People v. Evelyn S.People v. Evelyn S.
delivered the opinion of the court:
Evelyn S. (respondent) was found unfit to stand trial on a charge of first-degree murder, and she was admitted to the Alton Mental Health Facility (Alton). In April 2001, the Madison County circuit court found her to be a person subject to the involuntary administration of psychotropic medication. See
I. BACKGROUND
In September 1999, Evelyn S. was arrested and charged with first-degree murder for the death of her husband. On January 31, 2001, a Cook County court found her unfit to stand trial. On February 21, 2001, she was admitted to Alton for treatment.
On March 19, 2001, the Statе filed a petition for the involuntary administration of psychotropic medication to Evelyn S. pursuant to
The matter was initially set for a hearing on March 22, 2001. At that time, the court granted Evelyn S.’s motion for a continuance so she could consult with her criminal attorney in Cook County. The hearing was then set for March 29, at which time Evelyn S. requested a two-week continuance to allow her time to obtain an independent examination, conduct discovery, and arrange for witnesses to appear to testify on her behalf. She also requested a jury trial. The court denied both requests but granted her another one-week continuance to contact the attorney she claimed represented her in Cook County. The court advised Evelyn
On March 30, 2001, Evelyn S. filed a motion to reconsider the denial of her jury demand and, as an alternative, a motion for leave to file a late jury demand. In the motion to reconsider, she contended that her initial jury demand was timely because the hearing had not yet begun. In the motion for leave to make a late jury demand, she contended that, assuming, arguendo, her March 29 jury demand was not timely, (1) any untimeliness was not due to any negligence on Evelyn S.’s part and (2) the State was not prejudiced by any delay.
On April 3, 2001, Evelyn S. served the Alton staff with interrogatories and a request to produce documents. On the same day, she served Dr. M.Y Reddy, her attending physician at Alton, and Dr. Stephen Robinson with notices to appear pursuant to Supreme Court Rule 237(b) (166 Ill. 2d R. 237(b)). Also on April 3, Evelyn S. filed a motion to dismiss the State’s petition for a lack of subject matter jurisdiction. She contended that the Cook County court’s continuing jurisdiction to determine her fitness to stand trial (see
On April 5, 2001, the trial judge conducted a hearing at Alton. Because the Chicago attorney had not entered an appearance for Evelyn S., the court informed her that her choices would be to accept her appointed attorney’s continued representation or represent herself. Evelyn S. chose the latter option.
Dr. Suresh Chand was the only witness for the State. Dr. Chand admitted that he had not spoken to Evelyn S. prior to the hearing. She had refused to allow him to interview her. His testimоny was based on Evelyn S.’s medical records and his discussions with Alton staff members who had worked with her. Dr. Chand testified that Evelyn S.’s mental illness manifested itself in her refusal to eat at least six meals since her admission, her refusal to bathe, and her aggressive and paranoid behavior. He stated that she refused meals, fearing they had been poisoned. He explained the benefits of each prescribed medication in reducing delusional thinking or anxiety or minimizing the side effects of the other medications and stated that these benefits outweighed the potential harm and that less restrictive alternatives to medication were not appropriate for Evelyn S. Dr. Chand opined that Evelyn S. was incapable of making an informed decision about whether to take the medications.
Evelyn S. called her brother, Peter Popovich, to testify on her behalf. He testified that she had always been devoutly religious and had professed to believe in faith healing rather than medication long before the murder charge was filed against her. Popovich further testified that he had never known his sister to refuse to bathe or keep clean, nor had he known her to accuse anyone of trying to poison her.
Evelyn S. testified that she had never told the staff at Alton that she feared her food was being poisoned but that she never told them she was fasting and praying for Lent because “[i]t’s supposed to be done in silence and a very private thing.” She stated that the staff documented that she refused to bathe because she wanted to wait for a phone call from her attorney in Chicago and bathe later. She further testified that she was not mentally ill but was grieving for her husband. A friend who ran a psychiatric outpatient clinic in Chicago had explained to Evelyn S. that the
The court asked Dr. Chand if the side effects of the medications sought to be administered to Evelyn S. would be made worse if she were given the drugs while she was fasting. Dr. Chand stated that any side effects could be reduced by reducing the dosages.
At the end of the hearing, the court found Evelyn S. to be a person subject to the involuntary administration of psychotropic medication, and the court entered an order authorizing the staff at Alton to administer Risperdal, Haldol, lorazepam, Cogentin, Benadryl, and Haldol decanoate to Evelyn S. and conduct the testing necessary to monitor any adverse reactions. The order was to go into effect on April 16, 2001, to coincide with the end of Lent so as to minimize the potential adverse effects from taking the medications while fasting.
