Ronald Burt was sentenced to death for the murders of H. Steven Roy and Kevin Muto. His sentence was later commuted to life imprisonment when the Governor of Illinois granted clemency to all death row inmates. Burt was tried before a jury, but near the end of the state’s case-in-chief he abruptly changed his plea to guilty without any concessions from the government and against the strenuous advice of his attorneys. During the more than 14 months between his arrest and guilty plea, Burt was taking a number of powerful psychotropic medications prescribed for him by prison doctors. Burt was examined by a psychologist eight months before his trial began, and the doctor, while noting several psychological impairments, deemed him fit to stand trial. The psychologist, however, did not consult Burt’s medication records and his report mentions only in passing that Burt was even on medication. Neither defense counsel nor the trial court ever requested a further evaluation to determine if Burt was competent at the time he pleaded guilty. Burt’s direct appeal, state post-conviction petition, and petition for habeas corpus in the district court, 28 U.S.C. § 2254, were all unsuccessful. We granted Burt a certificate of appealability on two issues: (1) whether he was denied due process when the trial court failed to order a hearing into his fitness to plead guilty, and (2) whether he was denied effective assistance of counsel when his attorneys failed to request a renewed examination of his fitness. For the reasons set forth below, we conclude that the Illinois Supreme Court unreasonably applied clearly established federal law on both issues. Accordingly, we reverse the district court’s denial of Burt’s petition and remand with instructions to grant the writ of habeas corpus unless Illinois informs the district court within a reasonable time to be determined by the district court that it intends to retry Burt.
I. BACKGROUND
A. Facts of the offenses
These facts are taken from the Illinois Supreme Court’s opinion resolving Burt’s direct appeal.
See People v. Burt,
Burt eventually gave three statements to the police. In his first statement, he said that Booth, who was 14 years old at the time, had asked him and Craig to help collect $500 Roy owed him. Upon arriving at the farm, Booth went to argue with Roy while Burt and Craig waited in another room. While waiting, they searched the room and Burt found Roy’s rifle in a closet. He was holding the rifle when Roy and Booth, still arguing, entered the room. Burt pointed the gun at Roy, demanded his wallet, and then ordered him to walk to a back room. Once in the back room, Burt said that Roy made a sudden movement. Burt claimed this movement made him fear that Roy might be trying to “pull something,” and he shot Roy in the back of the head. Booth then grabbed the rifle and shot Roy several more times.
Burt, Craig, and Booth remained in the house and took some of Roy’s belongings, *560 at which point Muto knocked on the back door. Burt answered the door and told him to leave; when Muto refused to leave, Booth forced him at gunpoint into a different back room and, after taking his wallet, shot Muto in the back of the head and in the back. Burt grabbed the gun and again shot Muto in the back. The three men then fled the farm with Roy’s VCR, some meat from his refrigerator, and some of his personal checks.
The next day, Burt gave a second statement to the police. His second statement was very similar to the first except he added that, after shooting Roy, he and Craig discussed killing Booth because they feared he would report them to the police. A few days later, Burt gave a third statement. In this statement he denied shooting Muto and claimed that Booth was wholly responsible for that murder. Burt said that he had previously wanted to protect Booth because Booth was so young but that he changed his mind after learning that Booth was blaming him for the murders. The trial court suppressed the third statement as hearsay. Later, Booth and Craig each pleaded guilty to one count of murder and were sentenced, respectively, to 40 years’ and 28 years’ imprisonment.
B. Procedural history and psychological treatment
On January 31, 1992, two weeks after his admission to the Stephenson County Jail, Burt was seen by a Dr. Modir, who prescribed the antidepressant doxepin 1 (brand name Sinequan). Shortly thereafter Burt, Booth, and Craig were all indicted for two counts of first-degree murder, armed robbery, home invasion, armed violence, and theft. After his indictment Burt was transferred to Stateville Penitentiary and continued to take Sinequan. In April 1992 Burt had his first of many appointments with Dr. Edward Navakas, a psychiatrist at Stateville. Dr. Navakas continued Burt’s prescription for Sinequan and also added a new prescription for an anti-anxiety medication, diazepam 2 (brand name Valium). In May 1992 Dr. Navakas prescribed another antidepressant, imipra-mine 3 (brand name Tofranil), and doubled Burt’s dosage of Valium.
