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What Happened to James Chasse

Monday, October 23, 2006

Pot shots from the armchair QB’s

from The Rap Sheet, the newsletter of the Portland Police Association, by Captain James Harvey, Retired

It’s happened again, only this time it was Washington County Sheriff’s deputies taking the hits from the media. In the early morning hours of Saturday, September 16, 2006, deputies were called to an address outside of Tigard where parents called 9-1-1 to report their 18 year-old son was drunk, violent, and threatening to kill everybody.

When the deputies arrived, shortly after 3:00 a.m., they found Lukus Glenn in the front yard of his home where he had broken out windows with a shovel and his hands, which were bleeding. He was holding a knife, and refused orders to drop it. Three bean bag rounds were fired by a Tigard officer who covered the call, without any effect. Glenn turned toward his house, and officers, fearing for the safety of those inside, fired their weapons, killing the man.

People … who are unwilling to call the police should call The Oregonian office, whatever the hour of day or night, and insist that they send Steve Duin and Maxine Bernstein to the scene immediately to deal with the violence. They apparently have all the answers for effective conflict resolution.
We’ve seen the media in action before. The only thing missing this time was the circus usually caused by self-anointed community spokespersons ranting about racial profiling and demanding that the officers be fired.

The Oregonian’s Maxine Bernstein hit the ground running on this one. Her article appeared in Monday’s paper. It was her usual approach. Get to the grieving mother and pump her dry. Lukus Glenn had been a football player at Tigard High School, recently quit a part-time job, went to dinner and a party Friday night, and came home drunk. Then she zeros in on Glenn’s 22 year-old friend who arrived on the scene before the deputies arrived. He gave Bernstein his account of the shooting in some detail.

The Oregonian’s Steve Duin wasn’t far behind. His commentary appeared in Tuesday’s Metro Section. In the opening of his piece, Duin had pronounced his judgment: “The sheriff’s deputies from Washington County, armed with an attitude all their own, were high on adrenaline and low on patience.” He goes on to present what he calls “a few nagging questions.” Duin’s lengthy piece concludes with the slam, “After the death of Lukus Glenn, what mother or father would expect help to arrive with the sheriff’s deputies of Washington County?”

Oddly enough, next to Duin’s rant, a transcription of the 9-1-1 recording gives a clear account of the seriousness of the situation, including the fact that Lukus Glenn threatened to kill everybody, and had already “busted” the front door so the family couldn’t lock him out. This, Mr. Duin, is a nasty situation. From the record printed in The Oregonian, there was an “attitude” already present on the Glenn premises before the officers arrived, and it belonged to the young man who was smashing up his parents’ home and cars.

About the only source supporting the officers’ actions at this time was radio talk-show host Lars Larson. Playing hardball with some of his callers, Larson continually took the position that when officers tell you to put down a weapon, that is exactly what should be done. Later callers with law enforcement experience contributed facts about the use of Tasers and other non-lethal means and supported Larson.

By Thursday, Steve Duin dropped his attack on police officers and became the bearer of good news. It seems he learned in an interview with Officer Paul Ware that the Portland Police Bureau and other departments have a voluntary 40- hour training program in crisis intervention. However, Duin’s new commentary fell short of being an apology for the stinging remarks in his earlier piece.

The investigation into the death of Lukus Glenn continues at this writing. Certainly people who were with him on that fatal night will be able to shed some light on his state of mind, his behavior during the night, and what substances he might have ingested before he became violent.

Some of the letters to the editor come from well meaning but naive citizens. The social environment within our country has changed drastically in the past 40 years. The conventional wisdom in police circles in the 1950s was that “professional criminals don’t want to kill a cop. They would do hard time for that.” But both society and crime have changed. Drugs, automatic weapons, and gang warfare have made police work drastically more dangerous. Officer survival training and bulletproof vests for police officers have become necessities in today’s world. Then on Sunday, September 24, The Oregonian published an exceptionally thorough and objective account of the Lukus Glenn shooting. The piece carried the by-lines of Kate Taylor and Dana Tims. Somebody at the paper apparently decided that a change in direction was in order.

What about Steve Duin’s question in his opening attack? “What mother or father would expect help to arrive with the sheriff’s deputies of Washington County?” The answer seems obvious. People with a violent family confrontation who are unwilling to call the police should call The Oregonian office, whatever the hour of day or night, and insist that they send Steve Duin and Maxine Bernstein to the scene immediately to deal with the violence. They apparently have all the answers for effective conflict resolution.

Lessons Learned

1. Today the mainstream media often cover events with a bias that may reveal a personal or even organizational slant which should not be confused by the public with an objective account of what actually happened.

2. When there were two daily papers in Portland, there was a chance for greater care in reporting facts, since the opposing newspaper may challenge the work done by the other. What ever happened to the Oregon Journal?

Friday, October 20, 2006

About Officer Humphreys

from Jack Bogadanski's Blog, with 34 responses

Here's a comment that came in today that needs to be moved up to a post of its own. It's about Portland Police Officer Christopher Humphreys, the central figure in the violent death at police hands of James Chasse Jr. Portland attorney Travis Eiva writes:
Last year, I represented a young man in a Federal police misconduct case against the Portland Police. The claims in that case alleged that Officer Humphreys and three other Portland officers stood over a 19 year old man and beat him with a flashlight, a steel baton, boots, fists, pepper spray, and three tazer deployments. Officer Humphreys struck the young man across the shins and midsection with a steel baton about 30 times during the incident. I certainly would not object to someone calling Officer Humphreys "overzealous" in his use of force.

All the while the young man screamed for "help." Independent witnesses described the screams as horrific. Independent witnesses stated that the young man did not "resist" the officers and that the young man was simply trying to protect himself from the officer violence. By the way, it was a case of mistaken identity; the young man did not commit an underlying crime to lead to the officer melee.

In March 2006, the city took a sizable judgment against itself on the above case in return for dismissal against the individual officers. City Council reviewed the settlement before it was approved. For me, this settlement brings up two major points when thought about in the context of the Chasse incident:

1. Prior to the Chasse incident, City Council was on notice that there were serious allegations of excessive force againt Officer Humphreys; AND

2.The City has already taken a bullet for Officer Humphreys in the past, i.e. negotiated a deal that protected him from personal culpability for violent actions.

So now I have a couple of questions:

1. What does the City do when it takes a judgment against itself for its more "aggressive" officers? After the judgment, did the City require that Humphreys be re-trained on the use of force or did they just send him back on his next shift?

