                                                               FILED
                                                    United States Court of Appeals
                                                            Tenth Circuit
                 UNITED STATES COURT OF APPEALS May 22, 2014

                            TENTH CIRCUIT              Elisabeth A. Shumaker
                       __________________________          Clerk of Court


THOMAS SILVERSTEIN,

     Plaintiff-Appellant,

v.                                                 No. 12-1450
                                            (D.Ct. No. 1:07-CV-02471-
FEDERAL BUREAU OF PRISONS; JOHN                     PAB-KMT)
VANYUR; JOYCE CONLEY; MICHAEL                         (Colo.)
NALLEY; RONNIE WILEY,

     Defendants-Appellees.
__________________________

ASSOCIATION OF BLACK
PSYCHOLOGISTS; COALITION FOR AN
ETHICAL PSYCHOLOGY; MENTAL
HEALTH AMERICA; THE MENTAL
HEALTH PROJECT OF THE URBAN
JUSTICE CENTER; NATIONAL
ALLIANCE ON MENTAL ILLNESS;
PHYSICIANS FOR HUMAN RIGHTS;
PSYCHOLOGISTS FOR SOCIAL
RESPONSIBILITY; STANLEY L.
BRODSKY, Ph.D.; CARL CLEMENTS,
Ph.D.; KEITH R. CURRY, Ph.D.; CARL
FULWILER, M.D., Ph.D.; RAFAEL ART
JAVIER, Ph.D.; ALLEN KELLER, M.D.;
TERRY A. KUPERS, M.D., M.S.P.; DAVID
LOVELL, Ph.D., M.S.W.; MONA LYNCH,
Ph.D.; KATHERINE PORTERFIELD, Ph.D.;
KERAMET REITER, Ph.D., J.D., M.A.;
PETER SCHARFF SMITH, Ph.D.; HANS
TOCH, Ph.D.; PATRICIA A. ZAPF, Ph.D.,

     Amici Curiae.
                       ______________________________

                           ORDER AND JUDGMENT *


Before LUCERO, Circuit Judge, BRORBY, Senior Circuit Judge, and
O’BRIEN, Circuit Judge.



      Appellant Thomas Silverstein appeals the district court’s grant of summary

judgment in favor of Appellees (hereafter also collectively referred to as BOP).

Mr. Silverstein alleges the duration of his thirty years in solitary confinement

constitutes cruel and unusual punishment in violation of the Eighth Amendment. 1

In support, he contends the district court impermissibly ignored the first twenty-

two years of his confinement on statute of limitations grounds and improperly

resolved a factual dispute on whether isolation from social contact and

environmental stimulation harmed him mentally or psychologically and places

him at a substantial risk of future harm. As part of his declarative and injunctive

request for relief, Mr. Silverstein suggests his “isolation [be] lessened.”

      *
         This order and judgment is not binding precedent except under the
doctrines of law of the case, res judicata and collateral estoppel. It may be cited,
however, for its persuasive value consistent with Fed. R. App. P. 32.1 and 10th
Cir. R. 32.1.
      1
         Mr. Silverstein is not appealing the district court’s order granting, in part,
Appellees’ motions to dismiss various claims against Appellees or its order
granting their motion for summary judgment on Mr. Silverstein’s Fifth
Amendment due process claim. See Silverstein v. Fed. Bureau of Prisons, 704 F.
Supp.2d 1077 (D. Colo. 2010). As a result, only his Eighth Amendment claim
against the BOP stands on appeal.

                                          -2-
Exercising our jurisdiction under 28 U.S.C. § 1291, we affirm.

                        I. Undisputed Factual Background

      We review the pleadings and record on appeal to ascertain whether genuine

issues of disputed material facts exist prohibiting summary judgment resolution as

a matter of law. As a preliminary consideration, we view the evidence in the light

most favorable to Mr. Silverstein as the nonmoving party.

      It is undisputed Mr. Silverstein started his time in federal custody in 1978

when he began serving a fifteen-year sentence in the United States Penitentiary at

Leavenworth, Kansas (Leavenworth), for bank robbery. In February 1979, based

on an internal investigation and the BOP’s belief Mr. Silverstein stabbed and

killed a fellow inmate, Danny Atwell, it transferred him to the Control Unit at the

United States Penitentiary in Marion, Illinois (Marion). 2 While housed at Marion,

a jury convicted Mr. Silverstein for the 1981 murder of Robert Chappelle, who

was strangled in his cell after Mr. Silverstein and another inmate, Clayton

Fountain, reached into his cell and strangled him with a cord. See United States

v. Silverstein, 732 F.2d 1338, 1342 (7th Cir. 1984) (Silverstein II). In affirming

      2
         Initially, a jury convicted Mr. Silverstein for Mr. Atwell’s murder and he
was sentenced to life imprisonment; while this court affirmed the district court’s
consideration of Mr. Silverstein’s membership in the Aryan Brotherhood gang as
probative, we nevertheless reversed and remanded for retrial based, in part, on an
error in the admission of certain hearsay testimony of another inmate. See United
States v. Silverstein, 737 F.2d 864, 866-69 (10th Cir. 1984) (Silverstein I). By
then, Mr. Silverstein was serving life sentences for at least two other prison
murders, see United States v. Fountain, 768 F.2d 790, 793 (7th Cir. 1985), and
the government declined to retry Mr. Silverstein for Mr. Atwell’s murder.

                                         -3-
Mr. Silverstein’s conviction and life sentence, the Seventh Circuit pointed out Mr.

Silverstein belonged to the three-man commission governing the Aryan

Brotherhood and killed Mr. Chappelle, an African-American inmate, as a favor to

another gang known as the “Mexican Mafia.” Id. at 1341-42.

      In September 1982, Mr. Silverstein and Mr. Fountain killed another inmate,

Raymond “Cadillac” Smith, a leader in the “D.C. Blacks” gang located at Marion,

by stabbing him sixty-seven times with homemade knives fashioned from bed

frames and towel racks. Mr. Silverstein was convicted of the murder and received

another life sentence. See Fountain, 768 F.2d at 793.

      Following these murders, the BOP implemented an additional security

measure in which three unarmed guards handcuffed and escorted Mr. Silverstein

and Mr. Fountain each time they left their Marion control unit cells to go to and

from the recreation room, law library, or shower. Id. at 793. In October 1983,

while being escorted by three guards from the shower to his cell, Mr. Silverstein

stopped next to another inmate’s cell, drew a home-made shank protruding from

that inmate’s waistband, and attacked and killed BOP Officer Merle Clutts, one of

the three guards, stabbing him twenty-nine times. Id. at 793-94. Mr. Silverstein

was again convicted of murder. Id. As a result of the three murders for which he

received convictions, Mr. Silverstein is serving three consecutive life sentences

plus forty-five years incarceration.

      On November 2, 1983, following the October 1983 murder of Officer

                                         -4-
Clutts, the BOP transferred Mr. Silverstein from Marion to the United States

Penitentiary in Atlanta, Georgia (Atlanta), where he was initially housed in a

secure living area in control unit status. 3 In August 1984, pursuant to a

memorandum issued by the then BOP Director, he was housed in a special unit

designed to meet his particular needs with specific restrictions placing him in

“non-contact” status, limiting his visits, and restricting his recreation and

programming. However, the memorandum also directed that daily visits occur

from unit staff or a physician’s assistant. Mr. Silverstein remained in the special

unit for three years, until December 1, 1987, when the BOP transferred him back

to Leavenworth.

      For his first eighteen months at Leavenworth, the BOP housed him in a

basement cell where he had no access to hot water or outdoor recreation and often

did not receive three meals a day. In 1989, he was transferred to a secure area in

the Special Housing Unit consisting of a 136-square-foot cell with a bed, toilet,

shower and sink with hot water, ten-inch television, writing area, duress button,

indoor and outdoor recreation areas, and a visitation space. In addition, Mr.


      3
         According to Mr. Silverstein, for the first year at Atlanta, he had no
windows or clock in his cell; was subjected to twenty-four hours of continuous
lighting by florescent lights that buzzed; had no contact with other inmates and
only minimal contact with staff; exercised and ate alone; received only one hour
of outdoor recreation a week and only one hour of indoor exercise four times a
week; was subjected to extreme hot and cold temperatures; and had no social
visits, phone privileges, reading materials, art supplies, radio, or television.
However, after the first year, he admits he was allowed basic privileges.

                                         -5-
Silverstein was generally allowed to recreate for one and a half to two hours, five

days a week, with access to media, reading materials, and the law library. Kept

under constant audio and visual surveillance in his cell, the BOP admits that for

all but one or two years of his seventeen years at Leavenworth Mr. Silverstein did

not have control over the lights in his cell, which stayed on twenty-four hours a

day. Between 2001 and 2005, only staff directly responsible for his custody, care,

and treatment went into his housing area; he experienced no contact with other

inmates; and four officers escorted him any time he left his cell. When

transported, he wore handcuffs, a Martin waist chain, a black security box, and

leg irons. From 2001 to 2005, he was evaluated by a staff psychologist or

psychiatrist approximately forty-seven times.

      On July 12, 2005, the BOP transferred Mr. Silverstein to the Administrative

Maximum facility, known as “ADX,” in Florence, Colorado (ADX Florence),

because Leavenworth changed to a medium security facility which could not

provide secure confinement of Mr. Silverstein. The parties agree ADX Florence

is the most restrictive BOP facility in the nation. Initially, the BOP housed Mr.

Silverstein in Range 13, where the conditions were similar to those at

Leavenworth. On April 3, 2008, the regional director instructed the ADX warden

to move him to a general population cell in the D-Unit, where he remains housed

today. Between April 4, 2008, and August 10, 2009, the warden approved daily

management procedures for Mr. Silverstein, in addition to the procedures for

                                         -6-
other ADX general population inmates, for the purpose of assessing how he was

adjusting to less restrictive conditions. In July 2009, the current warden

discontinued these additional procedures, and since then, Mr. Silverstein has been

subjected to the same procedures as all other ADX general population inmates.

      In the D-Unit, Mr. Silverstein has a window looking outside; he can

communicate with other inmates by yelling from cell to cell (or during recreation

in areas adjacent to each other); he and all inmates receive a minimum of two

fifteen-minute telephone calls and up to five social visits per month; and each cell

contains a black-and-white television with sixty channels and closed-circuit

programs, as well as a shower stall, sink, hot water, toilet, stool, desk, and shelf. 4

While his cell contains lights with four brightness settings which Mr. Silverstein

controls, his cell remains lit by hall lights twenty-four hours a day. In D-Unit,

inmates eat their meals in their cells and may choose a “no-flesh” diet, which Mr.

