▶️ “We have a patient currently in holding who is saying he’s got suicidal ideations, swallowed some foreign object, has refused our basic medical care here,” a nurse told the operator. In the audio, you can hear that someone is moaning and yelling in the background. 

“At this point he is unable to speak and rolling on the floor in agonizing pain, holding his stomach,” the nurse continued. “A preliminary X-ray was done and a foreign object was found. We just need to take him to the hospital that’s closest so that they can verify if the object is currently in his system and possibly to excavate the object.”

I’ve been reporting on Camp East Montana for months. It sits on barren military land and was supposed to be a model for how the Trump administration would carry out mass deportations. Instead, it became an example of what could go wrong. It remains in operation despite claims of inhumane conditions and abuse, which Department of Homeland Security officials have said are “categorically false.” ICE plans to keep the facility running at least through Sept. 30, 2027, The Associated Press reported.

In the span of six weeks between December 2025 and January 2026, three men died at Camp East Montana, making it one of the country’s deadliest detention centers at the time.

In July, ProPublica and The Texas Tribune published my investigation into the Jan. 3 death of one of those men, Geraldo Lunas Campos, a 55-year-old Cuban national with a history of mental illness. He died after an altercation with guards over his medication, and a medical examiner ruled Lunas Campos’ death a homicide. (The Trump administration initially claimed that he had experienced medical distress, but Department of Homeland Security officials later said guards had used force to keep him from killing himself.)

“He Didn’t Need to Die.” How an Immigration Detention Center Repeatedly Failed to Address a Mental Health Crisis.

We found that Lunas Campos had repeatedly raised concerns about his mental health while detained at Camp East Montana. Records show staff didn’t transfer him to a facility that could better care for him, despite repeatedly saying they were working to do so.

I wanted to understand more about how the facility was responding to such incidents. I obtained, via public records requests, recordings of more than 160 emergency calls, and I spoke with staff, government officials familiar with the facility, detainees, lawyers and advocates who had spent time inside the detention center. 

I asked DHS about my reporting and some of the 911 calls. A spokesperson did not comment on the specific issues identified in the calls, but said the facility provides “comprehensive medical services, including mental health services.” If the detainee requires a higher level of medical care, they are referred to local emergency services as needed, the spokesperson said. The official also said that for many immigrant detainees, the healthcare they get while in custody is the best they’ve gotten in their lives.

Now I want to share some of those 911 calls with you. While they may be difficult to listen to or read about, they offer a glimpse into what’s happening in a place reporters don’t have access to. The calls and my investigation show failures in responding to mental health and medical emergencies that extend beyond those experienced by one man. (Note: In some cases, recordings were edited to remove long stretches where no one was talking.)