In 1976, the Supreme Court determined that prison officials must provide ready access to adequate medical care, which included mental health care. The standard for medical care was set for prisons in lieu of the case Estelle vs. Gamble (1976). Gable was a prisoner within the Texas Department of Corrections who was given a prison labor assignment loading and unloading cotton bales from a truck. In November of 1973, Estelle injured his back when a cotton bale fell on him. For the next three months he complained of back pain and chest pain. Instead of being given appropriate medical care, Gamble was subjected to administrative segregation for his refusal to work. Estelle filed a suit and the outcome was his constitutional rights under the