Silverstein prefers; he is also given art supplies and has access to radio stations,

digital music, and closed-circuit programming, from which he has taken various

educational courses. Mr. Silverstein has daily interaction with staff, including

corrections officers who perform daily rounds in three shifts; his unit team

members who visit him each day Monday through Friday; department heads who

perform weekly rounds to visit each inmate; staff who perform periodic reviews;

      4
          Mr. Silverstein points out he has had only two social visits since 2005,
stating it is difficult for his family to travel to Colorado and that he is restricted
from visits from those he did not know prior to his incarceration.

                                           -7-
and medical, religious, and psychology staff when they perform rounds, or on

request. He also corresponds with several individuals and has access to reading

materials through multiple libraries. Finally, inmates in D-Unit receive ten hours

of recreation time per week and have access to both indoor and outdoor

recreation.

      When Mr. Silverstein arrived at ADX Florence in July 2005, a BOP

psychologist performed an initial psychological screening interview, finding him

well oriented with favorable psychological stability. During his time in Range

13, evidence shows he was evaluated an average of once a month by BOP

psychological staff, for a total of thirty-nine times. Once Mr. Silverstein was

moved to D-Unit in 2008, he was not seen by BOP psychology providers based on

his assessed stable mental health status, placement in the ADX Florence general

population unit, and his stated desire not to have psychological services.

However, in October 2009, based on his claims of mental health problems alleged

in the instant case, he was evaluated by a staff psychologist and reported having

symptoms of anxiety; he was prescribed Zoloft and, after he complained that his

symptoms continued, his dosage was increased; eventually, he was prescribed

Buspar, to which he reported no relief but continues to take. While offered self-

help materials and notified of available psychology programs, he has refused

both. After being designated to the ADX Florence D-Unit, BOP records provided

through November 2010 show psychology providers visited and evaluated him ten

                                         -8-
more times, for a total of forty-nine times; in addition, he is able to request a

consultation with a psychologist or psychiatrist at any time.

      In addition to his three murder convictions, Mr. Silverstein’s disciplinary

record includes assaults on three staff members, a threat to a staff member, an

escape attempt by posing as a United States Marshal, and the discovery of

weapons, including two hacksaw blades, handcuff keys, and two lock picks in his

rectum. 5 However, all of these offenses occurred before or during the 1980s, and

Mr. Silverstein has not received a citation for a disciplinary infraction since 1988.

Since 2002, BOP psychology staff have primarily rated Mr. Silverstein as a low

risk of violence. The BOP Chief of Psychology responsible for the low-risk

rating explained it was based not only on Mr. Silverstein’s behavior but his

current housing conditions, including his lack of access to weapons or potential

victims. Another BOP psychiatric expert also explained Mr. Silverstein received

a low risk of harm rating based on his “current maximum custody.” (Emphasis

added.)

      5
         Mr. Silverstein’s murder convictions do not include his alleged murder of
Mr. Atwell, which was reversed but never retried. See Silverstein I, 737 F.2d at
866-69. We note he was also implicated in the 1979 murder of another inmate
located at another penitentiary where, as the Eleventh Circuit explained, evidence
was introduced establishing Mr. Silverstein, as an Aryan Brotherhood
“commissioner,” put a contract out for the victim’s murder, and another inmate,
Barry Mills, performed that contract by killing the victim. See United States v.
Mills, 704 F.2d 1553, 1555 (11th Cir. 1983). While Mr. Silverstein was not
convicted of these two murders, they nevertheless are indicative of the type of
gang conduct the BOP believes Mr. Silverstein is involved in, as discussed
hereafter.

                                          -9-
           II. Procedural Background and Additional Undisputed Facts

      On November 28, 2007, Mr. Silverstein filed a complaint for declaratory

and injunctive relief against the BOP, and on March 15, 2008, filed an amended

complaint, after which, on May 13, 2009, his claims were dismissed without

prejudice based on a joint stipulation for dismissal. Shortly thereafter, on May

14, 2009, Mr. Silverstein filed his second amended complaint for declarative and

injunctive relief against the BOP, claiming a violation of his Eighth Amendment

right to be free from cruel and unusual punishment. In support, he claimed the

conditions and duration of his thirty-year confinement led to social and

environmental sensory deprivation which caused him psychological harm and/or

will cause a substantial risk of future psychological harm if continued. 6 As part

of his request for declaratory and injunctive relief, Mr. Silverstein sought

immediate discontinuation of his administrative segregation and an order

transferring him to another facility with less restrictive and severe conditions of

confinement or, alternatively, his assignment to a “step-down” or other program

in which he could earn or advance to less restrictive conditions of confinement.

      The BOP filed a motion for summary judgment in which it did not dispute:

1) Mr. Silverstein has committed no infractions since 1988; 2) he publicly

apologized to Officer Clutts’s family; 3) the most predictive demographic of

      6
         While Mr. Silverstein also claimed he suffered from certain physical
health conditions and received improper medical care for such conditions, he does
not raise these issues on appeal and they are therefore waived.

                                        -10-
future dangerousness is a criminal’s age (Mr. Silverstein is now sixty-two years

old); and 4) he received a low risk of violence rating by its staff. However, it

maintained his low risk of violence rating was tied to his continued confinement

in isolated conditions and is not a predictor of his potential behavior in a less

restrictive environment.

      Turning to his mental health, the BOP did not dispute Mr. Silverstein’s

expert evidence that individuals in solitary confinement have experienced

symptoms of appetite and sleep disturbances, anxiety, panic, paranoia,

hallucinations, self-mutilations, hypersensitivity, cognitive dysfunction,

hopelessness, suicidal ideation, and withdrawal. It also did not dispute Mr.

Silverstein has psychiatric or mental issues, agreeing he: 1) had no prior mental

health history but has now been diagnosed with anxiety disorder and tested

positive for cognitive impairment; and 2) reported various symptoms of

psychological distress to BOP officials over the years, including hopelessness,

troubles with concentration, memory loss, and depression, and that BOP staff

noted these symptoms and attributed many of them to his isolation and other

conditions of confinement. However, it argued he has no major mental health

illness but experiences only minor mental health symptoms, as admitted by all the

experts, and that even if a substantial risk existed as to future harm, it has not

disregarded that risk because its mental health staff regularly check on and

evaluate his mental health and have provided treatment to him when requested.

                                          -11-
      It also addressed his membership in the Aryan Brotherhood, explaining its

belief such membership is the reason for the commission of his past murders and

a key factor requiring his continued incarceration in restrictive conditions. In

support, the BOP proffered undisputed evidence from two witnesses who

explained the Aryan Brotherhood is the most violent gang in the federal prison

system, it formed in the 1960s in the California prison system and spread to

federal prisons, and a three-inmate commission runs the gang in the federal

system. See Griffin v. Gomez, 741 F.3d 10, 12, 15 (9th Cir. 2014) (discussing the

Aryan Brotherhood and noting its three-inmate commission system). According

to the BOP’s gang expert, the Aryan Brotherhood runs drug trafficking and

extortion operations in the federal prisons and is responsible for multiple internal

disciplinary homicides committed on its own members as well as murders of rival

gang members. See id. at 12. To qualify for membership in the Aryan

Brotherhood, an inmate must establish his credentials by “making bones,” which

means committing murder, and that within the gang “shot callers” or

“commissioners” are the only ones with authority to order “hits,” or

assassinations. If a member is instructed to perform an act, he must carry it out

or be disciplined, either by beating or death.

      According to the same expert, retirement from the Aryan Brotherhood does

not exist, and members consider death as the only means of severing membership

in the gang. See id. The BOP’s expert also offered undisputed evidence that

                                         -12-
because of deadly rivalry and retaliatory hits against each other, members of the

D.C. Blacks (now known as the “D.C. Crew”) and the Aryan Brotherhood must be

separated in all federal prisons, and no influential member of either gang is

allowed to interact in the open prison population.

      As discussed by the BOP’s expert, Mr. Silverstein rose through the ranks of

the Aryan Brotherhood and, by 1981, became a “shot caller” or “commissioner”

for the gang. Indeed, his leadership position in the Aryan Brotherhood has been

the source of discussion in three circuit cases. See, e.g., Silverstein II, 732 F.2d

at 1341-42 (confirming Mr. Silverstein’s position as one of the three

commissioners of the Aryan Brotherhood in the federal prison system); Mills, 704

F.2d at 1555 (same); Fountain, 768 F.2d at 793 (characterizing Mr. Silverstein as

one of the “masters of prison murder”). For this reason, the BOP expert

explained Mr. Silverstein is legendary within the federal prison system and the

Aryan Brotherhood. According to the BOP’s expert, Mr. Silverstein remains a

flashpoint for the D.C. Crew, and it would be a badge of honor for current

members of that gang to kill Mr. Silverstein to avenge his murder of Mr. Smith–a

leader in the D.C. Crew gang. While Mr. Silverstein claimed or perceived he is

no longer a member of the gang, the BOP’s expert explained such a claim or

perception is unrealistic because Aryan Brotherhood members are not allowed to

leave the gang. Therefore, it is the expert’s and the BOP’s belief Mr.

Silverstein’s membership is continuing and permanent, and a risk remains he may

                                         -13-
be asked at any time to assume his leadership role or perform violent tasks for the

gang, and if he were to refuse, he would be beaten or killed at the hands of other

Aryan Brotherhood members.

      The same expert also discussed the undisputed fact that Mr. Silverstein’s

institutionally conforming conduct occurred when he was not with other inmates

and that his conduct, when he is allowed to have physical proximity to others, has

been marked by threats, assaults, and murders. According to this expert, the only

means for Mr. Silverstein to affirmatively separate himself from the Aryan

Brotherhood and for the BOP to protect him is to undergo a formal debriefing and

enter protective custody in which he would continue to have to be separated from

other inmates; however, he has not indicated his interest in such a process. 7

      Finally, as part of its motion for summary judgment, the BOP argued a six-

year statute of limitations applied, barring relief, because Mr. Silverstein failed to

commence his action within six years after his right of action first accrued. In

support, it argued his Eighth Amendment claim accrued in November 1983 when

the BOP first placed him in isolation under special safety restrictions, and that his

claim is barred given the six-year limitations period expired after that date.


