In re JAMES E. (The People of the State of Illinois, Appellee, v. James E., Appellant)
No. 93608
Supreme Court of Illinois
May 22, 2003
Rehearing denied September 29, 2003
207 Ill. 2d 105
CHIEF JUSTICE MCMORROW and JUSTICE KILBRIDE join in this special concurrence.
RARICK, J., took no part.
THOMAS, J., specially concurring.
Anthony E. Rothert, of Alton, and Elvis C. Cameron and Jeff M. Plesko, of Anna, all of the Guardianship and Advocacy Commission, for appellant.
James E. Ryan, Attorney General, of Springfield, and William R. Haine, State‘s Attorney, of Edwardsville (Joel D. Bertocchi, Solicitor General, and William L. Browers and Domenica A. Osterberger, Assistant Attorneys General, of Chicago, of counsel), for the People.
JUSTICE GARMAN delivered the opinion of the court:
The trial court found respondent to be subject to involuntary admission to a mental health facility and placed him in the custody of the Department of Human Services. The appellate court affirmed, holding that, under the Mental Health and Developmental Disabilities Code (Code) (
BACKGROUND
On September 5, 2000, respondent, a 20-year-old male, was admitted as a voluntary patient to the inpatient
On September 8, 2000, respondent was transported to Alton Mental Health Center (Alton) after staff at St. Clare‘s executed a petition for involuntary admission by emergency certificate pursuant to section 3-600 of the Code (
The second petition was accompanied by a certificate from a qualified mental health examiner, as required by section 3-602 of the Code (
A hearing on the State‘s petition was held on September 14, 2000. Respondent‘s attorney stated that respondent was discharged from St. Clare‘s because “he didn‘t want to take medication and because he would not have insurance coverage.” Dr. Jim Belman, a licensed clinical psychologist at Alton, testified for the State. Dr. Belman testified that respondent had been diagnosed with substance-induced psychotic disorder. He reiterated the basic facts supporting the allegations contained in the second petition and accompanying certificate, including that respondent heard the voices of Satan and God talking in his head, refused medication, and refused to eat. Dr. Belman also testified regarding continuing problems respondent was experiencing since being moved to Alton.
Prior to the hearing, respondent filed a “Motion to Strike and Dismiss” the petition, arguing that the petition for involuntary admission was improper because it had not been preceded by respondent‘s making a written request for discharge pursuant to case law under section 3-403. After hearing the evidence, the trial court denied respondent‘s motion and found respondent to be a person subject to involuntary admission. The appellate court affirmed and rejected respondent‘s argument that he could not be involuntarily admitted because he did not request in writing to be discharged from St. Clare‘s.
ANALYSIS
The question presented in this appeal is one of law, which we review de novo. Woods v. Cole, 181 Ill. 2d 512, 516 (1998). We are asked to determine whether a hospital not owned and operated by the State of Illinois can
“A voluntary recipient shall be allowed to be discharged from the facility at the earliest appropriate time, not to exceed 5 business days, excluding Saturdays, Sundays and holidays, after he gives any treatment staff person written notice of his desire to be discharged unless he either withdraws the notice in writing or unless within the 5 day period a petition and 2 certificates conforming to the requirements of paragraph (b) of Section 3-601 and Section 3-602 are filed with the court. Upon receipt of the petition, the court shall order a hearing to be held within 5 days, excluding Saturdays, Sundays and holidays, and to be conducted pursuant to Article IX of this Chapter. Hospitalization of the recipient may continue pending further order of the court.”
405 ILCS 5/3-403 (West 2000).
We have had prior occasions to review section 3-403. In In re Hays, 102 Ill. 2d 314 (1984), the 19-year-old respondent voluntarily admitted himself to the psychiatric unit of Mercy Hospital in Urbana. He had been voluntarily admitted there on nine previous occasions over the previous four years. On the day following his admission, he refused to take medication, threw a phone at security guards, and became physically resistive. After being physically restrained, he told a nurse that he wanted to die. He was given medication and did not cause any further disturbance. The hospital petitioned the trial court to have the respondent declared a person subject to involuntary admission under the Code (Ill. Rev. Stat. 1981, ch. 91 1/2, par. 3-600 et seq.). The purpose of the petition was to permit transfer of the respondent to an institution with facilities better suited to treat him. On the evening after the incident, a physician executed the first certificate required for involuntary commitment. Ill.
In In re Splett, 143 Ill. 2d 225 (1991), the respondent voluntarily admitted himself to Elgin Mental Health Center, a state facility. A month later, the State filed a petition seeking respondent‘s involuntary admission. At a hearing, experts for the State testified that the respondent suffered from a bipolar disorder with psychotic features and posed a threat to himself and others. The respondent raised no challenge to the validity of the proceedings. Splett, 143 Ill. 2d at 227-28. The trial court found that the evidence of the respondent‘s mental illness and potential to inflict harm upon himself and others had been established by clear and convincing evidence and that he was subject to involuntary admission. The appellate court reversed, holding that the commitment order was ineffective because the State had failed to
Article VI allows for emergency involuntary admission to a mental health facility of a person in need of immediate hospitalization.
