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RECOMMENDED FOR FULL-TEXT PUBLICATION Pursuant to Sixth Circuit I.O.P. 32.1(b) File Name: 17a0206p.06 UNITED STATES COURT OF APPEALS FOR THE SIXTH CIRCUIT NANCY ROELL, as executrix of the estate of Gary L. â Roell, Sr., â Plaintiff-Appellant, â â > No. 16-4045 v. â â â HAMILTON COUNTY, OHIO/HAMILTON COUNTY BOARD â OF COUNTY COMMISSIONERS; JIM NEIL, in his official â capacity as the Hamilton County Sheriff; JOSEPH â HUDDLESTON, MATTHEW ALEXANDER, and WILLY â DALID, individually and in their official capacities as â employees of Hamilton County, â Defendants-Appellees. â â Appeal from the United States District Court for the Southern District of Ohio at Cincinnati. No. 1:14-cv-00637âSandra S. Beckwith, District Judge. Argued: June 13, 2017 Decided and Filed: September 5, 2017 Before: MOORE, GILMAN, and COOK, Circuit Judges. _________________ COUNSEL ARGUED: Alphonse A. Gerhardstein, GERHARDSTEIN & BRANCH, CO LPA, Cincinnati, Ohio, for Appellant. Pamela Sears, HAMILTON COUNTY PROSECUTORâS OFFICE, Cincinnati, Ohio, for Appellees. ON BRIEF: Alphonse A. Gerhardstein, GERHARDSTEIN & BRANCH, CO LPA, Cincinnati, Ohio, for Appellant. Pamela Sears, Jerome A. Kunkel, HAMILTON COUNTY PROSECUTORâS OFFICE, Cincinnati, Ohio, George D. Jonson, Linda L. Woeber, MONTGOMERY, RENNIE & JONSON, Cincinnati, Ohio, for Appellees. GILMAN, J., delivered the opinion of the court in which COOK, J., joined. MOORE, J. (pp. 23â29), delivered a separate dissenting opinion. No. 16-4045 Roell v. Hamilton Cty Bd. of Commârs, et al. Page 2 _________________ OPINION _________________ RONALD LEE GILMAN, Circuit Judge. Gary Roell, who suffered from chronic mental illness, caused a disturbance at his neighborâs condominium while experiencing a condition known as excited delirium. Hamilton County sheriffâs deputies arrived to find Roell half-naked, muttering unintelligibly, and standing next to a broken window holding a hose and the remnants of a hanging plant. While attempting to subdue Roell, the deputies physically struggled with him and unsuccessfully tased him multiple times. Roell stopped breathing during the encounter with the deputies and was pronounced dead shortly thereafter. His death was documented by the coroner as natural, resulting from his excited delirium. Roellâs wife, Nancy Roell, appeals the district courtâs grant of summary judgment in favor of the individual deputies on her claim under 42 U.S.C. § 1983. She also appeals the grant of summary judgment in favor of Hamilton County on her claims under both § 1983 and the Americans with Disabilities Act (the ADA). For the following reasons, we AFFIRM the judgment of the district court. I. BACKGROUND A. Factual background Roell suffered from mental illness, including schizoaffective disorder and paranoid delusions, for many years. Although Roellâs symptoms could be successfully controlled by medication, he had a history of noncompliance with his drug regimen. When he did not take his medication, Roellâs mental health deteriorated and his unpredictable behavior rendered him a danger to both himself and to others. Roell stopped taking his medication in June 2013 and began exhibiting signs of mental decompensation by early August. Sometime in the late evening hours of August 12 or the early morning hours of August 13, Roell entered a state of excited delirium. Nancy Roell was out of town during this time, participating in a church mission in New Jersey. In the midst of his No. 16-4045 Roell v. Hamilton Cty Bd. of Commârs, et al. Page 3 excited delirium, Roell damaged his and Nancyâs condominium by scattering debris, clothes, and other household items inside and around the building. Roell then went to the condominium of his neighbor, Rachana Agarwal, and threw a flower pot through her window. Agarwal was awakened by the noise of shattering glass and went downstairs to find Roell standing outside of her condominium by the broken window. She attempted to talk to Roell, who was screaming something about âwater.â Roell then pulled the screen from Agarwalâs window and threw it at her. At that point, Agarwal became scared and ran back inside the condominium, where she told her son, Soham, to call 911. Soham dialed 911 and handed the phone to Agarwal, who told the operator that her neighbor was âacting crazy.â Agarwal testified that, during this time, Roell appeared to be angry, his face red and his eyes bulging, and he kept muttering unintelligible things about water. Roell was also pacing back and forth in front of Agarwalâs broken window, periodically peering into her condominium. Deputies Matthew Alexander, Willy Dalid, and Joseph Huddleston responded to the dispatch of a âneighbor troubleâ call. First to arrive at Agarwalâs condominium were Deputies Alexander and Huddleston, who were told by Agarwal that Roell was âin the back breaking things.â They entered the gated patio area and saw Roell standing by Agarwalâs broken window holding a garden hose with a metal nozzle in one hand and a garden basket in the other. The garden basket was a hanging plant surrounded by peat moss and held together with plastic wire. Roell was wearing a t-shirt but was otherwise naked. According to Deputy Alexander, Roell was screaming ânoâ and something about water when he and Deputy Huddleston arrived. Deputy Huddleston proceeded to ask Roell what he was doing. Although Deputy Huddleston could not recall Roellâs response, he testified that Roell immediately turned and approached him and Deputy Alexander in an aggressive manner. Roell still had the hose and the garden basket in his hands. Deputy Alexander similarly recalled that he and Deputy Huddleston told Roell to âshow us your handsâ and that Roell, âimmediately, within seconds,â charged at them at a âpretty brisk walk.â Deputy Alexander also said that Roell approached them still holding the hose and the garden basket. No. 16-4045 Roell v. Hamilton Cty Bd. of Commârs, et al. Page 4 Soham Agarwal was watching the events unfold from inside the condominium and heard Roell screaming about how âhe didnât have water and we had water.â In addition, Soham observed the deputies telling Roell to calm down, to stop resisting, to come over to them, and to drop whatever he had in his hands. Soham recalled that Roell repeatedly shouted that he did not have a weapon. But Soham also testified that, despite Roellâs assertions that he was unarmed, Roell was facing the deputies swinging the hose âas if he was trying to hit somebody.â Rachana Agarwal, also watching from the inside of her condominium, confirmed that the deputies told Roell to calm down and that Roell was swinging the hose nozzle at the deputies. Agarwal observed the deputies and Roell approach each other, with Roell proceeding at a pace between a walk and a sprint, still holding the hose. As Roell approached the deputies, Deputy Huddleston told Roell to stop and to get on the ground or he would be tased. Deputy Huddleston then unholstered his X2 Taser and arced it as a warning. Arcing a taser does not deploy the device; it simply creates a sound. Roell flinched when Deputy Huddleston arced his taser but kept approaching. Deputy Huddleston once more arced his taser and commanded Roell to get on the ground. Roell again flinched but continued to approach the deputies. Deputy Huddleston then holstered his taser and reached out to grab one of Roellâs arms. At the same time, Deputy Alexander grabbed Roellâs other arm. Roell swung the garden basket at Deputy Huddleston as they met. Deputy Huddleston, Deputy Alexander, and Roell all fell to the ground outside of the gated patio area during their struggle. Roell was wet and slippery, either from sweat or water, and managed to break free from the deputiesâ grasp. As Roell tried to enter back through the patio gate, Deputy Huddleston tased him. Deputy Huddleston testified that taser appeared to have some effect because Roell buckled over a little bit. Roell nonetheless continued into the patio and closed the gate. The deputies followed him through the gate while Deputy Huddlestonâs taser was still on its five- second deployment cycle. By that time, Deputy Dalid had arrived at the scene. All three deputies tried to restrain Roellâs arms, but were unsuccessful because he was combative and thrashing around on the ground. Deputy Alexander testified that he was punched in the face by Roell at some point during the struggle. No. 16-4045 Roell v. Hamilton Cty Bd. of Commârs, et al. Page 5 While Deputies Alexander and Dalid attempted to hold Roellâs arms, Deputy Huddleston tried to deploy his taser in drive-stun mode to the back of Roellâs leg. This court has previously explained the use of a taser in drive-stun mode as follows: In drive-stun mode, âthe operator removes the dart cartridge and pushes two electrode contacts located on the front of the taser directly against the victim. In this mode, the taser delivers an electric shock . . . [,] but does not cause an override of the victimâs central nervous system as it does in dart-mode.â Cockrell v. City of Cincinnati, 468 F. Appâx 491, 492 (6th Cir. 2012) (quoting Mattos v. Agarano, 661 F.3d 433, 443 (9th Cir. 2011) (en banc)). In deploying his taser in drive-stun mode, Deputy Huddleston hoped to complete the cycle necessary to achieve Roellâs neuromuscular incapacitation, believing that one of the barbs from his previous attempt to tase Roell had not connected. The taser failed to incapacitate Roell, however, and he continued to struggle with the deputies on the ground. Deputy Huddleston again holstered his taser and tried to control Roellâs legs, while Deputies Alexander and Dalid attempted to control Roellâs arms. Roell managed to escape the grasp of all three deputies and stood up in a face-to-face position with Deputy Alexander, whose back was against a tree. Deputy Huddleston once more tased Roell using the deviceâs dart-mode, this time deploying two barbs into his back. Although the taser still did not take effect, the deputies were able to get Roell on the ground and handcuff him. Because of Roellâs continued resistance, the deputies had to restrain Roellâs hands in front of his body by using two sets of handcuffs. Roell appeared âsomewhat under controlâ once he was handcuffed, but he continued to thrash his legs and kicked Deputy Huddleston in the groin. Deputy Huddleston then sent Deputy Alexander to get leg shackles from the one of the patrol cars so that Roellâs feet could also be restrained. Once the deputies shackled Roellâs legs, they positioned him on his left side. Deputy Dalid was trying to control Roellâs upper body by holding on to his right shoulder. Both Deputy Huddleston and Deputy Dalid testified that, once restrained, Roell went limp and began to snore. Roell would wake up, thrash around, and then go limp and lapse back into snoring. Deputy Dalid observed Roell doing this twice before he noticed that Roell had no pulse and had stopped breathing. By that time, Corporal (now Sergeant) Mikal Steers arrived on the scene and began administering CPR to Roell until the life squad arrived. Although Corporal Steers detected a No. 16-4045 Roell v. Hamilton Cty Bd. of Commârs, et al. Page 6 faint pulse on several occasions, he was unable to revive Roell. The emergency medical technicians were also unable to revive Roell, and he was pronounced dead at the hospital emergency room. Dr. Jennifer Schott, the deputy coroner, determined that the cause of Roellâs death was âexcited delirium due to schizoaffective disorderâ and that the manner of his death was natural. Included with the Death Record was a report drafted by Dr. Schott, stating that Roell had a history of âphysical altercation with police officersâ and that the âuse of a conducted energy device against decedentâ had occurred. Also noted were Roellâs various abrasions and contusions, injuries from the taser barbs, and four broken ribs. The report, however, did not find that any of these injuries contributed to Roellâs death. In her affidavit, Dr. Schott stated that she performed a microscopic examination of Roellâs barb wounds and found no evidence that the conducted energy device used on Roell caused any electrical burns. Nor did Dr. Schott find any evidence that Roell had been asphyxiated, which is consistent with the absence of any evidence that the deputies applied compressive force in attempting to restrain Roell. B. Procedural background In August 2014, Nancy Roell, as the executrix of Roellâs estate, filed suit in the United States District Court for the Southern District of Ohio against both Hamilton County and the Hamilton County Board of County Commissioners (collectively, Hamilton County), as well as against Sheriff Jim Neil and Deputies Alexander, Dalid, and Huddleston. She first asserted claims pursuant to 42 U.S.C § 1983, alleging that (1) Deputies Alexander, Dalid, and Huddleston violated Roellâs Fourth Amendment right to be free from excessive force, and (2) Hamilton County and Sheriff Neil are subject to municipal liability for the deputiesâ alleged use of excessive force. Nancy Roell also brought intentional-discrimination and failure-to- accommodate claims against all of the defendants under Title II of the ADA. Finally, she asserted a state-law claim for the wrongful death of Roell against all of the defendants and a state-law claim for assault and battery against Deputies Alexander, Dalid, and Huddleston. In February 2016, the defendants filed a âMotion to Dismiss and Motion for Summary Judgmentâ pursuant to Rule 56(c) of the Federal Rules of Civil Procedure, which the district No. 16-4045 Roell v. Hamilton Cty Bd. of Commârs, et al. Page 7 court granted in part and denied the remainder as moot. First, the court held that Deputies Alexander, Dalid, and Huddleston were entitled to qualified immunity on Nancy Roellâs § 1983 claim, with the result that Sheriff Neil and Hamilton County were also not liable under § 1983. Roell v. Hamilton Cty. Bd. of Cty. Commârs, No. 1:14-CV-637, 2016 WL 4363112, at *14 (S.D. Ohio Aug. 16, 2016). The court next ruled that Nancy Roell had failed to establish a viable claim under the ADA because she did not produce any evidence that the defendants intentionally discriminated against Roell because of his disability. Id. Finally, the court held that Nancy Roell had abandoned her state-law claims against Hamilton County and Sheriff Neil. The court then declined to exercise supplemental jurisdiction over the remaining state-law claims asserted against the individual deputies and therefore denied as moot the defendantsâ motion to dismiss and/or for summary judgment as to those claims. Id. In rendering its decision, however, the district court did not specify whether it resolved the defendantsâ motion using the summary-judgment standard or the motion-to-dismiss standard. Id. But the content of the defendantsâ motion, the extensive discovery period, and the courtâs consideration of materials outside of the pleadings indicate that the case was decided on summary-judgment grounds. In any event, Nancy Roell appeals only the district courtâs grants of summary judgment in favor of (1) Deputies Alexander, Dalid, and Huddleston on her § 1983 claim, and (2) Hamilton County on her § 1983 and her ADA claims. II. ANALYSIS A. Standard of review We review de novo a district courtâs grant of summary judgment. Watson v. Cartee, 817 F.3d 299, 302 (6th Cir. 2016). Summary judgment is appropriate when no genuine dispute of material fact exists and the moving party is entitled to judgment as a matter of law. Fed. R. Civ. P. 56(a). A genuine dispute of material fact exists âif the evidence is such that a reasonable jury could return a verdict for the nonmoving party.â Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248 (1986). The moving party bears the burden to âdemonstrate the absence of a genuine [dispute] of material fact.â Celotex Corp. v. Catrett, 477 U.S. 317, 323 (1986). Finally, â[i]n No. 16-4045 Roell v. Hamilton Cty Bd. of Commârs, et al. Page 8 making this assessment, we must view all evidence in the light most favorable to the nonmoving party.â Tennial v. United Parcel Serv., Inc., 840 F.3d 292, 301 (6th Cir. 2016). B. Nancy Roellâs § 1983 claim against Deputies Alexander, Dalid, and Huddleston Nancy Roell claims that Deputies Alexander, Dalid, and Huddleston violated Roellâs Fourth Amendment rights when they used excessive force to subdue him. The deputies pled the affirmative defense of qualified immunity, which âprotects government officials âfrom liability for civil damages insofar as their conduct does not violate clearly established statutory or constitutional rights of which a reasonable person would have known.