                                                                              FILED
                                                                  United States Court of Appeals
                                      PUBLISH                             Tenth Circuit

                      UNITED STATES COURT OF APPEALS                       July 2, 2019

                                                                      Elisabeth A. Shumaker
                            FOR THE TENTH CIRCUIT                         Clerk of Court
                        _________________________________

 CHRISTOPHER COLBRUNO,

       Plaintiff - Appellee,
                                                             No. 18-1056
 v.

 WILLIAM KESSLER, in his official and
 individual capacity; SAMANTHA
 KIELAR, in her official and individual
 capacity; TINA KLOSIEWSKI, in her
 official and individual capacity; RYAN
 SEWITSKY, in his individual and official
 capacity; THOMAS TINDALL, in his
 individual and official capacity; STEPHEN
 PETIT, in his individual and official
 capacity,

       Defendants - Appellants,

 and

 CITY AND COUNTY OF DENVER, a
 municipality; ELIAS DIGGINS,

       Defendants.
                        _________________________________

                     Appeal from the United States District Court
                             for the District of Colorado
                       (D.C. No. 1:17-CV-01072-WYD-MJW)
                       _________________________________

Michele A. Horn, Assistant City Attorney, Denver, Colorado (Melanie B. Lewis,
Assistant City Attorney, Denver, Colorado on the briefs) for Defendants-Appellants.

David A. Lane, Killmer, Lane & Newman, LLP, Denver, Colorado for Plaintiff-Appellee.
                        _________________________________

Before TYMKOVICH, Chief Judge, MURPHY, and HARTZ, Circuit Judges.
                 _________________________________

HARTZ, Circuit Judge.
                        _________________________________

       Plaintiff Christopher Colbruno was in jail awaiting trial when he needed to be

taken to the hospital for an urgent medical condition. Six deputies in the Denver

Sheriff’s Department (Defendants) walked him through the public areas of the hospital

completely unclothed except for an orange pair of mittens. Complaining that the deputies

violated his constitutional rights, he sued them, among others, under 42 U.S.C. § 1983.1

Defendants moved to dismiss for failure to state a claim on the ground that they were

entitled to qualified immunity. The district court disagreed, and Defendants appealed to

this court. Exercising jurisdiction under 28 U.S.C. § 1291, we affirm. Plaintiff’s

complaint alleges facts supporting the inference that the public exposure of his naked

body was wholly unjustifiable and therefore suffices to state a claim under the Fourteenth

Amendment. Whether the evidence supports those allegations is a question for further

proceedings.




1
  Section 1983 provides in relevant part: “Every person who, under color of any statute,
ordinance, regulation, custom, or usage, of any State or Territory or the District of
Columbia, subjects, or causes to be subjected, any citizen of the United States or other
person within the jurisdiction thereof to the deprivation of any rights, privileges, or
immunities secured by the Constitution and laws, shall be liable to the party injured in an
action at law, suit in equity, or other proper proceeding for redress.”
                                             2
       I.     BACKGROUND

       Although the district court characterized its decision (which addressed a variety of

issues in addition to qualified immunity) as resolving motions for summary judgment, it

is apparent from the record that the court resolved Defendants’ qualified-immunity

motion solely on the basis of allegations made in Plaintiff’s complaint. We therefore

consider this to be an appeal from the denial of a motion to dismiss under Federal Rule of

Civil Procedure 12(b)(6). On review we accept the factual allegations of the complaint as

true and draw all reasonable inferences in favor of the nonmoving party. See Doe v.

Woodard, 912 F.3d 1278, 1285 (10th Cir. 2019).

       Plaintiff’s complaint alleges the following: On May 4, 2015, he was a pretrial

detainee in the custody of the Denver Sheriff’s Department at the Van Cise-Simonet

Detention Center. During an apparent psychotic episode, he swallowed metal

components of an emergency call box in his jail cell. After jail officials learned of this at

about 10:00 p.m., they contacted a physician at the Denver Health Medical Center and

were told that he should be brought to the hospital for x rays and treatment within one

hour. At 12:20 a.m., three of the Defendants removed him from his cell and placed him

in a van to go to the hospital. On the way there, Plaintiff urinated and defecated on the

smock he was wearing. The three transporting Defendants were met at the hospital by

the other three Defendants. Defendants removed the smock and walked Plaintiff into the

hospital without any clothes on except a pair of orange mittens, passing through the

ambulance bay, entrance, atrium, and hallways before chaining him to a bed. Hospital



                                              3
staff witnessed this conduct and reported it to the hospital risk manager because they

found it disturbing.

       II.    DISCUSSION

       Defendants2 have asserted the defense of qualified immunity, which “protects

government officials from liability for civil damages insofar as their conduct does not

violate clearly established statutory or constitutional rights of which a reasonable person

would have known.” Callahan v. Unified Gov’t of Wyandotte Cty., 806 F.3d 1022, 1026

(10th Cir. 2015) (internal quotation marks omitted). “Because qualified immunity

establishes immunity from suit rather than a mere defense to liability, a district court’s

denial of a claim of qualified immunity is immediately appealable under 28 U.S.C. §

1291.” Id. (internal quotation marks and citation omitted). But our jurisdiction in such

an interlocutory appeal is limited to the legal question of whether the alleged facts state a

violation of clearly established law. See id.