2. How powerful is the Portland Police Union? Too powerful?

One more thing: Portland Police are trained in many things. They are forced to take a number of mandatory classes, such as shooting guns, executing distraction strikes (i.e. how to make kicks and punches most effective), using steel batons, and using minor traffic violations as a pretext to stop young men who wear their pants too low. Every officer takes classes on the above subject matter. There are also a number of optional classes. Many officers do not take these classes. As of last I was aware, there is an OPTIONAL class on officer contact with mentally ill individuals, that trains the officer in how to appropriately manage interactions with folks who suffer from mental illness. I would bet my dollars against anyone's doughnuts that our Chasse Officers did not sign up for that class. With a certain lawusit to follow the Chasse incident, I wonder how much the City coffers will have to bleed, not to mention mentally ill people brutalized, to make up for this lapse of judgment on the part of police officer training.

Too bad it came in late on a Friday afternoon, when all the dirt seems to come out and the fewest people are paying attention. But I'm sure you'll agree, it's interesting nonetheless.

LETTER TO THE EDITOR - 10/20/06

from The Oregonian

Protect, serve the vulnerable

To James P. Chasse Jr.'s family: My condolences, and I admire your ability to keep advocating for James, even though it has to be very trying. Our most vulnerable community members (the disabled) need people like you to help get the word out and make it known when injustices are perpetrated against the mentally, physically and developmentally disabled.

I have an adult developmentally disabled son who does not make the best choices, can exhibit some strange behaviors and who has been treated poorly and taken advantage of by some people. We have done our best to keep him out of harm's way.

Our community needs to be tolerant of people who are "different." Our most vulnerable community members need to be protected and served.

KIM YEAGER
Oregon City

Police missed clues to Chasse's mental illness

from The Oregonian, by Maxine Bernstein

As Portland Officer Christopher Humphreys tells it, it never entered his mind that James P. Chasse Jr., the disheveled man he saw shuffling at a street corner and then possibly urinating behind a tree on Sept. 17, suffered from a mental illness.

When Humphreys approached, the man walked off and then ran. Based on his 10 years of law enforcement experience, Humphreys presumed the man was drunk, on drugs, or involved in other criminal activity with a warrant for his arrest.

Even the "absolute sheer terror" he saw in the man's eyes --an expression Humphreys said he had never seen --led the officer to suspect the man possessed drugs or a weapon.

Transcripts of detectives' interviews with the three officers involved in Chasse's death show that none of the three officers suspected Chasse might be mentally ill until well after their knock-down struggle with him.

The police statements, released by Chasse's family, also reveal the inability of anyone to recognize the significant injuries Chasse had suffered until it was too late. One officer said that at no point did he suspect Chasse's repeated screaming was from pain.

They also illustrate the meager sharing of information between the officers, ambulance medics and jail medical staff who dealt with Chasse --a problem Portland Chief Rosie Sizer has vowed to correct.

Chasse, a 42-year-old man who suffered from schizophrenia, sustained multiple rib fractures, some of which punctured his left lung, early in his encounter with police, and died from broad-based blunt force trauma to his chest, an autopsy found.

The following is a narrative, based solely on the officers' account of what occurred. Transcripts of civilian witness accounts, some of which Chasse's family says contradict the police version of events, and all other police reports and investigative reports stemming from the case have not yet been released.

Disheveled man

Officer Humphreys couldn't help but notice the disheveled man, shuffling at the corner about 25 feet away.

Humphreys was assisting a sergeant on an unrelated call Sept. 17 when he spotted the man. Humphreys said he assumed the man was a transient and drunk, maybe waiting for a bus. The man had his back to Humphreys at Northwest 18th Avenue and Everett Street, his legs stiff, rhythmically stepping side to side.

At one point, the man turned and saw the officers. He immediately crossed the street, Humphreys said. The man's unusual behavior, plus the fact he walked away from police made Humphreys suspicious. He suggested to his sergeant and partner that they roll up and talk to him.

Humphreys and his TriMet patrol partner, Multnomah County deputy Brad Burton, drove up to Chasse on Northwest Everett, midway between 14th and 13th avenues. Chasse was on the south side, hunched over, standing by a tree, his backpack at his feet, police said.

"Oh, he's pissin'," Humphreys said to his partner. The officer made note that they were entering the revitalized Pearl District, a high-density area of restaurants and businesses.

Burton stopped the patrol car. Humphreys stepped from the passenger side onto the sidewalk and took two steps towards Chasse, about 10 to 15 feet away. Chasse, his back to police, grabbed his backpack and started to walk eastbound, the officers said.

Burton tried to stop him.

"I was like, 'Hey,' you know, and I whistled at him, or something just to get his attention," Burton said.

Both officers say Chasse turned and made eye contact with them. They were both struck by what Humphreys called Chasse's look of "absolute sheer terror."

The officers said Chasse started running east. Humphreys and Burton chased after him, yelling stop.

Chasse falls

They ran down a slight slope toward the southwest corner of Northwest Everett Street and 13th Avenue. Humphreys said he shoved Chasse down with both his forearms against Chasse's back.

The officers' accounts of what occurred next conflict, but at least one described it as "chaos."

Humphreys said Chasse fell to the ground, and he fell on the sidewalk, right past Chasse. He did a shoulder-roll on his left side, and felt his left hip jam against his flashlight in his back pocket. When he rolled onto his stomach, he said he saw Central Precinct Sgt. Kyle Nice wrestling with Chasse.

Nice, who had pulled ahead of Humphreys and Burton and had tried to cut Chasse off, said he saw Humphreys grab Chasse in a "bear-hug-type" hold and tackle him to the ground. He said Humphreys fell on top of Chasse in the midback area.

Burton said he saw Chasse and Humphreys collide but wasn't sure how they landed. Burton said he struggled to control Chasse's legs as Chasse twisted and turned, kicking and screaming.

Nice said he grabbed Chasse's left arm to pin him to the ground. Humphreys said he got up and grabbed Chasse's right arm, describing Chasse as screaming, kicking and flailing.

"I was yelling get on your stomach, stop fighting, get on your stomach," Humphreys said.

Humphreys yelled at Burton to grab his Taser, but then heard Nice say, 'No, not yet."

Struggle on ground

Nice said he felt a sharp pain on his lower right calf and realized Chasse had bit him. He jerked his leg out from under Chasse's left armpit, yelling at him, "Do not bite me!"

Nice yelled at Chasse to get on his stomach. As they struggled, Nice said Chasse got hold of his right pant leg cuff with his teeth.

"I pulled my right foot back and kicked him in the upper chest," Nice said.

Burton said he punched Chasse "once, maybe more" in the back. He yelled at Chasse to stop resisting. Burton said he placed his Taser to the back of one of Chasse's upper legs, holding it against his urine-soaked jeans. Burton said the Taser had no effect and he reholstered it. At one point, Burton said he dug the knuckle of his right index finger into Chasse's rib to try to get Chasse to give up.