      7
         The same expert also provided evidence of an Aryan Brotherhood
sympathizer who reached out to Mr. Silverstein through his blog, asking in code
for permission to perform an act on behalf of the Aryan Brotherhood. Mr.
Silverstein disputed this assessment, contending the message came from a family
friend asking for permission to start a Facebook page, and therefore, we review
this disputed fact in Mr. Silverstein’s favor on appeal.

                                         -14-
      In ruling on the BOP’s motion for summary judgment, the district court

determined the six-year limitations period in 28 U.S.C. § 2401(a) applies to

claims for equitable relief against the United States, and Mr. Silverstein’s claim

for such relief was not time-barred because it covered the six-year period prior to

his complaint, which it determined was primarily tied to his current conditions

imposed in July 2005 at ADX Florence. Thus, the district court determined Mr.

Silverstein’s Eighth Amendment request for injunctive relief was limited to the

conditions imposed after his July 2005 transfer to ADX Florence, and not his

prior confinement at Leavenworth because he had not shown he is likely to be

subject to those conditions again.

      With respect to the objective component of any deprivation related to his

time at ADX Florence, the district court determined Mr. Silverstein failed to

introduce sufficient evidence of an objectively serious deprivation or substantial

risk of harm related to a lack of social interaction and environmental stimulation

for the purpose of surviving summary judgment. In making this determination, it

acknowledged Mr. Silverstein spent thirty years in isolation but found he was not

deprived of social interaction and environmental stimulation and that his mild

symptoms of anxiety, memory loss, and cognitive impairment during the six years

in question were not shown to be related to any such deprivation or that these

mild symptoms would rise to a substantial risk of serious injury in the future.

      More specifically, the district court found Mr. Silverstein’s assertion he

                                        -15-
was deprived of social interaction and environmental stimuli inconsistent with the

record, showing that since his arrival at ADX Florence he has been allowed two

fifteen-minute phone calls and five non-contact visits each month; five hours of

indoor or outdoor recreation per week with an additional five hours of outdoor or

indoor recreation since his transfer to D-Unit in April 2008; and communication

with guards, staff, and other inmates since his transfer to D-Unit. It also noted: 1)

other than anxiety, Mr. Silverstein denied any other mental health concerns; 2)

the record showed his psychological complaints were promptly handled; and 3)

since his arrival at ADX Florence, the record indicated he had at least forty-nine

sessions with the psychological department as they continued to treat his

symptoms with different medications.

      With respect to Mr. Silverstein’s experts, the district court noted their

opinions as to his mental harm relied on studies performed on other prisoners, and

the record was devoid of actual instances where Mr. Silverstein personally

suffered panic, rage, loss of control, or paranoia. In dismissing his claim on sleep

deprivation, the district court held, in part, Mr. Silverstein failed to prove a direct

connection between his insomnia and confinement, given his expert, Dr.

Williams, only alleged, based on generalized studies and not treatment of Mr.

Silverstein, that “conditions of confinement may be the cause of his insomnia.”

While two of Mr. Silverstein’s doctors administered tests to determine his

cognitive impairment, the district court noted one, Dr. Williams, was unable to

                                          -16-
attribute Mr. Silverstein’s memory impairment to the conditions of his

confinement, stating only that his memory impairment could be directly caused by

his isolation, while also stating she was unable to discern the causes for his

memory impairment. As to the other expert administering the cognitive

impairment test, the district court noted Dr. Friedman, who found Mr. Silverstein

had “mild cognitive impairment,” also could not definitively conclude Mr.

Silverstein’s mild cognitive impairment was attributable to isolation and sensory

deprivation but only that it “may be associated” and had concluded that, together

with his anxiety, Mr. Silverstein’s mild cognitive impairment would not

“necessarily interfere with [him] functioning in a reality-oriented manner,” and

Mr. Silverstein “did not demonstrate or exhibit any evidence of ... a major mental

illness ....”

       The district court also noted the record contained the undisputed opinion of

the BOP psychiatrist, Dr. Bursztajn, that “Mr. Silverstein shows no significant

indications of having been harmed by the restrictions placed on him at

Leavenworth and ADX Florence. I do not find evidence of damage to Mr.

Silverstein’s mental health resulting from the conditions of confinement.” The

same doctor also said Mr. Silverstein “does not suffer from significant

confinement-related psychopathology” and has no “major mental health




                                         -17-
disorders.” 8 The district court also pointed out that Dr. Denney, who acted as Mr.

Silverstein’s psychiatrist for over a decade, labeled him as “resilient” and found

he “maintained that sense of resilience from the move from [Leavenworth to]

ADX [Florence].” 9

      Based on this and other evidence in the record, the district court found that,

despite Mr. Silverstein’s assertions, undisputed facts in the record show

confinement in isolation had a minimal impact on his mental state. It also found

his complaints of anxiety, memory loss, and cognitive impairment failed to rise to

the level of a severe risk of serious injury because they have been diagnosed as

mild and may be kept under control through evaluation, medication, therapy, or

access thereto. Having reached this conclusion, the district court did not

elaborate on the subjective component of Mr. Silverstein’s Eighth Amendment

claim as to whether he showed the BOP deprived him of medical care with regard

to his mental health, otherwise acted with “deliberate indifference” in providing

      8
         The same doctor also stated that even though Mr. Silverstein has
refrained from acts of physical aggression for over two decades, his experts failed
to distinguish impulsive aggression involving loss of control, which he does not
exhibit, from his history of premeditated and planned violence, and therefore
noted that they should not conclude he would refrain from planned violence if
placed in another environment, including with other gang members.
      9
         Dr. Denney also testified Mr. Silverstein experienced infrequent bouts of
depression one or two times a year, which was not unusual for inmates, and that
he recovered resiliently from those episodes, or “bounced back,” without the need
for treatment. He further testified Mr. Silverstein complained of memory loss,
and at some point hopelessness, for a period of time but it was not of the
frequency necessary to be considered pervasive.

                                        -18-
such care, or asserted sufficient safety or security reasons for his continued

segregated confinement. 10 However, in addressing Mr. Silverstein’s due process

claim, it relied on Mr. Silverstein’s extreme violence and membership in the

Aryan Brotherhood as the reasons for the BOP’s legitimate penological interest in

retaining him in segregated confinement. After issuing its final judgment

granting the BOP’s motion for summary judgment, the district court further

denied Mr. Silverstein’s motions to alter the judgment and supplement the motion

to alter the judgement or, in the alternative, for relief from judgment pursuant to

Federal Rule of Civil Procedure 60(b). 11 Silverstein v. Fed. Bureau of Prisons,

      10
          The district court did address the subjective component of Mr.
Silverstein’s physical health Eighth Amendment claims, finding any delay in
treatment of his physical ailments did not subject him to substantial harm because
none of those ailments were serious but merely needed constant monitoring and
such delay was not a result of deliberate indifference but attributable to
institutional constraints. As a result, it found Mr. Silverstein had not shown a
significant risk of serious harm from his physical ailments. Because Mr.
Silverstein does not appeal the ruling on his physical health, we need not address
this issue further.
      11
           Mr. Silverstein’s second motion contained numerous, newly-submitted
news articles and published information on the alleged and/or possible or
perceived negative effects of isolation and lack of stimulation on mental health.
Thereafter, Mr. Silverstein filed a notice of appeal of the final judgment and, days
later, filed an amended notice of appeal which included his appeal of the order
denying his post-judgment motions. However, as the BOP points out, Mr.
Silverstein failed in his opening brief to challenge the denial of his post-judgment
motions by failing to frame or develop any issue or argument in support thereof,
other than to reference the district court’s order, which he attached to his brief,
and rely on some of the post-judgment materials included in those motions.

      Our rules require appellants to sufficiently raise in their opening brief all
                                                                       (continued...)

                                         -19-
2012 WL 4033756, at **6-7 (D. Colo. Sept. 13, 2012) (unpublished op.).

                          III. Issues Presented On Appeal

      The crux of Mr. Silverstein’s appeal rests on his contention the district

court erred in determining his thirty-year duration in solitary confinement does

not violate the Eighth Amendment as cruel and unusual punishment. In support,

he contends the district court impermissibly ignored the first twenty-two years of

his confinement on statute of limitations grounds when it should have considered

his ongoing isolation since 1983, and that it improperly resolved the factual

dispute as to whether thirty years of isolation from social contact and


      11
        (...continued)
issues and arguments on which they desire appellate review, and an issue or
argument insufficiently raised, framed, or developed is deemed waived. See Fed.
R. App. P. 28(a)(8)(A)-(B); Therrien v. Target Corp., 617 F.3d 1242, 1252-53
(10th Cir. 2010); Becker v. Kroll, 494 F.3d 904, 913 n.6 (10th Cir. 2007); Murrell
v. Shalala, 43 F.3d 1388, 1389 n.2 (10th Cir. 1994). As a result, we decline to
address the district court’s denial of those motions on appeal, other than noting
their consideration would not change our disposition of this appeal.

       Based on the same reasoning, we grant the BOP’s motion to strike portions
of Mr. Silverstein’s appendix that contain new materials from his motion to alter
or amend judgment. Not only has Mr. Silverstein not provided sufficient
argument relating to these materials but he has not shown they were before the
district court prior to its ruling on the summary judgment motion. Similarly, with
respect to the studies and publications submitted by the amici curiae, both Mr.
Silverstein’s and the BOP’s counsel conceded those materials were not submitted
into the record. Mr. Silverstein, however, contends they are similar to the studies
and publications he has provided. Even if we considered or took judicial notice
of these materials, which are comprised primarily of newspaper clippings and
publications, they would not change the disposition of this appeal, as discussed
hereafter.


                                        -20-
environmental stimulation harmed him or places him at risk of future harm.

Rather than allowing these factual disputes to go to trial, he contends, the district

court resolved them in favor of the BOP, thereby ignoring the length of

deprivation he has suffered and overlooking significant evidence demonstrating

both actual harm and risk of future harm relating to his mental health.

