THE PEOPLE, Plaintiff and Respondent, v. L. C. THOMAS, Defendant and Appellant.
Crim. No. 19476
Supreme Court of California
July 15, 1977
19 Cal.3d 630
COUNSEL
Wilbur F. Littlefield and Richard S. Buckley, Public Defenders, John J. Gibbons, Alan H. Simon, Michael Tautfest and Laurence M. Sarnoff, Deputy Public Defenders, for Defendant and Appellant.
Evelle J. Younger, Attorney General, Jack R. Winkler, Chief Assistant Attorney General, S. Clark Moore, Assistant Attorney General, Jack T. Kerry and Abram Weisbrot, Deputy Attorneys General, for Plaintiff and Respondent.
OPINION
MOSK, J.---Two years ago we held that a person whom the state seeks to commit to a mental hospital as a “mentally disordered sex offender” (
Defendant Thomas was convicted of second degree burglary in 1971. The proceedings were apparently not final when, on November 14, 1974, he was arrested and returned to custody on suspicion of being under the influence of heroin. The court adjourned the prior proceedings and ordered that a petition be filed to determine whether defendant was a narcotics addict within the meaning of
Defendant made a timely demand for a jury trial (
I
The importance of adequate procedural safeguards against an erroneous verdict in narcotics addict commitment proceedings is underscored by the close balance of the evidence in the case before us.
Defendant freely admitted that he had begun experimenting with heroin in 1971, and became addicted thereto by 1972. But he testified that under strong family pressure, including his wife‘s temporary separation from him, he reduced and finally discontinued his use of heroin in 1973, having his last “fix” in December of that year. Since that date his sole experiences with injections occurred in May 1974, when he twice took cocaine, and in October 1974, when he took codeine for pain following extraction of all his upper teeth.
Defendant gave the same history to each of the four doctors who examined him. They based their opinions, however, primarily on the physical appearance of certain “tracks” they observed on defendant‘s arms at the time of the examination. Such tracks typically appear as brownish discolorations of the skin following the lines of veins which have been the site of repeated and localized self-administered injections. They are commonly relied on as evidence of heroin addiction, but their value in that respect is subject to two important limitations.
First, because the discoloration tends to be permanent it gives no clue to the age of the track. Only when certain additional symptoms are present can an inference be drawn that there have recently been multiple injections into the vein: the symptoms include scab formation and a temporary inflammation or swelling. But such features disappear in an average of one to two months following discontinuance of the injections, after which it is again impossible to determine when the vein was last used for this purpose. Moreover, even when some swelling is present it must be carefully distinguished from a long-term hardening of such veins caused by permanent scar tissue from previous injections. In short, unless there is the appropriate kind and degree of traumatic swelling, the presence of tracks is inadequate to distinguish between recent and earlier use of the vein.
Secondly, the particular nature of the substance injected cannot be inferred from the appearance of the tracks alone. Repeated and localized self-administered injections of any nonnarcotic substance, or of a narcotic permissibly prescribed, will likewise cause discoloration and
With this background we may better appraise the expert testimony in this case. The four doctors called to the stand were all well qualified by training and experience to give their opinions on the significance of the tracks found on defendant‘s arms. Yet their testimony was sharply divided. The two doctors who testified for the People stated as their opinion that although a majority of the tracks were old, two of them showed sufficient residual swelling to justify the inference that they had been the site of multiple injections some six to eight weeks prior to the examination, i.e., shortly before defendant‘s arrest. The witnesses then reasoned as follows: it is “statistically unlikely” that a person who has used heroin for any length of time will switch to a different drug; defendant admittedly had been addicted to heroin in 1971 and 1972; therefore the witnesses made the “assumption” that the substance he injected shortly before his arrest in November 1974 was heroin. On this and similar reasoning both doctors concluded that defendant was a narcotics addict.
By contrast, the two doctors who testified for the defense were equally firm in their opinion that none of the tracks on defendant‘s arms was recent. Thus the Los Angeles County Deputy Medical Examiner reviewed in detail the physical appearance of the tracks and concluded “They are much older than November of 1974.” When shown a photograph of defendant‘s arm taken at the time of arrest on November 14, the doctor conceded that a number of small puncture wounds visible therein could have occurred within a few weeks prior thereto, but reiterated that it is impossible to tell what substance was injected on that occasion.