The Circuit Court for the Fifteenth Judicial Circuit appointed two attorneys, Thomas Nettles and John Vogt, to represent Burt. Neither Nettles nor Vogt had any experience defending a capital case and each moved to withdraw. The court denied their motions. Nettles and Vogt then requested an examination to determine if Burt was competent to stand trial. In July 1992, approximately eight months before trial, Burt was examined by Dr. Donald Pearson, a psychologist. On the day of the evaluation prison officials refused to dispense his medications because, in Burt’s words, they did not want him “doped up” for the examination. Dr. *561 Pearson opined that Burt was competent to stand trial despite suffering from antisocial personality disorder, substance abuse disorder, attention deficit hyperactive disorder, and “borderline” intelligence reflecting minor mental retardation. Dr. Pearson’s report also noted that Burt was scared of imaginary snakes in his cell. Dr. Pearson mentioned that Burt reported taking Sinequan and Valium, but he made no further mention of Burt’s medications and did not review Dr. Navakas’s records.
Approximately two weeks after Burt was examined by Dr. Pearson, Dr. Nava-kas again changed Burt’s medications when he discontinued Sinequan and increased the dosage of Tofranil. Three weeks later on August 18 Dr. Navakas prescribed a new anti-psychotic drug, thioridazine 4 (brand name Mellaril), and maintained Tofranil and Valium. On August 28 Dr. Navakas increased the dosages of both Mellaril and Tofranil, while continuing Valium at its previous level. Dr. Navakas also made a notation that he was discontinuing Sinequan, even though Burt was not then taking that drug. From August 1992 until February 1993 Burt continued to see Dr. Navakas, who continued to prescribe Mellaril, Tofranil, and Valium. Dr. Navakas’s notes for September 16, 1992 show a new prescription for Sine-quan, but his notes for Burt’s next appointment on December 11, 1992 make no mention of that drug.
In November 1992 Burt was examined by another psychologist, Dr. Linda Wetzel, in connection with a defense motion to suppress his confessions. Dr. Wetzel calculated Burt’s IQ as 79, placing him in the 9th percentile for his age group, and she diagnosed him as having a brain impairment of the frontal cerebral lobe that had been exacerbated by numerous childhood head injuries. She wrote:
His memory deteriorates to a retarded level after a delay of only 30 minutes. His mental flexibility is severely impaired and motor speed is moderately to severely impaired. Language abilities are spared which allows him to appear brighter than his actual borderline intelligence level. He is further handicapped by his severe depression which interferes with his ability to concentrate.
Dr. Wetzel concluded that Burt’s condition resulted in “poor impulse control, poor judgment, and inability to monitor and self-correct behavior.”
Six weeks before trial on February 2, 1993 Burt told Dr. Navakas about a painful growth on the left side of his chest. Dr. Navakas determined that the growth was caused by the Mellaril, so he cut Burt’s dosage in half, while maintaining him on the same doses of Tofranil and Valium.
Burt’s trial began in mid-March 1993. During jury selection on March 19 Burt’s attorneys requested a continuance. Nettles explained that Burt “does not feel he is able to continue to assist us in the selection of jurors today.” He added that Burt was having difficulty sleeping and “feels that because of his inability to sleep and because of the medication that he would not be able to assist on today’s date in selecting these jurors.” The court denied a continuance but told Burt it would reconsider “if I detect you’re having trouble staying awake.”
*562 On March 26, the fourth day of trial during the state’s case-in-chief, Attorney Vogt announced that Burt wished to plead guilty. Vogt added that “we’ve spoken ... with our client last night and I also spoke with him this morning for some time ... and we told him that we didn’t think it was appropriate and would be against our advise [sic] to do that, but he insists on it with us and wants to do it.”
The court admonished Burt of the consequences of pleading guilty, including that he would be eligible for the death penalty. The court also briefly inquired about Burt’s mental condition:
THE COURT: Are you getting all the medication you’re prescribed at this time? Are you getting it over at the jail?