ââ Pearson v. Callahan, 555 U.S. 223, 231 (2009) (quoting Harlow v. Fitzgerald, 457 U.S. 800, 818 (1982)). Nancy Roell bears the âultimate burden of proofâ to show that the deputies are not entitled to qualified immunity. See Sheets v. Mullins, 287 F.3d 581, 586 (6th Cir. 2002). âWe ask two questions in evaluating whether a law-enforcement officer is entitled to qualified immunity on an excessive-force claim: â(1) whether the officer violated the plaintiffâs constitutional rights under the Fourth Amendment; and (2) whether that constitutional right was clearly established at the time of the incident.ââ Estate of Hill v. Miracle, 853 F.3d 306, 312 (6th Cir. 2017) (quoting Kent v. Oakland County, 810 F.3d 384, 390 (6th Cir. 2016)). These questions can be answered in any order. Pearson, 555 U.S. at 236. In holding that the deputies were entitled to qualified immunity, the district court answered both questions in the negative. The court concluded that the deputies did not violate Roellâs Fourth Amendment rights and that, even if they did, no caselaw clearly established that the degree of force used by the deputies violated such rights. We will address each of these conclusions in turn. 1. The deputies likely did not violate Roellâs Fourth Amendment rights. The Fourth Amendment âguarantees citizens the right âto be secure in their persons . . . against unreasonable . . . seizuresâ of the person.â Graham v. Connor, 490 U.S. 386, 394 (1989). In determining whether an officer has used excessive force in violation of the Fourth Amendment, âwe employ an objective-reasonableness test, asking âwhether the officersâ actions are objectively reasonable in light of the facts and circumstances confronting them, without regard to their underlying intent or motivation.ââ Hill, 853 F.3d at 312 (quoting No. 16-4045 Roell v. Hamilton Cty Bd. of Commârs, et al. Page 9 Graham, 490 U.S. at 397). This test ârequires a careful balancing of âthe nature and quality of the intrusion on the individualâs Fourth Amendment interestsâ against the countervailing governmental interests at stake.â Graham, 490 U.S. at 396 (quoting Tennessee v. Garner, 471 U.S. 1, 7 (1985)). The Supreme Court has articulated three factors for us to consider in determining the objective reasonableness of a particular use of force. These factors are (1) âthe severity of the crime at issue,â (2) âwhether the suspect poses an immediate threat to the safety of the officers or others,â and (3) âwhether he is actively resisting arrest or attempting to evade arrest by flight.â Graham, 490 U.S. at 396. In evaluating these factors, we must keep in mind that â[t]he âreasonablenessâ of a particular use of force must be judged from the perspective of a reasonable officer on the scene, rather than with the 20/20 vision of hindsight.â Id. Finally, although the Graham factors are instructive, they âare not an exhaustive list, as the ultimate inquiry is âwhether the totality of the circumstances justifies a particular sort of seizure.ââ Livermore ex rel. Rohm v. Lubelan, 476 F.3d 397, 404 (6th Cir. 2007) (quoting St. John v. Hickey, 411 F.3d 762, 771 (6th Cir. 2005)). The first Graham factorââthe severity of the crime at issueââsupports a finding that some degree of force was justified in order to restrain and arrest Roell. Deputies Alexander, Dalid, and Huddleston responded to a âneighbor troubleâ call and were quickly informed by a frightened Agarwal that Roell was âbreaking thingsâ in her backyard. They found Roell half- naked, muttering unintelligibly, and standing next to a broken window, which they reasonably inferred was shattered as a result of Roellâs actions. In other words, Roell had committed a series of property crimes that a reasonable officer could infer might escalate. The fact that Roell had not yet committed a more serious felony did not preclude the deputies from using force to restrain him. See Cockrell v. City of Cincinnati, 468 F. Appâx 491, 495 (6th Cir. 2012) (recognizing numerous cases holding that an officerâs use of a taser against a plaintiff who is âactively resisting arrest by physically struggling with, threatening, or disobeying officersâ is not a violation of the plaintiffâs clearly established Fourth Amendment rights, even if the plaintiff is suspected of committing only a misdemeanor). No. 16-4045 Roell v. Hamilton Cty Bd. of Commârs, et al. Page 10 Application of the second Graham factorâwhether Roell posed an immediate threat to the deputies or to othersâalso indicates that the deputiesâ use of force was warranted. When the deputies first encountered Roell, he was holding objects that could have been used as weapons amid a scene of property destruction. See In re Fortney, 832 N.E.2d 1257, 1268â69 (Ohio Ct. App. 2005) (noting that Ohio law âdefines a deadly weapon as âany instrument, device, or thing capable of inflicting death, and designed or specially adaptable for use as a weapon, or possessed, carried, or used as a weaponâ and recognizing that a stick, when used as a club, can constitute a deadly weapon). The deputies therefore had a reasonable basis to believe that Roell presented an immediate threat to the Agarwals and to the deputies themselves âin light of the facts and circumstances confrontingâ them. See Graham, 490 U.S. at 397. First, Roell posed a potential threat to the Agarwals, who were still inside the condominium. Because Roell had already thrown a potted plant through the Agarwalâs condominium window, the deputies were reasonably concerned that he might break into their residence and cause further destruction. Roell also posed an immediate threat to the deputies themselves. Rahana Agarwal, Soham Agarwal, Deputy Alexander, and Deputy Huddleston all testified that Roell quickly approached the deputies while waving the metal nozzle of a hose in a threatening manner. Deputy Huddleston testified that the hose and the metal nozzle could have been used as a weapon to hit or to choke him. Although Soham Agarwal heard Roell say that he had no weapon and heard the deputies tell Roell to come over to them, these observations do not create a genuine dispute of material fact as to whether Roell approached the deputies in a manner that posed an immediate threat to their safety. Even if Roell asserted that he was unarmed and moved towards the deputies in response to their commands, the undisputed evidence regarding the aggressive nature of his approach remains unchanged. Finally, we turn to the third Graham factor and analyze whether Roell was actively resisting arrest. Undisputed record evidence shows that Roell resisted the deputiesâ attempts to restrain and handcuff him by kicking, flailing, and wriggling away from their grasp. Nancy Roell responds that the deputies âforeseeably caused any resistance or escalated the encounter by failing to use verbal and tactical de-escalation.â But even if we assume that the deputies No. 16-4045 Roell v. Hamilton Cty Bd. of Commârs, et al. Page 11 escalated the encounter with Roellâan assertion that we find dubiousâlaw-enforcement officers cannot be held liable solely because they created the circumstances requiring the application of force. See Livermore ex rel. Rohm v. Lubelan, 476 F.3d 397, 406 (6th Cir. 2007) (rejecting the notion that a âFourth Amendment claim against police officers who used deadly force may survive summary judgment, even where the particular seizure is reasonable, if the defendant police officers acted recklessly in creating the circumstances which required the use of deadly forceâ). Analysis of the third Graham factor therefore supports our conclusion that the deputies were justified in using some degree of force in attempting to restrain Roell. Our analysis of the Graham factors, however, is not the end of the excessive-force inquiry. We must also assess whether the âtotality of the circumstances justifiedâ the âparticular sort of . . . seizureâ imposed upon Roell. See Tennessee v. Garner, 471 U.S. 1, 8â9 (1985). The totality of the circumstances includes âthe fact that at the time of the . . . struggle, the defendant officers had reason to believe that [Roell] was either on drugs or mentally unstable.â See Landis v. Baker, 297 F. Appâx 453, 465 (6th Cir. 2008). Although the officers were unaware that Roell was experiencing an episode of excited delirium, Deputy Huddleston testified that Roellâs behavior indicated that he was suffering from some sort of mental illness. The deputies were therefore required to take into account Roellâs diminished capacity before using force to restrain him. See Champion v. Outlook Nashville, Inc., 380 F.3d 893, 904 (6th Cir. 2004) (âThe diminished capacity of an unarmed detainee must be taken into account when assessing the amount of force exerted.â). But no caselaw supports Nancy Roellâs assertion the deputies were prohibited from using any physical force against Roell before first attempting alternative de-escalation techniques. See Cook v. Bastin, 590 F. Appâx 523, 530 (6th Cir. 2014) (holding that no excessive force was used in handcuffing and physically restraining a man suffering from excited delirium who posed a threat to the law-enforcement officers and who was resisting arrest). In sum, we agree with the district courtâs observation that âthe fact that Roellâs resistance was probably caused by his excited delirium did not preclude the deputies from using a reasonable amount of force to bring him under control.â Roell, 2016 WL 4363112, at *8. Despite Roellâs apparent diminished capacity, he had committed a series of property crimes, was a threat to the Agarwals and to the deputies, and was actively resisting arrest. No. 16-4045 Roell v. Hamilton Cty Bd. of Commârs, et al. Page 12 â[A] reasonable officer on the sceneâ could have concluded the use of force was necessary based on the totality of these circumstances. See Graham, 490 U.S. at 396. â[T]he question is not whether any force was justifiedâ but, instead, whether the deputies âcould reasonably use the degree of force employed againstâ Roell. See Martin v. City of Broadview Heights, 712 F.3d 951, 958 (6th Cir. 2013) (emphasis in original). The type of force employed by the deputies against Roellâphysically restraining his limbs, wrestling with him, attempting to tase him, and shackling his arms and legsâwas likely not excessive. But we need not definitively answer this question because, at the time of the alleged violation, no caselaw clearly established that the degree of force used by the deputies violated Roellâs Fourth Amendment rights. 2. The constitutional right alleged by Roell was not clearly established. âIn order for a right to be clearly established for the purposes of qualified immunity, â[t]he contours of the right must be sufficiently clear that a reasonable official would understand that what he is doing violates that right.ââ Estate of Hill v. Miracle, 853 F.3d 306, 316 (6th Cir. 2017) (quoting Anderson v. Creighton, 483 U.S. 635, 640 (1987)). âThe relevant, dispositive inquiry . . . is whether it would be clear to a reasonable officer that his conduct was unlawful in the situation he confronted.â Saucier v. Katz, 533 U.S. 194, 202 (2001), abrogated on other grounds by Pearson v. Callahan, 555 U.S. 223, 236 (2009). We must therefore determine whether a right was clearly established âin light of the specific context of the case, not as a broad general proposition.â Id. at 201. Requiring this âparticularizedâ showing âis not to say that an official action is protected by qualified immunity unless the very action in question has previously been held unlawful, but it is to say that in the light of pre-existing law the unlawfulness must be apparent.â Anderson, 483 U.S. at 640 (internal citations omitted). The content of this pre-existing law is determined by looking âfirst to decisions of the Supreme Court, then to decisions of this court and other courts within our circuit, and finally to decisions of other circuits.â Champion, 380 F.3d at 902 (quoting Higgason v. Stephens, 288 F.3d 868, 876 (6th Cir. 2002)). âAn actionâs unlawfulness may be plain âfrom direct holdings, from specific examples described as prohibited, or from the general reasoning that a court employsââ in these cases. Martin, 712 F.3d at 961 (quoting Champion, 380 F.3d at 902). No. 16-4045 Roell v. Hamilton Cty Bd. of Commârs, et al. Page 13 With these general principles in mind, we turn to the question at hand: whether Nancy Roell has demonstrated âthe prior articulation of a prohibition against the type of excess force exertedâ against Roell, sufficient to defeat the deputiesâ affirmative defense of qualified immunity. See Champion, 380 F.3d at 902. We must determine, in other words, whether a reasonable officer would have known that the forcible physical restraint employed in this case against an individual who appeared mentally impaired, yet posed a potential threat to the officers and to others, violated that personâs Fourth Amendment rights. Nancy Roell argues that Martin v. City of Broadview Heights, 712 F.3d 951 (6th Cir. 2013), demonstrates that the deputies violated Roellâs clearly established rights. The decedent in Martin broke into an apartment while naked and high on LSD. Id. at 954â55. Four police officers arrived on the scene to find Martin speaking quickly and nonsensically. Id. Martin calmed down momentarily to ask for help and to be arrested, but then âjogged awayâ when the officers tried to handcuff him. Id. The officers caught up with Martin and fell on top of him. In addition, they delivered âcompliance body shotsâ to Martinâs side, struck him in the face with two âhammer punches,â kneeled on his calves, struck his face, back, and ribs at least five times, and held Martin in a face-down position. Id. at 954â55. Two of the officers heard Martin emit a âgurgling soundâ during this struggle and, when they rolled him over, he was unresponsive. Id. at 955. Although the coroner determined that Martin died from an acute psychotic episode with excited delirium due to intoxication, a forensic pathologist who conducted Martinâs autopsy concluded that asphyxia was the likely cause of his death. The Martin court held that â[a] reasonable officer should have known that subduing an unarmed, minimally dangerous, and mentally unstable individual with compressive body weight, head and body strikes, neck or chin restraints, and torso locks would violate that personâs clearly established right to be free from excessive force.â Id. at 693. In doing so, the court observed that the officers were obligated to âde-escalate the situation and adjust the application of force downwardâ when confronted with an unarmed individual who âexhibited conspicuous signs that he was mentally unstable.â Id. at 962. We agree with the district court, however, that this statement must be viewed in the context of the officersâ applied use of force, which was characterized by the Martin court as âsevere.â Id. at 958; see also Roell, 2016 WL 4363112 at No. 16-4045 Roell v. Hamilton Cty Bd. of Commârs, et al. Page 14 *9 (âMore reasonably, Martin stands for the proposition that officers should try to de-escalate the situation with a mentally disturbed suspect before resorting immediately to severe force to subdue him.â). Unlike the officers in Martin, Deputies Alexander, Dalid, and Huddleston did not repeatedly beat Roell or apply compressive body pressure to his back. They instead âgrappled with Roellâs arms and legs to try to control him, which they eventually did.â Roell, 2016 WL 4363112 at *9. Deputy Huddleston did attempt to tase Roell, but no electricity was conducted into his body. And although this court has observed that use of a taser entails a higher level of force âthan simply knocking someone back to the ground,â Wells v. City of Dearborn Heights, 538 F. Appâx 631, 639 (6th Cir. 2013), a âgrowing national judicial consensusâ exists that the use of a taser in dart mode constitutes only an intermediate use of force. Bryan v. MacPherson, 630 F.3d 805, 810 (9th Cir. 2010) (Wardlaw, J., concurring). Martin, moreover, was âunarmed and minimally dangerous,â whereas Roell was threateningly waving a hose with a metal nozzle that could be used as a weapon. Because of these factual differences, Martin did not put the deputies on notice that their actions violated Roellâs clearly established right to be free from excessive force. Nor do the other cases cited by Nancy Roell, which hold that police use excessive force when they deploy gratuitous force or a taser against an individual who is already restrained or is doing nothing to resist arrest, provide such notice. See, e.g., Eldridge v. City of Warren, 533 F. Appâx 529, 535 (6th Cir. 2013) (holding that the police used excessive force when they tased an individual who was suffering from a hypoglycemic episode and whose ânoncompliance was not paired with any signs of verbal hostility or physical resistanceâ); Landis v. Baker, 297 F. Appâx 453, 461, 464 (6th Cir. 2008) (holding that the police used excessive force against an individual suffering from a mental health crisis who âwas not actively resisting arrest or posing a threat to anyoneâ when they struck him ten times with a baton, held him face down into two feet of mud and water and repeatedly tased him); Champion v. Outlook Nashville, Inc., 380 F.3d 893, 901 (6th Cir. 2004) (holding that the police used excessive force against a severely autistic man who âstopped resisting arrest and posed no flight riskâ when they âsprayed him with pepper spray even after he was immobilized by handcuffs and a hobbling deviceâ). But see Rudlaff v. Gillispie, 791 F.3d No. 16-4045 Roell v. Hamilton Cty Bd. of Commârs, et al. Page 15 638, 641 (6th Cir. 2015) (collecting cases and concluding that [o]ur cases firmly establish that it is not excessive force for the police to tase someone (even multiple times) when the person is actively resisting arrest.