Matter of N.A.
COUNSEL OF RECORD:
Chad Wright, Appellate Defender, Kristen L. Peterson, Assistant Appellate Defender, Helena, Montana
For Appellee:
Austin Knudsen, Montana Attorney General, Tammy K Plubell, Appellate Services Bureau Chief, Bree Gee, Assistant Attorney General, Helena, Montana
Cory J. Swanson, Broadwater County Attorney, Townsend, Montana
Submitted on Briefs: August 18, 2021
Decided: September 14, 2021
Filed:
Clerk
Justice Laurie McKinnon delivered the Opinion of the Court.
¶1 N.A. appeals the order of the Montana First Judicial District Court, Broadwater County, committing her to Montana State Hospital at Warm Springs for a period of up to ninety days. We reverse.
¶2 N.A. presents the following issue for review:
Whether the District Court committed reversible error when it allowed testimony by video conferencing at the commitment hearing over N.A.‘s objection.
FACTUAL AND PROCEDURAL BACKGROUND
¶3 N.A. suffers from unspecified schizophrenia. On October 1, 2019, N.A. told her psychiatrist that she was experiencing increased depression with suicidal thoughts and auditory hallucinations. On her psychiatrist‘s recommendation, N.A. went to St. Peter‘s Hospital in Helena, where she was evaluated by a certified mental health professional after reporting the same concerns. Based on these concerns, N.A. was voluntarily admitted to the Hays Morris House in Butte on October 1. Upon discharge on October 4, N.A. informed staff that she would commit suicide by slitting her wrists if she left Hays Morris. This conversation led to the State‘s petition for N.A.‘s involuntary commitment that same day. The petition alleged that N.A. presented an imminent risk of harm to herself based upon her statements of suicidality.
¶4 The District Court scheduled an evidentiary hearing on the petition for October 11. At the onset of the hearing, the State informed N.A. of its intent to call four witnesses, including Ashley Post (Post), a licensed clinical social worker with the Western Montana Mental Health Center. The State proposed to have Post testify by Vision Net (a two-way electronic audio-video communication system). N.A. objected on Confrontation Clause grounds. The prosecutor representing the State indicated that “this is the first notice I have that there is a concern there. I thought I had informed them that I was potentially going to be calling [Post] by Vision Net . . . We could have had her appear in person.” The State further explained that Post‘s absence stemmed from a concern about being away from her office in case of an emergency. N.A. did not withdraw the objection, but indicated that, if the District Court wished to proceed, N.A. would not seek to continue the hearing. The District Court overruled the objection, relying on its interpretation of Montana‘s Confrontation Clause jurisprudence and the State‘s presentation of
¶5 The State proceeded to call Post to testify by Vision Net. Post testified regarding the circumstances that led to N.A.‘s involuntary commitment. Post also testified concerning her evaluation of N.A. the day before the commitment hearing. During Post‘s evaluation, N.A. presented delusional thoughts that her brothers tried to overdose her and that one of her brothers held her captive for a year. N.A. informed Post that, while she had expressed suicidal thoughts on October 4, she did not feel suicidal on October 10. Post drafted a report based on her evaluation of N.A. In her report, Post noted that N.A. was inconsistently taking her mental health medications, but that it remained unknown whether N.A. was able to provide for her own basic needs. Post‘s report also reflected her opinion that N.A. was an imminent threat of injury to herself or others and required a placement that allowed involuntary medication for N.A.‘s psychiatric stabilization. Based on her evaluation and her review of N.A.‘s records, Post testified that she believed N.A. remained suicidal and would potentially deteriorate without further treatment. Post also testified that her opinion as
¶6 Three other witnesses were present and testified after Post. N.A.‘s brother and N.A.‘s sister-in-law testified to their observations of N.A.‘s behaviors over the previous two years and offered their general opinions that N.A. was unable to care for herself. The State also offered testimony from the county‘s fire chief. The fire chief testified regarding an instance eight months prior in which N.A. called in a false report of a fire, thereby raising his concerns over decreasing the limited pool of first responders for other potential fires.
¶7 Based on the testimony presented, the District Court found that N.A. suffered from a mental disorder and required commitment. The District Court further found that, based upon the testimony of N.A.‘s brother and N.A.‘s sister-in-law, N.A. was substantially unable to provide for her own basic needs. Relying upon Post‘s testimony, the District Court found that an imminent threat of injury to N.A. and others existed and that N.A.‘s recent behaviors, including her failure to consistently take her medications, created difficulties in protecting her life and/or health. The District Court noted that less restrictive options were unavailable because other inpatient treatment facilities could not provide involuntary medication for N.A. The District Court ordered that N.A. be involuntarily placed at Montana State Hospital in Warm Springs for a period of up to ninety days.
