COMPIAINT
causing him to contort his body and stuff his ears and nose with paper in an
his nervous system. It manifests itself mentally by causing Greene to attribute his
execution to a conspiracy between the State of Arkansas and his attorneys to injure
2. Greene has been on death row in Arkansas since L992. Since 2003, he has
been housed in total solitary confnement behind a solid metal door. On August 25,
20L7, the Governor of Arkansas set his execution date for November 9,2077
and to issue a declaratory judgment holding that his execution would violate the
MONS
FILED I N MY OFFICE AND SUM
1 ISSU AT
.,a'7-
I
I or o'cLOCK lu
Eighth Amendment of United States Constitution and Article 2, 9 of the Arkansas
Constitution.
executed is unavailable in this action, then Ark. Code Ann. 16-90-506(d), which
provides the only explicitly stated process for determining a prisoners competence
Constitution.
ground that Greenes execution after twenty-five years on death row, most of them
spent in total solitary confinement, would violate the Eighth Amendment of United
7. This Court is a court of general jurisdiction that has authority to hear this
suit under Ark. Const. amend. 80 6(A). The Court has authority to issue a
8. Venue is proper in this Court under Ark. Code Ann. 16-106-101(d), which
provides that actions against state officers in their official capacities shall be
brought in the county where the defendant resides. Director Kelleys official
PARTIES
been in custody at the Varner Supermax Unit in Grady, Arkansas, since 2003. He is
Correction. She is responsible for the supervision and operation of all Arkansas
prisons, including the Varner Supermax Unit and the Cummins Unit, where Greene
execution and with determining, per Ark. Code Ann. 16-90-506(d), whether
PROCEDURAL HISTORY
11. This case arises from the murder of Sidney Jethro Burnett in Johnson
County on July 23, 1991. Greene was accused of killing Burnett several days after
killing his brother Turner Greene in North Carolina. Greene was tried for the North
Carolina charge first. He was convicted and sentenced to life in prison, though the
North Carolina Supreme Court later vacated the conviction because the trial court
had refused to allow Greene to proceed ex parte on a request for funds to hire a
12. After Greenes North Carolina conviction was vacated, the Governors of
than by the imposition of a judgment and sentence of death. This agreement would
13. Before Greenes Arkansas trial, the Johnson County Circuit Court ordered
that Greene be taken to the Arkansas State Hospital for an evaluation. Tr. R. 28.1
Despite this order, Greene was not taken to the state hospital; instead state-
hospital evaluators visited Greene at his cell in Johnson County and determined
14. A jury convicted Greene and sentenced him to death on October 15, 1992.
On appeal, the Arkansas Supreme Court upheld Greenes conviction but reversed
his death sentence because the trial court precluded the jury from hearing
mitigating evidence and because the North Carolina conviction, which formed the
basis for an aggravating circumstance, had been vacated. Greene v. State, 317 Ark.
15. Before resentencing, the Johnson County Circuit Court again ordered that
142.2 Once again, Greene was not transferred, but instead was examined by state-
hospital employees for about an hour and a half at his cell in the Tucker Maximum
Security Unit. 2d Tr. R. at 23637. The evaluators noted Greenes belief that his
1 Greenes first trial record is filed in the Arkansas Supreme Court under No. CR-93-523.
2 Greenes second trial record is filed in the Arkansas Supreme Court under No. CR-96-362.
attorney was in a conspiracy against him but attributed this belief to narcissistic
personality traits. Id. at 237. They found Greene competent to proceed with
resentencing.
17. Greene made multiple attempts to waive appeal from this second death
sentence. On September 30, 1996, the Arkansas Supreme Court rejected Greenes
initial attempt as equivocal. Greene v. State, 326 Ark. 179, 181, 929 S.W.2d 157,
157 (1996). Greene then attempted a second waiver. On December 9, 1996, the
Arkansas Supreme Court found this attempt unequivocal and ordered the circuit
court to make a competency determination. Greene v. State, 326 Ark. 822, 933
18. On January 16, 1997, the circuit court entered an order finding Greene
competent to waive his appeal. Supp. R. vol. 14 at 1819.3 The Arkansas Supreme
Court refused to accept this order in an opinion issued on March 3, 1997. Explaining
that applied when the question is competency to stand trial, the Supreme Court
understand his choice between life and death and to resolve it knowingly and
voluntarily. Greene v. State, 327 Ark. 511, 51213, 939 S.W.2d 834, 835 (1997).
19. No state-hospital evaluation occurred. Instead, the circuit court held Greene
3 The record of Greenes waiver proceedings and his third trial is filed in the form of various
R. vol. 10 at 79. Noting Greenes stated intent to not submit to further evaluation,
the Arkansas Supreme Court refused to accept his attempted waiver. Greene v.
20. Greene submitted two more waiver motions and professed willingness to
rejected the motions and ordered briefing. Greene v. State, 329 Ark. 491, 949
21. The Arkansas Supreme Court again reversed the death sentence because
there was insufficient proof of the prior felony forming the basis for an aggravating
22. Before the second resentencing, the trial court again ordered that Greene be
transported to the state hospital for an evaluation. Supp. R. vol. 11 at 34. Yet
interview Greene at the prison. Greene did not cooperate with the examination, but
status had not changed since the 1992 and 1995 evaluations. Id. at 710.
23. On July 1, 1999, a jury sentenced Greene to death for a third time.
24. Greene again sought to waive appeal, and the trial court ordered another
mental evaluation by the state hospital. Supp. R. vol. 11 at 33. The state hospital
found him competent to waive, and the trial court accepted the waiver in an order
25. The Arkansas Supreme Court accepted the waiver in an order dated October
14, 1999. Greene v. State, 338 Ark. 806, 1 S.W.3d 442 (1999). The Governor set an
execution date for December 14, 1999. However, the Arkansas Supreme Court
stayed the execution after it decided State v. Robbins, 339 Ark. 379, 5 S.W.3d 51
(1999), which created an automatic appeal in death cases, and after Greene
expressed desire to withdraw his waiver. See Greene v. State, 343 Ark. 526, 37
26. On February 1, 2001, the Arkansas Supreme Court upheld Greenes death
27. The circuit court denied Greenes petition for Rule 37 relief, and the
Arkansas Supreme Court affirmed. Greene v. State, 356 Ark. 59, 146 S.W.3d 871
(2004).
28. On October 20, 2004, Greene filed a petition for writ of habeas corpus in the
United States District Court for the Eastern District of Arkansas. Among other
29. On November 25, 2008, the district court ordered a hearing on Greenes
intellectual-disability claim. Greene v. Norris, No. 5:04-373, ECF No. 19, Order
(E.D. Ark.). However, the hearing was cancelled after the case was reassigned to a
different judge. On November 30, 2009, after receiving correspondence from Greene,
the district court scheduled a separate hearing to determine whether Greene wished
30. After a hearing held on February 24, 2010, the district court determined
that Greene wished to waive his Atkins claim and referred him to federal medical
center for an assessment of whether he could waive the claim. Id., ECF No. 101,
31. On October 67, 2011, the Court held a hearing on whether Greene was
competent to waive his Atkins claim. In an order issued on October 25, 2012, the
district court assumed that Greene suffered from a mental disease or defect but was
abandoning his Atkins claim. Id., ECF No. 196, Order at 1617. The court thus
32. The district court later rejected the remainder of the claims in Greenes
appealability on any claim. The United States Court of Appeals for the Eighth
United States Supreme Court denied Greenes petition for writ of certiorari on May
1, 2017.
33. On August 25, 2017, Governor Asa Hutchinson set Greenes execution date
34. For the past thirteen years, Greene has been beset by serious mental illness.
This illness produces delusions that cause Greene to believe, falsely, that he is
(ADC) employees and his own attorneys to prevent him from being extradited to
North Carolina, where he believes he will receive adequate medical care. Greenes
Greene considers necessary to alleviate pain from injuries such as the destruction of
35. Greene has thoroughly documented his persecutory beliefs and somatic
and the U.S. Department of Justice. A collection of Greenes most recent writings,
36. Greene has stated on multiple occasions that he does not want to be
executed, but that he would rather die than continue to suffer the (imagined)
physical torture that these conspirators are inflicting upon him. Greenes illness has
gotten worse with time, such that he cannot now rationally comprehend the purpose
37. Greene began showing signs of mental illness long before he was arrested
for the offense for which he has been sentenced to death. For example, in 1982,
Greene was treated at an emergency room in North Carolina after he reported being
bitten by a snake on the side of the road and then cut a 5-inch gash in his leg with a
pocket knife, applied a tourniquet, and sucked the wound for 10 minutes. The
treating doctors reported that they doubted he was actually bitten by a snake. Ex. 4.
Three months later, Greene slit both his wrists, leaving three-inch lacerations that
psychiatric hospital after expressing fear that he would kill his brother Turner,
whom he blamed for causing the death of their mother. Ex. 6. (Greene did kill his
brother Turner six years after his admission to the psychiatric hospital, days before
38. Greenes obsession with the North Carolina executive agreement arose early
told examiners that he was suing the North Carolina Department of Correction
Arkansas without a hearing. Tr. R. 49. In 1995, Greene sued several North
proceedings and requested damages of $2.825 million. See Greene v. Moody, No. 95-
trial to complain of the issue and fired multiple attorneys his family had privately
retained because they would not pursue extradition to his satisfaction. By 1995, he
his life was in immediate danger if he remained at Tucker Prison and that his
39. Greenes delusions took greater shape in 2004, about a year after he had
Greene, on July 5, 2004, his Rule 37 attorney, Jeff Rosenzweig, conspired with a
corrections officer to injure his ear by repeatedly slamming the food slot in his cell
10
door. Greene described this event in one of the many signed affidavits he has
written and sent to various courts and government officials over the years:
Ex. 7.
40. According to ADC medical notes, Greene visited the infirmary on September
9, 2004, complaining of persistent left ear pain and a conspiracy to close traps
loudly for the purpose of bursting his ear drum. The doctor reported that she heard
no loud closing of traps and that Greenes ear was intact. Ex. 8. Examination
outside the prison likewise discovered no problem with Greenes left ear. For
example, in 2006 Greene was seen by an ear, nose, and throat doctor at UAMS, who
found that the left ear is completely normal with no middle ear effusion or
41. By 2008, Greenes perceived injuries had begun to spread beyond his ear. In
injuries inflicted endlessly sence [sic] 7/5/2004 to my brain, through burst left inner
ear etc., w/ concussion, destroying all 31-paired neurological spinal nerves. Ex. 10.
11
In affidavits from around the same time, Greene laid blame for these injuries on his
U.S. Presidential Candidate prior Ark. gov. Mike Huckabee and prior
att. gen. Ark. gov. Mike Beebe, both with political knowledge of
appointed and retained attorneys, prior of current in their illicit
influence of bias senior Ark. Dept. of Corrections staff to have expedited
by racial black staff of Ark. death-row to inflict constant re-injury to
brain with concussion, destroying all thirty one (31) paired neurological
spinal nerves through burst left inner ear etc. as initially [sic] described
by same means in eleven (11) sworn affidavits court filed in both
Johnson Co. Ark. Wilkes Co. N.C. in 2005.06 whereas through
inhumane injuries maim and torture I expose this states appointed
political officials.
Ex. 11.
injuries. For instance, a 2008 exam by an ADC doctor, to whom Greene complained
that he would rather be dead than live in pain, concluded that Greenes perceived
pain was out of proportion with his exam. Ex. 12. This same doctor confirmed in
2011 that Greenes medical charts were accurate and that he could not determine
43. Greene continued to express his conspiratorial views when brought before
the federal district court in 2010 and 2011. In 2010, he informed the district court
that the ADC and his attorneys were trying to cover up these crimes against
attempt:
To inflict a person with such injuries that force a person to live with such
injuries, and then spend untold thousands and thousands of dollars to
try to validate making me out to be a retard just to try to cover it up. I
live like this every moment of the day, 24/7. Its all I can do to keep from
12
Greene, No. 04-373, ECF No. 105, Tr. at 6 (E.D. Ark. Feb. 24, 2010). Greene
continued to complain of his injuries and his attorneys in 2011, telling the federal
court, for example, My frontal lobe hurts so bad I have to stick my finger in the
corner of my eye, and, These attorneys have violated my constitutional rights and
civil rights to cover up a felony. Id., ECF No. 188-1, Tr. at 75, 103 (Oct. 6, 2011).
44. Greenes mental illness has prevented him from cooperating with his
76within the range for intellectual disability, which would prevent his execution
presenting that claim. Ex. 14 6. According to his writings, Greene must battle his
attorneys to uncover the perceived conspiracy against him: I would gotton [sic] off
Death-row 6 or 7 years ago if I would have allowed this state etc. get away with
45. Since at least 2011, Greenes mental illness has manifested itself through
bizarre physical behavior. Greene frequently contorts his body, lies on the floor, and
stands on his head in an effort to prevent his perceived physical pain. He usually
has paper or his finger stuck up his nose and ears. He often causes his nose to bleed,
leaving his face covered in blood. Greene has told his attorneys and others that he
13
has to use his toilet as a desk to properly position his body. He has informed his
attorneys and others that when meals are passed on a tray through the food slot in
his cell door, he dumps the contents of the tray into his sink and immediately
returns the tray so correctional officers dont have to open the slot again to retrieve
the tray (thus exacerbating his injuries). Greene eats his meals out of the sink. See
Ex. 16 at 2.
46. Notes by ADC medical staff capture Greenes bizarre appearance and
delusions. For example, on March 30, 2016, a nurse recorded the following:
Presented to the cell door along with Nurse Boatner due to a request
submitted from the inmates [sic] Lawyer. Inmate had contacted his
lawyer this AM and complained of an abcessed tooth he used a razor
blade to pierce the swollen part of his gums. Inmate was standing at he
dorr [sic] of the cell with dried blood on his face and rolled up paper
placed in each ear. When questoned [sic] about he [sic] blood he stated
bleed like this all the time. Inmate was asked several times if he
understood how to access health care. The inamte [sic] stated as soon as
he could get a bar door to his cell he would be right down to the
infirmary. Inmate was told about proper sick cal [sic] procedures and
how to access medica [sic] care, inmate again stated understanding but
kept on about his cell door. Inmate stated several times he had a
precussion concussion disorder and it affected him in many ways.
Inmate will be placed on the sick call list to be seen by the nurse. Mental
health notified of inmates [sic] erratic behavionr [sic], they stated they
were awae [sic] of the inmates history.
concussion brain troma [sic] injuries with total destruction of my spinal neurological
31-paired central nerve system since July 5th 2004. Ex. 16. To list but one
from the endlessly ADC inflicted pre-cussion concussion brain troma [sic] injuries
14
inflicted 24/7 and hit my head/face on the floor, sink/toilet, cell walls, block table
indicates that Greenes delusions have expanded to encompass more and more
people. In May 2016, a North Carolina court appointed Greene an attorney after
Greene wrote the court numerous letters about his North Carolina proceedings.
Greene informed the attorney that he was being tortured in Arkansas and that he
wanted to be brought back to North Carolina. When the attorney did not take the
unrealistic steps Greene demanded, Greene wrote a complaint about him to the
North Carolina bar and grouped him among the attorneys who were already
conspiring against him. Exs. 1718. Greene documented the nature of the
conspiracy in an affidavit:
May 18, 2016, State of N. Carolina v. Jack Greene, First Degree murder,
assignment of counsel Garland Baker . . . visit with att. Baker, Oct. 17,
2016 at ADC, I provided him 10-doc or so legal and med. record doc. in
prof [sic] of 13-yrs of inhumane injuries and torture inflicted by ADC
and the attempted costly cover up in collaboration with the self
appointed Ark. Fed. Defenders, failed by and cover such inhumane
crimes, I told att. Baker, he would want to provide the U.S. Dept. of
Justice Civil Rights Dept., a Copy, instead att. Baker files no N.C. pre-
trial motions and starts himself conspiring and collaboration with the
Ark. Fed. Defenders who in turn with the ADC install (an-internet-
computer-video-camera-phone-system) in inmate visitation cell
apparently just prior of my ADC visit with N.C. att. Baker and the first
thing he says to me is maybe just maybe we can settle this N. Carolina
case over the internet via Wilkes Co. Courthouse, N.C. attorney
Garland Baker knew of this ADC video computer being installed befor
[sic] I knew and sought our brief visit to try and prevent my brief return
to N. Carolina, surely expose torture (Note: telephone right outside cell
I can use 24/7 no one uses ADC computer visitation)
Ex. 3 at 45.