â (emphasis in original)). We believe that this case is instead more analogous to Cook v. Bastin, 590 F. Appâx 523 (6th Cir. 2014). In that case, a severely autistic man became agitated, stripped naked, caused extensive property damage to his room in an adult daycare center, and ripped the shirt of the daycare centerâs Crisis Manager. Id. at 525. The police arrived to find the man, Roland Campbell, digging his lacerated fingers into an electrical socket. They observed the Crisis Managerâs torn and bloody shirt, which they interpreted as an indication that physical violence had occurred. The officers were told that Campbell was out-of-control, suffered from mental disabilities, and needed to be taken to a mental facility. Campbell was handcuffed without incident and placed in a sitting position. While the police waited for the medical transport unit, however, Campbell âbegan thrashing and kicking, making grunting sounds as he tried to free himself from the handcuffs,â rolled onto a prone position, and began scooting on his stomach towards the doorway. Id. at 526. The officers attempted to gain control of Campbell by restraining his arms and legs, while the Crisis Manager held his torso. During the struggle, Campbell pulled the men into the hallway, freed one of his hands from the cuffs, and âpick[ed] himself and everybody up off the ground with the one hand about three or four inches.â Id. Campbell then collapsed, fell unconscious, and died as a result of acute cardiorespiratory failure. The Cook court held that the degree of force used by the officers was reasonable because Campbell had committed significant property destruction and a physical assault, posed an immediate threat to himself, the officers, and to others, and attempted to free himself from the officersâ restraint. Id. at 530â31. Like Campbell, Roell caused significant property damage, was a threat to the officers and to others, and resisted arrest during an episode of excited delirium. Although Deputies Alexander, Dalid and Huddleston did not observe any âsigns of physical violence,â they did observe that Roell was holding objects that could be used as weapons. True enough, the deputiesâ wrestled with and attempted to tase Roell, arguably deploying a higher level of force than the officers in Campbell. But this court has previously held that an officerâs âsingle use of No. 16-4045 Roell v. Hamilton Cty Bd. of Commârs, et al. Page 16 the taser in drive-stun modeâ against a mentally unstable plaintiff who was a threat to officer safety and his own safety, and who was resisting police attempts to transport him to the hospital, did not constitute excessive force. See Caie v. West Bloomfield Township, 485 F. Appâx 92, 94â 96 (6th Cir. 2012). And there is no question that the degree of force employed by Deputies Alexander, Dalid, and Huddleston was far less than the unconstitutionally severe force used by the officers in Martin. In sum, the relevant caselaw does not clearly establish that the deputies violated Roellâs Fourth Amendment rights because their actions fell in the âhazy border between excessive and acceptable force.â See Brosseau v. Haugen, 543 U.S. 194, 201 (2004) (quoting Saucier, 533 U.S. at 206). Finally, Nancy Roell relies on the procedures articulated in the training materials of the Ohio Peace Officer Training Commission (OPTC) and in proffered expert testimony in an effort to prove that Roellâs right to be free from excessive force was clearly established. She first argues that the deputies did not follow the OPTC procedures when they neglected to recognize that Roell was exhibiting the common symptoms of excited delirium, proceeded to engage Roell before staging the scene with multiple officers and medical personnel, and failed to use verbal de-escalation techniques before attempting to physically restrain him. Nancy Roell also points to the expert testimony of Dr. Michael Lyman, who stated that de-escalation was the âstandard techniqueâ recommended for crime-related encounters with excited-delirium subjects and who opined that, had the deputies used verbal de-escalation, Roell would have likely been talked into surrendering without an altercation. Based on this evidence, Nancy Roell argues that the deputies had a âclearly established dutyâ to use de-escalation techniques prior to using force against Roell. In considering her argument, we must âevaluate the officersâ use of certain tactics âin light of testimony regarding the training that [the officers] received.ââ Martin, 712 F.3d at 960 (quoting Griffith v. Coburn, 473 F.3d 650, 657 (6th Cir. 2007)). But we also must judge the reasonableness of a particular use of force âfrom the perspective of a reasonable officer on the scene, rather than with the 20/20 vision of hindsight.â Graham, 490 U.S. at 396. A finding of qualified immunity is therefore not precluded simply because the deputies acted contrary to their training. City of San Francisco v. Sheehan, 135 S. Ct. 1765, 1777 (2015) (âEven if an officer No. 16-4045 Roell v. Hamilton Cty Bd. of Commârs, et al. Page 17 acts contrary to her training, however, . . . that does not itself negate qualified immunity where it would otherwise be warranted.â). In addition, although the deputies did not follow every OPTC protocol, we note that the training materials acknowledge that the use of a taser might be effective in controlling an individual suffering from excited delirium, that a physical struggle might ensue, and that force might be appropriate or necessary in order to restrain the individual. Dr. Lymanâs expert testimony, which essentially opines on the best approach that the deputies could have taken in ideal circumstances, similarly does not establish that the deputies violated Roellâs clearly established rights. As an initial matter,â[t]he Fourth Amendment . . . does not require police officers to take the better approach[,] . . . only that they take a reasonable approach.â Cook v. Bastin, 590 F. Appâx 523, 528 (6th Cir. 2014). And âso long as âa reasonable officer could have believed that his conduct was justified,â a plaintiff cannot âavoi[d] summary judgment by simply producing an expertâs report that an officerâs conduct leading up to a deadly confrontation was imprudent, inappropriate, or even reckless.ââ Sheehan, 135 S. Ct. at 1777 (quoting Billington v. Smith, 292 F.3d 1177, 1189 (9th Cir. 2002)). In sum, Nancy Roell points to no caselaw clearly establishing that the deputies violated Roellâs Fourth Amendment rights in effectuating his arrest. Even assuming that law- enforcement officers must âadjust the application of force downwardâ when confronted with a conspicuously mentally unstable arrestee, Martin, 712 F.3d at 962, no precedent establishes that the level of force used by the deputies in this case was excessive or that the deputies were required to use only verbal de-escalation techniques. The content of the OPTC training material and Nancy Roellâs proffered expert testimony do not change our conclusion. Deputies Alexander, Dalid, and Huddleston are therefore entitled to qualified immunity, meaning that the district court did not err in granting summary judgment to the them on Nancy Roellâs § 1983 claim. C. Nancy Roellâs § 1983 claim against Hamilton County Nancy Roell also challenges the district courtâs grant of summary judgment in favor of Hamilton County on her claim for municipal liability under § 1983. She put forth three theories as to why Hamilton County is subject to municipal liability: (1) Hamilton Countyâs policy and No. 16-4045 Roell v. Hamilton Cty Bd. of Commârs, et al. Page 18 custom for handling mentally-ill individuals was the driving force behind the deputiesâ use of excessive force, (2) Hamilton County failed to adequately train the deputies, and (3) Hamilton County ratified the deputiesâ use of excessive force. We recognize that â[a] municipality or county cannot be liable under § 1983 absent an underlying constitutional violation by its officers.â Blackmore v. Kalamazoo County, 390 F.3d 890, 900 (6th Cir. 2004). The district court held that Deputies Alexander, Dalid, and Huddleston did not violate Roellâs Fourth Amendment rights under the first prong of the qualified-immunity analysis. It therefore granted summary judgment in favor of Hamilton County based on that ground and did not address any of Nancy Roellâs theories for municipal liability. We, on the other hand, have utilized the second prong of the qualified-immunity analysis to conclude that the deputies are entitled to summary judgment because no caselaw clearly established that the degree of force used by the deputies violated Roellâs Fourth Amendment rights. In doing so, we have reached no conclusion with respect to whether Roellâs rights were actually violated. We must therefore address Nancy Roellâs three theories for Hamilton Countyâs liability by assuming, without deciding, that Roellâs Fourth Amendment rights were violated by the deputiesâ excessive use of force. Hamilton County is subject to liability under § 1983 for its policy on handling mentally ill individuals only if Nancy Roell can âdemonstrate âa direct causal link between the policy and the alleged constitutional violation.ââ See Brown v. Chapman, 814 F.3d 447, 463 (6th Cir. 2016) (quoting Graham ex rel. Estate of Graham v. County of Washtenaw, 358 F.3d 377, 383 (6th Cir. 2004)). But Nancy Roell does not point to any policy that is the âmoving forceâ behind the deputiesâ actions. See id. She instead argues that Hamilton Countyâs lack of adequate policies and training caused the deputiesâ use of excessive force. Inadequate training can serve as the basis for municipal liability under § 1983 where it âamounts to deliberate indifference to the rights of persons with whom the police come into contact.â City of Canton v. Harris, 489 U.S. 378, 388 (1989). To succeed on this claim, Nancy Roell âmust show â(1) that a training program is inadequate to the tasks that the officers must perform; (2) that the inadequacy is the result of the [Countyâs] deliberate indifference; and No. 16-4045 Roell v. Hamilton Cty Bd. of Commârs, et al. Page 19 (3) that the inadequacy is closely related to or actually caused the plaintiffâs injury.ââ Brown, 814 F.3d at 463 (quoting Plinton v. County of Summit, 540 F.3d 459, 464 (6th Cir. 2008)). Nancy Roell cannot meet the first prong of this test, however, because Hamilton County had a satisfactory training program in place regarding officer interactions with individuals suffering from mental illness and excited delirium. The record shows that the deputies received training on topics that included the use of force and tasers, crisis intervention techniques, interacting with the special-needs population and mentally ill suspects, and recognizing the symptoms of excited delirium. Finally, we note that Nancy Roellâs argument that Hamilton County failed to train its deputies is completely inconsistent with her § 1983 claim that the deputiesâ use of excessive force was evidenced by the fact that they failed to follow Hamilton Countyâs procedures regarding officer interactions with individuals suffering from excited delirium. This leaves Nancy Roell with her argument that Hamilton County ratified the use of excessive force by Deputies Alexander, Dalid, and Huddleston when it conducted an inadequate investigation of the events. Specifically, she asserts that the investigation merely rubber-stamped the deputiesâ unconstitutional conduct, neglected to discover what actually took place, and failed to review whether the deputiesâ actions violated Hamilton Countyâs policies and procedures. Once again, however, the record demonstrates otherwise. The internal investigation included interviews of multiple witnesses, detailed fact- finding, and incorporates additional investigations by the Criminal Investigations Unit of the Sheriffâs Office and the Hamilton County Coroner. In addition, Nancy Roellâs own expert, Dr. Lyman, testified that he could not think of any additional interviews that should have been conducted during the investigation, could not point to any physical evidence that was not preserved or test results that were not considered, and could not identify any specific inadequacies in the collection of testimonial or tangible evidence. We therefore disagree with Nancy Roellâs argument that âno serious investigationâ occurred regarding the deputiesâ use of force. See Marchese v. Lucas, 758 F.2d 181, 188 (6th Cir. 1985). Because Hamilton County is not subject to municipal liability under any of her theories, the district court did not err in granting summary judgment to the county on her § 1983 claim. No. 16-4045 Roell v. Hamilton Cty Bd. of Commârs, et al. Page 20 D. Nancy Roellâs ADA claim against Hamilton County Finally, Nancy Roell appeals the district courtâs grant of summary judgment in favor of Hamilton County based on her claim under Title II of the ADA. Title II provides that âno qualified individual with a disability shall, by reason of such disability, be excluded from participation in or be denied the benefits of the services, programs, or activities of a public entity, or be subjected to discrimination by any such entity.â 42 U.S.C. § 12132. Two types of claims are cognizable under Title II: claims for intentional discrimination and claims for a reasonable accommodation. Ability Ctr. of Greater Toledo v. City of Sandusky, 385 F.3d 901, 907 (6th Cir. 2004). The district court dismissed Nancy Roellâs ADA claim because it found no evidence that the defendants intentionally discriminated against Roell based on his disability. In so holding, however, the court failed to consider Nancy Roellâs failure-to-accommodate theory. Under this theory, Nancy Roell asserted that Hamilton County had a duty to accommodate Roellâs disability by âhaving its officers take steps to calm the situation, converse with Mr. Roell in a non- threatening manner, pause to gather information from Rachana Agarwal, refrain from the application of force, and summon EMS to the scene at the earliest moment possible.â Neither the Supreme Court nor this circuit has squarely addressed whether Title II of the ADA applies in the context of an arrest. Nancy Roell urges us, however, to adopt the reasoning of several of our sister circuits that have found Title II applicable to law-enforcement activities, including arrests. A few opinions have indeed indicated that arrestees might be able to bring cognizable claims under Title II. But, in doing so, they have also noted that the exigent circumstances inherent in an arrest inform the reasonable-accommodation analysis. See, e.g., Sheehan v. City of San Francisco, 743 F.3d 1211, 1232 (9th Cir. 2014), revâd in part, cert. dismissed in part, 135 S. Ct. 1765 (2015) (holding that âthe ADA . . . applies to arrests, though we agree with the Eleventh and Fourth Circuits that exigent circumstances inform the reasonableness analysis under the ADA, just as they inform the distinct reasonableness analysis under the Fourth Amendmentâ); Bahl v. County of Ramsey, 695 F.3d 778, 784 (8th Cir. 2012) (noting that â[e]ven if the ADA No. 16-4045 Roell v. Hamilton Cty Bd. of Commârs, et al. Page 21 applied to [a] traffic stop,â the defendant police officer was not required to accommodate the plaintiffâs disability âunder the exigencies of the traffic stopâ). But see Hainze v. Richards, 207 F.3d 795, 801 (5th Cir. 2000) (âTitle II does not apply to an officerâs on-the-street responses to reported disturbances or other similar incidents, whether or not those calls involve subjects with mental disabilities, prior to the officerâs securing the scene and ensuring that there is no threat to human life.â). We need not decide whether Title II applies in the context of arrests because, even if Nancy Roellâs failure-to-accommodate claim is cognizable, Hamilton County is entitled to summary judgment based on the facts of this case. This circuit has previously held that âthe âdetermination of what constitutes reasonable modification is highly fact-specific, requiring case- by-case inquiry.