STANDARD OF REVIEW
¶8 This Court reviews a district court‘s civil commitment order to determine whether the court‘s findings of fact are clearly erroneous and its conclusions of law are correct. In re B.H., 2018 MT 282, ¶ 9, 393 Mont. 352, 430 P.3d 1006. A finding of fact is clearly erroneous only if it is not supported by substantial credible evidence, the district court misapprehended the effect of the evidence, or we have a definite and firm conviction upon review of the record that the court otherwise erred. In re C.K., 2017 MT 69, ¶ 10, 387 Mont. 127, 391 P.3d 735. Strict adherence to the involuntary commitment statutory scheme is required, considering the utmost importance of the rights at stake. In re S.D., 2018 MT 176, ¶ 8, 392 Mont. 116, 422 P.3d 122. We exercise de novo review when deciding questions of law such as whether the district court correctly interpreted and applied relevant statutes. In re Mental Health of O.R.B., 2008 MT 301, ¶ 14, 345 Mont. 516, 191 P.3d 482.
DISCUSSION
¶9 Whether the District Court committed reversible error when it allowed testimony by video conferencing at the commitment hearing over N.A.‘s objection.
¶10 N.A. argues that the District Court committed reversible error when it allowed Post to testify by Vision Net over N.A.‘s objections. The State does not contest that the District Court erred but contends that such error was harmless and does not warrant reversal.
¶11 It is well established that when construing a statute, it must be read as a whole and no term should be isolated from the context of the statute. Eldorado Coop Canal v. Hoge, 2016 MT 145, ¶ 18, 383 Mont. 523, 373 P.3d 836. The intent of the legislature is to be determined from the plain language of the statute. In re J.J., 2018 MT 184, ¶ 13, 392 Mont. 192, 422 P.3d 699. If the intent can be determined from the plain language of the statute, a court may not go further and apply any other means of interpretation. Id., ¶ 13.
¶12
- the initial hearing provided for in
53-21-122 ; - the detention hearing provided for in
53-21-124 ; -
the trial or hearing on a petition provided for in 53-21-126 ; - a hearing on posttrial disposition as provided for in
53-21-127 ; - a hearing on the extension of a commitment period as provided for in
53-21-128 ; - a hearing on rehospitalization of a person conditionally released from an inpatient facility as provided for in
53-21-197 ; - a hearing on an extension of the conditions of release as provided for in
53-21-198 .
Subsection (5) provides that two-way electronic audio-video communications “may not be used” in either “an initial hearing provided for by
¶13 The District Court erred in allowing Post to testify by Vision Net. While the plain language of
¶14 The State contends that the District Court‘s decision to allow Post to testify by Vision Net was reasonable and constituted a harmless error that failed to cause N.A. substantial prejudice. That misconstrues our application of the harmless error doctrine.
While it remains true that “harmless error does not mandate that we reverse a district court judgment,” In re Mental Health of O.R.B., ¶ 30, this Court nonetheless “firmly enforce[s] the statutory requirements for involuntary commitment proceedings.” In re L.L.A., 2011 MT 285, ¶ 20, 362 Mont. 464, 267 P.3d 1. In L.L.A., we reversed the District Court‘s commitment of L.L.A. due to the District Court‘s failure to provide a sufficiently detailed statement of facts supporting its commitment order as required by
calamitous effect of a commitment, including loss of liberty and damage to a person‘s reputation.” In re Mental Health of T.J.D., 2002 MT 24, ¶ 20, 308 Mont. 222, 41 P.3d 323. In T.J.D., we reversed T.J.D.‘s commitment and declined to apply the harmless error doctrine, holding that the district court erroneously relied on inadmissible hearsay statements contained in the professional person‘s report. In re Mental Health of T.J.D., ¶¶ 18-22. The restriction of T.J.D.‘s liberty and the stigma of a civil commitment supported our refusal to apply harmless error. In re Mental Health of T.J.D., ¶ 21.
¶16 Under the circumstances, we conclude that the District Court‘s error was not harmless and accordingly merits reversal. Post was the professional person and the State‘s key witness. Her attendance was required both statutorily under
¶17 Finally, the State contends that N.A. either failed to clearly object or, alternatively, waived the objection and acquiesced to the use of Vision Net by failing to seek a continuance. These arguments fail on several fronts. First, we consider “an objection sufficient if it specifies the reason for disagreement with the procedure employed by the court.” State v. Johns, 2019 MT 292, ¶ 18, 398 Mont. 152, 454 P.3d 692 (citations omitted). Conversely, “mere objection without assignment of the specific reason for the objection is not a proper objection.” Johns, ¶ 18 (citations omitted). N.A.‘s objection was plainly sufficient to identify the reason for disagreement with the District Court. The State sought to present Post‘s testimony by Vision Net. N.A. objected to the use of Vision Net. While the stated grounds for the objection rested on the Confrontation Clause, the underlying objection remained the same: N.A. objected to Post‘s testimony by Vision Net. This sufficiently identified N.A.‘s disagreement with the District Court and, despite the State‘s argument otherwise, constituted a clear objection.