      In making these arguments, Mr. Silverstein points out he: 1) eats alone and

has no face-to-face interaction with others unfettered by glass, bars, chains, or

other restraints; 2) has little variation in what he sees or experiences; 3) has

minimal contact with other prisoners, staff, and visitors, lasting only a minute or

so per day; 12 and 4) lacks the opportunity for phone calls and visitation because

the BOP’s prison policy precludes inmates from visiting with anyone they did not

know prior to incarceration. As a result of such social isolation and lack of

environmental stimulation, he claims he developed an anxiety disorder, suffers

from depression, sleep deprivation, and despair, and is experiencing memory loss

and likely cognitive impairment–all conditions which he says he has been

complaining of for over twenty years.

      In further support of his claim, Mr. Silverstein relies on Dr. Haney’s review

of his BOP central file, in which he primarily considered the ten-year period from

the late 1980s to late 1990s, and his complaints concerning his symptoms of


      12
          The BOP did not dispute his assertion most of his daily interaction with
staff lasted less than a minute per interaction.

                                          -21-
mental health contained therein. Mr. Silverstein points out BOP medical staff

noted in their logs that he showed signs of “withdrawal and depression” and

“affect and mood that were flat and solemn” and that he: 1) “appeared to have

trouble engaging in higher-order reasoning and conversation”; 2) “chose to live in

‘near-darkness’”; and 3) had “lazy” interpersonal skills–all producing a

suggestion by the BOP’s psychologist that “staff be encouraged to foster more

interpersonal communication/interaction” with him. Similarly, he points out that

since his lawsuit commenced, he has been screened for memory loss and

cognitive decline, and one expert, Dr. Williams, suggests his memory impairment

could be directly caused by his isolation and sensory deprivation. He also relies

on Dr. Friedman’s statement his isolation “may be” associated with his cognitive

impairment and “his conditions of confinement are likely causing or exacerbating

his indicated memory loss.”

      Mr. Silverstein further claims that despite medication and visits with staff,

he continues to suffer from depression, anxiety, and despair and that he is at a

substantial risk of future harm if he remains in isolation, based on: 1) research

showing such long-term isolation results in serious psychological harm; and 2) his

own exhibited symptoms of psychological injury. Finally, with regard to his

request for declarative and injunctive relief, Mr. Silverstein, in his appellate brief

and during oral argument, asks that his “isolation [be] lessened” and that, while

he might not be allowed in the open prison population “immediately,” he asks that

                                         -22-
“improvements” be made. Without further clarification as to what restrictions he

desires to be lessened, we assume he is continuing to request, as he did in his

second amended complaint, some form of discontinuation of his current

confinement and an order transferring him to another facility with less restrictive

and severe conditions of confinement, or, alternatively, his assignment to a “step-

down” or other program in which he could earn or advance to less restrictive

conditions of confinement.

      In response, the BOP contends Mr. Silverstein fails to satisfy the objective

component of his Eighth Amendment claim because his symptoms of depression,

anxiety, cognitive impairment, and memory loss are mild, and no expert was able

to definitively conclude these mild conditions were caused by his segregated

detention or that his isolation poses a substantial risk of future harm to him, given

none of his mental conditions are severe and he has medicine and treatment

available to him. Even if Mr. Silverstein satisfied this objective component, it

argues, the district court’s decision may be affirmed on alternate grounds based

on the subjective component in an Eighth Amendment analysis because he failed

to show the BOP acted with culpable intent or deliberate indifference to his

mental health or safety. With regard to the issue of safety, it suggests the

duration of Mr. Silverstein’s segregation is justified and legitimately stems from

his multiple murders and other past serious infractions, as well as his membership

and leadership in the Aryan Brotherhood, all of which make him dangerous and

                                         -23-
legendary and create a continuing security concern for the general prison

population and BOP staff. In addition, it contends the district court appropriately

concentrated only on his incarceration at ADX Florence and his present

conditions because a six-year statute of limitations exists on his Eighth

Amendment claim which is limited to equitable injunctive relief from his current

confinement.

                              IV. Statute of Limitations

      On appeal, Mr. Silverstein provides no citation or authority for the purpose

of contesting the six-year statute of limitations under 28 U.S.C. § 2401(a) as

applied by the district court. Instead, he insists the duration of his solitary

confinement should not be barred by any such limitation and relies on cases

discussing the duration of confinement but not the issue of the effect of any

statute of limitations on his Eighth Amendment claim for injunctive relief.

      We review de novo issues relating to the statute of limitations under 28

U.S.C. § 2401(a) of the Federal Tort Claims Act. See Ute Distrib. Corp. v. Sec’y

of Interior, 584 F.3d 1275, 1282 (10th Cir. 2009). As the district court indicated,

§ 2401(a) applies to equitable claims. See United States v. Rodriguez-Aguirre,

264 F.3d 1195, 1210 (10th Cir. 2001). We have also held “[d]etermination of the

accrual date of an action is critical for purposes of applying [28 U.S.C.]

§ 2401(a).” See Ute, 584 F.3d at 1282. Generally, the Federal Tort Claims Act

represents a waiver of sovereign immunity which must be strictly construed. See

                                          -24-
Irwin v. Dept. of Veterans Affairs, 498 U.S. 89, 94 (1990). Section 2401(a)

provides that “every civil action commenced against the United States shall be

barred unless the complaint is filed within six years after the right of action first

accrues.” 28 U.S.C. § 2401(a). See also Smith v. City of Enid, 149 F.3d 1151,

1154 (10th Cir. 1998). As a result, we cannot ignore the statute of limitations

provided in § 2401.

      Because Mr. Silverstein’s initial complaint was not filed until 2007, 13 the

statute of limitations has run on his Eighth Amendment claim for any injuries or

conditions concerning any time frame prior to 2001. 14 In addition, because Mr.

Silverstein requests equitable injunctive relief from the conditions he is currently

enduring at ADX Florence, where he has been housed since 2005, we agree with

the district court that our consideration of the conditions of his earlier



      13
         We apply the statute of limitations to the date of Mr. Silverstein’s initial
complaint, filed in 2007 and dismissed without prejudice in 2009, which the BOP
suggests is the complaint from which the limitations period runs, rather than his
second amended complaint filed in 2009.
      14
          Our conclusion is in concert with other statute of limitations decisions in
this circuit, albeit unpublished but persuasive. See Fogle v. Slack, 419 F.App’x
860, 864-65 (10th Cir. 2011) (unpublished op.) (concluding statute of limitations
barred prisoner’s claim concerning his three-year segregation in three facilities
and that continuing violation doctrine did not apply because each segregation
decision was made by different decision makers from three correctional facilities,
making it inappropriate to aggregate all into one continuing violation for
limitations purposes); Gee v. Murphy, 325 F.App’x 666, 668 (10th Cir. 2009)
(unpublished op.) (holding one-year statute of limitations foreclosed review of
inmate’s assignment to administrative segregation in 2005 but not with respect to
action taken in 2008).

                                          -25-
incarceration at Leavenworth is not appropriate since no equitable relief is

available from conditions at a facility where he is no longer housed and has not

shown he is likely to be housed again.

      With respect solely to the duration of his confinement, which he points out

has been continuing and uninterrupted for over thirty years, we have held the

continuing wrong doctrine “cannot be employed where the plaintiff’s injury is

definite and discoverable, and nothing prevented the plaintiff from coming

forward to seek redress.” Tiberi v. CIGNA Corp., 89 F.3d 1423, 1431 (10th Cir.

1996) (internal quotation marks omitted). See also Davidson v. Am. Online, Inc.,

337 F.3d 1179, 1184 (10th Cir. 2003) (holding a continuing violation claim fails

if one knew or through exercise of reasonable diligence would have known of his

injury). While Mr. Silverstein relies on cases establishing that even a few years

of solitary confinement under certain harsh conditions may rise to an Eighth

Amendment violation, he has not shown anything prevented him from seeking

redress years ago, especially in light of his assertion he became aware of the

decline in his mental health at least twenty years ago.

      While the Supreme Court has recognized equitable tolling may occur in

suits against the government, it has also held it may occur only in circumstances

involving more than a mere lack of due diligence. See Irwin, 498 U.S. at 95-96.

Accordingly, we have held placement in administrative segregation or solitary

confinement is generally not grounds for equitable tolling absent extraordinary

                                         -26-
circumstances. See Miller v. Marr, 141 F.3d 976, 978 (10th Cir. 1998).

Moreover, in at least one other case, we have concluded the continuing violation

doctrine cannot apply to a prisoner’s claim concerning his isolated segregation in

different facilities when each segregation decision is made by a different decision

maker. See Fogle, 419 F.App’x at 864-65. However, even if we applied

equitable tolling or the continuing wrong doctrine to the total thirty years of his

confinement, Mr. Silverstein cannot prevail on the duration issue, as discussed

hereafter.

                    V. Summary Judgment Standard of Review
                      and Other Applicable Legal Principles

      We review de novo the district court’s summary judgment decision,

examining the record and drawing all reasonable inferences in the light most

favorable to the nonmoving party, which in this case is Mr. Silverstein. See

Palladium Music, Inc. v. EatSleepMusic, Inc., 398 F.3d 1193, 1196 (10th Cir.

2005). Summary judgment is appropriate if the record shows there is no genuine

issue as to any material fact and the moving party is entitled to judgment as a

matter of law. Id. (relying on Fed. R. Civ. P. 56(c) and Celotex Corp. v. Catrett,

477 U.S. 317, 322 (1986)). “A disputed fact is ‘material’ if it might affect the

outcome of the suit under the governing law, and the dispute is ‘genuine’ if the

evidence is such that a reasonable jury could return a verdict for the nonmoving

party.” Mackenzie v. Denver, 414 F.3d 1266, 1273 (10th Cir. 2005). Movants for


                                         -27-
summary judgment bear the initial burden of demonstrating the absence of a

genuine issue of material fact and entitlement to judgment as a matter of law. See

Adler v. Wal-Mart Stores, Inc., 144 F.3d 664, 670-71 (10th Cir. 1998). If this

initial burden is carried, the nonmovant may not rest solely on his pleadings, but

must set out specific facts in support of his claims by reference to affidavits,

deposition transcripts, or other exhibits incorporated therein. Id. at 671. In ruling

on the grant of summary judgment, “[w]e can affirm on any ground supported by

the record, so long as the appellant has had a fair opportunity to address that

ground.” Schanzenbach v. Town of Opal, 706 F.3d 1269, 1272 (10th Cir. 2013)

(internal quotation marks omitted). We may rely on unpublished cases with

similar circumstances and issues for their persuasive value, even if they are not

precedential. See Fed. R. App. P. 32.1(a) and 10th Cir. R. 32.1(A).