15
49. In late 2016, Greene began writing letters to the Civil Rights Division of the
torture upon him. In these letters, Greene complained that his attorneys recent
filings in the Eighth Circuit were not filed on his behalf but rather still the
attempted cover up, costly cover up by the self appointed Ark. Fed. Defenders office
in collaboration with the Ark. Dept. of Corrections, of the prior 13-yrs of endlessly
inflicted crippling, maim and torture, through pre-cussion concussion brain troma
[sic] injuries, with the total destruction of my entire neurological central nerve
50. In May 2017, Greene wrote to the North Carolina Extradition Secretary
enclosing his list of ADC ceaseless inflicted injuries in an attempt to expose how
the State of Arkansas, has violated, not only the Executive Agreement of my
extradition from North Carolina but also my civil and human rights for which is
described all through the court filed sworn-affidavits etc. and the costly cover up
behind such torture of my self here in the State of Arkansas. Id. at 10.
wrote to Justin Tate, Governor Hutchinsons chief counsel, asking that the
Governor order him returned to North Carolina, where I can obtain urgent medical
Mr. Tate, when ever I wouldnt stop forcing the legal issues of my return
to N. Carolina, as drafted within the Executive Agreement between
the State of Arkansas and North Carolina, of my Extradition, the Ark.
Dept. of Corrections, then criminally inflicted me, and endlessly since
July 5th 2004 with pre-cussion concussion brain troma [sic] injuries with
the total destruction of my entire neurological nerve system that has
16
forced me to live for the past 13-yrs, all crippled maimed and tortured
and endure and suffer 24/7 so inhumanly, unable to even walk etc.,
described within pages 40-41-42 of such pro-long symptoms of such
inhumane maim and torture since July 5th 2004.
Id. at 23.
52. ADC medical staff have recognized Greene is delusional in their notes. For
instance, on February 15, 2013, an ADC nurse noted that Greene has big Brother
hallicuations [sic], thinking that government is after him. A staff sergeant put it
most succinctly on October 6, 2011, when an ADC nurse asked why Greene always
has blood on his face: Cause he stands on his head all the time. Hes kinda crazy.
approximately 2.5 hours. Dr. Watson attempted further evaluations, but Greenes
distress at his somatic complaints made it impossible for him to complete the
testing. Dr. Watsons conclusion from his meetings with Greene and from his review
explained the pain he felt he was going through and the attempts his attorneys and
the ADC had made to cover up his maltreatment. Based on this examination and
his review of records, Dr. Woods concluded that, per the Diagnostic and Statistical
Manual (DSM), version IV-TR, Greene was suffering from Delusional Disorder or
17
56. Dr. Woods attempted to evaluate Greene again on September 14, 2017.
Despite the fact that ADC mental-health services are delivered cell-side, the prison
adamantly refused to allow Dr. Woods to go to Greenes cell door to observe or speak
to him there. Greene was taken from his cell to a room. When Greene recognized Dr.
Woods as a member of the defense team, he angrily refused to engage with him.
57. These difficulties aside, Dr. Woods was able to observe Greene. Based on
this observation, Dr. Woodss prior examination, and review of more recent records,
including Greenes writings, Dr. Woods concluded, per DSM-V, that Greene suffers
58. Dr. Woods found that Greenes mental status had significantly declined
since he last examined him in 2011. Besides his more disturbing physical
appearance, Greenes total refusal to cooperate with Dr. Woods and others indicates
mental decline. As Dr. Woods concludes, Mr. Greenes complete inability to interact
with otherseven those, like the North Carolina attorney, whose goals appear to
align with hisindicates a greater depth of delusional thinking. Id. at 11. This
59. Dr. Woods has concluded that Greenes psychological disorder impedes his
rational understanding of his pending execution: Mr. Greene does not comprehend
that his execution will be imposed as the final judgment of a court of law for the
killing of Sidney Burnett. Instead, because of his psychotic disorder, Mr. Greene
18
physically harm hima scheme that his death will allow him both to expose and
60. Under Arkansas law, the only explicitly provided mechanism for assessing a
(1)
(A)
(i) When the Director of the Department of Correction is satisfied that
there are reasonable grounds for believing that an individual under
sentence of death is not competent, due to mental illness, to
understand the nature and reasons for that punishment, the
Director of the Department of Correction shall notify the Deputy
Director of the Division of Aging, Adult, and Behavioral Health
Services of the Department of Human Services.
(ii) The Director of the Department of Correction shall also notify the
Governor of this action.
(iii) The Division of Aging, Adult, and Behavioral Health Services of the
Department of Human Services shall cause an inquiry to be made
into the mental condition of the individual within thirty (30) days
of receipt of notification.
(iv) The attorney of record of the individual shall also be notified of this
action, and reasonable allowance will be made for an independent
mental health evaluation to be made.
(v) A copy of the report of the evaluation by the Division of Aging,
Adult, and Behavioral Health Services of the Department of
Human Services shall be furnished to the Mental Health Services
Section of the Division of Health Treatment Services of the
Department of Correction, along with any recommendations for
treatment of the individual.
(vi) All responsibility for implementation of treatment remains with
the Mental Health Services Section of the Division of Health
Treatment Services of the Department of Correction.
19
(B)
(i) If the individual is found competent to understand the nature of
and reason for the punishment, the Governor shall be so notified
and shall order the execution to be carried out according to law.
(ii) If the individual is found incompetent due to mental illness, the
Governor shall order that appropriate mental health treatment be
provided. The Director of the Department of Correction may order
a reevaluation of the competency of the individual as circumstances
may warrant.
61. Under Ark. Code Ann. 16-90-506(c)(2), Director Kelley is vested with the
(d).
Director of the Division of Aging, Adult, and Behavioral Health Services of the
Department of Human Services that there are reasonable grounds for believing
that Greene is not competent, due to mental illness, to understand the nature and
reasons for his execution. Ex. 2. On September 21, 2017, Kelley requested
including Dr. Woodss report and Greenes recent writings, on September 22, 2017.
As of noon on September 27, 2017, Kelley has not responded further or otherwise
indicated that she thinks there are reasonable grounds for believing Greene is not
competent.
63. Kelley or her employees have impeded Greenes counsel from developing
evidence that could be used to make the statutory showing that there are
20
mental-health advisor who has been seeing Greene at his cell during 2017. Rodela
appeared willing to talk with the investigator but asked to check with her
supervisor first after her husband intervened. Rodelas supervisor told her not to
say anything to the investigator, and Rodela has provided no information about
authorities have prohibited Greenes expert from observing Greene under the same
64. On October 15, 1992, Greene was brought to death row at the Tucker
Maximum Security Unit. This was a lock-down facility, where prisoners were
current conditions of confinement, with the exception that Greene was housed
behind a barred (rather than a solid) door, which allowed interaction with other
prisoners.
65. On August 22, 2003, Greene was moved along with the rest of death row to
approximately 12 feet deep, 7.5 feet wide, and 9 feet high. Unlike his cell at Tucker,
Greenes Varner cell has a solid steel door, which prevents interaction with other
prisoners. Though other death-row inmates have since been moved behind barred
doors, and though Greene has requested to also be placed behind a barred door, he
21
66. Death-row prisoners are permitted, but not required, to spend up to five
hours outside their cells per week for recreation. They otherwise remain in their
cells, where they shower, use the bathroom, and take their meals. Food, mail, and
telephones are passed through a slot in the steel door. Death-sentenced prisoners
67. Death-row prisoners have limited interaction with others even during their
five weekly hours of optional recreation. Recreation time is spent in an outdoor cage
with a concrete floor that is slightly larger than the death-row cells. Prisoners are
strip-searched upon return from the outdoor cage and have no bathroom access
while there. These conditions of recreation cause many prisoners to decline to leave
68. Greene has spent the last fourteen years in almost constant isolation, rarely
existing mental illness. As Dr. Woods explains, It is well understood that this sort
health of all peoplenot to mention profoundly mentally disordered people like Mr.
70. Greenes mental illness has been further compounded by the ADCs refusal
services are limited to superficial interactions with ADC staff, who walk down the
prison tier and look in on prisoners briefly with little or no interaction. Commonly
22
the staff member will simply note that Greene voiced no mental health concerns
even if, in the same breath, the staff member acknowledges that Greene was asleep
71. During federal habeas litigation, the social worker assigned to mental
health revealed that she had stopped speaking to Greene during her rounds after he
came up close to his cell window, showed her the blood on his face, and said, This is
why you need to leave me alone. The majority of Greenes mental-health records
reflect simple observation and recordation of his odd contortions and show little, if
any, engagement with him. Greenes medical records from this decade do not
indicate that he has been given medication for mental illness of any sort. In short,
CAUSES OF ACTION
73. Greene sufferers from a psychotic disorder. This disorder causes Greene to
hold the patently false belief that his attorneys and the ADC have conspired to
believes that his execution is the final act in these conspirators longstanding cover-
23
74. In Ford v. Wainwright, 477 U.S. 399, 410 (1986), the U.S. Supreme Court
held that the Eighth Amendment prohibits the State from inflicting the penalty of
death upon a prisoner who is insane. In his controlling opinion, Justice Powell
executed, if they are unaware of the punishment they are about to suffer and why
they are to suffer it. Ford, 477 U.S. at 422 (Powell, J., concurring).
75. In Panetti v. Quarterman, 551 U.S. 930 (2007), the Supreme Court refined
the test Justice Powell articulated in Ford. In that case, the lower court had
analyzed whether the plaintiff was aware that he [is] going to be executed and why
he [is] going to be executed. Panetti, 551 U.S. at 956 (internal quotation marks
omitted) (alterations in original). In reversing the lower court, the Supreme Court
rejected a strict test for competency that treats delusional beliefs as irrelevant once
the prisoner is aware the State has identified the link between his crime and the
executed must account for delusions that so impair the prisoners concept of reality
that he cannot reach a rational understanding of the reason for the execution. Id.
at 958. Put another way, a prisoner cannot be executed if his awareness of the
concepts shared by the community as a whole. Id. at 959. The prisoner must
comprehend the real interests the State seeks to vindicate, or else his execution
24
the murder of Sidney Burnett. Because of his psychotic disorder, Greene does not
and cannot share this understanding. Greenes views are so clouded by his
delusions that he believes his execution will be the ultimate act of a conspiracy to
77. Because Greenes psychotic disorder prevents him from comprehending the
real interests the State of Arkansas seeks to vindicate, his execution would violate
the prohibition on cruel and unusual punishment under the Eighth Amendment to
the United States Constitution and the prohibition on cruel or unusual punishment
79. Ford and Panetti guarantee condemned prisoners certain procedural rights
under the Eighth Amendment to prove their incompetence to be executed. Once the
hearing in accord with fundamental fairness, which includes, among other things,
the states evidence. Panetti, 551 U.S. at 94849. A fair hearing also requires an
impartial officer or board that can receive evidence and argument from the
prisoners counsel, including expert psychiatric evidence that may differ from the
States own psychiatric examination. Ford, 477 U.S. at 427 (Powell, concurring).
25
state. Moreover, Dr. Woods believes Greenes psychotic disorder renders him unable
meet the basic requirements of Eighth Amendment due process articulated in Ford
provides the only practical basis for determining whether Greene is incompetent to
be executed.
82. For the following reasons, Ark. Code Ann. 16-90-506(d) does not satisfy the
without any further inquiry into the matter. This decision is made
branch whose duty is to carry out warrants of execution, and who lacks
b. Even if the Director determines the threshold showing has been met
and sends the prisoner to the state hospital, the statute fails to satisfy
26
sufficient due process. Ford and Panetti require not only that an
counsel, including expert psychiatric evidence that may differ from the
States own psychiatric examination. Ford, 477 U.S. at 427 (Powell, J.,
concurring).
a neutral decisionmaker.
83. Additionally, Ark. Code Ann. 16-90-506(d) fails to meet the fair hearing
and cross-examination and by failing to require notice of the reasons the Director
finds prisoners competent and the evidence she relied on to make that
determination.
84. Ark. Code Ann. 16-90-506(d) is unconstitutional on its face and as applied
violates the due process guaranteed by the Eighth Amendment to the United States
27
86. Ark. Code Ann. 16-90-506(d) vests the power to determine competence to
87. In Davis v. Britt, 243 Ark. 556, 559, 420 S.W.2d 863, 865 (1967), the
constitutional, which takes away from the judiciary and delegates to a branch of the
executive department, the right and power to finally decide whether a person
(charged with murder) is sane or insane? The Court answered that question no.
88. Ark. Code Ann. 16-90-506(d) commits the very act prohibited in Davis: it
91. Greene has awaited execution on death row for twenty-five years.
28
92. The State is largely at fault for the delay in Greenes execution, having
93. For the majority of his time on death row Greene has been housed in total
95. Executing Greene after a twenty-five-year delay, and after holding him in
Constitution.
RELIEF REQUESTED
executed;
29
executed and that his execution would violate the United States and
Arkansas Constitutions;
Arkansas Constitution;
Constitutions;
30
31
FORENSIC REPORT OF GEORGE W. WOODS, JR., M.D.
G
WW George W. Woods, Jr., M.D.
A Professional Corporation
Diplomate of the American Board of Psychiatry and Neurology
415-503-3959
Email: gwoods@georgewoodsmd.com
Oakland/Atlanta/Evansville
I. REFERRAL QUESTIONS
Scott W. Braden and John C. Williams, counsel for Jack Gordon Greene, referred Mr.
Greene to me for evaluation. Mr. Greene is an inmate in the custody of the Arkansas
Department of Correction under a sentence of death. Counsel for Mr. Greene asked me for
my opinion on the following forensic question:
Whether Mr. Greene is suffering from a mental disease, disorder, or defect that
renders him incompetent to be executed.
Counsel also asked me to opine on whether Mr. Greenes mental status has changed
appreciably since I last evaluated him in 2011.
II. QUALIFICATIONS
I previously provided a report on Greenes mental status during federal litigation in 2011,
for which I relied on numerous additional materials. For this report I reviewed that prior
Exhibit 1 Page 1
report and also relied on a previous examination of Mr. Greene conducted on April 6, 2011.
Mr. Greene suffers from a psychotic disorder and from ongoing somatic and paranoid
delusions.
Based on my clinical interviews with Mr. Greene and the extensive collateral information
I have reviewed, it is my professional opinion, which I hold to a reasonable degree of
medical certainty, that Mr. Greene suffers from a psychotic disorder along the
schizophreniform spectrum. Mr. Greenes psychotic disorder is characterized by
encapsulated delusions and, in particular, by primarily somatic delusions and persecutory
delusions. The Diagnostic and Statistical Manual-Vs (DSM-V) diagnosis would be either
Delusional Disorder (page 90) or Other Specified Schizophrenia Spectrum and Other
Psychotic Disorders (page 122). The DSM-Vs definition of a delusion is: A false belief
based on incorrect inference about external reality that is firmly held despite what almost
everyone else believes and despite what constitutes incontrovertible and obvious proof or
evidence to the contrary.1 A somatic delusion is a delusion that focus[es] on
preoccupations regarding health and organ function.2 A persecutory delusion is a belief
that one is going to be harmed, harassed, and so forth by an individual, organization, or
other group.3 The essential feature of a delusion is its tenacity and rigidity, not its bizarre or
non-bizarre quality.
1
DSM-V at 819.
2
DSM-V at 122.
3
Id.
Exhibit 1 Page 2
Diverse witness accounts and records consistently describe Mr. Greene as experiencing
chronic, persistent somatic and persecutory delusions for many yearssince at least 2004.
Mr. Greene believes that his eardrum is burst, that his central nervous system has been
destroyed, that his spinal cord has been damaged or is entirely missing, and that his brain
is swollen. The beliefs are nonpathological, meaning they are inconsistent with anatomic and
neurological pathology. He believes that he experiences constant, intense pain in his brain,
ear, and spinal cord. He also believes that these injuries are the result of a conspiracy to
injure him, perpetrated by the ADC. According to Mr. Greene, employees of the ADC
torture him by purposefully slamming a slot in his cell shut in an excessively loud fashion,
which results in the injuries described. Mr. Greene believes the ADC is maliciously denying
him proper medical treatment for his injuries. Mr. Greene further believes that his attorneys
are involved in a cover up of the ADCs actions. Mr. Greene has described these beliefs to
his attorneys, to multiple medical personnel, to multiple psychologists and psychiatrists
(including me), in numerous handwritten letters and affidavits, and in his federal court
hearings. Multiple witnesses have described Mr. Greene engaging in bodily contortions and
other actions (such as plugging his ear with toilet paper) in an effort to deal with the pain
that he believes he is experiencing. Mr. Greene engages in other abnormal behaviors to
prevent further injury. For example, he has reported to his attorneys that he dumps the
contents of his food tray into the sink and eats out of the sink. This is so he can return the
tray immediately without the guards having to reopen the slot to retrieve it and slam the slot
to his cell.
Mr. Greenes presentation during my clinical interview of him on April 6, 2011, was
consistent with these witness accounts. The evaluation had been set to take place in a private
room, but Mr. Greene was unable or unwilling to leave his cell. As a result, I was escorted to
his cell door and interviewed him cell-side. Mr. Greene appeared to be a middle-aged white
male wearing prison garb. His clothes were not unusual. His movements were distorted and,
at times, while fluid, contorted in extraordinary positions. Much of our interview was
conducted while he was standing on his head on the floor.
Similar to my attempted interview on September 14th, 2017, Mr. Greene initially refused
to speak with me, but he eventually proceeded to discuss with me what he perceived as his
overwhelming medical problems. Mr. Greene told me that his left eardrum had been
destroyed, that his brain was not working, and that his spine had been severed. He
emphasized that he was experiencing great pain and grimaced intensely while describing it.
