Bryant v. SteeleBryant v. Steele
MEMORANDUM OF DECISION AND ORDER
This civil rights and medical malpractice action arises out of the involuntary hospitalization of the Plaintiff (“Patrick Bryant”) at the Defendants Stony Brook University Medical Center (“Stony Brook”) and the Brunswick Hospital Center, Inc. (“Brunswick”) in March 2011. Presently pending before the Court are (1) a motion by the Defendants Kristen Steele, Brenda Garro, M.D., and Stony Brook (collectively the “State Defendants”) to dismiss the second amended complaint
I. BACKGROUND
Unless otherwise stated, the following facts are drawn from the second amended complaint and construed in a light most favorable to the non-moving party, the Plaintiff.
A. The Parties
The Plaintiff is a resident of Suffolk County in New York State.
The Defendant Kristen Steele was at all relevant times a member of the Mobile Crisis Unit operated by the New York State Office of Mental Health in Suffolk County (the “OMH”). '
The Defendant Thomas Yertrees, M.D. was at all relevant times a designee of the Director of Community Services in Suffolk County.
The Defendant David Marguiles, M.D. was at all relevant times a designee of the Director of Community Services in Suffolk County.
The Defendant Brenda Garro, M.D. was at all relevant times a physician employed by Stony Brook.
Stony Brook is operated by the State of New York, and, in turn, operates a Comprehensive Psychiatric Emergency Program (the “CPEP”).
The Defendant Theddeus Ihennacho, M.D. was at all relevant times a physician employed by the Defendant Brunswick Hospital Center, Inc. which is licensed by the OMH to provide psychiatric services.
The Defendant Abid Iqbal Khan, M.D. was at all relevant times a physician employed by Brunswick.
Finally, the Defendant Lloyd Sookhu, M.D. was at all relevant times a physician employed by Brunswick.
B. Procedural History
In late 2010 and into the early part of 2011, the Plaintiff allegedly received several telephone calls from unidentified persons that he perceived to be threatening. On February 7, 2011, the Plaintiff sought assistance from the Suffolk County Police Department to investigate these calls.
Between March 14, 2011 and March 21, 2011, the Plaintiff twice contacted the Internal Affairs Division of the Suffolk County Police Department to complain about the lack of progress of police work in connection with the allegedly threatening telephone calls. However, the Suffolk County Police perceived the Plaintiffs reports to them and his behavior as manifestations of mental illness.
At some point, the police contacted the Mobile Crisis Unit operated by the OMH to evaluate the Plaintiff. Part of the function of the Mobile Crisis Unit is to promptly assess the need for emergency mental health evaluations for individuals deemed to be in crisis.
On March 21, 2011, co-defendant Steele, a social worker who was part of the Mobile Crisis Unit, accompanied by two Suffolk County Police officers, approached the Plaintiffs home. The Plaintiff met them outside his home and the police engaged .the Plaintiff in discussion.
During the conversation with the police, the Plaintiff mentioned that he had old hunting rifles in his home. The rifles were collector’s' items: a Marlin; a World War
When the police asked the Plaintiff for more information about the rifles, he explained that he had four hunting rifles which he had not used in twenty-three years and had no intentions of using them. The Plaintiff further stated to the police that the rifles were dusty and therefore inoperable in their current condition. Shortly thereafter, the conversation ended, the police and social workers permitted the Plaintiff to return to his home.
The Plaintiff alleges that, notwithstanding his logical and coherent responses to the questions, Steele determined that the Plaintiff manifested symptoms of mental illness that required psychiatric evaluation.
Steele was never directly responsible for the Plaintiffs treatment prior to or subsequent to March 21, 2011. Steele communicated with the Directors of Community Services Designees, the Defendants Thomas Vertrees, M.D. and David Margulies, M.D. in connection the removal of the Plaintiff from his home pursuant to the provisions of New York Mental Hygiene Law § 9.45. Steele reported to Drs. Ver-trees and Margulies that the Plaintiff suffered from a mental illness for which immediate care and treatment in a hospital was appropriate.
The Plaintiff alleges that he never suffered from a mental illness for which immediate care and treatment in a hospital was appropriate and which was likely to result in serious harm to himself or others as defined by Mental Hygiene Law § 9.45. The Plaintiff further alleges that Steele had no basis to believe that the Plaintiff suffered from a mental illness for which immediate care and treatment was appropriate and which was likely to result in serious harm to himself or others as defined by Mental Hygiene Law § 9.45.
