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Goebel v. Colorado Department of Institutions
764 P.2d 785
Colo.
1988
Check Treatment

*1 trial, again in of We have held mencement before of counsel. assistance disqualification is In the ab- considering jury. a motion case submitted showing of his right timely objections to counsel a defendant’s sence and a absolute, subject to is and is choice not of ineffective prejudice, own a demonstration balancing takes into considera counsel, test which not a the error should assistance of a to be defendant tion interests and a trial. result reversal new lawyer and the particular a represented Accordingly, judg- I would affirm the integrity right to maintain public’s ment of conviction. process. Rodriguez v. District judicial say RO- I am authorized to that Justice (Colo.1986). Court, joins in this dissent. VIRA not a sixth Indigent defendants do have own right to counsel of their amendment Wainright, v.

choice. See Gideon 372 U.S. 83 S.Ct. 9 L.Ed.2d 799 Court, v. P.2d 549 District

Williams

(Colo.1985). indigent do Since defendants right their own have a to counsel of

not choice, person has financial a who Edmiston; GOEBEL; Kathy George Ruth attorney not be employ an should means Wooten; Williams, Jr.; A. Laura Lee guar- right granted supplemental a which Munson; Similarly and All Other Situ he him a if counsel new trial antees Persons, ated right to erroneously denied the selects is be no difference participate. There should right coun- the defendant’s when between Griffith; Arevalo; Lindsey Robert Jessie appointed. Standard sel is retained and Phares; Pemberton, individually Bill the ABA for Criminal 4-3.9 of Standards and on behalf of (1986), lawyer “Once a provides: Justice described, Petitioners, herein representation of an undertaken the has accused, obligations are the duties and lawyer privately re- whether the same DEPARTMENT OF INSTI COLORADO tained, serving legal aid appointed, or in a M.D., TUTIONS, Traylor, and Frank opin- program.” majority or defender capacity official as the Director of his effectively a creates double standard ion Department of Institu the Colorado solely on defendant’s financial abil- a based Denver; tions; County Fed he ity to retain the counsel desires. Pena, capacity as in his official erico objected The defendant to the removal City; Joyce Ne Executive of Chief year more a before trial be- counsel than ville, capacity as Director her official a for a gan, argument of motion Hospi Department of Health and of the trans- mistrial for the admission similar tals; Casper, in his offi and Edmund evidence, again in a motion action Depart capacity as Director of the cial was after the case submitted withdraw Hospitals Mental ment Health He issue in jury. also raised the Respondents. Program, Health view, my new motion for new trial. No. 87SC27. granted of an should not be because trial validity of the that did not affect error Colorado, Supreme Court truth-finding process prejudice the de- En Banc. rights. judge A trial should be fendant’s 14, 1988. Nov. to correct an erroneous afforded ruling disqualification of defense Rehearing As Modified on Denial of right to I believe a defendant’s counsel. 19, 1988. Dec. disqualifica- appellate review for the seek must be lawyer he retained tion prior to the com-

preserved objection

Legal Denver, Metropolitan Aid Soc. Dean, Mullen, Denver, James W. Kathleen Committee, Pryor, Lawyers Colorado Car- P.C., ney Johnson, Rodney Patula, R. & Englewood, petitioners. for Gen., Woodard, Atty. Duane Charles B. Howe, Gen., Deputy Atty. H. Chief Richard Forman, Gen., Lievers, Carolyn Sol. First Atty. Gen., Margery Bornstein, Asst. Sp. T. Atty. Gen., Denver, respondents Asst. for Institutions, Dept, Tray- Colorado Frank lor, M.D., of the as the Director Colorado Institutions, Dept, Joyce Neville as the Dept, Hospi- Director of the of Health and tals, Casper and Edmund as the Director of Dept, Hospitals of Health and Mental Program. Health Stephen .Kaplan, City Atty., P. H. Morris Evans, Hibbard, III, Asst. At- R.W. tys., Denver, respondents City and for County of Federico Pena as Denver and City. Chief of the Executive Dice, Turner, Charles Michael R. Jon S. Nicholls, Boyer, Joseph Lloyd L. N. de Raismes, Taubman, Denver, M. Daniel amicus Bar Ass’n. curiae Colorado LOHR, Justice. brought

In this on behalf of class action mentally persons ill re- chronically certain Denver, siding in northwest challenged adequacy of the mental by the provided to them Colora- care Department and the Den- do of Institutions Department Hospitals, Health and ver sought declaratory injunctive re- holding After damages. lief as well as hearings, the trial court dis- number of plain- missed all for relief. The the claims areas, appealed, then tiffs defendants cross- catchment each a separate served litigation granted prior we certiorari to mental health center. This appealed, and focus- area, es the northwest catchment judgment by Appeals the Colorado Court of which includes Capitol downtown Denver and Hill required We pursuant to C.A.R. 50. high and which has a concentration of the certification of the determine whether chronically mentally persons.2 Many and, proper if class was under C.R.C.P. these were released into com- so, claims under the whether munity from the Colorado Hospital State Colorado Act the Care and Treatment and other state during institutions Mentally Ill, -127, 27-10-101 §§ part 1960s and 1970s as aof nationwide (1982 Supp.); & 1988 C.R.S. Colora- movement toward deinstitutionalization of Community Health do Mental Services Pur- litigation ill. At the time this -208, Act, 27-1-201 to chase C.R.S. §§ commenced, the community mental health (1982 Supp.); the & 1988 Federal Rehabili- center for the northwest Denver catchment Act tation 29 U.S.C. § *4 Department area was the Denver of Health Act, Rights 42 the Federal Civil U.S.C. (DHH), Hospitals and which had contracted first, (1982); fifth, eighth the and § with the capacity. state to serve in that fourteenth amendments to the United long complex This case has a history. and Constitution; II, States article During it became that clear Denver Constitution; of the Colorado and for would to funding not able continue duty breach of the common of law clinical DHH in amounts required to maintain ser- properly care were dismissed.1 We affirm existing vices at levels unless the state part, in judgment part, the reverse it in and legislature increased its support. When case remand this to trial court for necessary support from the state was proceedings. further forthcoming, not Denver study conducted a to assess the situation at DHH and to I. ways recommend budget. to cut the Rec- delivery public The of mental health ser- ommendations for service reductions were mayor in supervised by April vices Colorado is submitted to the in the Colo- of 1981. accepted Department These were and through rado scheduled to take Institutions effect on June 1981. its Division of Mental Health. Mental provided through health services are two May In claims in were asserted hospitals—the Hospi- state Colorado State Denver on Probate Court behalf of the Logan tal and at Pueblo the Fort Mental chronically ill mentally persons in north Health Center—and a number of communi- west Denver several who individuals ty throughout mental health centers had illness received treatment for mental particular areas, serving state geographic Department from the Colorado of Institu called “catchment areas.” The tions and in who resided the northwest County of Denver is into divided four Denver catchment area. These claims plaintiffs originally "mentally person” The also raised claims un- 2. A ill is now defined sec- governing county der the 27-10-102(7), statutes (1988 assistance for Supp.), tion 11 C.R.S. as "a poor, -108, §§ 30-17-101 12A C.R.S. person tive, volitional, cogni- awith substantial disorder of the (1986), provisions relating and the to the licens- processes or emotional that ing of mental health facilities Colorado grossly impairs judgment capacity recog- Health, -121, Department of §§ 25-1-101 reality or to nize control behavior....” (1982 Supp.), C.R.S. & 1988 but withdrew these psychiatrists testifying agreed at trial a that prior claims to trial. The claims un- chronically mentally person ill who someone Community der the Federal Health Mental Cen- long standing suffers from mental that illness Act, (1980 Supp.); § ters 42 U.S.C. Om- generally many is severe and invades areas Budget August nibus Act Reconciliation patient’s major categories life. The legislation Pub.L. No. 97-35 the state schizophrenia, chronic mental illness are manic- enabling Colorado to receive federal illness, depressive organic syndrome. brain funds, 27-1-206, mental health (1982), see C.R.S. prior were dismissed the trial court trial, plaintiffs do contest these dis- missals. May hearing, the court against Depart At the also brought the Colorado were Institutions the director prelimi- ment evidence the motion heard chal plaintiffs department.3 that nary injunction. plaintiffs asserted health adequacy of the mental lenged the likely program reductions were that ill chronically mentally provided to care chronically the time ill increase Denver, living quadrant northwest spend hospitalized would or in individuals inadequacy that and asserted among jail and number of suicides to them their care violated available mentally ill, causing irreparable chronically state consti number federal and under a motion, The court harm. denied con- statutory provisions. The case tutional cluding had not that sus- designated People the Interest was showing irreparable their burden of tained Goebel, plaintiffs moved 81MH270. The harm, and the in services reduction took temporary certification and for a for class 1, 1981. A place as scheduled on June preliminary injunc restraining order mental number of of mental prevent reduction tion reopened closed at time several effect on scheduled to take health services later, although months on a smaller scale. June 29, 1981, hearing held on May was On August four other filed re- The individual these motions. in Denver Court an action District individu- similarly quested they and others all ally and on behalf of the class of chronical- under C.R. be certified a class situated persons residing ly mentally north- They the state had C.P. 23. asserted that *5 designated Denver. This action was west grounds general- to act acted or refused on Denver, City County and Arevalo of ly class, applicable to the that there were Goebel, As in the No. 81CV6961. fact, questions of and and that common law sought injunc- declaratory in this case and representative parties of the the claims relief for violations of the class mem- tive of the of the class. typical were claims statutory rights and constitutional bers’ The estimated that there were adequate community-based mental receive 5,000 3,000 chronically mental- and between They health treatment and services. also ly persons northwest Denver sought damages plaintiff named for each the catchment area. motion described treatment, appropriate of care and for loss class as physical anguish, and as well as mental persons presently receiv- all Colorado of deprivation liberty of and violations oth- services, ing who receive services guarantees. The named er constitutional action, during pendency the of this City and consisted of the Coun- defendants upon discharge from aftercare whose Denver, Council, City ty of the the Denver facility the any other mental health Department Mayor, Director of the of the Hos- responsibility of Health and Denver Hospitals, and the Director the pitals/Mental Program Health virtue Health any statutory provisions.... Program, the DHH Mental Health Colora- director, its Department do Health and granted for class The court the motion Department the Colorado Institu- 23(b)(2) and and certification under C.R.C.P. September In (b)(3). tions and its director.4 Program original and the DHH Mental Health its 3. The record does contain the and pleadings joined the None in this matter. From were defendants. amended director as sketchy appropriateness references in the materials available parties contest of the the the us, genesis followed, understand the case had its present purposes we procedures and for that were in four individual mental health cases important or detail the it is not to understand respondents in those later consolidated. The the cases or of the initiation of the intricacies successfully sought restructure the actions pleadings. We refer to of the the amendments posture plaintiffs and pleadings to themselves as asserting plaintiffs. claims as the claims that in the case to assert the are involved By agreement parties, Colorado of the De- persons, On as now before us. motion of these were Denver, partment of Health its director later County Mayor and City and the Denver, defendants, Council, was the Depart- as named as Den- City dismissed the Denver director, Hospitals and its ver Council. ment of Health and judge prehensive of the Denver District Mental chief Health Center and a and ac- Court ordered Goebel Arevalo number of co-sponsors. DHH’s contract hearing designat- for and tions consolidated provide community the state to mental judge acting ed district probate completed health services would be as of judge court to hear the consolidated cases. 1, 1985, January point and at that DHH would as a withdraw mental municipal and state defendants filed center, organization and new motions to dismiss all the claims for relief. However, would take over. Denver Gener- ruling issued mo- court its these Hospital al would continue to serve as a 7, 1982, July pro April tions on nunc tunc long-term facility, pro- and short-term care judge legal 1982. The reviewed the viding inpatient care. See 27-10-105 to §§ upon theories which the claims -109, (1982 Supp.). & C.R.S. were and for based dismissed claims on: relief that were based plaintiffs again December eighth A. The first and amendments to temporary for restraining moved order United States constitution and preliminary injunction. They re- counterpart; Colorado its quested implementa- enjoin that the court Community B. The Federal Mental aspects reorganiza- tion of certain Health Center Act Omnibus plan tion scheduled to take effect on Janu- Budget August Reconciliation Act of ary asserting plan that if the took (as request private to the for effect there be a sharp would reduction in reform, rights and in- institutional support treatment and services cluding programs; creation ill, chronically mentally thereby increasing request but not as to the for declara- risk psychotic episodes, which in injunctive relief); tory hospital- turn could in an result increase C. The Federal Rehabilitation Act of izations, charges, incarcerations on criminal (as request pri- [sic] plaintiffs argued and suicides. The reform, vate and institutional plans the transition and new including programs); the creation of inadequate were therefore class of chronically mentally ill would suffer imme- *6 Rights irreparable D. injury 1983 the Federal Civil diate and if court the did Act. not intervene. The court treated the mo- preliminary tion as one for injunction and proceeded The to cases trial a before it days hearings, denied after three not- judge remaining different on the claims. ing while possibility that there was a real trial, agreed Prior to it was that the initial mentally ill that would be hearing rights the would focus on the in process, “bruised” the transition it was plaintiff class and that remedies would be persuaded not- the plan new would so a proceeding. addressed in later Fourteen “drastically demonstrably” injure and the days of trial were held over a three week injunction plaintiffs that an was warranted. period during September judge 1982. The reorganization plan The went into effect as then took the cases under and advisement January planned on 1985. years more passed than two deci- without a During period, sion. municipal this the and 7,May the On court entered its developed plan state defendants a reor- to fact, findings of conclusions of law and ganize mental health services the north- declaratory judgment. findings The de- west Denver catchment area. problems the facing tailed the trying community, to live in the August 1984 and re- Department the Colorado the request pro- sent viewed offered the state Institutions out posals seeking organization replace municipal an and defendants. The court to de- provider DHH community as the termined that the Act for the Care and Ill, Mentally care services The Treatment of the northwest Denver. 27-10- §§ Department -129, (1982 accepted Supp.) Institutions the 101 11 1988 C.R.S. & proposal (Care Act), Community Aurora Com- and Treatment creates a statu- May substantially order un- appropriate treatment right tory changed. patients vol- community for who have been hospitalized, and