Mr. Greene described, in great detail, the ongoing harassment he believes he has suffered
secondary to attempting to get the ADC to respond to his medical needs. Mr. Greene told
me that his attorneys have joined the ADC in helping the prison cover up what he believes
to be medical maltreatment. Mr. Greene acknowledged not working with his attorneys and
was unwilling to answer any questions concerning his social history. He informed me that he
had requested that the judge let him withdraw his appeals so that he end the torture that he
Exhibit 1 Page 3
believes he is experiencing.
Mr. Greenes rate of speech was normal, but he was somewhat perseverative, meaning he
gets stuck in his speech pattern, often repeating phrases as if for emphasis. His thought
processes reflected some circumstantial speech with the addition of unnecessary details. His
thought content was occasionally grandiose, and most often psychotic, when discussing his
encapsulated delusional material. He was not able, during my conversation with him, to
move away from his somatic complaints. His mood was anxious, and he was angry, both at
me and his attorneys. His affect was restricted in range.
During my most recent interview of Mr. Greene, on September 14, 2017, Mr. Greene
once again refused to come out of his cell. This time the prison refused to allow me to visit
him at his cell, however, and guards had Mr. Greene physically removed to a room where I
was to meet with him. The left side of Mr. Greenes face was covered with dried blood. The
guards did not permit me a private consultation but instead remained in the room while I
attempted to engage Mr. Greene. All Mr. Greene would say was to tell me to get the fuck
out of here. After further unsuccessful attempts to engage Mr. Greene, I ended the
interview.
The somatic complaints described by Mr. Greene are delusions. His beliefs about his
body are false, but he maintains them despite overwhelming evidence that they are false.
Many of the symptoms that Mr. Greene describes are non-pathological, meaning they
cannot be explained by normal anatomic means. Other symptoms he describes, while
physically possible, are not consistent with reality and certainly not consistent with the
degree of physical body control and flexibility that Mr. Greene maintains. Mr. Greene
believes that his spinal cord is not functioning, but the degree of bodily control and
flexibility that he maintains demonstrates that it is functioning. Mr. Greene believes that his
left eardrum is burst, but repeated medical evaluations have shown an intact eardrum. While
some of Mr. Greenes medical records suggest conditions that could be painful, it is clear
that delusional beliefs about the extent, location, and cause of the pain have become
attached to any actual physical problem that he might have.
Instead of suggesting any bodily dysfunction of the sort that Mr. Greene describes,
medical reports regarding Mr. Greene have suggested that Mr. Greene is experiencing
psychological problems. For example, medical professionals at the ADC have described Mr.
Greene as mentally unstable and exhibiting scattered speech and paranoia. One
medical report from the federal hospital in Springfield, Missouri described Mr. Greenes
thought process as illogical, stated that his speech was erratic, and observed that he gave
inconsistent and unreliable answers to questions. A nurse at the federal hospital described
Mr. Greene as irrational and exhibiting an appearance of disarray. Even when I saw him
today, Mr. Greene had dried blood covering the left side of his face.
Exhibit 1 Page 4
Mr. Greenes secondary beliefs that he is being persecuted by the ADC and his attorneys
are also delusions. Mr. Greene maintains his belief in a conspiracy against him despite
overwhelming evidence that he has not, in fact, been injured and is not being denied
appropriate medical treatment by the ADC. He maintains his belief that his attorneys are
conspiring against him despite the federal district courts assurance that his attorneys have
adequately represented him and have acted in what they believe to be his best interest.4
Mr. Greenes presentation bears all the hallmarks of a genuine, severe delusion. The
MacArthur-Maudsley Delusions Assessment Schedule rates delusions to the extent that they
are (1) held with conviction, (2) produce a negative affect, (3) motivate the subject to act, (4)
cause the subject to refrain from actions, (5) preoccupy the subjects thoughts, (6) pervades
the subjects experiences, and (7) change to encompass new people or contexts. Mr.
Greenes presentation has every one of these qualities.
CONVICTION: Mr. Greenes beliefs are held with a rigid conviction. Mr. Greene has
complained of a burst left eardrum and extreme left ear pain since at least 2004, and there is
no evidence that this belief has ever waivered. He has consistently rejected intervention that
did not support his beliefs. He holds onto his belief even though he has never had one
medical provider of any type find evidence that supported his false beliefs.
NEGATIVE AFFECT: Mr. Greenes beliefs produce a negative affect in several ways.
They make him unhappy inasmuch as he has repeatedly expressed that he would rather die
than live in the pain that he feels. Mr. Greenes delusional beliefs also make him anxious and
angry, as multiple people who have interacted with Mr. Greene describe. Mr. Greenes anger
at the ADC, his attorneys and, today, at me, is a manifestation of the negative affect of his
delusion. He is angry at the ADC staff because he believes they are injuring him and failing
to treat his injuries. He is angry at his attorneys because he believes that they are attempting
to cover up the ADCs crimes.
ACTION: Mr. Greenes beliefs motivate action. This particular characteristic is seen in
Mr. Greenes case on a daily basis. In effort to deal with the pain he experiences, Mr. Greene
contorts himself in awkward positions for most of the course of a day, although he can
occasionally be seen lying on the floor or in the bed. Mr. Greene will plug his ear with make-
shift earplugs and insist on being transported by wheelchair. The actions that Mr. Greene
takes in response to his somatic beliefs occur in a wide variety of situations. He has exhibited
these actions in meetings with his attorneys; during medical evaluations; in court; and while
4
February 24, 2010 Status Hearing Transcript at 1112; Order, Greene v. Hobbs, No. 04-cv-
00373-SWW, Doc. 130.
Exhibit 1 Page 5
sitting alone in his cell. Much of his time is consumed with hypergraphic writings about the
perceived conspiracy and his perceived injuries.
INACTION: Mr. Greenes delusional beliefs also result in inaction. In most instances,
Mr. Greene will not meet with his attorneys5 because he believes that doing so aggravates
his pain and because he believes that they are conspiring against him. Mr. Greene will not
participate in neuropsychological testing arranged by his attorneys for the same reasons.6
On the single occasion on which Mr. Greene has agreed to visit with his attorneys in the past
decade, he did so in the presence of Mr. Greenes pen pal, whom Mr. Greene has not yet
incorporated into his delusion. Likewise, when Mr. Greene accepts mail from his attorneys,
it is to receive documents that he believes are needed to prove his injuries. He refused to see
me as well.
PREOCCUPATION: Mr. Greenes beliefs focus on his somatic complaints. Josh Lee, an
attorney who represented Mr. Greene from 2009 to 2016, explains:
During my private in-person and telephone contact with Mr. Greene, he was
obsessively focused on his belief that there was a conspiracy against him. Mr.
Greene told me that an extradiction [sic] agreement obligated the State of
Arkansas transfer him to North Carolina, where another charge was pending
against him. He told me that he had been pushing that issue for years and
that, as a result, various people acting on behalf of the State of Arkansas were
retaliating against him. He said that, in retaliation, prison guards had assaulted
and battered him and that, due to these crimes, he had suffered various
permanent, excruciating, and debilitating injuries. Mr. Greene believed that
essentially everything in his life was related to this conspiracy. 7
Mr. Greenes presentation during his federal court hearings and during his clinical interviews
with me also demonstrate a single-minded preoccupation with his delusional material. It is
true that Mr. Greene can think about and discuss other things. Mr. Greene is able to discuss
other issues beside his somatic delusion for short periods. While Mr. Greene does not
exclusively think about his somatic concerns, they overwhelmingly predominate.
5
February 24, 2010 Status Hearing Transcript at 12; Declaration of Tonya Willingham;
Returned Mail of Federal Public Defender; Motion for Leave to Depose, No. 04-cv-00373-SWW,
Doc. 76 89.
6
Declaration of Dr. Dale Watson 17.
7
Declaration of Josh Lee 56.
Exhibit 1 Page 6
PERVASIVENESS: Mr. Greenes delusions are pervasive in the sense that he relates and
interprets many of his experiences as related to the delusional belief. The pervasiveness of
Mr. Greenes delusion is shown most clearly by his incorporation of his attorneys into his
encapsulated delusion. Mr. Greene has had a number of different attorneys during the past
decade, and as soon as he realizes that a new attorney will not address his somatic
complaints, Mr. Greene interprets this experience in light of his delusion; he incorporates
the new attorney into his delusion by concluding that the attorney is participating in a cover
up. The incorporation of attorneys and others attempting to evaluate him for his attorneys is
complete. There have no been persons he has been willing to see, within the legal sphere.
FLUIDITY: Mr. Greens delusion is fluid. It incorporates the ADC, the Arkansas
Government, his attorneys, and others, as they attempt to assess him. His delusion that he
has been injured by the clanging of his cell door has been constant since 2004. However, the
particularities of his injuries, and the people involved, have shifted over time. Regarding his
injuries, in 2004, Mr. Greene complained primarily of a burst left ear drum and of extreme
pain in his left ear. By 2006, Mr. Greene was complaining not only of injury to his left ear
but also of injury to his brain and spine. Currently, Mr. Greene complains that his nervous
system has been destroyed and that he has a pre-cussion concussion. Regarding the people
involved, Mr. Greenes somatic delusion evolved to include secondary, persecutory delusions
and grew to encompass prison medical staff and his attorneys. That the particularities of Mr.
Greenes injuries shift over time and that he incorporates more and more people into his
delusion reinforces the degree of fluidity. For example, Greene was appointed an attorney in
North Carolina in 2016 to assist him with pending proceedings there. Mr. Greene told the
attorney that he was being constantly injured in the Arkansas prison. When this attorney
would not help Mr. Greene be returned to North Carolina in the manner Mr. Greene saw fit,
Mr. Greene attempted to file grievances on him with the North Carolina bar. 8
Mr. Greenes mental illness and delusional conduct are exacerbated by both the
conditions of his confinement and his lack of adequate mental-health treatment by prison
authorities. From 1992 to 2003, Mr. Greene was housed at the Tucker Max unit, where
prisoners were held in isolation though with some opportunity to exercise and interact with
fellow prisoners. Since 2003, Mr. Greene has been housed at Varner in completely solitary
confinement, behind a solid door that prevents interaction with other inmates. Prisoners are
allowed out of their cell for one hour a day, where they may access an exercise area that is
akin to a small carport. It is well understood that this sort of arrangement has devastating
consequences for the mental health of all peoplenot to mention profoundly mentally
disordered people like Mr. Greene who have previous indications of mental illness. I find it
notable that Mr. Greenes somatic and persecutory delusions began about a year after he was
8
See Declaration of Garland Baker 6.
Exhibit 1 Page 7
moved to total isolation at Varner.
The detrimental effect of solitary confinement is compounded by the fact that death-row
inmates at Varner have superficial, if any, access to mental health care. Depositions
conducted in prior litigation in Mr. Greenes case demonstrate that. For example, the prison
staff member who used to be responsible for screening Mr. Greene for mental health
problems, Julia Partain, admitted in a deposition that she did so without even speaking to
Mr. Greene. A second prison staff member who has screened Mr. Greene for mental illness,
Natasha Martin, revealed in her deposition that she lacks even the most rudimentary
knowledge of psychology and mental health symptoms. And Sandra Bonner, a former staffer
who once screened Mr. Greene for mental illness, admitted in a declaration that her
supervisors warned her against providing psychiatric treatment to death row inmates because
[t]he mental health services unit did not want to be involved in any way with an inmates
efforts to stop their execution by claiming mental illness.
Review of Mr. Greenes most recent mental-health records shows that this state of affairs
continues. Mental-health treatment consists of staffers briefly stopping by Mr. Greenes cell
and inquiring about his status. Typically the staffer will make an entry saying Mr. Greene
voiced no mental health concerns and leave it at that. Staff uses this formulation even
when also noting that Mr. Greene is asleep, making it a worthless indicator of Mr. Greenes
mental-health status. Mental-health staff do not otherwise attempt to intervene or otherwise
provide mental-health treatment, though Mr. Greenes need for it is obvious. From my
review of mental-health records, it appears that Mr. Greene has not been provided the type
of psychotropic medication that one would expect a person in his condition to be
prescribed.
In summary, Mr. Greenes delusions are false beliefs that he has maintained despite
overwhelming evidence that they are false. Mr. Greene believes, despite overwhelming
evidence to the contrary, that his left ear, brain, and spinal cord have been injured by the
clanging of his cell door and that his injuries are being maintained and suppressed by the
action of a wide-ranging conspiracy. There is no evidence that Mr. Greene is exaggerating or
feigning these beliefs. Mr. Greenes beliefs meet all the characteristics of a delusion.
Accordingly, Mr. Greene suffers from a psychotic disorder, Delusional Disorder or Other
Specified Schizophrenia Spectrum and Other Psychotic Disorder. I hold these views to a
reasonable degree of medical and professional certainty.
V. FORENSIC FORMULATION
For the reasons explained below, Mr. Greene is incompetent to be executed as a result of
his psychotic disorder.
Exhibit 1 Page 8
A. Legal standard for incompetence to be executed.
The United States Supreme Court has defined the standard for competency to be
executed in Ford v. Wainwright, 477 U.S. 399 (1986), and Panetti v. Quarterman, 551 U.S. 930
(2007). The controlling opinion in Ford holds that prisoners are incompetent to be executed
if they are unaware of the punishment they are about to suffer and why they are about to
suffer it. Ford, 477 U.S. at 422 (Powell, J., concurring). In Panetti, the Court clarified that this
standard does not mean that a prisoner is automatically foreclosed from demonstrating
incompetency once a court has found he can identify the stated reason for his execution.
Panetti, 551 U.S at 959. Rather, a person is incompetent if delusions . . . so impair the
prisoners concept of reality that he cannot reach a rational understanding of the reason for
the execution. Id. at 958. The potential for a prisoners recognition of the severity of the
offense and the objective of community vindication are called in question . . . if the
prisoners mental state is so distorted by a mental illness that his awareness of the crime and
punishment has little or no relation to the understanding of these concepts shared by the
community as a whole. Id. at 95859.
B. Mr. Greene has a mental illness and suffers from persistent delusions.
As discussed in detail in Part IV above, Mr. Greene suffers from somatic and persecutory
delusions and from a mental illness that lies along the same spectrum as Schizophrenia. I
hold this opinion to a reasonable degree of medical and professional certainty.
Based on my review of records and discussions with his attorneys, Mr. Greene can
articulate that he is to be put to death for the killing of Sidney Burnett. That basic
comprehension, however, does not by itself satisfy the competency inquiry. I am also to
assess whether Mr. Greenes understanding of his punishment is distorted by his mental
illness to the point that it departs from concepts shared by the community as a whole.
Panetti, 551 U.S. at 959.
Mr. Greenes psychotic understanding of his execution is dominated by his somatic and
persecutory delusions. In Mr. Greenes mind, his execution is the culmination of the ADCs
conspiracy against him. Mr. Greene accepts the execution as a means of escaping the torture
he (delusionally) believes he has been exposed to. As Mr. Greene has repeatedly stated, he
would rather be executed than continue to suffer the injuries he believes the prison guards
have inflicted on him.
Mr. Greene has had one goal in his life over the past several years (if not before): to
Exhibit 1 Page 9
expose the conspiracy that he is believes is being carried out against him. His fixation on this
objective has been especially pronounced during the past year, during which he has written
everyone from the Civil Rights Division of the U.S. Department of Justice to local news
reporters to share a catalogue of his injuries and complaints about the conspirators. This
obsession has colored Mr. Greenes comprehension of his execution, such that he cannot
understand it as the final step in carrying out his criminal sentence. Instead, it is the final step
in a cover up. As he recently wrote a news reporter, My worse fear is not of dying of my
inhumane injuries or being put to death from execution, for we must all stand in judgment
of God, my earthly fear is this system getting away with what has/is being done to me over
the past 13 years.
Paradoxically, Mr. Greene apparently sees his execution not only as a way to escape
physical torture, but also as a means to expose the conspiracy against him. For example, he
recently wrote, I would have gotten off Death Row 6 or 7 years ago if I would have allowed
this state etc. to get away with their planned cover-up of crimes as described. Mr. Greenes
desire to go to his death in the service of a delusional goal belies a rational understanding of
his execution.
Mr. Greenes incomprehension of the purpose of his execution is further exhibited in his
approach to clemency proceedings. Mr. Greene wishes to petition for clemency, but on one
ground onlythat he be extradited to North Carolina. He wants to be extradited to North
Carolina so that he may receive that medical treatment he believes is being denied by the
ADC. Otherwise he would prefer to be executed so the prison will stop injuring him. Mr.
Greenes belief in the conspiracy to inflict these injuries, as already discussed, is the product
of a delusion. The community at large would not share Mr. Greenes belief that he is being
executed as part of a cabal. I thus cannot conclude that Mr. Greenes understanding of his
execution is the product of rational thought.
