delivered the Opinion of the Court.
¶1 The State filed a petition to involuntarily commit S.M. after he told a friend he was going to commit suicide. At the initial hearing, S.M. advised the court that he wished to waive counsel and represent himself. The District Court ultimately denied S.M.’s request and appointed counsel over S.M.’s objection. S.M., together with his appointed counsel, entered into a stipulation for commitment to community-based treatment. The District Court approved the stipulation and ordered S.M.’s commitment. On appeal, S.M. contends that Montana law prohibiting waiver of the right to сounsel violates his rights under the United States Constitution. We affirm.
PROCEDURAL AND FACTUAL BACKGROUND
¶2 In November 2015, S.M. asked a friend to watch his dog because he intended to commit suicide. The friend called 9-1-1. When law enforcement officers arrived at S.M.’s house, they found a noose with a chair below it. S.M. told them he was going to kill himself. The officers brought S.M. to the hospital. At the hospital, S.M. denied that he intended to harm himself, but he told health care providers “that he does have a rope long enough and has been looking for someone to look after his dog when he is gone.” S.M. agreed that he needed help but refused any treatment more restrictive than outpatient treatment. Because the medical professional who examined S.M. believed outpatient treatment would be inadequate due to S.M.’s suicidal ideation, the State filed a petition to involuntarily commit S.M. The District Court determined that there was probable cause to proceed with the petition and appointed a public defender to represent S.M.
¶3 At the initial hearing on the petition, S.M. requested that the District Court dismiss his appointed сounsel because he wished to represent himself. He stated further that “for the purpose of the record I’d note that I have a right to proceed pro se under Ferrata [sic] versus California and shadow counsel may be appointed, but the attorney will not represent me.” The District Court and the public defender agreed with S.M. that he had “the absolute right” to represent himself. The District Court then appointed the public defender “to serve only as standby counsel.” The District Court explained to S.M. that appointed counsel wаs merely “backup” whom S.M. could “use ... to the extent [S.M.] wish[ed].”
¶4 On November 20, 2015, Erica Weber, a certified mental health professional, examined S.M. and submitted her report to the District Court. Weber reported that S.M.’s symptoms include “high risk behaviors!,] impulsivity, and suicidal ideation” and that S.M. “remained] a high risk to attempt [suicide]
¶5 On that same day, standby counsel filed a notice with the District Court that, pursuant to § 53-21-119(1), MCA, “[t]he right to counsel may not be waived” in involuntary commitment proceedings. The notice explained that under this Court’s decision in In re N.A.,
¶6 In response to the notice, the District Court informed S.M. at the next hearing that he could not waive appointed counsel. The District Court told S.M. that the proceeding would continue “in a fashion that doesn’t walk all over the top of your ability to represent yourself.” S.M. protested that he was “very well aware” of his rights and that he had representеd himself in various civil and criminal proceedings in the past, as well as representing other people in the tribal court system. He also agreed that he was in need of mental health intervention.
¶7 When the District Court attempted to grant a recess to give S.M. an opportunity to read Weber’s report and to confer with his counsel, S.M. instead requested to meet with both his appointed counsel and the prosecutor, “so that we can get through this and get to the point of the hearing, which is me getting mental health.” During the recess, the parties negotiated a stipulation in which they agreed that S.M. suffered from a mental illness and was in need of commitment. They stipulated that the least restrictive treatment alternative was placement in a community outpatient treatment facility. Appointed counsel, the prosecutor, and S.M. all signed the agreement. The District Court approved the stipulation and entered an order of commitment requiring S.M. to comply with the agreed-upon plan of care.
¶8 S.M. appeals the commitment order and facially challеnges the prohibition against waiving counsel in civil commitment proceedings contained in § 53-21-119(1), MCA, as a violation ofhis rights under the Sixth and Fourteenth Amendments to the United States Constitution.
STANDARDS OF REVIEW
¶9 Constitutional issues are questions of law; our review of such questions is plenary. In re Mental Health of T.M.,
¶10 Legislative enactments are presumed to be constitutional. Williams v. Bd. of Cnty. Comm’rs of Missoula Cnty.,
DISCUSSION
¶11 Whether § 53-21-119( 1), MCA, prohibiting a person from waiving the right to counsel in a civil commitment proceeding, violates the Sixth and Fourteenth Amendments to the United States Constitution.