untarily involuntarily In December the court issued an this establishing defendants had violated procedure order for deter- mining appropriate remedies failing provide adequate contin- plaintiffs’ of the under the violation community treatment coordinated uum of Treatment The defendants Care and Act. The court also con- support services. and plan were ordered to submit a for the deliv- had not estab- cluded that ery appropriate mental on cognizable claims for relief based lished appointed The health services. court also of the Rehabilitation Federal experts independent the remedi- evaluate (29 (1982)), the Act of U.S.C. § f plan. developed The state al defendants care, duty or the law of clinical common plan required, munici- remedial but States Colorado Constitutions. United pal summary judg- defendants moved for funding did stated that lack of The order dismissing proceed- ment them future from fulfilling the defendants from not excuse ings, arguing long- DHH no since was statutory right to care and plaintiffs’ providing er ser- community mental health community. parties The treatment longer necessary par- vices no were motions, post-trial includ- filed a number arguments ties. court heard on this ing motion for a determina- 9,May motion and denied it implement of remedies and relief tion plan approved Before the remedial was declaratory judgment, the state and implemented, legislature passed municipal to alter defendants’ motions Bill which amended the Care Senate findings judgment. or amend the inserting Act by and Treatment the lan- ruling post-trial on these motions court’s guage “subject appropriations” to available some minor alterations left in various sections of statute.5 Senate made provided part: Senate Bill 120 27-10-116(1), Revised Section 4. Statutes, Colorado introductory portion 1. The to 27- Section Vol., 10-101(1) 27-10-101(2), Repl. is amended to read: Colorado Re- Statutes, Vol., (l)(a) Repl. Right Any vised are amended 27-10-116. treatment. receiving to read: person un- evaluation or treatment (1) Legislative 27-10-101. declaration. provisions of this article is der that, assembly general hereby SUB- declares psychiatric medical care and entitled to APPROPRIATIONS,the JECT TO AVAILABLE treatment, SERVICES WITH REGARD TO purposes of this article are: 27-l-201(l)(a) TO LISTED IN SECTION (2) carry purposes, out SUBJECT TO To these (l)(e) AND SERVICES LISTED IN RULES APPROPRIATIONS, provi- AVAILABLE REGULATIONS BY SEC- AND AUTHORIZED liberally con- sions of article shall be 27-1-202, to meet his individual TION suited strued. needs, way keep delivered in such a as to *7 27-10-107(6), Section 2. Statutes, Colorado Revised SUB- him in the least restrictive environment Vol., Repl. to read: is amended JECT TO AVAILABLE APPROPRIATIONS. treat- 27-10-107. Certification for short-term agency person professional the or The and (6) respondent ment. The for short-term evaluation, care, facility providing or treat- attorney may any file or his time treatment at detailing keep all care and ment shall records request for a written that the certification by person, such received and treatment such be re- short-term treatment or the treatment available, upon that be records shall made viewed the court or that the treatment authorization, attorney person’s to his written outpatient requested, an is on basis. If review physician. shall personal Such records or his shall within ten the court hear the matter permanent records. give days request, after the shall and the court (b) Any person receiving or treat- evaluation attorney respondent the his and notice to and any provisions of this arti- ment under the certifying treating professional person and the petition pursuant to to court cle is entitled the place hearing the time and The thereof. C.R.S., 13-45-102, provisions of section the 27- shall be held in accordance with section TO APPROPRIA- SUBJECT TIONS, AVAILABLE hearing, At the the 10-111. conclusion of the setting to for release a less restrictive may court enter confirm the certification treating facility or release treatment, within or without discharge re- short-term the for spondent, der, treating adequate facility medi- from a when appropriate or enter or- other psychiatric treatment is not cal and care and TO APPROPRIA- SUBJECT AVAILABLE TIONS. administered. signed Second, patients.7 Bill 120 the Governor and ized was we will examine the 3,May 210, on arising effective 1986. Ch. became claims under the and Treat- Care 1986 Colo.Sess.Laws 1010-11. state ment Act. The assert the that then asserted that under defendants the correctly interpreted trial court the act act, longer juris- no had amended the court 1985, order, May its that Bill and Senate plan, implement diction to the remedial and not deprive jurisdiction, 120 did the court of plaintiffs’ the moved dismiss claims disagree while the defendants with both injunctive municipal for relief. The defend- Third, propositions. these we will address supported position. June ant that On plaintiffs’ the assertion that the trial court arguments the heard on court oral its improperly arising dismissed the claim un- require plan, jurisdiction to a remedial and Community der the Colorado Mental July 11, stating issued an order on it Fourth, Health Services Purchase Act. we longer it no jurisdiction that to order had plaintiffs’ argument will consider the injunctive urged relief. The court the state section 504 of the Federal Rehabilitation municipal implement and defendants provides Act them with for cre- claims plan voluntarily remedial and ordered the damages ation of new reports defendants to furnish semi-annual past Fifth, remedy discrimination. will we outlining steps implemen- toward taken plaintiffs’ examine the assertion plan. tation municipal defendants their com- violated care, duty mon law of clinical and the mu- judgment pursu- The court entered final nicipal defendants’ contention that there is 54(b) ant C.R.C.P. on October duty. Finally, no such we will consider the dismissing prejudice plain- all of statutory and constitutional except damages tiffs’ claims those in- arising claims under U.S.C. 1983 and curred for violation of the Care and Treat- the Colorado Constitution. prior passage Act ment Senate Bill 120.6 In an order issued on December 4, 1986, the court supplemented its final A. CLASS CERTIFICATION

judgment, stating Care Treat- “provides express ment Act an Before we examine the is- neither nor substantive sues, implied must first damages” cause of action for we determine whether the dismissing properly damage were certified as a class claims. The plaintiffs appealed governs under which judg- from the final C.R.C.P. the certi- ment, and the state fication and maintenance class municipal defend- actions. prerequisites cross-appealed. ants While case certification of a class was 23(a): pending in are described in section appeals, plain- the court of petitioned tiffs for expedited court re- One or more members of a class sue pursuant to view C.A.R. 50 or for extraor- representative sued parties or be on dinary under granted relief C.A.R. 21. We (1) behalf all if: is so expedited certiorari under C.A.R. 50. joinder all numerous that members (2) impracticable; questions there are

