Texas

Guards at an immigration detention center in El Paso, Texas, could see a detainee in his cell with one end of a bedsheet wrapped around his neck and the other tied to the door handle. If they opened the door, the sheet would tighten and strangle him.

The detainee, Geraldo Lunas Campos, had been in detention at Camp East Montana for a month by then. The facility itself was still relatively new and had been opened as part of the Trump administration’s plans to house and quickly deport thousands of immigrants at a time.

Almost immediately after being admitted, the 55-year-old Cuban immigrant began expressing frustration about his care, according to a nearly 300-page unpublished medical examiner’s investigative report.

The report, reviewed by ProPublica and The Texas Tribune, includes dozens of notes that detail medical staff interactions with Lunas Campos, who had a history of mental illness and had been previously institutionalized in New York.

The report and the records it contains offer a rare and disturbing look at how immigrant detention facilities — erected rapidly and with little oversight — manage detainees with serious mental health needs. The records paint a portrait of a man in a crisis and a facility whose staff, on several occasions, discussed transferring him to a facility where he could get a higher level of care.