DEFENDANT: Yes, I am.
THE COURT: You feel rested this morning?
DEFENDANT: I feel about the same.
THE COURT: About the same, but that was a problem the other morning, but I’ve watched. You’ve been alert, I think, through the trial. And you’ve discussed this with your attorneys have you not?
DEFENDANT: Yes.
THE COURT: Okay. Are you following their advice or do they disagree with you on that?
DEFENDANT: They disagree.
The court then cautioned Burt to consider his attorneys’ advice. After Burt said he still wished to plead guilty, the court finished admonishing him of the consequences of his decision and then accepted the guilty plea. At a sentencing hearing begun later that day, the parties presented evidence of aggravating and mitigating circumstances. The jury on April 1 sentenced Burt to death.
Burt filed a timely motion to withdraw his plea in which he argued, among other things, that his guilty plea was not voluntarily and intelligently made because his mental deficiencies and heavy medications rendered him incompetent at the time he changed his plea. The court denied that motion. Burt continued to take a variety of psychotropic medications throughout his post-trial proceedings. The Illinois Supreme Court affirmed Burt’s convictions on direct appeal,
Burt I,
Burt then filed a petition for state post-conviction relief, asserting in part that he was denied due process when the trial court failed to order a new competency hearing and that he was denied effective assistance of counsel when his attorneys failed to request one. Burt’s petition was supported by, among other things, an affidavit from one of his trial attorneys and a report by Dr. Lyle Rossiter, a Board certified forensic psychiatrist who reviewed Burt’s medical history. Attorney Nettles’s affidavit stated he was aware that Burt was taking psychotropic medication throughout Burt’s pre-trial incarceration. It also stated that Burt exhibited “frequent swings of mood” and often “demonstrated belligerent or explosive behavior” in his presence. Nettles further stated that Burt threatened to become violent in the courtroom on multiple occasions and once threatened to attack him. Nettles believed, “Burt did not fully comprehend legal advice and that his behavior throughout the trial, particularly his decision to change his plea to guilty, was not rational.” Finally, “Burt insisted on changing his plea to guilty largely because he was not permitted to smoke in the Stephenson County Jail, and was anxious to return to prison where smoking was permitted.”
*563 Dr. Rossiter’s report stated that “this defendant’s history of head injury with probable brain damage renders him more susceptible to the adverse effects of psychotropic medication.” Dr. Rossiter opined that Burt should have had a fitness hearing because he “was taking powerful psychotropic medications at the time of his March 1993 trial, and he had a long history of psychiatric disorders and evidence of brain damage.”
The circuit court dismissed Burt’s post-conviction petition in December 1998. The Illinois Supreme Court, with two dissenting justices, affirmed.
People v. Burt,
Burt then petitioned the district court for a writ of habeas corpus, 28 U.S.C. § 2254, again asserting that he was denied due process and effective assistance of counsel. As relevant here, the district court found that the Illinois Supreme Court reasonably concluded that Burt’s due process claim failed because he could not establish a bona fide doubt about his competency. The district court also found that the Illinois Supreme Court reasonably concluded that Burt could not establish that he was prejudiced by his counsel’s failure to request a fitness hearing because he had not established a bona fide doubt about his competency to stand trial. We granted Burt a certificate of appealability on two issues: (1) whether Burt was denied due process when the trial court failed to conduct a fitness hearing prior to accepting his guilty plea, and (2) whether his attorneys rendered ineffective assistance by failing to request a competency hearing either immediately before trial or before the court accepted Burt’s change of plea.
II. DISCUSSION
The Antiterrorism and Effective Death Penalty Act (AEDPA) provides that a defendant cannot prevail on a petition for habeas corpus unless he shows that a state court rendered a decision that was “contrary to, or involved an unreasonable application of, clearly established Federal law, as determined by the Supreme Court of the United States” or was based on an unreasonable determination of the facts in
*564
light of the evidence presented. 28 U.S.C. § 2254(d);
see also Matheney v. Anderson,
377
F.3d
740, 747 (7th Cir.2004). Burt argues that the Illinois Supreme Court unreasonably applied the federal law relevant to each of his claims. We recognize that we may not grant relief under the “unreasonable application” prong unless the state court’s application of Supreme Court precedent “l[ies] well outside the boundaries of permissible differences of opinion.”
