In re J.M.
Lead Opinion
Appellant appeals from an order of the Court of Common Pleas of Fayette County denying her challenge to an order for involuntary treatment. We reverse.
FACTS:
On January 11, 1996, Patrick Morrison, acting on behalf of the Fayette County Mental Health Administration,
Approximately two weeks later, the hospital sought a further extension for emergency treatment, and filed a petition for extended treatment under
DISCUSSION:
Appellant raises two issues for review: (1) whether the preparation and service of the warrant for emergency examination violated appellant’s right to procedural due process; and (2) whether the evidence at the petition for review hearing was sufficient to justify the 90 day treatment order.
At issue in this case are several sections of the Mental Health Procedures Act [MHPA]. Sections 7301-7306 of the MHPA provide for the involuntary commitment of those persons who are “severely mentally disabled.”
Warrant for Emergency Examination.— Upon written application by a physician or other responsible party setting forth facts constituting reasonable grounds to believe that a person is severely mentally disabled and in need of immediate treatment, the county administrator may issue a warrant requiring a person authorized by him, or any peace officer, to take such person to the facility specified in the warrant.
Section 7301(a) states that a person is “severely mentally disabled”
when, as a result of mental illness, his capacity to exercise self-control, judgment and discretion in the conduct of his affairs and social relations or to care for his own personal needs is so lessened that he poses a clear and present danger of harm to others or to himself.
The warrant was obtained by Patrick Morrison of the county health offices. He completed the warrant and had it approved by the county administrator at approximately 5:30 P.M. on January 11,1996. The warrant was based on two sources of information: unsworn reports Mr. Morrison had received concerning the appellant’s mental well-being, coming from appellant’s sister in Connecticut, and his observations of the appellant when he first visited her house at approximately 3:00 P.M. on January 11, 1996. The warrant stated:
[Appellant] has made many calls to law enforcement agencies, i.e. FBI, City Police, Attorney General’s office, Pgh [Pittsburgh] rape hotline and many others. She is very delusional in that she feels that she is a federally protected witness. She is very paranoid and guarded. She would not allow us in the home. She was disheveled with a contusion to her right eye. She said that she would speak only to the FBI. At this time she is clearly unable to care for herself. She would benefit from inpatient care.
Warrant, MHPA § 302 [
There is little in the statute or in the case law that offer assistance in our consideration of whether reasonable grounds were alleged in this warrant. The one case we have found involving such a warrant, Uram v. County of Allegheny,
In order to be valid, an arrest warrant must show probable cause for the arrest.
In this case, Mr. Morrison testified that he never cheeked with the FBI to see if the appellant was a protected witness or if she had ever had dealings with the FBI. Nor did he claim to have any personal knowledge that appellant made the calls to the law enforcement agencies. His statement that she was very “paranoid and guarded” is actually a medical conclusion that he was not qualified to make.
In addition, at no time in making his investigation did Mr. Morrison attempt to talk to appellant’s son, daughter or brother, all of
In the criminal context, our courts have held that the police must show some specific facts that would give them a substantial basis for believing the information supplied by an informant.
Finally, our statute clearly provides that for involuntary mental commitment, one must be severely mentally disabled such that one is a clear and present danger to himself or others.
The county argues that when the facts concerning the second visit to appellant’s home are included, the warrant was sufficient. This argument is grounded in the fact that after he had taken appellant into the hospital, Mr. Morrison amended the warrant to include the following: “When serving 302, [appellant] threatened to shoot herself and her 23 year old son and, in fact, pointed a loaded automatic pistol at police and MH delegate. She is clearly a danger to herself and others.” The lower court considered this amendment in declaring the warrant valid.
As above, we turn to our criminal procedure requirements regarding arrest warrants for guidance on this issue. Pennsylvania Rule of Criminal Procedure 119 provides for the issuance of arrest warrants upon a showing of probable cause. The rule holds that when faced with a motion challenging an arrest warrant, no evidence other than the affidavits sworn to before the issuing authority may be considered in determining if probable cause existed.
By analogy to these criminal rules, we cannot consider the amendment to the warrant in determining if the warrant, at the time it was issued, contained reasonable grounds that appellant was severely mentally disabled. This amendment was tacked onto the warrant but was not considered by the county administrator in issuing the warrant.
We note, however, that there does exist in the statute a provision that allows for commitment without a warrant, and, as the warrant here was insufficient, we may look to see if the county satisfied the requirements of a warrantless commitment. In this regard the applicable statutory section provides:
Emergency Examination Without a Warrant. — Upon personal observation of the conduct of a person constituting reasonable grounds to believe that he is severely mentally disabled and in need of immediate treatment, and [sic] physician or peace officer, or anyone authorized by the county administrator may take such person to an approved facility for an emergency examination. Upon arrival, he shall make a written statement setting forth the grounds for believing the person to be in need of such examination.