Nonetheless, on March 21, 2011, Drs. Vertrees and Margulies authorized the involuntary transport of the Plaintiff to the CPEP operated by Stony Brook pursuant to Mental Hygiene Law § 9.45. The police then seized the Plaintiff at his home and transferred him to the CPEP department at Stony Brook for psychiatric evaluation. The Plaintiff did not resist and left peacefully with the officers. However, the Plaintiff did not consent to any psychiatric services. The officers also' seized the Plaintiffs collector’s rifles from the display cabinet in his home.
At Stony Brook, the Plaintiff was examined by the Defendant Brenda Garro, M.D. for “approximately three minutes.” Dr. Garro apparently asked the Plaintiff why the police brought him to the CPEP. The Plaintiff then described his attempts to seek police assistance in connection with the allegedly threatening phone calls and that earlier in the day, he “casually” mentioned to the police officers the collector’s rifles in the display cabinet. Dr. Garro did not ask any further questions regarding the rifles, including why the Plaintiff had them, their condition; or whether they were loaded or in a locked area.
Further, Dr. Garro did not inquire whether the Plaintiff intended to use the guns for any purpose, including self-protection; whether he intended to harm anyone or himself; or whether he had any violent thoughts. In this regard, the
Following this meeting, Dr. Garro concluded that the Plaintiff was manifesting symptoms of a mental illness and required an evaluation for immediate treatment in a hospital setting. Dr. Garro subsequently applied to involuntarily hospitalize the Plaintiff pursuant to Mental Hygiene Law § 9.37.
The Plaintiff maintains that in conducting a psychiatric - evaluation that lasted no more than approximately three minutes, Dr. Garro could not have gathered the necessary information to satisfy professional standards to determine whether the Plaintiff posed a sufficient likelihood of causing harm to himself or others.
At some point, other staff members at Stony Brook contacted the Plaintiffs mother to gather information regarding the Plaintiffs history. The Plaintiffs mother confirmed that he had never attempted suicide or had a past psychiatric history.
As a result of his confinement, Stony Brook billed the Plaintiff for services rendered that he did not authorize or he agree to pay for.'
On March 22, 2011, Stony Brook transferred the Plaintiff to Brunswick, a private hospital, based upon Dr. Garro’s application for involuntary admission pursuant to mental Hygiene Law § 9.37. Again, the Plaintiff did not consent to the transfer and subsequent confinement, nor did he agree to accept and pay for any services delivered by Brunswick.
The Defendant Inhennacho, M.D. confirmed admission of the Plaintiff pursuant to Mental Hygiene Law § 9.37 without conducting a psychiatric evaluation of the Plaintiff. Rather, the Plaintiff asserts, Dr. Inhennacho simply relied on Dr. Garro’s prior assessment of the Plaintiff.
Shortly after the Plaintiffs admission to Brunswick hospital, the Defendant Lloyd Sookhu, M.D. conducted an examination of the Plaintiff for approximately ten minutes. Dr. Sookhu is a medical doctor and not a psychiatrist.
Within seventy-two hours of the Plaintiffs admission to Brunswick, the Defendant Khan, M.D., certified that the Plaintiff was in need of involuntary care and treatment pursuant to Mental Hygiene Law § 9.37 without conducting a psychiatric evaluation. The Plaintiff maintains that at no time during his confinement at Brunswick did a psychiatrist provide treatment to the Plaintiff. He remained involuntarily confined at Brunswick from March 22, 2011 until March 31, 2011, when he was released. As a result of this hospitalization, Brunswick and Dr. Sookhu billed the Plaintiff for services rendered that he did not authorize or agree to pay for.
On September 19, 2013, the Plaintiff filed this complaint against the Defendants, raising an array of claims, which are described later.
On January 9, 2014, Brunswick moved pursuant to Federal Rule of Civil Procedure (“Fed. R. Civ.P.”) 8(a)(2), 12(b)(6), and 12(h)(3) to dismiss the complaint as against it for failure to state a cause of action.
On March 17, 2014, following a hearing on an order to show cause, the Court granted the Plaintiff leave to file a second amended complaint. At that time, the Court also granted Brunswick’s request to have its motion to dismiss directed at the then-forthcoming second amended complaint.