II. class; (3) or fact law common to the addressing the issues representative raised claims defenses of the parties, municipal parties we first typical will consider the of the claims or de- class; challenge (4) defendants’ represent- class certifica- fenses of the grounds parties tion fairly that the class should adequately ative will *8 only hospital- have included involuntarily protect the interests of the class. 2, 4, 27-10-101, -107, -116, Ch. sec. argue any §§ 7. The state defendants also the under Care and Treatment Act to Colo.Sess.Laws 1010-11. care discharge hospitalization treatment after from 7, 1985, only incorporated May applies tients, involuntarily hospitalized pa- The 6. trial court to its argument declaratory do not cast the judgment judgment this the into final challenge a form of to the class certification. issued on October IIB(l). § See infra any residing plaintiffs’ motion such individual its ruling on the Goebel within In class, catchment area. the trial court for certification requirements and deter- considered these municipal challenge The defendants’ In they were satisfied. order mined that the certification is class based on the as a class action to be maintained for an should contention that the class not include action, require- satisfy also the it must persons hospitalization on who received general types the of class ments for one of basis, voluntary since the Care and Treat 23(b). The trial described in section actions provide ment Act does not them with the this case met court determined right to treatment in the least restrictive 23(b)(3).8 23(b)(2) and criteria of sections Although reject environment. we the as ruling court made May its sertion that the Care and Treatment Act in class certification was clear that Goebel respect only involuntarily applies enough encompass the named broad IIB, hospitalized patients, see we infra plaintiffs in Arevalo9 and described conclude that the trial court abused its class as follows: certifying plaintiff discretion in class as residing in persons All the Northwest appropriate respect the class to each County Area of the Catchment July of the claims asserted. In its Denver, Colorado, of whom Denver ruling, recognized the court that “[t]he Hospitals/Mental Health and Health plaintiffs, being lumped in despite their (or reasonably knows should be class, Center single posi in fact in are different aware) during pendency of this who system,” tions the mental health within (1) services; mental health action: receive categories the different within described (2) or whose mental health care aftercare plaintiff class: upon discharge any from other mental clear, [Tjhere relatively are two distinct facility statutory responsi- is the categories plaintiffs, and several sub- Hospi- bility of Denver Health and categories nearly status is not so whose Health Center. tals/Mental category plaintiffs clear. The first includes those ... who are or have been chronically

This class excludes those involuntary in-patients under certifica- that catch- within tion, and who would benefit from com- chronically ment area of status as whose munity That is the class of treatment. mentally ill it would be unreasonable rights to defendants whose treat- [sic] Hospi- expect Denver Health clearly protected by ment are most Health Center to be aware tals/Mental provisions. statute and the constitutional functions, except until the exercise of its during pendency time of this are those such Another class non-institutionalized, Hospi- and not action as Health and who are Denver less clear- certified. Those are tals/Mental Health Center is made aware 23(b) (A) part: of the class in provides The interest of members 8. C.R.C.P. in relevant controlling prosecution individually or de- Any action be maintained as a actions; (a) separate prerequisites fense of action if the satisfied, of section (B) any litigation and in addition: The extent and nature of controversy already concerning the com- (2) party opposing class has acted or class; against members of the menced or generally applicable grounds refused to act on (C) desirability undesirability of con- class, making thereby appropriate final to the centrating litigation in the of the claims declaratory injunctive corresponding relief or forum; particular whole; respect class as a relief with (D) likely difficulties to be encountered (3) questions of law The court finds that the management of class action. members of the class or fact common affecting predominate questions over brought Although purportedly was Arevalo members, and that a class individual action, previously court had never a class superior available methods action is to other that it could be so main- 23(c)(1). determined order adjudication of the for the fair and efficient C.R.C.P. tained. See controversy. pertinent The matters findings include: *9 794 categories plaintiffs to either constitutional or stat- of ask

ly entitled who could for such relief. rights utory to treatment. great Trial courts of have deal discre there least court sees that are at determining in certify tion whether to categories_ kinds of in-between

two class action. Friends Chamber Music alleg- first includes the sub class County Denver, v. and illusory voluntary in-patients. edly (Colo.1985). 316-17 23 C.R.C.P. allows pa- ill would Those be those flexibility shaping the trial court in a class involuntary pa- in fact tients who are provides “ample action. It the court with tients, nominally although on the books powers, both in conduct of trial and responsible treat- of the institution for granted things relief to treat common ment, they volun- are characterized as distinguish distinguish and common tary patients because of circumstances Corp., able.” Jenkins v. United Gas they under which or someone on their (5th Cir.1968). F.2d Subsection signed behalf in.... 23(c)(4)provides appropriate: that when category The second in-between (A) may brought An action be main- composed chronically mentally of those respect as a action tained class certified, patients previously who were issues, (B) particular may a class presently legally are and who certificable into divided subclasses and each subclass fact, who are not certified in but [sic] class, provisions treated as a and the living community, are in the who Rule then shall be construed and advantage take of the would applied accordingly. if were available. particularly helpful This subsection is 7,May 1985, ruling, In its court trial enabling complex courts to restructure recognized also that the class eli- members requirements cases meet the Rule gible relief under Care and Treat- Wright, Kane, See 7B C. A. Miller M.& asserting ment Act10 differ from those a Federal Practice and Procedure § However, right.11 constitutional the court (1986). may A powers court utilize its un go enough defining did not far how 23(c)(4) parties der on a motion or on categories were each related to its own initiative. v. Regan, See Marcello relief, claim relying instead on its certi- F.Supp. 586, (D.R.I.1983). 591-92 one plaintiff fication of broad class. Given fact, in some it cases be an abuse of range extent class wide discretion if the court trial does initiate presented case, of issues in this court 23(c)(4) under action structure the class carefully Ben’s, should have more Inc., delineated action. See Johnson Uncle (5th Cir.1980), nature of each claim for relief 628 F.2d cert. de initially any 10.The court mem- described the class 11.The court noted that constitutional rights bers with under Care and Treatment to treatment would limited to: Act as follows: Those who released were into the commu- inpatients 1. Those who been have under nity hospitals part from the state of the certification, involuntary certi- still are movement, now deinstitutionalization re- fied; and Area; side in the Northwest Catchment inpatients 2. untary who Those have been on a vol- discharged 2. Those into the Northwest basis; and, in-patient hospital- from Catchment Area 3. Those who at one time were presently certified Department ization of Health and Hos- fact, although are not certified in pitals; and presently legally certifiable. presently 3. Those confined in mental health 7, 1985, order, May The court’s however is not aegis facilities under the De- the Denver entirely describing categories consistent in partment Hospitals of Health and who are granted rights who are under capable being community. treated in the act. conclude We those who have received evaluation or under treatment virtually 12.C.R.C.P. 23 is identical to Fed.R.Civ. provisions of the Care and Treatment therefore, interpreting P. the Colora- Act are within the has under rely 27-10-116(l)(a), applying do rule we on cases federal that act. See (1982). C.R.S. rule.

795 (1987). 293, primary If the 967, 103 Practice 74 L.Ed.2d S.Ct. 1123.45[1] nied 459 U.S. injunctive declaratory for relief claim is (1982). 277 damages requested, also the case are court 23(c)(4) a trial authorizes C.R.C.P. 23(b)(2) proceed as a action without can repre for appropriate issues to isolate the damages notice to class if the members treatment, Rice v. see sentative can be characterized as incidental claim 17, (E.D.Pa. 20 Philadelphia, 66 F.R.D. See, e.g., nature. Probe v. State Teachers’ Crest, Inc., 59 1974); Regal v. Goldstein 776, (9th F.2d System, Retirement (E.D.Pa.1973), or to subdi F.R.D. Cir.1986), 476 U.S. cert. denied categories, such into suitable vide a class 90 L.Ed.2d 978 Parker S.Ct. seeking relief under different groups No. United Steel v. Local Union statutes, Regan, 574 Marcello v. see 104, 107(5th America, 642 F.2d workers Solomon, 591-92; F.Supp. at Wolfson Cir.1981). damage remedy sought in If the (S.D.N.Y.1972). By 54 F.R.D. pri any class action claim this case is delineating the class or subclass carefully incidental, mary rather than the claim issue, advantages respect to each 23(b)(3) fall under and the notice would common to adjudicating issues that are 23(c)(2) requirements apply. This would representa or subclass on a the entire class require the court to “direct to the though would even may tive be secured basis practi of the class the best notice members in the case have be other issues no under the circumstances.” This class member. cable litigated separately each (S.D. mem tice would have to inform each class Wolfgang, 47 F.R.D. Fogel v. that, N.Y.1969). among things, he or she has ber other option to excluded from the class powers have used its The court should and that if a does not exercise that member 23(c)(4) shape under control C.R.C.P. option any judgment later entered remand, Therefore, the trial on this action. binding on that mem class action will be carefully assess whether court must more remand, trial court must con ber. On remaining in the case each claim for relief damages plaintiffs’ claims sider how in a class appropriate adjudication for is properly should that were not dismissed and, so, categories per- if action what and must also address the characterized up such a class or sub- sons should make issue of notice. class. failed to address The trial court also B. CARE AND TREATMENT ACT damages claims whether appropriate treatment in a class initially ruled that The trial court are, action, notice to and if whether Treatment Act created broad Care and required. is individual class members plaintiff class rights for members in for relief plaintiffs’ class action claims and treat- comprehensive “to care receive damages claims for under Section cluded residing in the ment while known to be Act, 42 504 of Federal Rehabilitation Area,” and that both Northwest Catchment duty common law U.S.C. and the municipal and state defendants were granting the motion for clinical care. Af- obligated satisfy right to care. this certification, the court relied both class assembly adopted general ter the Senate 23(b)(2) 23(b)(3). Notice to C.R.C.P. 120, however, Bill the court determined required in an of the class is members longer ruling no accurate that was 23(b)(3) not in under action maintained had to care and treatment since 23(b)(2). one maintained under legislatively conditioned on the avail- been ability funds. The court concluded Generally, courts have determined juris- it of funding deprived limitation 23(b)(2) relief applicable is where the requiring the injunction de diction to enter sought predominantly injunctive or provide care any plan implementation claratory, apply does not where through plaintiff damages. 3B J. and treatment primary is for See claim centers. community mental health Kennedy, Federal Moore & J. Moore’s plaintiffs challenge the court’s conclusion psychiat- article is entitled to medical and effect, Bill 120 had this ric care and Senate treatment suited to meet his municipal challenge state defendants individual needs and delivered such a *11 original interpretation way keep the court’s of the as to him in the least restric- prior possible. Care Treatment Act as it existed tive environment to the Bill enactment Senate 120. We that, The trial pursuant court determined question any first address the of whether act, diagnosed to this chronically “known rights legally enforceable to care and treat- mentally persons ill statutory right have a by ment created the Care and were Treat- to care and in community.” treatment ment Act and then consider the effect of The court right applied concluded that this any rights. Senate Bill 120 on such to both those inpatients who have been

