Army Memo re: Allegations of Inhumane Treatment of Detainees and Review of Interrogation Techniques at Guantanamo

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Memo from General Miller re: Allegations of inhumane treatment of detainees. General Miller directs the interrogators at Guantanamo to cease the use of the "Fear-Up Harsh" interrogation; only DOD personnel may approve interrogation plans; Military Police may not participate in interrogations; and establish trust between contractors and military personnel. The incident in question involved a high valued detainee at Camp Delta, Guantanamo who was harshly interrogated. He was forced to perform "up's & Down's" which involve compulsive physical exercise of forced standing and sitting many times. He was also berated with threatening language and sexual touching by a female member of the interrogation team.

Doc_type: 
Non-legal Memo
Doc_date: 
Saturday, May 3, 2003
Doc_rel_date: 
Thursday, July 21, 2005
Doc_text: 

DEPARTMENT OF DEFENSE
JOINT TASK FORCE GTMO
GUANTANAMO BAY, CUBA
APO AE 09360

3 May 2003JTF GTMO-CG
MEMORANDUM FOR Commander, United States Southern Command, 3511 NW 91st Avenue, Miami, FL. 33172.
SUBJECT: Commander's Inquiry, allegation of Inhumane Treatment of.111
1. (U) On 2 May 03, I directed the Director of the Joint Intelligence Group to address and
correct the following areas of concern, as identified by a recently completed commander's inquiry:
a.
(U) Counsel and provide re-training to the team involved in this interrogation to ensure they understand the approved interrogation techniques and practices and their limitations.Additionally, provide training to all members of the JIG on approved interrogation techniques and approval levels no later than 9 May 03.

b.
(U) Immediately cease the use of the "Fear Up Harsh" interrogation technique.

c.
(U) Contractor personnel may review but not approve interrogation plans. Effective immediately, only Department of Defense personnel may review and approve interrogation plans.

d.
(U) Military Police personnel may not participate in interrogations. Their role is strictly for security and safety of all involved. Coordinate With CJDOG to establish a standardoperating procedure for military police personnel in the interrogation facilities, This SOP must be completed no later than 9 May 2003.

e.
(U) It became evident during the inquiry that a sense of mistrust exists between the contractors and military personnel in your organization. You will take the appropriate measures necessary to ensure that all JIG personnel understand the one-team concept and the importanceof maintaining professional working relationships. You will also establish and ensure that all members understand appropriate chain-of-command reporting requirements. This must be done no later than 9 May 2003.

2. (U) I found that the action involved in this commander's inquiry was a single incident. A thorough review of our current procedures has not uncovered a systematic problem. The above-
JTF GTMO-CG
SUBJECT: Commander's Inui , allegation of Inhumane Treatment of
directed policy changes and re-training will ensure that this type of incident will not occur in the future,
3. (U) My point of contact for this memorandum is the StaffIudge Advocate, DSN 11111111111P
2
i-seettermeremeree
-44-

( 5r-

DEPARTMENT OF DEFENSE
JOINT TAEX FORCE EDUANTANPAO
UA. NAVAL SASE, GUAIffANPAO BAY, CUBA
APO AE 05350

JTF-GTMO-CG 2 May 2003
MEMORANDUM FOR Mr. Affii, Director, Joint Intelligence Group (JIG), Joint Task Force Guantanamo, Guantanamo Bay, Cuba, APO AE 09360
SUBJECT: Commander's Inquiry, Allegation of Inhumane Treatment
1. During a recently completed commander's inquiry, several areas in the intelligence collection process were identified as requiring training and/or corrective action. All these areas of concern, as noted below, must be addressed and corrected immediately.
a.
Counsel and provide re-training to the team involved in this interrogation to ensure they understand the approved interrogation techniques and practices and their limitations. Additionally, you will provide training to all members of the JIG on approved interrogation techniques and approval levels within 7 days of receipt of this memorandum.

b.
Immediately cease the use of the "Fear Up Harsh" interrogation technique.

c.
Contractor personnel may not review and approve interrogation plans. Effective immediately, only Department of Defense personnel may review and approve interrogation plans.

d.
Military Police personnel may not participate in interrogations. Their role is strictly for security and safety of all involved. Coordinate with o establish a standard operating procedure for military police personnel in the interrogation facilities. This SOP must be completed no later than 9 May 2003.

e.
It became evident during the inquiry that a sense of mistrust exists between the contractors and military personnel in your organization. You will take the appropriate measures necessary to ensure that all JIG personnel understand the one-team concept and the importance of maintaining professional working relationships. You will also establish and ensure that all members understand appropriate chain-of-command reporting requirements.

JTF-GTMO-CG SUBJECT: Commander's Inquiry, Allegation of Inhumane Treatment
2. You will notify me, in writing, not later than 14 May 2003 of all actions taken and training completed in order to comply with the concerns addressed in this memorandum.
2
DEPARTMENT OF DEFENSE
JOINT TASK FORCE GUANTANAMO
GUANTANAMO RAY. CUBA
le 1C APO AE Onal
MTIMMO/

30 April 2003
JTF GTMO-SJA
MEMORANDUM FOR Major General Geoffrey D. Miller, Commander, Joint Task Force Guantanamo, Guantanamo Bay, Cuba
: R ults of o er" : Allegation of Inhumane Treatment of
n
1. (U) On 29 April 2003, you direct allegations of inhumane
The inquiry was based upon .
treatment on 22 April 2003 a complaint filed by ACS interrogator. The alle bon that two member, of the Military Police, Sergeant 1111111111111/111td werephysicallyabusingthe abOve-mention t —F—
rection of Interrogator,
2 11 The followi 'cl
as on leave and not available for interview.
3. NONNI Synopsis of Interviews:
a OMRThe allegation by .states, "...they (MPs] pushed in the back of the detainee's knees with their knees, taking the detainee to his knees. Then holding the detainee by his upper arms they slammed his upper body to the floor." Duringlif interview, jOstated this procedure was repeated 25 — 30 times. 314 also stated, in both ' "AvriUen and verbal statements that the floor was shaking with
Cb)0
the next booth over were shaking. stated that as the detainee was forced to the floor,
he turned his head so the side of 'Ring the floor. gaud* stated that being used on the detainee cau concern for the detainee's safet soon exited the building to call his su r verbal and written statements corroborate allegation that the MPs pushed the detainee to
the floor, by applying force to the back of his knees, in a violent manner. 1114.3estimated this activity happened approximately 18 times, but was unsure of precise count. .She•orroberated
irrbeRE*W0F0.104.
JTF GTMO SJA Allegation of Inhumane Tntabnent of
the intensity of the shaking of the deported that saw
C 9ti tee.as forced to the ground. :She:. further stated that alterwitnessed imirnisut4tv:thile this activity was taking place. There is no doubt both ieve that the interrogator was frustrated and took hierrustra tions out on the detainee and that this was not a professional interrogation.
b. •teM4P) as interviewed about Mimic in reviewing and roving the interrogation plan. the acting taint chief in the absence of le ? stated thaa# reviewed and approved the plan but did not talk with the team about any aspect of it. 0 indicated that tmleulre4avi something out of the ordinary it was noti*role to speak to the teams about their plans. When asked about what was involved with the technique "fear up harsh"0 stated that it was normally yetingafhliflikliaiiiitdiddighfibifilicrativlidpot
wevoyollemlit 0 )004. !dilated thatlt.twas unaware of any policy that twilit:nixed the assistance of military police in the interrogation booth.
c. rittlfl, Interviews wi
vided similar testimony. This testimony y con