The second amended complaint, formally interposed on March 18, 2014, raises the following claims: (1) a 42 U.S.C. § 1983 claim against Steele, Dr. Vertrees, and Dr.
It bears mentioning that in his original complaint, the Plaintiff included an eleventh cause of action that alleged that by rendering treatment services to the Plaintiff without his consent, Stony Brook and Brunswick were not entitled to any payments related thereto and sought a declaration to that effect. The second amended complaint omits this cause of action and request for declaratory relief. Nevertheless, the preliminary statement in the second amended complaint states that the Plaintiff seeks a declaratory judgment against the Defendants — presumably, Stony Brook and Brunswick' — that charged him for services he did not seek or require.
On March 25, 2014, the State Defendants moved pursuant to Rule 12(b)(1) and 12(b)(6) to dismiss the complaint for lack of subject matter jurisdiction and failure to state a claim.
II. DISCUSSION
A. The Relevant Pending Claims
As noted above, the pending claims against Brunswick are the Rehabilitation Act claim and two separate New York State law claims for medical malpractice; against Steele is the 42 U.S.C. § 1983 claim alleging a violation of the Plaintiffs right against unreasonable seizures as guaranteed by the Fourth and Fourteenth Amendments; against Stony Brook is the claim for a violation of the ADA; and against Dr. Garro are two separate claims .. for a violation of substantive due process, one claim for a violation of procedural due process, and the state law claim for medical malpractice. Again, there also appears to be a claim relative to payment of medical bills against Brunswick and Stony Brook.
“A federal court has subject matter jurisdiction over a cause of action only when it ‘has authority to adjudicate the cause’ pressed in the complaint.” Arar v. Ashcroft,
“When jurisdiction is challenged, the plaintiff bears the burden of showing by a preponderance of the evidence that subject matter jurisdiction exists, and the district court may examine evidence outside of the pleadings to make this determination.” Id. (internal quotation marks and citations omitted). “[T]he court must take all facts alleged in the complaint as true and draw all reasonable inferences in favor of plaintiff, but jurisdiction must be shown affirmatively, and that showing is not made by drawing from the pleadings inferences favorable to the party asserting it.” Morrison v. Nat’l Austl. Bank Ltd.,
C. The Rule 12(b)(6) Motion to Dismiss Standard
When deciding a motion to dismiss under Fed.R.Civ.P. Rule 12(b)(6), the court must “accept all allegations in the complaint as true and draw all inferences in the non-moving party’s favor.” LaFaro v. New York Cardiothoracic Group, PLLC,
D.The Medical Bills Claim against Stony Brook
As a threshold matter, the Court finds that it lacks subject matter jurisdiction over any claim against Stony Brook relative to the payment of medical bills.
A claim that is barred by a state’s sovereign immunity must be dismissed pursuant to the Eleventh Amendment for lack of subject matter jurisdiction. See Va. Office for Prot. & Advocacy v. Stewart, — U.S. -,
Eleventh Amendment immunity extends to a State when sued as a defendant in its own name and also, as here, to
Accordingly, the Court grants that part of Stony Brook’s motion to dismiss the claim against Stony Brook relative to payment of medical bills.
E. The ADA Claim Against Stony Brook and the Rehabilitation Act Claim Against Brunswick
The ADA is intended “to provide a clear and comprehensive national mandate for the elimination of discrimination against individuals with disabilities.”-, 42 U.S.C. § 12101(b)(1); see Henrietta D. v. Bloomberg,
Courts generally apply the same legal standards when adjudicating claims arising under the ADA and ones arising under the Rehabilitation Act. Harris v. Mills,
As a general matter, neither the ADA nor the Rehabilitation Act applies to claims regarding the quality of mental health services, Atkins v. County of Orange,
The Plaintiff cites Bolmer v. Oliveira,
The Plaintiff contends that this Court must reconcile the Second Circuit’s decisions in University Hospital and the decision in Bolmer. The Plaintiff essentially seeks this Court to read Bolmer to hold that doctors discriminate under the ADA and the Rehabilitation Act whenever they forcibly hospitalize a patient on the basis of stereotypes about that patient’s mental illness, even if the stereotypes relate to matters appropriately considered in deciding whether to involuntarily hospitalize an individual.