In sum, Mr. Greene does not comprehend that his execution will be imposed as the final
judgment of a court of law for the killing of Sidney Burnett. Instead, because of his
psychotic disorder, Mr. Greene understands his execution to be yet another step in an all-
encompassing scheme to physically harm hima scheme that his death will allow him both
to expose and escape. It is thus my conclusion, to a reasonable degree of medical and
professional certainty, that Mr. Greene is not competent to be executed.
D. Mr. Greenes mental status has deteriorated since his last evaluation in April
2011.
Finally, I was asked to provide an evaluation of Mr. Greenes mental status today as
compared to his mental status at the time I last evaluated him in 2011. It is obvious that Mr.
Greenes mental condition has seriously deteriorated over the past six years. Although I did
10
Exhibit 1 Page 10
Exhibit 1 Page 11
Attachment A
Exhibit 1 Page 12
G
WW GEORGE W. WOODS, JR., M.D., F.A.P.A.
A PROFESSIONAL CORPORATION
DIPLOMATE OF THE AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY
Curriculum Vitae
401 Grand Avenue, #380
Oakland, California 94610
Education
1981-1982 American Psychiatric Association/National Institute of Mental Health
Fellowship Pacific Medical Center, San Francisco, California
Leadership Positions
2017 Secretary General, International Academy of Law and Mental Health, during the
amalgamation with the Institute of Ethics, Medicine, and Public Health at the
Sorbonne, Paris, France
Exhibit 1 Page 13
2016 Deputy Chairperson, International Association for the Specialized Study of
Intellectual and Developmental Disabilities, Special Interest Research
Group(SIRG)
Honors
2017 Secretary General, International Academy of Law and Mental Health
2013 Keynote Speaker, Tenth Anniversary of the San Francisco Behavioral Health Court
2013 Vice President/President Elect, International Academy of Law and Mental Health
2009 Co-Chair, International Academy of Law and Mental Health Congress, New York
University Law School
2007 Co-Chair, International Academy of Law and Mental Health Congress, University
of Padua, Padua, Italy
Exhibit 1 Page 14
1993 Outstanding Professor Award, Goodrich Program, Department of Public Policy,
University of Nebraska at Omaha
1992 Chief of Staff Award for Outstanding Service, East Bay Hospital, Richmond,
California
Advisory Boards
2016 Marsh Clinics, Oakland, California
Exhibit 1 Page 15
2012 Executive Committee, Challenging Behaviors Special Interest Research Group,
International Association for the Scientific Study of Intellectual Disabilities
2004-2007 Advisory Board, Health Law Institute, DePaul University, College of Law
2004-present Advisory Board, Human Dignity and Humiliation Studies, University of Trondheim,
Norway
2004-2010 Board of Directors, The Center for African Peace and Conflict Resolution, College
of Health and Human Services, California State University, Sacramento
Professional Affiliations
International Neuropsychological Society
Exhibit 1 Page 16
Clinical Experience & Consultation
1983-present Individual private practice, Bay Area, California
2016 San Francisco Police Department Crisis Intervention Training(SFPD CIT): The Brain
2015 SFPD CIT: The Adolescent Brain and Cognition: Slow Down and Watch
2015 Criminal Justice and Mental Health Reform. San Francisco Collaborative Courts,
Collaborative Courts Training Series
2014 Undoing the Damage: The Mental Health and Criminal Justice Tragedy.
San Francisco Collaborative Courts, Collaborative Courts Training Series
2014 The Constitutional Implications of Ebola: Civil Liberties & Civil Rights in Times of
Health Crises, University of California, Irvine Law School
2014 SFPD CIT: The adolescent and geriatric brains, more alike than different?
2014 Moderator; The Easy Read Project: an investigation into the accessibility value of
health- based easy read literature; Television viewing habits and preferences of
adults and your people with intellectual disability: a survey using a Talking Mats
Questionnaire; Effectiveness of Computer-Based Simulations on Learning of Social
and Communication Skills by Children with IDD and ASD; Social media and
intellectual disabilities: IASSID European Regional Congress, Vienna.
2013 Task Force on Determination of Intellectual Disability for the Courts, American
Association for Individuals with Intellectual Disabilities
2011 San Francisco Police Department Crisis Intervention Training (CIT): Suicide
Assessment, Mood disorders, thought disorders, and personality disorders
2010 Task Force on Mental Retardation and Forensic Practice, American Association for
Individuals with Intellectual Disabilities.
Exhibit 1 Page 17
2006 National Consortium on Disaster Response for the Poor and Underserved,
Developmental Task Force for the Minority Mental Health Professions Foundation,
Atlanta, Georgia
1994-1996 Senior Consulting Addictionologist, New Beginnings Programs, San Ramon and
Pinole, California
1990-1995 Consultant, Insomnia Division of the Sleep Disorders Center, Doctors Hospital,
Pinole, California
1990-1994 Medical Director, Pain Management Program, Doctors Hospital, Pinole, California
1989-1994 Clinical Director, New Beginnings Chemical Dependency Program, Doctors Hospital,
Pinole, California
1982-1983 Medical Director, Westside Geriatric Services of Family Service Agency of San
Francisco
1982-1983 Staff Psychiatrist, Villa Fairmount Psychiatric Facility, San Leandro, California
1981-1982 Assistant Director of the Inpatient Center, Director of Geriatric Services, Pacific
Medical Center, San Francisco, California
1979-1981 Emergency Room Physician, Medical Emergency Services, Fairmount Hospital, San
Leandro, California
Exhibit 1 Page 18
International Clinical Experience & Consultations
2017 Cognitive Factors to Financial Crime Victimization: International Academy of Mental
Health, Prague.
2017 From the Profession: First Concepts, Stigma, and Science. Punjab Judicial
Conference, Lahore High Court and Supreme Court, Lahore, Pakistan.
2017 From the Profession: First Concepts, Social History, The Mental Status
Examination. Punjab Judicial Conference, District Court, Sessions Court,
Prosecutors, Lahore, Pakistan.
2006-present Human Rights Committee, International Academy of Law and Mental Health,
Montreal, Quebec, Canada
1999-2003 Advisor - the Jomo Kenyatta National Hospital, PTSD Project, Nairobi, Kenya
Exhibit 1 Page 19
Clinical Lectures
2017 Criminal Law and Mental Illness: The Rising Significance of Neuroscience in the
Courts, APA Pre-Conference Training, Washington, D.C.
2017 Culture, Science, and Justice: People of Color and the Mentally Ill as the Canaries
in our Toxic Mental Health and Mass Incarceration System; Dignifying Madness:
Civil Commitment, Disability Rights, and Mass Incarceration: A Symposium at UC
Berkeley School of Law
2016 United States Congressional Briefing: Gun Violence and Trauma, Washington,
DC2016: Culture, Science, and Justice: Hampton University, Hampton, Virginia
2016 Aging and Cognition in Prisoners with Intellectual and Developmental Disabilities
(Workshop): International Association for the Specialized Study of Intellectual and
Developmental Disorders (IASSIDD), Melbourne, Australia
2016 Justice For The Mentally Ill: The ABA Criminal Justice Mental Health Standards.
Disclosing Danger and Other Real-World Issues. The American Bar Association and
UC Hastings Constitutional Law Quarterly and Race and Poverty Law Journal
2015 Moderator, Women & Mass Incarceration: The U.S. Crisis of Women and Girls
Behind Bars. Bad Science. The University of California Law School, Irvine
2014 Adolescents and the Elderly; More alike than you would expect. San Francisco
Police Department Crisis Intervention Training.
2014 Bipolar Disorder in Pregnancy: Meena Kumari, MD: George Woods, MD, Faculty
Discussant
Exhibit 1 Page 20
2013 High Prevalence of Brain Pathology in Violent Prisoners: A Qualitative CT and MRI
Scan Study: Journal Club, Racquel Reid, MD, George Woods, MD, Faculty
Discussant
2013 Does Policy Drive Science? University of California, Berkeley, Integrative Biology
Course (MCB15)
2012 Diabetes and Weight Control, Moderator: International Association for the
Scientific Study of Intellectual Disorders, Halifax, Nova Scotia
2011 Mood and Thought Disorders in Crisis Intervention: San Francisco County Sheriffs
Crisis Intervention Training, San Francisco, California.
2011 Fetal Alcohol Spectrum Disorders and the Criminal Justice System, National Press
Club, Washington, DC.
2011 Intellectual Disability and Fetal Alcohol Spectrum Disorder: International Academy
of Law and Mental Health, Berlin, Germany
2011 Neuronal Plasticity: Cognitive Skills Retraining for students with acquired brain
injuries or learning disabilities. College of Alameda, Alameda, California
2011 The Neurobiology of Trauma In Children: Lessons About Early Childhood; Families
First, Atlanta, Georgia
Exhibit 1 Page 21
2010 From the Plantations/Asylums to the Prisons: The Relationship between
Humiliation, Stigma, Economics and Correctional Care for the Mentally Ill;
Columbia University, Teachers College, New York
2010 Workshop on Transforming Humiliation and Violent Conflict representing the 16th
Annual Human DHS Conference and the Seventh Workshop on Humiliation and
Violent Conflict, Columbia University, Teachers College, New York
2010 Applying the Institute of Medicine Quality Chasm Framework to Improving Health
Care for Mental and Substance Use Conditions; Morehouse School of Medicine,
Department of Psychiatry, Journal Club
2008 Moderator: The Impact of Mental Health Issues on Aging, Particularly as it Relates
to Alzheimers Dementia and Parkinson Disease, National Medical Association,
Atlanta, Georgia
2008 Aging and Mental Health: What is Wellness and What is Pathology? National
Medical Association, Atlanta, Georgia
2007 The Price of Leadership and the Cost of Success: Urban Leadership Program,
Graduate School of Educational Leadership and Public Policy, California State
University, Sacramento
2007 Complex disorders of trauma and torture: The neurological bases examined
through sleep disorders, Padua, Italy
2006 Cultural Differences: Ethics or Efficacy, Mental Health, Ethics and Social Policy,
University of Montreal, Quebec, Canada
Exhibit 1 Page 22
2006 Moderator & Respondent (Representing Morehouse School of Medicine)
Consortium for the Poor and Underserved- Cultural Factors, DePaul University
School of Law and Health, Health Law Institute
2005 Medical Diseases with Psychiatric Manifestations: Morrison and Foerster, LLP
2003 Law, Mental Health & Popular Culture: University of San Francisco College of Law
2001 The Thrill is Gone: Keynote Address, African American History Month, Loras
College, Dubuque, Iowa
2000 Anger Management: West Contra Costa Stroke and Aphasia Support Group,
Doctors Hospital, San Pablo, California, 2000
2000 Race, Culture and Bioethics: American Society for Bioethics Annual Conference,
Panel Discussion, Salt Lake City, Utah
1998 Managed Care in the Kenyan Medical Environment: Kenyan Medical Environment:
Kenyan Medical Association, Aga Khan Hospital, Nairobi, Kenya
Exhibit 1 Page 23
1994 The Relationship Between Holidays and Mood Disorders: Doctors Hospital Pinole,
California
1994 The Role of the Mental Health Expert as a Liaison Between Chemical Dependency
and Pain Management Programs: American Academy of Pain Management,
Vancouver, Canada
1993 Detox: The First Step to Recovery: National Medical Enterprises Management
Services Division Annual Conference, Colorado Springs, Colorado
1993 Substance Use and Substance Induced Organic Mental Disorders: National
Medical Enterprises Management Services Division Annual Conference, Colorado
Springs, Colorado
1993 Dual Diagnosis in the Inpatient Setting- Professional Seminar, Doctors Hospital,
Pinole, California
1992 Drug Interactions in the ICU: Clinical Care Rounds, Doctors Hospital, Pinole,
California
1992 Overview of Sleep Disorders: Grand Rounds, Doctor Hospital, Pinole, California
1991 Benzodiazepines: Uses and Abuses: Grand Rounds, Brookside Hospital, San Pablo,
California
1990 Sleep Disorders in Schizophrenia: Quarterly Medical Staff Meeting, East Bay
Hospital
1987 Afro-Centricity in Psychology: Grand Rounds, San Francisco General Hospital, San
Francisco, California
Exhibit 1 Page 24
Clinical Professional Activities
2016 Associate Editor, Journal of Policy and Practice in Intellectual Disability
2010 American Association for Intellectual and Developmental Disabilities, Task Force
on Intellectual Disability and Forensic Practice
1992 Chairman, Medical Executive Committee, East Bay Hospital, Richmond, California
Exhibit 1 Page 25
Clinical Publications
Norton, Johnson, Woods (2016) Burnout and Compassion Fatigue: What Lawyers Need to Know.
The University of Missouri Kansas City Law Review.
Greenspan, S. & Woods, G. (2015). Social Incompetence of FASD Offenders: Risk- Awareness as a Factor in
Criminal Culpability. In E. Jonsson & S. Clarren (Eds.), Brain Damage and the Law. Edmonton, Canada.
Norton, Woods (2015) Interpersonal Violence: The Legacy of Trauma. The American Bar
Associations Ninth Annual Section of Labor and Employment Law Conference.
Greenspan, Harris, and Woods (2015) Intellectual disability is a condition, not a number:
Ethics of IQ cut-offs in psychiatry, human services and law. Ethics, Medicine, and Public Health.
Greenspan, Woods, and Switzky (2015) Age of Onset and the Developmental Period Criteria,
Intellectual Disability and the Death Penalty.
Greenspan, Woods, Wood (In Press) Risk-Unawareness and Legal Jeopardy: Identifying Non-
Obvious Brain-Based Impairment, Springers International Library of Ethics, Law, and the New
Medicine.
Woods, Freedman (2015) Intellectual Disability, Comorbid Disorders and Differential Diagnosis,
Intellectual Disability and the Death Penalty.
Greenspan, Woods (2014) Intellectual Disability as a Judgment Disorder: The Gradual Move Away
From IQ-Ceilings, Current Opinion in Psychiatry.
Freedman, Woods:(2013) Neighborhood Effects, Mental Illness and Criminal Behavior: A Review.
Journal of Politics and Law; Vol. 6, No. 3.
Norton, Woods, (2012). Secondary trauma among judges, jurors, attorneys, and courtroom
personnel. Encyclopedia of trauma: an interdisciplinary guide. C. Figley, Sage Publications.
Woods, Greenspan, Agharkar: (2012) Ethnic and Cultural Factors in Identifying Fetal Alcohol
Spectrum Disorders: American Journal of Law and Psychiatry.
Exhibit 1 Page 26
Bradford, Fresh, Woods: Not all patients are alike: (2007) Ethnopsychopharmacology of Bipolar
Disorder in African Americans. Psychiatric Times, February.