This testimony, in summarized terms is as follows. the "guest" interrogator on 22 April 2003. assisting the 41111=111111ffeam and was brought in strictly to use Fear Up Harsh techni u ' to collect
llect intelligence information from
to team mamba was not successful in obtaining inforrnatilley believed a' ator would be more successful. This was the second time 1=1111111.11111 interrogated ing fear up harsh techniques. This interrogation invoivedWAvoithinat AtimpagtooftsgommiNg When the detainee did not comply with request for information, it was later decided that it should use MA -44.4001gOiSteirt during the course of his interrogation in an effort to induce • r to make him answer
im lid questions. At this time, the military police (MPs)) and ere positioned on either side of the detainee with ' 'nee. The
greedy m nt of the MPs were not briefed on bow to conduct the technique.or if there were any limitations other than the safety of all concerned. Each MP secured a two .. ' . .... .. . ith the detainee placing their hands below his elbow and on his tricep for control. hen began to yell "Down" and "Up" at which time the detainee was expected to ee • i. , stand up. The MPs assisted the detainee with the movements, maintaining constant control at all times. Acconiin to the team members, the exercises occurred 10-15 times over a period of 45 tninutcs. stated that. stopped because the MPs were tired and use of the technique did not prodiiik desired result. The interrogation wasthen stopped and the detainee totumed to his cell.
. All concerned
believed that the technique was appropriate, approved, applied properly and was common
practice in the teams.
2 eitrfitiftefrORN
JTF GTMO - SM
SUBJECT: Results of Commander's In ui , re: Allegation of Inhumane Treatment of

d. (S#HP) According to the testimony of1.11111111111111ey were called
in by the interrogator and asked to as with =MM. ey were not a ut indicated that
they understood what was needed. They had positive control of the detainee and then the
interrogator yelled for the detainee to drop. The detainee voluntarily dropped to his knees very
rapidly and they assisted him with standing up. They did not control the detainee's descent but
did assist when the interrogator yelled for the detainee to stand up. They deny using any force to
put him to his knees. According to testimony, at no time did the MPs lose control of the
detainee. All parties deny that the detainee's head even came close to hitting the floor. All
members stated that the loud noise and potential shaking of the floorwagoi.

stomping his foot each time the detainee knelt on the floor. stated this was done to create an effect, and to startle the detainee. Although the were not sure of the limitations on techniques, they believe that they acted properly and ensured that the detainee was not injured during the exercises.
Cb)(`)
observin the erro on. He
stated that he coo not watch the interrogation at all times

e. (U) stated that he was laiimigiummc b k t)
he
He did not observe anything that he thought
was wrong or inappropriate.

F. finefia)M111.1 was interviewed about her participation in the int '
planning and the actual interrogation. She stated that she had been interrogating (3r
over one month and had not been successful obtaining information. She was asked who's idea
was to use MPs to assist detainee with exercise during an interrogation and she stated everyone
talked about it but wasn't sure whether this was in the SOP or not. She stated that the team
believed that this technique (fear up harsh and compulsive exercises) would 'shake up" the
detainee and make him provide information. She left the interrogation before"...
started interrogating the detainee and so does not know what happened.

g. (Siffin 1111111.111111.11Mvere interviewed about the
interrogation process use o ear up t ue. Th ere not aware that this iiiip(compulsive physical exercise) was being used. indicated that NO
revious JIG commander) had approved the use • 1 interrogators but this practice consisted of MPs assisting detainees up and down from a seated position to keep them awake during interrogations or to take detainees out to walk around. He stated that using force to seek compliance from the detainee had never been approved. was also aware that compliant detainees were asked to stand and sit but this did notilieli
rty force or assistance from MPs and was done by the detainee at the requ • gator. They addressed their concerns that the contractor personnel did not infonn of their concerns but instead
reported this incident through contractorthannels.
3 "ftEeReiflirtereffet
-FtEeiterttROPORft
.117 GTMO SJA : Allegation of Inhumane Treatment of
4. 40#/t w, A medical examination of the detainee was made and superficial bruising was found on his forearms and biceps, a right knee abrasion, a small abrasion on his left ankle from what appears to be a shackle, and some swelling of his kneecaps. These injuries appear to be consistent with the compulsory exercises that were conducted on 22 April 2003 but there is no way to know when these injuries occurred other than recently.
S. 19#14f)ThrOughout the course of the inquiry, areas were identified as requiring training and/or corrective action. These items and recommendations are as follows:
a. %MR The interrogator did direct the MPs to use force onillifor the purpose of obtaining compliance and the detainee appears to have received superficial injuries as a result. The command has not approved this technique and the leadership was unaware that it was being used. The personnel involved believed they had approval to use this particular technique. Although no serious harm resulted, this incident recluiresZcitommalid to rwrocerlaures,
imi.6.approval levels, and training.
b. (S419 There seems to be confusion by interrogators and analysts as to whether the fear
up harsh technique was approved verbally or was in the SOP but the 'suited that "cv ne" knew about this technique and they thought it was approved.
c.
(U) Contractors cannot review and approve interrogation plans, as this requires discretionary decisions on behalf of the government. Recommend

d.
(U) Military Police stated that they have SOPs for Camp Delta but no guide lines for the interrogation areas. They stated that they do not know what the limitations or and whether they should participate in any aspect of the interro tion rocas. Recommend that 11¦111

e.
(U) Tensions, hard feelings and mistrust between the contractors and military personnel became evident during the interviews.

4
•SeetteniiffefellW

32.•

OLL.Kti IIUKIN
JTF GTMO - STA
• ' *ry, re: Allegation of Inhumane Treatment of
6. (U) The point of contact for this memorandum is the undersigned at
Staff hidge Advocate
. 5

ReftffifihieFORN
Cludficettlosu-Sritelnf Caveats: NONE
INTERROGATION PLAN
ISN:
lolingUagen SPOken:
Team:
DoD Tom Chia
DoD Teem Chief Phone 0:

Interrogator:
LTA: NA
Analyst:

Language Requested:
Linguist Requested:

Date/Time of Interrogation:
Estimated Duration:
Date of Last-Interrogation:


Previous Report:8-E0sta

vAmogs IIRs
302$ MFRs
KB
Past Reliability:

Ilipassmisms.

11.11111 NONE
=APR 03/1630
6 HOURS
21 APR 03

VARIOUS SUBJECTS
VARIOUS SUBJECT'S
VARIOUS SUBJECTS
BACKGROUND. ROUTE OF TRAVEL

UNDETERMINED
Behavioral Analysis Amessmenh YES FROM BSCT Correspondence 113/Froat DOW= 70/PROM PAPALYIN¦
of •
IWO
1323

ox6

• PICTURE oP ISN (b
Aides
Translation Method: N/A Recording Method: NONE

\ -0

INCENTIVES.

alswasuj111111111111111 coci

Pk%kid Layout of ksterrogatIon Room/lacatIon of Personnel:
MN 691.(
MUM
Sequential Quesuonffig.Plan Tata Controllobleldotalat fausekang
132C
C6X
8.
Vt.