Humphreys said he struck Chasse in the face when he pulled his fist back to avoid getting bitten, and then punched him again in the face with a closed fist. Nice said he put his knee on Chasse's left shoulder blade to pin him down.

Throughout the fight, Chasse uttered what Humphreys called a "blood-curdling" open-mouthed scream, like "Aaah!" and screamed "No" three times.

The officers didn't smell alcohol on Chasse's breath, but now figured he was high, describing him as "wide-eyed," panicked and screaming.

As soon as more officers arrived, Chasse suddenly stopped resisting, the officers said. They were able to handcuff his wrists behind his back. As they rolled Chasse onto his right side, Nice said he immediately noticed Chasse was unconscious.

"His eyes were closed, and I looked and I couldn't tell if he was breathing," Nice said.

Medics arrive

Nice's first thought was cocaine psychosis and called for Code 3 emergency medical at 5:23:04, saying the subject was unconscious, and had been fighting with police.

Just then, Chasse opened his eyes and was breathing, Nice said.

At 5:25 p.m., American Medical Response Ambulance medics arrived, followed by Portland Fire Bureau medics. They checked Chasse's vital signs, including blood pressure, respiration rate and glucose levels.

As they examined Chasse, the officers stepped back. Nice lifted his pant leg to check his bite wound; no skin was broken but he cleaned the area with a wipe. Humphreys walked back to the tree where he first approached Chasse, looking to see if he dropped any drugs.

Humphreys said he found a "white powdery streak" ground into the dirt that he figured might be crack cocaine remnants. He scraped up some granules into a plastic bag.

Nice said he confirmed with the medics that Chasse was medically stable, that he need not be taken to a hospital. Nice said the medics did not relay what, if any, injuries they noted. He said the ambulance driver said he was "probably high" on cocaine.

The AMR medic handed Humphreys a written form to sign.

"I said, 'Well, he's good to go?' And she's like yeah," Humphreys said.

The officers bound Chasse's ankles together, and tied them to his wrists, cuffed behind him. They carried him to the back of Humphrey's patrol car. He lay on his left side with his head by the driver's seat.

Humphreys said Chasse was mumbling in the back seat, and asked for his backpack. When Chasse began answering his questions, Humphreys opened the back door. " 'If you try to bite me or kick me,' I said, 'it's gonna be really, really bad,' " Humphreys said.

He asked Chasse if he had a wallet. "He goes, 'I have a wallet, I have a wallet,' and he kinda repeated it a couple times. So at this point, I'm starting to think this is a gentleman that's got some mental health issues."

Humphreys pulled a wallet from Chasse's left front pocket, and found his ID.

"What did I do? What did I do?" Chasse asked, as Humphreys read him his Miranda rights.

Chasse asked for water, and Mellaril. The officers weren't sure what Mellaril was, but suspected it sounded like some pill. Mellaril is an antipsychotic often prescribed to patients with schizophrenia, which Chasse suffered from.

Unconscious at jail

At the jail, deputies helped remove Chasse from the car because police said he wedged his foot under a seat. Humphreys asked the deputies to cover Chasse's head with a nylon spit sock, in case Chasse tried to bite someone.

The officers and deputies carried a struggling Chasse into an isolation cell and placed him on the floor. They cut the tie binding his legs to his wrists, and went to uncuff his wrists. Suddenly, Chasse stopped fighting.

"He's gone unconscious again," Humphreys thought. He turned to a deputy, and said, "We need to get medical. He passed out on us before and let's make sure he's breathing." Humphreys walked out, washed his hands and saw a nurse looking through the cell door window.

"The prison nurse is like, why was I called? Why didn't I see him before he came in . . . then she said, 'We can't take him, look at him, he's twitchy' . . . "

Since the jail wouldn't take Chasse, deputies prepared him to the ride to Portland Adventist Hospital, putting on leg chains and cuffing his wrists. They placed him back in the patrol car.

As the officers turned onto Interstate 5 north, they heard Chasse mumbling. As they veered onto Interstate 84 east, Humphreys heard a thud. He saw Chasse leaning against the passenger side door. The officer couldn't tell whether Chasse was breathing; he still had the spit sock over his head, but he noticed his left arm was "stark white."

"We gotta get off, we gotta get off," Humphreys yelled to Burton, directing him to activate his lights and take the next exit.

"James , James, James, wake up James!" Humphreys yelled.

Chasse dies

They pulled off the Northeast 33rd Avenue exit, turned right at the end of the off-ramp and stopped. Burton radioed for medical. Humphreys dragged Chasse from the back seat, pulled off the spit sock. His eyes were closed; mouth slightly open. He laid Chasse on his back on a sidewalk. He and Burton checked for a pulse, but didn't feel one. They removed his handcuffs.

Burton patted Chasse's head, slapped his cheek, yelled his name. He tilted Chasse's head back to clear an airway, and swept blood from his mouth with his finger. Humphreys started chest compressions, estimating he did at least three series of five.

"I remember lookin' at him going man, you know, I've gotta get some oxygen to him but I don't want to put my lips on his lips," Humphreys said.

Burton ran to the back of his car, tearing through a bag to find an air mask. At that moment, a nearby resident came up, offering to connect a defibrillator to Chasse's chest. As soon as the machine was attached, it spit out, "shock not advised."

The officers heard the ambulance sirens growing louder.

"You're sitting there, you know , beggin' him and God and everybody else, you know," Humphreys said. "And try to shove life back into him."

The officers backed away when medics arrived. They worked on him at the scene, and then rushed him to Providence Hospital, where he was pronounced dead at 7:04 p.m.

Thursday, October 19, 2006

A Memo Portland Needs Right Now

from The Portland Freelancer

It's official: When it comes to death by our police, there is now more of a chance for the family of an Iraqi citizen killed illegally by coalition soldiers in Bagdhad to get some justice, than there is for an American citizen to receive it in downtown Portland. At least in Iraq there is a chance of an indictment.

I'm not going to wade through the details of the James Chasse case. What happened here was obvious. The city's presentation to the grand jury was based on a description of events that the officer himself first denied. What more do you need?

To the people in charge of this town, here is some advice: I'm sure there are a lot of things about your jobs that you enjoy - the power, the prestige, the fun of being a big deal. But if that bargain comes with participating in something like this, it is not worth it. In fact, it is one of the worst deals you could ever make.