      The Eighth Amendment prohibits the infliction of “cruel and unusual”

punishment. See U.S. Const. amend. VIII. The Supreme Court has held “the

unnecessary and wanton infliction of pain” constitutes cruel and unusual

punishment forbidden by the Eighth Amendment, Whitley v. Albers, 475 U.S. 312,

319 (1986), and “[a]mong unnecessary and wanton inflictions of pain are those

that are totally without penological justification,” Rhodes v. Chapman, 452 U.S.

337, 346 (1981) (internal quotation marks omitted). Turning specifically to

solitary confinement issues, generally, “the transfer of an inmate to less amenable

and more restrictive quarters for nonpunitive reasons is well within the terms of

                                         -28-
confinement ordinarily contemplated by a prison sentence.” Hewitt v. Helms, 459

U.S. 460, 468 (1983). “To the extent that such conditions are restrictive and even

harsh,” but not cruel and unusual, “they are part of the penalty that criminal

offenders pay for their offenses against society.” Rhodes, 452 U.S. at 347. The

Supreme Court has held “administrative segregation is the sort of confinement

that inmates should reasonably anticipate receiving at some point in their

incarceration.” Hewitt, 459 U.S. at 468. See also Penrod v. Zavaras, 94 F.3d

1399, 1407 (10th Cir. 1996). We have similarly held that placing an inmate in

such segregation as a preventive measure does not necessarily violate the Eighth

Amendment. See Bailey v. Shillinger, 828 F.2d 651, 653 (10th Cir. 1987).

      While there is no “static test” used to determine what types of conditions in

administrative segregation violate the Eighth Amendment, courts must look at

“‘evolving standards of decency that mark the progress of a maturing society.’”

Mitchell v. Maynard, 80 F.3d 1433, 1441 (10th Cir. 1996) (quoting Rhodes, 452

U.S. at 346). To be considered cruel and unusual, the conditions of confinement

must: 1) be grossly disproportionate to the severity of the crime warranting

punishment, 2) involve the wanton and unnecessary infliction of pain, or 3)

deprive an inmate of the minimal civilized measure of life’s necessities. See

Rhodes, 452 U.S. at 346-47. We have held corrections officers are responsible

under the Eighth Amendment “to provide humane conditions of confinement by

ensuring inmates receive the basic necessities of adequate food, clothing, shelter,

                                         -29-
and medical care and by taking reasonable measures to guarantee the inmates’

safety.” Barney v. Pulsipher, 143 F.3d 1299, 1310 (10th Cir. 1998).

      “An inmate making an Eighth Amendment claim for constitutionally

inadequate conditions of confinement must allege and prove an objective

component and subjective component associated with the deficiency” claimed.

Shannon v. Graves, 257 F.3d 1164, 1168 (10th Cir. 2001). “The objective

component requires conditions sufficiently serious so as to ‘deprive inmates of

the minimal civilized measure of life’s necessities.’” Id. (quoting Rhodes, 452

U.S. at 347). “Alternatively, a condition must be sufficiently serious so as [to]

constitute a substantial risk of serious harm.” Id. (citing Helling v. McKinney,

509 U.S. 25, 33-35 (1993)). In turn, “[t]he subjective component requires that a

... prison official have a culpable state of mind, that he or she acts or fails to act

with deliberate indifference to inmate health and safety.” Id. (citing Wilson v.

Seiter, 501 U.S. 294, 297, 303 (1991)). The subjective component is met if the

prisoner shows the defendants “knew he faced a substantial risk of harm and

disregarded that risk ‘by failing to take reasonable measures to abate it.’” Hunt v.

Uphoff, 199 F.3d 1220, 1224 (10th Cir. 1999) (quoting Farmer v. Brennan, 511

U.S. 825, 847 (1994)). On the other hand, if an official is aware of the potential

for harm but takes reasonable efforts to avoid or alleviate that harm, he bears no

liability. See DeSpain v. Uphoff, 264 F.3d 965, 975 (10th Cir. 2001). This is

“because the Eighth Amendment requires only ‘reasonable safety,’” so that

                                          -30-
“prison officials who ‘actually knew of a substantial risk to inmate health or

safety may be found free from liability if they responded reasonably to the risk,

even if the harm ultimately was not averted.’” Howard v. Waide, 534 F.3d 1227,

1239 (10th Cir. 2008) (quoting Farmer, 511 U.S. at 844-45).

      In considering such components in the context of mental health, we have

held the Eighth Amendment may be implicated by the infliction of psychological

harm but that “[t]he actual extent of any ... psychological injury is pertinent in

proving a substantial risk of serious harm.” Benefield v. McDowall, 241 F.3d

1267, 1272 (10th Cir. 2001) (emphasis added). We have also said it is important

to consider the conditions of confinement as a whole because several deprivations

in combination may constitute a constitutional violation. See Wilson, 501 U.S. at

304. The failure to provide basic necessities, if sufficiently prolonged and severe,

can satisfy the objective prong of the Eighth Amendment test. See Craig v.

Eberly, 164 F.3d 490, 495 (10th Cir. 1998). Thus, the length of time of

confinement is “simply one consideration among many” in an Eighth Amendment

inquiry. See Hutto v. Finney, 437 U.S. 678, 687 (1978). Nevertheless, the

duration of one’s administrative segregation is part of our Eighth Amendment

consideration for the purpose of determining whether such duration is cruel and

unusual in light of the conditions imposed.

      In viewing both the conditions and duration of one’s confinement, “[w]e

must accord substantial deference to the professional judgment of prison

                                         -31-
administrators, who bear a significant responsibility for defining the legitimate

goals of a corrections system and for determining the most appropriate means to

accomplish them.” Overton v. Bazzetta, 539 U.S. 126, 132 (2003). As such, they

are entitled to “wide-ranging deference in the adoption and execution of policies

and practices that in their judgment are needed to preserve internal order and

discipline and to maintain institutional security.” Bell v. Wolfish, 441 U.S. 520,

547 (1979). The opinion of a prison administrator on how to maintain internal

security carries great weight and the courts should not “substitute their judgment

for that of officials who have made a considered choice.” Whitley, 475 U.S. at

321-22.

      As a result, we are particularly deferential to prison administrators’

judgment if “[a]ccommodating [an inmate’s] demands would ... impair the ability

of corrections officers to protect all who are inside a prison’s walls.” Overton,

539 U.S. at 135. In that regard, a “prison’s internal security is peculiarly a matter

normally left to the discretion of prison administrators.” Rhodes, 452 U.S. at 349

n.14. The government’s first obligation “must be to ensure the safety of guards

and prison personnel, the public, and the prisoners themselves.” Wilkinson v.

Austin, 545 U.S. 209, 227 (2005). Indeed, “prison officials have a duty to protect

prisoners from violence at the hands of other prisoners,” Farmer, 511 U.S. at 833,

and for Eighth Amendment purposes, “it does not matter whether the risk comes

from a single source or multiple sources,” id. at 843. Only when a prison

                                         -32-
administrator’s actions are taken in bad faith and for no legitimate purpose are

they not insulated from our review. See Whitley, 475 U.S. at 322. As a result,

“[a] prison official’s ‘deliberate indifference’ to a substantial risk of serious harm

to an inmate violates the Eighth Amendment.” Farmer, 511 U.S. at 828. But

even if certain prison actions may impinge on an inmate’s constitutional rights,

they may nevertheless be valid if reasonably related to a legitimate penological

interest. See Frazier v. Dubois, 922 F.2d 560, 562 (10th Cir. 1990) (relying on

Turner v. Safley, 482 U.S. 78, 89 (1987)).

                                   VI. Discussion

      It is undisputed that on July 12, 2005, the BOP transferred Mr. Silverstein

to Range 13 of ADX Florence where he could not communicate with other

inmates but had access to exercise for an average of one and a half to two hours

daily, five days a week, as well as daily, if minimal, contact with BOP staff. He

also had access to medical care and was evaluated thirty-nine times in less than

three years. In April 2008, he was moved to a general population cell in the D-

Unit, where he remains housed today, and, since August 2009, he has been

subjected to the same procedures and received most of the same privileges as all

other ADX Florence general population inmates.

      With respect to the conditions of his current confinement, he is not totally

isolated as he: 1) has daily contact with three shifts of BOP guards and daily

interaction with other staff, even if the time of contact is minimal; 2) can

                                         -33-
communicate with other inmates (albeit by yelling from cell to cell or during

adjacent recreation); 3) receives a minimum of two fifteen-minute telephone calls

and up to five social visits per month, even if his family cannot travel to

Colorado; 4) has a black-and-white television with sixty channels and closed-

circuit programs, including educational programming through which he has

completed education courses; 5) has access to art supplies, radio, and digital

music channels; and 6) corresponds with others. He has a shower stall, sink, hot

water, toilet, concrete stool, desk, and shelf; receives a “no-flesh” diet, as desired;

is provided ten hours of recreation time per week, including access to both indoor

and outdoor recreation; and can control his cell lights, even though hall lights are

on twenty-four hours a day. 15 From his arrival at ADX Florence through

November 2010, prison psychiatric staff evaluated him at least forty-nine times.

As alleged in his appeal, Mr. Silverstein eats alone and has no face-to-face

interaction with others unfettered by glass, bars, chains, or other restraints, and

his contact with others is minimal, lasting only a minute or so. These are the

conditions from which he now requests injunctive relief.

      This circuit has not definitively determined whether a lack of social contact


      15
          While he complains of insomnia from his lighting conditions, Mr.
Silverstein has not indicated that he is prevented from covering his eyes, he now
has control over his cell lighting, and the hall lighting of which he complains is
much improved over his prior confinement in another facility where his cell light
was on twenty-four hours a day. See Wilkinson, 545 U.S. at 214 (regarding
twenty-four-hour lights on in cell with discipline if inmates covered their eyes).

                                          -34-
and environmental stimulation rises to an Eighth Amendment violation. 16

However, even if we determined it did, we cannot say his living conditions,

including the amount of social contact and environmental stimuli Mr. Silverstein

receives, are sufficiently serious so as to “deprive [him] of the minimal civilized

measure of life’s necessities.” See Rhodes, 452 U.S. at 347. Indeed, on numerous

occasions, we have upheld the same or similar conditions as not violating the

liberty and other rights of an inmate, albeit in shorter duration than presented

here. 17 As to social contact and environmental stimuli specifically, Mr.