The final expert, a forensic psychiatrist with the longest experience among the witnesses in determining narcotic addiction, gave as his opinion that defendant was neither addicted nor in imminent danger of addiction. The doctor found the tracks on defendant‘s arms to be “all very old and faded, not consistent with frequently repeated injecting of any drugs in the months recently preceding my exam.” In response to a hypothetical question, he testified that multiple injections of the drug
As noted above, defendant testified that he had given himself a series of codeine injections for pain following extraction of all his upper teeth. He specified that the surgery took place in the Martin Luther King General Hospital in Los Angeles; he first visited the hospital on September 13, 1974, but left without treatment because too many people were waiting to see the doctor; he returned on October 23 for examination, and the surgery was performed on the following day; the codeine was prescribed for him at that time; and he injected it for the ensuing week or 10 days to relieve pain. In rebuttal, the People called a medical records custodian from Martin Luther King General Hospital who testified that every new patient is given a single, permanent identification number, and all treatment he receives thereafter at the hospital is recorded under the same number; according to defendant‘s medical record he came to the hospital only on September 13, 1974, and left without obtaining treatment; and there is no record of his returning in late October or of receiving dental treatment or a medication prescription. The witness explained that her information was taken directly from the hospital‘s computer and double-checked by examination of index cards; the computer would have showed any treatment received by defendant subsequent to September 13; and she had never known the computer to make a mistake.
In his closing argument to the jury the prosecutor repeatedly emphasized the apparent impeachment of defendant‘s testimony in what he termed “this crucial area.” He stressed that the hospital record put before the jury was defendant‘s “only and sole chart” and contained “every bit of medical information” on this patient; that the chart showed no oral surgery performed on October 24 and no prescription for medication; and hence that “instead of the defense of [injecting] the codeine which obviously is a good defense, he was in fact shooting dope, heroin, and is in fact a narcotic addict” (italics added).
II
As noted at the outset, we held in People v. Burnick (1975) supra, 14 Cal.3d 306, that the standard of proof beyond a reasonable doubt is required in mentally disordered sex offender commitment proceedings by the due process clauses of the California Constitution (
To begin with, the standard of proof by a preponderance of the evidence has heretofore been justified in narcotics addict commitment proceedings on the theory that under the relevant statute (
Two of those consequences we held determinative: if the proceedings seriously put at risk both the personal liberty and the good name of the individual, the safeguard of proof beyond a reasonable doubt is required. Because we distilled that rule from In re Winship (1970) 397 U.S. 358 [25 L.Ed.2d 368, 90 S.Ct. 1068], which first invoked it in the context of a commitment for juvenile delinquency, we proceeded to compare the place and potential length of confinement of juveniles with those of mentally disordered sex offenders. (14 Cal.3d at pp. 318-321.) The analysis is no less instructive in the case at bar.
A youth adjudged to be a juvenile delinquent, we noted, “may or may not be confined in an institution; other less drastic methods of control are available, including placement in a ‘suitable family home’ or release on probation. (
Although the CRC is not among the facilities specifically listed as state prisons (
Not only is the loss of freedom of the narcotics addict more severe than that of the juvenile, it is potentially of a longer duration. “Any confinement of the juvenile is ordinarily limited by law to a few years at most, terminating automatically when he reaches age 21 or shortly thereafter. (
It is true that prior to discharge from the program a person may be conditionally released on “outpatient status.” (
The second prong of the Burnick analysis was a comparison of the stigma flowing from an adjudication of juvenile delinquency and a commitment as a mentally disordered sex offender. (14 Cal.3d at pp. 321-322.) Again our reasoning is apposite here, and we may reiterate it with appropriate substitutions of the term “narcotics addict” for the words “mentally disordered sex offender.”
Juvenile delinquency proceedings “are conducted in privacy: the statute flatly declares that ‘the public shall not be admitted’ (
“Secondly, to the extent they do become known, acts of juvenile misconduct are often minimized or forgiven on such commonplace rationalizations as ‘boys will be boys’ or ‘youth will have its fling,’ coupled with a belief of folk psychology that the miscreant is just ‘going through a stage’ and with maturity will ‘outgrow’ his bad habits. No such indulgence is shown towards the convicted [narcotics addict], however immature or impulsive he may be.” (Id., at p. 322.) He remains burdened with the public‘s often lurid image of the “dope fiend” or, in contemporary jargon, the “junkie.”
