Opinion
Jaime Flores Guerrero appeals a judgment reestablishing his Lanterman-Petris-Short (LPS) conservatorship. He contends the court erred by instructing the jury he could be considered gravely disabled if the jury found he would not take medication for a mental disorder, and he would be unable to provide for his basic needs of food, clothing or shelter without medication. We hold the challenged jury instruction did not improperly create an alternative basis not contained in the stаtute for a finding of grave disability. We affirm the judgment.
Factual and Procedural Background
On September 22, 1997, the public conservator petitioned to reestablish the LPS conservatorship of Jaime Guеrrero, a 40-year-old man who has suffered from schizoaffective disorder, bipolar type, with paranoid features, since the age of 19.
As of the time of the hearing to reestablish the conservatorship, Guerrero had spent 35 of the last 60 months in a mental health facility. He is illiterate and has never lived outside of a care facility without the assistance of his parents. His father however, has since passed away and his mother is hospitalized with a serious illness, leaving his family unavailable to assist in providing for his basic needs.
Dr. Edmund Bienkowski, a licensed clinical psychologist from the facility where Guerrero had lived during the period of the original conservatorship, testified Guerrero was prescribed a number of medications to control his condition. Guerrero refused to take Depakote, a mood stabilizing medication, and his antipsychotic medication was administered in liquid form out of concern he would only pretend to take pills.
According to Dr. Bienkowski, Guеrrero had indicated he did not believe he was mentally ill and therefore would not take medication. Without medication, Guerrero would become inсreasingly delusional, to the point where he would have difficulty distinguishing his thoughts from reality. This decompensation could potentially lead to “inappropriаte” behavior, such as assaults, walking in front of automobiles, refusing to leave his room or refusing to eat.
When questioned about Guerrero’s ability to provide for his own needs, Dr. Bienkowski testified Guerrero would be unable to rent an apartment, shop or take a bus without assistance. Dr. Bienkowski concluded Guerrero wоuld not be able to provide for his food, clothing or shelter if released from an institutional setting.
Guerrero testified he suffered from a blockage in his brain which caused him to be forgetful at times and he had been misdiagnosed by his doctors since first going to a mental hospital when he was about 18 years old. He denied being delusional. However, Guerrero later claimed there were 45 superheroes in the United States, including a “real Superman,” but they had all been killed.
Guerrero indicated he was capable of caring for himself. He had found a board-and-care home where he would be able to live and be provided with meals. He could buy his own clothing. Guerrero also indicated he would continue to take his medication even without the conservatorship.
A jury unanimously found Guerrero was gravely disabled and the court ordered the conservatorship be reestablished.
Jury Instruction No. 6 Did Not Improperly Create an Alternative Basis Nоt Contained in the Statute for a Finding of Grave Disability
Guerrero argues jury instruction No. 6 created an alternative basis which is not contained in the statute for the jury tо find him gravely disabled.
Jury instruction No. 6 read: “In determining whether Respondent is presently gravely disabled, you may consider evidence of his past failure to take mental health medication when prescribed, and you may consider evidence of Respondent’s lack of insight into his mental condition. [1[] If you find Respondent will not take his medication unless required to do so and that a mental disorder makes him unable to provide for his basic personal needs for food, clothing or shelter without such medication, then you may conclude Respondent is gravely disabled.”
He argues the instruction impermissibly expanded the definition of gravely disаbled beyond the scope of the statute and a possibility of a future failure to take medication is unrelated to presently being gravely disabled. 1
Section 5008, subdivision (h)(1)(A) defines gravely disabled as “[a] condition in which a persоn, as a result of a mental disorder, is unable to provide for his or her basic personal needs for food, clothing, or shelter.” The conservator must show thе conservatee is presently gravely disabled and not that he may relapse and become gravely disabled in the future.
(Conservatorship of Walker
(1989)
Jury instruction No. 6 doеs not create a new basis for a finding of grave disability. Instead, it contemplates exactly the situation presented in
Conservatorship of Walker, supra,
Dr. Bienkowski testified Guerrero did not believe he was ill and would not take his medication without supervision. Guerrero had a history of not taking mediсation when unsupervised. Dr. Bienkowski said Guerrero, because of his mental illness, could not provide for his basic needs of food, clothing and shelter without the assistance of others, such assistance was unavailable outside of the conservatorship, and Guerrero’s mental condition would further deterioratе without medication. In other words, but for the medication, which Guerrero would not take without supervision, Guerrero was presently gravely disabled. Jury instruction No. 6 prоvided an appropriate framework for the jury to consider these factors when determining whether Guerrero was presently gravely disabled.
Disposition
The judgment is affirmed.
Huffman, J., and Nares, J., concurred.
Notes
Guerrero also argues criminal due process standards apply to LPS proceedings.
We note an LPS proceeding is civil, rather than criminal, in nature. While the courts have applied certain criminal due process protections to LPS proceedings, these applications are narrowly proscribed. Criminal due process standards have never been applied to LPS proceedings in a blanket fashion as Guerrero appears to suggеst.
(Conservatorship of McKeown
(1994)
All statutory references are to the Welfare and Institutions Code unless otherwise specified.