      16
         The Supreme Court, in Wilkinson, indicated allegations of certain harsh
conditions, together with deprivation of almost any environmental or sensory
stimuli and any human contact, could be sufficient to rise to a Fifth Amendment
due process claim concerning a significant and atypical hardship. See 545 U.S. at
214, 224.
      17
          See Ajaj v. United States, 293 F.App’x 575, 582-84 (10th Cir. 2008)
(unpublished op.) (holding twenty-three-hour lock down per day, indefinite
confinement, and limited ability to exercise outdoors did not individually or in
concert amount to Eighth Amendment violation); DiMarco v. Wyo. Dep’t of
Corr., 473 F.3d 1334, 1343 (10th Cir. 2007) (holding no constitutional violation
for segregated inmate who had, in part, clean clothing and personal hygiene
items, access to meals, library, recreation, and over five hours of out-of-cell time
per day and who had access to prison programs and received monthly visits from
psychiatric specialist); Jordan v. Fed. Bureau of Prisons, 191 F.App’x 639, 644-
45, 652 (10th Cir. 2006) (unpublished op.) (holding, in part, that one social call
per month and five hours of exercise each week, together with contact with prison
staff, while inmate remained in administrative segregation for five years, did not
violate his due process rights or otherwise rise to an atypical and significant
hardship); Villarreal v. Harrison, 201 F.3d 449, 1999 WL 1063830, at *2 & n.1
(10th Cir. 1999) (unpublished op.) (affirming summary judgment decision
explaining restricted telephone privileges and eating alone in cell did not rise to
constitutional deprivation); Blum v. Fed. Bureau of Prisons, 189 F.3d 477, 1999
WL 638232, at *3 (10th Cir. Aug. 23, 1999) (unpublished op.) (considering
                                                                       (continued...)

                                        -35-
Silverstein is not devoid of either. As noted, he has art supplies, reading

materials, and multiple libraries; corresponds with others; has access to radio,

television, digital music channels, and closed circuit programming from which he

may take courses; can communicate with other inmates; and has indoor and

outdoor recreation. He also has daily interaction, however limited, with a variety

of prison staff. Thus, despite the restrictions he is under, Mr. Silverstein

nevertheless maintains a degree of social contact and environmental stimuli which

we conclude does not violate his Eighth Amendment right to be free from cruel

and unusual punishment.

      Turning to his current mental health, the BOP agrees that since his transfer

to ADX Florence, Mr. Silverstein has been diagnosed with anxiety disorder and

tested positive for cognitive impairment. It also admits he reported various

symptoms of psychological distress to BOP officials over the years, including

hopelessness, troubles with concentration, memory loss, and depression.

      17
        (...continued)
disciplinary detention and concluding ninety-day confinement without store
privileges, radio, and phone calls as enjoyed by other inmates in segregation did
not violate inmate’s rights). Cf. Perkins v. Kan. Dep’t of Corr., 165 F.3d 803,
806, 810 (10th Cir. 1999) (holding claim of psychological and physical injuries
related to denial of any outdoor exercise stated an Eighth Amendment claim
surviving motion to dismiss); Mitchell, 80 F.3d at 1442 (concluding inmate’s
placement in cell with no clothing, inadequate ventilation, and no heat, mattress,
bedding, writing utensils, hot water, toilet paper, or exercise could constitute
violation of Eighth Amendment); Ramos v. Lamm, 639 F.2d 559, 568 (10th Cir.
1980) (recognizing prison must provide an inmate with reasonably adequate
ventilation, sanitation, bedding, hygienic materials, and utilities).


                                         -36-
However, the “inevitable byproduct” of anyone facing a long sentence, even if

they are not in solitary or segregated confinement, may include “depression,

hopelessness, frustration, and other such psychological states.” Jackson v.

Meachum, 699 F.2d 578, 584 (1st Cir. 1983). See also In re Long Term Admin.

Segregation of Inmates Designated as Five Percenters, 174 F.3d 464, 472 (4th

Cir. 1999) (holding “[d]epression and anxiety are unfortunate concomitants of

incarceration”). Here, regardless of his segregated confinement, Mr. Silverstein

faces three life sentences, which most certainly must cause depression, and which

the Chief Psychologist, Dr. Denney, admitted Mr. Silverstein suffers from once or

twice a year, while also pointing out such depression is not atypical for inmates

and that Mr. Silverstein resiliently recovers from these bouts of depression

without the need for treatment.

      Moreover, in the instant case, all the experts involved indicate Mr.

Silverstein’s symptoms of anxiety, memory loss, cognitive impairment, and

depression are currently mild or, as otherwise stated, he has no major mental

health issues, and none of the experts have definitively stated any of his mental

health symptoms have been caused by the conditions or duration of his segregated

confinement. Indeed, his expert, Dr. Haney, concluded Mr. Silverstein was not

suffering from a major mental illness which would provide “a significant

impairment in [his] ability to function on a day-to-day basis,” acknowledged he

possessed “psychological resiliency,” and said he “saw no direct evidence of

                                        -37-
major mental illness either reflected in Mr. Silverstein’s BOP Central File or in

the course of my two interviews with him.” (Emphasis added.) Dr. Haney also

explained his behavioral observations were based almost exclusively on his

review of Mr. Silverstein’s central file for the ten-year period from the late 1980s

to late 1990s. However, that period is not within the six-year statute of

limitations period and is prior to his instant confinement in ADX Florence where

the conditions of his confinement have actually significantly improved.

      While Mr. Silverstein states one of his other doctors, Dr. Williams, found

his memory impairment could be directly caused by his isolation and sensory

deprivation, the record also shows the same expert stated, “I was unable to

discern the causes of Mr. Silverstein’s positive screen for memory impairment,”

and we further note that while she commented on his mental health, she is an

internal medicine and geriatric doctor, rather than a licensed psychiatrist. In

addition, while Dr. Friedman opined Mr. Silverstein’s “[i]solation may be

associated with cognitive impairment,” he found such impairment mild and did

not definitively state Mr. Silverstein’s cognitive impairment was caused by his

segregation. He stated Mr. Silverstein never presented himself in a manner

suggesting “he was suffering from a mental health disorder ....”

      Nevertheless, Mr. Silverstein points out BOP medical staff noted in their

logs that he showed signs of “withdrawal and depression” and “affect and mood

that were flat and solemn,” appeared to have “trouble engaging in higher-order

                                         -38-
reasoning and conversation,” “chose to live in ‘near-darkness,’” and had “lazy”

interpersonal skills–all producing a suggestion by the BOP’s psychologist that

“staff be encouraged to foster more interpersonal communication/interaction”

with him. These entries were made prior to 2005 and the time in question, and

none establish his symptoms were related to serious mental health issues or were

pervasive for the purpose of requiring mental health treatment or rising to an

Eighth Amendment claim. Moreover, entries by BOP medical staff beginning in

2005, from the time of his transfer to ADX Florence, demonstrate he did not raise

any mental health complaints or concerns and indicated to staff almost every time

he was seen that he did not desire or need psychological services. They also

indicate he “had a lively and spirited conversation”; “voiced no complaint of [a]

psychological nature”; was “doing well”; appeared to be “calm and relaxed” and

“cooperative”; was on many occasions “in good spirits”; and presented himself as

“personable and cooperative,” “well-oriented and stable,” “humorous,” “upbeat,”

“affable,” and “alert.” On only one occasion did he raise the issue of memory

loss, by asking for techniques to improve his memory, at which time staff

discussed with him challenging brain activities which might help improve his

memory. He did not complain of anxiety until late 2009, after the filing of the

instant lawsuit, at which point he was promptly evaluated and treated with

medication.

      Viewing the facts in the light most favorable to Mr. Silverstein, we cannot

                                        -39-
conclude his current mental symptoms of anxiety, depression, memory loss, and

cognitive impairment are caused by the conditions of his current segregated

confinement rather than the mere fact of his lengthy incarceration itself or some

other factor, such as age. Because his current symptoms are mild, he has also not

shown his mental health problems are sufficiently serious so as to deprive him of

the minimal civilized measure of life’s necessities, nor has he alleged the BOP

disregarded his mental health by failing to take reasonable measures to abate his

problems. See Hunt, 199 F.3d at 1224. This is important because to prevail on

summary judgment, Mr. Silverstein must demonstrate not only that he suffered a

serious medical or mental disorder but that the BOP was aware of his condition

but was deliberately indifferent to his plight. See Farmer, 511 U.S. at 828, 847.

The BOP has “responded reasonably” to his mild mental health symptoms by

improving the conditions of his confinement, including the social and

environmental stimuli, by ensuring he has daily interaction with staff and

providing him with psychiatric evaluations and care, access to programs,

materials, and medications, “even if the harm ultimately [is] not averted.” See id.

at 844-45. Thus, regardless of whether Mr. Silverstein’s current mental health

issues are the inevitable result of his three life sentences or his placement in

segregated confinement, the BOP has provided Mr. Silverstein with psychiatric

evaluation; treatment if needed or on request, which he has in the past declined;

and self-help materials and participation in a psychiatric program, which he has

                                         -40-
also refused. Undisputedly, it has taken reasonable efforts to avoid or alleviate

the symptoms of which he complains. See DeSpain, 264 F.3d at 975. This leaves

no genuine issue of fact for which there is liability as a matter of law regarding

his current mental health.

      We now turn to the issue of whether the conditions related to his mental

health are sufficiently serious so as to constitute a substantial risk of serious harm

for the purpose of meeting the requisite objective component. Mr. Silverstein’s

experts, as well as the amici curiae, opine that his anxiety, depression, memory

loss, and cognitive impairment, together with the lengthy duration of his solitary

confinement, are likely to pose a substantial risk of serious harm based on

generalized studies concerning other inmates who are similarly incarcerated in

solitary confinement. However, while we have held the Eighth Amendment may

be implicated by the infliction of psychological harm, we have also said “[t]he

actual extent of any ... psychological injury is pertinent in proving a substantial

risk of serious harm.” Benefield, 241 F.3d at 1272 (emphasis added). The

Supreme Court has indicated such a risk is an excessive risk to inmate health or

safety. See Wilson, 501 U.S. at 302-03.