Now there is a silence as the stench of this recent decision hangs over the city. Why can't you civic leaders do something? You're bureaucrats for Christ sake. Can't you at least fire off a memo? I'll even help you write it, okay? Here goes:

"Dear Portland Police Officers, This is from the offices of the Mayor, the Chief, and the DA. It's come to our attention that some of you have been killing unarmed citizens. Now, just because you have gotten away with that in this city in the past, doesn't mean we want you to count on it. In the future we'd really appreciate it if you didn't kill anyone unless it was absolutely necessary. Yes, we know there are tons of rules and regulations and it's sometimes hard to keep track of all the details. But we'd really appreciate it if you tried to remember this one. In fact, the entire city would be grateful.

Of course, we're the first to admit that maybe we haven't stressed this enough lately, so we're instituting a new incentive program. If you're not involved in any blatant killings of unarmed citizens for a whole year, we're going to ask the council to give you one extra paid day off. I know it's not much of a display of gratitude, but it's a start.

Finally, we're also going to have human resources draw up some posters as reminders - maybe a little something you can put in your locker. They'll say helpful easy to remember phrases like, "Please Don't Kill the Unarmed Citizens - They Live Here Too." We'd also like to declare the first Friday of every month as "Don't Kill Any Unarmed People" day.

Now, this city has created a legal climate where police officers can kill citizens and never be charged, and it's something we could protect if it doesn't get out of hand. Lately, however, this exemption has been abused. We hate to have to complain to you as a group because it's always a few bad apples who make everybody look bad, so don't take this personally if you're not at fault. But we need you to work with us, too.

These recent cases like what happened to James Chasse, are just becoming too obvious. Do you realize how hard we have to work to concoct these stories to keep you out of court? What about our needs? Do you think we're not busy enough as it is? Do you think we like manufacturing or selling these ridiculous stories just because you go out and kill somebody? We're busy too, you know. So how about some cooperation?

From now on, if you kill an unarmed citizen in a dubious way, you will be required to provide an airtight cover story that makes sense. No more sloppy testimony that we have to work overtime to explain. All Portland Police officers must do their part and present a plausible explanation at the time the investigation begins. Here's a simple rule we want you to follow: If you can't justify it, try not killing the person. We understand that there still might be some questions but at least give us a version of what happened that we can work with. On some level, it has to make sense. We're serious about this. This last case made very little sense and that makes us all look bad. Frankly, if these were regular citizens kicking and beating someone, and he died, we'd indict them in a heartbeat.

Oh, who are we kidding? Some of you still won't get the message. Look, we hate being sticklers for discipline, but, need we remind you, if you happen to kill someone who isn't armed - in a way that a normal citizen would be charged with murder - it will end up being part of your permanent record. No exceptions. And that's not all. We hate suggesting this, but we may be forced to take legal steps. No, really. This time we mean it."

As Chasse controversy deepens, cops have yet to release key documents

from the Portland Tribune

Releasing witness statements before all investigation documents are assembled 'wouldn't be appropriate,' police say

Family members Mark Chasse (left) and James Chasse Sr. (right) listen as their lawyer, Tom Steenson, speaks at a news conference this week about James Chasse Jr.’s death in police custody last month.

Portland police officer Christopher Humphreys seemed certain when detectives interviewed him last month, three days after the in-custody death of James Chasse Jr.: When he fell after a foot chase, he landed not on top of the much-smaller Chasse but on the sidewalk.

The Portland Police Bureau, however, contends that Humphreys did land on the 42-year-old Chasse, and that it has witness statements from other cops and civilians to prove it.

This particular turn of fact is critical, given that the police bureau has described the fall as causing the punctured lung and the 26 breaks to 16 ribs that caused internal bleeding, killing Chasse less than two hours later Sept. 17.

With the grand jury over and with no charges levied against Humphreys or anyone else in Chasse’s death, those witness statements are public records.

But the police bureau has refused to release them yet, preferring to wait up to two weeks to release all its materials on the case at once.

"It just wouldn't be appropriate at this time," bureau spokesman Sgt. Brian Schmautz said on Wednesday.

On Friday, he said, "To understand what occurred, you have to read the entire investigation. Because the investigation is typically about 1,000 pages, it typically takes us about 10 days to two weeks" to gather all the documents.

Dan Handelman, co-founder of the watchdog group Portland Copwatch, said releasing such documents could save the police bureau public headaches and help the agency appear more transparent.

“If those statements back up what they say, they should release them,” he said. “Well, honestly, even if they don’t back up the police, they should release them.”

Portland police said as fact Tuesday that their own investigation had concluded that Humphreys fell on Chasse after chasing him in the Pearl District, causing the injuries.

But a transcript of Humphreys’ interview with Portland police Detective Lynn Courtney, dated Sept. 20, shows that may not have been the case.

“Um, and I, I actually I remember was just goin’ down I thought boy this is gonna hurt, um on the pavement,” Humphreys said in the transcript, released to reporters Wednesday by a lawyer for Chasse’s family. “And I, I land on the pavement and I kinda rolled, and as I rolled I went up on my left side and I wear my uh, I keep a small flashlight in the left rear pocket and it actually jammed against my hip.”

Courtney asked Humphreys to clarify whether he fell on top of Chasse.

“Yeah, I fell on the sidewalk,” Humphreys said. “I went right, right over and past him.”

Other statements disagree

A day earlier, at a news conference called in response to a Multnomah County grand jury’s decision not to charge anyone with a crime in Chasse’s death, police could not have been more clear.

“As Mr. Chasse fell to the ground, he unexpectedly rolled into the path of the officer,” a “fact sheet” issued to reporters reads. “The officer then accidentally fell onto Mr. Chasse and rolled off.”

Police Chief Rosie Sizer and homicide unit Sgt. George Burke, whose detectives investigated the incident, each offered that statement as well.

Schmautz and Burke said witnesses told police they saw Humphreys fall on Chasse.

“The trouble is, there was no other time that anyone else – including the civilian witnesses – saw anybody else fall on or sit on or roll on Mr. Chasse, so there is no other way to see it,” Schmautz said. “But if you were to ask officer Humphreys, he would still say it didn’t happen.”

But the interview of Sgt. Kyle Nice, who also tussled with Chasse the day he died, is unclear on that point.

“It appeared, it appeared that Officer Humphreys kind of landed slightly off of the subject,” Nice told Courtney in an interview Sept. 18, one day after the incident, according to a transcript. “Kind of half on his right side and half on the ground, ’cause I could see you know, the backpack that he had wound up separated from us but I don’t know. He immediately started to squirm and attempt to get away so they weren’t in a static position that I can remember for very long.”

Nice said Humphreys took Chasse down with a “straight bear hug type tackle,” not the left-forearm shove that police described Humphreys using and which would be consistent with current training methods.