ââ Anderson v. City of Blue Ash, 798 F.3d 338, 356 (6th Cir. 2015) (quoting Lentini v. Cal. Ctr. for the Arts, 370 F.3d 837, 844 (9th Cir. 2004)). Deputies Alexander, Dalid, and Huddleston unquestionably faced exigent circumstances while attempting to restrain and arrest Roell. As detailed above, they responded to an unsecured scene to find an individual who had committed, at the very least, a series of property crimes and who posed a continuing threat to the deputies and to others. In fact, almost immediately after the deputies arrived, Roell swiftly approached them brandishing a hose with a metal nozzle and a garden basket. The deputies, in other words, were required to make a series of quick, on-the-spot judgments in a continuously evolving environment. Nancy Roellâs proposed accommodationsâthat the deputies use verbal de-escalation techniques, gather information from the witnesses, and call EMS services before engaging with Roellâwere therefore âunreasonable . . . in light of the overriding public safety concerns.â See Tucker v. Tennessee, 539 F.3d 526, 536 (6th Cir. 2008), abrogated on other grounds by Anderson v. City of Blue Ash, 798 F.3d 338 (6th Cir. 2015); cf. Hainze, 207 F.3d at 802 (recognizing that â[o]nce the area was secure and there was no threat to human safety, the . . . Sheriffâs deputies would have been under a duty to reasonably accommodate [plaintiffâs] disability in handling and transporting him to a mental health facilityâ). In the context of the exigent circumstances surrounding Roellâs arrest, Nancy Roell cannot make out a viable ADA claim under her failure-to-accommodate theory. Nor has she No. 16-4045 Roell v. Hamilton Cty Bd. of Commârs, et al. Page 22 presented any evidence that Hamilton County intentionally discriminated against Roell based on his disability. The district court therefore did not err in granting summary judgment in favor of Hamilton County on Nancy Roellâs ADA claim. III. CONCLUSION For all of the reasons set forth above, we AFFIRM the judgment of the district court. No. 16-4045 Roell v. Hamilton Cty Bd. of Commârs, et al. Page 23 _________________ DISSENT _________________ KAREN NELSON MOORE, Circuit Judge, dissenting. Our circuit law clearly states that when an individual âexhibit[s] conspicuous signs that he [is] mentally unstableâ and is âunarmed,â âChampion require[s] the officers to de-escalate the situation and adjust the application of force downward.â Martin v. City of Broadview Heights, 712 F.3d 951, 962 (6th Cir. 2013) (quoting Champion v. Outlook Nashville, Inc., 380 F.3d 893, 904 (6th Cir. 2004)). There are disputed facts as to whether Roell was unarmed and as to how aggressively Roell was acting, which determine how much force was appropriate. Although the law governing this case is clear, the facts surrounding Roellâs death are not. The district court erred by granting summary judgment on Nancy Roellâs § 1983 claim against Deputies Alexander, Dalid, and Huddleston. I would reverse summary judgment on this claim, and I respectfully dissent. I. GOVERNING LAW Because the law governing this case is clearly established and straightforward, I begin by setting out the basic legal principles that govern this case. First, I agree with the majorityâs recitation of the familiar summary-judgment standard, although not with its application of the standard to this case. See Maj. Op. at 7â8. Second, I agree with its summary of the Graham factors. See Maj. Op. at 8â9 (citing Graham v. Connor, 490 U.S. 386, 396 (1989)). As for the law at the heart of this matter, I cannot agree with the majorityâs characterization. Sixth Circuit cases clearly establish that officers must âtake into account âthe diminished capacity of an unarmed detainee . . . when assessing the amount of force exerted.ââ Martin, 712 F.3d 962 (quoting Champion, 380 F.3d at 904). Martin states the rule very simply: When an individual âexhibit[s] conspicuous signs that he [is] mentally unstableâ and is âunarmed,â âChampion require[s] the officers to de-escalate the situation and adjust the application of force downward.â Id.; see also Landis v. Baker, 297 F. Appâx 453, 465 (6th Cir. 2008) (âA determination of the reasonableness of the defendant officersâ conduct must take into account the fact that at the time of the fatal struggle, the defendant officers had reason to believe No. 16-4045 Roell v. Hamilton Cty Bd. of Commârs, et al. Page 24 that [the arrestee] was either on drugs or mentally unstable and they knew that he was unarmed.â). If it is apparent to officers that an individual is unarmed and mentally unstable, then the officers must de-escalate and may not use as much force as would be permissible when confronted with an individual who was either mentally stable or armed. While the majority acknowledges that Champion mandates that â[t]he deputies were . . . required to take into account Roellâs diminished capacity before using force to restrain him,â it essentially brushes this requirement aside by asserting that âno caselaw supports Nancy Roellâs assertion the deputies were prohibited from using any physical force against Roell before first attempting alternative de-escalation techniques.â Maj. Op. at 11. I agree that the deputies were not necessarily prohibited from using any physical force on Gary Roell, but that point is irrelevant to this case. The question in this case is whether the officers complied with their obligation, under Champion and Martin, to adjust their use of force downward. Even if the officers were permitted to use some physical force, they could have violated Champion and Martin by failing to adjust the level of force downward. II. APPLICATION OF THE CLEARLY ESTABLISHED LAW TO THE FACTS OF THIS CASE There are several unresolved questions of fact relevant to whether the officers had, and, if so, whether they complied with, an obligation to adjust the level of force downward. There are some basic facts that I agree are not in dispute. No one disputes that Roell had long lived with chronic, severe mental illness, including schizoaffective disorder and delusional disorder, nor does anyone dispute that when he went off his medication he could become unpredictable, dangerous, and violent. R. 98 (N. Roell Dep. at 72, 97, 167) (Page ID #4513, 4538, 4608). No one disputes that at 2:30 a.m. on August 13, the Roellsâ neighbor, Rachana Agarwal, woke up to a loud noise and found Roell standing at Agarwalâs window wearing only a t-shirt, nude from the waist down. R. 90 (Agarwal Dep. at 10) (Page ID #3765); R. 77 (Huddleston Dep. at 66) (Page ID #493). Scared, Agarwal called 911 and said that her neighbor was âacting crazy.â R. 90 (Agarwal Dep. at 27) (Page ID #3782). There is no dispute that when the officers arrived on the scene, they wrestled with Roell and tased him multiple times before eventually subduing him and handcuffing him with two sets of handcuffs and shackles. R. 77 (Huddleston Dep. at 98â100, No. 16-4045 Roell v. Hamilton Cty Bd. of Commârs, et al. Page 25 117â19) (Page ID #525â27, 544â46). There is also no dispute that Roell stopped breathing while he was shackled, that he never regained consciousness, and that he was pronounced dead at the hospital. See R. 96-1 (Death Record) (Page ID #4286). Beyond these basic facts, there are many disputes over important details of the events leading to Roellâs death. First, there is a fact question as to whether Roell was armed, given that he was holding a hose and a hanging planter but may not have been using these items as weapons. Second, there is a fact question as to how aggressively Roell acted when he approached the officers. Without resolving these factual disputes, it is impossible to know whether the amount of force was appropriate under the circumstances. A. We do not know whether Gary Roell was unarmed There is a fact question as to whether Roell was unarmed under Ohio law. Determining whether Roell was unarmed is crucial, because if Roell was unarmed, the Champion/Martin rule would apply and require the officers to adjust the level of force downward. If Roell was armed, the Champion/Martin rule would not apply. The majority correctly notes that Ohio law âdefines a deadly weapon as âany instrument, device, or thing capable of inflicting death, and designed or specially adaptable for use as a weapon, or possessed, carried, or used as a weapon.ââ Maj. Op. at 10 (quoting In re Fortney, 832 N.E.2d 1257, 1268 (Ohio Ct. App. 2005)). The hose and peat-moss hanging planter are not instruments âdesigned or specially adaptable for use as a weaponâ but at least the hose, which had a metal tip, is an instrument that could be âused as a weapon.â In re Fortney, 832 N.E.2d at 1268. The evidence is not clear as to whether Roell was using the peat-moss planter or hose as weapons. Soham Agarwal testified that he definitely remembered Roell saying that he did not have a weapon. Soham Agarwal testified that Roell âkept saying he didnât have a weapon. I remember him saying that.â R. 91 (S. Agarwal Dep. at 20) (Page ID #3858). âHe kept shouting -- he just kept shouting, I donât have a weapon. Thatâs all I could hear him saying.â Id. at 37â38 (Page ID #3875â76). Rachana Agarwal testified that she thinks she heard Roell tell the officers that he did not have a weapon. R. 90 (Agarwal Dep. at 75) (Page ID #3830). Huddleston did not No. 16-4045 Roell v. Hamilton Cty Bd. of Commârs, et al. Page 26 recall Roell saying that he did not have a weapon. R. 77 (Huddleston Dep. at 68â69) (Page ID #495â96). If Roell repeatedly shouted that he did not have a weapon, that indicates that he was not using the hose and peat-moss planter as weapons. Roellâs incoherent mumbling about water also indicates that he was holding the hose because he was fixated on the Agarwalsâ water, not because he planned to use the hose as a weapon. R. 90 (Agarwal Dep. at 60) (Page ID #3815). Of course, neither Roellâs repeatedly shouting that he did not have a weapon, nor his mumbling about water conclusively prove that he was unarmed. But the innocuous nature of a soft, peat- moss planter, the fact that Roell was mumbling about water while holding the hose, and witness testimony that Roell repeatedly shouted that he was unarmed at least create a question of material fact as to whether Roell was using the planter and hose as weapons. B. We do not know how aggressively Gary Roell was acting The majority attempts to justify the level of force the officers used by arguing that the situation may have been on the brink of escalating and arguing that Roell was acting aggressively. In fact, it is not clear how aggressively Roell was acting, meaning that it is not clear how much force might have been appropriate under the circumstances. Moreover, neither of these arguments takes into account the obligation to adjust the level of force downward when confronted with an apparently mentally unstable and unarmed individual. The majority states that there is undisputed evidence of the aggressive nature of the way Roell approached the officers. Maj. Op. at 10. In fact, the testimony does not make clear how aggressively Roell was acting when he approached the officers. At least three different witnesses testified in three different ways about why and how Gary Roell approached the officers when he arrived at the Agarwalsâ house. Huddlestonâs testimony largely mirrored the testimony of the other officers. He testified that Roell, unprompted, âturned around and started coming toward myself and Deputy Alexander in an aggressive manner.â R. 77 (Huddleston Dep. at 67) (Page ID #494). Huddleston also testified that he did not tell Roell to walk toward him, but rather âtold [Roell] to drop what he had in his hands and get on the ground.â Id. at 68 (Page ID #495). No. 16-4045 Roell v. Hamilton Cty Bd. of Commârs, et al. Page 27 Agarwal was more equivocal. At one point she testified that âI saw the hose and him, you know, running with it towards the officers.â R. 90 (Agarwal Dep. at 38) (Page ID #3793). Later, she testified that she âcannot say that for sure nowâ whether Roell was running or walking, id. at 44 (Page ID #3799), and âI donât want to say running, but I saw him going towards the officer with that thing [the hose] in his hand,â id. at 50 (Page ID #3805); see also id. at 56 (Page ID #3811). Agarwal also testified that it was not as if Roell was approaching the officers and they were standing still, but rather that Roell and the officers âwere both moving towards each other.â Id. at 42 (Page ID #3796). In starker contrast to Huddlestonâs testimony, Agarwalâs son, Soham Agarwal, recalled that Gary Roell approached the officers because they instructed him to do so. R. 91 (S. Agarwal Dep. at 20) (Page ID #3858). He said: Q. So after the police officers arrived, what was the first thing you heard either Gary or the officers say to each other? A. I think the first thing I heard was the officers telling him to like cooperate or to come over there, to stop doing what he was doing when they came into the backyard. Q. So they said come over to them? Is that what you heard? A. Something like that, yes. Id. at 37â38 (Page ID #3875â76). In support of its contention that there is undisputed evidence of the aggressive nature of the way Roell approached the officers, the majority states that Soham Agarwal testified that âRoell was facing the deputies swinging the hose âas if he was trying to hit somebody.ââ Maj. Op. at 4 (quoting R. 91 (S. Agarwal Dep. at 32) (Page ID #3870)). This statement slightly mischaracterizes Soham Agarwalâs testimony, and, although slight, the difference between Soham Agarwalâs testimony and the majorityâs characterization of Soham Agarwalâs testimony is important. Soham Agarwal actually testified that Roell had something in his hand, and that while âit was a little dark still, so it was hard to tell what it was. . . . it seemed like it was the hose that he had held previously -- and that he was kind of like swinging it around, as if he was trying to hit somebody.â R. 91 (S. Agarwal Dep. at 32) (Page ID #3870). Obviously, Soham Agarwalâs testimony does not unequivocally state that Roell was acting in a calm, unaggressive No. 16-4045 Roell v. Hamilton Cty Bd. of Commârs, et al. Page 28 manner, but it also does not unequivocally state that Roell was swinging the hose as if he was trying to hit someone. Instead, Soham Agarwal stated that it was dark enough that it was hard to tell what was happening, that Roell was holding something that âseemed like it was the hose,â and that Roell was âkind of like swingingâ whatever he was holding âas if he was trying to hit somebody.â Id. This distinction is important because, along with Rachana Agarwalâs testimony, it underscores that it was not at all clear to the disinterested witnesses how aggressively (or unaggressively) Roell was acting. It was Huddleston, rather than Soham or Rachana Agarwal, who characterized Roell as aggressive. The majority also states that although Roell committed only property crimes, it was reasonable for the officers to infer that his crimes might escalate and therefore reasonable for them to tase him. Maj. Op. at 9. First of all, this point is debatable. The only support the majority offers is an unpublished case that is distinguishable because it held that tasing the suspect did not clearly constitute excessive force because the suspect was fleeing. See Cockrell v. City of Cincinnati, 468 F. Appâx 491, 498 (6th Cir. 2012) (â[I]t is not clear whether tasing a suspect who fled from the scene of a nonviolent misdemeanor constituted excessive force, as of July 2008.â); see also id. (Cole, C.J., concurring) (âI am persuaded that Cockrell, as of July 3, 2008, did not have a clearly established right not to be tased for fleeing from a non-violent misdemeanor. I write separately because, given the totality of the circumstances, I believe that Officer Hallâs use of force was excessive.â). Second, even if tasing an unarmed individual is not generally a constitutional violation, that does not change the fact that officers have an obligation to adjust the level of force downward if the individual is apparently mentally unstable and unarmed. Even if an officer generally is permitted to tase an individual who is suspected of committing only misdemeanors, that does not mean that that the officers in this case were permitted to tase Roell, given that he was apparently mentally unstable and may have been unarmed. The majority also attempts to analogize this case to Cook v. Bastin, 590 F. Appâx 523 (6th Cir. 2014), but in doing so notes that in Cook the officers observed Campbell âdigging his lacerated fingers into an electrical socketâ and âobserved the Crisis Managerâs torn and bloody shirt, which they interpreted as an indication that physical violence had occurred.