Gray v. Cummings , 917 F.3d 1 ( 2019 )


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  •           United States Court of Appeals
    For the First Circuit
    No. 18-1303
    JUDITH GRAY,
    Plaintiff, Appellant,
    v.
    THOMAS A. CUMMINGS;
    TOWN OF ATHOL, MASSACHUSETTS,
    Defendants, Appellees.
    APPEAL FROM THE UNITED STATES DISTRICT COURT
    FOR THE DISTRICT OF MASSACHUSETTS
    [Hon. Timothy S. Hillman, U.S. District Judge]
    [Hon. David H. Hennessy, U.S. Magistrate Judge]
    Before
    Kayatta, Circuit Judge,
    Souter, Associate Justice,
    and Selya, Circuit Judge.
    Matthew R. Segal, with whom Ruth A. Bourquin, American Civil
    Liberties Union Foundation of Massachusetts, Inc., Claudia Center,
    American Civil Liberties Union Foundation, Richard L. Neumeier,
    and Morrison Mahoney LLP, were on brief, for appellant.
    David W. Ogden, Daniel S. Volchok, Alexandra Stewart, Wilmer
    Cutler Pickering Hale and Dorr LLP, Aaron M. Panner, Kellogg,
    Hansen, Todd, Figel & Frederick, P.L.L.C., Nathalie F. P. Gilfoyle,
    Deanne M. Ottaviano, and Jennifer Mathis on brief for American
    Psychiatric Association, American Psychological Association, and
    
    Hon. David H. Souter, Associate Justice (Ret.) of the Supreme
    Court of the United States, sitting by designation.
    Judge David L. Bazelon Center for Mental Health Law, amici curiae
    (in support of neither party).
    Thomas R. Donohue, with whom Deidre Brennan Regan, Leonard H.
    Kesten, and Brody, Hardoon, Perkins & Kesten, LLP, were on brief,
    for appellees.
    Eric R. Atstupenas, Christopher J. Petrini, Peter L. Mello,
    and Petrini & Associates, P.C. on brief for International Municipal
    Lawyers   Association   and    Massachusetts   Chiefs   of   Police
    Association, Inc., amici curiae (in support of affirmance).
    Pamela B. Petersen on brief for Axon Enterprise, Inc., amicus
    curiae (in support of affirmance).
    February 22, 2019
    SELYA,      Circuit    Judge.       This   appeal   arises     at    the
    intersection of constitutional law and disability-rights law.                     It
    touches upon a plethora of important issues.               Some of these issues
    relate to the appropriateness of a police officer's use of a Taser
    in attempting to regain custody of a mentally ill person who, after
    being involuntarily committed, absconded from a hospital.                   Others
    relate to the applicability vel non of Title II of the Americans
    with Disabilities Act (ADA), 42 U.S.C. §§ 12131-65, to ad hoc
    police encounters. In the end, we decide the case on the narrowest
    available grounds and affirm the entry of summary judgment for the
    defendants.
    I. BACKGROUND
    This case has its genesis in an on-the-street encounter
    between plaintiff-appellant Judith Gray (who suffers from bipolar
    disorder)    and    Thomas     Cummings,     a    police   officer    in    Athol,
    Massachusetts (the Town).           Because the case was decided below at
    the summary judgment stage, we must take the facts in the light
    most hospitable to the non-moving party (here, Gray), consistent
    with record support.           See Houlton Citizens' Coal. v. Town of
    Houlton, 
    175 F.3d 178
    , 184 (1st Cir. 1999).                We caution, though,
    that   we   are    not    obliged    to   credit    "conclusory      allegations,
    improbable        inferences,        acrimonious        invective,     or        rank
    speculation."      Ahern v. Shinseki, 
    629 F.3d 49
    , 54 (1st Cir. 2010).
    - 3 -
    Here, the raw facts are largely undisputed.                    In her
    deposition, Gray testified that she "really [didn't] know what
    happened" during the incident because she "was in a full-blown
    manic phase."     She added that she "wouldn't know Officer Cummings
    if [she] fell over him" and that she had reviewed the police report
    prepared by Cummings and did not know whether or not it accurately
    described the events that had transpired.            Nor did she present any
    other evidence contradicting Cummings's version of the relevant
    events.   Although we recognize that juries have some leeway to
    "reject   uncontradicted,        unimpeached        testimony      when   it     is
    improbable, inherently contradictory, riddled with omissions, or
    delivered in a manner giving rise to doubts," Quintana-Ruiz v.
    Hyundai   Motor   Corp.,   
    303 F.3d 62
    ,    76    (1st   Cir.    2002),     that
    principle has no application here.          Accordingly, we elicit many of
    the facts from Cummings's account. See Harriman v. Hancock County,
    
    627 F.3d 22
    , 34 (1st Cir. 2010) (finding no material factual
    dispute when plaintiff "had no memory of being beaten by anyone at
    anytime relevant to this case"); see also Wertish v. Krueger, 
    433 F.3d 1062
    , 1065 (8th Cir. 2006) (deeming police officer's version
    of events "unrefuted" when plaintiff testified that he had very
    little memory of relevant events). Even so, we draw all reasonable
    inferences from those facts in Gray's favor.
    On May 2, 2013, Gray — who was then fifty-seven years
    old — experienced a manic episode and called 911.                  Athol police
    - 4 -
    officers arrived at Gray's home and transported her to Athol
    Memorial Hospital.        She was admitted to the hospital at around
    4:00 a.m., pursuant to Mass. Gen. Laws ch. 123, § 12 (authorizing
    involuntary "[e]mergency restraint and hospitalization of persons
    posing    risk    of   serious   harm   by    reason   of   mental    illness").
    Approximately six hours later, Gray absconded from the hospital on
    foot.     Hospital staff called the Athol Police Department, asking
    that Gray — "a section 12 patient" — be "picked up and brought
    back."
    Cummings responded to the call and quickly located Gray,
    walking barefoot along the sidewalk less than a quarter-mile from
    the hospital.      Cummings got out of his police cruiser.            Gray swore
    at him, and Cummings told her that she "ha[d] to go back to the
    hospital."       Gray again used profanity, declared that she was not
    going back, and continued to walk away.                In response, Cummings
    radioed for backup and followed Gray on foot.                    He repeatedly
    implored Gray to return to the hospital, but his importunings were
    greeted only by more profanity.
    Initially,    Cummings     followed   Gray     at   a   distance   of
    roughly one hundred feet.         Within twenty-five to thirty seconds,
    he closed to within five feet. At that point, Gray stopped, turned
    around, "clenched her fists, clenched her teeth, flexed her body
    and stared at [Cummings] as if she was looking right through
    [him]."     She again swore at Cummings and started walking toward
    - 5 -
    him.       Cummings grabbed Gray's shirt but he could feel Gray moving
    her body forward, so he "took her to the ground."         It is undisputed
    that Cummings had a distinct height and weight advantage:            he was
    six feet, three inches tall and weighed 215 pounds, whereas Gray
    was five feet, ten inches tall and weighed 140 pounds.