We have found no case law defining what is sufficient to satisfy the requirement of a “written statement setting forth the grounds for believing the person is in need of immediate medical treatment.” However, it is apparent to us that the purpose of this statutory mandate is to permit some appellate review of the propriety of the County’s actions.
In this case, the only additional “written statement” were the two sentences discussed above, to wit: “When serving 302, [appellant] threatened to shoot herself and her 23 year old son and, in fact, pointed a loaded automatic pistol at police and MH delegate. She is clearly a danger to herself and others.” There is no description of the circumstances surrounding the incident, nor the source of the information. Based on our review of the record, it is clear that (1) the gun was pointed by appellant only after the officers kicked in her front door, (2) the officers kicked in the door based on information received from appellant’s sister, the truth of which they did not verify,
Thus, the warrant when issued did not state sufficient grounds to take appellant into custody, the amendment to the warrant could not be considered in determining the sufficiency of the warrant, and the county did not satisfy the requirements of taking appellant for examination without a warrant. As a result, appellant’s original commitment was improper due to the county’s failure to satisfy the required statutory procedures.
Although our resolution of appellant’s first issue arguably renders a discussion of the second issue unnecessary, we are compelled to address the second issue because of the seriousness of the issue and the likelihood that it may arise again. See Ellis v. Chicago Bridge & Iron Co.,
In this case, the mental health review officer held a hearing on the
The serious nature of the proceedings under the MHPA raise significant constitutional concerns. We have held that “there is no question that the substantial deprivation of individual liberty inherent in such [involuntary] commitments may only be accomplished in accordance with due process standards.” Commonwealth v. C.B.,
The legislative policy reflected in the Mental Health Procedures Act is to require that strict conditions be satisfied before a court order for commitment be issued. This policy may occasionally result in the release of persons who may be mentally ill. Yet the statutory provision in question authorizes involuntary treatment only for those who are mentally ill. Such a policy is in accord with the recognition that commitment entails a massive deprivation of liberty. Collateral consequences, too, may result from the stigma of having been adjudged mentally ill ... Indeed, a person who is mistakenly committed to a mental hospital might suffer serious psychological damage. For those reasons, strict adherence to the statutory requirements is to be compelled.
Commonwealth v. Hubert,
It is obvious that the strict procedural requirements of the MHPA were not satisfied in this case.
The absence of a record of the hearings before the mental health review officer makes appellate review impossible;
In this case, the trial court ordered the
This due process violation was not cured by the ex post facto holding of a hearing on appellant’s petition for review. Appellant’s petition for the trial court for review challenged not only the
As we have previously stated, “[w]here, as here, the [MHPA] has provided for specific procedural protections, and the procedures mandated are not followed, involuntary corn-
CONCLUSION:
Due to the lack of compliance with the requirements of the Mental Health Procedures Act, specifically
Consequently, the order of the Court of Common Pleas of Fayette County is reversed.
HUDOCK, J. files a dissenting statement.
Notes
.Morrison was the supervisor of the Emergency Services Unit of Chestnut Ridge Counseling Services in Uniontown. This was the office delegated by the Fayette County Mental Health Administration to handle emergency services.
. Act of July 9, 1976, P.L. 817, No. 143, § 101.
. Appellant denied that the warrant was served, that the officers and Mr. Morrison were outside her door for 45 minutes, or that she threatened to cause anyone harm.
. Clear and present danger to others shall be shown by establishing that within the past 30 days the person has inflicted or attempted to inflict serious bodily harm on another and that there is a reasonable probability that such conduct will be repeated ... For the purpose of this section, a clear and present danger of harm to others may be demonstrated by proof that the person has made threats of harm and has committed acts in furtherance of the threat to commit harm.
Clear and present danger to himself shall be shown by establishing that within the past 30 days:
(i) the person has acted in such manner as to evidence that he would be unable, without care, supervision, and the continued assistance of others, to satisfy his need for nourishment, personal or medical care, shelter, or self-protection and safety, and that there is a reasonable probability that death, serious bodily injury or serious physical debilitation would ensue within 30 days unless adequate treatment were afforded under this act; or
(ii) the person has attempted suicide and that there is the reasonable probability of suicide unless adequate treatment is afforded under this act. For the purposes of this subsection, a clear and present danger may be demonstrated by the proof that the person has made threats to commit suicide and has committed acts which are in furtherance of the threat to commit suicide; or
*188 (iii) the person has substantially mutilated himself or attempted to mutilate himself substantially and that there is the reasonable probability of mutilation unless adequate treatment is afforded under this act. For the purposes of this subsection, a clear and present danger shall be established by proof that the person has made threats to commit mutilation and has committed acts which are in furtherance of the threat to commit mutilation.