under involuntary certification and those inpatients who have voluntary been on a Treatment Act Care and was enacted basis. substantially present in its form 1973 municipal The state and defendants do provides comprehensively for the com challenge this applies conclusion as it mitment, persons care and treatment of involuntary patients, they argue that and, mentally who are ill aas result of the trial court in holding erred this illness, danger mental a to others or to right applies as voluntary patients. well to gravely themselves or disabled. The act They contend that the Care and Treatment encompasses voluntary both and involun distinguishes Act between voluntary and treatment, tary to be in desig administered involuntary patients right and that the set hospitals nated and other mental health 27-10-116(1)(a) forth in section applies only statutory facilities. The scheme contem to those involuntarily hospitalized. The plates seventy-two an initial hour treat municipal emphasize defendants that this ment and evaluation followed further court has referred to the Care and Treat voluntary care on a basis or certification ment Act as a commitment provid statute for not more than three months of short- ing hospitalize a method to involuntarily term pa treatment the absence of the those danger who are a to themselves or -108, tient’s consent. 27-10-103 to §§ others, see, e.g., People Taylor, (1982 Supp.). C.R.S. 1988& When further (Colo.1980), argue only those required, treatment patient may is be patients involuntarily committed have a long-term certified for treatment for suc continuing right to treatment after dis periods cessive six months. charge from a facility. treatment How 27-10-109,11 (1982 Supp.). C.R.S. & 1988 § ever, noted, as the trial court in section Provisions are periodic made for review of 27-10-101, (1982 11 C.R.S. Supp.), & 1988 appropriateness of continued certifica legislature purposes described the judicial tion and for determination that the the Care and extending Treatment Act as criteria for involuntary continued treats comprehensively to address the needs of all 27-10-111, 11 ment have been met. C.R. mentally ill as follows: (1982 Supp.). S. & 1988 (a) person To secure for each who contend such care that the Care and treatment provides and Treatment Act as will be suited ap to the needs of the person propriate care and treatment for to insure that such the chron care and ill, ically mentally hospitalized skillfully humanely while treatment are both ad- for living respect treatment and while ministered with full per- the com for the munity son’s discharge. dignity personal after At integrity; the time actions, commenced these section 27-10- (b) deprive person To of his liberty 116(l)(a), (1982),provided 11 C.R.S. perti purposes of treatment or only care part: nent when less restrictive alternatives are un- Any person receiving evaluation or treat- safety available and when his or the ment under provisions of this safety endangered; others (c) provide possible To the fullest mea- tinuum of coordinated treat privacy, dignity, sure of and other support ment and services.” The defend persons undergoing care and treat- challenge part ants of the trial court’s illness; ment for mental findings. argue The state defendants (d) present class is bound the use evidence encourage voluntary To regard ed in representatives, rather measures to than coercive secure state contends that this treatment and care mental evidence illness.... establishes that the named did (2) purposes, these carry To out receive treatment based their individual provisions liberally of this article shall be needs in setting. the least restrictive We construed. reject the argument. state’s The state de *12 addition, 27-10-116(l)(a) express- In fendants refer to no authorities sup person ly receiving states that “[a]ny eval- port argument, their which seems to be provi- uation or treatment under the based on premise the that the treatment (emphasis added) sions of this article” has accorded the named must also right psychiatric to medical and care and have been available to the other class mem treatment. bers. While it the plain is true that named construing Our in primary task a statute tiffs were to transferred less restrictive is give to ascertain and effect to the intent placements during action, the course legislature. People of the v. District the presented evidence at trial established Court, 918, (Colo.1986). 713 P.2d 921 To that many class were members not similar intent, legislative discern we must look to ly testimony treated. The revealed that statute, language the of the and words and many mentally ill chronically individuals in phrases given according must effect to the northwest Denver catchment area live plain their ordinary meaning. Id.; in boarding nursing houses or homes that Trinity Hall, Universal Insurance Co. v. adequate support lack and treatment ser 227, (Colo.1984). 690 P.2d 230 We conclude provide vices and therefore do a desir reading that the trial court’s of the Care therapeutic able environment. The record providing rights and Treatment Act as to shows small numbers of voluntary involuntary both patients is persons ill by are served such as fully language consistent the with of the care, outreach, day and vocational rehabili legislative expressed act and intent the in tation, many while others could benefit section 27-10-101. Halderman v. Cf. from such services. conclude that We Hospital, Pennhurst State School and evidence amply supports the trial court’s (3d Cir.1979) F.2d (construing 100-03 finding that failed satisfy the defendants to Pennsylvania’s Health Mental and Mental obligation provide plaintiff their to Retardation Act of 1966 to create an obli- adequate care and treatment in gation provide to mentally services hand- community. icapped on the basis of need), grounds, 1, rev’d on other 451 U.S. ruling, In May its the trial S.Ct. 67 L.Ed.2d Dix- funding court also determined that lack of F.Supp. on v. Weinberger, 405 979 did not excuse the defendants from fulfill (D.D.C.1975)(construing Hospital- the 1964 ing rights chronically mentally Mentally ization Ill require of the Act to under the Care and Treatment Act. In a placement in facilities in alternative ruling, later the court added that the Care community that are less restrictive than an Treatment Act created entitlement inpatient placement such facility when continuing and that treatment “nowhere purposes consistent with the rehabilitative Care and did Treatment [the Act] act). of the Legislature equate that entitlement to the court, having

The trial found a funds available from time to time for the stat treatment, purpose.” Legisla “if utory right concluded The court stated granted rights ture intended the under the by defendants had violated that “failing] required Colorado of the Men provide broad con Care and Treatment

tally expand implementation rights Ill Act to contract re whether cre- infusions, sponse fiscal by to its annual ated the Care and Treatment Act was Legislature ought make that intention legislature by intended to be limited crystal clear....” availability appropriations. trial court prema- We conclude that the Declaratory judgments are not to be is unnecessarily turely addressed the is- sued in the absence an actual controver sue of whether afflicted with sy. County Board Sullivan v. rights chronic mental illness have created Comm’rs, (Colo.1985); 692 P.2d by the Act Care and Treatment that must Tele-Communications, Community Inc. regard be satisfied without the amount (Colo. Corp., Heather 677 P.2d money appropriated legislature 1984); County Beacom v. Board of legislature purpose. for that chose to Comm’rs, (Colo.1983). create strong such use of In declaratory judgment order for a to be language of entitlement section 27-10- appropriate, 116(l)(a) pur- the statement of the complaint must therefore state a poses of the Treatment Care and Act in question which is existent and not a mere language section 27-10-101. This reflects academic or question. nonexistent firm part commitment and resolve on the words, justiciable other there must be a *13 Assembly of the adequate General legal controversy extant, issue or a and care provided and treatment will be to possibility not a mere that at some fu- mentally those ill who receive ser- ture question may time such a arise. vices under the Care and Treatment inAct County Denver, Heron v. keep order to them in the least restrictive 314, (1966); Colo. 411 P.2d However, possible. environment accord, e.g., Taylor v. Tinsley, 138 Colo. necessary money amount of to assure that 182, 183-84, 330 P.2d see any this commitment will be satisfied in -115, generally to 13-51-101 6A C.R.S. §§ is, nature, by year very subject its not to (1987) (Uniform Declaratory Judgments prediction. precise Law); C.R.C.P. 57. We conclude that the The trial plain- court has found that the trial court issuing abused its discretion in provided adequate were with tiffs care declaratory judgment question on the community. and treatment rights by whether the created the Care and court, however, stopped requiring short of by Treatment Act limited ap- available approving plan remedy to the viola- propriations because this issue is not a plaintiffs’ right tions of the to treatment present controversy. of its because conclusion Senate Bill declaratory Our conclusion judg- deprived jurisdiction 120 had the court to ment on was inappropriate this issue is implement plan. a remedial The features by reinforced the fact that the Care and plan adequacy of such a existing amended, Treatment Act has been as dis- funding implement facilities and to such a following cussed in the Section II B and plan have leg- never been determined. The that the governs amended section now islature, therefore, present- has never been rights of the adequate to care ed with a appropriations situation where obligations treatment of the have been found to insufficient to reme- legislature provide funding to neces- dy by violations of created the Care sary satisfy rights. to those

and Treatment no Act. have reason to We speculate Assembly that the would General unresponsive request supple- to a for a

mental appropriation legislature responded in such a situation.13 to the tri therefore, premature, is It to al ruling by passing determine court’s Senate Bill 13. The General Assembly empowered Assembly is appropriations plena- to enact General over supplemental, special appropriations 'by sepa- ry, subject only to constitutional limitations.” bills, embracing Lamm, subject.” rate Assembly each but one Colo.Gen. Const, V, power (Colo.1987). Colo. art. "The § 32. of the 27-10-116(l)(a) any enjoining to enter orders amended section the State De- which provide: implement fendants plan to the remedial implement was receiving which drawn to the for-

Any person evaluation treat- provisions merly-existing rights of this ment under these Plaintiffs. psychiat- However, article is entitled to medical and voluntary actions which treatment, regard ric to care will be taken the State Defendants 27-l-201(l)(a) listed services great public toward that end are of inter- (l)(e)14 listed in rules and and services est, and should be made known. Conse- regulations authorized section 27-1- quently, proper the Court deems it needs, 202, suited to meet his individual jurisdiction require within its it be way keep in such a and delivered furnished reports semi-annual of the ac- him in the least restrictive environment steps tual taken both State Defend- subject appropriations. to available Municipal ants and Defendants toward 27-10-116, Ch. sec. 1986 Colo. voluntary implementation of the re- added.) (Emphasis Sess.Laws plan. medial language emphasized also was inserted argue The defendants that the trial court provisions in other of the Care and Treat- properly dismissed the claims for 5,n. supra.15 ment Act. See When this injunctive relief.16 The state defendants law, amendment the state defend- became assert that under the amended statute dismiss, asserting ants moved to that the there is no unlimited community deprived as amended the court of statute based services and therefore no mandate implement jurisdiction plan. the remedial for the creation of additional agreed, concluding The trial court that it programs.17 fact, the state contends jurisdiction lacked to order the defendants that had the imple- trial court ordered the implement proposed plan: plan, mentation of the remedial its inter- (i.e., upon Based the current statute C.R. vention in a resource allocation decision 27-10-101, *14 seq., by S. et as amended Sen- separation pow- would have violated the of 120), Legislature ate Bill has cur- ers doctrine. rights given tailed the to these Plaintiffs. Separation Article III of the

Pursuant Colorado Constitution Powers Doctrine, jurisdiction provides: the Court lacks 27-l-201(l)(a) (e) part damages