    Cummings   testified    that   once   on   the   ground,   he
    repeatedly instructed Gray to place her hands behind her back.
    She did not comply.       Instead, she "tucked her arms underneath her
    chest and flex[ed] tightly," swearing all the while.               Cummings
    warned Gray that she was "going to get ta[s]ed" if she did not
    place her hands behind her back.1         Gray did not heed this warning
    but, rather, swore at Cummings again and told him to "do it."
    Cummings made "one last final demand [for Gray] to stop resisting"
    and when "Gray refused to listen," he removed the cartridge from
    his Taser, placed it in drive-stun mode,2 and tased Gray's back
    for four to six seconds.       Gray then allowed him to handcuff her.
    1
    Gray testified she was told that she would be tased if she
    stood up. She also testified that at some point she was ordered
    to get to her knees, but that, due to prior injuries, she was
    unable to obey this order. Given Gray's repeated statements that
    she could not recall the details of the encounter and that she
    could not identify any factual inaccuracies in Cummings's police
    report, we find these assertions insufficient to refute Cummings's
    account. See 
    Wertish, 433 F.3d at 1065
    .
    2 Drive-stun mode is the least intrusive setting for a Taser:
    it delivers only a localized impact to the target. This contrasts
    with probe-deployment mode, which disrupts the target's entire
    nervous system.
    - 6 -
    Cummings helped Gray to her feet and called an ambulance,
    which transported Gray to the hospital.            According to Gray, she
    felt "pain all over" at the moment she was tased, but she "must
    have passed out because [she] woke up in Emergency."            Charges were
    subsequently filed against Gray for assault on a police officer,
    resisting arrest, disturbing the peace, and disorderly conduct,
    but were eventually dropped.
    In due season, Gray sued Cummings and the Town in the
    federal      district      court.       She   invoked     federal   question
    jurisdiction, see 28 U.S.C. § 1331, and asserted causes of action
    under 42 U.S.C. § 1983 and Title II of the ADA, along with
    supplemental state-law claims for assault and battery, malicious
    prosecution, and violations of the Massachusetts Civil Rights Act
    (MCRA), Mass. Gen. Laws ch. 12, §§ 11H-11I.             After the completion
    of pretrial discovery, the defendants moved for summary judgment.
    See Fed. R. Civ. P. 56(a). The district court referred the opposed
    motion to a magistrate judge.       See 28 U.S.C. § 636(b)(1)(B); Fed.
    R. Civ. P. 72(b). Following a hearing, the magistrate judge issued
    a report and recommendation, suggesting that the motion be granted.
    Specifically, the magistrate judge found no violation of the Fourth
    Amendment under section 1983 on the part of either Cummings or the
    Town   and   no   viable    state-law    claims.    As    to   Cummings,   the
    magistrate judge added that, in any event, he was entitled to
    qualified immunity.        The magistrate judge further concluded that
    - 7 -
    there had been no abridgement of the ADA because, regardless of
    Gray's disability, Cummings was entitled to employ an "appropriate
    level of force in response to an ongoing threat."
    Gray   objected   to    the   magistrate      judge's   report   and
    recommendation.      See 28 U.S.C. § 636(b)(1)(C); Fed. R. Civ. P.
    72(b).     On de novo review, see Mercy Hosp., Inc. v. Mass. Nurses
    Ass'n, 
    429 F.3d 338
    , 343 (1st Cir. 2005), the district court
    entered a two-sentence text order adopting the magistrate judge's
    report and recommendation in substantial part.              Because the court
    agreed   that    Cummings   was    entitled   to    qualified   immunity,    it
    declined    to   express    any    opinion    on    the   magistrate   judge's
    determination that "Cummings employed reasonable force under all
    of the circumstances."
    This timely appeal followed. In addition to the parties'
    briefs and oral argument, we have had the benefit of able briefing
    by several amici.
    II. ANALYSIS
    We review an order granting summary judgment de novo.
    See Houlten Citizens' 
    Coal., 175 F.3d at 184
    .                "We will affirm
    only if the record reveals 'that there is no genuine dispute as to
    any material fact and the movant is entitled to judgment as a
    matter of law.'"      Avery v. Hughes, 
    661 F.3d 690
    , 693 (1st Cir.
    2011) (quoting Fed. R. Civ. P. 56(a)).             Against this backdrop, we
    proceed to Gray's claims.
    - 8 -
    A. The Section 1983 Claims.
    Section 1983 supplies a private right of action against
    a person who, under color of state law, deprives another of "any
    rights, privileges, or immunities secured by the Constitution and
    [federal] laws."   42 U.S.C. § 1983.     To maintain a cause of action
    under section 1983, "the plaintiff must show a deprivation of a
    federally secured right."     Harrington v. City of Nashua, 
    610 F.3d 24
    , 28 (1st Cir. 2010).      Gray has advanced separate section 1983
    claims against Cummings and the Town.          We address these claims
    sequentially.
    1. Cummings. Gray's section 1983 claim against Cummings
    is premised on the notion that Cummings used excessive force in
    effecting her arrest and, thus, violated her Fourth Amendment
    rights.   To prevail on such a claim, "a plaintiff must show that
    the defendant employed force that was unreasonable under all the
    circumstances."    Morelli v. Webster, 
    552 F.3d 12
    , 23 (1st Cir.
    2009) (citing Graham v. Connor, 
    490 U.S. 386
    , 396 (1989)).             The
    degree of force to be used in any given situation is most often a
    judgment call, which sometimes must be made in a split second by
    a police officer confronted with rapidly evolving circumstances.
    Determining   whether   a   particular   use   of   force   is   reasonable
    requires consideration of the totality of the circumstances.           See
    
    Graham, 490 U.S. at 396
    .     This consideration entails the weighing
    of a myriad of factors such as "the severity of the crime at issue,
    - 9 -
    whether the suspect pose[d] an immediate threat to the safety of
    the officers or others, and whether [the suspect was] actively
    resisting arrest or attempting to evade arrest by flight."                    
    Id. Our starting
       point     is    the    question     of    whether     a
    reasonable jury could find that Cummings violated Gray's Fourth
    Amendment    rights   through     the   use    of    excessive     force.       The
    magistrate    judge   answered      this      question      in    the    negative,
    concluding that, as a matter of law, "the single deployment of a
    taser in drive stun mode" in these particular circumstances was
    reasonable. Viewing the record most hospitably to Gray and drawing
    all reasonable inferences to her behoof, we think that a reasonable
    jury could find that the force employed by Cummings violated the
    Fourth Amendment.     We explain briefly.
    The Town's policies describe a Taser in drive-stun mode
    as a "pain compliance tool."3 Thus, the question reduces to whether
    the circumstances surrounding the confrontation between Gray and
    Cummings,    interpreted     in   the   light       most   favorable     to   Gray,
    justified Cummings's use of such a tool.
    The   magistrate      judge      analyzed      this    question         in
    accordance with the Graham factors.           In his view, the first factor
    — "the severity of the crime at issue," 
    id. — favored
    Cummings
    3 This description is consistent with the descriptions found
    in the case law. See, e.g., Crowell v. Kirkpatrick, 
    400 F. App'x 592
    , 595 (2d Cir. 2010) (explaining that drive-stun mode "typically
    causes temporary, if significant, pain and no permanent injury").