       “In resolving a motion to dismiss based on qualified immunity, the court considers

(1) whether the facts that [Plaintiff] has alleged make out a violation of a constitutional




2
  “Individual liability under § 1983 must be based on personal involvement in the alleged
constitutional violation,” so “we must examine the allegations in the complaint as to each
individual appellant to determine whether a plausible claim for relief is stated.” Wilson v.
Montano, 715 F.3d 847, 854 (10th Cir. 2013) (internal quotation marks omitted). But
because Plaintiff alleges that all six Defendants participated equally in walking him into
the hospital without clothes on, and Defendants make no argument that they are
differently situated with regard to liability, we will treat them all the same for purposes of
this appeal. See Estate of Booker v. Gomez, 745 F.3d 405, 421–22 (10th Cir. 2014). Of
course, evidence developed upon remand may make distinctions among them
appropriate.
                                                4
right, and (2) whether the right at issue was clearly established at the time of

[Defendants’] alleged misconduct.” Keith v. Koerner, 707 F.3d 1185, 1188 (10th Cir.

2013) (internal quotation marks omitted). The law was “clearly established” if it “was

sufficiently clear that every reasonable official would understand that what he is doing is

unlawful.” District of Columbia v. Wesby, 138 S. Ct. 577, 589 (2018) (internal quotation

marks omitted); see id. at 590 (“The rule’s contours must be so well defined that it is

clear to a reasonable officer that his conduct was unlawful in the situation he confronted.”

(internal quotation marks omitted)). Generally, “[t]he plaintiff must show there is a

Supreme Court or Tenth Circuit decision on point, or the clearly established weight of

authority from other courts must have found the law to be as the plaintiff maintains.”

Woodard, 912 F.3d at 1289 (internal quotation marks omitted). “Ultimately, we consider

whether our precedents render the [il]legality of the conduct undebatable.” Lowe v.

Raemisch, 864 F.3d 1205, 1211 (10th Cir. 2017). Our review is de novo. See Keith, 707

F.3d at 1187.

                A.   Mistreatment of Detainees

       Plaintiff asserts that Defendants’ treatment of him violated the Fourth

Amendment’s protection against unreasonable seizures and the Fourteenth Amendment’s

Due Process Clause. To resolve what constitutional provision governs this case, we need

to review the proper scope of the potentially applicable provisions. First, however, we

should explain our nomenclature, because almost any federal constitutional claim against

state officials is, strictly speaking, a claim under the Fourteenth Amendment. Although

the provisions of the Bill of Rights are directed only to the federal government, see

                                              5
Barron v. City of Baltimore, 32 U.S. (7 Pet.) 243, 247 (1833), the Supreme Court over the

years has incorporated most of those provisions into the Fourteenth Amendment, see

Timbs v. Indiana, 139 S. Ct. 682, 687 (2019) (“With only a handful of exceptions, this

Court has held that the Fourteenth Amendment’s Due Process Clause incorporates the

protections contained in the Bill of Rights, rendering them applicable to the States.”

(internal quotation marks omitted)). Thus, even when dealing with state officials, it is

common to say that a claim is based, say, on the First Amendment, Fourth Amendment,

Sixth Amendment, or Eighth Amendment. We follow that practice here to add clarity to

our discussion. When we speak of a Fourteenth Amendment claim in this opinion, we

will be referring to a claim that is not based on incorporating the Bill of Rights into that

amendment, but rather is based on the Due Process Clause in itself. We note, however,

that courts analyze such claims against state officials essentially the same way as they

analyze claims against federal officials under the Due Process Clause of the Fifth

Amendment. See Ward v. Anderson, 494 F.3d 929, 932 n.3 (10th Cir. 2007) (“The Due

Process Clause of the Fourteenth Amendment imposes no more stringent requirements

upon state officials than does the Due Process Clause of the Fifth Amendment upon their

federal counterparts.” (brackets and internal quotation marks omitted)).

       The essence of Plaintiff’s claim is that he was mistreated while in state custody.

Alleged mistreatment of this type may be challenged under the Fourth Amendment,

Eighth Amendment, or Fourteenth Amendment. The Fourth Amendment prohibits

“unreasonable searches and seizures.” U.S. Const. amend. IV. Even one who has been

properly searched or seized by police authorities (say, arrested on probable cause), can

                                              6
claim that the search or seizure was unreasonable because of unreasonable treatment by

officers in effecting the search or seizure. Typically, the mistreatment has been the use of

excessive force; but “the interests protected by the Fourth Amendment are not confined

to the right to be secure against physical harm; they include liberty, property and privacy

interests—a person’s sense of security and individual dignity.” Holland ex rel. Overdorff

v. Harrington, 268 F.3d 1179, 1195 (10th Cir. 2001) (internal quotation marks omitted)

(abusive conduct of SWAT team while holding residents at gunpoint during execution of

search and arrest warrants).