â Maj. Op. at No. 16-4045 Roell v. Hamilton Cty Bd. of Commârs, et al. Page 29 15. This case is dissimilar to Cook because the officers observed no signs that violence had occurred, only signs that property damage occurred. In addition, as the majority acknowledges, the officers in Cook used less force than the officers in this case used against Roell. Id. C. There are disputed facts, making summary judgment inappropriate Because we do not know whether Gary Roell was unarmed according to Ohio law, we do not know whether the Champion/Martin rule applies to the officersâ confrontation with Roell. See Martin, 712 F.3d at 962 (quoting Champion, 380 F.3d at 904) (officers must âtake into account âthe diminished capacity of an unarmed detainee . . . when assessing the amount of force exertedââ). Because we do not know how aggressively Roell was acting, we do not know whether the level of force the officers used was appropriate under the circumstances. As a result, summary judgment is not an appropriate resolution of this case. A jury should resolve the disputed, material facts and ultimately determine whether the officers complied with their obligation to adjust the level of force downward. Therefore, as to the majorityâs resolution of Nancy Roellâs § 1983 claim against Deputies Alexander, Dalid, and Huddleston, I respectfully dissent. [by Gilman] GILMAN, J., delivered the opinion of the court in which COOK, J., joined. â MOORE, J. (pp. 490-94), delivered a separate dissenting opinion. OPINION RONALD LEE GILMAN, Circuit Judge. Gary Roell, who suffered from chronic mental illness, caused a disturbance at his neighborâs condominium while experiencing a condition known as excited delirium. Hamilton County sheriffs deputies arrived to find Roell half-naked, muttering unintelligibly, and standing next to a broken window holding a hose and the remnants of a hanging plant. While attempting to subdue Roell,' the deputies physically struggled with him and unsuccessfully tased him multiple times. Roell stopped breathing during the encounter with the deputies and was pronounced dead shortly thereafter. His death was documented by the coroner as natural, resulting from his excited delirium. Roellâs wife, Nancy Roell,, appeals the district courtâs grant of summary judgment in favor of the individual deputies on her claim under 42 U.S.C. § 1983 . She also appeals the grant of summary judgment in favor of Hamilton County on her claims under both § 1983 and the Americans with Disabilities Act (the ADA). For the following reasons, wp AFFIRM the judgment of the district court. I. BACKGROUND A, Factual background Roell suffered from mental illness, including schizoaffective disorder and paranoid delusions, for many years. Although Roellâs symptoms could be successfully controlled by medication, he had a history of noncompliance with his drug regimen. When he did not take his medication, Roellâs mental health deteriorated and his unpredictable behavior rendered him a danger to both himself and to others. Roell stopped taking his medication in June 2013 and began exhibiting signs of mental decompensation by early August. Sometime, in the late evening hours of August 12 or the early morning hours of August 13, Roell entered a state-of excited delirium. Nancy Roell was out of town during this time, participating in a church mission in New Jersey. In the midst of his excited delirium, Roell damaged his and Nancyâs condominium by scattering debris, clothes; and other household items inside and around the building. Roell then went to the condominium of his neighbor, Ra-chana Agarwal, and threw -a flower pot through her window. Agarwal was awakened by the noise of shattering glass and went downstairs to find Roell 'standing outside of her condominium by the broken window. She attempted to talk to Roell, who was screaming something about âwater.â Roell then pulled the screen from Agarwalâs window and threw it at her. At that point, Agarwal became scared and ran back inside the condominium, where she told her son, So-ham, to call 911. Soham dialed 911 and handed the phone to Agarwal, who told the operator that her neighbor was âacting crazy.â Agarwal testified that, during this time, Roell appeared to be angry, his face red and his eyes bulging, .and he kept muttering unintelligible things about water. Roell was also pacing back and forth in front of Agarwalâs broken window, periodically peering into her condominium. *477 Deputies Matthew Alexander, Willy Dal-id, and Joseph Huddleston responded'to the dispatch of a âneighbor troubleâ call. First to arrive at Agarwalâs condominium were Deputies Alexander and Huddleston, who were told by Agarwal that Roell was âin the back breaking things.â They entered the gated patio area and saw Roell standing by Agarwalâs .broken window holding a garden hose with a metal nozzle in one hand and a garden basket in the other. The garden basket was a hanging plant surrounded by peat moss , and held together with plastic wire. Roell was wearing a t-shirt but was otherwise naked. According to Deputy Alexander, Roell was screaming ânoâ and something about water when he and Deputy Huddleston arrived. Deputy Huddleston proceeded to ask Roell what he was doing. Although Deputy Huddleston could not recall Roellâs response, he testified that Roell immediately turned and approached him and Deputy Alexander in an aggressive manner. Roell still had the hose and the garden basket in his hands. Deputy Alexander similarly recalled that he and Deputy.Huddleston toldâ Roell to âshow us your handsâ and that Roell, âimmediately, within seconds,â charged at them at.a âpretty brisk walk.â Deputy Alexander also said that Roell approached them still holding the hose and the garden basket. Soham Agarwal was watching the events unfold from inside the condominium and heard Roell screaming about how âhe didnât have water and we had water.â In addition, Soham observed the deputies telling Roell to calm down, to stop resisting, to come over to them, and to drop whatever he 'had in his hands. Soham recalled that Roell repeatedly shouted that he did not have a weapon. But Soham also testified that, despite Roellâs assertions that he was unarmed, Roell was facing the deputies swinging the hose âas if he was trying to hit somebody.â Rachana Agarwal, also watching from the inside of her condominium, confirmed that the deputies told Roell to calm down and that Roell was swinging the hose nozzle at the deputies. Agarwal observed the deputies and Roell approach each other, with Roell proceeding at a pace between a walk and a sprint, still holding the hose. As Roell approached the deputies, Deputy Huddleston told Roell to stop and to get on the ground or he would be tased. Deputy Huddleston then unholstered his X2 Taser and. arced it as a warning. Arcing a taser does not deploy the device; it simply creates a sound. Roell flinched when Deputy Huddleston arced his taser but kept approaching. Deputy Huddleston once more arced his taser and commanded Roell to get on the ground-. Roell again flinched but continued to approach the deputies. Deputy Huddleston then holstered his taser and reached out to grab one of Roellâs arms. At the same time, Deputy Alexander grabbed Roellâs other arm. Roell swung the garden-basket at Deputy Huddleston, as they met. Deputy Hud-dleston, Deputy Alexander, and Roell all fell to the ground outside of the gated patio area during their struggle. Roell was wĂŠt and slippery, either from sweat or water, and managed to break free from the deputiesâ grasp. As Roell tried to enter back through the patio gate, Deputy Hud-dleston- tased him. Deputy Huddleston testified that taser appeared to have some effect because Roell buckled over a little bit. Roell nonetheless continued into the patio and closed the gate. The deputies followed him through the gate while Deputy Huddlestonâs taser was- still on its five-second deployment cycle. By that time, Deputy Dalid had arrived at the scene. All three deputies tried to restrain Roellâs arms, but- were unsuccessful because he *478 was combative and thrashing around on the ground. Deputy Alexander testified that he was punched in the face by Roell at some point during the struggle. While Deputies Alexander and Dalid attempted to hold Roellâs arms, Deputy Hud-dleston 'tried to deploy his taser' in drive-stun mode to the back of Roellâs leg. This court has previously explained the use of a taser in drive-stun mode as follows: In drive-stun mode, âthe operator removes the dart cartridge and pushes two electrode contacts located on the front of the taser directly against the victim. In this mode, the taser delivers an electric shock ...[,] but does not cause an override of the victimâs central nervous system as it does in dart-mode.â Cockrell v. City of Cincinnati, 468 Fed.Appx. 491, 492 (6th Cir. 2012) (quoting Mattos v. Agarano, 661 F.3d 433, 443 (9th Cir. 2011) (en banc)). In deploying his ta-ser in drive-stun mode, Deputy Huddle-ston hoped to complete the cycle necessary to achieve Roellâs neuromuscular incapacitation, believing that one of the barbs from his previous attempt to tase Roell had not connected. The taser failed to incapacitate Roell, however, and he continued to struggle with the deputies on the ground. Deputy Huddleston again holstered his taser and tried to control Roellâs legs, while Deputies Alexander and Dalid attempted to control Roellâs arms. Roell managed to escape the grasp of all three deputies and stood up in a face-to-face position with Deputy Alexander, whose back was against a tree. Deputy Huddleston once more tased Roell using the deviceâs dart-mode, this time deploying two barbs into his back. Although the taser still did not take effect, the deputies were able to get Roell on the ground and handcuff him. Because of Roellâs continued resistance, the deputies had to restrain Roellâs hands in front of his body by using two sets of handcuffs. Roell appeared âsomewhat under controlâ once he was handcuffed, but he continued to thrash his legs and kicked Deputy Huddleston in the groin. Deputy Huddleston then sent Deputy Alexander to get leg shackles from the one of the patrol cars so that Roellâs feet could also be restrained. Once the deputies shackled Roellâs legs, they positioned him on his left side. Deputy Dalid was trying to control Roellâs upper body by holding on to his right shoulder. Both Deputy Huddle-ston and Deputy Dalid testified that, once restrained, Roell went limp and began to snore. Roell would wake up, thrash around, and then go limp and lapse back into snoring. Deputy Dalid observed Roell doing this twice before he noticed that Roell had no pulse and had stopped breathing. By that time, Corporal (now Sergeant) Mikal Steers arrived on the scene and began administering CPR to Roell until the life squad arrived. Although Corporal Steers detected a faint pulse on several occasions, he was unable to revive Roell. The emergency medical technicians were also unable to revive Roell, and he was pronounced dead at the hospital emergency room. Dr. Jennifer Schott, the deputy coroner, determined that the cause of Roellâs death was âexcited delirium due to schizoaffec-tive disorderâ and that the manner of his death was natural. Included with the Death Record was a report drafted by Dr. Schott, stating that Roell had a history of âphysical altercation with police officersâ and that the âuse of a conducted energy device against decedentâ had occurred. Also noted were Roellâs various abrasions and contusions, injuries from the taser barbs, and four broken ribs. The report, however, did not find that any of these injuries contributed to Roellâs death. In *479 her affidavit, Dr. Schott stated that she performed a microscopic examination of itoellâs barb wounds and found no evidence that the conducted energy device used on Roell caused any electrical burns. Nor did Dr. Schott find any evidence that Roell had been asphyxiated, which is consistent with the absence of any evidence that the deputies applied compressive force in attempting to restrain Roell. B. Procedural background In August 2014, Nancy Roell, as the executrix of Roellâs estate, filed suit in the United States District Court for the Southern District of Ohio against both Hamilton County and the Hamilton County Board of County Commissioners (collectively, Hamilton County), as well as against Sheriff Jim Neil and Deputies Alexander, Dalid, and Huddleston. She first asserted claims pursuant to 42 U.S.C § 1983, alleging that (1) Deputies Alexander, Dalid, and Hud-dleston violated Roellâs Fourth Amendment right to be free from excessive force, and (2) Hamilton County and Sheriff Neil are subject to municipal liability for the deputiesâ alleged use of excessive force. Nancy Roell also brought intentional-discrimination and failure-to-accommodate claims against all of the defendants under Title II of the ADA. Finally, she asserted a state-law claim for the wrongful death of Roell against all of the defendants and a state-law claim for assault and battery against Deputies Alexander, Dalid, and Huddleston. In February 2016, the defendants filed a âMotion to Dismiss and Motion for Summary Judgmentâ pursuant to Rule 56(c) of the Federal Rules of Civil Procedure, which the district court granted in part and denied the remainder as moot. First, the court held that Deputies Alexander, Dalid, and Huddleston were entitled to qualified immunity on Nancy Roellâs § 1983 claim, with the result that Sheriff Neil and Hamilton County were also not liable under § 1983. Roell v. Hamilton Cty. Bd. of Cty. Commârs, No. 1:14-CV-637, 2016 WL 4363112 , at *14 (S.D. Ohio Aug. 16, 2016). The court next ruled that Nancy Roell had failed to establish a viable claim under the ADA because she did not produce any evidence that the defendants intentionally discriminated against Roell because of his disability. Id. Finally, the court held that Nancy Roell had abandoned her state-law claims against Hamilton County and Sheriff Neil. The court then declined to exercise supplemental jurisdiction over the remaining state-law claims asserted against the individual deputies and therefore denied as moot the defendantsâ motion to dismiss and/or for summary judgment as to those claims. Id. In rendering its decision, however, the district court did not specify whether it resolved the defendantsâ motion using the summary-judgment standard or the motion-to-dismiss standard. Id. But the content of the defendantsâ motion, the extensive discovery period, and the courtâs consideration of materials outside of the pleadings indicate that the case was decided on summary-judgment grounds. In any event, Nancy Roell appeals only the district courtâs grants of summary judgment in favor of (1) Deputies Alexander, Dalid, and Huddleston on her § 1983 claim, and (2) Hamilton County on her § 1983 and her ADA claims. II, ANALYSIS A. Standard of review We review de novo a district courtâs grant of summary judgment. Watson v. Cartee, 817 F.3d 299, 302 (6th Cir. 2016). Summary judgment is appropriate when no genuine dispute of material fact exists and the moving party is entitled to judgment as a matter of law. Fed. R. Civ. *480 P. 56(a). A genuine dispute of material fact exists âif the evidence is such that a reasonable jury could return a verdict for the nohmoving party.â Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248 , 106 S.Ct. 2505 , 91 L.Ed.2d 202 (1986). The moving party bears the burden to âdemonstrate the absence of a genuine [dispute] of material fact.â Celotex Corp. v. Catrett, 477 U.S. 317, 323 , 106 S.Ct. 2548 , 91 L.Ed.2d 265 (1986). Finally, â[i]n making this assessment, we must view all evidence in the light'most favorable to the nonmoving-party.â Tennial v. United Parcel Serv., Inc., 840 F.3d 292, 301 (6th Cir. 2016). B. Nancy â Roellâs § 1983 claim against Deputies Alexander, Dalid, and ⢠Huddleston Nancy Roell claims that Deputies Alexander, Dalid, and Huddleston violated Roellâs Fourth Amendment rights when, they used excessive force to subdue him. The deputies pled the affirmative defense of qualified immunity, which âprotects government officials âfrom liability for civil damages insofar as their conduct does not violate clearly established statutory or constitutional rights of which a reasonable-person would have known.â â Pearson v. Callahan, 555 U.S. 223, 231 , 129 S.Ct. 808 , 172 L.Ed.2d 565 (2009) (quoting Harlow v. Fitzgerald, 457 U.S. 800, 818 , 102 S.Ct. 2727 , 73 L.Ed.2d 396 (1982)). Nancy Roell bears the âultimate burden of proofâ to show that the deputies are not entitled to qualified immunity. See Sheets v. Mullins, 287 F.3d 581, 586 (6th Cir. 2002). âWe ask two questions in evaluating whether a law-enforcement officer is entitled to qualified immunity on an excessive-force claim: â(1) whether the officer violated the plaintiffs constitutional rights under the Fourth Amendment; and (2) whether ⢠that constitutional right was clearly established at the time of the inci-. dent.