Lead Opinion
delivered the opinion of the court:
Plаintiff, Lonnie Maxwell, filed a two-count complaint against defendant Hobart Corporation for injuries sustained on June 8, 1986, when his hand became caught in a waste equipment machine manufactured by defendant. The complaint, which sounds in negligence and strict products liability, alleged that the system activated without warning while plaintiff attempted to clear a jam. At the time of the accident, plaintiff was employed by Northwestern Memorial Hospital (Northwestern) in the food service area.
A test performed at Northwestern following the accident revealed that plaintiff’s blood-alcohol level was .136 grams. In re-spending to interrogatories, plaintiff indicated that he had consumed alcohol within the 24 hours prior to the accident, but failed to state the quantity consumed or the time.
Defendant issued a subpoena to Northwestern for production of all its records regarding plaintiff. (Defendant subsequently initiated a third-party claim against Northwestern.) Northwestern informed defendant that it refused to produce records from its “Employee Assistance Program” without plaintiff’s authorization. Plaintiff refused to execute a release and Northwestеrn continued to refuse to produce the records. (Although the treatment records at issue are not part of the record on appeal, we gather from plaintiff’s brief and from the parties at oral argument that the records concern plaintiff’s treatment for alcoholism.)
Defendant subsequently filed its motion to compel disclosure of the employee assistance program records. The judge directed plaintiff to produce the records for in camera inspection and requested that both parties file briefs on whether the records were discoverable.
On May 11, 1990, after a hearing on defendant’s motion and an in camera review of the records, the court ruled that the documents designated by Bates stamp series 300 were not privileged and were, therefore, discoverable. The court returned all the documents to plaintiff and ordered him to produce them within 14 days. The court also determined that the series 100 and 200 documents, not at issue on appeal, were protected from disclosure.
Despite the court’s order, plaintiff refused to produce the discoverable documents. Defendant moved to compel plaintiff’s compliance or, alternatively, for a rule to show cause against plaintiff’s attorney. At the hearing on the motion, plaintiff, through counsel, indicated that he would not comply with the order due to the sensitive nature of the records. The court then entered a contempt order against the attorney, from which this appeal is taken.
The sole issue on appeal is whether the Mental Health and Developmental Disabilities Confidentiality Act (Ill. Rev. Stat. 1987, ch. 91V2, par. 801 et seq.) or the Alcoholism and Other Drug Dependency Act (Ill. Rev. Stat. 1987, ch. 111½, par. 6358 — 2) protects the records from disclosure. We consider each act separately.
Initially, we note that a trial court is afforded great latitude in ruling on discovery matters, and this court will not disturb such rulings on appeal absent a manifest abuse of discretion. (Computer Teaching Corp. v. Courseware Applications, Inc. (1990),
Plaintiff first maintains on appeal that the trial court erroneously found that Northwestern’s records regarding plaintiff’s treatment for alcoholism were not protected by the Mental Health and Developmental Disabilities Confidentiality Act (Confidentiality Act).
Section 10 of the Confidentiality Act provides, in pertinent part:
“(a) Except as provided herein, in any civil *** proceeding, *** a recipient, and a therapist on behalf and in the interest of a recipient, hаs the privilege to refuse to disclose and to prevent the disclosure of the recipient’s record or communications.” (Ill. Rev. Stat. 1987, ch. 9½, par. 810(a).)
The Confidentiality Act defines “recipient” as “a person who is receiving or has received mental health or developmental disabilities services.” (Emphasis added.) (Ill. Rev. Stat. 1987, ch. 911/2, par. 802(6).) Further, the statute defines “record” as follows: “[A]ny record kept by a therapist or by an agency in the course of providing mental health or development disabilities service to a recipient concerning the recipiеnt and the services provided.” (Emphasis added.) Ill. Rev. Stat. 1987, ch. 9DA, par. 802(7).
Plaintiff argues that alcoholism treatment is a mental health service within the meaning of the privilege. In support of this contention, plaintiff directs us to references to alcoholism as a “mental disorder” by the American Psychiatric Association and the World Health Organization. We decline, however, to rely on such sources when to do so would defy principles of statutory construction and ignore legislative intent. Although the legislature did not define “mental health services” for purposes of the Confidentiаlity Act, we cannot conclude that the legislature intended “mental health services” to include alcoholism treatment.