While the parties briefed the instant motions to dismiss, the Second Circuit issued an opinion, McGugan v. Aldana-Bernier,
Bolmer is susceptible of at least two interpretations. [The Plaintiff] asks us to read Bolmer as support for the proposition that doctors discriminate under the ADA whenever they forcibly hospitalize a patient on the basis of stereotypes about that patient’s mental illness, even if the stereotypes pertain to matters appropriately considered in deciding whether to involuntarily hospitalize a patient. Under this reading, our holding in Bolmer would be incompatible with the prior holding of University Hospital. But it is also possible to read Bolmer as meaning that the defendants discriminated against the plaintiff because they assumed, on the basis of stereotypes, that no case worker would have had a sexual relationship with a person suffering from bi-polar disorder, so that the plaintiffs claim of such a relationship must have been the result of erotomaniac delusions. Under this latter reading, the plaintiff stated a claim for discrimination because his bi-polar disorder was irrelevant to whether he had a sexual relationship with his case worker or whether he had erotomaniac delusions.
Although the first reading of Bolmer would be plausible if one read Bolmer on a stand-alone basis, such a reading would directly contradict University Hospital’s prior binding precedent, which stated that “section 504 prohibits discrimination against a handicapped individual only where the individual’s handicap is unrelated to, and thus improper to consideration of, the services in question.” Univ. Hosp., 729 F.2d at 156 . The first reading of Bolmer, which we reject, would also give plaintiffs an almost unfettered ability to re-frame claims of medical malpractice into federal claims of discrimination on the basis of disability.
We therefore think the better reading of Bolmer is the second. We understand Bolmer to hold that, as in ... University Hospital, a plaintiff pleads an actionable claim of discrimination in the medical treatment context under the ADA or the Rehabilitation Act if she alleges that the defendants made treatment decisions based on factors that are “unrelated to, and thus improper to consideration of’ the inquiry in question. This reading accords Bolmer with University Hospital and prevents an interpretation of the Rehabilitation Act that would federalize many (if not most) claims for medical malpractice.
Id. at 233-34, at *7-8.
Applying the Second Circuit’s holding in McGugan, the Court finds that the Plaintiff has not plausibly alleged that Stony Brook or Brunswick forcibly hospitalized him on the basis of considerations that were “unrelated to” or “improper to consideration of’ the likelihood that he posed a danger to himself or others. Because he has failed to make such allegations, he has not stated a claim of discrimination under the Rehabilitation Act or the ADA. The Plaintiff “cannot alter this conclusion by characterizing [Stony Brook and Brunswick’s] conduct as based on'discriminatory stereotyping of people with mental illness. If [Stony Brook and Brunswick’s] decision was based on stereotyping, it was based on stereotyping of conditions that were appropriate to consider in making the ultimate determination to hospitalize.” Id. at 234, at *8. Accordingly, while the Plaintiff may have alleged negligent medical treatment, he has not alleged actionable discrimination under the ADA or the Rehabilitation Act.
The Plaintiff also cites Lesley v. Chie,
Accordingly, the Court grants State Defendants’ motion to dismiss the ADA claim against Stony Brook and grants Brunswick’s motion to dismiss the Rehabilitation Act claim against it.
F. The Remaining Claims Against Brunswick
Having dismissed the only federal claim against Brunswick — namely, the Rehabilitation Act claim — Brunswick would ask this Court to decline to exercise supplemental jurisdiction over the pendent state law claims against it, that is, the two New York State medical malpractice claims and the claim relative to unpaid medical bills.
“Under 28 U.S.C. § 1367(a) federal courts have supplemental jurisdiction to hear state law claims that are so related to
Contrary to Brunswick’s contention, a common nucleus of operative fact can exist “even if the state law claim is asserted against a party different from the one named in the federal claim.” Id. Finally, the Second Qircuit has instructed that, “[i]n determining whether two disputes arise form a common nucleus of operative fact, we have traditionally asked whether the facts underlying the federal and state claims substantially overlapped ... [or] the federal claim necessarily brought the facts underlying the state claim before the court.” Achtman v. Kirby, McInerney & Squire, LLP,
In the present matter, the state law claims against Brunswick are so closely related to the pending federal claims— including, the Section 1983 Fourth Amendment claim against Steele- — that they form the same case or controversy. Accordingly, the Court denies Brunswick’s motion to dismiss the pendent state law claims against it.