¶12 Montana’s civil commitment statutes provide respondents to involuntary commitment petitions with numerous procedural rights. They include the right to notice in advance of any hearing, § 53-21-115(1), MCA; to be present, to offer evidence, and to present witnesses, § 53-21-115(2), MCA; to know in advance the names and addresses of opposing witnesses and to cross-examine them, § 53-21-115(3)-(4), MCA; to remain silent, § 53-21-115(6), MCA; to be examined by the professional of the respondent’s choice, §§ 53-21-115(9), -118, MCA; to be dressed in the respondent’s own clothes, § 53-21-115(10), MCA; and to either refuse to take or to voluntarily take medication before any hearing, § 53-21-115(11)-(12), MCA. Section
¶13 S.M. alleges that the language in § 53-21-119(1), MCA, that“[t]he right to counsel may not be waived” violates his right to represent himself under the Sixth Amendment and his right to substantive due process under the Fourteenth Amendment.
¶14 S.M. argues first that the right to act as counsel for oneself rests on the Sixth Amendment. In Faretta v. California,
¶15 The State counters, and we agree, that the Sixth Amendment of the United States Constitution does not apply to civil commitment proceedings. By its very language the Sixth Amendment is limited to “criminal prosecutions.” U.S. Const. amend. VI; see Martinez v. Court of Appeal of Cal.,
¶16 S.M. argues that § 53-21-119(1), MCA, also violates his substantive due process rights under the Fourteenth Amendment. S.M contends that the Fourteenth Amendment Due Process Clause protects his right to represent himself in involuntary civil commitment proceedings because such a right is “deeply rooted in this Nation’s history.” Washington v. Glucksberg,
¶17 Analyzing substantive due process claims under the federal Constitution is a two-step process. First, we must determine whether the Due Process Clause protects a purported right as a fundamental right. Glucksberg,
¶18 In making the initial determination as to whether a fundamental right is at stake, we must carefully define the purported right in a way that “avoids over generalizatiоn in the historical inquiry.” Hawkins v. Freeman,
¶19 We next turn to whether such a right is “found to be deeply rooted in our legal tradition.” Glucksberg,
¶20 S.M. cites two cases in support of his argument that self-representation in civil commitment proceedings has a long history in the United States. Neither case discusses involuntary civil commitment proceedings specifically. The first case on which S.M. relies addresses the history of self-representation in civil cases generally, not civil commitment proceedings specifically, and states that the right is protected “simply by statute” and not by the Constitution. Iannaccone v. Law,
¶21 To the contrary, as the State points out, formal proceedings for involuntary civil commitment are relаtively modern developments. Early American statutes dealing with mental illness during the Colonial era primarily were concerned with the guardianship and control of any assets the person may have had. 1 Michael L. Perlin, Mental Disability Law: Civil and Criminal § 2A-2.1b, 53 (2d ed. 1998) (hereafter Perlin, Mental Disability Law). During this time, very few facilities existed for those with mental illness, and commitment into these institutions was viewed “strictly as administrative,” with an application from “the local overseer of the poor” or a family member generally sufficient to commit an individual. 1 Perlin, Mental Disability Law § 2A-2.1b, 54.
¶22 Between 1810 and 1840 institutions to house the mentally disabled proliferated, and a “cult of asylum” swept across the United States. Alan Dershowitz, The Origins of Preventative Confinement in Anglo-American Law Part II: The American Experience, 43 U. Cin. L. Rev. 781, 804-05 (1974) (internal quotations omitted) (hereafter Dershowitz, The Origins of Preventative Confinement). During this time, involuntary commitment involved little more than a certification from a medical professional that commitment was proper. 1 Perlin, Mental Disability Law § 2A-2.1b, 54; Samuel Jan Brakel et al., The Mentally Disabled and the Law 14 (3d ed. 1985).
¶23 In the years after the Civil War, courts and legislatures concerned about abuse in these informal systems “promulgated safeguards designed to prevent confinement of persons who were sane.” Dershowitz, The Origins of Preventive Confinement 845. Many states during this time instituted procedural reforms, such as requiring trial by jury, presence of the patient at judicial hearings, right to appeal, and “reasonable opportunity to correspond with friends.” Dershowitz, The Origins of Preventative Confinement 842.