¶18 Second, the State‘s argument attempts to create the illusion of choice, alleviate the State‘s burden of proof, and, in the process, circumvent the strict statutory requirements governing the involuntary commitment process. The burden of proving that a commitment is necessary remains with the State, and a respondent has the right to require the State to meet its burden of proof. In re J.S., ¶ 27. The hearing on the petition for the involuntary commitment must be held within five days unless the fifth day falls upon a weekend or holiday and unless additional time is requested on behalf of the respondent.
¶19 Finally, and perhaps most clearly, the State‘s argument contradicts the plain and unambiguous language of the statute.
CONCLUSION
¶20 The District Court committed reversible error when it allowed Post to testify by Vision Net over N.A.‘s objection. The judgment is reversed.
/S/ LAURIE McKINNON
We Concur:
/S/ JAMES JEREMIAH SHEA
/S/ BETH BAKER
/S/ INGRID GUSTAFSON
Justice Dirk Sandefur, dissenting.
¶21 The Court employs an overly simplistic and undiscerning plain language construction to construe
¶22 In construing the meaning or effect of statutes, we must simply “ascertain and declare what is in terms or in substance contained therein,” not “insert what has been omitted” or “omit what has been inserted.”
¶23 Starting with its express language,
¶24 Pursuant to the express language of subsections (2) and (4), the sole purpose and effect of
examining professional person from participating at trial via two-way videoconferencing is thus
¶25 Though not necessary for a proper plain language construction of
person be “present for trial,”
¶26 In contrast, the Legislature enacted
[This bill] would allow teleconferencing [in] mental health proceedings . . . with those individuals who are in crisis and are brought to jail . . . . Next, they are hauled to Warm Springs, then they are taken back to the community of origin to undergo court proceedings. This causes distress on the individuals and also costs the counties a considerable amount of money.
S. 107, 57th Leg., Reg. Sess. (2001); Senate Public Health, Welfare and Safety Committee Hearing Minutes in re SB 107 (Jan. 17, 2001) (Introductory statement of Sen. Eve Franklin, Sponsor). As further explained before the House Human Services Committee:
The issue is, when individuals are in a compromised state, they are not well, they are experiencing psychiatric symptoms and in some instances have to be transported and have to travel long distances back and forth from the [s]tate [h]ospital to their count[ies] of origin in order to go through the mental health proceedings. This bill allows for the use of two-way electronic audio-video equipment . . . rather than in all cases the individuals having to travel. The purpose of it . . . is really from a
humane aspect. There are times when people, who may be civilly committed, in jail, in a hospital, [or] in a community setting, are transported to Warm Springs and then have to come back, a six or three hour trip, depending on where [they] are in the state. It is not unheard of for people to be travelling round trip, in the company of a sheriff, in a police car or sheriff‘s vehicle, sometimes in handcuffs, and it‘s inappropriate and not humane and doesn‘t really serve the patient very well . . . [I] ha[ve] experienced this situation personally as a clinical specialist in psychiatric nursing, and . . . used to work part-time in a jail setting, where there were people who had to be transferred back and forth. Other county hearings were done over telecommunications from the jail . . ., and [I] [think] they ought to be able to do that [in mental health proceedings as well]. Often there is hesitancy, because of not being sure what the implications are, when it isn‘t explicitly [authorized] in statute. Maybe the letter of the law doesn‘t prohibit it, but if there is no precedent for it, particularly in . . . mental health hearings, there is understandable discomfort. The other piece of the bill is the financial piece, which was brought to the Legislative Finance Committee by a sheriff. Transporting someone ties up sheriff‘s vehicles, time, overtime[,] and the cost of transportation. . . . Certainly[,] it will be a savings to the count[ies], . . . in terms of their transportation costs.
S. 107, 57th Leg., Reg. Sess. (2001); House Human Services Committee Hearing Minutes in re SB 107 (Mar. 9, 2001) (Introductory statement of Sen. Eve Franklin, Sponsor).1 Thus,
as clearly manifest in both its express language and underlying legislative history,
¶27 In the absence here of any supported showing of constitutional deprivation, I would affirm the District Court on a right result/wrong reason basis. I dissent.
/S/ DIRK M. SANDEFUR
Chief Justice Mike McGrath and Justice Jim Rice join in the dissenting Opinion of Justice Sandefur.
/S/ MIKE McGRATH
/S/ JIM RICE