The third law-enforcement officer at the scene, Multnomah County sheriff’s deputy Brad Burton, also was unclear about the takedown in responding to a question from Portland police detective Jon Rhodes.

“I mean you can use the word tackle in a very general sense,” Burton said. “Just because someone’s forced to the ground people use that word, but I don’t know if he, if he wrapped his arms around him, I don’t know if he landed on top of him, all I know is they collided running in the same direction and uh, I believe both went to the ground and I’m not sure where they landed.”

Family seeks answers

Chasse’s family is contemplating a lawsuit, among other options, their lawyer, Tom Steenson, said Wednesday at a news conference held at the World Trade Center complex in downtown Portland.

He lambasted police for not being more forthcoming with records, saying he received the interview transcripts from the Multnomah County district attorney’s office.

Chasse’s brother and father attended and sat with Steenson near the nest of television and radio microphones.

They barely spoke.

“We’re private people,” Mark Chasse, the victim’s younger brother, said.

Steenson said the grand jury had been “misled” and that the jurors’ decision not to indict anyone denied the Chasse family justice.

He said William Brady, the Oregon state medical examiner from 1969 to 1985 who has been hired by the family as an expert witness in this case, told the grand jury that the injuries Chasse received seemed inconsistent with the story behind them.

“We would hope that Chief Sizer and the police bureau would stop releasing false information to the public,” Steenson said.

Sizer and Mayor Tom Potter, at his own news conference Tuesday, apologized to the Chasse family.

Steenson was unimpressed. After leaning over and listening to whispers from Chasse’s father, also named James, Steenson sat forward toward the microphones.

“The apology is a far cry from justice for Jim Chasse,” he said.

The vulnerable need state’s help

from the West Linn Tidings, op/ed by Beverly Backa

“Is there No Place on Earth For Me”…is the title of a Pulitzer Prize winning nonfiction work published more than two decades ago. Reading it helped shape my vision and set the course for my professional career. The book is the story of the “revolving door” mental health system that a young woman experienced in New York in the 1970s.

Sadly, the story of that young woman still rings true today. The story of James Chasse, a man who suffered from chronic schizophrenia and his tragic death in downtown Portland is a story of a system that is still ill equipped to deal with and humanely treat the mentally ill. I did not know James, but his parents, who barely knew me, have supported my political campaign. I feel it is my duty to do my best to address the issues and the solutions that might have saved, or at least improved, their son’s life.

During the course of the past week I have attended two public forums – the Clackamas County Legislative Forum and the Affordable Housing Forum in Beaverton. A common theme has emerged from these two public meetings and the details of James Chasse’s life and death – mental illness and homelessness are often tied together.

After more than 20 years of service as a mental health provider, this is not new information for me. But that we still struggle with it is a new call to action. The mentally ill do not just struggle with their internal demons – they struggle with the same real life issues that we all face. How do we feed ourselves and provide for our basic needs such as housing, and in James’s case, personal safety.

One of the most remarkable studies ever done that supports the case for housing for the mentally ill was simple in its nature. A group of researchers “gave” a group of consumers (mentally ill) their own apartment. They offered no other treatment and simply monitored the progress of the patients. The aspect of simply having a residence so greatly improved the health of these individuals that in some cases it rivaled the affect of psychotropic medication. The study was interesting, but the idea has continued to struggle to find a firm foothold. In a society that eschews a “handout,” the idea of just giving people housing as treatment was and remains countercultural.

James Chasse was one of the fortunate few who had obtained stable housing at the time of his death. It is not the case for many others. Affordable housing is being torn down daily to make way for new or renovated properties that offer builders and investors a higher rate of return. We can expect little or no help from the federal government on this front and it is up to our state and local leaders to step up to this challenge.

There are a few bright spots on the horizon. Villebois has worked with Clackamas County Mental Health to develop community based housing for the mentally ill within its “village” type concept. The first units have just been completed. The units offer housing that is accessible and close to employment opportunities for the individuals that they will shelter. It is a start, but we have a long way to go.

Affordable housing will involve capital investment. The Housing Alliance, a group of non-profit organizations and city governments, has developed the 2007 Housing Opportunity Agenda.

It calls for the state legislature to appropriate $100 million in the next biennium to support affordable housing. A majority of the funds will constitute a capital investment in actual housing.

For a Legislature that is short on dollars for operations, the idea of capital expenditures is a stretch. But I keep hearing a lot of talk about “return on investment” from our elected officials.

If we are really serious about this concept then the Oregon Legislature is going to need to invest in affordable housing for the mentally ill and other at-risk populations.

The “return on investment” is a capitalized asset that remains after many services have come and gone. The return on investment could very well be a life.

Bev Backa is the democratic candidate for State Representative, House District 37.

Chasse family says police distorted facts


from The Oregonian, by Maxine Bernstein


The family of James P. Chasse Jr. on Wednesday accused the Portland Police Bureau of distorting the facts of the case and blasted the district attorney's office for its "blatant conflict of interest" investigating Portland officers involved in Chasse's death.

The family released transcripts of police interviews with the officers, saying the documents contradict the bureau's version. They pointed to the interview of Officer Christopher Humphreys, who police say fell onto Chasse during a foot chase, causing multiple rib fractures that killed him. But in his interview, Humphreys says he didn't fall onto Chasse at all.

The Chasse family said they were pleased that Mayor Tom Potter apologized to them for Chasse's death, but they remain horrified by how Chasse died in police custody.

"The apology is a far cry from justice for Jim Chasse," said Thomas Steenson, the attorney representing the Chasse family.

Chasse's father, James P. Chasse Sr.; Jim's younger brother, Mark Chasse; and Steenson railed against the police and prosecutors for their handling of Chasse's death investigation, a day after a Multnomah County grand jury found no criminal wrongdoing by the three officers involved.

Chasse, 42, who suffered from schizophrenia, died after receiving multiple rib fractures that punctured his left lung after a Sept. 17 encounter with two Portland police officers and a Multnomah County sheriff's deputy.

Police said Tuesday the officers thought Chasse was urinating by a tree in the Pearl District. When they approached, he ran, and they chased him. As they ran down a slight slope on Northwest Everett Street, police say Humphreys pushed Chasse with his left forearm, which is in line with bureau training, but then fell on him.

But Humphreys told detectives he shoved Chasse hard with both forearms to knock him down. When Chasse fell, Humphreys said he fell to the pavement.

"I just went boom, down right on the ground," Humphreys said, according to his interview transcript. "I fell on the sidewalk. I went right, right over and past him."

Humphreys said that he went into a shoulder roll and flipped onto his back, then quickly crawled back to Chasse.