Hardaway v. Young,
A. Due process claim
Burt first argues that he was denied due process when the trial court failed
sua sponte
to order a fitness hearing before accepting his guilty plea despite knowing about his history of psychological problems and his heavy use of psychotropic medication. A criminal defendant must be mentally competent to stand trial.
Drope v. Missouri,
The Illinois Supreme Court found that Burt failed to establish a bona fide doubt as to his competency to plead guilty for several reasons. First, Burt’s decision to disregard his attorneys’ advice when pleading guilty demonstrated independent thought and “shows that his will was not ‘flattened.’ ”
Burt II,
The Illinois Supreme Court’s logic is troubling in many respects. First, it is odd to think that a defendant with severe psychological problems is showing strong independent thought when he suddenly makes a highly questionable strategic decision to plead guilty against the strenuous advice of his counsel. Nothing prevents a defendant from making poor tactical choices, including abruptly pleading guilty in the midst of trial.
See Gosier v. Welborn,
Other portions of the court’s reasoning are also suspect. The observation that the court admonished Burt of the consequences of pleading guilty is irrelevant to his claim of incompetency. If Burt was in fact unable to understand the proceedings, that the court informed him of the consequences of a guilty plea would make no difference. The trial court’s observation that Burt was well-behaved in court also gives us pause because it is so at odds with Nettles’s affidavit, which states that Burt exhibited violent behavior in court and that his frequent mood swings caused several delays in the proceedings. We hasten to add, however, that Burt does not attempt to rebut the presumption that this factual finding of the Illinois Supreme Court is correct.
See Mahaffey v. Schomig,
Our disagreements with the Illinois Supreme Court’s reasoning do not, by themselves, justify granting Burt’s petition for habeas corpus because AEDPA requires that we show great deference to the state court. See id. at 747. But no level of deference permits us to overlook the most critical shortcoming of the Illinois Supreme Court’s opinion — its total failure to address whether Burt was entitled to a competency hearing before pleading guilty given the heavy and ever-changing doses of psychotropic medication he was taking.
Burt correctly observes both that no medical expert ever opined on his fitness to stand trial while he was heavily medicated and that the Illinois Supreme Court never addressed this crucial fact or the wealth of other information that should have alerted the trial court to the need for a new competency hearing before accepting his guilty plea. Burt was examined by Dr. Pearson eight months before trial on a day when prison officials refused to dispense his prescribed medications. Dr. Pearson made no effort to review Burt’s psychiatric history and did not even review Dr. Navakas’s records when finding Burt fit to stand trial.
See Brown v. Sternes,
The trial court was well aware that Burt was taking an array of powerful psychotropic medications both before and during trial.
See Pitsonbarger v. Gramley,
If ever there was a case in which a trial court should have
sua sponte
ordered a renewed competency hearing, this is that case. Dr. Pearson’s report made the trial court fully aware that Burt was a man of significantly below average intelligence with a history of psychological problems. The court knew that Burt was taking large doses of powerful psychotropic medications and that Dr. Pearson’s report barely mentioned those drugs. The court also knew that at one point during the trial Burt was having such difficulty remaining alert that his attorneys felt compelled to request a continuance. Lastly, Burt’s sudden unexplained decision to plead guilty against the advice of counsel when he faced certain eligibility for the death penalty should have caused the court to consider whether he was competent to make that decision. The trial court never should have accepted Burt’s guilty plea without first ordering a renewed competency hearing, and the Illinois Supreme Court unreasonably applied clearly established federal law when it found that Burt was not denied due process.
See Pate,
B. Ineffective assistance of counsel
Although we conclude that Burt must prevail on his due process claim, we will also address his second argument— that his attorneys provided ineffective assistance when they failed to request a renewed fitness examination either shortly before trial or, at a minimum, before the court accepted the guilty plea. A criminal defendant has a Sixth Amendment right to be represented by effective counsel.