       The Eighth Amendment prohibits the infliction of “cruel and unusual

punishments.” U.S. Const. amend. VIII. It applies to those who have been convicted of

crime, so they usually cannot complain of confinement itself. But see Hawkins v.

Hargett, 200 F.3d 1279, 1282 (10th Cir. 1999) (Eighth Amendment protects against

sentence that is grossly disproportionate to the offense). It does, however, protect against

unjustifiable conditions of confinement, such as “the unnecessary and wanton infliction

of pain,” Hudson v. McMillian, 503 U.S. 1, 5 (1992) (internal quotation marks omitted),

or deliberate indifference to an excessive risk to a prisoner’s health, see Farmer v.

Brennan, 511 U.S. 825, 837 (1994). When a prisoner challenges a particular use of force

by prison officials, the prisoner can establish an unnecessary and wanton infliction of

pain by showing that the action was taken “maliciously and sadistically to cause harm.”

Hudson, 503 U.S. at 7. We have held that psychological harm, as well as physical injury,

can implicate the Eighth Amendment. See Benefield v. McDowall, 241 F.3d 1267, 1272

(10th Cir. 2001); see also Hudson, 503 U.S. at 16 (Blackmun, J., concurring in the

                                             7
judgment) (“It is not hard to imagine inflictions of psychological harm—without

corresponding physical harm—that might prove to be cruel and unusual punishment.”)

       For those in pretrial confinement, such as Plaintiff, claims regarding mistreatment

while in custody generally do not come within the protection of the Fourth Amendment

or the Eighth Amendment. As explained in Porro v. Barnes, 624 F.3d 1322, 1325–26

(10th Cir. 2010) (Gorsuch, J.), “[T]he Fourth Amendment . . . pertains to the events

leading up to and including an arrest of a citizen previously at liberty,” while the Eighth

Amendment is the source of protection for “prisoners already convicted of a crime who

claim that their punishments involve excessive force.” Thus, when a “plaintiff finds

himself in the criminal justice system somewhere between the two stools of an initial

seizure and post-conviction punishment[,] we turn to the due process clauses of the Fifth

or Fourteenth Amendment and their protection against arbitrary governmental action by

federal or state authorities” to evaluate claims of mistreatment. Id. at 1326. That is

Plaintiff’s situation, so we assess his claim under the Fourteenth Amendment. See Fisher

v. Washington Metro. Area Transit Auth., 690 F.2d 1133, 1142 (4th Cir. 1982) (assessing

under the Fourteenth Amendment a pretrial detainee’s claim of unwarranted forced

nudity), abrogated on other grounds by Cty. Of Riverside v. McLoughlin, 500 U.S. 44, 50

(1991).

       Although the full scope of protection provided by the Due Process Clauses to

pretrial detainees may be to some extent uncertain, the Supreme Court has been

categorical in one respect: “[A] detainee may not be punished prior to an adjudication of

guilt in accordance with due process of law.” Bell v. Wolfish, 441 U.S. 520, 535 (1979)

                                             8
(emphasis added). Thus, in analyzing a condition of pretrial confinement, “[a] court must

decide whether the disability is imposed for the purpose of punishment or whether it is

but an incident of some other legitimate governmental purpose.” Id. at 538. “Absent a

showing of an expressed intent to punish on the part of detention facility officials, that

determination generally will turn on whether an alternative purpose to which the

restriction may rationally be connected is assignable for it, and whether it appears

excessive in relation to the alternative purpose assigned to it.” Id. (brackets and internal

quotation marks omitted). “[I]f a restriction or condition is not reasonably related to a

legitimate goal—if it is arbitrary or purposeless—a court permissibly may infer that the

purpose of the governmental action is punishment that may not constitutionally be

inflicted upon detainees qua detainees.” Id. at 539.

       We applied those principles to a claim of excessive force in Blackmon v. Sutton,

734 F.3d 1237 (10th Cir. 2013) (Gorsuch, J.). An 11-year-old pretrial detainee claimed

that detention-center officials had unconstitutionally punished him by repeatedly placing

him in a restraint chair (and in one instance by having a guard sit on his chest) without

any legitimate penological purpose. See id. at 1242–43. We held that these would be

Fourteenth Amendment violations. See id. at 1240–44. We explained that a pretrial

detainee can establish that official actions constitute unconstitutional punishment either

by showing that “an expressed intent to punish on the part of detention facility officials

exists,” or “by showing that the restriction in question bears no reasonable relationship to

any legitimate governmental objective.” Id. at 1241.



                                              9
       Bell and Blackmon are not entirely clear about whether a pretrial detainee could

sustain a due-process claim for mistreatment without showing that the custodians

intended their actions as punishment. Both opinions could be read as requiring an intent

to punish the pretrial detainee although allowing such intent to be inferred from the

absence of a legitimate purpose behind the offensive conduct. See Kingsley v.

