Marlin Burrows, 45, was wrongly assumed to have taken psychoactive substances
Staff at HMP Garth near Leyland agreed to observe Marlin Burrows after wrongly assuming he had taken a psychoactive substance. After 15 hours they went in to check on Burrows and found he had stopped breathing.
Between 2018 and 2019, Burrows was found under the influence of psychoactive substances on multiple occasions when staff found him unconscious, sleepy, agitated and aggressive. His poor behaviour led to his privileges being reduced to the most basic level which includes restricting access to a TV and prison visits.
An officer found various prescription medications in his cell, including ibuprofen, amitriptyline and mirtazapine. However, no one from the healthcare department considered whether the medications found posed any risk of overdose or serious health concerns and they did not consult TOXBASE . The ombudsman reported significant concerns over the availability of illicit drugs at HMP Garth. Their report stated: "While we cannot determine how Mr Burrows obtained amitriptyline, mirtazapine or ibuprofen which had not been prescribed to him, we are very concerned that he was able to obtain them illicitly.
The ombudsman made several recommendations to the governor of HMP Garth. They included guidance relating to the lack of escalation in Burrows' care.
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