It is a well-settled rule of statutory construction that when two statutes deal with the same subject, one specific and one general, the more specific statute controls. (Crawford County State Bank v. Marine American National Bank (1990),
Moreover, even if the Confidentiality Act protected alcoholism treatment recоrds, we find that the statutory exception to the nondisclosure mandate applies here to permit disclosure. (Ill. Rev. Stat. 1987, ch. 91½, par. 810(a)(1).) The exception to the privilege arises:
“[I]n a civil *** proceeding in which the recipient introduces his mental condition or any aspect of his services received for such condition as an element of his claim or defense, if and only to the extent the court in which the proceedings have been brought *** finds, after in camera examination of testimony or other evidence, that it is relevant, probative, not unduly prejudicial or inflammatory, and otherwise clearly admissible; that other satisfactory evidence is demonstrably unsatisfactory as evidence of the facts sought to be established by such evidence; and that disclosure is more important to the interests of substantial justice than protection from injury to the therapist-recipient relationship or to the recipient or other whom disclosure is likely to harm.” Ill. Rev. Stat. 1987, ch. 91½, par. 810(a)(1).
Plaintiff maintains that the exception does not apply because he did not raise his mental condition as an issue. Additionally, he argues that the records are irrelevant to any issue in this case. Neither argument is persuasive.
We note that the law is by no means settled in this area. Some States’ statutes expressly provide for a waiver when the privilege holder places his physical or mental condition at issue. (See City & County of San Francisco v. Superior Court (1951),
We believe that plaintiff placed his physiological and biological condition at the time of the accident into issue and made discoverable all information relating to that condition. To prevail in a strict liability action, plaintiff must show not only some defect in the product or design, but also that the condition of the product proximately caused the injury. (Rios v. Navistar International Transportation Corp. (1990),
The record reveals that plaintiff’s blood-alcohol level after the accident measured .136 grams. If plaintiff had been operating a motor vehicle at the time of the accident, instead of a waste disposal system, our laws would presume plaintiff was “under the influence of alcohol.” (Ill. Rev. Stat. 1987, ch. 95^2, par. 11-501.2(b)(3).) It is possible that plaintiff’s intoxication may have cоntributed to or even proximately caused the accident. In addition, the records at issue may lead to discoverable information regarding defendant’s third-party claim against Northwestern. (Monier v. Chamberlain (1966),
We find Pritchard v. SwedishAmerican Hospital (1989),
Unlike Thiele, this case does not pertain to a condition that “may be only peripherally” related to plaintiff’s claim, as the court there reasoned. (Thiele,
Pritchard, cited by plaintiff for the proposition that recipient must place his mental condition at issue, does not apply here. In Pritchard, a medical malpractice casе, this court concluded that plaintiff could not place defendant-doctor’s mental condition at issue. Rather, to waive protection under the Confidentiality Act, the “recipient” must place his mental condition at issue. In this case, plaintiff’s, not defendant’s, condition is at issue. Moreover, as we have indicated above, plaintiff placed his condition at the time of the accident at issue when he filed this action.
Nor do we believe that Tylitzki v. Triple X Service, Inc. (1970),
Accordingly, we conclude that the Confidentiality Act does not protеct alcoholism treatment records from disclosure. Moreover, even assuming the Confidentiality Act applied to the records, the trial court properly found them discoverable under the statutory exception.
We next consider plaintiff’s contention that the Alcoholism Act (Ill. Rev. Stat. 1987, ch. 111½, par. 6358 — 2) protected the records from disclosure. The Alcoholism Act provides that a client’s records pertaining to treatment of alcoholism are confidential and may be disclosed only as authorized by the statute. One exception to the statutory mandate of confidentiality provides in pertinent part:
“Whether or not the patient, with respect to whom any given record referred to in this Section is maintained, gives his written consent, the content of such record may be disclosed ***
*** [i]f authorized by an appropriate order of a court of competent jurisdiction granted after application showing good cause therefor. In assessing good cause the court shall weigh the public interest and the need for disclosure against the injury to the patient, to the practitioner-patient relationship, and to the treatment services.” Ill. Rev. Stat. 1987, ch. 111½, par. 6358-2.
Plaintiff argues that defendant did not demonstrate good cause for production of the records and that the trial court, therefore, abused its discretion in ordering disclosure. We disagree.