    - 10 -
    because "Ms. Gray assaulted [him]."         At summary judgment, though,
    this assessment is insupportable:      it fails to view the facts in
    the light most favorable to Gray.
    In this regard, we think it important that Cummings was
    not called to the scene to investigate a crime; he was there to
    return a person suffering from mental illness to the hospital.
    When the subject of a seizure has not committed any crime, the
    first Graham factor ordinarily cuts in the subject's favor.            See
    Estate of Armstrong ex rel. Armstrong v. Village of Pinehurst, 
    810 F.3d 892
    , 899 (4th Cir. 2016).     To be sure, Gray did not submit to
    Cummings's orders.    Withal, this failure to obey was at most a
    minor crime, not one that would tip the first Graham factor in
    Cummings's favor.    See 
    id. at 899-900.
    Nor does the alleged assault tilt the scales.                 In
    Cummings's view, the assault occurred when, after Gray walked
    toward him, he grabbed her shirt and she "continued pushing against
    [his] arm." In the circumstances of this case, we think that a
    reasonable jury could find that the facts did not support the
    characterization of Gray's actions as an "assault."
    The same kind of defect mars the magistrate judge's
    determination that the second Graham factor — "whether the suspect
    poses an immediate threat to the safety of the officers or 
    others," 490 U.S. at 396
    — favored Cummings.          It is true that Gray was a
    section   12   patient,   that   is,   an    individual   who   has   been
    - 11 -
    involuntarily committed to a hospital pursuant to Mass. Gen. Laws
    ch. 123, § 12, based on a determination by a qualified medical
    professional (or, in emergency situations, a police officer) that
    "failure to hospitalize [her] would create a likelihood of serious
    harm by reason of mental illness."       
    Id. § 12(a).
      It is also true
    that Cummings knew as much.      Although a jury could supportably
    find on these facts that Cummings reasonably believed that Gray
    posed a danger to him, it could supportably find instead that Gray
    — who was shuffling down the sidewalk barefoot and unarmed — only
    posed a danger to herself (especially given Cummings's distinct
    height and weight advantage).    So, too, a jury could supportably
    find that, at the time of the tasing, Gray had been subdued to a
    point at which she no longer posed a threat.
    The magistrate judge concluded that the final Graham
    factor — whether Gray was "actively resisting 
    arrest," 490 U.S. at 396
    — favored Cummings.   This conclusion seems unimpugnable given
    Cummings's testimony that he asked Gray several times to put her
    hands behind her back, but that she would not do so.
    The short of it is that the Graham factors point in
    conflicting directions.   Seen through the prism of the totality of
    the circumstances, the evidence is subject to interpretation and
    can support plausible though inconsistent inferences.          Drawing
    those inferences beneficially to Gray and aware that Cummings not
    only had her down on the ground but also outweighed her by some
    - 12 -
    seventy-five pounds, a reasonable jury could find that Gray had
    committed no crime and that she posed no threat to Cummings when
    he tased her.   When all is said and done, we think that Gray has
    presented sufficient evidence to make out a jury question as to
    whether Cummings used excessive force.         See, e.g., 
    Morelli, 552 F.3d at 23
    (finding triable excessive force claim when officer
    slammed plaintiff, who "at worst, was suspected of being a petty
    thief," against wall); Alexis v. McDonald's Rests. of Mass., Inc.,
    
    67 F.3d 341
    , 353 (1st Cir. 1995) (concluding that jury could find
    excessive force when officer seized and dragged plaintiff to
    effectuate arrest for crime of trespassing in public restaurant);
    see also Estate of 
    Armstrong, 810 F.3d at 906
    (finding excessive
    force when officer tased "mentally ill man being seized for his
    own protection, [who] was seated on the ground, was hugging a post
    to ensure his immobility, . . . and had failed to submit to a
    lawful seizure for only 30 seconds").
    This conclusion does not end our inquiry.          Cummings has
    invoked the defense of qualified immunity.           Qualified immunity is
    a doctrine aimed at providing government officials (including
    police   officers)   a   modicum   of   protection    from   civil   damages
    liability for actions taken under color of state law.           See Harlow
    v. Fitzgerald, 
    457 U.S. 800
    , 818 (1982); McKenney v. Mangino, 
    873 F.3d 75
    , 80 (1st Cir. 2017), cert. denied, 
    138 S. Ct. 1311
    (2018).
    This protection attaches "to all but the plainly incompetent or
    - 13 -
    those who knowingly violate the law."          Malley v. Briggs, 
    475 U.S. 335
    , 341 (1986).         Thus, a government official may invoke the
    defense of qualified immunity when his actions, though causing
    injury,    did    "not   violate   clearly     established     statutory    or
    constitutional rights of which a reasonable person would have
    known."    Conlogue v. Hamilton, 
    906 F.3d 150
    , 154 (1st Cir. 2018)
    (quoting 
    Harlow, 457 U.S. at 818
    ).
    The qualified immunity analysis has two facets:             "[t]he
    court     must   determine     whether   the    defendant     violated     the
    plaintiff's      constitutional    rights"     and   then    must    determine
    "whether the allegedly abridged right was 'clearly established' at
    the time of the defendant's claimed misconduct."                    
    Id. at 155
    (quoting 
    McKenney, 873 F.3d at 81
    ).          In this instance, we already
    have decided that a jury could find that Cummings violated Gray's
    Fourth Amendment rights. We must now determine whether the alleged
    right was clearly established at the time of Cummings's violation.
    See 
    id. Specifically, we
    must ask whether, given the circumstances
    at hand, Gray's right to be free from the degree of force that
    Cummings used — particularly, the Taser — was clearly established.
    This question, too, has two facets. First, the plaintiff
    must "identify either 'controlling authority' or a 'consensus of
    cases of persuasive authority' sufficient to send a clear signal
    to a reasonable official that certain conduct falls short of the
    constitutional norm."        Alfano v. Lynch, 
    847 F.3d 71
    , 75 (1st Cir.
    - 14 -
    2017) (quoting Wilson v. Layne, 
    526 U.S. 603
    , 617 (1999)). Second,
    the plaintiff must demonstrate that "an objectively reasonable
    official in the defendant's position would have known that his
    conduct violated that rule of law."    
    Id. This latter
    step is
    designed to achieve a prophylactic purpose:     it affords "some
    breathing room for a police officer even if he has made a mistake
    (albeit a reasonable one) about the lawfulness of his conduct."
    
    Conlogue, 906 F.3d at 155
    .   Taken together, these steps normally
    require that, to defeat a police officer's qualified immunity
    defense, a plaintiff must "identify a case where an officer acting
    under similar circumstances was held to have violated the Fourth
    Amendment."   City of Escondido v. Emmons, 
    139 S. Ct. 500
    , 504
    (2019) (per curiam) (quoting District of Columbia v. Wesby, 138 S.