      Here, Mr. Silverstein’s symptoms have been described by all the experts as

mild and he has access to medical treatment and medications so that, arguably, he

has failed to show he is at a substantial or excessive risk of serious harm or that




                                          -41-
he is comparable to inmates in the generalized studies relied on by his experts. 18

Moreover, even if some risk of serious harm exists, it is clear the BOP has not

disregarded that risk by failing to take reasonable measures to abate the harm.

Instead, it has significantly improved the conditions of his solitary confinement

from the conditions he endured at other facilities. 19 Not only are his living

conditions in his segregated cell the same as those in the ADX Florence general

prison population, where he is not deprived of the minimal civilized measure of

life’s necessities, but he is receiving the most social access and environmental

stimuli he has received since entering segregated confinement in 1983, and, as

previously noted, he has been provided access to psychiatric evaluation,

medication, and treatment. 20 Thus, not only has the objective component not been

met, but the same is true of the subjective component because the BOP has

undisputably taken reasonable efforts to avoid or alleviate the potential for


      18
          See Gambina v. Fed. Bureau of Prisons, 529 F.App’x 900, 902-03 (10th
Cir. 2013) (unpublished op.) (rejecting an inmate’s Eighth Amendment claim
even though he endured twenty-one years in solitary confinement at ADX,
finding, like here, that he failed to raise a genuine issue of material fact as to
whether the conditions or duration of his confinement posed a substantial risk of
serious harm).
      19
         See Ajaj, 293 F.App’x at 579-80 (holding prison authorities did not
disregard health concerns of inmate by failing to move him to another facility
given they attempted to accommodate his need for nonsmoking environment by
placing him near cells of nonsmoking inmates and installing air filters in his cell).
      20
          Not only has Mr. Silverstein been evaluated at least forty-nine times
since arriving at ADX Florence, but from 2001 to 2005 he was evaluated by a
staff psychologist or psychiatrist approximately forty-seven times.

                                         -42-
substantial serious harm. See DeSpain, 264 F.3d at 975.

      We now turn to perhaps Mr. Silverstein’s most compelling issue and

argument relevant to his Eighth Amendment claim, which is the very lengthy

duration of his solitary or segregated confinement. Mr. Silverstein asks us to

consider the fact that he has been in such confinement for more than thirty years

without interruption, which he contends violates his Eighth Amendment right to

be free from cruel and unusual punishment. Thirty years is indeed an

extraordinary length of time to live in segregation, under any conditions. But

even if we declined to apply the six-year statute of limitations, as he suggests, on

grounds of a continuing violation or equitable tolling, we cannot look at those

thirty years alone without considering the reasons for both his confinement and

the continuation of his confinement in such isolation.

      Up until 1988, Mr. Silverstein committed at least three brutal murders, was

implicated in two others, assaulted three staff members, threatened a staff

member, made an escape attempt by posing as a United States Marshal, and

possessed weapons, including two hacksaw blades, handcuff keys, and two lock

picks. Indeed, with respect to at least one of his murders, the Seventh Circuit

stated his appeal afforded “a horrifying glimpse of the sordid and lethal world of

modern prison gangs.” Silverstein II, 732 F.2d at 1341. Even the Supreme Court

has cited Mr. Silverstein’s prior murder cases three times as an example of the

type of brutal prison murders perpetrated by its gang members. See Johnson v.

                                         -43-
California, 543 U.S. 499, 533-34 nn.7-8 (2005) (dissent); Wilkinson, 545 U.S. at

227; Dawson v. Delaware, 503 U.S. 159, 173 (1992). In direct reference to Mr.

Silverstein’s murder case, the Supreme Court noted there is a lack of any

deterrent punishment for gang members, like Mr. Silverstein, who are serving life

sentences without the possibility of parole, see Johnson, 543 U.S. at 533-34 &

n.8, and explained the use of high security prisons has increased in “response to

the rise in prison gangs and prison violence” and that “prison security” is

“imperiled by the brutal reality of prison gangs,” Wilkinson, 545 U.S. at 213, 227.

It is no surprise then that the BOP, in an attempt to protect other inmates and its

staff, has held Mr. Silverstein in segregated confinement with heightened security

precautions.

      While Mr. Silverstein now claims he should be removed from such

confinement as he is no longer a security risk, as evidenced by his low-level

violence rating given by BOP staff, it is undisputed his institutionally conforming

conduct occurred when he was not with other inmates and that his conduct, when

he was previously allowed to have physical proximity to other inmates, has been

marked by threats, assaults, and murders. According to two of the BOP’s mental

health providers, the low-risk rating was given based on his current housing

where he has no access to weapons or potential victims.

      In addition, the BOP has provided undisputed, chilling facts as to how the

Aryan Brotherhood operates, Mr. Silverstein’s association and history with that

                                         -44-
gang, and its reasonable belief a substantial security risk exists with regard to him

and others if he is no longer segregated. Not only has Mr. Silverstein established

his credentials and legendary status with various gangs by committing multiple

murders, but retirement from the Aryan Brotherhood does not exist, and if a

member, like Mr. Silverstein, is asked to resume in his “shot caller” role or

otherwise instructed to perform a violent task or act, he must do so or likely be

disciplined, either by beating or death, as part of the gang’s code of conduct. See

Wilkinson, 545 U.S. at 227 (relying on Silverstein II, 732 F.2d at 1341, in noting

murder of an inmate is a common form of gang discipline as well as a condition

for membership in some gangs).

      As a result, despite whether he has actually left the gang as he claims or

perceives, the BOP has provided its well-grounded belief, based on expert

evidence, that a serious risk exists that Mr. Silverstein may be required, for his

own preservation, to resume his role, either as a leader or murderer, or take some

other violent course or otherwise risk his own death or serious injury. Moreover,

even if Mr. Silverstein has somehow separated himself from the Aryan

Brotherhood, in order for the BOP to protect him he must enter protective custody

in which he would still be required to be separated from other inmates for his own

protection.

      It is also clear, based on the BOP’s expert evidence, that a deadly rivalry

exists between the D.C. Crew and the Aryan Brotherhood, they make retaliatory

                                         -45-
hits against each other, and members of the D.C. Crew and Aryan Brotherhood

are separated in all federal prisons and no influential member of either gang is

allowed to interact in the open prison population. This would include Mr.

Silverstein, who not only killed at least one leader of the D.C. Crew, but was an

influential member of his gang, holding one of the top three positions as a

commissioner for the Aryan Brotherhood. Thus, a risk remains the D.C. Crew

may avenge Mr. Smith’s murder by murdering Mr. Silverstein himself. Finally,

as the Supreme Court noted in its direct reference to Mr. Silverstein, there is a

lack of deterrent punishment sufficient to prevent inmates like him from

committing future violent acts when they are serving life sentences without the

possibility of parole. See Wilkinson, 545 U.S. at 227.

      At this juncture, it is worth repeating that the BOP’s first obligation is to

ensure “the safety of guards and prison personnel, the public, and the prisoners

themselves.” Id. at 211. Not only is the BOP responsible for providing humane

conditions of confinement and medical care but it must take “reasonable

measures to guarantee the inmates’ safety.” Barney, 143 F.3d at 1310 (emphasis

added). As such, the BOP has a duty to protect Mr. Silverstein from rival gang

members and them from him. 21 See Farmer, 511 U.S. at 833. We must accord

      21
          Our circuit is replete with cases on the government’s responsibility to
protect inmates from each other or claims that prison officials showed deliberate
indifference to a prisoner’s safety due to harm or the risk of substantial harm
imposed by other prisoners, including members of the Aryan Brotherhood. See
                                                                       (continued...)

                                         -46-
substantial deference to the BOP determination to separate such gang members

from each other and keep influential members of gangs, like Mr. Silverstein, from

interacting in the open prison population for the purpose of inmate safety,

preserving internal order and discipline, and maintaining institutional security.

See Overton, 539 U.S. at 132; Bell, 441 U.S. at 547.

      In this regard, we find the Ninth Circuit’s decision in Griffin persuasive.

See 741 F.3d at 10. By January 2014, when the court issued its decision, Mr.

Griffin had been imprisoned forty-four years, or since 1970. Id. at 10-11. Like

Mr. Silverstein, he is a member of the Aryan Brotherhood and committed violent

      21
         (...continued)
Driggers v. Clark, 422 F.App’x 747 (10th Cir. 2011) (unpublished op.) (regarding
segregated confinement of prior KKK member with Aryan Brotherhood member);
Howard, 534 F.3d at 1227 (holding inmate, attacked by 2-11 Crew gang members,
presented adequate evidence of prison officials’ failure to protect him sufficient
to survive summary judgment); DiMarco, 473 F.3d at 1342-43 (holding prison
official had legitimate reason to segregate hermaphrodite inmate for her
protection and the protection of other women inmates); Smith v. Beck, 165
F.App’x 681 (10th Cir. 2006) (unpublished op.) (regarding allegation inmate’s
Eighth Amendment right to be free from cruel and unusual punishment was
violated after being attacked by Aryan Brotherhood gang); Muhammad v. Berry,
198 F.App’x 738 (10th Cir. 2006) (unpublished op.) (regarding allegation of
Eighth Amendment violation for safety and endangerment by housing inmates
with Aryan Brotherhood members); McGee v. Fed. Bureau of Prisons, 118
F.App’x 471 (10th Cir. 2004) (unpublished op.) (regarding allegation, in part, that
attack on inmate, categorized as a member of the Aryan Brotherhood, resulted
from prison staff negligence); Carter v. Padilla, 54 F.App’x 292 (10th Cir. 2002)
(unpublished op.) (holding inmate belonging to Aryan Brotherhood failed to
demonstrate deliberate indifference to his safety because his placement in
administrative segregation showed some concern for his safety and his attacker
was in restraints and escorted by corrections officer at time of assault); Benefield,
241 F.3d at 1267 (regarding allegations of substantial risk of harm after prison
officer labeled inmate a snitch).

                                        -47-
crimes in prison, including the assault and murders of other inmates. Id. at 11,

15. Based on his gang activities, Mr. Griffin has been confined to a secure

housing unit since at least 1979, or thirty-five years, “to protect other prisoners

from him and his gang underlings.” Id. at 11-12 & n.1, 15. Like Mr. Silverstein,

Mr. Griffin has been transferred to various prisons where he has remained in a

secure housing unit, served as a commissioner of the Aryan Brotherhood, and

been both implicated and convicted of directing Aryan Brotherhood activities and

authorizing assaults and murders on other inmates. Id. at 12-13, 15, & n.1. Also

like Mr. Silverstein, Mr. Griffin sought release from the secure housing unit

where he is currently confined, claiming he is no longer active in the gang, even

though prison authorities believed such “retirement” would be inconsistent with

the gang’s requirements. Id. at 13.