14. Section of a 16. The named also asserted a center,” "community definition of mental health claim for the violation of their under the provides: which prior Care and Treatment Act to its amendment (1) "Community by mental health Senate Bill 120. The trial court dismissed center" means claim, physical plant group either a concluding of services this that the Care and Treat- under unified administration or affiliated "provides express Act ment neither an nor an another, including with one following at least the implied damages.” cause of action for We provided prevention services for the agree legis- with the court’s that the conclusion and treatment of mental illness in provide lature did not intend to for enforcement residing particular community in a in or near by damages. individual claims for facility so situated: services; (a) Inpatient emphasize generally 17. The defendants in services; (b) Outpatient kind, apply cases of this a court is to the law in (c) hospitalization; Partial See, effect at time it renders its decision. services; (d) Emergency Board, e.g., Bradley v. Richmond School 416 (e) Consultative and educational services. 696, 711, 2006, 2016, U.S. 94 S.Ct. 40 L.Ed.2d Realty 476 Miami Int'l Co. v. Town of 15. We do not conclude that Senate Bill 120 Butte, 448, (D.Colo. F.Supp. Crested Mt. 607 451 any exhibits withdrawal the General Assem- 1985). cogency This has in the context of this bly provide from its commitment to services to case, overseeing develop since the court is ill under the Care and Treatment plan ap ment of a mental health that will be Instead, appears Act. it to reflect an under- plied prospectively. County See pub- to maintain control of the standable desire 410, Tramway Corp., v. Denver F.2d Denver 187 expose lic fisc and not to it to unconditional fact, (10th Cir.1951). parties ap obligations 416-17 In in absence of sufficient information pear agree applies permit obligations reliably quanti- that the amended law such to be case, they disagree over what it means. fied. this government powers implementation of this plan a remedial into three distinct state are divided de- this case would not violate the constitution legislative, partments,—the executive separation al powers, mandate of since judicial; person no collection the court simply interpreting would persons charged with the exercise of Act, Care and Treatment determining the powers properly belonging to one of requirements act, of that directing departments these shall exercise spend defendants appropriated the funds power properly belonging to either of the legislature in accordance with those others, except as in this constitution ex- requirements. pointed As we out in Unit pressly permitted. directed or ed Presbyterian Association v. Board of power appropriation is vested in the County Commissioners, 485, 167 Colo. Assembly. As Colorado General General (1968), 448 P.2d judiciary “the Lamm, (Colo. sembly v. 700 P.2d is the authority final in the construction of ” 1985). given duty The executive is the constitution and the laws.... faithfully executed, see that the laws are As the Supreme Massachusetts Judicial and in duty, order to fulfill this the execu Court stated in Blaney v. Commissioner authority tive has the to administer the Correction, 374 Mass. 372 N.E.2d appropriated by legislature funds (1978), traditionally courts have had the legislature. enacted power to “directing public issue orders offi- Lamm, Anderson v. 195 Colo. carry cials to out their obligations.” lawful (1978). P.2d authority This allows Id. 372 case, N.E.2d at In “specific the executive to make staffing supervised trial court the development of a and resource allocation decisions.” 195 specific plan regulating the classification of Colo. at 579 P.2d at 624. The state protective custody inmates. The Massa- argue defendants legislature that once the Supreme chusetts Judicial approved Court appropriates funds for services to the actions, the trial pointing court’s out that ill, chronically mentally the executive alone “the administrative function of detailing has authority to determine how the compliance plans rests exclusively with the money allocated, will judicial department.” case, Id. as in Bla- branch not interfere this decision. ney, the court did develop not the mental They rely on this court’s statement Colo itself, plan but instead allowed the Department rado State Health v. Geri state to do so. The trial court’s review of atrics, Inc., (Colo.1985): plan statutory compliance would separation “The powers im- doctrine require it to make allocation decisions. poses upon the judiciary proscription *15 Instead, simply it would approve or reject against interfering the executive or ” plan developed by the the executive based legislative branches.... This doctrine upon judicial criteria derived from con- insures judiciary that the will not “under struction of the statute.18 pretense case,” deciding preempt of agency executive exercising from plaintiffs assert, As the the trial court powers properly sphere. its within own ruling erred its that the amendment of (Citations omitted.) deprived the act jurisdiction it of protect to rights. class members’ argue amended implementation only act not plan “right of a retains the by remedial to court would not treat ment” separation provision upon violate the powers which doctrine. the court Moreover, they finding based contend that if its statutory right, the court implement plan, could not it would also clarifies right and reinforces deprived of constitutionally its power making explicit based reference to the mental interpret to agree enforce the law. We particularized health services in section 27- 18. We need not determine at this legislature time whether ap- cumstances where the does not judiciary reviewing would have role in propriate implementa- sufficient funds for full executive par- resource allocation decisions in tion. implementation tial plan of a remedial in cir- l-201(l)(a) (l)(e) regula finding and in rules and jurisdiction it lacked ap prove implement tions authorized section 27-1-202. It is plan.19 the remedial implementation right that is subject appropriations. made available C. PURCHASE OF SERVICES ACT Polk, 750 F.2d Alexander 260- Cf. plaintiffs argue that the trial court (3d Cir.1984)(applicants un benefits denying erred in their claims under the program property der federal food have Community Mental Health Services Pur- legitimate expec interest where have Act, -208, chase 27-1-201 to 11 C.R.S. §§ receiving tation of benefits under statutory (1982 (Purchase Supp.) & 1988 of Services criteria; and regulatory existence of statu Act). provides This act authority for the tory funding simply limits imposes an addi Department Colorado of Institutions to benefits); receipt tional condition on purchase community mental health services Halderman v. Pennhurst State School & clinics, from community mental health cen- (a Hospital, 612 provision F.2d at 102 in ters, hospitals agencies. and other Section Pennsylvania’s Mental Health and Mental 27-1-203, (1982), 11 C.R.S. states that: limiting Retardation Act of 1966 counties’ encourage In order to development obligation financial for mental health ser preventive, treatment, and rehabilitative vices the event of insufficient state fund through services new mental ing may imply right that the to treatment programs, health improvement unconditional, is not but no is without expansion existing community mental limitations). some Bill Senate 120 does not services, health integration limit rights provided the substantive under community with state mental health ser- Act, the Care and Treatment but does ex vices, there is program to established.a plicitly restrict the remedies available for purchase community mental health ser- rights. the fulfillment of those After the department vices of institutions. approved trial eourt plan, the defendants' it specifies The act types of services that could implement have directed them to it may purchased and the limits on the appropriated until the funds ran out. The pay amount the state can for these servic- defendants then would have had the obli es, expressed percentage as a of cost. gation bring legislature’s atten 27-1-204, (1982). 11 C.R.S. Section 27- tion the inadequacy funding to satis promulgated 1-205 and the rules under the fy plaintiffs’ rights. See Massachu Act, 27-1-202, Purchase Services see § setts Coalition Homeless v. Secre (1982 Supp.), specify C.R.S. & 1988 also tary Services, Human 400 Mass. centers, the standards that mental (1987). 511 N.E.2d 603 To the extent that hospitals clinics and must inmeet order to required provided services could not be qualify funding. for state requiring some manner not additional funding, and to the extent that the neces sary appropriations provide required court, 7, 1985, order, May The trial in its forthcoming, services were not the court Department noted that the of Institutions would not be implement able order and had entered into three contracts with the *16 Thus, full relief. the trial in Department court erred Denver Hospi- of Health and municipal proper permit 19. The defendants raise an additional denial was in order to the trial argument relating liability to under the Care scope fashioning past court full in relief for They point and Treatment Act. out that DHH violations of the Care and Treatment Act and in community withdrew as a mental health center continuing long-term view of DHH’s role as a longer at the obligated of end 1984 and that are no inpatient facility. and short-term care See provide community to the mental -109, (1982 27-10-105 to §§ C.R.S. & 1988 required health services under the Care and Furthermore, Supp.). municipal the defendants 1986, they Treatment Act. In March moved for may damages past be liable for of violations summary judgment requested and that the trial rights the asserted the in their any proceedings court dismiss them from future damages various claims the to extent that reme- prospective in the case related to remedies. The dies are available. court denied this motion. We believe that such Halderman, 1, 18-27, of purchase community the mental 451 U.S. tais for S.Ct. the Den- 1531, 1540-1544, (1981) within northwest health services 67 L.Ed.2d 694 year area for the fiscal end- ver catchment (concluding Developmentally that the Dis ing The court determined June Bill Rights abled Assistance and Act is state, purchasing in mental health that the merely funding a statute and creates no defendants, municipal from the services treatment). rights substantive to As the con- incorporate had failed to into these out, point encourages, defendants the act adequate provisions protect tracts to the require, development but does not chronically rights ill under Although mental services. subsec However, and Act. Care Treatment 27-1-204(2) (4)(a) tions and lan contain did not find that the plaintiffs the court guage providing year general each that rights had under the Purchase of Services assembly appropriate” “shall funds for the independent granted Act of those under the purchase services, language certain this Act, concluding Treatment that Care and necessarily precatory, legisla is since one to provisions relating purchase cannot legislatures ture bind future with community mental health services “create respect See, to appropriations. e.g., Colo. ‘encouragement through purchas- Const., V, 32; Lamm, art. Anderson v. ing’ scheme.” at P.2d Colo. at 624. When The court also found that the contracts language is considered in the context purchase required DHH for the of services whole, statute as a it becomes clear regulations to adhere to the rules and provisions that do guarantee any these not promulgated under the Purchase of Servic- rights any level services or create in interpreted regula- es Act. The court these instance, persons receiving services. For requiring municipal tions as defendants 27-1-204(6), (1982), 11 C.R.S. con provide services to class in all members templates governmental local bodies need and determined that DHH had may support reduce financial communi fully complied regulations. with these services, ty specifically mental health However, the court noted that it did “not provides that the respond state imply implementary intend to that [the] proportional such reduction awith reduc regulations rules and in and of themselves payments. tion in state any particular rights create for the benefit also contend that the rules Instead, of the Plaintiffs.” con- the court promulgated pursuant Purchase regulations cluded that the rules and must provide them Services Act construed in a manner afford class community-based mental health services. rights granted members them under 2.1, (1985), Rule C.C.R. 502-2 mandates Ultimately, Care Treatment Act. pro- mental health Judgment its October “Final centers services, 54(b),” including day care, Pursuant vide certain C.R.C.P. it dismissed emergency services, claims under the Purchase crisis consultation services, Services Act. and education to voca- access services, tional and rehabilitation to “all need who residents of or area,” 2.4.1, located the service and Rule plaintiffs argue Pur that the (1985), requires 502-2 C.C.R. that mental provides chase of mem Services Act health center services “be accessible all bers their with substantive and that residents service area.” The trial improperly claims under this statute were interpreted However, mandating court these rules as reviewing dismissed. after purposes provision of these services statutory to all class framework of act, pointed need we conclude that the Purchase of Ser members out legislative encourage required DHH is merely “strictly vices Act contract to *17 to” programs regulations. ment of mental con these rules health adhere rights plaintiffs. fers no substantive on assert that these rules create Hospital community Pennhurst State a mental School health servic- Cf. chronically mentally es for all should have access to services without disagree. being northwest Denver. We the other group one or excluded on on some of discriminatory basis sort The Purchase of Services Act is intended policy. encourage development of communi programs ty mental not health and does interpretation administrative of these rights itself create substantive to communi regulations great weight is entitled to Therefore, ty regulations treatment. the courts. Van Pelt v. State Bd. for such enacted thereunder cannot create Community 316, Colleges, 323, Colo. rights, on reliance 765, (1978). 577 P.2d misplaced. is As rules we stated in Cohen properly The trial court dismissed the Revenue, Department 197 Colo. State plaintiffs’ claims under the Purchase 385, 390, (1979), 593 P.2d “[a] Act. Services regulation may only carry into effect legisla policy will and established D. FEDERAL REHABILITATION modify