Classification: SECRET Caveats: None 15 April 2003
JTF GrI'MO — BSCT
MEMORANDUM FOR RECORD
SUBJECT:
ID.
Intelligence summary's admitted to being in an Al-Qaida training camp at Al-Faro . He stated that he did not train there but admitted his association with Al-from photographs
Qaida. has successfully identified several
stated •associated with the attack on the USS Cole in Yemen
has been identified as a
fora IIIIIMIIIIInpnization. to
ea at cirrmo and also has des to many
for by itisrons
llrnmo
n theinclude suspects from the attack on the USS Cole. He was arrested in Afghanistan/Pakistan border traveling with gime
is not currently under Mental Health Troatment.
Psychiatric Hx:
is seen regularly at the Detainee Fleet Hospital for minor
Medical Hx
aches and pains. He has been evaluated by medical staff since he refuses food every other day (Verified by k..-Block DAR). He was treated for Hemorroids in 2002 and has no current medical conditions to be aware of.
Medications: Motrin PRN. No standing prescriptions.
Impressions: Detainee responded ve well at first to the interrogator when he expressed began providing information on his Cb a
concern and •
whanabouts This is the first time in Months that
this detainee has provided any information relevant to his intelligence requirements. As
with previous interrogations detainee refused to name individuals that he worked or
traveled with. Detainee closed his eyes and stated that he was going to refuse to answer.
Detainee appeared to be calm and in control of the situation .at that time. The

'11 .. 1-, .
ro . tor's attempts to ease the situation and offer to "talk" w n , •
inteaIIII
MilDuring breaks, while the interrogator was out of the room, began praying and exhibited signs of distress. The interrogator continued to talk to with the aid of a US Navy linguist but Detainee refused answer. As — wt
The COC6
assigned TIGER TEAM interrogator switched to a
interrogator removed chairs from the vicinit of the detainee and told him to sit down and
stand up in order to "wake him up" since had stated that he was too tired

and sleepy to talk to him
11111111¦111•11.111111). Two Military Policemen were called into the booth to assist the
detainee both on the way up and the way down. The MP's maintained Ave control of

was made to sit
the detainee throughout the 35.45 min session during whir
stand up for about 15 times. At no time did the Military police allowed
provided information earlier in

to tome near the floor. Since
Classification: TECICET Page 1 of 2Caveats: None
Classification.' Caveats: None
the lute= , a decision was made the TIGER TEAM and the BSCT member to send back to was sent back to his cell in oilier to allow him time to eat and pray.
Recommendation:
Detainee responded very to the interrogator being willing to talk to him. He still refuses identify other people, possibly because he is still afraid of "being put to death" by US Courts". The interrogator should be able to gain further information if the TIGER TEAM can stress to him that his Cooperation will influence the outcome of his trial
Classification: =REP'
Caveats: None Page 2 of 2

13 IA

I -
MEMORANDUM FOR RECORD

Ta

111110.
Rib INCIDENT ON 22APR03
THE FOLLOWING INCIDENT TOMS/ .UGU,,t.ESIL 2003 AT CAMP DELTA GTMO. AT APPROXIMATELY 2030 HOURS AND I WERE IN MONITORING ROOM 5 IN GOLD BUILDING fflagaltakOME APPROACH TECHNIQUE OFMNI/111 A FELLOW INTERROGATOR 11111111111111111111111 WAS INTERROGATING IN I OGATION ROOM 4. MONITORING ROOM 5 OVERLOOKS BOTH INTERROGATION ROOM 4 AND INTERROGATION ROOM & AT THIS TIME TrIERE WAS AN AI ER DETAINEE TAKING PLACE IN INTERROGATION ROOM &
AND A MINIX NAOS
ANALYST WHOSE NAME I DO NOT =' NW: 5
OBSERVING THIS INTERROGATION. IN INTERROGATION ROOM 61 A MILITARY LINGUIST, TWO DETAINEE ESCORTS, ANDA DETAINEE WAS STANDING A LITTLE BACK FROM CENTER OF THE ROOM. WAS IN FRONT OF THE DETAINEE THE TWO EXCORTS WERE ON ETHER SIDE OF THE DETAINEE HOLDING THE DETAINEE BY HIS UPPER ARMS. THE UNGUIST WAS STANDING IN BACK OF THE DETAINEE. THE TWO ANALYSTS IN THE SP INT O OUTPUT FROM ROOM 8 AND
I HAD ONLY ONE EARPIECE IN SO THAT I SLATE THE
ARABIC •.WAS DOESDOES NOT SPEAK ARABIC.
OVER I E SPEAKER T AND THE Q ANALYST WERE USING I
BECOMING LOUDER AND LOUDER IN HIS INTERROGATION
WAS REPEATING THE SAME QUESTION, 'WHAT WERE YOU DOING IN PAKISTAN?' TO THE DETAINEE. THE DETAINEE IN MY OPINION SEEMED INCOHERENT. (NOTE AS AN INTERROGATOR I HAVE SEEN DETAINEES FEIGN INCOHERENCE TO AVOID INTERROGATION, BUT SUCH WAS NOT THE CASE HERE IN MY ESTIMATION.) WAS REPEATING THE QUESTION OVER AND OVER, IN RAPID FIRE FASHION, 80 QUICKLY THAT THE INTERPRETER WAS NOT KEEPING UP WITH THE QUESTIONING AND MI DETAINEE WOULD NOT HAVE BEEN ABLE TO ANSWER VVITHOUT INTERRUPTING ISM
THEN SHOUTED *DOWN' AND THE TWO DETAINEE ESCORTS PUSHED THE DETAINEE TO THE FLOOR WHEN I SAY PUSHED TO THE FLOOR I MEAN THEY PUSHED IN THE BACK OF THE DETAINEE'S KNEES WITH THEIR KNEES, TAKING THE DETAINEE TO HIS KNEES. THEN HOLDING THE DETAINEE BY HIS UPPER ARMS THEY SLAMMED HIS-UPPER BODY TO THE FLOOR. THIS SERIES OF MOTIONS WAS ALL DONE. IN ONE SWIFT MOVEMENT; SO THAT THE DETAINEE WENT FROM A STANDING POSITION TO A PRONE POSITION ALL AT ONCE. FLOOR W
rr CID)0
wAs TING. I DIATELY BEFORE THE DETAINEE WAS PUSHED TO THE FLOOR. (b)(6
LAUGHING ABOUT THE TREATMENT OF THE DETAINEE WAS SLAMMED TO THE FLOOR IN THIS