Forensic Practice
1981-present Psychiatric Consultant (Civil, Family Law, Criminal and Appellate Judicial
Proceedings)
1993-2001 Consultant- the Victims Assistance Program, State Board of Control, State
of California, Sacramento, California
1983-2000 Medical Examiner Panel, San Francisco County, Marin County and Contra
Costa County Superior Courts
2016 Cutting Edge Issues in Employment Law: Practising Law Institute, San Francisco.
2016 Psychological Issues in Employment Law: Practising Law Institute, 2016, New York.
2015 Legal and Practical Implications of Domestic Violence in the Workplace: Its Not
Just the NFL: American Bar Association Section of Labor and Employment Law 9th
Annual Labor and Employment Law Conference, Philadelphia
2015 Cutting-Edge Employment Law Issues 2015: The California Difference. Mental
Health and the Law, Practising Law Institute, San Francisco
2014 ADA and Mental Disabilities: Inquiries, Exams and Accommodations, Practising
Law Institute, New York, New York
2014 Psychological Issues in Employment Law 2014, Practising Law Institute, New York,
New York
2010 The Trial of Hamlet, Morrison and Foerster, LLP, Law College, San Diego, California
Exhibit 1 Page 27
2009 Treatment of Mentally Ill Offenders in the United States, Canada, and Japan;
Japanese Association of Forensic Psychiatry, Tokyo, Japan
1998-2007 In Association With The National Institute of Trial Advocacy Training, Notre Dame
University, South Bend, Indiana; Georgia State Law School, Atlanta, Georgia; New
York University Law School, New York City, University of North Carolina Law
School, Chapel Hill, North Carolina; University of Houston Law School, Houston,
Texas; University of Tennessee Law School, Knoxville, Tennessee; Atlanta,
Georgia; University of Texas Law School, Austin, Texas; Temple University School
of Law, Philadelphia, Pennsylvania
2006 Aligning Clinical Services with Correctional Treatment, Luzira Prison, Kampala,
Uganda
2006 Decision Tree for Forensic Evaluations, Butabika Hospital, Kampala, Uganda
2006 Neuropsychiatry and The Courts: The University of Texas Law School, Austin Texas
2002 Demystifying Emotional Damages Claims: Paul, Hastings, Janofsky & Walker, San
Francisco, California
1999 The Kenya/Tanzania Embassy Bombings: When Forensic Science, Politics, and
Cultures Collide: International Academy on Law and Mental Health, Toronto,
Quebec, Canada
1999 Research Collaboration Between East Africa and the United States: World
Psychiatric Association/Kenya Psychiatric Association, First Annual East African
Conference, Nairobi, Kenya
1998 Mental Health Litigation and the Workplace: Sponsored by the University of
California Davis Health System, Division of Forensic Psychiatry, Department of
Psychiatry, and Continuing Medical Education, Napa, California
Exhibit 1 Page 28
1998 Psychological Disabilities: Charting A Course Under the ADA and Other Statutes:
Yosemite Labor and Employment Conference, Yosemite, California
1998 Current Trends in Psychiatry and the Law: Developing a Forensic Neuro-
Psychiatric Team: CLE, Federal Public Defenders for the District of Oregon,
Portland, Oregon
1997 The Changing Picture of Habeas Litigation: The National Habeas Training
Conference, New Orleans, Louisiana
1997 Accommodating Mental Illness in the Workplace: Employment Law Briefing, Palo
Alto, California
1997 So You Wait Until Discovery Is Over to Consult with a Psychiatrist? Can You Tell
Me More About That? Morrison and Foerster Labor Law College, Los Angeles,
California
1997 The Changing Cultural Perspectives in Forensic Psychiatry, San Francisco General
Hospital Grand Rounds, San Francisco, California
1996 Forensic Psychiatry: Cultural Factors in Criminal Behavior, Malingering, and Expert
Testimony: The Black Psychiatrists of America Transcultural Conference, Dakar,
Senegal, West Africa
1995 Violence in the Workplace: A Psychiatric Perspective of Its Causes and Remedies:
The Combined Claims Conference of Northern California, Sacramento, California
1995 Experts: New Ways To Assess Competency- Neurology and Psychopharmacology:
Santa Clara University Death Penalty College, Santa Clara, California
Exhibit 1 Page 29
1995 Multiple Diagnostic Categories in Children Who Kill: Psychological and Neurological
Testing and Forensic Evaluation: The American College of Forensic Psychiatry 13th
Annual Symposium, San Francisco, California
1995 Mock Trial: Client Competence in a Criminal Case: Testing the Limits of Expertise,
The American College of Forensic Psychiatry 13th Annual Symposium, San
Francisco, California
1995 The Use of Psychologists In Judicial Proceedings: The California Attorneys for
Criminal Justice/California Public Defenders Association Capital Case Seminar,
Monterey, California
1994 Commonly Seen Mental Disorders in Death Row Populations: The California
Appellate Project, Training Session for Legal Fellows and Thurgood Marshall
Investigative Interns, San Francisco, California
1994 Anatomy of a Trial: Mock Trial Participant, The California State Bar Annual
Convention, Anaheim, California
1994 Attorney/Investigator Workshop: Brain Function: The 1994 California Attorneys for
Criminal Justice/California Public Defenders Association Capital Case Seminar,
Long Beach, California
1993 Working with Experts: California Appellate Project, San Francisco, California
Exhibit 1 Page 30
Professional Forensic Publications
Greenspan, Woods (2016) Chapter 7 Personal and Situational Contributors to Fraud
Victimization: Implications of a Four-Factor Model of Gullible Investing. Financial Crimes:
Psychological, Technological, and Ethical Issues. Dion, Weisstub, Richet. Springer Publishing.
Wood, Hanoch, Woods (2016) Chapter 6 Cognitive Factors to Financial Crime Victimization.
Financial Crimes: Psychological, Technological, and Ethical Issues. Dion, Weisstub, Richet.
Springer Publishing.
Woods, (2016) Cognition and Aging: Impact in the Workplace: Paul Hastings Global.
Woods, (2016) Treat or Assess: Which Hat Should Your Expert Wear? Practising Law Institute.
Mock Trial: Client Competence in a Criminal Case: Testing the Limits of Expertise, The
Psychiatrists Opinion as Scientific, The Experts Foundation as Sufficient, 1995 (Available from
The American College of Forensic Psychiatry and on Audiotape).
Multiple Diagnostic Categories in Children Who Kill: Psychological and Neurological Testing and
Forensic Evaluation, 1995. (Available from the American College of Forensic Psychiatry and on
Audiotape).
Exhibit 1 Page 31
Professional Development & Corporate Services
2004 Toward Effective Retention Efforts: The use of narratives in understanding the
experiences of racially diverse college students., Narrative Matters, Fredericton,
New Brunswick, Canada
1999 In Association with Matthew Bender Legal Publishing, New York: Psychiatric
Disabilities and California Workplace Requirement, With the Bar Association of
San Francisco, San Francisco
1998 Psychiatric Disabilities under the Americans With Disabilities Act: Without Pretrial
Strategy, Atlanta, Georgia
1998 Psychiatric Disabilities under the Americans With Disabilities Act: Without Pretrial
Strategy, Los Angeles, California
Exhibit 1 Page 32
Johnson Freedman Woods Education, LLC
2017 Criminal Law and Mental Illness: The Rising Role of Neuroscience in the Courts:
The American Psychological Association, Washington, DC.
2012 - present An Evolution in Practice at the Intersection of Mental Health and the Law: Where
Mental Health Meets the Law by Jennifer Johnson, J.D., David Freedman, Ph.D.,
and George Woods, M.D. of Johnson Freedman Woods Education: a
comprehensive curriculum on the evolving field of forensic mental health.
Thomson Reuters West Legal EdCenter
2001 Teaching Complex Case Stories, Faculty Development, Loras College, Dubuque,
Iowa
2000 Critical Moments: Practicum on Teaching Diversity Through Case Stories, 13th
Annual National Conference on Race and Ethnicity in American Higher Education
(sponsored by the University of Oklahoma, Southwestern Center for Human
Relations Studies), Santa Fe, New Mexico
1999 Teaching Complex Issues with Case Studies: A Workshop for Faculty and Graduate
Teaching Assistants, University of Nebraska at Lincoln, Teaching and Learning
Center and Critical Moments Project
1999 Critical Moments: Writing the Stories of Diverse Students, Washington Center for
Improving the Quality of Undergraduate Education Workshop for College and
University Faculty, Administrators, Staff and Students, Evergreen State College
Exhibit 1 Page 33
1999 Critical Moments: A Case Study Approach for Easing the Cultural Isolation for
Under-represented College Students, Presented at Transforming Campuses
Through Learning Communities, National Learning Communities Conference,
Seattle, Washington
Diane Gillespie, Ph.D. and George Woods, Jr., M.D. (2000). Critical Moments: Responding
Creatively Cultural Diversity Through Case Stories; Third Edition.
Exhibit 1 Page 34
Attachment B
Exhibit 1 Page 35
DECLARATION OF GEORGE W. WOODS, M.D.
Bachelor's degree in 1969 from Westminster College in Salt Lake City, Utah. I received my
medical degree from the University of Utah Medical Center in 1977. I completed a medical
internship at Alameda County Medical Center, Oakland, California; then completed my residency
at the Pacific Medical Center in San Francisco, California in 1981, where I was Chief Resident my
1992.
Psychiatry to third and fOUith year residents at Morehouse School of Medicine, Department of
Psychiatry. I am also a member of the faculty of the Department of Educational Leadership and
Public Policy, California State University, Sacramento. I was previously on the faculty of the
University of Washington, Bothell campus, where I taught a course on Mental Illness and the
Law. From 1996 through 2000, I taught in the postgraduate Forensic Psychiatry Fellowship at the
Psychiatric Association and the Northern California Psychiatric Association. I am a mcmbcr of the
membcr of the American Academy of Psychiatry and the Law. I am on the Scicntific and
Exhibit 1 Page 36
Executive Committees of the International Academy of Law and Mental Health. I am a past
member ofthe Advisory Board of The Health Law Institute of the College of Law, DePaul
University. Currently, I am on the Advisory Board of the Center for African Peace and Conflict
Resolution, California State University, Sacramento, and the Global Advisory Board for
Humiliation and Dignity Studies, Trondheim University, Norway, and Columbia University, New
York.
psychiatric evaluation of capitally-sentenced inmate Jack Gordon Greene and to assess whether he
is mentally competent to participate in federal habeas corpus proceedings. Mr. Greene's attorneys
have requested that I write this preliminary declaration explaining, first, why I suspect that Mr.
Greene may be severely mentally ill and incompetent, and second, why it is impOltant that I have
reviewed psychological, medical, educational, social and family history materials. Background
documentation for Mr. Greene's childhood includes life history records from Mr. Greene and
multiple family members as well as interviews with siblings of Mr. Greene. Such materials are
essential to developing reliable opinions about a person's psychiatric condition. At this time, the
materials that have been provided to me in this case arc notably incomplete. It is apparent that
additional mental health and social services records regarding Mr. Greene and his family exist.
Counsel for Mr. Greene was not able to provide me the additional records because a release from
Exhibit 1 Page 37
II. Relevant Social History
A. Jack's Childhood.
6. Jack Gordon Greene was born on March 13, 1955 in Lenoir, NOlih Carolina and
was the youngest of thirteen children born to his father, Turner Greene, Sr. Turner had six
children, Jack's half brothers and sisters, with his first wife, Florence Greene. Jack and his six full
brothers and sisters were born to Turner's second wife, Jack's mother, Ola. At the time ofMr.
Greene's bilih his father, Turner, was between 55 and 57 years old.
7. Jack's father, Turner, was an alcoholic whose addition to alcohol was quite severe.
Turner drank constantly and maintained a state of drunkenness for weeks and sometimes months at
a time. He reportedly experienced frequent severe headaches. Turner was also violent, beating his
wife and children and sexually abusing his daughters. According to one of Jack's sisters, Turner
would take her panties off and slide her body up and down the shaft of his penis. The reporting
sister would have been nine years old at the time of their father's death.
8. Jack was born into family that was not only scarred by abuse and alcoholism but
also suffering in extreme poverty. When Jack was an infant, his large family lived in a tiny three-
room house without power, running water, or indoor plumbing. The family drew their bathing and
drinking water out of the spring, washed clothes in the creek and used an outhouse. They did not
have an automobile and lived in rural area of North Carolina, miles away from everything and
everyone.
9. Jack's father, Turner, committed suicide on September 6, 1956. On that day, Jack,
then eighteen months old, was sleeping in the family's three-room home. Turner was intoxicated
and had been intoxicated for days. He was demanding his shotgun, but his wife, Jack's mother,
Ola, had hidden the gun in a lumber pile in the yard because she was worried that Turner would
Exhibit 1 Page 38
hurt someone. After Ola went down to the creek to wash Jack's diapers, Turner found the gun in
the lumber pile. He then went into the house where Jack was sleeping. Turner's death celiificate
shows that he was killed by a self-inflicted gunshot wound to the chest. When Ola discovered
what had happened to Turner she let out a horrible scream that at least one of Jack's sisters still
vividly remembers to this day and describes as scarring her for life. The sister states that Jack was
there when all of this happened and wonders how being exposed to that trauma would have
10. The same sister reports that their mother, Ola, seemed to draw closer to Jack after
their father committed suicide and seemed to take solace in snuggling with her baby, Jack. Mr.
II. After Turner committed suicide, Jack's large family became even more destitute.
They were forced to move in with Ola's parents, Jack's maternal grandparents, Charlie Coles
Taylor and Gladys Dula Taylor. Jack's grandfather, Coles, is described by multiple sources as
extremely abusive. It was not possible to know what might set him off and he would demand the
siblings remove shirts or pants so that he could lash their bare skins. Coles is said to have beat the
children with belt or a stick to the point of causing free flowing blood, to the point of "blood
everywhere." He is even reported to have thrown salt in the wounds. One of Jack's siblings
described Coles waiting until he was asleep and then snatching him out of bed to whip him with a
handful of switches.
12. More than one sibling was puzzled by the fact that Coles appeared to have
particular antipathy for Jack, the youngest of his grandchildren. Coles would wrongly blame Jack
if anything turned up missing, like a hoc or a rake, even though Jack was just a small boy and
would have little use for such things. He was observed to have "a grudge" against Jack.
Exhibit 1 Page 39
According to Jack's sister, Coles would beat him at least once a week or more, and little Jack
would crawl under the bed to hide and weep. Jack's siblings had no idea why Coles appeared to
target him. Jack's mother did not challenge Coles's abuse of her children; Jack's siblings suggest
that this was because she was fearful that her father would evict them all and she had nowhere to
go.
13. The children describe their mother as working hard to provide for them and state
with pride that they did not go hungry. Their mother raised a large garden and canned. They
regularly received "welfare food" from the county. The grandparents raised hogs and, as one
brother states, "we used everything out of everything, used everything but the squeal from the
hog." Ola made blankets by sewing together old feed bags. There was no money for children's
toys, but Ola would try to make due with such tricks as bunching up a towel and tying a string
14. Despite her efforts, Ola was far from an ideal caretaker and (as discussed further
below) suffered from serious mental illness. She remained dependent upon her abusive father
throughout her childrearing years and remained unable to protect her children from the abuses of
her father. The family remained poverty stricken and dependent upon government aid for food
and the kindness of neighbors and local ministries for clothing for the children.
15. Ola and the children initially lived with the grandparents in their modest house. In
an effort to escape the abuse meted out by her father, Ola ultimately movcd her children out from
under his roof. A couple hundred fect from the grandfather's house was thc chicken coop, where
the grandfather had kept his chickens. Ola and her children moved into the chicken coop and lived
there for several years. The chicken coop had no electricity, no running water, and no indoor
plumbing. It was one big space with a dirt floor, and according to one sibling, even lacked a
Exhibit 1 Page 40
proper door. Ola would partition off the space for the boys to have a separate sleeping space from
the girls. The chicken coop did not even serve to protect the children from the elements, and one
of Jack's siblings remembers waking up covered in snow that had sifted through the cracks in the
walls. The chicken coop also did not serve to protect the children from their grandfather, who
lived a matter of feet away and continued his abusive practices with all of them.
16. The Greene children did not have such basic necessities as a toothbrush and
toothpaste. One of Jack's sisters recalls that staff at her elementary school gave her a toothbrush
and toothpaste, and she had no idea what to do with it. The children describe hauling water up the
hill from the spring, water that their mother would heat on the fire for baths or for cooking. They
would all share the bath water in a tub that was kept outside in the summers, inside in the winters.
17. Ola's children attended primary school, but it was not something that she
emphasized as important. No one ever helped Jack or his siblings with the homework or even
encouraged them to complete it. All of the children found school difficult both academically and
socially. The sisters describe being taunted by the other children for their poverty. Jack's brother
Danny was pushed through school, despite the fact that he could never learn to read or write. Jack
18. Jack's siblings each describe a particular event in his life as being "Jack's
downfall." When he was II years old, Jack was committed to Stonewall Jackson Juvenile
Training School after his grandfather, Coles, accused him (wrongly, according to Jack's siblings)
of stealing Coles's gasoline. Over the course of more than four years, members of the training
school staff raped him. Jack physically fought to prevent the abuse but often was not successful.
The adults ostensibly charged with his care repeatedly forced him to have anal sex. Jack was also
exposed to alcohol, marijuana, and LSD during his years at the state's training school, and began
Exhibit 1 Page 41
using those substances while there at age II. The information that has been provided to me covers
these matters only in the broadest outline, and it is critical that I have the opportunity to discuss
19. Jack and a companion, Michael Murray decided to flee from the abusive training
school in early October 1970. The boys took a 1966 Chevrolet and escaped the institution as the
police chased them out of town and over a major federal highway. The vehicle flipped while
being chased by Highway Patrol. Jack was 15 years old, and his companion was 14. Both Jack
and Michael were gravely injured and were rushed to the hospital. Michael died ten minutes after
he arrived. Jack sustained a head injury, fractured ribs, and a punctured lung. Jack's mother went
to visit him and returned, distraught, carrying his clothes, which were soaked with blood. I have
been unable to review the medical records from this incident because Mr. Greene has not signed a
proper release, and the hospital will not otherwise disclose them without a court order.
20. A family member describes Jack's reaction to what happened. Jack was absolutely
distraught and overcome with guilt. He blamed himself for Michael's death. He was described as
highly emotional, crying and wailing and saying that he would give anything in the world to have
those moments back and to bring Michael back. Once Jack was released from the hospital, he was
sent right back into the abusive environment that he had just traumatically escaped from.
21. Jack's relatives say that he was never the same after his experiences in the training
school. The changes appeared to be both acute and chronic in nature. For years after the accident
intrusive memories would keep Jack up late at night and he would visit relatives crying and
needing comfort. Family members describe a young man who became more withdrawn and quiet.
Prior to going to the training school, Mr. Greene had enjoyed a close relationship with his mother
and as a young boy loved to be held and rocked. Aftcr training school, he seemed uncomfortable
Exhibit 1 Page 42
with physical touch - "couldn't stand to be touched." Early on after his release, his sister observed
that he always seemed scared and anxious even when there was nothing to be worried about. This
appeared to worsen over the years and she observed over time that he seemed edgy and suspicious
and could never sit still. He would constantly pace the floor and peer out the windows as if
someone were looking for him or out to get him, even though no one really was. She describes
him as "a nervous wreck for no apparent reason." More than one sibling states that Jack seemed
like a completely different person. Jack reportedly began to get "fixed ideas" that "no one would
22. Following his commitment to the training school, Jack did very poorly
academically. With the exception of one term of History, when he scored a C, Jack failed or scored
a D in every academic subject. Jack's overall "failure in subjects" was noted beginning in his
seventh-grade year and continued through the two years that he tried but failed to complete the
eighth grade. A standardized test administered to Jack by his school at the age of 15 was
indicative of serious cognitive deficits. The test notes an I.Q. equivalency of78, though the
instrument used is not an I.Q. test, nor is it an appropriate instrument for a final diagnosis of
Intellectual Disability.