Although we recognize that relevancy alone does not equal good cause, it is an important consideration. Here, contrary to plaintiff’s assertion, the records are relevant to the issues in this case. Plaintiff’s lack of sobriety may have affected his capacity to properly operate defendant’s waste disрosal machine. As already noted, the records may contain evidence to defeat plaintiff’s claim or assist defendant in prosecuting its third-party claim against Northwestern, or may lead defendant to such relevant evidence for trial. See Computer Teaching Corp. v. Courseware Applications, Inc.,
Although we agree with plaintiff’s characterization of the records as “highly personal and sensitive,” and his contention that disclosure may affect the practitioner-patient relationship if it continues to exist, these concerns do not outweigh thе need for disclosure. Further, there is no evidence in the record that plaintiff was still receiving treatment services through Northwestern’s employee assistance program when the trial court ordered disclosure of the records in May 1990. The potential for injury to plaintiff is inconsequential when juxtaposed against defendant’s right to discover evidence in its defense.
Nor are we persuaded by plaintiff’s argument that defendant’s failure to use other discovery methods, such as supplementary interrogatories, requests for production and additional depositions, to prepare its defense mitigates against a finding of good cause. Because plaintiff refused to consent to disclosure of the records, presumably he would not respond to such alternative discovery, raising the same discovery privilege. A practitioner being deposed would similarly raise the privilege. Although the Alcoholism Act applies to the records at issue, the trial court in its discretion properly found good cause for disclosure.
In summary, we are persuaded that plaintiff put his condition in issue and that defendant Hobart is not on a fishing expedition. The interest in having truth triumph outweighs plaintiffs interest in preventing disclosure and such result is consistent with a sound construction of the statutes and the modern trend toward open and full discovery and fundamental fairness between the parties.
In summary, plaintiff’s refusal to comply with the trial court’s order has no basis in either the Confidentiality Act or the Alcoholism Act.
For the foregoing reasons, the judgment of the circuit court of Cook County ordering the disclosure of the records at issue and finding plaintiff’s counsel in contempt of court is affirmed. We direct plaintiff to turn the records over to defendant within 21 days аfter the filing of this opinion. Plaintiff’s counsel shall be purged of contempt upon compliance with this direction.
Judgment affirmed with directions.
EGAN, J., concurs.
Dissenting Opinion
dissenting:
While I agree with the majority regarding the inapplicability of the Mental Health and Developmental Disabilities Confidentiality Act (Ill. Rev. Stat. 1989, ch. 91½, par. 801 et seq.), I disagree that plaintiff impliedly introduced his mental health condition as an issue when he filed this suit. No Illinois court has ever held that the mere filing of a negligence or strict liability action ipso facto places at issue the mental condition of the plaintiff so as to waive the statutory privilege. Nor does thе majority cite any other authority to support its position.
The exception relied upon by the majority to exclude application of the statutory privilege to the facts of this case reads in pertinent part as follows:
“Records and communications may be disclosed in a civil, criminal or administrative proceeding in which the recipient introduces his mental condition or any aspect of his services received for such condition as an element of his claim or defense, if and only to the extent the court *** finds, after in camera examination of testimony or other evidence, that it is relevant, probative, not unduly prejudicial or inflammatory, and otherwise clearly admissible; that other satisfactory evidence is demonstrably unsatisfactory as evidence of the facts sought to be established by such evidence; and that disclosure is more important to the interests of substantial justice than protection from injury to the therapist-recipient relationship or to the recipient or other whom disclosure is likely to harm.” (Emphasis added.) Ill. Rev. Stat. 1989, ch. 91½, par. 810(a)(1).
While the majority states that plaintiff’s alcohol treаtment records are relevant, probative and the interests of substantial justice require disclosure, the threshold inquiry is whether the plaintiff placed his mental condition at issue. Whether the sought after information is relevant, probative, not unduly prejudicial or inflammatory, etc., are only germane inquiries where the court has first determined that the plaintiff has placed his mental condition in issue.
In Webb v. Quincy City Lines, Inc. (1966),
Courts of other jurisdictions, in addressing similar statutes, have refused to find waiver merely because a party filed a pleading in an action where his physical or mental condition may be an issue. In Dillenbeck v. Hess (1989),
“defendant’s physical condition at the time of the accident is ‘in controversy’ within the meaning of [the statute] and thus potentially subject to discovery.