I 2S1

MEMORANDUM FOR RECORD: INCIDENT ON 22APR03
MANNER SEVEN TO EIGHT TIMES. WOULD YELL MOWN' IMMEDIATELY
PRECEDING EACH TIME THE DETAINEE WAS SLAMMED TO THE FLOOR. AFTER THE FEE
TWO SLAMS I TOOK OUT MY EARPIECE AND OBSERVED THE HAPPENINGS IN ROOMS.
WAS ONCE AGAIN ASKING THE DETAINEE. 'WHAT WERE YOU DOING IN
PAIOSTANr WHEN, AFTER 5 TO 10 MINUTES OF THIUMSBLUDANSWER. RAPID FIRE
OUESTIONINGTHE DETAINEE WOULD NOT ANSWER, MMINIIIIIIIISHOUTED 'DOWN; AND
THE SLAMMING PROCESS TOOK PLACE APPROXIMATELY TEN TO TWELVE MORE TIMES.
THE DETAINEE WAS BEING SLAMMED TO THE FLOOR SO HARD THAT I WAS CONCERNED
FOR HIS SAFETY. THE FORCE WITH WHICH THE DETAINEE HIT THE FLOOR WAS, IN MY
ESTIMATION, ADEQUATE INTERNAL INJURY. I LEFT THE MONITORING
ROOM. ALONG WITHCOULD _TOO CALL MY SUPERVISOR AND REPORT THIS
INCIDENT. AS WE LEFT I 111111111111111sHounNo VOW AND I ALSO
HEARD IMMEDIATELY FOLLOWING EACH 'DOW NOISES CONSISTENT WITH THE SOUND
THAT WAS MADE WHEN THE DETAINEE WAS SLAMMED TO THE FLOOR. I HEARD THIS
COMBINAT i TO SEVEN MORE TIMES AS I EXITED THE
BUILDING. REMAINED AT GOLD BUILDING WHILE I WENT
TO MAKE THE EN I ARRIVED AT BUILDING 8, I ATTEMPTED TO CALL MY
SUPERVISOR, BUT GOT NO ANSWER. I THEN WALKED TO
GOLD BUILDING WHERE GAVE ME THE NUMBER TO CAU. I
TOLD THERE WERE THINGS GOING ON AT THE CAMP. THAT COULD
ADVERSEL MISSION AND THAT I NEEDED HIS GUIDANCE ON HOW TO
PROCEED. TOLD ME HE WOULD COME TO CAMP DELTA, ALONG WITHIN!
THE MATTER WHILE WAITItafjammaro ARRIVE I SPOKE WITIWIR3 WAS NOW AT BUILDING 5. J¦NIMI HAD APPARENTLY
IIIIIIIIIKUSS
BEEN TOLD THAT I HIS CONDUCT TO MY SUPERVISOR I HAD A
CONFERENCE I CH LASTED APPROXIMATELY TEN MINUTES
DURING WHICH TRIED TO CONVINCE ME THAT WHAT HE HAD DONE WAS
PROPER. HE TOLD ME THAT WHEN THE GUARDS WERE TAKING THE DETAINEE TO THE
FLOOR THEY WERE, AT THE VERY LAST SECOND, PULLING UP ON HIS ARMS TO LESSEN
THE IMPACT, AND THAT lalaUPAQUNDS I HEARD WERE ONLY BOOTS BEING STOMPED
ON THE FLOOR. I TOLD THAT AS AN EXPERIENCED INTERROGATOR WHO
HEOBERVERIONEMBIKAIDISMOVAMAIMIIMY,I HAD NEVER SEEN IN FM
DESCRIBING OR PRESCRIBING WHAT HE HAD DONE TO THE DETAINEE
ME THATMEANAD BEEN CALLED IN TO RUN THIS APPROACH ON THIS
DETAINEE BECAUSE THE INTERROGATOR RESPONSIBLE FOR THI RUN
'EVRY APPROACH, A TO Z AND HAS GOTTEN NOWHERE.* I TOLD THAT I
THOUGHT MEP HAD JEAPORDIZED THE MISSION AND THAT MOST EVER
INTERROGATED THAT SOURCE WOULD HAVE TO UNDO THE DAMAGE HE HAD DONE. I
LEFT THE CE WHERE WE HAD B EN TALKING AND WALKED OUTSIDE WHERE
I FOUNDS AN TO WHOM I RECOUNTED WHAT I HAD SEEN.
THE PERSONNEL I COULD NOT IDENTIFY BY NAME, I WOULD BE ABLE TO IDENTIFY BY SIGHT.
MEMORANDUM FOR RECORD
oat= 4/2812003
Tot
Pintos

Re INCIDENT ON 22APR03 •
be able to to monitor
by and

for. me; healso to watch We went b 111111 building monitoring room 5; thismonitoring room overlooks- Intenngetion rooms 4 and S. Min we walked into a monitoring moo
saw another infernmation in mom fl was going on. In the marbling room was RAMC '
and sYrialreSOF analyst The trdiVerelyst was controlling the monitor and had a epee* so ita both parties could hear the interrogation, the speaker was loud enough muffled even bough I had headsets on. in the interrogatkm mom was the wtroetreloyInterpreter, blio telati MPs and the detainee. They *Ws all standing in the center dila floor. Theilii
by the upper arms. The interprebr was b the rear of the detainee and the was fkirirryrin10,1.1m° 'DOWN" the MP lien ttlindgetaillOO the:tit:or
elaisrie111 thewith enough bee to not only Wide the camera in their interrogation mom but also in the room meal 1111111pres conducting his interrogation. **would then yell 'GET UP'
ord 'DOWN' and the MPs amid tank the
detainee up. Each the thhei heard thew
The analysts In the monitoring acorn stood up to watch this (6)('
as It was happening and was laughing about It
and I left the monitoring room, as we got up to leave, we observed this happening again aswe wereweedicim: the hail of Gold building AA1..tikeihe fora of amines being pushedto the floor. =MI said he was going to cal I volumed to the monitoring room.The interrogaS3n In mom 8 had ended and the .
was WI ax
standing in of the room and laid
me ;could not get a hold of asked telephone
• number. I 'gave him the number b al
maiming
room bmeet wiliftt I remained there. At approximately 2145L be MPs cams to take the detaineeback b Ns cel. When they were move one of the MPs look his pulse. They id
and I remained in the monitoring room ma was finished lotth his interrogeflon.
I am unaware of the names of the personnel involved with the exception ofnowever, I of the MPs. •
Analyst ACS Defense Inc.
the individuals that were klentified as being in the monitoring booth when the
incident occurred. The individuals were identifia to me, pointed out to me afterwards, and I
recognized 2 of them as bolo In the Gulf States Regional Team

.
1.
Team analyst
2.