23. Jack's tcachers also rated him poorly on subjective assessments of personal
strengths and weaknesses. They consistently judged him as "low" or "below average" in such
"Maturity," and "Self-Control." Jack dropped out of school after he failed the eighth grade for the
second time.
Exhibit 1 Page 43
24. The limited neuropsychological testing of Jack that has been conducted to date
indicates brain damage and significant impairments in the frontal lobes. He has never been
administered a valid I.Q. test, such as a Wechsler Adult Intelligence Scale 01' a Stanford-Binet.
25. Mr. Greene tried to work beginning in 1971 but was never able to hold down a
steady job. Social Security record for Mr. Greene indicate that he worked for fourteen different
employers between 1971 and 1987, including several furniture factories and a chicken plant. He
rarely worked anyone job for more than several months at a time, rarely earned more than a
couple thousand dollars in a given year, and typically earned much less than that. For many years
26. During this period, Mr. Greene abused alcohol and a number of other substances.
unsuccessful effort to control it. Mr. Greene's sister, Mary Ellen, recalls that he had a self-help
book titled "Why Do I Do What I Don't Want to Do?" and that his efforts to combat his addiction
were SIncere.
27. Hospital records show a series of visits that indicate Mr. Greene experiencing
varying levels of psychological distress or disturbance. On June 3, 1982, Mr. Greene, then 27
years old, was admitted to a North Carolina hospital emergency room under strange
circumstances. Mr. Greene had taken his pocket knife and cut a 5-inch gash into the back of his
leg. The wound resulted in significant bleeding, and Mr. Greene was rushed to the ER, where he
lost consciousness due to loss of blood and "fright." At the hospital, Mr. Greene told the doctors
that he had eut himself because he had been bitten by a snake. The doctors found no swelling,
fang marks, or other symptoms that would indicate a snake bite, and did not believe that Mr.
Exhibit 1 Page 44
Greene had, in fact, been bitten. ER staff noted that Mr. Greene was suffering anxiety and had
28. On September 8, 1982, Mr. Greene was again admitted to the ER for cutting
himself, this time for slitting his wrists. Mr. Greene had made three 3-inch cuts in both of his
29. The following year, Mr. Greene's mother committed suicide. Not long thereafter,
Mr. Greene was seen in the ER a third time for self-inflicted wounds. On January 9, 1984, Mr.
Greene shot himself in the foot with a l2-gauge rifle. Although his wound was serious, Mr.
Greene irrationally refused to sign any papers, refused IV fluids, and "refused all therapeutic
Carolina Baptist Hospital, where he received some form of inpatient treatment for fifteen days.
Records of Mr. Greene's relatives reveal that N.C.B.H. provided inpatient psychiatric care during
the early I980s; however, that hospital will not disclose its records on Mr. Greene without a
30. Approximately six weeks later, on February 27, 1984, Mr. Greene was seen in the
ER after apparently being involved in an automobile accident and suffering a head injury.
Although Mr. Greene, who was intoxicated, had walked himself to the hospital, he emphatically
refused treatment of any sort. He repeatedly refused a cervical collar, refused to sign anything,
refused to stay on the stretcher, refused to allow his forehead to be stitched up, and left the
hospital. Mr. Greene returned to the ER a second timc several hours later and consented to the
stitching and to a skull x-ray, which did not indicate a fracture. After he was released for the
night, Mr. Greene returned to the ER for the third time on the following afternoon complaining of
a headache. Although he had been taking Tylenol with codeine for his injuries, a compound
10
Exhibit 1 Page 45
analgesic that is used to treat moderate to severe pain, Mr. Greene was getting no relief for his
headache.
31. Four days later, on March 3, 1984, Mr. Greene was seen again in the ER. On this
occasion, Mr. Greene complained that the gunshot wound on his foot had become infected. Upon
examination, however, Mr. Greene's foot was found to be healing normally. The doctor declared
that there was "no infection present to inspection" and discharged Mr. Greene without taking
further action.
32. The following year Mr. Greene again presented at a local emergency room in
considered distress. He complained of anxiety, depression, insomnia, weight loss, and disturbing
homicidal thoughts. In light of Mr. Greene's self-reports, a physician at a local hospital declared
that Mr. Greene was mentally ill and a danger to himself and others. He was judicially committed
to a state psychiatric hospital for further evaluation. The clinicians there noted that Mr. Greene
was suffering anxiety and depression and that he was unable to effectively cope with his stress and
anxiety. Mr. Greene expressed a fear that he was "cracking up." The clinicians were impressed
that Mr. Greene was "very sincere" in wanting help for his psychiatric and substance abuse
problems. Mr. Greene was given indefinite diagnoses of mixed substance abuse, mixed
adjustment disorder, and mixed personality disorder, and he was released without substantial
treatment.
33. Six years later, in 1991, Mr. Greene was arrested on charges of murder. I-Ie was
convicted and sentenced to death by an Arkansas state court on October 15, 1992. Mr. Greene has
spent the intervening years incarcerated on Arkansas's death row. Mr. Greene has spent many of
these years in solitary confinement and without visitation from friends or family.
11
Exhibit 1 Page 46
C. Family History of Mental Illness and Suicide
34. Mr. Greene has an extensive family history of mental illness, substance abuse,
suicide, and cognitive deficits. Mr. Greene's father committed suicide when Jack Greene was but
eighteen months old and the father was fifty seven years old. Other than what has been previously
discussed, little else is know about Turner Greene, Sr., at this time. Mr. Greene's mother
committed suicide when Mr. Greene was twenty-eight years old and his mother was sixty-three
years old. More is known about Mr. Greene's mother's history than his father's history and shows
a documented history of serious mental illness that goes back to age 23.
35. In 1943, at the age of23, Mr. Greene's mother Ola was the subject of an
"Inquisition of Lunacy" held in Wilkes County Superior Court. A physician made an affidavit
under oath that he had carefully examined Ola and that he believed her to be an "insane person"
and "a fit subject for admission into a hospital for the insane." The Inquisition was tried to a state
judge, who took testimony from two physicians and from Ola's father. The judge found that Ola
was indeed a "lunatic" and that she should be involuntarily committed to the state psychiatric
hospital.
36. After she was released from the psychiatric hospital, Ola continued to have mental
health problems. She went on to marry Turner Greene and to have seven children. After her
husband's suicide, Ola was left with seven children, ages 18 months to II years old. Her children
state that they believe their mother had mental problems throughout their childhoods. They can
rarely remember ever seeing her smile. When getting up late at night, her daughter remembers
seeing her mother sitting in a chair simply staring at the fIre. For no apparent reason, Ola would at
times grab her head and hair and scream. Ola was quiet and isolative. One of her daughters noted
12
Exhibit 1 Page 47
that she rarely would initiate any sort of conversation and would often retreat if other people came
around.
37. As her children became adults, they became more aware of their mothers
difficulties. She would often show up at the home of a family member and demand to be rushed to
the hospital. The doctors were unable to find anything physically wrong with her and would
prescribe "nerve pills" or a placebo for her anxiety. At some point, ala began taking psychotropic
38. Her children describe ala as continuing to have "bad nerves" and "mental
problems" as she aged. She remained socially withdrawn and would rarely talk or smile; she
would often isolate to her bedroom, particularly when there was company. ala had become
religiously preoccupied. She became fixated on the idea that she would die and go to hell. She
would say that she was going to hell over and over to the extent that she was unable to do anything
else. When asked what she had done to deserve going to hell, ala would say, "Because I took my
medicine wrong, I have sinned." ala was obsessed with taking her medications just so and "went
crazy" ifshe "remotely thought she took something wrong." When asked why taking just the right
pill at just the right time was so important, ala would say that "the Lord will not forgive me"
otherwise.
39. Multiple sources attest that ala firmly believed that her father was being visited by
"demon spirits." She thought that there were "demon spirits all around Coles." She became
preoccupied with the idea that her father was reading "devil worshipper" books and following a
"preacher worshipping something other than the Lord." Her daughters describe ala as
experiencing a high degree of psychological and physical agitation and that she would get fixed
ideas that she would believe as true no matter what. Reportedly, ala was hospitalized a second
13
Exhibit 1 Page 48
time at some point later in life for her "nerve problems." Counsel for Mr. Greene informs me that
40. Due to her destitute circumstances, Ola ended up living with her father after her
children were grown. For unknown reasons, on July 7, 1983, Ola attacked her father, 84, with a
hammer, beating him in the face and almost killing him. At the same time, Ola ingested a large
quantity of prescription pills. A neighbor found Mr. Greene's grandfather, Mr. Taylor, in his
trailer home bloodied, gravely injured, and crying for help. Ola was likewise inside the trailer and
was discovered standing with the hammer still in her hands. Mr. Taylor was taken to the hospital
and treated for cuts and a broken jaw. Ola, however, died from the overdose of pills she had
taken. At the time of her suicide, Ola had a prescription for Ativan, a drug used in the treatment of
anxiety disorder.
41. Mr. Greene's full brothers and sisters also have clinically significant histories. Two
of Mr. Greene's full siblings have had mental health problems significant enough to be judicially
committed to the state psychiatric hospital, like Mr. Greene and his mother. Mr. Greene's brother,
Turner Greene, Jr., was involuntarily committed at the age of 18. Turner's mother, Ola, brought
him before the court, which had Turner examined by three doctors. All three diagnosed Turner as
42. Mr. Greene's sister, Mary Ellen Blankenship, was judicially committed for mental
illness in 1984; the details of the commitment are unavailable because the Caldwell County
Superior Court requires a court order for the release of Ms. Blankenship's file. Ms. Blankenship's
medical records do reveal a lengthy history of severe Panic Disorder and Major Depressive
Disorder dating back to at least the 1970s. Ms. Blankenship's mental illness has required inpatient
14
Exhibit 1 Page 49
43. Ms. Blankenship also has a history of agitation and psychosis. Intermittently
between 1971 and the mid 1980s, she was treated with multiple antipsychotics, including
Haloperidol, Perphenazine, and Thioridazine. After her mother died, Ms. Blankenship reports she
would be harassed by a "suicide spirit" and that "[s]omething would say to [her], 'Go and get a
knife.'" She has sometimes attributed her problems to "a trick of the devil." For decades, Ms.
Blankenship has repeatedly visited the emergency room under the belief that she is having a heart
attack, but doctors have not been able to find anything physically wrong with her. Mr. Greene's
counsel informs me that he cannot get disclosure of Ms. Blankenship's inpatient psychiatric
44. While I have no indication yet that they have been judicially committed, Mr.
Greene's other siblings are also chronically mentally ill. His sister, Georgia Howell, has struggled
with Panic Disorder and Major Depressive Disorder since before her mother's death in 1983. She
has been repeatedly prescribed powerful antianxiety and antidepressive medications. Mr. Greene's
brother, Danny, likewise has a longstanding and consistent history of Major Depressive Disorder
and Anxiety Disorder dating back approximately thirty years and has been prescribed antianxiety
and antidepressive medications. Danny also reportedly gets fixed ideas, and when he does there is
"no changing him," even with "proof" to the contrary. In particular, Danny has long been
obsessed with the idea that his older brother, Tommy, was responsible for his mother's death, and
45. Mr. Greene's brother, Hulette Greene, also has a long history of psychological
problems, with his dating back to at least 1961. Hulette was treated for Seizure Disorder with
Grand Mal, Major Depressive Disorder, and Anxiety Disorder with panic attack for many years
before his death in 2007. Even when he was a child, Hulette would engage in bizarre behavior,
15
Exhibit 1 Page 50
described by his siblings as "hollering and screaming and beating on the walls" in the middle of
the night that terrified his family. Siblings also describe that Hulette as a child experienced
periods of anergy and isolation to the point that he would refuse to get out of bed for days on end.
46. Hulette is described by those who knew him well as a chronically depressed "basket
case" who "couldn't or wouldn't face reality." Hulette was known to isolate as an adult, refusing to
come out of his house or to open his door to visiting family members. By 1991, Hulette's
difficulties were so well established that he was diagnosed with "chronic stress reaction." There
are indications in his medical records that Hulette may have had psychosis. On one visit that
Hulette made to the emergency room, Hulette reported symptoms consistent with a panic attack
47. A number of Mr. Greene's half siblings also have clinically significant histories.
Only limited medical history information is available for most ofMr. Greene's half siblings, and
counsel for Mr. Greene informs me that their records cannot be secured without a court order.
What limited history I do have regarding Mr. Greene's half brothers, Bobby Greene and David
Greene, is revealing. Like Mr. Greene's mother and father, his brother, Bobby, committed suicide.
In 1986, Bobby shot himself in the neck with a 20-gauge shotgun, and he died from his wounds.
Bobby is described by siblings as a "heavy drinker" and had said that he would "go the same way
my daddy went." He also experienced frequent severe headaches. Bobby had apparently been
suicidal for many ycars before he killed himsclf. Grccne family lorc holds that numerous Greenes
48. Mr. Greene's half-brother David has a history of Anxiety Disorder dating back to at
least 1998 and probably earlier, and he has been treated with a number of antianxiety medications
16
Exhibit 1 Page 51
49. Mr. Greene's children also have serious mental illness. As with Mr. Greene's half
siblings, I have limited (albeit psychologically significant) information about Mr. Greene's
children. Most notable is Mr. Greene's son, Timothy Greene, who has struggled with mental
illness since at least 1993. Timothy has received mental health treatment for panic attacks,
insomnia, anxiety, and depression, and he has been diagnosed with Bipolar Disorder. Mr.
Greene's only other son, Brandon Eller, has a long history of substance abuse problems as well as
a documented history of suicidal ideation and at least one suicide attempt. On that occasion, Mr.
Eller ingested 30 unidentified pills, for which he was hospitalized for three days. Mr. Eller's sister,
Mr. Greene's daughter, Jessica Darling, has a history of substance abuse problems, for which she
50. Mr. Greene's family has a significant history of cognitive impairment. Mr. Greene's
father, Turner, was unable to read or write. His brother Hulette was likewise illiterate, as is his
brother Danny. His sister, Mary Ellen, only learned to read in her teens and still does so only with
difficulty.
51. The academic histories of at least four of Mr. Greene's full siblings reveal evidence
of intellectual disability. Mr. Greene's brother, Turner, Jr., scored a 79 I.Q. equivalency on a
standardized test, which indicates a significant cognitive impairment. Turner Jr. failed the 3rd,
4th, and 8th grades and then dropped out of school after he failed the 9th grade. Teachers noted
that he was irritable most of the time, often very restless, and usually did not get along well with
others.
52. Mr. Greene's brother, Hulette, scored a 65 I.Q. equivalence, indicating that he was
likely suffering from an intellectual disability. Hulette had poor grades, failed the Ist and 6th
17
Exhibit 1 Page 52
grades, and left school after the 8th grade. At age 16, his teacher noted her perception that Hulette
needed psychological testing and "help from a social worker." She noted that he "tried to behave
53. Mr. Greene's sister, Mary Ellen, scored an l.Q. equivalence of81 on a test of
mental ability, placing her in the lower level of intellectual functioning. She had to repeat the 1st
grade and left school following after the 8th grade. A teacher wrote that, at the age of fifteen,
Mary Ellen was only reading at a primary (or third-grade) level and that she was unable to follow
oral instructions unless they were repeated to her. In one of her adult medical records, Mary Ellen
is noted as "slow" and as someone who needs special assistance with reading.
54. Mr. Greene's brother, Danny, took multiple standardized tests, resulting in the
following l.Q. scores: 78,76,67, and 64, with the lower scores coming later in Danny's school
career. These scores indicate that Danny was likely suffering from an intellectual disability.
Danny's grades were always very low, and he failed 1st, 5th, 6th, and 7th grades before being
55. The materials that 1 have been provided contain no academic, medical, or
psychiatric records for Mr. Greene's sister, Joyce Osborne, and counsel for Mr. Greene informs me
that he is unable to obtain them without a court order. Ms. Oshorne is described by her siblings
has having "nerve" troubles. She is said to have had "fits" like her brother Hulette during her
childhood in which she would "fall out and hit the ground, passed out." Ms. Osborne does not
work, never learned to drive, receives disability payments, and lives with one of her daughters.