    Ct. 577, 590 (2018)); see Anderson v. Creighton, 
    483 U.S. 635
    ,
    639-40 (1987).   Although such a case need not arise on identical
    facts, it must be sufficiently analogous to make pellucid to an
    objectively reasonable officer the unlawfulness of his actions.4
    See City of 
    Escondido, 139 S. Ct. at 504
    ; Ashcroft v. al-Kidd, 
    563 U.S. 731
    , 741 (2011).
    4 Sometimes, however, this requirement is relaxed.         In
    circumstances in which a violation of rights is apparent, a
    plaintiff may thwart a qualified immunity defense simply by
    demonstrating that "the unlawfulness of the officer's conduct is
    sufficiently clear even though existing precedent does not address
    similar circumstances."    City of 
    Escondido, 139 S. Ct. at 504
    (quoting 
    Wesby, 138 S. Ct. at 590
    ). This is not such a case.
    - 15 -
    The district court determined that "the right not to be
    tased   while    offering      non-violent      stationary,     resistance      to   a
    lawful seizure was not clearly established at the time of the
    confrontation        between    Ms.    Gray     and   Officer    Cummings"      and,
    therefore, ruled that Cummings was entitled to qualified immunity.
    We examine the foundation on which this ruling rests.
    We begin with Estate of Armstrong, in which the Fourth
    Circuit      conducted    a     similar       qualified   immunity      analysis.
    Specifically, the court considered whether the "right not to be
    subjected to tasing while offering stationary and non-violent
    resistance to a lawful seizure" was clearly 
    established. 810 F.3d at 907
    . Armstrong, who suffered from bipolar disorder and paranoid
    schizophrenia, had absconded from the hospital to which he had
    been committed.         See 
    id. at 896.
             The police were called and
    located Armstrong near the hospital's main entrance.                      See 
    id. Three police
       officers      approached      Armstrong,    who   responded        by
    "wrapping himself around a four-by-four post that was supporting
    a   nearby    stop    sign."     
    Id. The officers
        attempted    to    pry
    Armstrong's arms and legs loose but were unsuccessful.                    See 
    id. One of
    the officers then warned Armstrong that he would be tased
    if he did not let go of the post.             See 
    id. at 897.
          Armstrong did
    not comply, and the officer proceeded to tase him five times in
    drive-stun mode, over a span of approximately two minutes.                       See
    
    id. Even though
    Armstrong continued resisting, he was pried loose
    - 16 -
    from       the   post.    See   
    id. A struggle
      ensued,   resulting   in
    Armstrong's demise.        See 
    id. at 897-98.
    Although the court found that a jury could find the
    officers had used excessive force, see 
    id. at 906,
    it nonetheless
    affirmed summary judgment in favor of the defendants.              The court
    reasoned that even though its finding that the officers had
    violated Armstrong's Fourth Amendment rights was supported by
    precedent, the law "was not so settled [as of April 2011] such
    that 'every reasonable official would have understood that' tasing
    Armstrong was unconstitutional" under the circumstances.              
    Id. at 908
    (quoting Mullenix v. Luna, 
    136 S. Ct. 305
    , 308 (2015) (per
    curiam)).5
    The Fourth Circuit's conclusion in Estate of Armstrong
    — that the use of a Taser in drive-stun mode against a noncompliant
    and resisting individual was not clearly unconstitutional as of
    2011 — is not an outlier. Prior to Cummings's encounter with Gray,
    several other courts of appeals had found the use of a Taser
    reasonable in situations involving subjects who acted with a level
    of resistance analogous to that displayed by Gray.                See, e.g.,
    Hagans v. Franklin Cty. Sheriff's Office, 
    695 F.3d 505
    , 507 (6th
    Cir. 2012) (granting qualified immunity for use of Taser in drive-
    5
    We note that Estate of Armstrong was decided in 2016 and,
    thus, Cummings did not have the benefit of the Fourth Circuit's
    decision at the time of the incident sub judice.
    - 17 -
    stun mode in 2007 when plaintiff "refused to be handcuffed," "lay
    down on the pavement and locked his arms tightly under his body,
    kicking his feet and continuing to scream"); Draper v. Reynolds,
    
    369 F.3d 1270
    , 1278 (11th Cir. 2004) (finding single use of Taser
    in 2001 reasonable when plaintiff "used profanity, moved around
    and paced in agitation," and "repeatedly refused to comply with
    [the officer]'s verbal commands" during traffic stop).    Thus, an
    objectively reasonable officer in Cummings's place and stead could
    reasonably have believed, in 2013, that the use of a Taser was
    generally permissible when a subject refuses to be handcuffed.
    Even so, the level of force that is constitutionally
    permissible in dealing with a mentally ill person "differs both in
    degree and in kind from the use of force that would be justified
    against a person who has committed a crime or who poses a threat
    to the community."   Bryan v. MacPherson, 
    630 F.3d 805
    , 829 (9th
    Cir. 2010).   Consequently, a subject's mental illness is a factor
    that a police officer must take into account in determining what
    degree of force, if any, is appropriate.   See Estate of 
    Armstrong, 810 F.3d at 900
    ; Champion v. Outlook Nashville, Inc., 
    380 F.3d 893
    , 904 (6th Cir. 2004).     Here, however, the only thing that
    Cummings knew about Gray's mental health was that she had been
    involuntarily committed under section 12; he did not know whether
    Gray had been deemed a danger to others or only to herself.   Given
    the skimpiness of this information, we think that an objectively
    - 18 -
    reasonable police officer, standing in Cummings's shoes, would
    have had to be prepared for the worst.
    Based on the body of available case law, we hold that an
    objectively reasonable police officer in May of 2013 could have
    concluded that a single use of the Taser in drive-stun mode to
    quell a nonviolent, mentally ill individual who was resisting
    arrest, did not violate the Fourth Amendment.                  Even if such a
    conclusion was constitutionally mistaken — as a jury could find on
    the   facts    of    this   case   —   Cummings    is   shielded   by   qualified
    immunity.
    Gray demurs.     She identifies two of our precedents and
    posits that — whether viewed singly or in combination — they evince
    the clearly established nature of her right to be free from tasing.
    Both precedents are inapposite.
    The case on which Gray relies most heavily is Parker v.
    Gerrish, 
    547 F.3d 1
    (1st Cir. 2008).                There, the plaintiff had
    been stopped on suspicion of driving while intoxicated.                 After the
    plaintiff failed several sobriety tests, the officer tried to
    arrest him.         See 
    id. at 3-4.
         When the plaintiff resisted, the
    officer drew his Taser and ordered the plaintiff to turn around
    and place his hands behind his back.              See 
    id. at 4.
       The plaintiff
    complied but clasped his right wrist with his left hand.                 See 
    id. Another officer
    approached and cuffed the plaintiff's left wrist.
    See 
    id. There was
    substantial dispute about what happened next,
    - 19 -
    but according to the plaintiff's account (to which the court was
    required to defer in the posture of the case), he released his
    right wrist, yet was tased anyway.           See 
    id. at 4-5.