¶24 Since the 1890s, reform efforts “have gone through repeated cycles driven primarily by whether the public at the time is (1) concerned that people with mental illness are not getting the treatment they need or (2) focused on the possibility of unjust detention.” Paul S. Appelbaum, A History of Civil Commitment and Related Reforms in the Unitеd States: Lessons for Today, 25 Dev. Mental Health L. 13, 17 (2006). Pertinent to our purpose today, this history tells us that
¶25 The history tells us further that the process afforded to respondents in civil commitment proceedings is the subject of a “considered legislative response,” and we should be cautious to extend constitutional protections that “place the matter outside the arena of public debate and legislative action.” Dist. Attorney’s Office v. Osborne,
¶26 The core of due process “emphasizes fairness betwеen the State and the individual dealing with the State.” Evitts v. Lucey,
¶27 The United States Supreme Court noted in Indiana v. Edwards,
¶28 The forgoing discussion demonstrates that the Legislature has taken extensive measures to preserve the integrity of the process and to uphold the interests of persons involved. Prohibiting the waiver of counsel is one such measure. Our examination reveals that a right to self-representation in civil commitment proceedings is neither “dеeply rooted in our Nation’s history,” nor “implicit in the concept of ordered liberty.” Glucksberg,
¶29 Because a fundamental right is not implicated in this case, the United States Constitution requires only that the statute “be rationally related to legitimate government interests.” See Glucksberg,
¶30 Evident from the above discussion is the State’s substantial interest in preserving the integrity and fairness of civil commitment proceedings. Because the statute is based on the sound public policy that persons in civil commitment proceedings should be represented by counsel to preserve fairness, integrity, and accuracy in the civil commitment process, the prohibition against waiver is “reasonably related to a permissible legislative objective.” Mont. Cannabis Indus. Ass’n, ¶ 21. The challenged language in § 53-21-119(1), MCA, has a “plainly legitimate sweep,” and so S.M.’s facial challenge must fail. Wash. State Grange,
¶31 Although the United States Constitution does not require courts to allow persons in civil commitment proceedings to represent themselves, we do not minimize the important autonomy interests a respondent has relating to “the inestimable worth of free choice” and “respect for the individual.” Faretta,
¶32 S.M. did just this. In the initial hearing, S.M. requested the court to move him within the facility at which he was being held to the side where he could go outside, stating, “I have not been disruptive. I have been cooperative and I’m pretty much coherent.” S.M. participated extensively in the proceedings at the next hearing. He made arguments in support of his federal rights before the court and he made the decision to meet with both his counsel and the prosecutor to negotiate a stipulation. Although he could not waive counsel entirely, S.M. was able to participate in such a manner that protected his personal autonomy under the circumstances.
¶33 Our prior interpretations of § 53-21-119(1), MCA, support this outcome. In In re N.A., ¶ 10, the respondent’s counsel “assisted in cross examination, conducted direct examination of [the respondent], and addressed the District Court concerning matters of legal significance,” but the respondent performed
¶34 We also note that Montana Rule of Professional Conduct 1.14(a) states that “[w]hen a client’s capacity to make adequately considered decisions in connection with a representation is diminished, whether because of minority, mental impairment or for some other reason, the lawyer shall, as far as reasonably possible, maintain a normal client-lawyer relationship with the client.” Part of a normal attorney-client relationship includes “reasonably consultfing] with the client about the means by which the client’s objectives are to be accomplished,” M. R. Prof. Cond. 1.4(a)(2), and “abidfing] by a client’s decisions concerning the objectives of representation,” M. R. Prof. Cond. 1.2(a). These rules highlight that when an attorney represents a client during a civil commitment proceeding, the attorney has an ethical duty to seek the client’s input and, if the client so chooses, to allow for the client’s participation in the defense “as far as reasonably possible.” M. R. Prof. Cond. 1.14(a).
¶35 Section 53-21-119(1), MCA, as interpreted by this Court, thus does not raise any due process concerns. Although the statute requires counsel, a respondent in a civil commitment proceeding still has a right to participate personally in the proceeding and, depending on the respondent’s circumstances and capacity, to participate extensively.
CONCLUSION
¶36 We affirm the District Court’s order of commitment and uphold the constitutionality of § 53-21-119(1), MCA. The judgment is affirmed.
Notes
S.M. alludes to the Montana Constitution, which provides greater protection of some rights than the United States Constitution guarantees. State v. Covington,