Sgt. Kyle Nice, in his interview with detectives, gave a conflicting account. He said he saw Humphreys tackle Chasse to the ground by wrapping both arms around Chasse, landing on top of him. Nice said Humphreys grabbed Chasse in a "straight bear hug-type tackle," a method that Portland police no longer train officers to use.

Deputy Brad Burton said he saw Humphreys and Chasse go to the ground, but couldn't say if the officer fell on top of Chasse.

Steenson said the Chasse family doesn't believe Chasse died from Humphreys falling on top of him, but from multiple punches and kicks to his body as officers were struggling to turn Chasse onto his stomach and handcuff him.

"It's clear Jim was subjected to unnecessary, brutal force by the police," Steenson said. "The force that was used --the kicking and the striking --was intentional."

In their interviews, two officers say they punched Chasse because he was biting or trying to bite them, and a third said he kicked Chasse after being bit.

Conflicting interpretations

The family attorney lambasted Chief Rosie Sizer and the bureau for putting out a fact sheet on how Chasse died, when the officers' own interviews conflict with what the bureau stated as facts. He also questioned why police made no mention of accounts from witnesses, who reported seeing officers repeatedly punching and kicking Chasse in the head and chest.

Portland Police Sgt. Brian Schmautz said it's true that Humphreys does not think he ever fell on top of Chasse, but investigators believe he did based on witness statements and physical evidence. According to police, the state medical examiner found no sign of trauma from punches or kicks that would have caused Chasse's death.

"What investigators try to do is look at all witness statements, all physical evidence and draw conclusions from those," Schmautz said.

Medical Examiner Dr. Karen Gunson's autopsy report said Chasse died from broad-based blunt-force trauma "by another person or a fall."

The Chasse family retained Dr. William Brady, a former state medical examiner who often testifies for the defense. Brady told the family the massive shattering and crushing of Chasse's ribs would had to have been from some type of kicking or striking with tremendous force, Steenson said. There was no damage to Chasse's sternum, which Brady believed would have occurred from someone falling on top of him.

The family criticized what they viewed as law enforcement's lackadaisical, uncaring attitude toward Chasse, pointing out the well-publicized photograph a witness took of Chasse lying in the street surrounded by police officers, fire and ambulance medics standing around him.

Even when taken to jail, where Chasse suffered two seizures and Humphreys thought Chasse had stopped breathing, Chasse received no medical attention. A jail nurse looked into the cell door window, noticed him "twitching" and said little more than "we can't take him," and just walked off, according to Humphrey's interview transcript.

"We remain horrified by the callous and completely indifferent ways police and law enforcement treated James," his father said. "They treated my son as though he didn't count as a human being."

District attorney criticized

Sizer has said that she hopes to draft new policy regarding how information is shared between police and emergency medical staff and jail personnel. The officers' interviews do not indicate that they shared with ambulance medics at the scene the extent of their struggle with Chasse, and how he was knocked to the ground.

Police have said medics found Chasse's vital signs normal and cleared him to go to jail. But Nice, in interviews with detectives, said ambulance medics did ask him, "Do you want him transported?" Nice said he replied, "No, we have criminal charges. He'll be going to jail."

Chasse faced charges of resisting arrest, assault on an officer and interfering with police.

Mark Chasse criticized the district attorney's office for failing to hold these officers accountable.

"If the DA's office could not get an indictment against these officers for their brutalization and torture of James, it's hard to imagine when they ever might," he said.

Multnomah County District Attorney Michael Schrunk defended his office's ability to investigate police, and said that the county, unlike other jurisdictions, takes most every death in police custody to a grand jury for review.

"I don't think we have a conflict," he said. "We've prosecuted policemen before."

The grand jury that heard Chasse's case was presented with the definitions of four potential criminal charges, including murder, manslaughter 1 and 2, and criminal negligent homicide.

Chasse's family thanked those who have offered their condolences and invited the community to a candlelight vigil at 7 p.m. Oct. 27 at the First Congregational Church in Portland, 1126 S.W. Park Ave.

They said they are private people, and it's been very difficult speaking out, but they feel they must for Jim's sake.

"This is necessary for us to do this" said Mark Chasse, "because we love Jim."

LETTERS TO THE EDITOR - 10/19/06

from The Oregonian


Chasse decision: Multiple failures revealed

For five years, before becoming an attorney, I worked as a mental health counselor in Washington and Oregon.

James P. Chasse Jr.'s death is a tragedy created because the Portland Police Bureau, like the rest of the public, has chosen to defund the mental health system.

Notwithstanding the duty owed to these disabled people and their large concentration in Portland, it should come as no shock to us that our police are so ignorant that they lack the special training necessary to recognize a mentally ill person when they see one. Portland police were even told two days earlier about Chasse going off of his medication ("No indictment in Chasse death," Oct. 18).

This is not the first time that the mentally ill have died in encounters with police in Portland, and it is not the first time folks have apologized and called for improvements in training. Nothing really changes other than the system's efforts to do better politicking before the next time.

It is time for all police officers to receive real professional training about mental illness.

I still cannot understand how [possibly] urinating in public is such a dangerous crime as to justify the use of force sufficient to kill a man.

THOMAS E. PRICE
Salem

One sentence in the Wednesday article about the grand jury's finding no criminal wrongdoing in James P. Chasse Jr.'s death shocked me beyond belief: "The officers involved were not specially trained to deal with the mentally ill."

In January 1992, Nathan Thomas, a 12-year-old boy in my neighborhood, was accidentally shot in the course of an incident involving a mentally ill intruder. Portland police vowed that their officers would have more training in handling the mentally ill. Clearly, this still has not occurred.

That any police officer on duty in downtown Portland can not be specifically trained in handling this population is a travesty. This population is rapidly expanding. How many terrified, mentally ill people will be injured or killed like Chasse, and how many lawsuits will the city of Portland endure until it makes good on its promise of nearly 15 years ago?

KATHY PAPE
Northeast Portland

The explanation of how James P. Chasse Jr. died, by Portland Police Chief Rosie Sizer, insults the intelligence of anyone with an IQ greater than 50. By her explanation, any football game played on AstroTurf would result in a great number of broken ribs.

Chasse's ribs were broken with kicks and knee drops. Don't hold your breath waiting for a public inquest. These travesties of justice will continue to occur until the public gets a say in these biased investigations.

GEORGE ERMINI
Milwaukie

I think the medical personnel had fault here, but also I believe James P. Chasse Jr. died because the police went too far. I don't believe a man suffers 16 broken ribs when another man "accidentally" falls on him.

The problem is one of multiple failures. Police are not trained to talk to people. So a man died because he might have urinated in public. People who are mentally ill, retarded, high, drunk or experiencing lots of tics and yelling because they have Tourette Syndrome do not deserve to be shot. Often nothing they are doing requires an arrest.