ture and or ACT not contravene Int’l, existing statute.” Accord Miller assert that trial court Revenue, Department Inc. v. 646 P.2d dismissing erred in their claim based on (Colo.1982); Indemnity Travelers section 504 of Act of the Rehabilitation Barnes, Co. v. 191 Colo. 552 P.2d 300 (Federal (1982) 29 U.S.C. 794 Reha- (1976). Any regulation that is inconsistent Act), in pertinent bilitation which states with or a contrary to statute is void. Mil part: Int’l, 344; ler 646 P.2d at Weed v. Occhia qualified handicapped No otherwise indi- to, 175 Colo. States, vidual the United as defined in (1971). The rules set forth in 2 C.C.R. 706(7) title, shall, section of this solely by 502.2, promulgated which were under the handicap, reason his be excluded from Act, Purchase of do create Services not in, participation denied the bene- rights, simply substantive describe the of, subjected or fits to discrimination community minimum standards that mental any program activity receiving under or clinics, centers, hospitals must Federal financial assistance....20 qualify meet to vendors of un as services agree improper. der the We Purchase Services Act. dismissal was applying regu- We also note that in these lations Department of Institutions has interpreted imposing not as them an obli- ruling on the defendants’ motions gation accept funding entities that state July to dismiss its order of develop expand pro- mental health trial court concluded that certain remedies grams. Instead, these rules are read as requested by plaintiffs pursuant imposing requirement a non-discrimination their 504 claim were available accept funding on facilities that under the granted request the motions “as

act. As the Director the State Division reform, private and institutional trial, of Mental Health testified at the rules including programs.” the creation of In its simply a mental state that 7, 1985, ruling, May the trial court noted health center: dismissal, by previous the earlier entered judge, apparently

is not to discriminate on the basis considered itself whatever, people class or that the who bound that earlier order. The court area, them, found, however, live in the catchment all of that: municipal disputed “handicapped term It is not that the state and individual" means [T]he (i) any person physical ... who has funding defendants receive federal their impairment substantially mental which limits chronically mental health or that the major person’s more of such life one or activi- mentally ill come within the definition of handi- ties, (ii) impairment, has a record of such 706(7)(B) capped persons 29 U.S.C. § under (iii) regarded having impair- such (Supp.1987): ment. *18 tioning patients part, Hospi- most Health and are able to travel to the [F]or care, physical health and mental health day tals’ facilities vocational reha- where designed are not for the se- programs bilitation, located, programs and other are chronically mentally persons verely, severely while the more ill or func- lower illness, who, their are unable because of tioning partic- individuals unable pursue appro- or to actively seek out ipate. The record also contains evidence priate care and treatment for their men- that outreach services are not available at problems. tal health boarding nursing most of the houses and in that mental homes the northwest Denver catchment The court then determined area, equally were not accessible that the are offered health services services that chronically mentally ill to all classes of scope. are limited in Without outreach ser- respect in persons vices, and that the mental severely effectively the most ill are program overtly was “both and cov- variety important denied access to a of ertly discriminatory.” selective programs. provides Finally, the record possible remedy court concluded that a support plaintiffs’ for the contention that July such discrimination consistent its programs termination of certain injunctive order would be relief reorganization of at the others end programs directing that curtailed in problems of 1984 exacerbated the access reopened expanded previously severely the more ill. This evidence turn however, existing Inexplicably, levels. supports finding the trial court’s of dis- plaintiffs then court ruled that had not Therefore, crimination. the trial court cognizable established a claim for relief dismissing erred in claim un- under section 504 of the Federal Rehabilita- der 504 of section the Federal Rehabilita- tion Act. tion Act. On remand the trial court should plaintiffs contend that the failure to specific findings concerning make factual provide severely persons the more disabled handicap discrimination based on and on access to services constitutes discrimina findings basis those should deter- solely particular tion on the basis of handi mine whether have estab- caps, in violation of section 504. Other lished violation of section 504. courts have determined that discrimination severity handicap on the basis vio the Federal lates Rehabilitation Act. See question of remedies available Branstad, v. 731 F.2d Plummer for violation of section 504 be before (8th Cir.1984)(“we assume that the severi remand, the trial court on and we elect to ty plaintiffs’ handicaps is itself a which, guidance May on this handicap offer issue. its under section 504 of the Act, 1985, order, above, as noted 1973 Rehabilitation cannot the sole trial court denying suggested possible reason for day remedy them that a would be [adult care] funding”); Bound, injunctive directing reopening Homeward Inc. v. His relief Center, som Memorial No. expansion 85-C-437-E provide the level (N.D.Okla. 24, 1987) July [available of services available before cutbacks WESTLAW, (institution 1987 WL 27104] 1981. The contend that the court retarded discrimi suggestion injunc- was correct its severity handicap); nated on basis relief tive would be available for the re Gallen, Garrity F.Supp. 215 opening programs, assert that (D.N.H.1981) (same). persuaded We are the court could have ordered relief broader correctly interpret that these cases discrimination, remedy past including programs. development They of new Bound, rely on Homeward Inc. v. Hissom findings The trial court’s indicate that Center, (N.D. Memorial No. 85-C-437-E program the mental health discriminated 24, 1987) July Okla. on WEST- against plaintiff some members of the [available LAW, 27104], severity handicap. based on 1987 WL in which the court The record higher contains evidence that func- is a to effective concluded that there

«05 *19 integrated provided services under section 504 individual must be with mean- the that of Federal Rehabilitation Act and ingful access to the benefit that the grantee underdevelopment community itself, offers. The

the of a benefit of course, system services the con- cannot in a way Defendants be defined that original effectively stitutes a of the qualified continuation denies otherwise continuing practiced by handicapped discrimination the meaningful individuals against people; retarded State entitled; to they access which are to as- development affirmative of meaningful access, sure reasonable ac- necessary services to ef- remedy grantee’s commodations in the program fect. may or benefit be have to made. Slip op. at 51. 300-01, Id. 469 at U.S. 105 S.Ct. at 719-20 (citation omitted).

We conclude that the not are injunctive entitled to the broad relief construing Other courts section 504 have Community seek. In Southeastern Col- emphasized requires that the only statute Davis, 397, 2361, lege v. 442 U.S. 99 S.Ct. changes programs. “reasonable” As the (1979), 60 L.Ed.2d 980 the United States Pavkovic, court stated Parks v. 753 F.2d Supreme meaning Court of considered the (7th 1397, Cir.1985), 1409 cert. denied 473 section 504 in context of a claim a 906, 3529, U.S. 105 S.Ct. 87 L.Ed.2d 653 person hearing disability with a serious (1985): that the statute was violated the denial interpret We do not to force [section 504] application college of her for admission to a to special programs states create nursing program physical because of the handicapped children.... [Section 504] imposed by limitations disability. her protects a handicapped person from be- rejected applicant’s court contention ing denied the same benefit ... as a college that the required under section was person require normal but does not nursing 504 to modify program per- its state devote bring- extra resources to mit her participate, that concluded ing handicapped up level of the language, purpose, history “neither the nor normal. 504 an impose reveals intent to Gallen, Garrity F.Supp. See also v. obligation recipi- affirmative action on all 171, (D.N.H.1981) (under 504, section 411, ents federal funds.” Id. at 99 S.Ct. “no statutory regulatory there is man at 2361. The also Court determined date agencies expend to states their pro- while modifications “reasonable” substantial funds or assume excessive ad gram may required be under section purpose ministrative burdens for program substantially need be so removing handicapped”); barriers to the changed as to alter its fundamental nature. New Ass’n Mexico Retarded Citizens Similarly, Choate, in Alexander v. 469 U.S. Mexico, v. State New 678 F.2d (1985), S.Ct. L.Ed.2d 661 (10th Cir.1982) (“modification of existing again the Court discussed section not- programs may required be where the finan ing that Col- Community Southeastern cial burden would not excessive and the lege v. be Davis accommodation would enable handi statutory struck a balance between the capped children to realize benefits of integrat- handicapped of the to be considering program). scope ... legitimate ed inter- society into injunctive be relief to ordered on preserving ests grantees of federal remand, the trial programs: court should follow the integrity of their while a Supreme grantee required lead of the United States need not be to make Court Community College “fundamental” or “substantial” modifica- Southeastern v. handicapped, tions to it accommodate Davis and Alexander v. and re Choate required quire to make “reasonable” the defendants to make those ones. reasonably necessary accommodations meaningful access to the requires assure mental