18
Exhibit 1 Page 53
III. Contemporary Observations and Evidence
56. Contemporary observations of Mr. Greene and the evidence provided by his own
writings suggest that he may be psychotic. Numerous and diverse witness accounts consistently
57. First, Dr. Dale Watson, a highly qualified clinical and forensic psychologist with a
specialty in neuropsychological assessment, observed Mr. Greene's symptoms during his aborted
neuropsychological evaluation ofMr. Greene. Dr. Watson, who visited with Mr. Greene in May
2009, describes witnessing Mr. Greene engaging in bizarre behaviors and experiencing delusions
of extreme pain that lacked any medical cause. Dr. Watson heard Mr. Greene give "paranoid and
delusional attribution of his 'injuries' to the actions ofa conspiracy." Dr. Watson writes that such
"[d]elusions are associated with a number of psychiatric disorders, especially psychotic disorders,
and based upon my clinical experience I suspect that Mr. Greene suffers from one of those
disorders. "
58. Second, four ofMr. Greene's prior attorneys, who met with him over more than a
decade, describe him generally as "mentally ill," "mentally incompeten[t]," "insane," "crazy,"
"nuts," "irrational[]," having "significant psychiatric or psychological issues," and "hav[ing] lost
his mind." In particular, like Dr. Watson, they describe persecutory and somatic delusions. Dale
Adams, who represented Mr. Greene during 1995 and 1996, describes Mr. Greene as "very
paranoid" and "totally preoccupied with these crazy conspiracies" that everyone was plotting
together "to kill him." JefIRozensweig, who represented Mr. Greene during 2002 and 2003, says
that "Mr. Greene was convinced that" "everyone in the past," including "all of his previous
attorneys," "had been purposefully undermining him." Mr. Rozensweig says that Mr. Greene
ultimately came to believe that "I was out to get him, too."
19
Exhibit 1 Page 54
59. Didi Sailings, who previously represented Mr. Greene and observed him in 2004,
says that Mr. Greene "was convinced that the guards were trying to contaminate him," and that he
was "absorbed with the pain" that "he thought the prison was inflicting upon him." According to
Ms. Sailings, Mr. Greene "thought that everyone, including me, was involved in this conspiracy
against him" and that he "did not want anything done on his case because he was convinced we
were going to use it against him somehow." Julie Brain, who represented Mr. Greene between
2005 and 2009, describes Mr. Greene as "feeling constant, intense pain in his brain, ear, and spinal
cord" for which doctors could find no physical cause. Ms. Brain further says that Mr. Greene
attributed these injuries to state officials' efforts to punish him "for asking to be extradited to North
Carolina" and that Mr. Greene believed that "numerous high public officials, the courts, and his
prior attorneys" were involved in a "cover up" of these actions. Mr. Greene's present attorneys
60. Third, the Depattment of Correction's medical staff has made consistent
observations which provide significant insights into Mr. Greene's mental health. One doctor
describes Mr. Greene as complaining of pain so severe that he "would rather be dead" than live
with it, yet the doctor was unable to find any medical causc for such pain. The samc doctor
described Mr. Greene as being "mentally unstable," complaining of "damage[ to] his brain," and
engaging in "yoga-ish contortions" of his body. Another doctOl: described Mr. Greene as engaging
in such bizarre behavior that she was unable to complete her physical examination of him. Nurses
describe Mr. Greene as demonstrating "paranoia," exhibiting "scattered speech," and claiming a
"conspiracy" between prison guards and his attorneys to "burst[] his ear drum."
61. Finally, I have reviewed some ofMr. Greene's personal writings, which are
consistent with the foregoing, reflect fixed delusions, and also seem to indicate a level of
20
Exhibit 1 Page 55
disorganized thinking. (Spelling and grammar are from the originals.) For example, Mr. Greene
writes:
Sence befor July 5th 2004, my cell door trap-door has/is being used as a weapon 24/7 to
inflict more ceaseless debilitating agonizing pain w/injury by the forceful jamming of steel
bor and slomming of trap-door opened/closed bock so hord purposefully repeated for
which originally caused my left inner ear etc. to erupt/burst on the morning of July 5th
2004, the permanent destruction of these vital bodily functioning organs was
orchestrated/conspired criminally by the following and in this chronological order, fired
ex-attorney Jeff Rosenzweig, Worden Grant Harris, Unit Medical dept Nurse Connie
Hubbard, and prison guard Sgt. V. Morris.
I stort this I-Iunger Strike until my Demise Due to the prolong and repeated injuries
inflicted on me by the same means sence July 5, 2004 by staff of the ark. Dept. of
Corrections with the deliberate permanent destruction of such vital bodily functioning
organs thats caused injuries so severe and traumaticly inflicted to my brain, head, left inner
ear etc. with such neurological spinal system nervous and other trauma brain damage that I
suffer as well with a deadly and severe Concussion for all of which is so painfully torturing
and inhumane I con no longer humanly function properly and live with.
oh deor Ms. Nixon, please try and except my humble apology for just now replyin that is
due to the severity of these such prolonged injuries I have, I truely connot rembel', or con
honestly sit. etc. for long enough to try and write ....
Due to prolong burst inner ear etc. without the proper specialized medical treatment and
without the ability to no longer breath through my nose I started hyper-ventilating
uncontrollably with my bodily collapse in floor unable to get up from 7:30AM until
11 :30AM (four(4)hr's) all wile all four of my extremitys, both legs and arms were totally
numb and ice cold to the touch w/out of control contraction of muscles and violent shaking
as I go in and out of shock w/possible cardiac-arrest and or stroke at least ten (I 0) or more
different high ranking ADC guords plus three(3) different ADC nurses do nothing but
literally watch me almost die.
21
Exhibit 1 Page 56
65. Mr. Greene writes of his belief that "the state of at'kansas ... now inflict me with
such at1 inhumane injury as described within these affidavits all because I have always pushed the
issue sence 1994 when my N.C. case being overturned got my arkansas case set aside as weI!."
66. Mr. Greene also writes of the "endless destruction of my legal mail etc. by the ark.
dept. of Corrections" and of the "Dept. of Corrections destroying my legal mail etc.... in their
attempt to prevent me from seeking justice." Mr. Greene further writes that he is being stymied by
"corrupt ADC collaborating attorneys," by "some corrupt lawyer" and by "corrupt ADC with its'
corrupt shot calling lawyers." He writes that he "connot keep being forced to live in such a
manner due to this corrupt ADC and their attorneys with whom I have been firing." He writes that
his court-appointed attorneys secretly took on his case for the purpose of "help[ing] cover up" the
67. In one filing Mr. Greene explains the "corruption" of one prior attorney as follows:
If after I fired attorney Jeffery Morx Rosenzweig had not have influenced improperly their
government agency in which this case being the ark. Dept. of Corrections as described in
formal complaint with attached nine (9) sworn afIidavits where I am being housed on
death-row I would surely not be inflicted with such debilitating permonent injury so
"Prolonged" for which I am literally being tortured by force to death due to the Corruptness
of the ark. Dept. of Corrections brought on by fired attorney Jeffery Morx Rosenzweig. In
which corrupt attorneys such as him self are the very reason this ark. Dept. of Corrections
con bring its' self above the law to inflict such in-humane injury up on another human
being and then as I be forced to live with such a torturing injury of the destruction of a vital
bodily functioning organ all because of such an improper influencing of a government
agency by fired attorney Jeffery Morx Rosenzweig.
68. Mr. Greene also writes that he has filed a number of judicial ethics complaints
against state and federal judges. I-Ie writes that everything will "be made very public soon."
In an affidavit labeled "Stort of til-Death Hunger Strike," Mr. Greene then writes:
U.S. Presidential Candidate prior ark. gov. Mike Huckabee and prior att. gen. ark gov Mike
Beebe. both with political knowledge of appointed and retained attorney's. prior of Current
in their illicit influence of bias senior ark. Dept of Corrections staff to have expedited by
racial black staff of ark. death-row to inflict constant re-injury to brain with concussion
22
Exhibit 1 Page 57
destroying all thirty one (31) paired neu-rological spinal nerves through burst left inner ear
etc. as initially described by some means in eleven (II) sworn affidavits. court filed in both
Johnson Co. ark. Wilkes Co. N.C. in 2005.06 whereas through inhumane injuries maim
and torture I expose this state's apointee political officials.
69. In a letter to ajudge submitting affidavits describing his "injuries" and the
conspiracy he believed was being perpetrated against him, Mr. Greene wrote: "Judge Patterson if
you took the time to read these legal documents then you cleorly undertond why I droped my
appeals in 1999 .... " Mr. Greene has sent bizarre writings to lawyers, judges, politicians, other
70. In light of this substantial evidence, I should note that Mr. Greene's history reveals
a number of important risk factors that predict psychotic disorder, including the following:
71. Extensive Family History of Severe Mental Illness. Mr. Greene's extraordinary
family history of severe mental illness is an important predictor of psychosis. Mental illness,
particularly Schizophrenia, has a significant genetic component. Mr. Greene's mother and siblings
72. Family History of Seizure Disorder. Mr. Greene's brother, Hulette, suffcred from
Seizure Disorder. A family history of Seizure Disorder is associated with increased with of
Menial Health 9(1): 23-23. Researchers believe that common structural brain abnormalities likely
underlie both epilepsy and psychosis. Saehdev, P. (1998). Schizophrenia-like psychosis and
73. Advanced Paternal Age. Mr. Greene's father was 55 to 57 at the time of his birth.
The literature reveals that such advanced paternal age is strongly associated with psychotic
23
Exhibit 1 Page 58
disorder. The risk of a father having offspring with Schizophrenia begins increasing substantially
at age 35 to 40 years. The posited cause of this increased risk is mutation in the male sperm cell,
74. Extreme Poverty. Mr. Greene grew up in extreme poverty, which places him at
greater risk for many forms of mental illness and for psychotic disorders such as Schizophrenia in
particular. Harrison, G., Gunnell, D., Glazerbrook, C., Page, K., Kwiecinski, R. (2001).
Association between Schizophrenia and social inequality at birth: case-control study, British
75. Early Parental Loss. Increased risk of psychosis is associated with early parental
loss, pmticularly in persons who, like Mr. Greene, lost a parent before the age of 9. Agid, 0.,
Shapira, B., Zislin, J., Ritsner, M., Hanin, B., Murad, H., Troudmt, T., Bloch, M., Heresco-Levy,
D., Lerer, B. (1999). Environment and vulncrability to major psychiatric illness: a case control
study of early parental loss in major depression, bipolar disorder and Schizophrenia. Molecular
76. Prolonged Exposure to Severe Childhood Trauma. Childhood trauma of the sort
that Mr. Greene experienced is a risk factor for a plethora of psychiatric disorders, including
psychotic disorders generally and Schizophrenia in particular. Read, 1., van Os, 1., Morrison, A.P.,
Ross, C.A. (2005). Childhood trauma, psychosis and Schizophrenia: a literature review with
theoretical and clinical implications. Acta Psychiafrica Scandanavia 112: 330-350. Childhood
trauma has a dose-response relationship with psychosis, meaning the individuals who, like Mr.
Greene, experienced severe trauma over a number of years have a greater risk of psychosis and
morc severe psychosis, on average, than those with a more limited trauma history.
24
Exhibit 1 Page 59
77. Early Marijuana Use. Recent studies have shown a multiplier effect between
childhood sexual abuse of the SOlt that Mr. Greene endured and use of marijuana (in particular)
before the age of 16. Among children who are sexually abused, those who, like Mr. Greene, use
marijuana before the age of 16 are nearly twelve times as likely to receive a diagnosis of psychosis
later in life. Houston, J.E., Murphy, J., Adamson, G., Stringer, M., Shevlin, M. (2007). Childhood
sexual abuse, early cannabis use, and psychosis: testing an interaction model based on the National
78. Low Cognitive Functioning. Premorbid cognitive impairment of the sort suggested
by Mr. Greene's academic record, work history, and family history is strongly associated with
psychosis. Indeed, contrary to certain popular conceptions of the disorder, cognitive impairment
(not secondary to the disorder) is present in the majority of patients with Schizophrenia.
79. Early Impaired Social Functioning. Early impaired social functioning of the sort
indicated by the subjective assessments of Mr. Greene's teachers and siblings is associated with
psychotic illness later in life. Schizophrenic patients often had difficulty in developing and
80. Traumatic Brain Injury. Psychosis may also develop secondary to head injuries of
the sort that Mr. Greene sustained, and it is especially likely to develop in people, like Mr. Greene,
who have had more than one head iqjury. The literature shows that the consequences of head
injury are long term and that psychosis may take years and even decades to develop.
81. History of Self-Harm. Self-harming behaviors of the sort that Mr. Greene exhibited
during the mid 1980s are also significant. Self~harm is common during the early, pretreatment
phases of psychotic illness. Harvey, S.B., Dean, K., Morgan, C., Walsh, E., Demjaha, A., Dazzan,
25
Exhibit 1 Page 60
P., Morgan, K. (2008). Self-harm in first episode psychosis, British Journal ofPsychiatry 1982:
178-84.
82. Solitary Confinement. The sensory deprivation and social isolation inherent in
supermax confinement of the sort Mr. Greene has experienced increases the risk of psychosis.
This is particularly true in persons who, like Mr. Greene, are predisposed to mental illness and
83. The information that I have strongly suggests the presence of a psychotic disorder.
However, I cannot establish a diagnosis for Mr. Greene or assess the forensic significance of his
symptoms without conducting a clinical evaluation. The extensive history that I have for Mr.
Greene is necessary, but it is not sufficient. A skilled and careful exploration of the information
that only Mr. Greene himself can provide is required. Likewise, an expert examination of Mr.
mood, thought content, cognition, insight, and judgment is essential. The signs of specific
psychiatric disorders often will not be apparent to a layperson. Those signs may even be missed
neuropsychiatry. I would need to visit with Mr. Greene personally before I can offer any definite
I declare, under penalty of perjury under the laws of California and the United States that
the foregoing is true and correct to the best of my knowledge.
26
Exhibit 1 Page 61
Exhibit 2 Page 1
Exhibit 2 Page 2
Exhibit 3 Page 1
Exhibit 3 Page 2
Exhibit 3 Page 3
Arkansas Community Correction
cc
Serving Justice
28Ot South Olive Street, Suite 6 D
Pine Bluff, AR 71603
Telephone 870-543 -LO29 Fax 870-87 9-67 25
-
September L,2017
John C. Williams
Federal Public Defender Organization
1401 W. Capitol Ave., Suite 490
Little Rock, AR722OL
The above reference inmate has applied for executive clemency and will be interviewed by a panel of the Arkansas
Parole Board on October 4,2017, at 9:00 a.m., at the Varner Unit, Grady, Arkansas.
Foryour information, a protesters hearingwill be held on October 4,20I-/, at 1:00 p.m. atthe office of the Arkansas
Parole Board, Two Union National Plaza,5th Floor, 1"05 West Capitol, Little Rock, Arkansas72201..
The full board will meet later to review all information and make a recommendation to the Governor
lf you have any questions or comments regarding this matter, please contact me
Sincerely,
Brandi Harris
Executive Clemency Coordinator
Exhibit 3 Page 4
RETEV
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si; o I aotT
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Serf:enr:c: (t)l)c;,Ll
() Lil: ItTrpr:isrnmxrrl Willouf. Parnls
I lrot:by atpJv irr rixgorive clcurcrruy ac<xlrcl.itt; to tho laqs and Cousl.ilul-ion o.f 1lr.c Saic
o f'Alk.lrsry alrr.l rrrlcs (,:ritrrbl$hcd tly thc Uover:ror ancl thc .At{cansas llorrcl olll'rroJo.
'I'lxl srecif-ic urmcls or rcrjons u:on whioir clernonc;y is aslcctl atc as lirllowtl:
l I
II
It Ir
l.)
(C
All cxhibits and supporl;ing matorial to l:c oousirJorcci arc attaolted to thi.s applir:ation.-
Signecl:
Date:
Sencl applicatiorr wilJ: snppoltlng ma;lerial [o:
Exhibit 3 Page 5
Nf O
N*C
hrly 20,2017
Tonya Y, Willinghalt
Miti gation Investigator
Federal Public Defender Organization
Easern District of Arkansas
1401 West Capitol
Suite 490
Little Rock, Arkansas 72201
Ms. Willingham,
Per your request fi'om 19 July 2017, I have enclosed the conespondence received from
Jack Gordon Greene.
Sincerely,
Exhibit 3 Page 6
( ,'{..,/
ADMINISTRATIVE
OFf:ICER
Debbie Williams
Our office represents Jack Gordon Greene in his federal appeals of the death
sentence which he is under in Arkansas. He has expressed that he has written
COMPUTER SYSTEMs several letters to you regarding his desire to be extradited back to North Carolina.
ADMINISTRATOR
It is our request that copies of any and all correspondence from Mr' Greene to
Sharon Robinson
you or your office be provided to our office,
OPERATIONS
ADMINISTRATOR Thank you in advance for any assistance you can give i this matter,
Jeri Robinson
ADMf NISTRATIVE
ASSISTANT Sincelely,
Dana Liner
T'onya Y Willingham
Miti gation Investigator
MAILINC ADDRESS
1401 West Capitol
Suite 490
Little Rock, Arkansas
72207
PHONE NUMBER
50r-324-6t74
FAX NUMBER
501-324-5630
Exhibit 3 Page 7
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From: Tonya Willingham < Tonya-Willin gham@fd.org >
Sent: Wednesday, July 19, 2017 3:05 PM
lo:. West, Angie
subject: Jack Gordon Greene
Attachments: tyw 07 L9 17 letter to Angie West Byrd.docx
Mrs, Byrd,
Thank you for your assistance earlier today regarding the above referenced Arkansas inmate, I am attaching a letterfrom
our office as we discussed.