         On these
    facts, we held that the police officer could be found to have
    violated the Fourth Amendment by tasing an unarmed suspect who, in
    the course of an arrest, "present[ed] no significant 'active
    resistance' or threat"6 at the time of the tasing.           
    Id. at 10-11.
    The case at hand is a horse of a quite different hue.
    There is no indication here that Gray, despite ample opportunity
    to do so, ever complied with Cummings's command to put her hands
    behind her back.      Even when Cummings warned her that she would be
    tased, she did not comply but, rather, continued cursing and told
    him to "do it."
    The second case upon which Gray relies is Ciolino v.
    Gikas,   
    861 F.3d 296
      (1st   Cir.   2017),   which   involved   events
    occurring in 2013.      There, a police officer grabbed the plaintiff
    in a crowded street and forced him to the ground without giving
    him any warning.      See 
    id. at 299-300.
       We held that the jury could
    find that although the plaintiff had "disobeyed a police order,"
    he "was not given a chance to submit peacefully to arrest before
    significant force was used to subdue him" and, therefore, "an
    6 We had no occasion in Parker to mull the implications of a
    qualified immunity defense. There, the officer waived any such
    defense. 
    See 547 F.3d at 13
    .
    - 20 -
    'objectively reasonable police officer' would have taken a more
    measured approach."     
    Id. at 304
    (quoting Raiche v. Pietroski, 
    623 F.3d 30
    , 39 (1st Cir. 2010)).
    Once again, the case at hand is readily distinguishable.
    Cummings repeatedly told Gray that she needed to return to the
    hospital, and she adamantly refused to obey.               What is more, he
    warned   her   that   he   would   use      his   Taser    if   she    remained
    intransigent, yet she defied the warning.                 Thus — unlike the
    plaintiff in Ciolino — Gray was afforded an adequate opportunity
    to submit to Cummings's authority before she was tased.
    Gray cites a number of other cases in support of her
    argument that her resistance was "passive" rather than "active"
    and, thus, did not justify the use of the Taser.            This argument is
    deeply   flawed.      Labels   such   as    "passive"     and   "active"    are
    generalizations and cannot serve as substitutes for a careful
    analysis of the facts of a particular case.          In point of fact, the
    Supreme Court — in an excessive force case — recently cautioned
    against "defin[ing] the clearly established right at a high level
    of generality."    City of 
    Escondido, 139 S. Ct. at 503
    .              There, the
    Court reversed a denial of qualified immunity sought by an officer
    who had tackled a man after he had closed the door to a dwelling
    despite being instructed not to do so and "tried to brush past"
    the officer.   
    Id. at 502.
        The Court criticized the Ninth Circuit
    for relying on "case law [that] involved police force against
    - 21 -
    individuals engaged in passive resistance" without making any
    "effort to explain how that case law prohibited [the officer]'s
    actions in this case."   
    Id. at 503-04
    (emphasis in original).   And
    in all events, respectable authority suggests that refusing to be
    handcuffed constitutes active resistance and may justify the use
    of a Taser.   See 
    Hagans, 695 F.3d at 509
    (collecting cases).
    We add, moreover, that several of the cases cited by
    Gray involve deployment of a Taser subsequent to an initial Taser
    shock.   See, e.g., Meyers v. Baltimore County, 
    713 F.3d 723
    , 733-
    34 (4th Cir. 2013); Cyrus v. Town of Mukwonago, 
    624 F.3d 856
    , 859-
    63 (7th Cir. 2010).   Nothing of that sort happened here.7
    In the last analysis, Gray does not cite any case,
    decided before her encounter with Cummings, that arose out of the
    use of a Taser on facts fairly comparable to the facts at hand.
    In the absence of either controlling authority or a consensus of
    7  In furtherance of her argument that an objectively
    reasonable officer standing in Cummings's shoes would have known
    that the degree of force used was unreasonable, Gray argues in her
    reply brief that the Town has a policy against tasing someone
    "known to be suffering from severe mental illness." This argument
    is doubly waived:    first, it was not advanced in the district
    court, see McCoy v. Mass. Inst. of Tech., 
    950 F.2d 13
    , 22 (1st
    Cir. 1991) ("It is hornbook law that theories not raised squarely
    in the district court cannot be surfaced for the first time on
    appeal."); and second, it was not advanced in Gray's opening brief
    in this court, see Sandstrom v. ChemLawn Corp., 
    904 F.2d 83
    , 86
    (1st Cir. 1990) ("[B]ecause the argument . . . surfac[ed] only in
    [appellant's] reply brief, it has been waived.").
    - 22 -
    persuasive authority to the contrary, we conclude that Cummings
    was entitled to qualified immunity.
    As a fallback, Gray argues that the doctrine of qualified
    immunity, as expounded by the Supreme Court, should be modified or
    overruled.   Gray did not raise this argument in the district court
    and, thus, cannot advance it here.       See Teamsters Union, Local No.
    59 v. Superline Transp. Co., 
    953 F.2d 17
    , 21 (1st Cir. 1992) ("If
    any principle is settled in this circuit, it is that, absent the
    most   extraordinary    circumstances,       legal   theories    not   raised
    squarely in the lower court cannot be broached for the first time
    on appeal.").
    2. Town of Athol.     In addition to her section 1983 claim
    against Cummings, Gray makes a section 1983 failure-to-train claim
    against the Town.      She alleges that her Fourth Amendment rights
    were violated by the Town's deficient training of its police
    officers (including Cummings) with respect to proper protocols for
    interacting with persons suffering from mental illness.                Gray's
    evidence, though, falls well short of making out a failure-to-
    train claim against the Town.
    We cut directly to the chase.             "Triggering municipal
    liability on a claim of failure to train requires a showing that
    municipal decisionmakers either knew or should have known that
    training   was   inadequate   but    nonetheless     exhibited   deliberate
    indifference     to    the    unconstitutional        effects     of    those
    - 23 -
    inadequacies."   Haley v. City of Boston, 
    657 F.3d 39
    , 52 (1st Cir.
    2011).    A plaintiff typically must show a "pattern of similar
    constitutional   violations    by    untrained   employees   .   .   .   to
    demonstrate deliberate indifference for purposes of failure to
    train."   Connick v. Thompson, 
    563 U.S. 51
    , 62 (2011) (citing Bd.
    of Cty. Comm'rs of Bryan Cty. v. Brown, 
    520 U.S. 397
    , 409 (1997)).
    Here, however, Gray has made no such showing.
    In an effort to close this gap, Gray offers expert
    testimony about appropriate police practices for interacting with
    persons with disabilities.          Building on this foundation, she
    insists that "coupled with the facts of the encounter," such
    evidence "create[s] questions of material fact as to whether the
    Town failed to properly train Cummings."           In our view, these
    assertions are insufficient to support a failure-to-train claim.
    It is not enough to show that the Town's training regimen was
    faulty; Gray must also show that the Town knew or had reason to
    believe that such a regimen had unconstitutional effects.            Gray
    has tendered no evidence of past violations sufficient to put the
    Town on notice of such effects.        Given this yawning gap in her
    proof, Gray has not made out a genuine issue of material fact as
    to whether the Town was deliberately indifferent to the risk of
    the alleged constitutional violation.      Consequently, her failure-
    to-train claim founders.      See 
    id. at 72;
    Hill v. Walsh, 
    884 F.3d 16
    , 24 (1st Cir. 2018).