Hendrickson, 135 S. Ct. 2466, 2477–78 (2015) (Scalia, J., dissenting) (discussing Bell).

But the Supreme Court in Kingsley eliminated any ambiguity. Reviewing a claim of

excessive force brought by a pretrial detainee, the Court declined to read Bell as meaning

“that proof of intent (or motive) to punish is required for a pretrial detainee to prevail on

a claim that his due process rights were violated.” Id. at 2473. Rather, a pretrial detainee

can establish a due-process violation by “providing only objective evidence that the

challenged governmental action is not rationally related to a legitimate governmental

objective or that it is excessive in relation to that purpose.” Id. at 2473–74.3 In

particular, there is no subjective element of an excessive-force claim brought by a pretrial

detainee. See id. at 2476.

              B.     Public Exposure of Nude Body of Detainee

       In our view, any reasonable adult in our society would understand that the

involuntary exposure of an adult’s nude body is a significant imposition on the victim.




3
  The dissent argues that the proper approach to Fourteenth Amendment claims against
executive action would be to determine whether the action shocks the conscience.
Kingsley, however, is to the contrary for claims relating to the treatment of pretrial
detainees.
                                              10
And law-enforcement officers in this circuit have been taught this lesson repeatedly. In

Shroff v. Spellman, 604 F.3d 1179, 1184 (10th Cir. 2010), the plaintiff had been placed in

a holding cell after her arrest, awaiting transfer to the city jail. She told the arresting

officer that she needed to pump breastmilk to be used by her infant child in her absence.

See id. He required her to do so under the observation of a female cadet, even though she

could have been afforded privacy in a room with a guard outside. See id. at 1191. We

held that the officer had violated the Fourth Amendment, because he had “not

demonstrated any justification for requiring [the plaintiff] to expose her breasts to a

female cadet while she performed an essential bodily function in providing milk for her

baby.” Id.; see May v. City of Nahunta, Geo., 846 F.3d 1320, 1331 (11th Cir. 2017)

(woman subject to mental-health detention forced to disrobe in presence of male officer);

see also Los Angeles Cty., Cal. v. Rettele, 550 U.S. 609, 615 (2007) (in holding that

officers did not act improperly in executing search warrant, Court notes that officers did

not delay detainees from putting on clothes “longer than necessary to protect their

safety”).

       Similarly, in Hill v. Bogans, 735 F.2d 391, 393 (10th Cir. 1984), a man arrested on

a bench warrant for traffic violations was forced to “drop his pants and undershorts” as

part of the booking process in a jail’s “lobby area where he observed ten to twelve people

in the immediate vicinity.” We held that his Fourth Amendment rights had been violated

because the search was unnecessary to discover contraband or weapons, and took place in

front of multiple people in a public area. See id. at 394–95.



                                               11
       We have recognized the significance of such an imposition even on prisoners after

they have been convicted and are serving time in prison. In Farmer v. Perrill, 288 F.3d

1254, 1257 (10th Cir. 2002), a female inmate challenged a prison’s alleged policy of

requiring a “visual search” of inmates’ naked bodies in view of other inmates after trips

to the prison yard. We held that she had “the right not to be subjected to a humiliating

strip search in full view of several (or perhaps many) others unless the procedure is

reasonably related to a legitimate penological interest.” Id. at 1260 (emphasis omitted).

It appears, although it is not certain, that our decision in that case relied on the Fourth

Amendment; but several other circuits have recognized that officials can violate the

Eighth Amendment by forcing inmates to expose their naked bodies for the purpose of

humiliation. See Calhoun v. DeTella, 319 F.3d 936, 939 (7th Cir. 2003); Kent v.

Johnson, 821 F.2d 1220, 1227–28 (6th Cir. 1987); Lee v. Downs, 641 F.2d 1117, 1119

(4th Cir. 1981). And in Cumbey v. Meachum, 684 F.2d 712, 713 (10th Cir. 1982), we

considered a prisoner’s complaint that his constitutional rights had been violated because

female prison guards “are assigned to posts where they observe[d] him dressing and

undressing and using the toilet and the shower.” We held that the complaint was

improperly dismissed as frivolous, saying that “[a]lthough the inmates’ right to privacy

must yield to the penal institution’s need to maintain security, it does not vanish

altogether.” Id. at 714. We did not reference any particular provision of the Constitution.

       All we need to take from these cases is a conclusion that was obvious without

them: exposing a person’s naked body involuntarily is a severe invasion of personal

privacy. The conclusion that Defendants’ alleged conduct constituted a violation of the

                                              12
Fourteenth Amendment readily follows. The only issue is whether the exposure of

Plaintiff’s body was “not rationally related to a legitimate governmental objective or

[was] excessive in relation to that purpose.” Kingsley, 135 S. Ct. at 2473–74. In our

view, the facts alleged in the Complaint satisfy this condition.