Evelyn S. filed the instant appeal the same day. She contends that the trial court erred by (1) allowing her to waive counsel despite evidence she was not competent to do so, (2) denying her request for a jury (see
On April 12, 2001, this court entered an order staying the trial court’s order pending appeal. On April 23, 2001, the State filed a motion to dismiss Evelyn S.’s appeal, contending that this court lacks jurisdiction to consider it because it was an interlocutory order merely effectuating the Cook County court’s order for Evelyn S. to undergo treatment. We ordered the State’s motion taken with the case. On July 27, 2001, we granted the Attorney General’s motion to intervene on behalf of the Illinois Department of Human Services (Department) to defend against Evelyn S.’s constitutional challenge and respond to the State’s motion to dismiss. On January 2, 2002, just days before oral argument in this case, the Attorney General filed a motion to dismiss this appeal on the ground of mooiness because the Department intended to recommend that Evelyn S. be found fit to stand trial. We ordered the motion taken with the case. On March 15, 2002, the Cook County trial court found Evelyn S. fit to stand trial. She has been transferred to the Cook County jail to await trial on the murder charges.
For the reasons that follow, we deny both motions to dismiss and reverse the trial court’s order.
A. The Attorney General’s Motion to Dismiss on the Ground of Mootness
The instant appeal is moot. Evelyn S. was found fit to stand trial and transferred to the Cook County jail. The State no longer is seeking to medicate her against her will. Thus, our decision cannot grant еffective relief to any party. Thus, it is essentially an advisory opinion. Appellate courts generally lack jurisdiction to render advisory opinions. In re Mary Ann P.,
B. Applicability of the Mental Health Code
The State’s arguments are premised on the State’s contention that because Evelyn S. initially came bеfore the court system pursuant to the Code of Criminal Procedure of 1963 (
Involuntary mental health services, including the involuntary administration of psychotropic medications, involve a “ ‘massive curtailment of liberty.’ ” In re Barbara H.,
The Code of Criminal Procedure of 1963 includes procedures for the involuntary commitment of defendants found unfit to stand trial. Its provisions, rather than those of the Mental Health Code, govern proceedings to involuntarily admit those defendants and to determine whether they remain unfit to stand trial. In re Clarke,
We think the State’s position overstates the authority this statutory scheme gives the trial court to order any and all treatment necessary to render a defendant fit. The Code of Criminal Procedure of 1963 includes no provisions for determining whether the treatment of a defendant found unfit to stand trial may include involuntary medication. In other words, while the Code of Criminal Procedure of 1963 provides its own procedural safeguards for the involuntary admission of defendants found unfit to stand trial, it provides no alternative to the procedural safeguards afforded mental health patients under the Mental Health Code for the involuntary administration of рsychotropic medication. If the Mental Health Code does not apply, then, there are no procedural safeguards that do. Given the importance of the rights at stake, we conclude that the legislature could not have intended this result.
In so holding, we note that the conclusion we reach is similar to that reached by the Seventh Circuit Court of Appeals applying Illinois law in Johnson v. Brelje,
C. The State’s Motion to Dismiss
The State contends that this court lacks jurisdiction to consider Evelyn S.’s appeal because it was not a final order but rather an order effectuating an order to undergo treatment. We disagree. The State contends that the hearing to determine whether Evelyn S. should be subjected to medication against her will was really a 90-day hearing under
First we note that the State’s position is contrary to the procedural history of this case and its own actions in the trial court. We can think of no logical reason for the State to initiate a 90-day hearing to reexamine Evelyn S.’s fitness to stand trial only 47 days after the initial finding of unfitness. Moreover, we note that the State presented no evidence to the Madison County court related to her fitness or unfitness to stand trial and that, while this appeal was pending, the Cook County court that had initially found Evelyn S. unfit continued to reassess her fitness. Even were this not so, however, we would find the State’s position untenable.
As earlier noted, both the Code of Criminal Procedure of 1963 and the Mental Health Code provide procedures for involuntary admission. The procedures parallel each other in many respects. When a patient is involuntarily admitted pursuant to section 3 — 809 of the Mental Health Code (
D. Evelyn S.’s Capacity to Waive Counsel
Evelyn S. contends that the trial court erred in allowing her to waive her right to counsel. She contends that she was incapable of knowingly waiving her right to counsel because she had previously been found unfit to stand trial in the criminal proceedings. She argues for a per se rule that a defendant found unfit to stand trial is necessarily incapable of making an informed waiver of the right to counsel. Although we are unwilling to hold that a prior finding of unfitness to stand trial in a criminal proceeding in another court renders a respondent in Evelyn S.’s position per se incapable of knowingly and understanding^ waiving her right to counsel, we find that it must at least trigger a more detailed inquiry into the respondent’s competency to waive that important right than occurred in the instant case.
Every person alleged to be subject to the involuntary administration of psychotropic medication has a right to be represented by counsel. In re Jones,
The Mental Health Code provides that a court may not accept a respondent’s waiver of counsel “unless, after conferring with counsel, the respondent requests to represent himself and the court is satisfied that the respondent has the capacity to make an informed waiver of his right to counsel.”