. In Uram, the health office received a telephone call from a person who admitted feeling suicidal and had taken pills towards committing suicide only two days before the call.
. The term "paranoid,” although often used by lay people, is actually a medical diagnosis of a personality disorder, the essential feature of which “is a pattern of pervasive distrust and suspiciousness of others such that their motives are interpreted as malevolent.” One of the characteristics of this illness is that individuals with this disorder "are reluctant to confide in or become close to others because they fear that the information they share will be used against them.” Diagnostic and Statistical Manual of
. At the hearing before the court of common pleas, appellant’s daughter and brother testified that appellant had never acted violently, abusive or suicidal. N.T., February 8, 1996, at 97 (daughter); 101 (brother).
. N.T., February 8, 1996, 99. Appellant’s brother was not allowed to testify about his knowledge of this conflict between his two sisters, on the grounds that such testimony would be hearsay.
. Such information is often used in arrests and searches, both with and without a warrant.
.This requirement follows from the holding of the United States Supreme Court in O'Connor v. Donaldson,
A finding of “mental illness" alone cannot justify a State's locking a person up against his will and keeping him indefinitely in simple custodial confinement. Assuming that the term can be given a reasonably precise content and that the "mentally ill" can be identified with reasonable accuracy, there is still no constitutional basis for confining such persons involuntarily if they are dangerous to no one and can live safely in freedom.
Id., at 575,
. As discussed above, there was no evidence presented by Mr. Morrison that appellant’s sister was a reliable informant. In fact, there was evidence received that the sister and appellant were antagonistic toward each other.
. This right to petition the Court of Common Pleas for review of the mental health review officer’s determination is also provided in
. The only evidence in the record from the lower court of this action was the certification required by
.The record from below only includes the findings of fact and conclusions of law made by the mental health review officer.
. See Commonwealth ex rel. Platt v. Platt,
. See also Monaghan v. Board of School Directors,
The crucial aspect on appeal is whether there is a complete and accurate record of the testimony taken so that the appellant is given a base upon which he may appeal, and also, that the appellate court is given a sufficient record upon which to rule on questions presented, (citation omitted).
. We have held that when a mental health review officer acts under a
. In In re Condry,
. We also note that under Pennsylvania law regarding administrative law and procedure, an adjudication by a local government agency requires a record unless the reviewing court conduct a de novo hearing.
. "You can't go out, you are arrested.” "So it seems,” said K. “But what for?” he added. "We are not authorized to tell you that. Go to your room and wait there. Proceedings have been instituted against you, and you will be informed of everything in due course."
Franz Kafka, The Trial, 3 (1925).
. Nothing in this opinion should be read as precluding the County from reinstituting commitment procedures against the appellant if they are warranted. The County, however, must adhere to the proper due process requirements.
Dissenting Opinion
dissenting.
Respectfully, I must dissent. Assuming the correctness of the majority’s holding that the warrant for emergency examination pursuant to
Staying within the four comers of the warrant, I find it to be sufficient. It states that J.M. has made “many calls” to law enforcement agencies such as the FBI, city police, Attorney General’s Office, Pittsburgh Rape Hotline, and “many others”. It also sets forth that she believes she is a federally protected witness. The majority finds that each of these assertions has not been properly proven, e.g., Mr. Morrison never checked with the FBI to see whether J.M. was a federally protected witness. Had he done so, it is arguable whether the FBI would know immediately or would reveal it if they did know that J.M. was a federally protected witness. Furthermore, viewing the reasonable grounds section of the application in a common sense fashion, the allegations describe conduct not consistent with that of a rational, mentally healthy person. For example, if J.M. was raped, which might reasonably lead her to call a rape hotline, it seems reasonable that she would call a rape hotline in the Uniontown, Pennsylvania area, rather than in the City of Pittsburgh, which is 30 or 40 miles from Uniontown. Furthermore, it is rather unusual behavior for a rape victim to call the Attorney General’s Office, as well as the FBI. In summary, I would find the reasonable grounds section of the application to be sufficient.
Furthermore, assuming that the reasonable grounds section was insufficient, I find the proceedings proper under the emergency examination without a warrant provisions of 50 P.S.
Considering all the surrounding circumstances, I would find both the “reasonable grounds” section of the warrant to be sufficient, and that the proceedings also were in accord with the provisions of 50 P.S.
I must also respectfully dissent from the majority’s treatment of the second issue. The majority frames this issue as “... whether Appellant’s due process rights were violated because no record of the hearings before the mental health review officer were produced.” Appellant, however, frames the issue as insufficiency of evidence at the petition for review hearing, and never in her brief complains of lack of a record. Not having been raised, this issue is waived.
Even if Appellant had properly raised this issue, not having been raised below, it would be deemed waived. See Brown v. Philadelphia Tribune Co.,
Accordingly, I dissent.