Chasse could have been given a ticket instead of being chased down, restrained, beaten and stunned.

People who are confused, agitated and upset don't respond well to being yelled at, chased or alarmed. Quiet, calm people (as in trained crisis teams) would be a great alternative to nervous, aggressive officers.

BRINN HEMMINGSON
Southeast Portland

Wednesday, October 18, 2006

Chasse's Family Disappointed By Grand Jury Finding

from OPB.com

The family of a mentally ill man who died while being taken into police custody says it is disappointed by a grand jury finding. The panel found Tuesday that the officers were not criminally negligent in the death of James Chasse. Kristian Foden-Vencil reports.
Mark Chasse, James's brother, called the grand jury system "deeply flawed" by a blatant conflict of interest. He says justice cannot be expected when the Multnomah County DA is responsible for investigating the misconduct of the same officers it works with every day.

Mark Chasse: "If the DA's office cannot get an indictment against these officers for their brutalization and torture of James, it is hard to imagine when they ever might. This system ultimately substitutes justice by public relations and political spin for anything resembling actual justice."

Chasse's family says it is considering whether to file a civil suit. It also accuses the Portland Police Department of twisting the facts in this case.

The department is conducting an internal investigation.

The City of Portland is expected to set up a human relations commission. Among other tasks, it would look into police treatment of the mentally ill.

No indictment in Chasse death

from The Oregonian, by Maxine Bernstein

A Multnomah County grand jury Tuesday found no criminal wrongdoing by police or others in the Sept. 17 death of James P. Chasse Jr., after a police inquiry concluded that Chasse died from multiple rib fractures once an officer pushed him to the ground and fell on top of him.

"Officer (Christopher) Humphreys accidentally and inadvertently landed on top of him," said Sgt. George Burke, who supervises homicide detectives.

Chasse, a 42-year-old man who suffered from schizophrenia, had run from two Portland officers and a Multnomah County deputy sheriff when they saw him acting oddly and possibly urinating behind a tree in the Pearl District.

Chasse died from broad-based, blunt-force trauma to his chest suffered early in his encounter with authorities, state medical examiner Dr. Karen Gunson ruled. Gunson also called the death "accidental." An autopsy showed he had 26 breaks in 16 ribs, some of which punctured his left lung and caused massive internal bleeding.

The seven-member grand jury ruled unanimously after deliberating for 20 to 25 minutes Tuesday afternoon and hearing testimony from 30 witnesses over five days, beginning Oct. 3. Seven of those witnesses were civilians who saw the police struggle with Chasse.).

Police Chief Rosie Sizer, calling Chasse's case the most controversial incident in her short tenure as chief, said she and the Portland Police Bureau "regret" Chasse's death in custody. She termed it a tragedy.

New policy in works

Though she would not comment on the officers' actions until an internal review is done, the chief said Chasse's case has prompted her to review and develop a new policy for how police interact and share information with ambulance medics and jail medical staff.

"I think that's a rich area of policy work that we can do better on," Sizer said.

The chief said she wants new recruits to get full crisis intervention training, and she will look for ways to extend the training to more veteran officers.

Mayor Tom Potter issued an apology to the Chasse family, but wouldn't answer when asked whether he considered Chasse's death an accident.

"The Chasse family has endured much heartache since James Chasse died, and for this I am truly sorry," Potter said. "I personally feel the need to apologize when anyone dies in police custody, regardless of the cause, and I apologize to the Chasse family."

The Police Bureau's criminal investigation found that officers called for medical help when they noticed Chasse went unconscious. Ambulance medics found his vital signs to be normal and cleared him to be taken to jail.

A Portland officer signed the ambulance company's medical waiver for Chasse, a step the officer thought was unusual and police called uncommon. Once Chasse arrived at the jail, a nurse evaluated Chasse through a cell door window, and police took Chasse to a hospital by patrol car because jail staff never signaled that Chasse was in a medical emergency. The officers involved were not specially trained to deal with the mentally ill.

Chasse's death has disturbed many in the community. At least three witnesses to the police struggle with Chasse filed complaints of excessive force. The Mental Health Association of Portland has adopted his case as their advocacy project for 2006. His family has hired a prominent Portland civil-rights lawyer to investigate, and the mayor has promised a special council committee to study how the community can better protect the mentally ill.

Chasse's family attorney Thomas Steenson declined to comment on the ruling Tuesday, saying the family probably would make a statement today.

Multnomah County District Attorney Michael Schrunk shared the investigative reports with Chasse's family and asked whether they recommended any witnesses to call for the grand jury. One of the last witnesses called was William Brady, a former state medical examiner who often testifies on behalf of the defense, at the family's request.

Results of police inquiry

After the grand jury ruling Tuesday afternoon, the Police Bureau presented the results of its criminal investigation into Chasse's death.

That investigation revealed that at 5:08 p.m. Sept. 17, Central Precinct Sgt. Kyle Nice was at Northwest 18th Avenue and Everett Street with an intoxicated person. Officer Humphreys and sheriff's deputy Brett Burton pulled up to assist Nice. Humphreys noticed Chasse across the street, walking into traffic and acting "suspicious and odd," Burke said.

The officers cleared their contact with the intoxicated person at 5:16 p.m. Humphreys and Burton drove east on Northwest Everett. Humphreys thought he saw Chasse urinating behind a tree in the 1300 block of Everett and pulled to the curb. Burton tried to shout to Chasse and get his attention.

Burton told detectives that Chasse's "eyes are big like he's in terror," Burke said. Chasse turned and ran, screaming "no," police said.

Humphreys ran after Chasse, eastbound on Everett. He pushed Chasse with his left forearm to knock him down. Officers are trained to push a suspect to one side, and rush around to the other side to approach them, Burke said.

Instead, Humphreys, about 100 pounds heavier than the 5-foot-9, 145-pound Chasse, landed on top of him.

At that point, Nice grabbed Chasse's left arm to get control of him, and Humphreys tried to control Chasse's right arm. Chasse bit Nice on his left leg, and tried to bite him a second time, Burke said. Nice kicked Chasse in the chest and armpit area.

At 5:20 p.m., the officers called dispatch to send more officers.

Humphreys, still trying to control Chasse's right arm, saw Chasse about to bite him and moved his arm away, according to police, "inadvertently" hitting Chasse in the face. Humphreys told detectives he struck Chasse in the head again with a closed fist when he saw Chasse try to bite him again.

Burton drew his Taser, and placed it to Chasse's lower back to stun him once. The Taser cycled four times, as witnesses recounted, meaning Burton tried to use it four times, but it actually touched Chasse's body once, police said.