Strickland v. Washington,
The Illinois Supreme Court held that Burt was not denied effective assistance of counsel.
Burt II,
But Burt’s ineffectiveness claim presents even more compelling reasons for granting his petition than does his due process claim because Burt’s attorneys had access to additional information suggesting he was incompetent than did the trial court. Burt’s attorneys both admitted they were unaware of a then-existing Illinois statute that provided a mandatory fitness hearing for any defendant taking psychotropic medication at the time of trial.
See
725 ILCS 5/104-21(a) (1993) (“A defendant who is receiving psychotropic drugs or other medications under medical direction is entitled to a hearing on the issue of his fitness while under medication.”). As the Illinois Supreme Court observed, Burt’s right to receive the particular hearing described in 725 ILCS 5/104-21(a) arose from a state statute and is thus not independently cognizable in a petition for habeas corpus.
Burt II,
Burt’s attorneys were aware of several pieces of information beyond what was available to the trial court that should have alerted them to the need for a new competency hearing. First, counsel learned that Burt desperately wanted to smoke and that smoking was prohibited at the county jail where he was being held during trial. Nettles’s affidavit states: “Burt insisted on changing his plea to guilty largely because he was not permitted to smoke in the Stephenson County Jail, and was anxious to return to prison where smoking was permitted.” That Burt’s desire to have a cigarette, in counsel’s mind, trumped his desire to defend himself against capital murder charges should have suggested to counsel that Burt was not thinking clearly and not making rational decisions to assist in his defense.
See Burt II,
Indeed, Burt never explained why he decided to plead guilty and the state has never even suggested a possible rational explanation for his decision.
Cf. Gosier,
Counsel had ample opportunity to observe Burt’s behavior both in and out of the courtroom. Nettles’s affidavit mentioned Burt’s “frequent swings of mood,” which he attributed in part to a belief that the county jail was administering Burt’s medication on an irregular schedule. Burt’s mood swings were so pronounced that Nettles and Vogt “would meet with Burt every morning before court to evaluate his mental state.” It “often happened” that Burt “demonstrated belligerent or explosive behavior,” such as threatening others in the courtroom. Nettles “was continually afraid that Burt would commit violent acts in court, and made constant efforts to appease him.” Finally, Nettles believed that “Burt did not fully comprehend legal advice and that his behavior throughout the trial, particularly his decision to change his plea to guilty, was not rational.”
Nettles’s fears that Burt would become violent were supported by Dr. Navakas’s records, which were provided to defense counsel at their request. In December 1992 Burt reported to Dr. Navakas that he wanted to die and threatened to “kill someone in the court room” if he was given a life sentence as opposed to a death sentence. The respondent interprets this report to mean that Burt had carefully considered his potential sentences and preferred execution to life imprisonment: “Thus, rather than demonstrating a bona fide doubt as to his fitness, in context, his decision to change his plea reflects a reasoned choice.” But when combined with the other evidence discussed above, Dr. Navakas’s report of Burt’s mental condition and hope for his own execution should have raised alarms for counsel.
We conclude, as the Illinois Supreme Court apparently assumed, that counsel provided deficient performance by not requesting a renewed fitness hearing for Burt. The only time Burt was examined by an expert to evaluate his competency was eight months before trial. The Supreme Court, however, has emphasized that a defendant’s competency must be evaluated at the time of trial and that his condition can change as proceedings unfold.
Drope,
Neither the respondent nor Burt’s former attorneys provided any conceivable tactical reason for counsel’s decision not to request a new competency hearing. The only reason Nettles gave in his affidavit was that neither he nor Vogt was aware that Burt was entitled to a mandatory hearing under the then-existing version of 725 ILCS 5/104-21(a). But counsel should have been aware that Burt had a federal right not to stand trial unless he was competent, and the record raises significant questions as to Burt’s competency at the time he pleaded guilty. The failure by defense counsel to investigate apparent problems with a defendant’s mental health may be deficient performance as defined
*569
by the first prong of
Strickland. See Williams v. Taylor,
Burt must also establish that he was prejudiced by counsel’s failure to request a hearing. “The defendant must show that there is a reasonable probability that, but for counsel’s unprofessional errors, the result of the proceeding would have been different.”