4111Team Analyst •
3.
the inteitogator hi the booth at the time, 11/6 Regional Team

The
next day contacted Escort Control at Camp Delta, under the auspices of a lost personal item,
questioned the Escort Control as to which/A1am members had irnerroptions in Gold building. I

'
ofIke detainees in Gold building, and specifically the ISN
Was in Gold 6.MIV
ihe interrogator of record for this interrogation session, shown by the recordsW
1111.111¦11111. •
caw
puling*. dingilkirn tine
the area.Buildings
aciwerVainistrAg the incident with
Igavas dressed in a t-shirt and casual 2200I
tared Bldg. 5, and very shonly
walkedrag i with:
The next day,

approached me and attempted to determine my opinion of the incident.
:114‘stated than .was concaved about the credibility done of his Interrogators being questioned. I
stated it was not a matter of credibility; it was a case of an ACS employee seeing something that
concerned hint and wanted to advise his ACE boss of the matter. •

started describing the situa
tion as one where no one could actual see what was
wanting, CO(
stated that the specific instance of thenor only
once or twice, and that the MPs had the
dines. detain ee held at all IllaleaPtected
mown about a complaint be
my advised him that to the best of
no one was filing anything st that time seemed to be relieved at that
Senior Lad Interrogator ACS Defense
NESPItiteTi

MEMORANDUM FOR RECORD
26 April 2003
TO: ACS PM)
SUBJ: POSSIBLE INAPPROPRIATE ACTIVITIES
FM:
1.
I have been tasked to identify a possible inappropriate activities conducted during
recent ICE sessions and document said activity.

2.
On Wednesday, 22 April 2003, at approximatdy 2130 hours. I was approached by
MIIMIRACS employee) who related to me thaeighad just witnessed a session
that was totally inappropriate and bordered on criminal. He related the details of the
session and pleading "devil's advocate" I asked It wan sure whatzkeivitnessed was
what bsttwitnessed; that as a opinion the perspectives are different from the different
areas during a session. ileconfirmed that there was no question of perspective with
whathusvitnessed and felt that given the seriousness of the situation that it should be
referred to a higher level. I inferred that as a professional courtesy likehould ask the
military personnel to explain his actions and then if their was no

reasonable miens to
lion np the chain. Upon
completion of the session;

and myself departed to a separateroom where the incident'was dbcussed.
blind his reasoning for theactivities which took place: in the aisle
attentive and listened to said explanation at which time he thanked for his inputs. then referred the situation to the next level.
3. On Thursday, 17 April 2003, at approximately 2100 hours, Gold Building. I took part as a monitor in a session conducted by my Tiger Team partner. During this session, I heard a loud disturbance and investigated it. I determined it's origin as that of another session. .I entered the monitor area and found It to be quite crowded with a minimum of eight personnel consisting of ICE personnel as well as MP personnel. I watched the session as it transpired. This part of the session involved having the individual perform
• PT. This was accom Used by having MP personnel at the direction of the ICE
personnel force the individuals knees to uniodt.wbereupon the
Individual ee rat d

onto the floor of the room. This was repeated numerous times. The individual showed signs of physical discomfort and sin. The session then progress with the assistance of another ICE personnel
. At this point in time the session advanced into what can o as the
proverbial "strip club lap dance". The ICE personnel removed her
overblouse behind the individual and proceeded stroking his hair and neck while
uttering sexual overtones and making comment; about his religious affiliation. The

session prOgreined to viThere*Aviii tented on his Lap making'sexual affiliated
1333

movements withlidechest and pelvis while again speaking sexual oriented sentences.
This then progressed to the individual being placed on the floor with*O:straddling
him, etc. Needless to say many inappropriate comments were made during this time
concerning the session and the area bad the atmosphere of a party. During this period I
became very uncomfortable and departed the monitoring are. I went to the MP
monitoring area where I found approximately 4-6 personnel watching the session as
well. Again derogatory comments flourished. I witnessed

CO( ()
imulmig.111.111111111111111.11.111111111as well as a "guard" watching for any
officer personnel. I questioned what I witnessed the next day and was informed that the
activity per se was documented and produced results and as such was deemed
appropriate/acceptable under the circumstances. I do not recall the individual names of
the personnel in either the monitor area, the MP area, nor do I recall the name of the
individual who informed that the activity was sanctioned.

4.
On approximately Monday, 07 A ril 2003, during the mid evening hour I witnessed a session where ICE personnel with assistance by MP personnel was forcing an individual to perform PT. Again this consisted of the MP forcefully unlocking the individuals legs and the individual falling to the floor onto his knees. Again, the individual showed visible signs of pain and discomfort. This lasted for approximately 1540 minutes. Approximately, 20 minutes after this incident, I witnessed the same ICE personnel along with two MP's forcing individual to conduct PT by walking around the building. The individual showed signs of anger but no signs of pain or discomfort.

5.
On approximately the latter part of March 2003, in the late evening, I again witnessed a session where the individual was forced to perform PT at the behest of ICE personnel and with the assistance of MP personnel. Again, this PT consisted of using force to bring the individual forcefully to his knees. I do not recall the names of the individuals involved during this session.

6.

ACS Defense Analyst Employee ID: OW: •
To'
On 22 April 2003, Neem had asked me if I would be able to assist in an interrogation involving a detainee who was not willing to cooperate with his interrogator. I went to my section chief and asked if it would be possible to assist them in this interrogation and upon receiving approval I then went ahead and told the Team that I would be able to assist them. Once they told me what time they would go in and what approaches they wouldbe doing I then met them at the interrogation booth located in Gold Bldg. Upon arrival they briefed me on the detainee as to who he was and what valuable intelligence he has. Alter we discussed the approach plan of what was to happen during this interview,.I was told that .1 would be conducting a fear up harsh
approach on.the detainee provided he refused to answer any questions, which consisted of me yelling at the detainee and making him stand up and sit down.
Once I entered the booth, detainee acknowledged me and then continued praying. When I began asking him questions pertaining to his timeline and his activities in Bosnia detainee cooperated until asked about his associations with other personnel that traveled with him. Detainee stated he would not continue to cooperate of his own choosing, atwhich time he shut his eyes and refined to acknowledge both the interrogator and thelinguist. At this time detainee stated he would only answer questions when he wanted to and would talk about thin that only he wanted to talk about. As discussed with the
TIGER TEAM OF I began using the Fear Up Harsh with the detainee,which included, yellinguttlid editaiitturwrittejlinedweraPhekwasiaLgood ,Mmalim and thatmairdoiNstkidt6iiteitaiiihmheloduttftertiselveel Also detainee was instrtited to stand up and sit down as a method of keeping him awake, this was accomplished by the two Military Police by lowering the detainee to the ground and assisting him both on the way up and the way down. BaSnratalafidimeaStittkivertAidtdiakWhidalerlUdebe:(faltWelittaitol***MerPJAmcstitftwthersvAinitteatthedeftenlililitarrEolice
werettitteliffittiiiitetOVICa'ardetslineelvatlatitiiittiiafori011111litakrPolitellid
Positivexontracttker4440SA 144141AgAmder toavaitthe.possibilides of injury to
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inloriePtiblidralicktoorkko*No,Argys&aineeleatiourprIxdompliftiatb.