However, the actions of St. Clare‘s and the record make it apparent that it deemed it could no longer adequately treat respondent. The Code fails to address a situation in which a nonstate hospital, either for clinical or other reasons, cannot continue to treat a voluntary patient already admitted to the facility. A patient who can no longer be treated at a nonstate hospital may be in need of further services, but the nonstate facility, unlike a state facility, does not have the legal means by which to transfer a voluntary patient to a different facility to ensure he or she receives appropriate treatment. The nonstate facility cannot rely on the emergency procedures of article VI unless the patient has requested in writing his discharge. Article VII of the Code provides for involuntary admission to a mental health facility by court order in nonemergency situations.
We decline to interpret section 3-403 as operating to absolutely prevent a nonstate hospital from discharging a patient to whom it could no longer offer services. We hold that when a nonstate hospital can no longer adequately treat a voluntarily admitted patient, discharge from the nonstate hospital and the immediate initiation of an involuntary commitment proceeding to a state hospital pursuant to article VI serves to ensure that a patient receives necessary and adequate treatment. We have long held that, in construing a statute, courts presume that the General Assembly, in the enactment of legislation, did not intend absurdity, inconvenience, or injustice. Michigan Avenue National Bank v. County of Cook, 191 Ill. 2d 493, 504 (2000). We do not believe that the legislature envisioned or would have approved of an interpretation of section 3-403 such that when a nonstate facility can no longer treat a voluntary patient in need of continued treatment, the patient could not be involuntarily committed to a state mental health facility, regardless of his condition or the threat he poses to himself or others. Such a holding would not serve the interests of the public or the patient and creates a process with potential results that are both absurd and frightening.
In so holding, we preserve the general requirement
CONCLUSION
For the foregoing reasons, we find that the procedure followed in the instant case was proper. The judgment of the appellate court is affirmed.
Affirmed.
JUSTICE RARICK took no part in the consideration or decision of this case.
JUSTICE THOMAS, specially concurring:
I agree with the majority‘s holding that a petition for involuntary commitment may be filed against a voluntarily admitted patient if the facility determines that it can no longer adequately treat the patient. However, I write separately because I would do explicitly what the majority has done implicitly: overrule this court‘s decision in In re Hays, 102 Ill. 2d 314 (1984).
The resolution of this case should be simple. Sections 3-601 and 3-602 of the Code set forth the requirements for a petition for involuntary admission. No one disputes that the State complied with these sections in respondent‘s case, and that should be the end of the analysis. The reason the analysis does not end where it should is found in our decision in Hays, in which this court improperly rewrote section 3-403 of the Code.
Section 3-403 does not prohibit filing involuntary commitment petitions against voluntarily admitted patients. This section merely gives notice to voluntary recipients of mental health services that, if they file a written request for a discharge, they will be discharged within five days unless they withdraw their request, or unless a petition for involuntary commitment is filed within the five-day period. This section does not state that a petition for involuntary commitment can be filed against a voluntarily admitted patient only if the patient has first requested a discharge in writing. The section merely sets out the two circumstances in which a
The majority concedes that our decision in Hays was not based on the language of the Code, acknowledging that “[n]othing in the Code expressly requires that a voluntary patient must first make a written request for discharge before a petition for involuntary admission can be filed under article VI of the Code.” 207 Ill. 2d at 111. Because a majority of this court now recognizes that the Code does not contain the restriction that we read into it in Hays, we should overrule that decision. This is an entirely statutory matter, and our analysis should be based solely on what the Code does and does not require.
In this particular area of the law, we have entered the realm of judicial legislation. First, in Hays, we created our own rule that is not based on the language of the statute. We held that a petition for involuntary admission cannot be filed against a voluntary patient unless the patient has first requested a discharge. However, we immediately realized that our new rule was unworkable because an involuntary commitment petition might be necessary if a voluntary patient‘s condition deteriorates to the point where he cannot request a discharge. Accordingly, we created an exception to our rule for these situations. Hays, 102 Ill. 2d at 320-21.