    - 24 -
    B. The State-Law Claims.
    Gray's supplemental state-law claims need not detain us.
    Gray concedes that the assault and battery and MCRA claims "rise
    and fall with . . . [her] § 1983 claim."               This concession, coupled
    with Gray's failure to offer any developed argumentation with
    respect to these claims, ends our inquiry.                   See Torres-Arroyo v.
    Rullán, 
    436 F.3d 1
    , 7 (1st Cir. 2006) ("Gauzy generalizations are
    manifestly     insufficient     to    preserve     an        issue    for    appellate
    review.").     We deem waived any claim of error related to the
    disposition of Gray's assault and battery and MCRA claims.
    The magistrate judge also granted summary judgment on
    Gray's malicious prosecution claim.                On appeal, Gray does not
    challenge    this   ruling.       Consequently,         we    deem     the   malicious
    prosecution claim abandoned.           See United States v. Zannino, 
    895 F.2d 1
    , 17 (1st Cir. 1990) (explaining that "issues adverted to in
    a perfunctory manner, unaccompanied by some effort at developed
    argumentation, are deemed waived").
    C. The ADA Claim.
    There is one last hill to climb:                Gray's claim against
    the Town under the ADA.        Some background is helpful.
    Congress   enacted      the   ADA    "to    provide        a    clear   and
    comprehensive       national      mandate        for     the         elimination     of
    discrimination against individuals with disabilities."                       42 U.S.C.
    §   12101(b)(1).          Title       I     proscribes          disability-related
    - 25 -
    discrimination in employment, see 
    id. § 12112,
    and Title III
    proscribes disability-related discrimination in the provision of
    public accommodations (such as hotels, restaurants, and theaters),
    see 
    id. §§ 12182,
    12184.    Neither of these titles is implicated
    here.
    Title II broadly provides that "no 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." 
    Id. § 12132.
    Gray's ADA claim
    against the Town is rooted in this Title.
    To establish a violation of Title II, a plaintiff must
    show:
    (1) that [s]he is a qualified individual with
    a disability; (2) that [s]he was either
    excluded from participation in or denied the
    benefits of some public entity's services,
    programs, or activities or was otherwise
    discriminated against; and (3) that such
    exclusion,     denial    of   benefits,    or
    discrimination    was   by  reason   of   the
    plaintiff's disability.
    Buchanan v. Maine, 
    469 F.3d 158
    , 170-71 (1st Cir. 2006) (quoting
    Parker v. Universidad de Puerto Rico, 
    225 F.3d 1
    , 5 (1st Cir.
    2000)).   A "qualified individual with a disability" is
    an individual with a disability who, with or
    without reasonable modifications to rules,
    policies, or practices, the removal of
    architectural,       communication,       or
    transportation barriers, or the provision of
    - 26 -
    auxiliary aids and services, meets the
    essential eligibility requirements for the
    receipt of services or the participation in
    programs or activities provided by a public
    entity.
    42 U.S.C. § 12131(2).      In turn, the term "public entity" includes
    "any State or local government" as well as "any department, agency,
    special purpose district, or other instrumentality of a State or
    States or local government."        
    Id. § 12131(1).
    The Town does not gainsay either that Gray is a qualified
    person with a disability or that the Town is a public entity.
    Thus, the focal point of our inquiry is whether, during Gray's
    encounter with Cummings, she was "denied the benefits of [the
    Town's]   services,   programs,      or   activities    or    was   otherwise
    discriminated against . . . by reason of [her] disability."
    
    Buchanan, 469 F.3d at 170-71
    .
    Courts have identified two general theories describing
    ways in which a police officer may violate the ADA in executing an
    arrest.   The first such theory (which we shall call the "effects"
    theory) holds that a violation may be found when "police wrongly
    arrested someone with a disability because they misperceived the
    effects of that disability as criminal activity."                   Gohier v.
    Enright, 
    186 F.3d 1216
    , 1220 (10th Cir. 1999).               The second such
    theory (which we shall call the "accommodation" theory) holds that
    a   violation   may   be    found    when    police    officers     "properly
    investigated and arrested a person with a disability for a crime
    - 27 -
    unrelated to that disability, [but] they failed to reasonably
    accommodate the person's disability in the course of investigation
    or arrest, causing the person to suffer greater injury or indignity
    in that process than other arrestees."                    
    Id. at 1220-21.
             Before
    us, Gray advances arguments under both theories.8                    With respect to
    the "effects" theory, Gray argues that the criminal charges filed
    against her are an indication that Cummings misperceived her
    failure to follow his commands as a crime rather than a symptom of
    her disability.          With respect to the "accommodation" theory, Gray
    argues that Cummings should have accommodated her disability by
    "employ[ing] . . . time, patience, nonthreatening communication,
    monitoring    from       a     distance,     and    contacting     and    waiting     for
    assistance        such    as    an   ambulance       or   a     mental    health    care
    professional."
    In     mounting         our     inquiry,      we     start     with      the
    uncontroversial          premise      that     the    services,      programs,        and
    activities of a municipal police department are generally subject
    to the provisions of Title II of the ADA.                     See, e.g., Haberle v.
    8 The magistrate judge concluded that "Gray's complaint very
    clearly proceeds solely on the basis of the second theory of
    liability — that is, an alleged failure to reasonably accommodate."
    This conclusion seems to overlook the allegation in Gray's amended
    complaint that the Town "brought criminal charges against [Gray]
    without taking her mental illness into account."      Even so, any
    error was harmless: the magistrate judge prudently considered the
    merits of Gray's arguments under both the "effects" theory and the
    "accommodation" theory.
    - 28 -
    Troxel, 
    885 F.3d 170
    , 179-80 (3d Cir. 2018); Gorman v. Bartch, 
    152 F.3d 907
    , 912 (8th Cir. 1998).   Yet, three questions loom that are
    matters of first impression in this circuit:
       Does Title II apply to ad hoc police encounters
    with members of the public during investigations
    and arrests, and if so, to what extent?
       Assuming that Title II applies to the encounter
    that occurred here, may a public entity be held
    liable under Title II for a line employee's actions9
    on a theory of respondeat superior?
       Is proof of a defendant's deliberate indifference
    (as opposed to discriminatory animus) sufficient to
    support a plaintiff's claim for damages under Title
    II?
    We are reluctant to plunge headlong into these murky waters.     As
    we explain below, the answers to these questions are less than
    certain, and adjudicating Gray's ADA claim against the Town does
    not require us to run this gauntlet.
    The first question asks whether and to what extent Title
    II of the ADA applies to ad hoc police encounters.        The Fifth
    Circuit has held that "Title II does not apply to an officer's on-
    the-street responses to reported disturbances or other similar
    9 We use the term "line employee" to describe an employee who
    is not involved in policymaking.