â â Estate of Hill v. Miracle, 853 F.3d 306, 312 (6th Cir. 2017) (quoting Kent v. Oakland County, 810 F.3d 384, 390 (6th Cir. 2016)). These questions can be answered in any order. Pearson, 555 U.S. at 236 , 129 S.Ct. 808 . In holding that the deputies were entitled to qualified immunity, the district court answered both questions in the negative.- The court concluded that the deputies did -not violate Roellâs Fourth Amendment rights and that, even if they did, no caselaw clearly established that the degree of force used by the deputies violated such rights. We -will address each of these conclusions in turn. 1. The deputies. likely did not violate Roellâs Fourth Amendment rights. The Fourth Amendment âguarantees citizens the right âto be secure in their persons ... against unreasonable ... seizuresâ of the person.â Graham v. Connor, 490 U.S. 386, 394 , 109 S.Ct. 1865 , 104 L.Ed.2d 443 (1989). In determining whether an officer has used excessive force -in violation of the Fourth Amendment, âwe employ an objective-reasonableness test,, asking âwhether the officersâ actions are objectively reasonable in light of the facts and circumstances confronting them, without regard to their underlying intent or motivation.â â Hill, 853 F.3d at 312 (quoting Graham, 490 U.S. at 397 , 109 S.Ct. 1865 ). This test ârequires a careful balancing of âthe nature and quality of the intrusion on the individualâs. Fourth Amendment interestsâ against the countervailing governmental interests at stake.â Graham, 490 U.S. at 396 , 109 S.Ct. 1865 (quoting Tennessee v. Garner, 471 U.S. 1, 7 , 105 S.Ct. 1694 , 85 L.Ed.2d 1 (1985)). The Supreme Court has articulated three factors for us to consider in determining the objective reasonableness of. a particular use of force. These factors are (1) âthe severity of the crime at issue,â *481 (2) âwhether the suspect poses an immediate threat to the safety of the officers or others,â and (3) âwhether he is actively resisting arrest or attempting to evade arrest by flight.â Graham, 490 U.S. at 396 , 109 S.Ct. 1865 . In evaluating these' factors, we must keep in mind that â[t]he âreasonablenessâ of a particular use of force must be judged from the perspective of a reasonable officer on the scene, rather than with the 20/20 vision of hindsight.â Id. Finally, although the Graham factors are instructive, they âare not an exhaustive list, as the ultimate inquiry is âwhether the totality of the' circumstances justifies a particular sort of seizure.â â Livermore ex rel. Rohm v. Lubelan, 476 F.3d 397, 404 (6th Cir. 2007) (quoting St. John v. Hickey, 411 F.3d 762, 771 (6th Cir. 2005)). The first Graham factorââthe severity of the crime at issueââsupports a finding that some degree of force was justified in order to restrain and arrest Roell. Deputies Alexander, Dalid, and Huddle-ston responded to a âneighbor troubleâ call and were quickly informed by a frightened Agarwal that Roell was âbreaking thingsâ in her backyard. They found Roell half-naked, muttering unintelligibly, and standing next to a broken window, which they reasonably inferred was shattered as a result of Roellâs actions. In other words; Roell had.committed a series of property crimes that a reasonable officer could infer might escalate. The fact that Roell had not yet committed a more serious felony did not preclude the deputies from using force to restrain him. See Cockrell v. City of Cincinnati, 468 Fed.Appx. 491, 495 (6th Cir. 2012) (recognizing numerous cases holding that an officerâs use of a taser against a plaintiff who is âactively resisting arrest by physically struggling with, threatening, or disobeying officersâ is not a violation of the plaintiffs clearly established Fourth Amendment rights, even if the plaintiff is suspected of committing only a'misdemeanor). Application of the second Graham factorâwhether Roell posed an immediate threat to the deputies or. to othersâalso indicates that the deputiesâ use of force was warranted. When the'deputies first encountered Roell, he was holding objects that, could have been used as weapons amid a scene of property destruction. See In re Fortney, 162 Ohio App.3d 170 , 832 N.E.2d 1257, 1268-69 (2005) (noting that Ohio law âdefines a .deadly weapon as âany instrument, device, or thing capable of inflicting death, and designed or specially adaptable for,use as a weapon, or possessed, carried, or used as a weaponâ â and recognizing that a stick, when used as a club, can constitute a deadly weapon). .The deputies-therefore had-a reasonable basis to believe that Roell presented an immediate .threat to the Agarwals and to the deputies themselves âin light of the facts and circumstances confrontingâ them. See Graham, 490 U.S. at 397 , 109 S.Ct. 1865 . First, RoĂŠll posed a potential threat to the Agarwals, who were still inside the condominium. Because Roell had already thrown a potted plant through the Agar-wĂĄlâs condominium window, the deputies were reasonably concerned that he might break into their residence and cause further destruction.â Roell also posed an immediate threat to the deputies themselves. Rahana Agarwal, Soham Agarwal, Deputy Alexander, and Deputy Huddleston all testified that Roell quickly approached the deputies while waving the metal nozzle of a hose in a , threatening ⢠manner. Deputy Huddleston testified that the hose and the metal nozzle could have been used as a weapon to hit or to choke him. Although Soham Agarwal heard Roell say- that he had no weapon and heard the deputies tell Roell to come over to them, these observations do not create a genuine *482 dispute of material fact as to whether Roell approached the deputies in a manner that posed an immediate threat to their safety. Even if Roell asserted that he was unarmed and moved towards the deputies in response to their commands, the undisputed evidence regarding the aggressive nature of his approach remains unchanged. Finally, we turn to the third Graham factor and analyze whether Roell was actively resisting arrest. Undisputed record evidence shows that Roell resisted the deputiesâ attempts to restrain and handcuff him by kicking, flailing, and wriggling away from their grasp. Nancy Roell responds that the deputies âforeseeably caused any resistance or escalated the encounter by failing to use verbal and tactical de-escalation.â But even if we assume that the deputies escalated the encounter with Roellâan assertion that we find dubiousâlaw-enforcement officers cannot be held liable solely because they created the circumstances requiring the application of force. See Livermore ex rel. Rohm v. Lubelan, 476 F.3d 397, 406 (6th Cir. 2007) (rejecting the notion that a âFourth Amendment claim against police officers who used deadly force may survive summary judgment, even where the particular seizure is reasonable, if the defendant police officers acted recklessly in creating the circumstances which required the use of deadly forceâ). Analysis of the third Graham factor therefore supports our conclusion that the deputies were justified in using some degree of force in attempting to restrain Roell. Our analysis of the Graham factors, however, is not the end of the excessive-force inquiry. We must also assess whether the âtotality of the circumstances justifiedâ the âparticular sort of ... seizureâ imposed upon Roell. See Tennessee v. Garner, 471 U.S. 1, 8-9 , 105 S.Ct. 1694 , 85 L.Ed.2d 1 (1985). The totality of the circumstances includes âthe fact that at the time of the ... struggle, the defendant officers had reason to believe that [Roell] was either on drugs or mentally unstable.â See Landis v. Baker, 297 Fed.Appx. 453, 465 (6th Cir. 2008). Although the officers were unaware that Roell was experiencing an episode of excited delirium, Deputy Huddleston testified that Roellâs behavior indicated that he was suffering from some sort of mental illness. The deputies were therefore required to take into account Roellâs diminished capacity before using force to restrain him. See Champion v. Outlook Nashville, Inc., 380 F.3d 893, 904 (6th Cir. 2004) (âThe diminished capacity of an unarmed detainee must be taken into account when assessing the amount of force exerted.â). But no caselaw supports Nancy Roellâs assertion the deputies were prohibited from using any physical force against Roell before first attempting alternative de-escalation techniques. See Cook v. Bastin, 590 Fed.Appx. 523, 530 (6th Cir. 2014) (holding that no excessive force was used in handcuffing and physically restraining a man suffering from excited delirium who posed a threat to the law-enforcement officers and who was resisting arrest). In sum, we agree with the district courtâs observation that âthe fact that Roellâs resistance was probably caused by his excited delirium did not preclude the deputies from using a reasonable amount of force to bring him under control.â Roell, 2016 WL 4363112 , at *8. Despite Roellâs apparent diminished capacity, he had committed a series of property crimes, was a threat to the Agar-wals and to the deputies, and was actively resisting arrest. â[A] reasonable officer on the sceneâ could have concluded the use of force was necessary based on the totality of these circumstances. See Graham, 490 *483 U.S. at 396 , 109 S.Ct. 1865 . â[T]he question is not whether any force was justifiedâ but, instead, whether the deputies âcould reasonably use the degree of force employed againstâ Roell. See Martin v. City of Broadview Heights, 712 F.3d 951, 958 (6th Cir. 2013) (emphasis in original). The type of force employed by the deputies against Roellâphysically restraining his limbs, wrestling with him, attempting to tase him, and shackling his arms and legsâwas likely not excessive. But we need not definitively answer this question because, at the time of the alleged violation, no caselaw clearly established that the degree of force used by the deputies violated Roellâs Fourth Amendment rights. 2. The constitutional right alleged by Roell was not clearly established. âIn order for a right to be clearly established for the purposes of qualified immunity, â[t]he contours of the right must be sufficiently clear that a reasonable official would understand that what he is doing violates that right.â â Estate of Hill v. Miracle, 853 F.3d 306, 316 (6th Cir. 2017) (quoting Anderson v. Creighton, 483 U.S. 635, 640 , 107 S.Ct. 3034 , 97 L.Ed.2d 523 (1987)). âThe relevant, dispositive inquiry ... is whether it would be clear to a reasonable officer that. his conduct was unlawful in the situation he confronted.â Saucier v. Katz, 533 U.S. 194 , 202, 121 S.Ct. 2151 , 150 L.Ed.2d 272 (2001), abrogated on other grounds by Pearson v. Callahan, 555 U.S. 223, 236 , 129 S.Ct. 808 , 172 L.Ed.2d 565 (2009). We must therefore determine whether a right was clearly established âin light of the specific context of the ease, not as a broad general proposition.â Id. at 201, 121 S.Ct. 2151 . Requiring this âparticularizedâ showing âis not to say that an official action is protected by qualified immunity unless the very action in question has previously been held unlawful, but it is to say that in the light of pre-existing law the unlawfulness must be apparent.â Anderson, 483 U.S. at 640 , 107 S.Ct. 3034 (internal citations omitted). The content of this pre-existing law is determined by looking âfirst to decisions of the Supreme Court, then to decisions of this court and other courts within our circuit, and finally to decisions of other circuits.â Champion, 380 F.3d at 902 (quoting Higgason v. Stephens, 288 F.3d 868, 876 (6th Cir. 2002)). âAn actionâs unlawfulness may be plain âfrom direct holdings, from specific examples described as prohibited, or from the general reasoning that a court employsâ â in these cases. Martin, 712 F.3d at 961 (quoting Champion, 380 F.3d at 902 ). With these general principles in mind, we turn to the question at hand: whether Nancy Roell has demonstrated âthe prior articulation of a prohibition against the type of excess force exertedâ against Roell, sufficient to defeat the deputiesâ affirmative defense of qualified immunity. See Champion, 380 F.3d at 902 . We must determine, in other words, whether a reasonable officer would have known that the forcible physical restraint employed in this case against an individual who appeared mentally impaired, yet posed a potential threat to the officers and to others, violated that personâs Fourth Amendment rights. Nancy Roell argues that Martin v. City of Broadview Heights, 712 F.3d 951 (6th Cir. 2013), demonstrates that the deputies violated Roellâs clearly established rights. The decedent in Martin broke into an apartment while naked and high on LSD. Id. at 954-55 . Four police officers arrived on the scene to find Martin speaking quickly and nonsensically. Id. Martin calmed down momentarily to ask for help and to be arrested, but then âjogged awayâ *484 when the officers tried to handcuff him. Id. The'officers caught up with Martin and fell on top of him. In addition, they delivered âcompliance body shotsâ to Martinâs side, struck him in the face with two âhammer punches,â kneeled on his calves, struck his face, back, and ribs at least five times, and held Martin in a face-down position. Id. at 954-55 . Two of the officers heard Martin emit a âgurgling soundâ during this struggle and, when they rolled him over, he was unresponsive. Id. at 955 . Although the coroner determined that Martin died from an acute psychotic episode with excited delirium due to intoxication, a forensic pathologist who conducted Martinâs autopsy concluded that asphyxia was the likely cause of his death. The Martin court held that â[a] reasonable officer should have known that subduing an unarmed, minimally dangerous, and mentally unstable individual with compressive body weight, head and body strikes, neck or chin restraints, and torso locks would violate that personâs clearly established right to be free from excessive force.â Id. at 963 . In doing so, the court observed that the officers were obligated to âde-escalate the situation and adjust the application of force downwardâ when confronted with an unarmed individual who âexhibited conspicuous signs that he was mentally unstable.â Id. at 962 . We agree with the district court, however, that this statement must be viewed in the context of the officersâ applied use of force, which was characterized by the Martin court as âsevere.â Id. at 958 ; see also Roell, 2016 WL 4363112 at *9 (âMore reasonably, Martin stands for the proposition that officers should try to de-escalate the situation with a mentally disturbed suspect before resorting immediately to severe force to subdue him.â). Unlike the officers in Martin , Deputies Alexander, Dalid, and Huddleston did not repeatedly beat Roell or apply compressive body pressure-to his back. They instead âgrappled with Roellâs arms and legs to try to control him, which they eventually did.â Roell, 2016 WL 4363112 at *9. Deputy Huddleston did attempt to tase Roell, but no electricity was conducted into his body. And although this court has observed that use of a taser entails a higher level of force âthan simply knocking someone back.to the ground,â Wells v. City of Dearborn Heights, 538 Fed.Appx. 631, 639 (6th Cir. 2013), a âgrowing national judicial consensusâ exists that the use of a taser in dart mode constitutes only an intermediate use of force. Bryan v. MacPherson, 630 F.3d 805, 810 (9th Cir. 2010) (Wardlaw, J., concurring). Martin, moreover, was âunarmed and minimally dangerous,â whereas Roell was threateningly waving a hose with a metal nozzle that could be used as a weapon. Because of these factual differences, Martin did not put the deputies on notice that their actions violatedâ Roellâs clearly established right to be free from excessive force. Nor do the other cases cited by Nancy Roell, which hold that police use excessive force when they deploy gratuitous force or a taser against an individual who is already restrained or is doing nothing to resist arrest, provide such notice. See, e.g., Eldridge v. City of Warren, 533 Fed.Appx. 529, 535 (6th Cir. 2013) (holding that the police used excessive force when they tased an individual who was suffering from a hypoglycemic episode and whose ânoncompliance was not paired with any signs of verbal hostility or physical resistanceâ); Landis v. Baker, 297 Fed.Appx. 453, 461, 464 (6th Cir. 2008) (holding that the police used excessive force against an individual suffering from a mental health crisis who âwas not actively resisting arrest or posing a threat to anyoneâ when they struck him ten -times with a baton, held -him face down into two feet of mud *485 and water and repeatedly tased him); Champion v. Outlook Nashville, Inc., 380 F.3d 893, 901 (6th Cir. 2004) (holding that the police used excessive force against a severely autistic man who âstopped resisting arrest and posed no flight riskâ when they âsprayed him with pepper spray even after he was immobilized by handcuffs and a hobbling deviceâ). But see Rudlaff v. Gillispie, 791 F.3d 638, 641 (6th Cir. 2015) (collecting cases and concluding that â[o]ur cases firmly establish that it is not excessive force for the police to tase someone (even multiple times) when the. person is actively resisting arrest.