We recognize that Evelyn S.’s statements with respect to her representation presented the trial court with a dilemma. Although she insisted that she had retained private counsel in Chicago, this
The trial court in In re Barbara H. was presented with a situation analogous to the one in the case at bar. There, as here, the respondent told her court-appointed attorney that she did not wish to be represented by him and had secured private representation instead. She refused to attend the hearing with her court-appоinted attorney, so this information was relayed to the court by the attorney rather than by the respondent herself. In re Barbara H.,
It does not follow from this that the court had no choice but to allow her to represent herself. In In re Yoder,
Evelyn S. requested to be represented by counsel other than Rothert. The court was thus presented with a choice of allowing her to proceed pro se, finding she lacked the capacity to either represent herself or retain counsel and refusing to dismiss Rothert, or delaying the hearing again to allow Evelyn S. to retain counsel of her own choice. In In re Barbara H., the supreme court explained the trial court’s responsibility in such a situation:
“When presented with information that Barbara H. had secured alternative representation and rejected representation by the public defender, the court should not have ignored the matter. Instead, it should have delayed action on the commitmentand medication issues pending a determination as to the status of her legal representation and her capacity to decide who should represent her. If evidence showed that Barbara H. was incapable of arranging for counsel or making an informed choice as to who should represent her, the circuit court would have been completely justified in appointing counsel for her ***.” (Emphasis added.) In re Barbara H., 183 Ill. 2d at 495-96 ,702 N.E.2d at 561 .
The State contends that the trial court followed this mandate. We disagree.
In the instant case, unlike in In re Barbara H., the trial court did make an inquiry into Evelyn S.’s representation. However, the court made a very limited inquiry into Evelyn S.’s ability to represent herself and made no inquiry into her capacity to make an informed choice about who would represent her. Had it made such an inquiry, the court may well have been justified in concluding that Evelyn S. was not capable of making an informed choice about who would represent her. Her objection to Rothert’s continued representation appeared to be based in part on a misconception of his role and in part on paranoid delusions that were a symptom of her mental illness. When presented with the choice of proceeding pro se or accepting Rothert’s continued representation, she accused him of calling other attorneys and telling them not to take her case. She claimed that Rothert had made these calls at the behest of the trial judge, who she claimed had admitted to Rothert that the State wanted to medicate her “because they need a conviction on the grounds of mental illness.” After more discussion, she chose the option of representing herself, stating, “I do not need a guardian.”
Moreover, the only inquiry the court made into Evelyn S.’s capacity to waive counsel and represent herself consisted of the following exchange:
“THE COURT: How far have you gone in school?
[EVELYN S.:] I’ve had some college training.
THE COURT: Okay. And I’m certain that you can read and write and understand the English language; is that correct?
[EVELYN S.:] Yes, sir.”
The court then explained that the Guardianship and Advocacy Commission could provide her with an attorney to represent hеr free of charge and “that happens to be Tony Rothert.” The court asked if Evelyn S. understood this and if it was her desire that Rothert not represent her. She stated that this was correct.
“THE COURT: You understand then that your option is going to be that you’re going to have to represent yourself *** as an attorney. I would have to hold you to the same standards as an attorney
That [sic] you would have to have the ability to present evidence in an orderly fashion and by the rules of evidence of the State of Illinois. You would have to make the correct objections before I would rule on them. ***
Do you feel, knowing all this, that you would still have the ability and want to represent yourself in this hearing?
[EVELYN S.:] In other words, your Honor, you’re telling me that even though my family’s attorney was not contacted until late last night and said that he had court today, he already has a trial commitment that he cannot change and that he needs a continuance, I’m being denied *** a continuance for this gentleman to have time to come in here and advise me?
THE COURT: Ma’am, this matter has now been continued for two weeks. *** The initial question I have for you[ — ]did you understand everything I just told you? Did you understand everything I just told you?
[EVELYN S.:] I understood.
THE COURT: And knowing all that, is it your desire to represent yourself?
[EVELYN S.:] Yes, it is.”
The trial court was aware that Evelyn S. had recently been found unfit to stand trial. This means that another court had already found Evelyn S. unable to understand the nature and purpose of the proceedings against her or unable to assist an attorney in hеr defense. People v. Coleman,
The Illinois Supreme Court has held that the standard for assessing the capacity to waive counsel is the same as the standard for assessing the fitness to stand trial. Coleman,
In In re Click,
Given the questions the finding of unfitness and Evelyn S.’s behavior at the hearings raise about her capacity to waive her right to counsel and represent herself, we think the trial court’s questions were inadequate. Although Evelyn S. indicated that she understood what the court had told her and she believed she had the ability to represent herself, we do not think such a passive affirmation suffices in
III. CONCLUSION
For the foregoing reasons, we deny both motions to dismiss this appeal. Because Evelyn S. has been found fit to stand trial and transferred to the Cook County jail, it would be futile to remand this matter. Therefore, we will simply reverse the trial court’s ruling.
Reversed.
GOLDENHERSH and KUEHN, JJ., concur.