    - 29 -
    incidents, whether or not those calls involve subjects with mental
    disabilities,   prior    to    the    officer's   securing   the   scene   and
    ensuring that there is no threat to human life."                   Hainze v.
    Richards, 
    207 F.3d 795
    , 801 (5th Cir. 2000).                 Other circuits,
    though, have charted a different course, holding that Title II
    applies without exception to ad hoc police encounters.             See, e.g.,
    
    Haberle, 885 F.3d at 180
    (concluding that "police officers may
    violate the ADA when making an arrest by failing to provide
    reasonable accommodations for a qualified arrestee's disability");
    Bircoll v. Miami-Dade County, 
    480 F.3d 1072
    , 1085 (11th Cir. 2007)
    (explaining that "Title II prohibits discrimination by a public
    entity    by    reason        of     [plaintiff]'s    disability"     during
    investigations and arrests); see also 
    Gohier, 186 F.3d at 1221
    (stating that "a broad rule categorically excluding arrests from
    the scope of Title II . . . is not the law").         Under this approach,
    exigent circumstances attendant to a police officer's decisions
    during an ad hoc encounter simply weigh in the balance when
    evaluating the reasonableness of a prospective ADA accommodation.
    See 
    Haberle, 885 F.3d at 181
    n.11; 
    Bircoll, 480 F.3d at 1085-86
    .10
    10 The Ninth Circuit reached the same conclusion in Sheehan
    v. City & County of San Francisco, 
    743 F.3d 1211
    , 1232 (9th Cir.
    2014). The Supreme Court granted certiorari in Sheehan in order
    to resolve whether Title II of the ADA "requires law enforcement
    officers to provide accommodations to an armed, violent, and
    mentally ill suspect in the course of bringing the suspect into
    custody." City & County of San Francisco v. Sheehan, 
    135 S. Ct. 1765
    , 1772 (2015). The Court later concluded that certiorari on
    - 30 -
    While no circuit has found Title II of the ADA wholly inapplicable
    to ad hoc police encounters, the differences in approach indicate
    to us that we should tread cautiously.         For present purposes, it
    is sufficient for us to assume, favorably to Gray, that Title II
    of the ADA applies to ad hoc police encounters (such as the
    encounter here) and that exigent circumstances may shed light on
    the reasonableness of an officer's actions.
    The second question asks whether a public entity can be
    vicariously liable for money damages under Title II of the ADA
    based on the conduct of a line employee.             This question arises
    because, in Gebser v. Lago Vista Independent School District, 
    524 U.S. 274
    (1998), the Supreme Court held that a school district
    could not be held liable under Title IX of the Education Amendments
    of 1972 "unless an official who at a minimum has authority to
    address the alleged discrimination and to institute corrective
    measures    on   the   [district]'s   behalf   has   actual   knowledge   of
    discrimination."       
    Id. at 290.
       Whether the rationale of Gebser
    should be extended to insulate public entities from liability under
    Title II of the ADA on a theory of respondeat superior is an open
    question.    Compare, e.g., Duvall v. County of Kitsap, 
    260 F.3d 1124
    , 1141 (9th Cir. 2001) (stating that "public entity is liable
    this question had been improvidently granted. See 
    id. at 1774.
    The Court took pains to note, though, that whether Title II
    "applies to arrests is an important question." 
    Id. at 1773.
    - 31 -
    for the vicarious acts of its employees" under Title II), with,
    e.g., Liese v. Indian River Cty. Hosp. Dist., 
    701 F.3d 334
    , 348-
    49 (11th Cir. 2012) (finding no respondeat superior liability under
    section 504 of Rehabilitation Act in light of Gebser).11               For
    present purposes, it is sufficient for us to assume, favorably to
    Gray, that the Town could be held vicariously liable under Title
    II for Cummings's actions.
    The third question asks whether a showing of deliberate
    indifference is enough to support recovery of money damages under
    Title II. Since a plaintiff must show "intentional discrimination"
    on the part of the public entity to be eligible for damages on a
    Title II claim, Nieves-Márquez v. Puerto Rico, 
    353 F.3d 108
    , 126
    (1st Cir. 2003), some uncertainty exists as to whether "deliberate
    indifference"     is    the   functional    equivalent   of   "intentional
    discrimination."       Several of our sister circuits have held that a
    showing of deliberate indifference may suffice to prove this
    element.     See, e.g., 
    Haberle, 885 F.3d at 181
    ; 
    Duvall, 260 F.3d at 1138
    .     But the question is open in this circuit, and we have stated
    that, "under Title II, non-economic damages are only available
    when there is evidence 'of economic harm or animus toward the
    11 As a general matter, Title II of the ADA "is to be
    interpreted consistently with" section 504 of the Rehabilitation
    Act, which prohibits disability discrimination by entities
    receiving federal financial assistance. Theriault v. Flynn, 
    162 F.3d 46
    , 48 n.3 (1st Cir. 1998).
    - 32 -
    disabled.'"    Carmona-Rivera v. Puerto Rico, 
    464 F.3d 14
    , 17 (1st
    Cir. 2006) (quoting 
    Nieves-Márquez, 353 F.3d at 126-27
    ).       This
    case does not require us to parse whether our use of the word
    "animus" demands more than a showing of deliberate indifference,
    cf. S.H. ex. rel. Durrell v. Lower Merion Sch. Dist., 
    729 F.3d 248
    , 263 (3d Cir. 2013) (interpreting Nieves-Márquez as requiring
    "a higher showing of intentional discrimination than deliberate
    indifference"), particularly since the Town has not advanced such
    an argument.     For present purposes, it is sufficient for us to
    assume, favorably to Gray, that deliberate indifference is the
    appropriate standard.
    Adjudicating Grays's ADA claim against the Town does not
    require us to run the gauntlet of these questions.    After all, we
    have admonished before — and today reaffirm — that "courts should
    not rush to decide unsettled legal issues that can easily be
    avoided."     United States v. Gonzalez, 
    736 F.3d 40
    , 40 (1st Cir.
    2013).   Consistent with this prudential principle, we decline to
    answer any of the three questions identified above.   No matter how
    the loaf is sliced, Gray was obliged at a bare minimum to make out
    a genuine issue of material fact as to Cummings's deliberate
    indifference to the risk of an ADA violation.
    In this context, such a showing requires proof that the
    defendant knew that an ADA-protected right was likely to be
    abridged, yet neglected to take available preventative action
    - 33 -
    notwithstanding such knowledge.             See 
    Haberle, 885 F.3d at 181
    ;
    
    Duvall, 260 F.3d at 1139-40
    .             In other words, to hold the Town
    vicariously liable under Title II based on Cummings's deliberate
    indifference, Gray would have to show that Cummings knew that Gray
    had a disability that required him to act differently than he would
    otherwise     have    acted,      yet    failed     to    adjust       his     behavior
    accordingly.      See, e.g., Crane v. Lifemark Hosps., Inc., 
    898 F.3d 1130
    , 1136 (11th Cir. 2018); 
    Duvall, 260 F.3d at 1140
    .                        Thus, to
    prevail on her version of the "effects" theory, Gray would at least
    have to show that Cummings knew that her failure to follow his
    orders was a symptom of her mental illness rather than deliberate
    disobedience (warranting criminal charges).                Similarly, to prevail
    on her version of the "accommodation" theory, Gray would at least
    have to show that Cummings knew that there was a reasonable
    accommodation, which he was required to provide.                       Gray has not
    made either such showing.