      In vacating the district court’s orders for Mr. Griffin’s release from his

secure housing unit and transfer to the general prison population or to less

restrictive housing, the Ninth Circuit recognized the chronic problem within its

prisons involving murderous gangs, including the Aryan Brotherhood; discussed

the fact that once an inmate is a member of that gang, he remains a member or

risks being killed; and that gang members are considered by prison officials to be

a severe risk to others, so that they are placed in secure housing units indefinitely.

Id. at 11, 20. It held prison administrators are entitled to wide-ranging deference

with respect to preserving institutional security and ensuring the safety of inmates

                                         -48-
and prison personnel and determined that, in Mr. Griffin’s case, the prison

administrators’ fears were well-grounded that he would order more beatings or

murders on behalf of the Aryan Brotherhood if placed in less-restrictive housing.

Id. at 20-21. While it recognized “other prisoners may be murderers, rapists, drug

dealers, and child molesters,” it explained the government is responsible under

the Eighth Amendment to protect them “from murder by other prisoners.” Id. at

21. It also pointed out inmates are “stripped ... of virtually every means of self-

protection,” and being violently assaulted in prison “is simply not part of the

penalty that criminal offenders pay for their offenses against society.” Id. at 21-

22. Finally, it explained “prison authorities must perform a delicate balancing of

concerns” by staying within the Eighth Amendment boundaries in the treatment of

dangerous criminals like Mr. Griffin, while protecting the very same criminals

from each other, “which may entail very severe restraints.” Id. at 22.

      Similarly, while Mr. Silverstein’s thirty-year duration in segregated

confinement is an extraordinary length of time, we defer to the BOP’s judgment

that accommodating Mr. Silverstein’s demands by releasing him into the open

prison population or transferring him to a less secure facility would impair its

ability to protect all who are inside the prison’s walls, including Mr. Silverstein

himself, other inmates, and BOP personnel. Overton, 539 U.S. at 136. Instead,

the BOP has had to strike a delicate balance between reducing the restrictions

imposed on Mr. Silverstein, which it has done since 2005, and its legitimate

                                         -49-
security concerns in ensuring the security of all who come in contact with Mr.

Silverstein, as well as his own security, by keeping him in segregated

confinement. This is a considered choice for which we should not substitute our

judgment. 22 See Whitley, 475 U.S. at 321-22. See also Scarver v. Litscher, 434

F.3d 972, 976 (7th Cir. 2006) (stating delicate balance is involved in considering

the psychiatric health of an inmate over prison security concerns and determining

prison authorities must be given considerable latitude in their measures for

controlling homicidal maniacs without exacerbating their manias beyond what is

necessary for security); In re Long Term, 174 F.3d at 470 (holding prison

administration often involves tough tradeoffs so that granting greater liberties to

some may mean increased danger and intimidation of others). Irrespective of the

length of his confinement, Mr. Silverstein’s history with regard to both his violent

conduct and leadership in the Aryan Brotherhood makes this a deeply atypical

case and it is clear his segregated confinement is commensurate with ongoing

prison security concerns. 23

      22
          We also recognize that if Mr. Silverstein is released into the general
prison population and an incident occurs in which he or another inmate is injured
or killed, the BOP may bear the responsibility for failing to abate the known risk
presented. See Howard, 534 F.3d at 1239-41 (regarding prison authorities’
alleged failure to protect him from gang members); Carter, 54 F.App’x at 292
(considering allegation of Eighth Amendment violation when inmate, belonging
to Aryan Brotherhood and placed in administrative segregation, was attacked by
another inmate).
      23
           While the district court did not expressly grant summary judgment on
                                                                       (continued...)

                                         -50-
      As a reminder, Mr. Silverstein’s violent conduct includes, but is not limited

to, his strangling an inmate with a cord through cell bars, stabbing another inmate

sixty-seven times, and stabbing a guard twenty-nine times while handcuffed,

chained, and surrounded by two other guards. With this history, what inmate,

guard, or prison staff member would wish to be the first to encounter Mr.

Silverstein if he is released from the restraint of glass barriers, handcuffs, or

chains or, of more concern, released into the open prison population for any

activity? Certainly, in this case, the risk of death and physical or psychological

injury to those exposed to Mr. Silverstein must be balanced with the

psychological risk he may face if left in administrative segregation, as countered

by any treatment and medication available to him in an effort to avert any risk of

future psychological harm. As the Supreme Court states in Wilkinson, “harsh

conditions may well be necessary and appropriate” in light of the danger that

certain high-risk inmates, like Mr. Silverstein, “pose both to prison officials and

to other prisoners,” and “[p]rolonged confinement in Supermax [or, in this case,

ADX] may be the ... only option for the control of some inmates ....” 545 U.S. at

224, 229.


      23
        (...continued)
this ground in discussing his Eighth Amendment claim, as it did in dismissing his
Fifth Amendment due process claim, evidence concerning the Aryan Brotherhood,
Mr. Silverstein’s involvement in that gang, and his security concerns were raised
before the district court in regard to his Eighth Amendment claim, and Mr.
Silverstein had a fair opportunity to address the issues raised.

                                          -51-
      Accordingly, we reject Mr. Silverstein’s assertion on appeal his conditions

and restrictions of confinement are unreasonably harsh for the purpose of rising to

an Eighth Amendment violation. The fact Mr. Silverstein eats alone, has no face-

to-face interaction with others unfettered by glass, bars, chains, or other

restraints, has only brief contact with other prisoners, corrections staff, and

visitors, and has his visitations limited to those he knew before his incarceration,

are not unduly harsh under the circumstances presented and in light of other cases

in which the same or similar conditions have been considered and rejected as not

violating a segregated inmate’s constitutional rights. 24 Arguably, these type of

conditions, when considered together with other harsh deprivations, might be said


      24
          See e.g. Jordan, 191 F.App’x at 644-45, 652 (determining daily
interaction with prison staff was, in part, sufficient to overcome due process claim
of significant and atypical hardship); Overton, 539 U.S. at 126 (determining
noncontact visitation restrictions on inmates and prohibition on visits from former
inmates or unaccompanied children was related to legitimate penological
objectives including internal security); Villarreal, 1999 WL 1063830, at *2 n.1
(holding fact inmates in segregated confinement eat alone is insufficient to assert
violation of constitutional rights); Sanders v. Hopkins, 131 F.3d 152, 1997 WL
755276, at *2 (10th Cir. Dec. 5, 1997) (unpublished op.) (holding handcuffing
and shackling inmate when outside cell for the purpose of showering did not
contravene Eighth Amendment based on legitimate safely concerns). See also Ky.
Dep’t of Corr. v. Thompson, 490 U.S. 454, 460 (1989) (holding limitations on
visitation privileges is constitutionally permissible so that inmates do not have a
right to “unfettered visitation”); Hosna v. Groose, 80 F.3d 298, 305 n.10 (8th Cir.
1996) (holding handcuffing segregated inmate when outside his cell is
reasonable); Knox v. McGinnis, 998 F.2d 1405, 1412 (7th Cir. 1993) (explaining
practice of handcuffing and shackling segregated inmates who pose security risk
does not violate Eighth Amendment); Tubwell v. Griffith, 742 F.2d 250, 252-53
(5th Cir. 1984) (same).


                                         -52-
to create a constitutional claim with regard to a lack of social contact and

environmental stimulation. 25 But that is not the case here, especially when

considered with the security risk Mr. Silverstein poses and the other conditions of

his solitary confinement, which have undisputedly improved since his current

incarceration at ADX Florence.

      In sum, under the circumstances presented, regardless of whether we

consider the duration of Mr. Silverstein’s thirty years of segregated confinement,

we cannot say the BOP disregarded any substantial risks to Mr. Silverstein by

failing to take reasonable measures to abate them. This includes not only his

mental health, as evidenced by improvements to his living conditions since 2005

and his continued evaluation and treatment for his mild psychiatric symptoms, but

protecting him from other inmates and them from him. As a result, Mr.

Silverstein fails to establish either an objective or subjective component relating

to a genuine issue of material fact warranting reversal as a matter of law.

      Finally, with respect to the cases on which Mr. Silverstein relies concerning

      25
          See Wilkinson, 545 U.S. at 214, 224 (holding inmates alleged a liberty
interest sufficient to survive motion to dismiss by claiming harsh conditions
involving twenty-four-hour lights on in cell with discipline if they covered their
eyes, rare opportunities for visitation, all events conducted through glass walls,
eating their meals alone, no conversation from cell to cell, and essentially
deprivation of almost any environmental or sensory stimuli and any human
contact). We note that, unlike the inmates in Wilkinson, Mr. Silverstein has
access to outside and inside recreation ten hours a week, controls the lights in his
cell and has not complained he is prevented from covering his eyes, has the
opportunity for visitations at least five times a month, may converse from cell to
cell, and has contact with staff on a daily basis.

                                         -53-
the psychological impact solitary confinement generally has in long duration, they

are distinguishable from the instant case given they did not involve the degree of

murderous and violent behavior presented here, an inmate’s membership and/or

leadership position in the Aryan Brotherhood, the same security concerns posed in

this case, or the fact Mr. Silverstein’s current conditions have improved

measurably in comparison to the harsher conditions and restrictions of

confinement imposed before he entered ADX Florence. Similarly, Mr.

Silverstein’s experts’ testimony and the generalized studies and literature that he,

his experts, and the amici curiae rely on fail to address or adequately address

these same circumstances or consider the need to balance Mr. Silverstein’s mental

health concerns with the legitimate and reasonable grounds for keeping him in

administrative segregation for both his safety and the safety of others.

                                  VII. Conclusion

      For the reasons articulated herein, we AFFIRM the district court’s grant of

summary judgment to the BOP. We further AFFIRM the district court’s denial

of Appellant’s Motion to Alter or Amend the Judgment and Motion to Supplement

His Motion to Alter or Amend the Judgment. We GRANT the BOP’s February

28, 2013 Motion to Strike Portions of Plaintiff-Appellant’s Appendix.

                                       Entered by the Court:

                                       WADE BRORBY
                                       United States Circuit Judge


                                        -54-