At no
time was the detainee's head ever allowed to touch the floor and at no time was the
detainee on the floor for more than 1-2 seconds. Detainee was asked to stand up and sit down for a total often to twelve times in a period of forty-five minutes. At that point it was decided to send the detainee back to cell by the slimpiTiger Team and theBSCF.
After the completion of the interrogation t to Bldg. 6, and wasapproached by a member of the steam
whorn expreueniV .
disagreement with the way the interrogation was held. and I walked over to an empty office to discuss the interrogation in question. I began to explain as to why I approached the situation the way I did, in the presence of a third party. Despite my calm and rational demeanorillibegan to argue that the interrogator acted in an unprofessional manner and that my method was both unproductive and flat out "STUPID". also mentioned to me that as an interrogator I acted both, "frustratedand had no other options than to use an approach that was so stupid." Needless to say,
didn't allow me to explain the situation before be made this judgment call on my
person and credit as an interrogator. This statement from Mas based wholly on his opinion both from MN experience as an interrogator and never having worked in this type of situation and in the need for this type of approach. Despite the efforts of the interrogator to inform INK the events and planning that preceded tonight's interrogation he continued to state *discontent and informed drabs would take this matter to higher authorities. I then contacted my immediate supervisor, which is OM
amtto inform Ws of the situation and find a resolution to this matter.
At no time was I, the MP'S or BSCT or any other member that was assisting with the interrogation out of line with the regulations allowed for JTF-GTMO. Regulations as well as the detainee safety was taken into account during the interrogation session at all
times.
IMO
MIMI!
JTF- OTMO.
EXT.'S.
To
tatement in regards to the situation that took p the evenin of 22
Tlirfil
is
April 2003. The detainee whose personal safet is in uestion isintend or and
assigned to 111.11111V:2 which consists of
Interrogator)
(anal and has recently been combined with OttlftSW4analyst). The combining of the two teams is to pat forth a greater
and
effort at extracting the intelligence value that this detainee has and is not giving.
is a member of the Dirty Thirty anclOhas been identified as one of UBL's bodyguards
as well has having connections to the USS Cole bombing. Detainee has provided no
information to interro for 'or to the combined effbrts offillkandali, he has been
Mr four months but has been pulling his own approaches onspeaking with
interrogator wr no av
I was present in the observation booth during the session in which we had asked
has had the opportunity to speak withfor the assistance
muldplefengle interrogators, because we were in the belief that he would cooperate flatly
with a Torahs interrogator. However due to the lack of intelligence value that we are getting from him, we thought that we should try to send in aliatie interrogator to see if the detainee would respond in a different =mgr. Therefore, were eaed the assistance of Detainee did state that !remould rather speak with as opposed to the females that have been • with him in the past.
Prior to the session in which was present I personally went down to the blocks to ensure that is dinner meal would be waiting for him at his cell when he returned back to the blocks. I was told by the block MPs (Lima) that his meal would be waiting until the end of their shift, which was at 2200. I made sure that ...was returned to his block in time for his evening meal before the shift change occurred.
I was present in the observation booth both as assistance and observer for the
was in the booth with .11'As di
session in which whic Y.
44050whooth:Otr ftiendly:terms .with the. detaineer•t this time the detainee had the opportunity to discuss an ement that we were working on with said detainee. Detainee took to having in the booth and tried to speak with:hiti(which has not happened in the last three weelcs). At this time detainee was questioned on his timeline in Bosnia, and later questioned about his connection to UBL. (Which is a confirmed connection through identifications from other detainees who were also part of the Dirty Thirty). When the detainee reached a point in the questioning in which he felt like he didn't want to answer, as according to the plan (our plan which consisted of the "harsh up" approach which involved.yel)ing.anditneeling on the ground. Atto time did. ihip.mosistof puttingthe Mahn* hinny stress positions) in which 111111niger Team and also with the assistance of the BSCT Team, we started to do the Harsh Up approach with detainee.
Detainee stated that he was willingly refusing to answer questions regarding his associations with other people in Bosnia and Pakistan. At this time we requested the assistance of two military policemen in order to ensure safety on both the interrogator and the detainee. They entered the booth and immediately moved all chairs out of the vicinity in which interrogator and detainee were resent. Detainee stated that he was tired and was refusing to answer any questions so ested for detainee to stand up
and kneel at which he refused to do on his own, so we requested-the assistance of the Military Police. At no time did the Military Police remove their hands from the detaineeitive control. Upon the "kneeling" portion the
so he was at all times being Wild stomped on the ground as they wentdetainee was accompanied b near the ground nor was he on the ground fordown. The Detainee at no time 'Tr
more than one or two seconds at a time. This went on for about 45 minutes for a total of 12 to 15 "up and kneeling". This was not done at a constant stretch of time took breaks every five minutes to converse with myself as to how it was progressing.
The session was terminated due to the analysis on my part and with conjunction with discussion with the BSCT team that we exhausted all intelligence value that thedetainee would put forth this everfing. I also wanted to get the detainee.back to his cell for his evening meal. The session was productive in that we got the Bosnia section of his timelide with a little bit of clarification, which has not been possible in the past.
was in the observation booth watching tut ownThe civilian in questio
:During the seision,•at
interrogation during the time that e session withrvant" in the interrogation session, whit!'
NO time rose from his seat to becom " his eyes and glanced in the direction of
involved About three times my booth. Again,•he never got out o is seat to actually.observe what was going on with the interrogation in the booth. The stomp' noise that was heard in the observation
stamping his foot on the groundbooth came not from the detainee but from

to create the noise.. •
At no time •was either the interro or the MPs out of line with the regulations the two MPs, the BSCT, and myself,
allowed for ]TF-GTMO. Along with
I also hadlINIPINS observing in the booth as well.. Nothing was done out of regulation and the safety of the detainee was taking into account at all times.
POC for this statement is the undersigned X41111
mrg of 22 Aprilituation that took pstatement regards the _
ho is assi2003. The detainee in question isillill. a confirmed
terrogator) and
which consists ofto DOD' E
ituoilil
My team, ,: 1/114 which consists of (interr
), has recently been combined with-.i to assist exploiting

to assist in the
from the 11/11111.11NNO Team was
Uaill filmic ..
'vet results with ihedal
interrogation as well, as we have had interrogators. In addition to myself, o .2 of the
o:--ot: Were present in the observation booth duringilleinnitcaticience4.Conatiltation
the mission. Initially, the detainee had the opportunity to discuss an "agreement" that we
had prepared at the detainee's request, but he refined to sign said agree I
due to the fact that he did not firAvisions reciprocal. At this int,

!twat
to use a
myself requeste Ait:gwainceemp3healooncand ludginAlts,04014N—K9m,'"M
%him
Maks. Two MP's were brought into the interrogation room to assist min
illd removed all chairs.from
for safety precautions. They atta : led the detainee tothe vicinity of the detainee and the interrogator.
kneel down and stand up, but the detainee refined to do this on his own, so the MP's assisted to assure his compliance. With hands firmly secured under the detainee's armpits and around his upper arms, the MP's guided the detainee to the standing and kneeling positions with the minimum force necessary. M no time did the MP's remove their hands from the detainee and he was under positive control throughout the mission. The detainee also never had his face or head near the ground, nor was he on the ground
on for about forty-five minutesfor more than one or two seconds at a time. This
Would come into thewith breaks every five minutes, during, which
mut.
observation booth to consult with us on his progress. At one point durin the was," the 4etainee began answering questions concerning his timeline ' 0.4immediately stopped revealing information when the q ns
but .
n • ocus on his associates, a course of action he has taken in previous interrogations. We terminated the session when we determined that we had exhausted all intelligence value that the detainee would put forth that evening. We also wanted to get the detainee back to his cell for his evening meal. The session was roductive, though, in that we were able to some clarification concerning the portion of the detainee's timeline-IMAhe ACS contractor who was in the obsery on booth during the mission watching an interrogation in the adjacent room, did not at any time voice any concern to or observe what was transpiring beyond a few fleeting glances. In conclusion, at no time was neither the interrogator nor the MP's out of line with the regulations allowed for JTF-GTMO and it is my reasoning that this situation has been blown entirely out of proportion and has been bandied inappropriately by ACS personnel.
139