    To be sure, it is undisputed that Cummings knew that
    Gray   was   a   section    12    patient    and,       thus,    had   a     disability
    (specifically,       that   she   suffered       from    an     unspecified      mental
    illness).     See Mass. Gen. Laws ch. 123, § 12.                  But Gray has not
    shown that Cummings had any particularized knowledge about the
    nature or degree of Gray's disability.              As we have explained, 
    see supra
    Part II.A, the fact that Gray was a section 12 patient served
    only to put Cummings on notice that she had been deemed a danger
    - 34 -
    to herself or to others. There is insufficient evidence to suggest
    that Cummings knew either that Gray suffered from bipolar disorder
    or that she was experiencing a manic episode.               Without such
    particularized knowledge, Cummings had no way of gauging whether
    the conduct that appeared unlawful to him was likely to be a
    manifestation of the symptoms of Gray's mental illness.           So, too,
    without such particularized knowledge, Cummings had no way of
    gauging what specific accommodation, if any, might have been
    reasonable under the circumstances.
    Of   course,   Gray   has   adduced   evidence   that   national
    police standards provide protocols for dealing with individuals
    suffering from any type of mental illness.          Critically, though,
    Gray has not adduced any evidence showing that Cummings knew of
    the existence of such standards.12        Consequently, Cummings had no
    way of knowing that an ADA-protected right was likely to be
    jeopardized by his actions.
    12For the sake of completeness, we again note that the Town
    has a policy, which states that Tasers should not be used against
    "[t]hose known to be suffering from severe mental illness." Based
    on this policy, it might be argued that refraining from using a
    Taser against Gray would have been a reasonable accommodation for
    her disability. It might also be argued that, in tasing Gray in
    contravention of the policy, Cummings exhibited deliberate
    indifference. The rub, though, is that Gray has not advanced any
    such argument either below or in her appellate briefing. "In the
    absence of extraordinary circumstances, none of which are apparent
    here, we have regularly declined to consider points which were not
    seasonably advanced below." Clauson v. Smith, 
    823 F.2d 660
    , 666
    (1st Cir. 1987).
    - 35 -
    Nor were Cummings's actions so plainly antithetic to the
    ADA as to obviate the knowledge requirement.                See 
    Haberle, 885 F.3d at 182
    .       The record makes manifest that Cummings tried to
    talk to Gray before physically engaging with her, telling her
    repeatedly that she needed to return to the hospital.            He followed
    her from a distance and did not make physical contact with her
    until she reversed direction and moved toward him.                And in the
    ensuing encounter, he warned her that she would be tased if she
    did not put her hands behind her back and gave her several chances
    to comply before using the Taser (in the least intrusive mode
    available).
    Gray has also offered evidence that in failing to wait
    for backup or to call an ambulance prior to approaching her,
    Cummings fell short of nationally recognized police standards.
    But as we have said, she has not shown that Cummings knew of such
    standards; and in all events, "falling below national standards
    does not, in and of itself, make the risk of an ADA violation" so
    obvious as to eliminate the knowledge requirement.             
    Id. By the
      same   token,   Gray   has   not   offered   evidence
    sufficient to sustain a claim of direct liability against the Town.
    To make out such a claim, Gray could show that the Town's "existing
    policies caused a failure to 'adequately respond to a pattern of
    past occurrences of injuries like [hers].'"             
    Id. at 181
    (quoting
    Beers-Capitol v. Whetzel, 
    256 F.3d 120
    , 136 (3d Cir. 2001)).               Or
    - 36 -
    she could show "that the risk of . . . cognizable harm was 'so
    great   and    so    obvious'"    as    to   override   the   requirement   of
    demonstrating a pattern.         
    Id. (quoting Beers-Capitol,
    256 F.3d at
    136-37).   Gray has not made either showing:            she has proffered no
    evidence of a pattern, nor has she shown an obvious risk of harm.
    At most, she has put forth evidence that the Town's policies failed
    to comply with national standards.              But such a failure — without
    more — does not render the risk of harm so great and obvious as to
    excuse a failure to satisfy the pattern requirement.              See 
    id. at 182.
    To this point, we have explained why Gray's claim for
    money damages is impuissant.            But Gray's amended complaint also
    prays for injunctive relief.           This form of redress, too, is beyond
    Gray's reach.       Past injury, in and of itself, "is an insufficient
    predicate for equitable relief."                Am. Postal Workers Union v.
    Frank, 
    968 F.2d 1373
    , 1376 (1st Cir. 1992).              To have standing to
    pursue injunctive relief, a plaintiff must "establish a real and
    immediate threat" resulting in "a sufficient likelihood that [s]he
    will again be wronged in a similar way."            
    Id. (quoting Los
    Angeles
    v. Lyons, 
    461 U.S. 95
    , 109, 111 (1983)); see Updike v. Multnomah
    County, 
    870 F.3d 939
    , 948 (9th Cir. 2017), cert. denied sub nom.
    Multnomah County v. Updike, 
    139 S. Ct. 55
    (2018) (finding that ADA
    plaintiff "lack[ed] standing to pursue his claims for injunctive
    relief"); Dudley v. Hannaford Bros. Co., 
    333 F.3d 299
    , 306 (1st
    - 37 -
    Cir. 2003) (requiring "real and immediate threat of ongoing harm"
    for injunctive relief in ADA case). Gray cannot clear this hurdle.
    When all is said and done, it is not enough for Gray to show that
    because she has bipolar disorder, she is likely to encounter the
    police again.     She must show that she is likely to be tased once
    more, see 
    Lyons, 461 U.S. at 105-06
    , and she has not managed any
    such showing.
    Because there is no remedy available to Gray under Title
    II of the ADA, it follows that the district court did not err in
    entering summary judgment for the Town on Gray's ADA claim.     See
    
    Carmona-Rivera, 464 F.3d at 18
    (affirming summary judgment for
    defendants where no remedy was available to plaintiff on ADA
    claim).
    III. CONCLUSION
    We need go no further.    We add only that this is a hard
    case — a case that is made all the more difficult because of two
    competing concerns:     our concern for the rights of the disabled
    and our concern that the police not be unduly hampered in the
    performance of their important duties.      In the end, though, we
    think that the protections provided by Title II of the ADA can be
    harmonized with the doctrines of excessive force and qualified
    immunity, as explicated by the Supreme Court, to achieve a result
    that gives each of these competing concerns their due.     We think
    that our ruling today — which establishes in this circuit that a
    - 38 -
    jury   could   supportably   find    the     use   of   a   Taser   to   quell   a
    nonviolent, mentally ill person who is resisting arrest to be
    excessive force — satisfies this exacting standard.
    Affirmed.
    - 39 -