â (emphasis in original)). We believe that this case is instead more analogous to Cook v. Bastin, 590 Fed.Appx. 523 (6th Cir. 2014). In that case, a severely autistic man became agitated, stripped naked, caused extensive property damage to his room in an adult daycare center, and ripped the shirt of the daycare centerâs Crisis Manager. Id. at 525 . The police arrived to find the man, Roland Campbell, digging- his lacerated fingers into an electrical socket. They observed the Crisis Managerâs torn and bloody shirt, which they interpreted as an indication that physical violence had occurred. The officers were told that Campbell was out-of-control, suffered from mental disabilities, and needed to- be taken to a mental facility. Campbell was handcuffed without incident and placed in a sitting position; While the- police waited for the medical transport unit, however, Campbell âbegan thrashing and kicking, making grunting sounds as he tried to free himself from thĂŠ-handcuffs,â rolled onto ⢠a prone position, and began scooting on his stomach towards the doorway. Id. at 526 . The officers attempted to gain control of Campbell by restraining his arms and legs, while the Crisis Manager held his torso. During the struggle, Campbell pulled the men into the hallway, freed one of his hands from the cuffs, and âpick[ed] himself and everybody up.off the ground with the one hand about three or four inches.â Id. Campbell then collapsed, fell unconscious, and died as a result of acute cardiorespiratory failure. The Cook court held that the degree of force used by the officers was reasonable because Campbell had committed significant property destruction and a physical assault, posed an immediate threat to himself, the officers, and to others, and attempted to free himself from the officersâ restraint. Id. at 530-31 . Like Campbell, Roell caused significant property damage, was a threat to the officers and to others, and resisted arrest during an episode of excited delirium. Although Deputies Alexander, Dalid and Huddleston did not observe any âsigns of physical violence,â they did observe that Roell was holding objects that could be used as weapons. True enough, the deputiesâ wrestled with and attempted to tase Roell, arguably deploying a higher level of force than the officers in Campbell. But this court has previously held that an officerâs âsingle use of the taser in drive-stun modeâ against a mentally unstable plaintiff who was a threat to officer safety and his own safety, and who was resisting police attempts to transport him to the hospital, did not constitute excessive force. See Caie v. West Bloomfield Township, 485 Fed.Appx. 92, 94-96 (6th Cir. 2012). And there is no question -that the degree of force employed by Deputies Alexander, Dalid, and Huddleston was far less than the unconstitutionally severe force used by the officers in Martin . In sum, the relevant caselaw does not clearly establish -that the deputies violated Roellâs Fourth Amendment rights because their actions fell in the âhazy border between excessive and acceptable force.â See Brosseau v. Haugen, 543 U.S. 194, 201 , 125 S.Ct. 596 , 160 *486 L.Ed.2d 583 (2004) (quoting Saucier, 533 U.S. at 206, 121 S.Ct. 2151 ). Finally, Nancy Roell relies on the procedures articulated in the training materials. of the Ohio Peace Officer Training Commission (OPTC) and in proffered expert testimony in an effort to prove that Roellâs right to be free from excessive force was clearly established. She first argues that the deputies did not follow the OPTC procedures when they neglected to recognize that Roell was exhibiting the common symptoms of excited delirium, proceeded to engage Roell before staging the scene with multiple officers and medical personnel, and failed to use verbal de-escalation techniques before attempting to physically restrain him. Nancy Roell also points to the expert testimony of Dr. Michael Lyman, who stated that de-escalation was the âstandard techniqueâ recommended for crime-related encounters with excited-delirium subjects and who opined that, had the deputies used verbal de-escalation, Roell would have likely been talked into surrendering without an altercation. Based on this evidence, Nancy Roell argues that the deputies had a âclearly established dutyâ to use de-escalation techniques prior to using force against Roell. In considering her argument, we must âevaluate the officersâ use of certain tactics âin light of testimony regarding the training that [the officers] received.â â Martin, 712 F.3d at 960 (quoting Griffith v. Coburn, 473 F.3d 650 , 657 (6th Cir. 2007)). But we also must judge the reasonableness of a particular use of force âfrom the perspective of a reasonable officer on the scene, rather than with the 20/20 vision of hindsight.â Graham, 490 U.S. at 396 , 109 S.Ct. 1865 . A finding of qualified immunity is therefore not precluded simply because the deputies acted contrary to their training. City of San Francisco v. Sheehan, â U.S. â, 135 S.Ct. 1765, 1777 , 191 L.Ed.2d 856 (2015) (âEven if an officer acts contrary to her training, however, ... that does not itself negate qualified immunity where it would otherwise be warranted.â). In addition, although the deputies did not follow every OPTC protocol, we note that the training materials acknowledge that the use of a taser might be effective in controlling an individual suffering from excited delirium, that a physical struggle might ensue, and that force might be appropriate or necessary in order to restrain the individual. Dr. Lymanâs expert testimony, which essentially opines on the best approach that the deputies could have taken in ideal circumstances, similarly does not establish that the deputies violated Roellâs clearly established rights. As an initial matter, â[t]he Fourth Amendment ... does not require police officers to take the better approaeh[,] ... only that they take a reasonable approach.â Cook v. Bastin, 590 Fed.Appx. 523, 528 (6th Cir. 2014). And âso long as âa reasonable officer could have believed that his conduct was justified,â a plaintiff cannot âavoi[d] summary judgment by simply producing an expertâs report that an officerâs conduct leading up to a deadly confrontation was imprudent, inappropriate, or even reckless.â â Sheehan, 135 S.Ct. at 1777 (quoting Billington v. Smith, 292 F.3d 1177, 1189 (9th Cir. 2002)). In sum, Nancy Roell points to no case-law clearly establishing that the deputies violated Roellâs Fourth Amendment rights in effectuating his arrest. Even assuming that law-enforcement officers must âadjust the application of force downwardâ when confronted with a conspicuously mentally unstable arrestee, Martin, 712 F.3d at 962 , no precedent establishes that the level of force used by the deputies in this case was excessive or that the deputies were required to use only verbal de-escalation *487 techniques. The content of the OPTC training material and Nancy Roellâs proffered expert testimony do not change our conclusion. Deputies Alexander, Dalid, and Huddleston are therefore entitled to qualified immunity, meaning that the district court did not err in granting summary judgment to the them on Nancy Roellâs § 1983 claim. C. Nancy Roellâs § 1983 claim against Hamilton County Nancy Roell also challenges the district courtâs grant of summary judgment in favor of Hamilton County on her claim for municipal liability under § 1983. She put forth three theories as to why Hamilton County is subject to municipal liability: (1) Hamilton Countyâs policy and custom for handling mentally-ill individuals was the driving force behind the deputiesâ use of excessive force, (2) Hamilton County failed to adequately train the deputies, and (3) Hamilton County ratified the .deputiesâ use of excessive force. We recognize that â[a] municipality or county cannot be liable under § 1983 absent an underlying constitutional violation by its officers.â Blackmore v. Kalamazoo County, 390 F.3d 890, 900 (6th Cir. 2004). The district court held that Deputies Alexander, Dalid, and Huddleston did not violate Roellâs Fourth Amendment rights under the first prong of the qualified-immunity analysis. It therefore granted summary judgment in favor of Hamilton County based on that ground and did not address any of Nancy Roellâs theories for municipal liability. We, on the other hand, have utilized the second prong of the qualified-immunity analysis to conclude that the deputies are entitled to summary judgment because no caselaw clearly established that the degree of force used by the deputies violated Roellâs Fourth Amendment rights. In doing so, we have reached no conclusion with respect to whether Roellâs rights were actually violated. We must therefore address Nancy Roellâs three theories for Hamilton Countyâs liability by assuming, without deciding, that Roellâs Fourth Amendment rights were violated by the deputiesâ excessive use of force. Hamilton County is subject to liability under § 1983 for its policy on handlingâmentally ill individuals only if Nancy Roell can âdemonstrate âa direct causal link between the policy and the alleged constitutional violation.ââ See Brown v. Chapman, 814 F.3d 447, 463 (6th Cir. 2016) (quoting Graham ex rel. Estate of Graham v. County of Washtenaw, 358 F.3d 377, 383 (6th Cir. 2004)). But Nancy Roell does riot point to any policy that is the âmoving forceâ behind the deputiesâ actions. See id. She instead argues that Hamilton Countyâs lack of adequate policies and training caused the deputiesâ use of excessive force. ' Inadequate training can serve as the basis for municipal liability under § 1983 where it âamounts to deliberate indifference to the rights of persons with whom the police come into contact.â City of Canton v. Harris, 489 U.S. 378, 388 , 109 S.Ct. 1197 , 103 L.Ed.2d 412 (1989). To succeed on this claim, Nancy Roell âmust show â(1) that a training program is made-, quate to the tasks that the officers must perform; (2) that the inadequacy is the result of the [Countyâs] deliberate indifference; and (3) that the inadequacy is closely related to or actually caused the plaintiffs injury.ââ Brown, 814 F.3d at 463 (quoting Plinton v. County of Summit, 540 F.3d 459, 464 (6th Cir. 2008)). Nancy Roell cannot meet the first prong of this test, however, because Hamilton County had a satisfactory training program in place regarding officer interactions with *488 individuals suffering from mental illness and excited delirium. The record shows that the deputies 'received training on topics that included the use of force and tasers, crisis intervention techniques, interacting with the special-needs population and mentally ill suspects, and recognizing the symptoms of excited delirium. Finally, we note that Nancy Roellâs argument that Hamilton County failed to train its deputies is completely inconsistent with her § 1983 claim that the deputiesâ use of excessive force was evidenced by the fact that they failed to follow Hamilton Countyâs procedures regarding officer interactions with individuals suffering from excited delirium. This leaves Nancy Roell with her argument that Hamilton County ratified the use of excessive force by Deputies Alexander, Dalid, and Huddleston when it conducted an inadequate investigation .of the events. Specifically, she asserts that the investigation merely rubber-stamped the deputiesâ unconstitutional conduct, neglected to discover what actually took place, and failed to review whether the deputiesâ actions violated Hamilton Countyâs policies and procedures. Once again, however, the record demonstrates otherwise. The internal investigation included interviews of multiple witnesses, detailed fact-finding, and incorporates additional investigations by the Criminal Investigations Unit of the Sheriffâs Office and the Hamilton County Coroner. In addition, Nancy Roellâs own expert, Dr. Lyman, testified that he could not think of âany additional interviews that should' have been conducted during the investigation, could not point' to any physical evidence that was not preserved-or test results that were not considered, and could not identify any specific inadequacies in the collection of testimonial or tangible evidence. We therefore disagree with Nancy Roellâs argument that âno serious investigationâ occurred regarding the deputiesâ use of force. See Marchese v. Lucas, 758 F.2d 181, 188 (6th Cir. 1985). Because Hamilton County is not subject to municipal liability under any of her theories, the district court did not err in granting summary judgment to the county on her § 1983 claim. D. Nancy Roellâs ADA claim against Hamilton County Finally, Nancy Roell appeals the district courtâs grant of summary judgment in favor of Hamilton County based on her claim under Title II of the ADA. Title II provides that âno qualified individual with a disability shall, by reason of such disability, be excluded from 'participation in or be denied the benefits of the services, programs, or activities of a public entity, or be subjected to discrimination by any such entity.â 42 U.S.C. § 12132 . Two types of claims are cognizable under Title II: claims for intentional discrimination and claims for. a reasonable accommodation. Ability Ctr. of Greater Toledo v. City of Sandusky, 385 F.3d 901 , 907 (6th Cir. 2004). The district' court dismissed Nancy Roellâs ADA claim because it found no evidence 'that the defendants intentionally discriminated against Roell based on his disability. In so holding, however, the court failed to consider Nancy Roellâs failure-to-accommodate theory. Under this theory, Nancy Roell asserted that Hamilton County had a duty to accommodate Roellâs disability by âhaving its officers take steps to calm the situation, converse with Mr. Roell in- a non-threatening manner, pause to gather information from -Ra-chana Agarwal, refrain from the application of force, and summon EMS to the scene at the earliest moment possible.â *489 Neither the Supreme Court nor this circuit has squarely addressed whether Title II of the ADA applies in the context of an arrest. Nancy Roell urges us, however, to adopt the reasoning of several of oĂźr sister circuits that have found Title II applicable to law-enforcement activities, including arrests. A few opinions have indeed indicated that arrestees might be able to bring cognizable claims under Title II. But, in doing so, they have also noted that the exigent circumstances inherent in an arrest inform the reasonable-accommodation analysis. See, e.g., Sheehan v. City of San Francisco, 743 F.3d 1211, 1232 (9th Cir. 2014), revâd in part, cert. dismissed in part, â U.S. â, 135 S.Ct. 1765 , 191 L.Ed.2d 856 (2015) (holding that âthe ADA ... applies to arrests, though we agree with the Eleventh and Fourth Circuits that exigent circumstances inform " the reasonableness analysis under the ADA, just as they inform the distinct reasonableness analysis under the Fourth Amendmentâ); Bahl v. County of Ramsey, 695 F.3d 778, 784 (8th Cir. 2012) (noting that â[e]ven if the ADA applied to [a] traffic stop,â the defendant police officer was not required to accommodate the plaintiffs disability âunder thĂŠ exigencies of the traffic stopâ). But see Hainze v. Richards, 207 F.3d 795, 801 (5th Cir. 2000) (âTitle II does not apply to an officerâs on-the-street responses to reported disturbances or other similar incidents, whether or not those calls involve subjects with mental disabilities,, prior to the. officerâs securing the scene and ensuring, that there is no threat to human life.â). We need not decide whether Title II applies in the context of arrests because, even if Nancy Roellâs failure-to-accommodate claim is cognizable, Hamilton County is entitled to.summary judgment based on the facts of this case. This circuit has previously held that âthe âdetermination of what, constitutes reasonable modification is highly fact-specific, requiring case-by-case inquiry.â â Anderson v. City of Blue Ash, 798 F.3d 338, 356 (6th Cir. 2015) (quoting Lentini v. Cal. Ctr. for the Arts, 370 F.3d 837, 844 (9th Cir. 2004)). Deputies Alexander, Dalid, and Huddleston unquestionably faced exigent circumstances while attempting to restrain and arrest Roell. As detailed above, they responded to an unsecured scene to find an individual who had committed, at the very least, a series of property crimes and who posed a continuing threat to the deputies and to others. In fact, almost immediately after, the deputies arrived, Roell swiftly, approached them brandishing a hose with a metal nozzle and a garden basket. .The deputies, in other words, were required to make a series of quick, on-the-spot judgments in a continuously evolving environment. Nancy Roellâs proposed, accommodationsâthat the deputies use verbal deescalation techniques, gather information from the witnesses, and call EMS services before engaging with Roellâwere therefore âunreasonable ... in light of the overriding public safety concerns.