The balance struck in Davis qualified handicapped available northwest that an otherwise holding Denver catchment area for those damages members courts are available under the plaintiff class who can realize the Federal Rehabilitation Congress Act conclude that intended to al programs.21 of such benefits through low for enforcement actions for plaintiffs in also ar The named Arevalo damages, noting that the Act does not ex damages should gued to the trial court pressly availability limit the damages. remedy for as a violation available Kling County Angeles, Los 769 F.2d rejected court that con but the (9th Cir.) (damages particular *20 there is a consensus that tention. While ly appropriate injunctive where relief will private right of action section 504 creates a harm), remedy rev’d on other relief, declaratory injunctive federal for grounds, 936, 300, 474 U.S. 106 S.Ct. 88 question courts are divided on the of wheth (1985); Missouri, L.Ed.2d 277 Miener v. damages remedy er for a available viola 969, (8th Cir.) (damages 673 F.2d 977-78 holding The courts that tion of section 504. discrimination), necessary remedy available as damages remedy generally is no there have denied, 909, t. 459 U.S. 103 cer legislative Longoria relied intent. on v. 215, S.Ct. 74 L.Ed.2d 171 Nelson v. Harris, (S.D.Tex.1982); F.Supp. 554 102 369, Thornburgh, F.Supp. (E.D. 567 382 Independent v. Dist. Carter School Num Penn.1983) (“the availability damage of a 6, (W.D.Okla.1981); F.Supp. ber 550 172 remedy increases the deterrent effect of Sequoia High Boxall v. Union School law.”), the non-discrimination aff'd, 732 Dist., (N.D.Cal.1979). F.Supp. 1104 464 (3rd Cir.1984), denied, F.2d 147 cert. 469 pointed Some of these courts have out that 1188, 955, U.S. 105 S.Ct. 83 L.Ed.2d 962 explicit an remedy there is administrative (1985); Hurry Jones, 500, F.Supp. v. 560 for violations of the Federal Rehabilitation (D.R.I.1983) 509-12 (compensatory dam Act—termination of federal funds. 45 ages available since administrative reme (1987). They C.F.R. 80.8 have also con inadequate); dies Department Gelman v. damages remedy that cluded a would frus Education, 651, F.Supp. 544 654 Act, purpose trate the of the Rehabilitation (D.Colo.1982)(compensatory puni but not promote expand opportuni which is to damages available); tive B Gregg v. Board handicapped ties for individuals. As the District, Education Lawrence School of 535 court stated in Ruth Anne M. v. Alvin In 1333, F.Supp. (E.D.N.Y.1982) 1339-40 Dist., dependent F.Supp. School 532 460 (purpose by of act availability furthered (S.D.Tex.1982): damages); Dumpson, Patton v. 498 implication damage of a remedy [T]he 933, F.Supp. (S.D.N.Y.1980) 937-39 (money portend potentially would fi- massive damages appropriate where this is the liability upon recipients nancial of federal way compensate past a victim of discrim funds_ exposure This could serve as ination); Poole v. South Bd. Plainfield significant disincentive to the solicita- Education, 948, (D.N.J. F.Supp. 490 949 acceptance tion or of federal financial (for 1980) plaintiffs, injunctive relief would assistance, significant and hence a deter- come too late to an remedy). effective promotion rent to the expansion of We make no definitive determination con- opportunities handicapped individu- cerning availability damages to rem- als.... edy a violation of pur- section 504 for the Id. at 473. See also Manecke v. School pose present case at this time be- 787, County, F.Supp. Bd. Pinellas cause of the unsettled state of the law. (M.D.Fla.1982), rev’d on other Supreme United States Court has ex- (11th grounds, Cir.1985), 762 F.2d 912 pressly recognized cert. this issue but has not denied, 1062, 809, 474 U.S. 106 S.Ct. 88 had the occasion to set it to rest. Smith (1986). L.Ed.2d 784 Robinson, 24, 468 U.S. 1020 n. longer provider community 21. DHH is no municipal ap- defendants to that would be mental health services in the northwest Denver propriate remedy past the effects of discrimi- fashioning any injunctive catchment area. nation. the court relief must limit such relief as to the (1984) 3472 n. 82 L.Ed.2d 746 duty S.Ct. gains support clinical care from (“Without expressing opinion on the adoption this court’s of Restatement Sec matter, generally agree note that courts we 324(A).22 ond of Torts 323 and See §§ Jef damages are available under § County Justus, School Dist. R-1 v. ferson remand, in of a ..On absence control- (Colo.1986); De Caire v. ling Supreme decision the United States Co., Public Service 173 Colo. Court, the trial court should consider all (1971). P.2d the authorities available to it at the time it plaintiffs argue the municipal rules on the issue and should make its duty by defendants violated this abruptly ruling reasoning informed of those reducing the community support services authorities. available to the 1,1981, on June

E. COMMON LAW DUTY manner in OF which DHH with- CLINICAL CARE drew as a mental health center January instances, In both assert the trial patients received a maximum of thirty days *21 dismissing court erred their claim that notice, while some received no notice at all. municipal defendants duty violated the plaintiffs The assert that the municipal de- plaintiff clinical care owed to the class. They contend that fendants providers health care should be held accountable for duty have common law to exercise rea their duty being breach of this required diligence sonable care and in the treatment provide compensate services that will patients, of their and that such a health class members for injuries they suf- provider may care be found for liable aban fered when mental health services were doning patients who are still in need of addition, reduced. assert care providing adequate without notice. should damages be free to seek Kinton, See Bolles v. 147, 149, 83 Colo. 263 for this breach. 26, (1928) (“A P. 27 physician cannot dis imposition duty of a raises serious charge a case and relieve himself of re Bell, see Taco policy implications, Inc. v. sponsibility by simply for it staying away Lannon, 43, (Colo.1987); Univ 744 P.2d 46 without patient.”). notice to the Katse Cf. Whitlock, ersity Denver v. 54, Nolan, tos v. 637, 172, 170 Conn. 368 A.2d (Colo.1987); County School 56-7 Jefferson (a (1976) 182 physician duty is under a Justus, Dist. R-1 v. 725 P.2d at 769. At provide long care as patient as the needs it however, present, we need not determine patient should not his leave at a critical whether duty such a exists because we notice, stage plaintiff without but must conclude that the claims for both prove that the failure to duty observe this injunctive damages relief and ap are not proximate was the Meeks injury); cause of propriate for resolution the context of Coan, v. 731, Ga.App. 302 S.E.2d presently this class action as structured. (1983) (recognizing physician that a Furthermore, we conclude that the exist abandoning be liable for a case with duty ence of such a is notice, appropriately more noting out reasonable but that no recovery possible is be considered in the context of injury par unless results abandonment). giving from the ticular facts rise to the ar asserted gue that the existence duty. of this common law provides (b)

22. Section 323 the harm is suffered because of the other’s undertakes, upon undertaking. gratuitously who reliance [o]ne or for con- sideration, duty to render services to another Section 324 describes the of one who recognize necessary which he should for charge helpless, takes of another who is protection person things, of the other's or 324(A) liability outlines the an actor subject liability physical to the other for negligent performance to third owes for resulting harm from his failure to exercise of services. perform undertaking, reasonable care to his if (a) his failure to exercise such care increases harm, the risk of such or actions difficulties in assess- presents This case the defendants’ affected damages.23 damages, Each class or both. liability liability, ing both respect resulting from the asserting injury member violation of the com- municipal defendants’ II, F. 42 U.S.C. AND ARTICLE § clinical care would have to duty mon law 25, OF THE COLORADO § individually the services he or she establish CONSTITUTION 1, 1981, receiving prior to June was plaintiffs argue that the trial court 1, 1985, as the services

January as well improperly their claim based on dismissed change delivery received after Act, Rights Federal Civil 42 U.S.C. services. Once a claimant mental health (1982), deprivation of federal that the mental services established statutory rights under constitutional and him or her were reduced or provided to of state It is well established color law. notice, adequate without terminated that section 1983 itself creates no substan claimant would still have to establish reduction, rights; provides remedy merely as a result of this tive it harm suffered necessary and it would then be to fashion deprivations rights protected by of federal monetary injunctive appropriate relief. the United States Constitution or federal appears City This case similar to Rice v. Tuttle, City laws. Oklahoma Philadelphia, F.R.D. at which 808, 816, 2427, 2432, 471 U.S. S.Ct. court noted: (1985); Thiboutot, L.Ed.2d 791 Maine v. case, present In the would the 448 U.S. 100 S.Ct. 65 L.Ed.2d 555 damages of the amount of calculation McCollan, Baker v. 443 U.S. depend upon of each the individual facts 99 S.Ct. 61 L.Ed.2d 433 case, virtually all of the claimant’s *22 (1979). However, statutory not all federal litigated issues would have to be individ- rights through may be enforced section ually in order to determine whether a County Sewerage 1983. In Middlesex Au alleged particular class member was enti- Ass’n, thority v. National Sea Clammers any damages tled to at all. Each claim- 1, 2615, 101 69 L.Ed.2d 435 453 U.S. S.Ct. ant, in order to obtain the benefits of the (1981), Supreme the United States Court suit, would have to establish his exceptions applicability noted two membership (i.e., in the class that his First, statutory section 1983 to violations. violated). rights were provided the remedial in a “when devices possibility, We do not foreclose the how particular sufficiently comprehen Act are ever, may prove that the class action device sive, they may suffice demonstrate con appropriate resolving some of the is gressional preclude remedy intent to relating sues to this claim. Pursuant 20, 101 suits under 1983.” Id. at S.Ct. at § 23(c)(4), C.R.C.P. a court has the discretion Second, remedy may a section 1983 to limit the issues a class action to those be foreclosed when the statute at issue parts of a lawsuit that lend themselves to “rights, privileges, does not create or im convenient use of the class action motif. munities secured the ... laws” that are Owens-Illinois, Inc., 665 F.2d Williams v. 19, enforceable under section 1983. Id. at 918, (9th Cir.1982), denied, 929 cert. 495 101 S.Ct. at See also Pennhurst 971, 302, U.S. 103 S.Ct. 74 L.Ed.2d 283 Halderman, Hospital School and State (1982). Accord, e.g., Windham v. Ameri 1, 28-29, 1531, 1545-46, 451 U.S. 101 S.Ct. 59, Brands, Inc., (4th can 565 F.2d 67-70 67 L.Ed.2d 694 Adickes v. S.H. Cir.1977), denied, 968, cert. 435 U.S. 98 5, Co., Kress 398 U.S. 150-51 n. & (1978). S.Ct. 56 L.Ed.2d 58 re On 1598, 1604-05 n. 26 L.Ed.2d 142 S.Ct. mand, the trial court should consider (1970). whether the class can be divided into small er similarly sub-classes that were situated claim that the defendants in 1981 similarly and that were rights guar deprived the class members of pleadings 23. The indicate that damages named duty care. violation of a of clinical plaintiffs in Arevalo have asserted claims for anteed under the Federal Rehabilitation the trial court considers ify the law before Act. The trial remand, court determined that we decline to question a this deprivation ruling point. under section at this On 504 of make a definitive remand, Federal Rehabilitation Act the trial court will be free to con cannot be holdings through any applicable vindicated sider United section 1983 action. Supreme States Court and the other courts that have considered this most Federal resolving recent court decisions before disagree pur issue over whether an action issue. possible to section 504 is within the suant Compare framework of U.S.C. 1983. § also assert