By 5:22 p.m., the officers radioed that they had Chasse in custody. He was placed in maximum restraint, meaning his ankles were bound to his wrists, which were cuffed behind his back to keep him from kicking.

A minute later, at 5:23:04, Nice radioed for emergency medical help, saying Chasse was unconscious. At 5:25 p.m., ambulance medics arrived, followed by Portland Fire Bureau medics.

"This person then becomes their patient," Burke said.

Chasse was lying on his side as medics evaluated him. They found his vital signs within normal range: his blood pressure 110/73; pulse 100 beats a minute; respiration rate 18 to 20 breaths a minute, and his glucose level normal.

Police said they didn't know whether the officers had conveyed to the medics that they had used a Taser on Chasse. Police policy doesn't require medical attention after a Taser is used in a close-contact, stun mode.

Humphreys asked the medics, "Is he good to go?"

An ambulance medic told the officer Chasse was OK to transport to jail, and asked Humphreys to sign a medical release form for Chasse, Burke said. Humphreys found that odd, but figured that he was asked to sign it because they weren't about to uncuff Chasse, Burke said.

At 5:52:11, Humphreys and Burton arrived at jail. Chasse had his feet wedged under the car seat, and jail staff helped remove him from the patrol car as Chasse screamed and spit at them. The jail staff placed a "spit sock" of nylon material over Chasse's head to keep him from spitting at them. Police said it would not have impaired Chasse's breathing.

By 6:15 p.m., Chasse was placed in a separation cell. Humphreys noticed that Chasse suddenly stopped screaming and may have gone unconscious, Burke said.

A jail nurse evaluated Chasse through the cell door window, noticing Chasse acting like he was experiencing seizures, with blood around his mouth. Jail nurses alerted police that they're not going to accept him for booking and had officers take him to Portland Adventist Hospital, the hospital the county contracts with.

Jail nurses never suggested to police they needed to move with urgency, Burke said.

"Because there was no information that Mr. Chasse was medically unstable, and he was conscious and talking at the time he was placed in the police car, officers began to transport him," police said in prepared statements.

At 6:23 p.m., Humphreys and Burton took Chasse in their patrol car to the hospital. As they were heading north on Interstate 5 to I-84 east, Humphreys heard Chasse fall against a door. He said Chasse's face was "ashen" color and he directed Burton to get off the freeway.

They took the 33rd Avenue exit off I-84, and called for medical help. At 6:29 p.m., Humphreys removed Chasse's handcuffs and did chest compressions. A nearby resident, Jon Olson, who sells defibrillators, offered to hook Chasse up to the machine, but the machine advised: "Do not shock," police said.

An ambulance arrived at 6:48 p.m. They reached the hospital at 6:51 p.m., and Chasse was pronounced dead at 7:04 p.m.

Gunson's autopsy found that the fractures to Chasse's rear and side ribs resulted from his fall to the ground, and Humphreys landing on top of him. The fractures to his front rib case, near his sternum, are consistent with CPR.

Call two days earlier

Two days before Chasse's death, mental health specialists from Project Respond called for police to assist them at Chasse's apartment on Northwest Broadway, because he was urinating in the hallway and off his medication, said Christine Mascal, a deputy district attorney who handled the grand jury case. By the time police arrived, Chasse had run out the door.

Robert King, president of the Portland Police Association, said it's an "unrealistic expectation" for officers to be expected to recognize that a person on the street may be mentally ill. He said the death was a tragedy and the result of a "communitywide system failure," that requires increased funding for services for the mentally ill.

Dan Handelman, of Portland Copwatch, called the grand jury ruling "disappointing, but not surprising." He said he's encouraged that the mayor and chief are pledging to improve the way the mental health and law enforcement communities work together. But he said Chasse did not die because of his mental illness, but because officers fractured his ribs and punctured his lungs.

Nice, Humphreys and Burton have been on paid leave while the investigation continued. They can now return to work. An internal police investigation will start, examining whether any of the officers violated police policies or training.

EDITORIAL - Chasse's death demands public inquest, illumination

from The Oregonian

The death of James Philip Chasse Jr. in police custody makes no sense whatsoever, until you learn that he was mentally ill. And then, if it's possible, it makes even less. If Chasse's death was accidental, it is no less important to correct the failings that led to it. This death has rocked the conscience of the community.

Chasse, 42, was a gentle and artistic poet and musician who could have been your neighbor, your brother or your son. He was born in Portland, grew up here and attended the Metropolitan Learning Center. In his late teens, he began suffering from severe schizophrenia, and a stay in the state hospital seems to have, if anything, worsened his condition. People who knew him say he was never the same.

On Sept. 17, police officers observed Chasse acting oddly, and one officer thought he might have been urinating in public. If so, that was Chasse's first mistake. When police approached him, he made his second --running away from the officers, screaming "No!" with a look of horror on his face. Some people who are mentally ill are particularly paranoid about the police. And the way Chasse died suggests that this response may not be entirely irrational for someone in those circumstances.

When police caught up with him, one officer pushed Chasse and he fell to the ground. That same officer, police say, then landed on Chasse in what could have been an accidental fall. That might have been responsible for the massive injuries that led to Chasse's death, police suggest. Is this really a plausible explanation, though? Perhaps, but it bears further scrutiny in light of the violence surrounding Chasse's capture.

Many other questions need answering. Among them: Was it strictly necessary to go after Chasse? And why didn't he get the medical care more quickly that he should have gotten? Chasse went in and out of consciousness, and medics were called to the scene, but why did it take so long for everyone to recognize how seriously he'd been injured? By the time he was taken to the hospital, it may have already been too late to save him.

On Tuesday, a Multnomah County grand jury ruled that the officers involved should not face any criminal charges arising from Chasse's death. It's a narrow ruling that, while exonerating the officers of criminal wrongdoing, does almost nothing to explain what happened, why it happened or what the officers involved could, and should, have done differently. Because one thing is clear: This death should never have happened.

It's true that the burden of dealing with the mentally ill falls disproportionately on the shoulders of the police, as Police Chief Rosie Sizer pointed out in the immediate aftermath of Chasse's death. But that has been true for many years and it means, among many other things, that police need to get better at it. Mayor Tom Potter is right to follow up on this death by creating a task force that will recommend to the Oregon Legislature ways to deal with the mentally ill who are now on the street.

To their credit, neither the mayor nor the police chief tried to argue Tuesday that the review of this case is over. They know it has barely begun. In addition to a review within the Portland Police Bureau, this death demands a public inquest and a full public airing of the facts.

Chasse is not the first mentally ill person to die in police custody or at police hands. But what should come out of this tragedy is a new determination by the mayor and chief that this death be the last.