Strickland,
We found prejudice in a similar appeal from the denial of a petition for habeas corpus in which a psychiatrist examined a defendant before trial but failed to review any records of his extensive history of psychiatric treatment.
See Brown,
Moreover, unlike other cases in which we have held that defendants were not prejudiced by their attorneys’ decisions not to request competency hearings, the conclusion that Burt was competent to stand trial rested solely on a single competency examination conducted months before trial.
Cf. Timberlake v. Davis,
Burt’s ineffective assistance claim differs from his due process claim because the analysis for the due process claim focuses only on events that happened in court that should have alerted the trial judge to the need for a competency hearing. Although those events alone should have alerted both defense counsel and the trial court to the need for a new competency hearing, Burt’s ineffective assistance claim is bolstered by a wealth of other evidence suggesting he was incompetent. The Illinois Supreme Court failed to acknowledge much of this evidence. Specifically, the court did not mention Nettles’s statement in his affidavit that “Burt did not fully comprehend legal advice and that his behavior throughout the trial, particularly his decision to change his plea to guilty, was not rational.” Nor did it mention Nettles’s assertion that Burt’s primary motivation for pleading guilty was so he could be returned to state prison where smoking was permitted.
The court likewise completely disregarded Dr. Rossiter’s opinion that Burt’s brain damage made him particularly susceptible to the adverse effects of the psychotropic drugs he was taking. Dr. Rossiter opined that Burt’s psychiatric history and medication regimen warranted a competency hearing, and the Illinois Supreme Court simply ignored his report. Dr. Rossiter’s report was particularly relevant because it highlighted one of the critical problems with Dr. Pearson’s evaluation — its complete disregard for Burt’s extensive use of psychotropic medications. All the court said about Dr. Pearson’s report was that he had deemed Burt competent to stand trial; the court did not mention that the evaluation was conducted eight months before trial or that it failed to address Burt’s medications.
See Burt II,
The Illinois Supreme Court unreasonably applied
Strickland
to the facts of Burt’s case. The court did not address the first prong of the test. Its analysis of the second prong ignored a wealth of evidence that established a reasonable probability Burt would have been found incompetent had a hearing been held.
See Eddmonds,
III. CONCLUSION
The judgment of the district court denying Burt’s petition for a writ of habeas corpus is Reveesed. We RemaND with instructions to GraNT the writ of habeas corpus unless Illinois informs the district court within a reasonable time to be fixed by the district court that it intends to retry Burt.
Notes
. “Doxepin is in a class of drugs called tricyclic antidepressants. Doxepin affects chemicals in the brain that may become unbalanced and cause depression.” http ://www. drugs. com/xq/cfm/pageicLO/ htm_D00217Al.htm/type_mtm/ tgid_28/bn_ Sinequan/qx/ index.htm.
. "Diazepam is in a class of drugs called benzodiazepines. Diazepam affects chemicals in the brain that may become unbalanced and cause anxiety, seizures, and muscle spasms. ’ ’ http ://www. drugs. com/xq/cfm/pa-geid_0/htm_D00148A1 .htm/type_mtin/ tgicL28/bn_diazepam/ qx/index.htm.
."Imipramine is in a class of drugs called tricyclic antidepressants. Imipramine affects chemicals in the brain that may become unbalanced and cause depression.” http://www.drugs.com/xq/cfm/pa-geid_0/htm_D00259Al .htm/type_mtm/ tgid_28/bn_Tofranil/qx/ index.htm.
. “Thioridazine is in a class of drugs called phenothiazines. It works by changing the actions of chemicals in the brain.... Thiori-dazine is used to treat psychotic disorders, such as schizophrenia. Thioridazine is generally reserved for people who do not respond to other drugs or who cannot take other drugs due to side effects.” http //www .drugs. com/xq/cfm/p a-geid_0/htm_D00389Al.htm/type_mtm/ tgid_28/bn_Mellaril/qx/ index.htm.