G. The Section 1988 Claims
To prevail on a claim under 42 U.S.C. § 1983, a plaintiff must show: (1) the deprivation of any rights, privileges, or immunities secured by the Constitution and laws; (2) by a person acting under the color of state law. “Section 1983 itself creates no substantive rights; it provides only a procedure for redress for the deprivation of rights established elsewhere.” Sykes v. James,
1. The Fourth Amendment Claim Against Steele
In this case, the Plaintiffs involuntary commitment at Stony Brook and Brunswick constituted a seizure within the meaning of the Fourth Amendment, which protects against unreasonable searches and seizures. See Glass v. Mayas,
Here, the complaint itself indicates that the Suffolk County Police informed Steele of circumstances they believed to necessitate her presence as an OMH Mobile Crisis Unit worker and she spoke with the Plaintiff and also with the police. However, the Plaintiff alleges that there was no indication that he engaged in homicidal or other violent behavior by which others would be placed in reasonable fear of serious injury. Drawing all reasonable inferences in the Plaintiffs favor, the Court finds that the Plaintiff has set forth sufficient facts to support his Fourth Amendment claim against Steele. Accordingly, the Court denies the State Defendants’ motion to dismiss this claim against him.
Alternatively, the State Defendants argue that this claim should be dismissed on the basis of qualified immunity.
Here, the Court finds that the Defendants have failed to show “on the face of the complaint” that probable cause or arguable probable cause existed to involuntarily hospitalize the Plaintiff. See McKenna,
2. The Substantive Due Process Claims Against Dr. Garro
As noted above, the Plaintiff alleges that Dr. Garro violated his right to liberty under the substantive’ component of the due process clause, in two respects: first, by authorizing the Plaintiff s-involuntary commitment when he did not pose a danger to himself or others and second, by failing to apply accepted risk assessment criteria.
The Due Process Clause of the Fourteenth Amendment provides that a state shall not “deprive any person of life, liberty, or property, without due process of law.” U.S. Const. Amend XIV, § 1. The Due Process Clause “was intended to prevent government from abusing [its] power, or employing it as an instrument of oppression.” Collins v. City of Harker Heights, Tex.,
Indeed, because the Plaintiffs claims sound in a search and seizure violation under the Fourth Amendment, it is the Fourth Amendment that provides the proper analytical framework. See e.g. Bryant v. City of N.Y.,
3. The Procedural Due Process Claim Against Dr. Garro
The Second Circuit has acknowledged that “[a]n involuntary civil commitment is a ‘massive curtailment of liberty,’ and it therefore cannot permissibly be accomplished without due process of law.” Olivier v. Robert L. Yeager Mental Health Ctr.,
New York’s overall statutory scheme governing involuntary commitments has been held to “facially satisf[y] Fourteenth Amendment due process requirements.” Olivier,
Although the Court recognizes that a cognizable Fourteenth Amendment claim under Section 1983 can exist in certain involuntary commitment cases, the Court concludes that the Plaintiff has failed to articulate a plausible claim that he has been denied procedural due process with regard to his involuntary commitment. Indeed, the Plaintiff fails to identify any specific procedure contained in the Mental Hygiene Law that an evaluating physician must use — and here, failed to use — in determining whether a person satisfies the substantive statutory requirements for involuntarily commitment. Accordingly, the Court grants the State Defendants’ motion to dismiss the procedural due process claim against Dr. Garro.
H. The New York State Medical Malpractice Claim Against Dr. Garro
Although the Court has dismissed the Plaintiffs federal causes of action against Dr. Garro, the Court observes no
III. CONCLUSION
In sum, the Court grants in part and denies in part the separate motions to dismiss by Brunswick and the State Defendants. In particular, the Court grants Brunswick’s motion as to the Rehabilitation Act claim and dismisses that claim against it. Otherwise, the Court denies Brunswick’s motion to dismiss the complaint against it. In addition, the Court grants the State Defendants’ motion as to the claim relative to payment of medical bills and the ADA claim against Stony Brook; and the procedural and substantive due process claims against Dr. Garro. Otherwise, the Court denies the State Defendants’ motion to dismiss the complaint against them.
SO ORDERED.