To: MG Miller
Additional Comments:
These memoranda were produced on an Unclassified ACS corporate owned laptop maintained in ray residence (VL 41D). The files and temp files have been deleted from the drive. If you require that the hard drive be destroyed, please advise and I will either destroy the hard drive or provide it to the government for destruction and purchase a replacement and have the computer rebuilt. I instructed my employees to all use the same computer for this purpose so the information would not be accessible to other than whom intended. 1 currently have one floppy disk with these memoranda saved on it.
camp beginning the
This issue has been widely discussed by military personnel at the
and we are already reali2ing a rift between ACS employees
evening of 22 April, 2003,
ACS Defense/Program Manager
X —74f7 4')C
SWORN gikr.liften
ii0DCSOMI• Facie of du form; assAER 19046: IFN OropOnwit
. .. •
MACY ACT IIIYATSMINT
OS&
Tide 10 USC Deakin 301; This 6 USC Section 2991; E.O.0307 dead November 32, 1943
AUTHORITY:
.
To provide comm dare and law enforcement Wields with mune by vddch ksformation Inlay be eocured
PROICIPA.11UPPOSIb
means of klentificadon So facilitate Nina and retries:II.
Your social esoudy amber is used an en addhiondi
'ROUTINE USER
st. •
pinwSORE: Manure of your sociel murky number is voluntary
• ',0 ,1 4. FILE NUMBER
0 2. DATE 3.
1. LOCATION
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' , WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH:
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MAKING STATEMENT I
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ADDITIONAL PAGES MUST CONTAIN THE HEADING 'STATEMENT TAKEN AT DATED
smuts QF THE PERSON MAKING THE STATE:WIT. AND PAGE NUMBERTHE BOTTOM OF EACH ADDITIONAL PAGE MUST BEAR THE
I I:11111ti III NH II
11T:11 .:1.I I III I 11:. ..

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DOD-023912

STATEMENT OF ,TAKEN AT • DATED
S. STATEMENT iCandnuND
rt.erin --trath1/4/T
111T
•I,I . HAVE READ OR HAVE HAD READ TO ME THIS STATEMENT WHICH . I FULLY UNDERSTAND THE CONTENTS OF THE earns STATRADIT MADE BY ME. THE STATEMENT II TRUE. I HAVE INITIALED ALL CORRECTIONS AND HAVE INITIALED THE BOTTOM OF EACH PAGE
CONTAINING THE STATEMENT. I HAVE MADE 7)4111 STATEMENT FREELY WITHOUT HOPS OF BENEFIT OR REWARD, WITHOUT
THREAT OF PUIESMENT, AND WITHOUT COERCION, UNLAWFUL INFLUENCE, OR

DIgnstureIMaths Stateroom,
Subsodbod and sworn to before me. a person authorized by law to
WITNESSES:
administar oaths, this day of

at
ORGANIZATION OR ADDRESS ISIgnisum of Poem Administwing Oath!
(Typo, Nom of Potion Adatintweing ONN
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ORGANIZATION OR ADDRESS
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PAGE a OF a PAGES
I
DSZ2D2S, DEC NM
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DOD-023913

74;J
SWORN STATEMENT
Fri use el this le a, see AR 19045: rte pm:anent piny is ODCSOPS

PRIVACY ACT STATEMEr
We 10 USC &agora 301• ?Ma 5 USC Section 2951. E.O. 939? bled amber 27. 1943 ISSP4.
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To perils earensaitis sod Ivy ealecettas elhcialt wall means by Mich inlolaWas nay be attefately deeplieL
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DISCLOSURE: 3. TIME t. FILE NUMBER
7. DATE
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STATEMENT Of
S. STATEMENT ICLIalkNita
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HAVE READ OR HAVE HAD READ TO ME THIS STATEMENT WHICH MINS I FULLY UNDERSTAND THE CONTENTS Cf THE WIRE STATEMENT MADE ST M E. THE STATEMENT IS TRUE I HAVE DAITIALED ALL CWIDECTIONS AND HAVE INITIALED THE BOTTOM Of EACH PAGE WHAMS THE STATEMENT. I HAVE MADE THIS STATEMENT FUEL? WITHOUT HOPE DT SEISEFIT•OR REWARD. WITHOUT THREAT OF PU WFUL INDUCEMENT.
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DOD-023915

..........

SWORN STATEPABIT
••.
for tome of Ws Sum, sae AR 190.46: `rile inboonent army le =SOPS . • ...
PSIVACT ACT STATEMENT
I•SNI.
Title 10 USC Section 301; Tide 5 UGC Section 3911; E.O. 9397 dated November 22, 1943
AlITHOF881:
PRINCtrAIVURPOSE: To provide cownandoes end law enfemernant officials with miens by which infornsetb3n may be accuratelv Your ioorsi ofaunty number is used on an addhicesUafterruite means of Idendfloadon to facEkete fling and retrieval.ROLTI1118 kegs
Disclosure of your *odd murky number is voluntary.
bISCLOMUITa 4. FILE NUMBER
12. oxiiiirnwom 13.
3. LOCATON
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201,11122.IAffs#
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WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH:
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OR REWARD, WITHOUTCONTAINING THE STATEMENT, I HAVE MADE THIS STATEMENT FREELY INITHOUT HOPE OF THREAT OF PUNISHMENT. AND WITHOUT COERCION, UNLAWFUL INA.
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PA .OA 101W 2823. MC 1198
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DOD-023917

Narrativeal Summary Ddainee
Language: Arable 26 April 2003
Medical Diagnoses
Latent TB, declined treatment
1.

Hemorrhoids with anal fissure
2.

Multiple hunger strikes
3.
History of Depressive Disorder, NOS, in remission

4.

