The plaintiff’s petition seeks damages for the wrongful death of her son, Chris Wright, at the hands of Gregory S. Corley, who had been committed to the St. Joseph State Hospital by order of the Juvenile Court of Jackson County, Missouri. 1
The defendants whom the plaintiff presently 2 seeks to hold are the State of Missouri; Beverly Wilson, Director of the Division of Mental Health; Nicholas Bartulica, Superintendent of the St. Joseph State Hospital; Richard K. Jacks, D.O., Chief of the Medical Staff of St. Joseph State Hospital; John Doe, a physician employed at the St. Joseph State Hospital whose identity the plaintiff hopes to learn through discovery; and Corley, the alleged killer.
The amended petition charges that Corley was committed to the State Hospital by order of the Juvenile Court of Jackson County; that he was a dangerous person with severe mental illness; that the defendants nevertheless released him on a two-day pass; that the release was contrary to law; that Corley did not return from the leave conferred by the pass; that the defendants did not take proper steps to return him to custody, as by notifying the sheriff of Buchanan County; and that Corley killed Wright on May 4, 1978 by shooting him in the head 11 times with a rifle. The pеtition charges that the defendants were “grossly negligent,” first in releasing Corley on a pass when they knew of his severe mental illness and dangerous proclivities and, second, in failing to take steps to have him returned to custody after his absence was discovered or discoverable.
The defendants, except for Corley, moved to dismiss the action. On October 15, 1980 the trial court sustained the motions and ordered the case dismissed as to all of the moving defendants, without specifying reasons. The plaintiff moved pursuant to Rule 81.06 for the entry of final judgment against the moving defendant so that thе order could be appealed. The court on November 10, 1980 sustained this motion and entered an appealable judgment. Notice of appeal was filed on December 3, 1980.
The Court of Appeals affirmed as to all defendants except Jacks and “Doe.” It held that the state was not liable because of sovereign immunity, and that the defendants in supervisory positions were not liable because of the discretion attending their offices, characterized by the court as “official immunity.” The opinion specifically stated that the discretion of a suрerior official extended to judgment as to the hiring and retention of subordinates. The court held, however, that Doctors Jacks and Doe did not have positions established by statute and did not possess or exercise any part of the state’s sovereign power, but rather were physicians with the duty of rendering the same kind of treatment to Corley that private physicians afford their patients, and that they were not insulated from liability for negligence in the performance of these duties, citing
State ex rel. Eli Lilly and Company v. Gaertner,
I. Appealability
The defendants seek to pretermit our consideration of the merits by claiming
The defendants argue, however, that the direction of finality pursuant to Rule 81.06 is itself the final judgment of Rule 81.04(a), so that the notice of appeal had to be filed within ten days. We do not agree. The judgment of November 10, 1980 was the first appealable judgment entered in the case. The trial court could have set that judgment aside within 30 days, just as any other judgment, and post-judgment motions could have been filed.
Woods v. Juvenile Shoe Corp.,
Cases should be heard on the merits if possible. Statutes and rules should be construed liberally in favor of allowing appeals to proceed.
City of Winnebago
v.
Sharp,
II. The Decision to Release
We turn then to the merits. The question is whether the plaintiff’s petition states a claim on which relief can be granted. In testing the petition we must assume that the properly pleaded facts are true and must construe the petition liberally in favor of the pleader. The plaintiff should not be turned out of court thrоugh a narrow and technical reading of her petition. But there are limits. The allegation that Corley’s release was “contrary to law” is a bald legal conclusion which is not binding on us.