       Defendants argue that Plaintiff needed medical treatment urgently, and that

finding another covering for him before transporting him through the hospital would have

taken too much additional time and effort. But Plaintiff has alleged facts supporting the

reasonable inference that no vital urgency justified Defendants’ actions. His complaint

states that Defendants took more than two hours to transport him to the hospital. It also

alleges that at the end of his walk through the hospital he was chained to a hospital bed,

not immediately x-rayed or provided with treatment. The district court ruled that these

allegations were sufficient to support the inference that Plaintiff’s condition was not so

urgent that Defendants could not have delayed walking him into the hospital for “[t]he

additional moment that would have been required to locate and place a smock” on him.

District Court Order at 17. We agree with the district court. It is common sense that

acquiring some replacement clothing at a hospital would be at most a matter of minutes,

and we can reasonably infer from the long delay in transporting Plaintiff that Defendants’

actions were not based on a medical need so pressing that they could not spare a little

time to obtain a dignified covering.

              C.     Qualified Immunity

       There remains the question whether Defendants are entitled to qualified immunity.

Was the law clearly established that their conduct (as alleged by Plaintiff) violated the

                                             13
Fourteenth Amendment? Ordinarily the answer is no unless there is precedent of the

Supreme Court or of this court declaring that there would be a violation under closely

similar facts. Fortunately, however, not every constitutional violation has factual

antecedents. We can occasionally rely on the general proposition that it would be “clear

to a reasonable officer that his conduct was unlawful in the situation he confronted . . .

even though existing precedent does not address similar circumstances.” Wesby, 138 S.

Ct. at 590 (internal quotation marks omitted); see Lowe, 864 F.3d at 1210–11 (“[T]he

constitutional violation may be so obvious that similar conduct seldom arises in our

cases,” and “it would be remarkable if the most obviously unconstitutional conduct

should be the most immune from liability only because it is so flagrantly unlawful that

few dare its attempt.” (internal quotation marks omitted)). We must be careful not to do

so when there are any relevant ambiguities, such as whether physical force is justified for

a particular purpose or in a particular context, see Aldaba v. Pickens, 844 F.3d 870, 879

(10th Cir. 2016) (use of taser to subdue person needing medical care), or whether force

used constituted deadly force, see Thomson v. Salt Lake County, 584 F.3d 1304, 1315–17

(10th Cir. 2009) (whether use of police dog constituted deadly force); Wilson v. City of

Lafayette, 510 F. App’x 775, 778 (10th Cir. 2013) (Gorsuch, J.) (whether tasing

amounted to use of deadly force). Here, however, there are no relevant ambiguities

regarding the manner in which Defendants allegedly took Plaintiff from the police

vehicle to his hospital room.

       The Fourteenth Amendment is violated if a pretrial detainee is subjected to “a

restriction or condition . . . not reasonably related to a legitimate goal.” Bell, 441 U.S. at

                                              14
539; see Kingsley, 135 S. Ct. at 2473–74. To be sure, some restrictions or conditions

may be too insignificant to be the predicate for a Fourteenth Amendment violation. But

common sense tells us that parading someone nude in public is not so insignificant, and

the above-referenced Fourth Amendment jurisprudence makes the point crystal clear.

We therefore proceed as we did in Blackmon. As previously noted, that case involved a

juvenile pretrial detainee. The evidence supported the inference that on occasion the

plaintiff had been shackled to a restraint chair “for long stretches when there was no hint

he posed a threat of harming himself or anyone else.” Blackmon, 734 F.3d at 1242.

Further, on one occasion he “was stripped out of his clothes and forced to wear a paper

gown while restrained in the chair,” id., and on another a corrections worker sat on him

“without any penological purpose,” id. at 1243. Even in the absence of any precedential

opinions holding that there had been a Fourteenth Amendment violation under similar

facts, we denied qualified immunity, saying: “On the frugal record we have, we (like the

district court before us) are again left unable to exclude the possibility that a defendant

used force against Mr. Blackmon as punishment. And that is enough to preclude granting

qualified immunity at summary judgment under Bell’s plain terms.” Id. at 1244. Bell in

itself sufficed as clearly established law in that context. There is little subtlety in a

standard requiring merely a rational relationship to a legitimate objective. In our view,

Bell suffices here as well, particularly given the additional precedential authority of

Blackmon.

       On one possible aspect of Plaintiff’s claim, however, we do not think Defendants’

actions were governed by clearly established law. To the extent that Plaintiff claims that

                                               15
his constitutional rights were violated by being chained in the hospital bed to which he

was taken, we dismiss the claim as barred by qualified immunity. Given Plaintiff’s status

as one facing criminal charges, and the apparent risk he posed to himself, there was

certainly a legitimate purpose for the constraints. Also, his nude body was presumably

then exposed only to his hospital caregivers, who could best determine what, if any, garb

or covering was appropriate for his treatment and care. Given the much more limited

nature of Plaintiff’s exposure, the legitimate reasons for the restraint, and the change in

caretaker upon Plaintiff’s delivery to the room, it is not obvious that Defendants denied

him due process in the manner that they left him in the hospital bed.

       III.   CONCLUSION

       We AFFIRM the denial of qualified immunity except to the extent that Plaintiff’s

claim is based on his treatment after being taken to his hospital room.