Manecke v. School Bd. Pinellas Coun process there is a federal constitutional due (concluding ty, F.Supp. at 790-91 that a right based mental health damages remedy either under 504 or § plain services for certain members of the pur 1983 would be inconsistent with the § class,24 corresponding state that a tiff Act) poses the Federal Rehabilitation right II, also exists under article Independent and Ruth Anne M v. Alvin plain of the Colorado Constitution. The Dist., (same); F.Supp. at 475-76 School urge tiffs this court to address the exist Regents University with Pushkin v. ence of a federal or state constitutional Colorado, (10th Cir.1981) F.2d 1372 community. They to treatment in the (recognizing that a 1983 claim § anticipate adequate that there will not be 504) Sequoia based on and Boxall v. § funding implement the state’s remedial Dist., High F.Supp. at Union School plan25 and ask this court to determine (damages 1112-13 are not available under whether the United States and Colorado such a could claim be asserted § require that the remedial Constitutions 1983). sug under At least one court has However, plan fully implemented. more gested recog that since most courts have point question premature. at this It private right injunctive nized a of action for money is not clear how much is available to declaratory relief under section court-approved plan. fund remedial many recognized damages courts have addition, appropriated if the amount is not action, pro the Federal Rehabilitation Act sufficient, the defendants must first re comprehensive range vides a of remedies quest legislature provide that the the fund for enforcement and an action to enforce ing implement plan fully. required to *23 unnecessary. the act under section 1983 is Correction, Blaney See v. Comm’r of Special See Miener v. School Dist. St. (“the at 774 defendants have not N.E.2d of F.Supp. County, Louis 567-68 the they shown that could not fulfill man (E.D.Mo.1984), grounds, rev’d on other appropria date of within the [the statute] (8th Cir.1986). However, F.2d 749 since Legisla department tions of the or that the disagree on federal courts this issue and appropriate has declined to funds nec ture developments, including further resolution essary permit the defendants to fulfil to question types of the related of the of statutory duty”). Only their after the de relief for violation of section 504 attempted implement available to the fendants have Act, may plan fully of the Federal Rehabilitation clar do so should and are unable to plaintiffs’ 24. The contention that there Romeo, is a due Youngberg 457 U.S. 102 S.Ct. process right community to (1982). treatment under the 73 L.Ed.2d 28 fifth and large- fourteenth amendments is based alleged also that their federal ly concept on the “revolving pa- of the door" rights constitutional eighth under the first and "revolving patient tient. A point door" at some amendments had been violated. As the trial medication, is institutionalized and stabilized on found, appear court there does not to be and is then community. released into the Un- basis for these claims. cope able to community adequate without services, support patient this During deteriorates and general the same session that the as- up end incarcerated within sembly passed the criminal Senate Bill it also made an justice system through appropriation re-institutionalized the of more $3.5 than million in new system. mental health argue specifically community that funds for for appropriate treatment, without ill, chronically mentally the up the to 60% of likely deprived to be of their County those funds available to the and of liberty. support argument In rely this Denver. remanding the case in order to define whether Sen the the issue of court reach litigants classes of carefully more placed an unconstitutional the Bill 120 has ate appropriate conclusion at this time. I also of the the members rights of the limit on agree that section 27-10-116 the Care plaintiff plain We conclude that the class. Act, Treatment modified Senate tiffs’ claims under section 120, applies voluntary Bill both in- to properly state were dismissed constitution voluntary patients, and neither that the but that the dismissal should be without separation pas- doctrine of nor powers prejudice the reassert due sage deprives Bill 120 Senate trial process upon the claims based care and jurisdiction implement court of a remedi- actually provided treatment to the relevant plan up appro- al amount of available class under the Care and Treatment Act as priations. at 801. See Bill amended Senate I. III. disagree I majority’s with the conclusion summary, we conclude that the trial in Part II.B.l that “the prema- trial court certifying court abused its discretion in turely unnecessarily addressed the is- (Section A), II trial court sue of whether afflicted with dismissing plaintiffs’ erred in claim for chronic mental illness have created injunctive under and Treat- relief the Care by the Care Act [prior Treatment (Section B), the trial ment Act II court passage of Senate Bill that must be 120] plaintiffs’ claims un- properly dismissed regard satisfied without to the amount of (Section der the Act Purchase Services money appropriated by legislature C), II that the trial court erred dismiss- purpose.” At 798. The trial court’s ing plaintiffs’ claims under the Federal possibility determination of ordering (Section D), Act II that the Rehabilitation monetary relief excess of available ap- dismissing plain- trial court erred propriations is no “premature more tiffs’ claims breach of an asserted com- unnecessarily prior addressed” to passage duty giv- mon of clinical without law care of Senate Bill 120 than it passage is after ing appropri- further consideration to yet Senate Bill majority does adjudicating ateness of these claims to reach propriety hesitate (Section E), class action II that the trial latter issue in Part anything, II.B.2. If court’s dismissal of the claims trial court’s determination of the extent of II, under 42 sec- U.S.C. and article relief under Care and Treatment Act tion of the Colorado Constitution should prior passage Bill Senate 120 is more prema- be sustained the claims are because pressing because the claims in this case (Section F). ture II arose and will under determined the law judgment We affirm the trial court’s in in prior effect to passage of Senate Bill part, part, it in reverse and remand the failing 120. By propriety address the proceedings case to that court for further the trial holding court’s *24 that the opinion. consistent care and treatment under section 27-10- 116 was not limited to the amount of avail- J., VOLLACK, part concurs in able appropriations, majority leaves ERICKSON, J., part, dissents in open possibility the trial court joins in the concurrence dissent. could implement plan pursuant remedial VOLLACK, Justice, concurring in to section 27-10-116 in excess of the part dissenting part: in appropriated amount by the General As- agree that, I majority “[g]iven with the sembly. I believe that such a possibility is the extent range of the class and the wide foreclosed because whatever may benefits case, presented issues in this by conferred a statute such as [trial] court should have carefully more delineat- 27-10-116 are limited to the ap- amounts ed the nature each propriated claim relief and by the Assembly General even the categories who could ask express absence of language to that for such reason, relief.” At 794. For this effect.

«11 Any obligation under which Senate such so raised contra- The circumstances passed Bill indicate that Gener vention of this section shall not be bind- 120 was to limit the relief that Assembly ing against al intended the state but shall be null of section could be ordered for violation incapable and void initio and ab of rat- ap to the amount of available 27-10-116 by any authority ification administrative Bill 120 was a re propriations. Senate give against of the state to effect thereto sponse to the trial court’s invitation to the every person incurring the state. But Assembly “crystal to make clear” General ordering voting for the incurrence of concerning availability of mone its intent obligation surety such and his shall be tary relief for violation of the Care and jointly severally liable therefor. title of Bill Treatment Act. The Senate (1982).1 statute, 10 C.R.S. Under this de- controlling, supports though not partment approve officials an ex- Assembly intended view that General penditure in appropri- excess of the amount monetary to limit relief to the amount of Assembly. ated the General To do so appropriations. Senate Bill 120 is available subject personal could them to liability for Concerning entitled “An Act Clarification appropriations. the amount of excess Any Right That To Mental Health Services interpretation adopted by the trial court Assembly’s To The Subject Is General place public would these officials in the Establish, Right By Appropriation, To position being compelled untenable Level Of Service To Be Rendered.” Ch. statutorily prohibit- release funds 27-10-116, 1986 210, 4, Colo.Sess.Laws § releasing. ed from That the General As- added). (emphasis I conclude sembly intended such a result is unthink- Assembly from the title that the General able. prior passage of Senate Bill 120 intended any right to limit to mental health services II. pursuant Care and Treatment Act to appropriations. Finally, available restric remaining issues addressed placed by Assembly tions the General on majority properly are not before the court in payment disbursements made of liabili disposition of its because the case for ties incurred on behalf of the state indicate comply failure to with various subsections monetary implementation relief for of of 23. I would refrain C.R.C.P. from offer- section 27-10-116 could not be ordered ing advisory opinion amounts to an what appropriations. excess of available Section II.C, II.D, the issues addressed in Parts 24-30-202(3) provides: II.E, majority opinion. and II.F of the This any give In no empowered advisory event shall the head of state court is not institution, department, agency opinions hypothetical or other based on fact situa- controller, Johnson, Tippett or the either himself or tions. v. P.2d him, (Colo.1987); through any designated by Sav., assistant Kemp Empire v. approve any Ass’n, Bldg. commitment voucher involv- Loan 660 P.2d & ing (Colo.1983); expenditure any People Campbell, sum in excess of 196 Colo. the unencumbered balance of the allot- see resulting Beals, ment to which the disburse- also Hall v. 396 U.S. 90 S.Ct. (1969). charged. person ment would be No shall 24 L.Ed.2d 214 As we said recently, concerning incur or order or vote for the incurrence statements issues not any obligation against disposition in necessary the state of the case expenditure recognized excess of or for not au- “should as dictum without allotment, by appropriation, precedential People thorized effect.” See *25 Clinton, 1381, 1385, approved except commitment voucher Interest (Colo.1988). expressly by this section. authorized 24-30-202(3) 1. Section was amended in 1988 The amendment was effective March deleting inserting applies appropriations expenditures and the word "allotment” and year "appropriation." thereafter. See word Ch. for the 1988-89 fiscal § 24-30-202, (1988). 24-30-202(3), 10A C.R.S. § 1988 Colo.Sess.Laws editor’s note to I concur as to Part II.A and as therefore II.B.2 that conforms to this

much of Part express opinion I no

special concurrence. II.C, II.D, II.F, II.E

as to Parts

dissent as Part II.B.l. say

I ER- am authorized Justice in this joins

ICKSON concurrence dis-

sent. OF COUNTY BOARD COMMIS- OF the

SIONERS COUNTY OF La

PLATA, political governmental Colorado,

subdivision State of

Petitioner, MORELAND, Respondent.

Frederick

No. 86SC181. Colorado,

Supreme Court of

En Banc. Nov. Evans, Waltz, & A. Hall Richard Alan Denver,

Epstein, petitioner. Johnson, Durango, E. respon- Alan dent. Woodard, Gen., Atty.
Duane Charles B. Howe, Gen., Deputy Chief Atty. Richard H. Forman, Gen., Hutchins, Sol. Milton John Gen., Atty. Denver, Asst. for amicus curiae State of Colorado. Robinson, McDermott, H.
Scott P. Gerald Denver, for amicus curiae Colorado Trial Lawyers Assn.

LOHR, Justice. respondent, Frederick More- land, a paraplegic became as a result of a fall from an of a unenclosed deck cabin Durango. brought near located He suit in against negligence County of La Plata (County)1 upon based failure of 30-11-105, (1986), requires be, 1. § 12A C.R.S. or be sued shall county “The board com- ’" proceedings by against all county "[i]n suits missioners of of... The defendant county, county styled county the name in which the shall sue case in this was as “The board of

Case Details

Case Name: Goebel v. Colorado Department of Institutions
Court Name: Supreme Court of Colorado
Date Published: Dec 19, 1988
Citation: 764 P.2d 785
Docket Number: 87SC27
Court Abbreviation: Colo.
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