Hardy v. McNary,
(a) The Liability of the Treating Physicians
We deal first with the claims against Doctors Jacks and Doe for allowing Corley to leave the institution on pass. It is alleged that Jacks is “chief of the medical staff,” which would indicate that he has supervisory duties, but for present purposes we shall assume that he was active in the care and treatment of Corley. The claim is that Corley was a dangerous person with severe mental illness, that he should have been confined continuously in an institution, that the defendants Jacks and Doe were “grossly” negligent in allowing him to
The question, then, is whether the treating physicians owed such a duty to the general public in deciding which involuntary patients should be released on pass, as to give rise to a civil action by a member of the general public for negligent exercise of judgment. The plaintiff gains nothing by branding the negligence “gross.” In a line of cases beginning with
McPheeters v. Hannibal and St. Jos. R.R. Co.,
Physicians at state institutions are called upon to exercise judgment as to the detention and temporary or permanent release of patients. The statutes in effect at the time of Corley’s release, and at the time of the killing, explicate the judgment and discretion reposed in the institutional authorities. Section 202.070, RSMo 1969, authorized the conditional or unconditional disсharge of a patient whenever “in the judgment of the superintendent and his staff such discharge is proper,” and went on to provide “[t]he decision of the superintendent and his staff on the matter is final.” Section 202.830, RSMo 1969 authorized the head of the facility to release a patient on convalescent status “whenever he believes that such release is in the best interests of the patient.” Matters of detention and full or partial release, then, require judgment calls. The statutory provisions just cited were repealed and replaced by a comprehensive statutоry plan effective January 2, 1979. Although we are not called upon to interpret or to apply the new statutes, we observe that they also emphasize the need for the exercise of discretion and judgment by the medical staff. See §§ 632.175, 632.365, 632.385, 632.390, RSMo Cum.Supp.1982.
Corley was an involuntary patient, but he was not a convict. The law provides for involuntary confinement of persons in mental hospitals if it can be judicially established that they are dangerous to themselves or to the public, but the authority for confinement is hedged about by severe restrictions. 3 The patients are required to be held in the leаst restrictive environment compatible with their safety and that of the public, 4 and are entitled to treatment. 5 The treating physicians, in their evaluation of the case, well might believe that Corley could be allowed to leave the institution for a prescribed period and that his release on pass might contribute to his treatment and recovery. We do not believe that they should have to function under the threat of civil liability to members of the general public when making decisions about passes and releases. The plaintiff could undoubtedly find qualified psychiatrists who would testify that the treating physicians exerсised negligent judgment, especially when they are fortified by hindsight. The effect would be fairly predictable. The treating physicians would indulge every presumption in favor of further restraint, out of fear of being sued. Such a climate is not in the public interest.
In
Jackson v. Wilson,
The case of
Cairl
v.
State,
Jarrett v. Wills,
Also in line is
Dalehite v. United States,
Dalehite
differs from the case before us in that the “discretionary act” exception was statutory, and the suit was against the government rather than against individuals. Even with these differences, the principles involved are very similar. The statutory exception in
Dalehite
is similar to the conclusion of
Jackson v. Wilson
under the common law. If the government is excused in a case in which it has otherwise consented
The plaintiff cites
McIntosh v. Milano,
The plaintiff also relies on
Austin W. Jones & Co.
v.
State,
Mathes v. Ireland,
We likewise have little enthusiasm for the case of
Grimm v. Arizona Bd. of Pardons and Paroles,
The Court of Aрpeals in the case before us recognized the rule of non-liability of public officials and employees for discretionary acts. It was willing to apply the rules to those in supervisory positions, but did not go far enough with the principle. “Discretion” relates not so much to the exercise of naked and unrestrained power as to the exercise of judgment. Although the statutes purport to make the superintendent responsible for determining the degree of detention or restriction to be imposed on involuntary patients, the treating physicians act on behalf of thе superintendent in making decisions about particular patients. 9 There is little virtue in a rule which would immunize the persons on higher levels while holding the doctors who actually see the patients to civil liability to persons who are not their patients.
We do not deal with the subject that was addressed in State ex rel. Eli Lilly & Go. v. Gaertner, supra. The major premise of that holding was that treating physicians at state hospitals should be liable to their patients for malpractice, just as private physicians are. We have no occasion to challenge this proposition, because we do not deal with the duty owed by a physician to a patient. Our holding has to do with the duty of the defendant physicians to the general public, as more fully explained in Part 11(b) of this opinion.