                                             16
18-1056, Colbruno v. Kessler
TYMKOVICH, Chief Judge, dissenting.

       This case presents a classic variation on the theme that “bad facts make bad law.”

The experiences alleged by Mr. Colbruno, if inflicted with malice, would trouble anyone.

If, on the other hand, deputies sought only to make the best of a bad situation in obtaining

emergency medical care for him, few would be alarmed.

       In my view, Mr. Colbruno has not adequately alleged malicious conduct.

Applying the appropriate legal framework under the Fourteenth Amendment, the deputies

should therefore be entitled to qualified immunity. As the majority explains, Mr.

Colbruno must allege some violation of a clearly established constitutional right. But the

complaint fails to allege facts sufficient to state a claim for substantive due process under

the Fourteenth Amendment, let alone one that was clearly established at the time of the

events in question.

       I begin by reiterating the appropriate legal framework for a complaint like this one,

which alleges official misconduct. I then contrast this approach with the framework

adopted by the majority. Ultimately, I conclude that—when either standard is faithfully

applied—Mr. Colbruno has failed to allege a violation that was clearly established.

       A. Fourteenth Amendment Violation

       The majority is correct in concluding these allegations are best analyzed under the

Fourteenth Amendment’s provision for due process. But I believe the majority has

applied the wrong due-process framework.
               1. The Appropriate Framework

       The Supreme Court has read the Fourteenth Amendment to authorize challenges to

abusive or arbitrary governmental conduct through claims of substantive due process.

E.g., Cty. Of Sacramento v. Lewis, 523 U.S. (1998). Governmental conduct may prove

sufficiently abusive or arbitrary so as to violate substantive due process in one of two

ways—from (1) legislative acts that infringe upon a personal right without sufficient

justification, or (2) official conduct that deprives a person of life, liberty, or property in a

manner so arbitrary as to shock the judicial conscience. E.g., United States v. Salerno,

481 U.S. 739, 746 (1987) (“‘[S]ubstantive due process’ prevents the government from

engaging in conduct that ‘shocks the conscience’ or interferes with rights ‘implicit in the

concept of ordered liberty.’”) (citations omitted).

       These allegations do not involve legislative action, so they must be evaluated

under the cases that consider official conduct. See Lewis, 523 U.S. at 846–47; see also

Browder v. City of Albuquerque, 787 F.3d 1076, 1079 n.1 (10th Cir. 2015). These cases

emphasize that “only the most egregious official conduct can be said to be ‘arbitrary’ in

the constitutional sense.” Onyx Props. LLC v. Bd. of Cty. Commr’s of Elbert Cty., 838

F.3d 1039, 1048–49 (10th Cir. 2016). In evaluating allegations of official misconduct,

we apply the “shocks the conscience” standard.1


       1
        See Nathan S. Chapman & Michael W. McConnell, Due Process as Separation
of Powers, 121 Yale L.J. 1672, 1788 (2012) (explaining Lewis’s holding “that substantive
due process claims against the executive—usually law enforcement officers—are

                                               -2-
       Conduct “shocks the conscience” when it demonstrates such “a degree of

outrageousness and a magnitude of potential or actual harm” that it “shocks the

conscience of federal judges.” Uhlrig v. Harder, 64 F.3d 567, 573–74 (10th Cir. 1995)

(quoting Collins v. City of Harker Heights, 503 U.S. 115, 126 (1992)) (internal quotation

marks omitted); see also Halley v. Huckaby, 902 F.3d 1136, 1155 (10th Cir. 2018)

(“Conduct that shocks the judicial conscience is deliberate government action that is

arbitrary and unrestrained by the established principles of private right and distributive

justice.”) (quoting Hernandez v. Ridely, 734 F.3d 1254, 1261 (10th Cir. 2013)) (internal

quotation marks omitted).

       This standard is exacting, in large part because the complete universe of state-law

torts might otherwise then be distorted into constitutional violations of due process.

Dawson v. Bd. of Cty. Commr’s of Jefferson Cty., 732 F. App’x 624, 634 (10th Cir. 2018)

(Tymkovich, C.J., concurring), cert denied — U.S. — , 139 S. Ct. 862 (2019). We have

therefore observed that only the most genuinely egregious abuse or misuse of

governmental power will be sufficient to clear the burden required to shock the judicial

conscience. E.g., Lindsey v. Hyler, 918 F.3d 1109, 1116 (10th Cir. 2019).

       This complaint cannot clear such a high standard. Mr. Colbruno alleges the

deputies moved him from the ambulance bay to his hospital room without clothing or

otherwise covering his body. This contention supports an inference of indifference or



governed by a ‘shocks the conscience’ test”).

                                             -3-
callousness, but no more. Mr. Colbruno does not allege any intent to humiliate or punish

lay behind this decision. Nor does he contend the deputies prolonged his exposure to

potential onlookers, either through needless delay or circuitous travel through the

hospital. Nor, lastly, does he allege that anyone beyond hospital personnel witnessed any

of these events. All of which presumably transpired within seconds.

