2017 IL App (3d) 160357
Ill. App. Ct.2017Background
- Tara S. was involuntarily admitted to a psychiatric facility and the State sought court authorization for involuntary administration of psychotropic medications for up to 90 days.
- The admission petition and inpatient certificate were signed by psychiatrist Andrew Lancia, who had personally examined Tara; Lancia did not testify at the hearing.
- The State called psychiatrist Marika Wrzosek, who reviewed records but did not personally examine Tara, and testified about Tara’s schizoaffective/bipolar presentation, hypersexualized behavior, and risk of victimization.
- Wrzosek proposed medication including risperidone and lithium and recommended treatment; Tara testified she had been treated previously, disputed needing medication, and said she sought help as a rape victim and for stress.
- Defense counsel did not object to (1) admission evidence lacking testimony from an examiner who personally examined Tara and (2) absence of written notice concerning lithium’s risks/benefits; the trial court ordered involuntary admission and medication.
- The appellate court reversed, finding counsel ineffective for failing to raise those statutory deficiencies; it reviewed the now-moot matter under the “capable of repetition yet evading review” exception.
Issues
| Issue | Plaintiff's Argument (State) | Defendant's Argument (Tara) | Held |
|---|---|---|---|
| Whether the State satisfied the statutory requirement that an expert who personally examined the respondent testify at the admission hearing | Wrzosek’s testimony based on record review sufficed to establish need for admission and treatment | Counsel should have objected because statute requires live testimony from an examiner who actually examined the respondent (and Tara did not waive that requirement) | Reversed: counsel ineffective for failing to object; statute requires live testimony by an examiner who personally examined the respondent and that requirement was not met |
| Whether the State provided the statutorily required written notice about risks/benefits/alternatives (lithium) before compelling medication | The record contained written forms for several drugs; State conceded no written lithium information in the record | Counsel should have objected because written notice is required for informed consent and verbal explanation is insufficient | Reversed: counsel ineffective for failing to object; no written notice for lithium in record, so respondent could not be compelled to take it |
Key Cases Cited
- In re Alfred H.H., 233 Ill. 2d 345 (discussing mootness and the capable-of-repetition-yet-evading-review exception)
- In re Michelle J., 209 Ill. 2d 428 (reviewing-records does not substitute for an examiner’s in-person testimony)
- In re Barbara H., 183 Ill. 2d 482 (right to counsel in involuntary commitment proceedings)
- In re C.E., 161 Ill. 2d 200 (liberty interest in refusing psychotropic drugs)
- Strickland v. Washington, 466 U.S. 668 (standard for ineffective assistance of counsel)
- In re Carmody, 274 Ill. App. 3d 46 (applying Strickland in civil-commitment context)
- In re Daryll C., 401 Ill. App. 3d 748 (applying Strickland to mental-health proceedings)
- In re Commitment of Hutchinson, 421 A.2d 261 (noting counsel’s role protects liberty interests in commitment cases)