That image traditionally includes a variety of highly pejorative attributes: the heroin addict is widely believed to be a self-indulgent social parasite who caters to his uncontrolled craving for the drug at the expense of his family and community obligations; a member of a
Contagious diseases, of course, “contaminate” the public. But the holding of Burnick is that before an individual can be branded a moral leper and locked up for years in a security institution he is entitled to a higher standard of proof than a mere preponderance of the evidence, the test appropriate for ” ‘run-of-the-mill automobile negligence actions’ ” (14 Cal.3d at p. 310). Rather, for the reasons stated above the standard in narcotics addict commitment proceedings must be as high as it is in juvenile delinquency proceedings, i.e., proof beyond a reasonable doubt. “Anything less will fall short of providing the level of due process required by the California and federal Constitutions.” (Id., at p. 322.)8
III
The instruction permitting a less than unanimous verdict in the case at bar was predicated on section 3108, which declares in part that the person sought to be committed shall be discharged unless he is found to be a narcotics addict “by at least three-fourths of the jury.” In Burnick‘s companion case of People v. Feagley (1975) supra, 14 Cal.3d 338, we impliedly questioned the validity of the latter language (id., at p. 357, fn. 13), and we held unconstitutional its identically worded counterpart in the mentally disordered sex offender law, section 6321. Once more the essential parallelism of the two statutory schemes dictates our result.
Undertaking a like analysis here, we observe that at the trial level the petition for commitment was filed by the district attorney (
Other close similarities between this proceeding and a criminal prosecution appeared at the appellate level. We gave the case an ordinary “criminal” title and assigned it a “criminal” docket number. Defendant‘s counsel on appeal is the Los Angeles County Public Defender; in representing defendant before this court he is acting presumably pursuant to
As it was in Feagley, “The authority for the latter payment is instructive. In Gross v. Superior Court (1954) 42 Cal.2d 816 [270 P.2d 1025], a defendant found to be a mentally disordered sex offender and committed to an ‘institutional unit’ on the grounds of a state prison requested free transcripts of the commitment proceedings to aid him in presenting his appeal. Then as now, the sole authorization for such transcripts was
In People v. Victor (1965) supra, 62 Cal.2d 280, 288-289, we applied the reasoning of Gross to an appeal brought under the narcotics addict commitment program. Recalling our previous observation that the commitment procedures under that program and the mentally disordered sex offender law are “analogous” (In re De La O (1963) 59 Cal.2d 128, 156 [28 Cal.Rptr. 489, 378 P.2d 793, 98 A.L.R.2d 705]), we quoted from the Gross analysis and held that “similar considerations obtain here and lead us to the same conclusion, i.e., that persons involuntarily committed to the custody of the Director of Corrections under this
Again we may substitute the term “narcotics addict” and conclude as we did in Feagley, “If a defendant charged with being a [narcotics addict] is thus entitled to free transcripts on appeal despite the express limitation of the statute to ‘criminal cases,’ he must a fortiori be entitled to the far more important right of jury unanimity despite the implied limitation of the Constitution to criminal cases.” (14 Cal.3d at p. 351.)
The second branch of the Feagley reasoning on this point is a consideration of the consequences of commitment to the individual. But in part II of this opinion we have shown that a person committed as a narcotics addict suffers so severe a curtailment of liberty and so lingering a moral stigma that he is entitled to the same standard of proof beyond a reasonable doubt accorded to a criminal defendant. For identical reasons he is also entitled to the same guarantee of jury unanimity enjoyed by such a defendant. To the extent that right is denied by section 3108, the statute violates the due process and unanimous verdict clauses of the California Constitution. (
IV
Both the standard of proof and the degree of jury unanimity, of course, closely affect the reliability of any determination that a person is addicted or in imminent danger of addiction to narcotics. Accordingly, our holdings herein are designed to overcome aspects of narcotics addict commitment proceedings which “substantially impair the truth-finding function,” and hence they must be given complete retroactive effect. (People v. Burnick (1975) supra, 14 Cal.3d 306, 332 (Burnick rule held
The order appealed from is reversed.
Bird, C. J., Tobriner, J., Manuel, J., and Sullivan, J.,* concurred.
RICHARDSON, J.---I concur under the compulsion of People v. Burnick (1975) 14 Cal.3d 306 [121 Cal.Rptr. 488, 535 P.2d 352] and People v. Feagley (1975) 14 Cal.3d 338 [121 Cal.Rptr. 509, 535 P.2d 373].
CLARK, J.---I dissent for the reasons expressed in People v. Burnick (1975) 14 Cal.3d 306, 332-337 (Burke, J., dissenting) and People v. Feagley (1975) 14 Cal.3d 338, 376-383 (Burke, J., dissenting).
*Retired Associate Justice of the Supreme Court sitting under assignment by the Chairman of the Judicial Council.