Then today‘s case came along, and we realized that there was another problem with our rule. What if the treating facility determines that it can no longer adequately treat the patient and involuntary commitment is needed, but the patient‘s condition has not deteriorated to the point where he cannot request a discharge? This court‘s response is to create another exception to our
Another problem with the approach we have taken is that we have created two exceptions that essentially swallow our rule. We have held that a petition for involuntary admission can be filed against a voluntary patient who has not requested a discharge if either (1) the patient‘s condition has deteriorated to the point that the patient can no longer request a discharge, or (2) the facility determines that it can no longer adequately treat the patient as a voluntary admittee. Although the majority states that it is adhering to the Hays rule and creating only a “narrow exception” (207 Ill. 2d at 114), it is difficult to conceive of any other reason than the above two that a petition for involuntary commitment would be filed against someone who is already receiving treatment voluntarily. The majority states that it is absurd to believe that the legislature would not approve of involuntary admissions in cases such as this. 207 Ill. 2d at 113. This is obviously true and is likely precisely why the legislature put no such restriction in the Code. Because the Hays rule was not based on the language of the Code, and because we have essentially nullified the rule with today‘s decision, we should admit that Hays was an erroneous decision and overrule it expressly.
CHIEF JUSTICE MCMORROW, dissenting:
In the case at bar, the majority holds that a private mental health facility can initiate a petition for involun-
Article IV of chapter III of the Mental Health and Developmental Disabilities Code (
“A voluntary recipient shall be allowed to be discharged from the facility at the earliest appropriate time, not to exceed 5 days, excluding Saturdays, Sundays and holidays, after he gives any treatment staff person written notice of his desire to be discharged unless he either withdraws the notice in writing or unless within the 5 day period a petition [for involuntary commitment is] filed with the court.”
405 ILCS 5/3-403 (West 2000).
This paragraph was interpreted by this court in In re Hays, under circumstances nearly identical to the facts of our present case. In Hays, we held that “in the case of a voluntarily admitted patient, involuntary-commitment proceedings must be preceded by a voluntary patient‘s request for discharge.” (Emphasis added.) In re Hays, 102 Ill. 2d at 319. We reasoned that the rights given voluntarily admitted patients under the Code evinced a legislative intent to encourage voluntary admissions. Further, we found that persons needing treatment would be more likely to seek voluntary admission if they did
In dicta, the Hays court suggested that an exception to the rule that involuntary proceedings may not be brought unless the patient has submitted a written request for discharge might be recognized if the patient had deteriorated to such a point that he or she was unable to request a discharge and the private facility could no longer provide adequate care for the patient. In such cases, the Hays court suggested that it would be appropriate for the private facility to “notify public health authorities and release the patient into their custody to permit instituting an involuntary-commitment proceeding.” In re Hays, 102 Ill. 2d at 321.
In the case at bar, there is no evidence that the patient had deteriorated to a point that he could not request discharge. Nor did the private facility attempt to show that it was unable to provide adequate services. Rather, it appears that the voluntarily admitted patient was unable to pay for treatment at the private facility.
The majority correctly notes that the Code fails to address the situation where a nonstate hospital, either for clinical or other reasons, cannot continue to treat a voluntary patient already admitted to the facility. The majority concludes that, in such circumstances, the nonstate hospital has only two options: to discharge the patient altogether or to continue to provide inadequate care or care for which they will not be reimbursed. However, the majority wholly disregards an argument advanced by the respondent, i.e., that the nonstate hospital has a third option: to give the patient the opportunity to apply for voluntary admission to a state facility.
Nearly 20 years ago, the Hays court, when confronted with circumstances nearly identical to those in the case at bar, ruled that it was a violation of a voluntarily admitted patient‘s statutory rights to institute involuntary commitment proceedings unless the voluntary patient submitted a written request for discharge. The Hays court arrived at this conclusion based on its interpretation of the Code, grounded in the belief that the Code evinced a legislative intent to make needed services available to mental health patients under the least restrictive means. Thus, where, as in the present case, a patient recognizes the need for inpatient care or hospitalization and voluntarily admits himself for such care, he should
The majority‘s resolution is to allow the private facility to institute involuntary commitment proceedings against a voluntarily admitted patient even though he has not made a written request for discharge and there has been no significant change in the patient‘s condition. This resolution implicitly overrules Hays and subordinates the rights of the patient to those of the private facility.
Principals of stare decisis compel adherence to established precedent absent compelling reasons for a departure. In the case at bar, no compelling reasons have been provided for overturning Hays. Consequently, I would hold, consistent with Hays, that a private mental health facility may not institute involuntary commitment proceedings against a voluntarily admitted patient unless the patient has requested discharge or, because of a deterioration in the patient‘s condition, is unable to do so. Where, as here, a private facility is unable to continue to provide adequate care to a voluntarily admitted patient for clinical or other reasons, the facility may assist the patient in applying for voluntary admission to a public facility. In this way, the private facility ensures that the voluntarily admitted patient‘s treatment needs are appropriately met, while at the same time, preserves the patient‘s right to maintain his voluntary status.
It is disheartening to see this court show so little
For the foregoing reasons, I would reverse the appellate court‘s judgment and find that here, as in Hays, the respondent‘s statutory rights were violated when the trial court found him to be a person subject to involuntary admission.
JUSTICE FREEMAN joins in this dissent.