Medications
1. None
Altervies — None
¦ear-old detainee was in-processed on 12Jan02.. He has been seen SO times by Medical and 27 times by Psychology since being in-processed; the last visit being on 11 Apr 03 for hyperventilation while in Reservation. No mention of these other issues made at that time and skin exam was not included in this evaluation. His in-processing weight was 178 lbs, his weight at the end of March was 169 lbs, and today's weight was 148 lbs. He has received two of three scheduled Tetanus-diphtheria immunizations, an MMR, a Hepatitis A vaccination and an influenza vaccination. He has had a positive PPD and a negative chest x-ray. He initiated treatment for Latent TB but stopped after completing 4
weeks of treatment.
He was followed extensively from 7 Mar 02 through 22 Jun 02 for 4 episodes of hunger striking. He was fed via feeding tube in April, but volunteered for refeeding in May and June of last year. He also did a hunger strike 06-17 Oct 02 which ended with his
voluntary refeeding.
• Today, I was requested to see him and address all of his medical complaints. An Arabic interpreter was available throughout the evaluation. He initially stated that I should ask Reservation as "they will tell you everything they have done". When I explained that I needed it from him so that I would get the full dory, he agreed. He "doesn't want help" because he doesn't want 1 person to cause a problem to have another person fix it. He just wants us to let me die from what they are doing to me". He states that he is on a hunger strike and has been without food for 16 days (per DOC he has taken intermittent meals to stay under the 9 consecutive meals for report). He states he is drinking water without a problem. He reports that Reservation has "dragged me across the floor" resulting in scrapes on his feet, jerked on the chains which have caused marks on his wrists, gripped the cuffs so that they tightened excessively causing marks on his wrists,
lifted him up then "slammed" him down on his knees, made his mouth such that he was spitting up blood, made a tooth loose, bruised several areas of his upper arms and torso, and created pain on his L lower ribs. He denies trauma to the rib area but does not know how that area is causing him so much pain. He felt so bad last night that he tried to "cut" the artery in his neck with his fingernails. All of these things occurred over the last 14
days.
Review of Systems
HEAD: occasional headaches which involve the frontal area, no radiation, no worsening
with either bright lights or loud sounds, sleep improves the headache some EARS: occasional ringing in the ears, decreased hearing, all less than 2 weeks duration NOSE: no bruising, no congestion, no bloody discharge
MOUTH: occasionally spitting up blood but unsure from what, tooth in upper jaw on the
R is loose, bitterness coming up from the back of the throat and filling his whole mouth—all less than 2 weeks duration NECK: slightly sore, no other complaints
CHEST: tender point in L upper chest which does not change with deep inspiration but is able to be found by pressing on it.
HEART: beats fast sometimes and the painfig spot in his chest gets worse when it is
beating fast

BACK: L sided back/flank area pain, unable to put any pressure on that area due to the
pain. States he was kicked repeatedly in that area while at Kandahar.
ABD: stomach hurts in the middle portion, has a history of hemorrhoids and fissure but
has not had a BM due to not eating

no concerns otherwise, urinating without difficultyGU:
EXT: states multiple areas of injury on arms, some old and some new. He received 3
injections as a child which gave him scars on the L upper arm (possible smallpox).

Mag a=
Wt 148 lbs
BP 130/72 P 88 R 18 T 97.5
HEENT: well healed linear scar noted connecting eyebrows, no other injuries noted; TMs clear bilaterally; PERRL, EOMI, fundi without gross lesions; nares without exudates or lesions; mouth with reasonable dentition. slight anterior-posterior shifting of 2 14 molar upper R jaw noted (tooth indicated by patient to be involved), tongue midline, mucous membranes moist, no pharyngeal exudates or blood noted.NECK: supple, shoddy adenopathy anteriorly and posteriorly, linear superficial scratches noted L lateral neck starting just inferior to ear and edge of mandible extending downward into a 2-3 cm erythematous area in the inferior aspect of the L neck, no
hematoma noted
LUNGS: clear to auscultation bilaterally

CV: RRR no m/r/g
CHEST: stria noted extending from axilla to superior aspect of shoulders bilaterally,
supraclavicular area with significant loss of subcutaneous tissue, tenderness to palpation over the L mid sternal border in area approximately 1 cm diameter—no bruising noted here. Scars: flat, oval scar approximately 2 x 1 cm on R chest wall lateral to nipple. Eccymosis: 1) yellow, round, barely visible near stria on R, approximately 5 mm
diameter, 2) L upper shoulder with round, approximately 5 mm diameter, bluish; 3) inferior aspect L ribs 2 areas; oval approximately 5 mm diameter each, bluish.
BACK: full ROM without difficulty, normal skin contours noted, 3 pimples noted scattered over the back. Stria noted extending from axillary area over posterior aspect of shoulder. Marked tenderness noted in S mm diameter area over inferior aspect of L. ribs just medial to I. posterior axillary line: No pain on rib compression away from this area. Scars: 1) 5-6 cm diameter, flat, round well healed area at junction of scapula and L axilla;
2) multiple linear scars each 1-2 mm in length approximately 10 in a row with 5-7 rows
along L flank/inferio-posterior ribs. Eccymosis: none noted.
ABD: soft, mildly tender over epigastric/mid abdominal area, NABS, no HSM. Scars:
4x6 nun diameter, bluish, barely visible through hair, innone noted. Eccymosis: oval.
RUQ.
GU: declined evaluation
UPPER EXT: full ROM, normal skin color and tone, thin. Scars: L upper outer arm with three 5-6 mm diameter, well healed, round lesions. Eccymosis: 1) medial aspect L arm just proximal to antecubital area with 3-4 mm diameter; 2) extreme medial aspect of R upper arm approximately mid humeral shaft with oval, 4-5 mm diameter, bluish; 3) two round, bluish, 3 mm diameter just distal to antecubital area medial R lower arm; 4) linear erythematous marks bilaterally overlying extreme distal ulna/radius in circumferential
pattern.
LOWER EXT: Bilateral knees with full ROM, slight swelling of the pre-patellar bursa
RL,.I. medial joint line tenderness and pain on stress of MCL, negative Lachman's
lite toes R dorsalbilaterally, negative Posterior Drawer. Scars: 1) web space between
foot, linear, stitch medal evident across scar; 2) round, R ankle over lateral maleolus 1 cm
diameter. Eccymosis: 1) Rime with mild erythema over the pre-patellar bursa with 1
mm diameter superficial abrasion; 2) R knee medial and proximal to erythema, 3 mm
diameter, brown; 3) L knee with round, 3 mm diameter, brown, inferior aspect of patella;
4) L knee, lateral aspect of patella with 34 mm diameter, bluish; 5) erythema over L
lateral maleolus with mild swelling. Abrasions: 1) R knee abrasion noted above; 2)
anterior ankle with superficial, round abrasion approximately S mm diameter,
serosanguinous scab noted; 3) 2" digit L foot, dorsum with 1-2 ruin linear abrasion mid
digit, barely visible; 4) posterior L ankle with 7 x 10 mm diameter oval, serosanguinous
scab noted.
Assessment/Plan:
1.
Hunger Strike—reported by the patient as 16 days long. Notable for weight loss over the last month though not dehydrated at the current time. Have reported the stated Hunger Strike to DOC for passing on to the Chaplain as well as to Psychology. Will initiate Medical Hunger Strike protocol and daily follow-up. Detainee noted to have done this before both intermittently and for prolonged periods of time.

2.
Multiple superficial injuries stated by the patient to have occurred over the last 2 weeks. Stated source of injury for the various areas is consistent with the injuries noted today. Due to extreme inaccuracy of dating bruises, unable to time any of these injuries.

The abrasions on the L ankle are superficial and consistent with healing abrasions 1-2 days old. They also correspond to the areas affected by shackles. Injury to L neck consistent with story provided by detainee of self-inflicted scratches.
3.
Chronic constipation—as he is not currently eating, he does not have any constipation issues (by his report). May become a problem again when he resumes eating. Recommend observation for now.

Latent TB—refusing treatment at this time.

4.

Evaluation performed by Evaluation reviewed by
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Doc_type_num: 
63