       In short, as the complaint now stands, we know the deputies were responding to a

medical emergency; we know Mr. Colbruno—after ingesting metal objects in the midst of

a pyschotic episode—had soiled himself while in transit from pretrial detention to the

hospital; and we know the deputies decided to rush him into the emergency room,

unclothed. We do not know why they made the decisions they did; we do not know

whether a suitable gown was readily available; and we do not know whether time was

really of the essence. Perhaps further investigation prior to filing this lawsuit would have

shed light upon some of these missing facts. Taken together, the answers to the questions

could very well allow for a permissible inference of conscience-shocking conduct.2

       But in the absence of such additional factual context, I would conclude the

complaint fails to allege the requisite inference of malice that is necessary to conclude the

deputies might have engaged in conduct that shocks the conscience. In sum, Mr.



       2
         Mr. Colbruno was likewise obligated to plead specific facts that plausibly allege
a constitutional violation as to each defendant. See, e.g., Ashcroft v. Iqbal, 556 U.S. 662,
676 (2009). He did not do so. The complaint alleges only that Officer Petit, as ranking
officer, made the decision to remove Mr. Colbruno from the van without a smock.

                                             -4-
Colbruno has not adequately alleged a violation of his constitutional rights to substantive

due process under the Fourteenth Amendment.

              2. The Majority Framework

       Given the limitations of the complaint, the majority acknowledges difficulty in

identifying which constitutional provision should entitle Mr. Colbruno to relief. He

alleged violations of both his Fourth Amendment right to be free of unreasonable

searches and his Fourteenth Amendment right to bodily integrity. The district court, in

turn, accepted the Fourth Amendment rationale and did not conduct an independent

analysis of the Fourteenth Amendment claim. But because Mr. Colbruno was neither

searched nor seized in any conventional sense, it is obvious—as explained above—that

any relief must stem from the Fourteenth Amendment’s protections against official

misconduct; and not the Fourth Amendment’s familiar assurances against unreasonable

search or seizure.

       The majority understandably turns to a line of cases involving the rights of pre-trial

detainees. Relying upon Bell v. Wolfish, 441 U.S. 520, 535 (1979), and Kingsley v.

Hendrickson, 135 S. Ct. 2466 (2015),3 the majority concludes “[a] detainee may not be



       3
         Because Kingsley was decided after the events alleged in the complaint, Bell
remains the applicable Supreme Court precedent. Kingsley likewise addressed the state-
of-mind requirement for an excessive-force claim brought under the Fourteenth
Amendment. Because the complaint does not allege excessive force, the relevance of
Kingsley—beyond its restatement of the general principles articulated in Bell—is not
obvious.

                                             -5-
punished prior to an adjudication of guilt in accordance with due process of law.” Maj.

Op. 8–9. (emphasis in original) (quoting Bell, 441 U.S. at 535). In Bell, the Supreme

Court explained that—when a person is confined while awaiting trial—the government

must respect the presumption of his innocence. Accordingly, only those restraints against

liberty that advance legitimate institutional interests will be constitutionally permissible.

But “if a restriction or condition is not reasonably related to a legitimate goal—if it is

arbitrary or purposeless—a court permissibly may infer that the purpose of the

governmental action is punishment that may not constitutionally be inflicted upon

detainees qua detainees.” Id. at 539.

       The majority also points to a case not briefed by either party to apply the principles

outlined in Bell. Relying on Blackmon v. Sutton, 734 F.3d 1237 (10th Cir. 2013), the

majority concludes Mr. Colbruno’s treatment as detailed in his complaint was tantamount

to punishment. In Blackmon, we concluded that a juvenile detainee who claimed repeated

punishment through sometimes-lengthy placement in a restraint chair had successfully

alleged a violation of his due-process rights under the Fourteenth Amendment.

       But a close reading of Blackmon offers little support for the majority’s application

here. The Blackmon panel concluded the plaintiff’s allegations were so egregious that

they would have cleared the more demanding hurdle of stating an Eighth Amendment

violation. It therefore followed necessarily that the plaintiff had made out a violation of

his substantive due process rights under the Fourteenth Amendment, since “a pretrial


                                              -6-
detainee enjoys at least the same constitutional protections as a convicted criminal.” Id.

at 1241–42, 42–43. In other words, the circumstances alleged by the plaintiff proved so

egregious that the test from Bell was beside the point.

       It bears mentioning, as well, that Blackmon arose during a period of uncertainty

surrounding the propriety of applying the shocks-the-conscience standard as the sole test

for official misconduct. See Dias v. City and Cty. Of Denver, 567 F.3d 1169, 1182 (10th

Cir. 2009) (“We held . . . that application of a ‘shocks the conscience’ standard in cases

involving executive action is not to the exclusion of the foregoing [‘rights’] framework.”).