I look fonuard to hearing from You.
Sincerely,
Tonya Y Wlllingham
Exhibit 3 Page 8
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john,
she has received letters from jack but she does not respond to inmates and does not intend to respond to
any of Jack's past or future letters. she stated that she has communicated with our extradition person
about his writing her and let him know that she will not respond.
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as for their plans for extradition, she stated that he was under executive order to be returned to $fr and
she didn't add any more to that statement
thanks tyw
Exhibit 3 Page 9
Exhibit 3 Page 10
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Coun
ol ASSIGNTENT OF COUNSEL
Jack Gordon Greene BY OFFICE OF INDIGENT DEFENSE SERVICES
IN FIRST-DEGREE MURDER
lvo .goclal Socunfr No'
(OR UNDESIGN,ATED DEGRE OF MURDER)
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CASES AT THE TRIAL LEVEL
NOTE: Ihe Qfltce of lndigenl Defense Servlces or Qfllce
ol the Capital
G,s, 7A-451(o), (d); 744s2
Defendr comPlels thls form.
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of the CaPita I Defencler has Provided a coPY
The Office of lndigent Defense Services/Office ending, the District AorneY, the a ppointed attorneY(s), and
charges are p
order to the Clerk of S uperior Court where the
the defendant. a pl l D cf an d s r
SiCJnllure O/ /O.9 Oi mcl(1 r/C
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PHVSICAL EXAMINATIO~
Exhibit 4 Page 1
27 Hist No. 1I2-3734
Fhysicl;,: HARDAWAY Dale: 6-3-82 Am 106
ABDOMEN: Soft and not distended. No organs or masses are felt. Bowel sounds are
active. There is no inguinal adenopathy.
SKIN. GLANDS & EXTREMITIES: Not remarkable. There is a five-inch laceration of the
left lower leg which has been sutured in the ER. There is essentially no swelling around
the wound which makes one suspicious that he was either not bitten by a poisonous snake or
possibly not by a snake at all. Dorsalis pedis and posterior tibial pulses are good.
Refle1es are active and equal.
BONES & JOINTS: Normal.
IMPRESSION: Possible snake bite of the left leg. Laceration of the left leg through
area of quest~onable snake bite. Syncope secondary to fright and possible blood loss.
JSH/jms D: 6-3-82
T: 6-4-82 )JkJ~~
. ~
HARDAWAY. .--'- M.D~'
Exhibit 4 Page 2
Exhibit 5 Page 1
NORTH CAROLINA DIVISION OF
MENTAL HEALTH, MENTAL RETARDATION
AND SUBSTANCE ABUSE SERVICES
BROUGHTON HOSPITAL
Admitted: 5/30/85
Discharged: 6/6/85
The patient was involuntarily committed to this hospital because of alleged threats to
kill other people.
The patient is anxious and agitated, but coherent. He expresses no suicidal ideas, "I
felt I was going to hurt my brother". No delusional ideas. He is of above-average
intelligence. Affect is anxious and mildly depressed. Insight and reality testing good,
judgment at times is fair, but poor at other times. Personality trait is impulsive,
dependent. His chief complaint, "My nerves".
PHYSICAL EXAMINATION:
Essentially normal.
Supportive laboratory data: Positive drug screen for Marijuana. Urine for C&S is negativ
Routine urinalysis is within normal limits.
PROVISIONAL DIAGNOSES:
AXIS I:
SUBSTANCE ABUSE, MIXED, 305.92
AXIS I:
ADJUSTMENT DISORDER WITH MIXED DISTURBANCE OF EMOTIONS AND CONDUCT 309.40
AXIS II:
PERSONALITY DISORDER, MIXED 301.89
While in the hospital the patient settled down, requiring no extensive medicatio
He,gs not suicidal at the time of discharge by court, and it was felt that he
was ready for release. He felt that he could go back to Oklahoma.
A: At time of discharge by court no psychosis and no depression of any great
magnitude, even though he was on Sinequan, 100 mg. at h.s. to help him sleep.
P: Patient plans to return to Oklahoma. No trnc appointment will be made for him.
Form No. DMH 12081 BH DISCHARGE SUMMARY
Exhibit 6 Page 1
GREENE, JACK GORDON
NORTH CAROLINA DIVISION OF //27-66-01
MENTAL HEALTH, MENTAL RETARDATION CALDWELL 14 NR
AND SUBSTANCE ABUSE SERVICES
BROUGHTON HOSPITAL
PAGE TWO
FINAL FORMULATION:
This is a 27-year-old white male who came to the hospital, allegedly under the influence
of alcohol, and possibly marijuana. He had made some verbal threats which he now says
he didn't mean. No evidence of psychosis; more likely related to his abuse of drug and
alcohol.
FINAL DIAGNOSES:
Unchanged
TYPE OF DISCHARGE:
Direct. The patient left in care of himself, to return to 2700 North Council Street,
Bethlay, Okhhoma 73008. No medication was sent with him.
WW/dmp
Exhibit 6 Page 2
o
BROUGHTON HOSPITAL
NORTH CAROLINA
DIVISION OF MENTAL HEALTH
AND MENTAL RETARDATION SERVICES
Dictated: 6/4/85
Transcribed: 6/10/85 _~LLLi
Format: Identifying Information, Presenting Problems, Previous psy~iHJft~!WRrf'~:il)ifa1?~M%fl~~A!iHt-gocJJptJ;esPnent,S ocial-environmental
Assessment, Physical Functlonlng, Social Assessment.
D, te --,5,-,/,-,3,-,0,-,/-=8",5,--_
IDENTIFYING INFORMATION:
This is the first admissiDn tD BrDughtDn HDspital fDr this 27-year-Dld white, divDrced
male frDm Caldwell CDunty. He is referred fDr invDluntary admission by Dr. Ranier Mc-
Guire, Caldwell MemDrial HDspital, LenDir, NDrth CarDlina. CorrespDndent listed for
this admissiDn is the patient's friend, DDnna Greene, 2600 North Council, Bethlay,
OklahDma, 73008.
The patient has a high school education, plus three years of education in a Vocational
Technical SchoDI. Pri.or to admission he was unemployed. He does not have any type of
charges pending, nor is he a veteran of military service. This is his first admission
to this facility. He has never been declared legally incompetent.
PRESENTING PROBLEM:
The patient states that he is Driginally from Wilkes County, but has lived in Oklahoma
City for the last IY, years. The patient states that he and his girlfriend were on
their way to Wilkes County to see their family members. Apparently the patient and
his girlfriend left Wilkes County apprDximately IY, years ago and the girlfriend is back,
trying to get custody Df her two children, from her husband. The patient states he is
trying to get visitation rights with his children. The patient states he has been
married twice. He does admit tD drinking prior to admission and states he was afraid
that his drinking was becDming too heavy. The patient states he is an alcoholic and has
been involved in AA prDgram in OklahDma City for the past two years. He states he has
been under a lot of pressure, has been working two jobs in OklahDma City. According to
Mr. Greene, "I thDught I was going to crack up if I did nDt get some help". Due to his
feelings, commitment was sought to this facility.
The patient has never been to the MHC before. This is his first admission to BroughtDn
Hospital. He has attended AA in the past.
FAMILY DYNAMICS:
Exhibit 6 Page 3
(
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.J
BROUGHTON HOSPITAL
I NORTH CAROLINA
DIVISION OF MENTAL HEALTH
AND MENTAL RETARDATION SERVICES
GREENE, JACK GORDON
1127-66-01
CALDWELL
PAGE TWO
Format: Identifying Information, Presenting Problems, Previous PsychiatrIc HIstory, Family Background, Psycho-social Assessment, SocIal-environmental
Assessment, Physical Functioning, Social Assessment. .
Date _
the ptient and his siblings. The patient seems to have a poor relationship with his
family members. Mr. Grane states that his father committed suicide, and that he was an
alcoholic. He states he was only 18 months old when his father died. The patient does
not have any type of rel~ous pr~ference. Prior to admission the patient had been
residing in Oklahoma City, but upon discharge from this facility he plans to return to
Wilkes County and attempt to get visitation rights set up with his children.
PSYCHOSEXUAL FUNCTIONING:
The patient is presently divorced from his second wife. He does have a girlfriend and
no sexual problems are noted.
PSYCHOSOCIAL FUNCTIONING:
The patient began school at the age of seven and completed the 9th grade. He states he
eventually obtained his GED, plus completed three years of vocational tech school. He
describes his personality as being friendly, easy-going, and personable. He states when
he begins drinking He personality begins to change. When angry or under stress the
patient states he prefers to be by himself.
Prior to admission the patient was working at a 7-11 Store in Oklahoma City, and was
also doing some part time landscaping work. He is diovrced from his second marriage
and has four children. He has two children by his wife (first), age seven and eleven,
and two children by his second wife, ages five and two. The patient states that he does
plan to reside in Wilkes County until custody suit is settled. He describes himself as
being a fair manager of money. Military service history is not addressed. The patient
is not involved in any type of community activities.
PHYSICAL FUNCTIONING:
Prior to admission the patient was not on any type of medication. He states he has had
surgery on his foot before from an old gunshot wound. Please refer to Physical Exam
for further information.
Exhibit 6 Page 4
o
BROUGHTON HOSPITAL
I NORTH CAROLINA
DIVISION OF MENTAL HEALTH
AND MENTAL RETARDATION SERVICES
PAGE THREE
Format: Identifying Information, Presenting PrOblems, Previous Psychiatric History, Family Background, Psycho-sodal Assessment, SocIal-environmental
Assessment, Physical Functioning, Social Assessment.
Date _
Mr. Greene was admitted to this facility on 5/30/85. He states he had been living for
l~ years in Oklahoma. He states he is an alcoholic and has had various problems with
alcohol, and run-ins with the law-enforcement officers due to alcohol consumption.
He states that alcohol has been aproblem for him since age eleven. At one time he
states he spent three years in a training school. He states he has been in prison
approximately four times for DWIs, and at one time received felony time for two years
for escaping from prison, after being kept there for DWI charge.
The patient appears to be very sincere in stating that he plans to receive help for his
alcohol problem. He did say that he plans to go back to Wilkes County upon discharge
from this facility. It will be recommended to the patient at discharge that wherever
he goes, he become involved with AA once again to seek continued treatment for his
alcohol problem.
The patient does have his GED, and was working two jobs while residing in Oklahoma.
Upon discharge he will be referred to his local MHC, and also will be encouraged to
attend at least two AA meeting s per week.
DL/dmp
Exhibit 6 Page 5
Exhibit 7 Page 1
Arkansas Department of Correction
SOAP Note Summary
Inmate (Last Name, First Name, MI): Greene, Jack ADC #: 000922
Facility: Vamer Unit Site: Varner.
Completcd by: Connie Hubbard, NP
Encounter date: 09/0912004
Subjective
CIO persistant ear pain on left. Cont. to claim a conspiracy to close traps loudly for the purpose of
bursting his ear drwn. Claims he ha'ld fired an attorney for being part of the conspiracy. C/O
shoulder pain. Upset he has not been seen by ENT
Objective
He is aggitated, upset that mental health employee came to see him. He talks about filing federal
suits or injunctions to be able to get out to be seen by ENT for his ear. Should be noted while in
CB 4 there was no loud closing of traps
Assessment
Rt shoulder pain - No surgical lesion per orthopaedist's evaluation on 7-2 I-04
Subjective ear pain and tinnitis on left - TM has been intact on past exams it should be noted
eventhough he claims il is burst
Plan
Will increase Elavil to bid
he is to complete his steroids as prescribed
He docs not hav~ sli~~ although it \\:as not indicated for use by Dr. Lytle
Medical StaffSignaturel
0-1// 11/7 dV
~ul[.j/ ~~ Reviec,'er Signature: _
.'
Exhibit 8 Page 1
Patient ill: 000922 PaIicnt Name: Greene. Jack F.ncounter dale;09/()9/2004, 9:17 PM SOAP Note
UAMS
MEDICAL
CENTER
GREEN, JACK G
UAMS#: 00070-11-89
DOB: 03/13/1955
ACC'l'il: 070118906003
LOCATION: OTO
DATE: 01/26/2006
PAST MEDICAL HISTORY: The paLieIlt 3uslairled a stIotgurl WOUIld to his riqtlt
foot in 1984. he ulso tlus a Lore rotator cuff in tlis rig tIt stloulder. lIe
also complains of left sided neck pain for tl", past two months.
SOCIAL HISTORY: The patient doe~.) have d 30-pack Y+JiJr hi:3tory of .'Hnok:inq,
but qu.i t srnoki nq [ollryears ago. He (jellies aJ.cotlol 113e ()r (jrlleJ llSP.
ALLF.RGIF.S: None_
PHYSICAL EXAM:
Gerlcral: In geIlersl l tllG paticflt appears weJ.l afId is ill flO acuLe
distress.
I-IE~ENT: Head is normocephaltc, at.raumatic. Pupl.ln equal, round, reactive
Lo light. extraocular movements are in tact. Ears were examined undeL'
microscopy. Examirlutiorl DILlIe riqIIt ear ShOW3 eviderlce of a previous
tympanic membrane perforation in the anteri.or/inferior quadrant that: hBS
now healed over with a thin squBmous layer. There is no middle ear
effu,sion. Exam of the left eur is completely normal with no middle ear
? of ?
Exhibit 9 Page 1
UAMS
MEDICAL
UAMS OUTPATIENT NOTE
CENTER
GHEEN, JACK G
U1IMSj[: 00070-11-89
ACCT,: 070118906003
LOCATION: 0'1'0
01/26/2006
RADIOLOGY: The pattent had an MRI of hi.s brai.n and cervi-ca'] spi.ne done on
December 9, 2000. He brought this to clini.c today and thts wa~l reviewed.
The MJ{1 of the bL'ain i.s completely nonnal with no ovidence of tumor in tho
internal auditor"y canal. The" Ml-G of the C-spine showed deq()neraLlve
changes i.n C4 and CEI and C~') and C6 wi.th d.i.scs bulging more pronouncod <1t
the C~), C6 .level. rt a,1so showed iJ C5, C6 posteroJatoraJ npondylytic npur.
The patient was seen and examined by Dr. Johnson, who formulated the plan.
Electronically Signed by
Felicia Johnson, MD 03/31/2006 17:46
Felicia Johnson, MD
cc:
2 of 2
Exhibit 9 Page 2
..... . ..
ARKANSIIS
f".p.cMred
L MSF-202C
/c,Yr~.p,:)
,
DEPARTIVlENT 0 -Health Service Re uest Form
1) 2) 31
Subjective Dpta
Assas;Sfl'lont;
Body S stem Code: III IlfObl~j'I'1 6:;tl Pa.lient Education: II H31ldoUI t) VerbQllns.tJuction Topic:
DC#,
Exhibit 10 Page 1
STATE OF ARKANSAS )
)
COUNTY OF ~r..ct. . )
AFFIDAVIT
thi ngs
DATE
this
SUBSCRIBED AND SWORN TO BEFORE ME,
oJ,S-(- day of av.~ , a Notary Public, on
20 {)g_____ .
NOT
~AJ~L
Y PUBLIC
\. My Commission Expires: 5/31IXJ'7
05.22
Exhibit 11 Page 1
:HSS027J - Condensed I- ~alth Services Encounter Page 1 01 L.
::HSS027J ~ :ondensed Health Services Encounter Monday October 10, 2008 01::3'Hl3 PM
Exhibit 12 Page 1
DECLARATION OF DR. RULOFF TURNER
I, Dr. Ruloff Tunrer, being of sound mind and legal age do hereby swear and state:
employed by Correctional Medical Services (CMS) which was contracted by the Arkansas
Department of Corrections to provide medical services and care to their inmates. I have worked
at the Varner Unit as well as the Delta Unit. I am no longer employed by CMS.
2. I remember Jack Greene while I was rvorking at the Varner Unit. He was a
grizzledold man. I remember he was moving all the time, he would never stay still, He did
these yoga like movements constantly. He said he had to move to ease his pain.
not determine that anything was physically wrong with him. He might have had mental
4. I have looked at my notes in Mr. Greene's prison medical chart and they are
accurate.
I declare under the penalty of perjury that the foregoing is true and corect.
h/*^e aa.
iu-toff
rurner
Exhibit 13 Page 1
Exhibit 14 Page 1
Exhibit 14 Page 2
, i ,/
Case 5:04-cv-00.:.3-SWW Document 230 Filed 06/l-: -5 Page tl9 of t9 ' '',
Judgment be denied.
Respectful ly submitted,
I.ESLIE RUTLEDGE
Attorney General
L CA