â See Tucker v. Tennessee, 539 F.3d 526, 536 (6th Cir. 2008), abrogated on other grounds by Anderson v. City of Blue Ash, 798 F.3d 338 (6th Cir. 2015); cf. Hainze, 207 F.3d at 802 (recognizing that â[o]nce the area was secure and there was no threat to human safety, the ... Sheriffs deputies would have been under a duty to reasonably accommodate [plaintiffs] disability in handling and transporting him to a mental health facilityâ). In the context of the exigent circumstances surrounding Roellâs arrest, Nancy Roell cannot make out a viable ADA claim under her failure-to-accommodate theory. Nor has she presented any evidence that Hamilton County .intentionally discriminated against Roell based on his disability. *490 The district court therefore did not err in granting summary judgment in favor of Hamilton County on Nancy Roellâs ADA claim. III. CONCLUSION For all of the reasons set forth above, we AFFIRM the judgment of the district court. [Dissent by Moore] DISSENT KAREN NELSON MOORE, Circuit Judge, dissenting. Our circuit law clearly states that when an individual âexhibit[s] conspicuous signs that he [is] mentally unstableâ and is âunarmed,â âChampion require[s] the officers to de-escalate the situation and adjust the application of force downward.â Martin v. City of Broadview Heights, 712 F.3d 951, 962 (6th Cir. 2013) (quoting Champion v. Outlook Nashville, Inc., 380 F.3d 893, 904 (6th Cir. 2004)). There are disputed facts as to whether Roell was unarmed and as to how aggressively Roell was acting, which determine how much force was appropriate. Although the law governing this case is clear, the facts surrounding Roellâs death are not. The district court erred by granting summary judgment on Nancy Roellâs § 1983 claim against Deputies Alexander, Dalid, and Huddleston. I would reverse summary judgment on this claim, and I respectfully dissent. I. GOVERNING LAW Because the law governing this case is clearly established and straightforward, I begin by setting out the basic legal principles that govern this case. First, I agree with the majorityâs recitation of the familiar summary-judgment standard, although not with its application of the standard to this case. See Maj. Op. at 479-80. Second, I agree with its summary of the Graham- factors. See Maj. Op. at 480-81 (citing Graham v. Connor, 490 U.S. 386, 396 , 109 S.Ct. 1865 , 104 L.Ed.2d 443 (1989)). As for the law at the heart of this matter, I cannot agree with the majorityâs characterization. Sixth Circuit cases clearly establish that officers must âtake into account âthe diminished capacity of an unarmed detainee ... when assessing the amount of force exerted.ââ Martin, 712 F.3d at 962 (quoting Champion, 380 F.3d at 904 ). Martin states the rule very simply: When an individual âexhibit[s] conspicuous signs that he [is] mentally unstableâ and is âunarmed,â âChampion require[s] the officers to de-escalate the situation and adjust the application of force downward.â Id.; see also Landis v. Baker, 297 Fed.Appx. 453, 465 (6th Cir. 2008) (âA determination of the reasonableness of the defendant officersâ conduct must take into account the fact that at the time of the fatal struggle, the defendant officers had reason to believe that [the arrestee] was either on drugs or mentally unstable and they knew that he was unarmed.â). If it is apparent to officers that an individual is unarmed and mentally unstable, then the officers must de-escalate and may not use as much force as would be permissible when confronted with an individual who was either mentally stable or armed. While the majority acknowledges that Champion mandates that â[t]he deputies were ... required to take into account Roellâs diminished capacity before using force to restrain him,â it essentially brushes this requirement aside by asserting that âno caselaw supports Nancy Roellâs assertion the deputies were prohibited from using any physical force against Roell before first attempting alternative de-escalation techniques.â Maj. Op. at 482. I agree that the deputies were not necessarily prohibited from using any physical *491 force on Gary Roell, but that point is irrelevant to this case. The question in this case is whether the officers complied with their obligation, under Champion and Martin , to adjust their use of force downward. Even if the officers were permitted to use some physical force, they could have violated Champion and Martin by failing to adjust the level of force downward. II. APPLICATION OF THE CLEARLY ESTABLISHED LAW TO THE FACTS OF THIS CASE There are several unresolved questions of fact relevant to whether the officers had, and, if so, whether they complied with, an obligation to adjust the level of force downward. There are some basic facts that I agree are not in dispute. No one disputes that Roell had long lived with chronic, severe mental illness, including schizoaffective disorder and delusional disorder, nor does anyone dispute that when he went off his medication he could become unpredictable, dangerous, and violent. R. 98 (N. Roell Dep. at 72, 97, 167) (Page ID #4613, 4538, 4608). No one disputes that at 2:30 a.m. on August 13, the Roellsâ neighbor, Rachana Agarwal, woke up to a loud noise and found Roell standing at Agarwalâs window wearing only a t-shirt, nude from the waist down. R. 90 (Agarwal Dep. at 10) (Page ID #3765); R. 77 (Huddleston Dep. at 66) (Page ID #493). Scared, Agarwal called 911 and said that her neighbor was âacting crazy.â R. 90 (Agarwal Dep. at 27) (Page ID #3782). There is no dispute that when the officers arrived oh the scene, they wrestled with Roell and tased him multiple times before eventually subduing him and handcuffing him with two sets of handcuffs and shackles. R. 77 (Huddleston Dep. at 98-100, 117-19) (Page ID #525-27, 544-46). There is also no dispute that Roell stopped breathing while he was shackled, that he never regained consciousness, and that he was pronounced dead at the hospital. See R. 96-1 (Death Record) (Page ID #4286). Beyond these basic facts, there are many disputes over important details of the events leading to Roellâs death. First, there is a fact question as to whether Roell was armed, given that he was holding a hose and a hanging planter but may not have been using these items as weapons. Second, there is a fact question as to how aggressively Roell acted when he approached the officers. Without resolving these factual disputes, it is impossible to know whether the amount of force was appropriate under the circumstances. A. We do not know whether Gary Roell was unarmed There is a fact question as to whether Roell was unarmed under Ohio law. Determining whether Roell was unarmed is crucial, because if Roell was unarmed, the Champion/Martin rule would apply and require the officers to adjust the level of force downward. If Roell was armed, the Champion/Martin rule would not apply. The majority correctly notes that Ohio law âdefines a deadly weapon as âany instrument, device, or thing capable of inflicting death, and designed or specially adaptable for use as a weapon, or possessed, carried, or used as a weapon.ââ Maj. Op. at 481 (quoting In re Fortney, 162 Ohio App.3d 170 , 832 N.E.2d 1257, 1268 (2005)). The hose and peat-moss hanging planter are not instruments âdesigned or specially adaptable for use as a weaponâ but at least the hose, which had a metal tip, is an instrument that could be âused as a weapon.â In re Fortney, 832 N.E.2d at 1268 . The evidence is not clear .as to whether Roell was using the peat-moss planter or hose as weapons. Soham Agarwal testified *492 that he definitely remembered Roell saying that he did not have a weapon. Soham Agarwal testified that Roell âkept saying he didnât have a weapon. I remember him saying that.â R. 91 (S. Agarwal Dep. at 20) (Page ID #3858). âHe kept shoutingâhe just kept shouting, I donât have a weapon. Thatâs all I could hear him saying.â Id. at 37-38 (Page ID #3875-76). Rachana Agarwal testified that she thinks she heard Roell tell the officers that he did not have a weapon. R. 90 (Agarwal Dep. at 75) (Page ID #3830). Huddleston did not recall Roell saying that he did not have a weapon. R. 11 (Huddleston Dep. at 68-69) (Page ID #495-96). If Roell repeatedly shouted that he did not have a weapon, that indicates that he was not using the hose and peat-moss planter as weapons. Roellâs incoherent mumbling about water also indicates that he was holding the hose because he' was fixated on the Agarwalsâ water, not because he planned to use the hose as a weapon. R. 90 (Agarwal Dep. at 60) (Page ID #3815). Of course, neither Roellâs repeatedly shouting that he did not have a weapon, nor his mumbling about water conclusively prove that he was unarmed. But the innocuous nature of a soft, peat-moss planter, the fact that Roell was mumbling about water while holding the hose, and witness testimony that Roell repeatedly shouted that he was unarmed at least create a question of material fact as to whether Roell was using the planter and hose as weapons. B. We do not know how aggressively Gary Roell was acting The majority attempts to justify the level of force the officers used by arguing that the situation may have been on the brink of escalating and arguing that Roell was acting aggressively. In fact, it is not clear how aggressively Roell was acting, meaning that it is not clear how much force might have been appropriate under the circumstances. Moreover, neither of these arguments takes into account the obligation to adjust the level of force downward when confronted with an apparently mentally unstable and unarmed individual. The majority states that there is undisputed evidence of the aggressive nature of the way Roell approached the officers. Maj. Op. at 481-82. In fact, the testimony does not make clear how aggressively Roell was acting when he approached the officers. At least three different witnesses testified in three different ways about why and how Gary Roell approached the officers when he arrived at the Agarwalsâ house. Huddlestonâs testimony largely mirrored the testimony of the. other officers. He testified that Roell, unprompted, âturned around and started coming toward myself and Deputy Alexander in an aggressive manner.â R. 77 (Huddleston Dep. at 67) (Page ID #494). Huddleston also testified that he did not tell Roell to walk toward him, but rather âtold [Roell] to drop what he had in his hands and get on the ground.â Id. at 68 (Page ID #495). Agarwal was more equivocal. At one point she testified that âI saw the hose and him, you know, running with it towards the officers.â R. 90 (Agarwal Dep. at 38) (Page ID #3793). Later, she testified that she âcannot say that for sure nowâ whether Roell was running or walking, id. at 44 (Page ID #3799), and âI donât want to say running, but I saw him going towards the officer with that thing [the hose] in his hand,â id. at 50 (Page ID #3805); see also id. at 56 (Page ID #3811). Agarwal also testified that it was not as if Roell was approaching the officers and they were standing still, but rather that Roell and the officers âwere both moving towards each other.â Id. at 42 (Page ID #3796). *493 In starker contrast to Huddlestonâs testimony, Agarwalâs son, Soham Agarwal, recalled that Gary Roell approached the officers because they instructed him to do so. R. 91 (S. Agarwal Dep. at 20) (Page ID #3858). He said: Q. So after the police officers arrived, what was the first thing you heard either Gary or the officers say to each other? A. I think the first thing I heard was the officers telling him to like cooperate or to come over there, to stop doing what he was doing when they came into the backyard. Q. So they said come over to them? Is that what you heard? A. Something, like that, yes. Id. at 37-38 (Page ID #3875-76). In support of its contention that there is undisputed evidence of the aggressive nature of the way Roell approached the officers, the majority states that Soham Agar-wal testified that âRoell was facing the deputies swinging the hose âas if he was trying to hit somebody.â â Maj. Op. at 477 (quoting R. 91 (S. Agarwal Dep. at 32) (Page ID #3870)). This statement slightly niiseharacterizes Soham Agarwalâs testimony, and, although slight, the difference between Soham Agarwalâs testimony and the majorityâs characterization of Soham Agarwalâs testimony is important. Soham Agarwal actually testified that Roell had something in his hand, and that while âit was a little dark still, so it was hard to tell what it was.... it seemed like it was the hose that he had held previouslyâand that he was kind of like swinging it around, as if he was trying to hit somebody.â R. 91 (S. Agarwal Dep. at 32) (Page ID #3870). Obviously, Soham Agarwalâs testimony does not unequivocally state that Roell was acting in a calm, unaggressive manner, but it also does not unequivocally state that Roell was swinging the hose as if he was trying to hit someone. Instead, Soham Agarwal stated that it was dark enough that it was hard to tell what was happening, that Roell was holding something that âseemed like it was the hose,â and that Roell was âkind of like swingingâ whatever he was holding âas if he was trying to hit somebody.â Id. This distinction is important because, along with Rachana Agar-walâs testimony, it underscores that it was not at all clear to the disinterested wit-nesses_ how aggressively (or unaggressively) Roell was acting.^ It was Huddleston, rather than Soham or Rachana Agarwal, who characterized Roell as aggressive. The majority also states that although Roell committed only property crimes, it was reasonable for' the officers to infer that his crimes might escalate and therefore reasonable for them to tase him. Maj. Op. at 480-81. First of all, this point is debatable. The only support the majority offers is an unpublished case that is distinguishable because it held that tasing the suspect did not clearly constitute excessive force because the suspect was fleeing. See Cockrell v. City of Cincinnati, 468 Fed.Appx. 491, 498 (6th Cir. 2012) (â[I]t is not clear whether tasing a suspect who fled from the scene of a nonviolent misdemean- or constituted excessive force, as of July 2008.â); see also id. (Cole, C.J., concurring) (âI am persuaded that Cockrell, as of July 3, 2008, did not have a clearly established right not to be tased for fleeing from :a non-violent misdemeanor. I write separately because, given the totality of the circumstances, I believe that Officer Hallâs use of force was excessive.â). Second, even if tasing an unarmed individual is not generally a constitutional violation, that does not change the fact that officers have an obligation to adjust the level of force downward if the individual is apparently mentally unstable and unarmed. Even if an officer generally is permitted to tase an *494 individual who is suspected of committing only misdemeanors, that does not mean that that the officers in this case were permitted to tase Roell, given that he was apparently mentally unstable and may have been unarmed. The majority also attempts to analogize this case to Cook v. Bastin, 590 Fed.Appx. 523 (6th Cir. 2014), but in doing so notes that in Cook the officers observed Campbell âdigging his lacerated fingers into an ĂŠlectrical socketâ and âobserved the Crisis Managerâs torn and bloody shirt, which they interpreted as an indication that physical violence had occurred.â Maj. Op. at 485. This case is, dissimilar to Cook because the officers observed no signs that violence had occurred, only signs that property damage occurred. In addition, as the majority acknowledges, the officers in Cook used less force than the officers in this case used against Roell. Id. C. There are disputed facts, making summary judgment inappropriate Because we do not know whether Gary Roell was unarmed according to Ohio law, we do not know whether the Champion/Martin rule applies to the officersâ confrontation with Roell. See Martin, 712 F.3d at 962 (quoting Champion, 380 F.3d at 904 ) (officers must âtake into account âthe diminished capacity of an unarmed detainee ... when assessing the amount of force exertedâ â). Because we do not know how aggressively Roell was acting, we do not know whether the level of force the officers used was appropriate under the circumstances. As a result, summary judgment is not an appropriate resolution of this case. A jury should resolve the disputed, material facts and ultimately determine whether the officers complied with their obligation to adjust the level of force downward. Therefore, as to the majorityâs resolution of Nancy Roellâs § 1983 claim against Deputies Alexander, Dalid, and Huddleston, I respectfully dissent.
Case Information
- Court
- 6th Cir.
- Decision Date
- September 5, 2017
- Status
- Precedential