But any residual uncertainty has since been foreclosed by Browder v. City of

Albuquerque, 787 F.3d at 1079 n.1 (10th Cir. 2015) (Gorsuch, J.) (“[T]he “arbitrary or

conscience shocking” test is the appropriate one for executive action.”); accord Dawson,

732 F. App’x at 636 (Tymkovich, C.J., concurring) (“If a claim challenges executive

action, we apply only the ‘shocks the conscience’ test.”) (emphasis added).

       But even if Blackmon represented a correct and straightforward application of Bell,

there exist myriad factual differences between the circumstances detailed in Blackmon

and the allegations in this case. In Blackmon, for instance, the plaintiff’s lawsuit arose

specifically from the conditions of his confinement. Here, by contrast, Mr. Colbruno

never alleges his treatment arose as a condition of his confinement. And whereas

Blackmon entailed repeated and systematic punishment within the confines of a detention

facility, Mr. Colbruno details what would be a single constitutional violation separate and


                                             -7-
apart from the place of his confinement.

       Finally—perhaps because Blackmon offers so few analogous facts—the majority

turns to several Fourth Amendment strip-search cases. It asserts “the conclusion [that

deputies’] alleged conduct constituted a violation of the Fourteenth Amendment readily

follows” from these cases. Maj. Op. 12. But violations of the Fourth Amendment are

evaluated only for reasonableness. See, e.g., Lewis, 523 U.S. at 842–43 (noting the

difference between the Fourth Amendment’s “reasonableness” standard and the

Fourteenth Amendment’s shocks-the-conscience standard). The Fourth Amendment

accordingly provides no support for a due-process claim involving official misconduct of

the type alleged here.

       B. Clearly Established Violation

       No matter how we analyze his claims, Mr. Colbruno has failed to allege the

violation of a clearly established constitutional right. The Supreme Court has explained

that “[a] clearly established right is one that is sufficiently clear that every reasonable

official would have understood that what he is doing violates that right.” E.g., Mullenix

v. Luna, 136 S. Ct. 305, 308 (2015) (citations and quotation marks omitted).

       Although we need not “require a case directly on point,” it is nonetheless the case

that “existing precedent must have placed the statutory or constitutional question beyond

debate.” Id. (citations and quotation marks omitted). This is because qualified immunity

is meant to “protect[] all but the plainly incompetent or those who knowingly violate the


                                              -8-
law.” Id. (citations and quotation marks omitted). The Supreme Court has “repeatedly

told courts . . . not to define clearly established law at a high level of generality.” Id.

(citations and quotation marks omitted). And the Court has likewise emphasized “[t]he

dispositive question is whether the violative nature of particular conduct is clearly

established.” Id. (citations and quotation marks omitted) (emphasis in original). Such an

inquiry “must be undertaken in light of the specific context of the case, not as a broad

general proposition.” Id. (citations and quotation marks omitted) (emphasis added). The

Court has also observed that—in the related Fourth Amendment context—“specificity is

especially important,” as “it is sometimes difficult . . . to determine how the relevant legal

doctrine . . . will apply to the factual situation the officer confronts.” Id. (citations and

quotation marks omitted).

       The violation proposed by the majority—of a right to be free from “a restriction or

condition . . . not reasonably related to a legitimate goal” Maj. Op. 14—is far too broad.

While I am certainly sympathetic to the privacy interests asserted by Mr. Colbruno, no

precedential case has clearly established a constitutional violation at the appropriate level

of specificity under the facts alleged here.

       To avoid this conclusion, the majority asserts the deputies’ violation of Mr.

Colbruno’s rights was so obvious that we need not point to a closely aligned case. It is, of

course, correct that some “constitutional violation[s] may be so obvious that similar

conduct seldom arises in our cases,” such that “it would be remarkable if the most


                                               -9-
obviously unconstitutional conduct should be the most immune from liability only

because it is so flagrantly unlawful that few dare attempt.” Lowe v. Raemisch, 864 F.3d

1205, 1210-11 (10th Cir. 2017) (citations and quotation marks omitted). But this

exception is exceedingly narrow, as we must effectively conclude “our precedents render

the legality of the conduct undebatable.” See id. at 1211 (citing Aldaba v. Pickens, 844

F.3d 870, 877 (10th Cir. 2016)).

       In its effort to clear this hurdle, the majority again looks to Blackmon. But the

circumstances depicted there could not credibly alert the deputies of misconduct, absent

some punitive intent. Whereas punishment sat at the center of the dispute in Blackmon,

Mr. Colbruno has not alleged facts that would suggest the deputies intended to punish

him; or, for that matter, any other state of mind that would meet the constitutional

standard for egregiousness. And whereas at least one official in Blackmon engaged in

repeated, systematic, and gratuitous misconduct, Mr. Colbruno details what would be—at

most—a single discrete incident that lasted only for a matter of moments.

       In sum, absent plausible allegations of intentional and abusive misconduct, clearly-

established law could not have alerted the deputies they were violating Mr. Colbruno’s

right to substantive due process. As troubling as these allegations—if true—would be,

the complaint fails to tie the invasion of Mr. Colbruno’s privacy to the constitutional

requirement for intent.




                                            -10-