The information sought by plaintiffs, however — hospital records relating to defendant’s physical condition and blood alcohol content following the accident — indisputably falls within the scope of the physician-patient privilege as information acquired by a physician ‘in attending [defendant] in a professional capacity, and whiсh was necessary to enable him to act in that capacity’ [Citation]. Defendant cannot be said to have waived the privilege simply by denying the allegations in the complaint or by testifying that she cannot remember any details of the incident where the fact of her memory loss is not being advanced to excuse her conduct [citation]. Nor has she waived the privilege by asserting the defenses of comparative negligence and the failure of plaintiffs to wear seat belts since neither defense seeks to excuse the conduct complained оf by asserting a mental or physical condition. Moreover, the mere fact that the privilege presents an obstacle to plaintiffs’ discovery of legally pertinent information that would assist them in proving their claim is not, as the dissent seems to suggest, evidence that the privilege is not properly recognized in this case. Indeed, it is inherent in the very nature of an evidentiary privilege that it presents an obstacle to discovery and it is precisely in those situations where confidential information is sought in advancing a legal claim that such privilege is intended to operate. Were we to carve out an exception to the privilege whenever it inhibited the fact-finding process, it would quickly become eviscerated.” Dillenbeck,73 N.Y.2d at 288-89 ,536 N.E.2d at 1133 ,539 N.Y.S.2d at 714 .
See also Koump v. Smith (1969),
In Clark v. District Court (Colo. 1983),
“Given the clear terms of these statutory privileges, it would be inappropriate for us to read into the statutory scheme an implied waiver based on nothing more than the privilege holder’s act of filing a pleading in a case in which his physical or mental condition may be an issue. In our view, thе appropriate inquiry under such circumstances should be whether the privilege holder has injected his physical or mental condition into the case as a basis of a claim or an affirmative defense.”
Thus, while my research has been unable to uncover any cases on the issue of whether waiver shall be applied merely as a result of a law suit being filed, I think the above authority reveals that such is not the case. Indeed, comprehensive reviews of the psychotherapist-patient and physician-patient privileges never even address the issue оf whether the mere filing of a negligence action constitutes a waiver of the privilege. (See generally Annot., Privilege, in Judicial or Quasi-Judicial Proceedings, Arising from Relationship Between Psychiatrist or Psychologist and Patient,
While the majority reasons that plaintiff’s state of intoxication may have caused the accident, and thus is relevant to the issue of plaintiff’s comparative fault, it is important to note that comparative fault is an affirmative defense. Thus, it is capable of being waived by defendant (Terminal Freezers, Inc., v. Roberts Frozen Foods, Inc. (1976),
Nor do I agree with the majority position that the Illinois Alcoholism and Other Drug Dependency Act (Ill. Rev. Stat. 1989, ch. 111½, par. 6351 — 1 et seq.) does not protect the records from disсlosure. The good-cause exception to the Act, relied upon by the majority to allow disclosure of the records, provides that such record may be disclosed
“[i]f authorized by an appropriate order of a court of competent jurisdiction granted after application showing good cause therefor. In assessing good cause the court shall weigh the public interest and the need for disclosure against the injury to the patient, to the practitioner-patient relationship, and to the treatment services.” Ill. Rev. Stat. 1989, ch. 111½, par. 6358-2(3).
In its analysis of the statute, the majority seems to equate good cause with information that is either relevant or could lead to relevant information. While inquiries concerning relevancy are always proper in discovery disputes, the concept of relevancy applies to a much broader spectrum of information than does the issue of good cause. Because all discovery is limited to matters that are either relevant or could lead to relevant information, the equating of good cause with relevancy would completely eradicate the privilege within a lawsuit context. Such a result could hardly have been the intent of the legislature when it enacted the privilege. In my opinion, the following language used by the Dillenbeck court concerning the physician-patient privilege is most appropriate to the case sub judice:
“Moreover, the mere fact that the privilege presents an obstacle to plaintiffs’ discovery of legally pertinent information that would assist them in proving their claim is not, as the dissent seems to suggest, evidence that the privilege is not properly recognized in this cаse. Indeed it is inherent in the very nature of an evidentiary privilege that it presents an obstacle to discovery and it is precisely in those situations where confidential information is sought in advancing a legal claim that such privilege is intended to operate. Were we to carve out an exception to the privilege whenever it inhibited the fact-finding process, it would quickly become eviscerated.” Dillenbeck,73 N.Y.2d at 289 ,536 N.E.2d at 1133 ,539 N.Y.S.2d at 714 .
For the foregoing reasons it is my opinion that production of the “Employees Assistance Records” is barred by the Illinois Alcoholism and Other Drug Dependency Act (Ill. Rev. Stat. 1989, ch. 111½, par. 6351 — 1 et seq.).
Accordingly, I would reverse the judgment of the circuit court and vacate the finding of contempt along with the resulting fine.
