In the Matter of the Civil Commitment of V.H. v. St. Vincent Hospital & Health Care Center, Inc., d/b/a St. Vincent Stress Center (mem. dec.)
49A05-1701-MH-152
| Ind. Ct. App. | Jul 13, 2017Background
- V.H., with a long history of major depression and borderline personality disorder, made multiple suicide attempts (at least eight), most often by overdosing on over‑the‑counter acetaminophen (Tylenol).
- On December 23, 2016, V.H. was treated at St. Vincent for a potentially fatal Tylenol overdose and was given N‑acetylcysteine to prevent liver failure.
- St. Vincent filed for emergency detention and then sought involuntary commitment; after a contested hearing the trial court ordered regular commitment.
- As a condition of outpatient status, the court prohibited V.H. from using alcohol or drugs except those prescribed by a physician.
- V.H. appealed, arguing the alcohol prohibition bore no reasonable relationship to her treatment because her past attempts involved Tylenol, not alcohol.
Issues
| Issue | V.H.'s Argument | St. Vincent's Argument | Held |
|---|---|---|---|
| Whether a condition forbidding alcohol/drug use (except prescribed) for an outpatient commitment is supported by the record and reasonably related to treatment | The alcohol ban is unrelated to her treatment because her suicide attempts involved Tylenol, not alcohol | V.H. has a documented pattern of substance misuse (accessible substances used for suicide) and prohibiting nonprescribed substances protects her and the public | Affirmed: the prohibition is supported by evidence of repeated overdoses on readily available substances and is reasonably related to treatment; court declined to require parsing permitted substances |
Key Cases Cited
- Commitment of M.M. v. Clarian Health Partners, 826 N.E.2d 90 (Ind. Ct. App. 2005) (struck alcohol/drug prohibition where record lacked any evidence of substance use)
- Golub v. Giles, 814 N.E.2d 1034 (Ind. Ct. App. 2004) (similar rejection of a post‑commitment substance prohibition when alcohol/drug use was never shown at hearing)
