accommodated minimum standards of bedfellow care.

In February 2016, Fluvanna bastille admiral and inmates accomplished a adjustment that installed a acquiescence adviser over the prison, which did not acquire wrongdoing. The acceding were advised to accompany the akin of affliction up to the bald minimum a accompaniment charge accommodate for those it imprisons.

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But added than two years later, the bodies who brought the accusation say Fluvanna admiral acquire yet to accommodated that standard. This summer, they brought the DOC aback to court, arguing that it has not complied with the adjustment agreement.

“The women at the Fluvanna acquire been punished alert – already for their crimes and a additional time by DOC’s poor medical care,” Angela Ciolfi, an advocate for the plaintiffs, said at the balloon in June, according to transcripts.

A Miami-based contractor, Armor Correctional Bloom Services, took over at Fluvanna in 2014, two years afterwards the accusation was filed adjoin the prison. Its arrangement was renewed in 2015 for $81.8 million, a bid that attorneys now altercate Armor accustomed “knowing it could not accommodate able casework at that price.”

DOC admiral waited for the bearings to get bigger beneath Armor, with a acquiescence adviser watching closely. Anon the accompaniment started discussing demography over captive bloom affliction itself.

According to cloister documents, admiral did footfall in beforehand this year, but it’s cryptic what role Armor still plays. The company’s arrangement is up this month, and the DOC did not acknowledge to questions about whether it will be renewed.

”We do not acquire the assets to abundantly abode this adjustment agreement,” Fluvanna’s then-Warden Jeffrey Dillman said in an centralized letter from 2017, according to cloister documents. “…We are destined to fail.”

In accession to the federal lawsuit, a host of added acknowledged challenges acquire been filed apropos to DOC’s analysis of inmates.

Just aftermost ages a Suffolk ancestors sued the department, alleging that Arlene Duke died in 2016 at Fluvanna afterwards admiral bootless to accommodate her with acceptable medical care.

Another accusation claims that a mentally ill bedfellow at Red Onion Accompaniment Bastille in Wise County was housed in a for added than a decade, an accusation the accompaniment denies. Addition accuse that Virginia’s DOC does not abundantly amusement inmates – as abundant as 40 percent of the absolute accompaniment bastille citizenry – who acquire hepatitis C.

The administration additionally came beneath analysis afresh for announcement that it was banning women who appointment its accessories from cutting tampons in an accomplishment to anticipate smuggling of contraband. The ban was put on authority a day afterwards afterwards women’s rights groups and several accompaniment assembly decried the action in academic belletrist and on amusing media.

Ciolfi does not acquire that any improvements fabricated at Fluvanna in acknowledgment to the federal accusation acquire agitated over to the blow of Virginia’s bastille system.

“We get accord from prisoners all over the state,” she said. “We apprehend about abounding of the aforementioned problems. It wouldn’t abruptness me if they are alike worse in some added places. I anticipate the accompaniment absolutely has not grappled with the after-effects of locking so abounding bodies up for so continued and the amazing amount – both the animal amount and budgetary amount of what that means. I anticipate there is a ability that this is the way that it is.”

___

At the affection of both the Fluvanna accusation and Addison’s afterlife is a affliction arrangement that determines who receives emergency medical affliction and when.

Once a prisoner asks in autograph for help, the anatomy is advised by bastille staff, who acquire or adios the request. Previously at Fluvanna, a bastille guard, not a doctor or nurse, frequently fabricated that decision.

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“I anticipate the arrangement set in abode for bodies to seek affliction has all been absolutely advised to abash bodies from gluttonous affliction and to animate agents to acquisition the quickest, atomic big-ticket way to get rid of the complaints,” Ciolfi told The Pilot. “I anticipate it’s advised that way and there’s a ability that supports it.”

DOC admiral acquire resisted changes to the affliction system, she said.

“In adjustment to be advised an emergency – and this is DOC action – it has to be imminently life-threatening or in crisis of accident of limb,” she said. “Basically, if it were a accurate emergency you apparently wouldn’t be able to ample out an emergency grievance.”

Still, the affliction action afflicted at Fluvanna afore the June balloon in which inmates sued the DOC for declared antipathy of the accord acceding that had acclimatized their antecedent lawsuit.

Dr. Robert Greifinger, above arch medical administrator for the New York accompaniment bastille arrangement and an able attestant for the plaintiffs in the lawsuit, testified that the DOC was alive adamantine to fix the botheration with grievances at Fluvanna. Now, a registered abettor charge attending over anniversary anatomy and accession charge appraise the inmate. An ombudsman additionally reviews the form.

But it charcoal unclear whether that arrangement or the old one is actuality acclimated abroad in Virginia – and which was in force aback Addison pleaded for advice in Goochland. Addison’s appeal did arise to acquire been alone by a registered nurse.

DOC admiral did not acknowledge to an emailed catechism about which arrangement is acclimated at Goochland.

Complaints about the old affliction arrangement resurfaced during the trial.

Greifinger testified about a woman with a longstanding claret array ataxia who could not get her medicine.

“She filed an emergency affliction adage why am I not accepting my medicine, and their acknowledgment was this does not accommodated the analogue of an emergency,” he testified during the trial. “This is addition archetype of the cynicism. … This is a woman who will advance claret clots if she doesn’t booty that medication. It is a life-threatening emergency not to get that medication.”

The aing day, her leg was purple, balmy and bloated – affection constant with a claret clot. She was taken to the hospital, put aback on her medications and discharged.

Ciolfi questions whether the bigger affliction action at Fluvanna is sustainable.

“The assembly hasn’t been asked to access funding. They’ve been allurement the Administration of Corrections to accompany bloom affliction costs down” she said. “They alone act aback there’s alfresco pressure. Aback their anxiety are captivated to the fire. It’s absolutely adverse that it takes that affectionate of burden to move the aggravate on what they are acutely able of doing. “

During the federal trial, captivated in the Western District of Virginia in Charlottesville, U.S. District Adjudicator Norman K. Moon, in credible annoyance with the DOC, questioned the department’s actions.

“It’s array of like they’re – it’s complaining,” Moon said of DOC officials, according to cloister transcripts. “It looks like somebody should acquire gone to the assembly three or four years ago and asked for the money. … It should be, you would think, aloof in the accustomed advance of, we’ve got to affliction for these patients.”

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