The Attorney General asks us to find that the acts of Corley, rather than the alleged negligence of the defendant physicians, were the “proximate cause” of the plaintiffs son’s death. We are not willing to rest our decision on this ground. We assume, as alleged in the plaintiff’s petition, that the jury could find that Corley was a dangerous person with severe mental illness, and could also find that danger to members of the public, including the plaintiff, could be reasonably anticipatеd if he were released. Cf.
Virginia D. v. Madesco Hotel Co.,
(b) Failure to Return to Custody
The plaintiff also seeks to hold the defendants liable for negligence in failing to take steps to secure Corley’s return to custody after he failed to report back from his pass. The Court of Appeals apparently would allow this claim to proceed against the physicians but not against the supervisory defendants.
This part of the claim cannot be parried on the basis that the defendants were exercising discretion or judgment. It is the
We nevertheless conclude that the persons responsible for Corley’s custody and treatment do not owe a civil duty to the general public, with regard to securing his return. The recognition of a duty of this kind could place a severe burden on the public service. It would probably not be difficult in many cases to make a case for the jury as to the foreseeability of injury, but this is not sufficient to establish а duty to the public at large. Our conclusions are supported by authority from Missouri and elsewhere.
In
Parker v. Sherman,
The
Parker
opinion referred to and cited several illustrative cases from other jurisdictions. The venerable case of
South v. Maryland,
A particularly apposite case cited in
Parker
is
Jacobson v. McMillan,
Parker
also placed strong reliance on
Leger v. Kelley,
In
Nelson v. Freeman,
Other cases supporting our position are
Crouch v. Hall,
The plaintiff cites § 202.430, RSMo 1969, now repealed, which authorizes state hospital authorities to call upon the local sheriff to assist in the apprehension of escaped or strayed inmates, and argues that there was an affirmative duty to give this notice. Our Court, in recent years, has been reluctant to find an implied right to a civil action from a statute which does not refer to civil liability in express terms.
Shqeir v. Equifax, Inc.,
What we say here, of course, is not intended to apply to the numerous situations in which a public officer may be held liable for breach of a duty owed to a particular individual. Thus, for many years, our courts have recognized the liability of a sheriff or constable for failure to levy an execution,
Douglass v. Baker,
We conclude thаt it is in the public interest to deny a civil action against public employees who fail to secure the return to custody of a person temporarily released from a public mental hospital by decision of the attending physicians, for injury inflicted by the patient on a member of the general public.
The cases cited above also support the conclusions of Part 11(a) of this opinion. The treating psychiatrists do not owe duties to the public generally which will support tort liability for negligence.
III. Other Defendants
What has been said as to the liability of the treating physicians apрlies likewise to the supervisory physicians, Bartuli-ca and Wilson. We also agree with the Court of Appeals that hiring is a discretionary function, and that there should be no right of action against a public official for alleged negligence in the hiring process.
The finding of non-liability for failure to apprehend should also extend to the supervisors.
The state is protected from liability by the doctrine of sovereign immunity. Recent historical discussion need not be repeated.
See Jones v. State Highway Commission,
The partial judgment appealed from is affirmed.
Notes
. We treat the petition as amended to include the matters tendеred by plaintiff on September 22, 1980, to the effect that the deceased had no spouse or minor children, and that his father declines to join in the suit, even though a formal amendment may not have been made. The petition, so treated, complies with
State ex rel. Slibowski v. Kimberlin,
. The plaintiff sought to discontinue as to Stephen C. Bradford, Director of Administration, and St. Joseph State Hospital, which is not a suable entity.
. Corley was committed under § 202.793, RSMo 1969. Civil commitment proceedings are now governed by §§ 632.300-.365, RSMo Cum.Supp.1982.
. See
O’Connor v. Donaldson,
.
See Rouse v. Cameron,
.
Pierson v. Ray,
. Cases cited in
Tarasoff
which involved the claim that a mental patient was dangerous to a particular individual are
Underwood v. United States,
. Martinez, in excluding liability under 42 U.S.C. Sec. 1983 for injury not resulting directly from the act of a person acting under color of state law, shows that Count IV of the amended petition, referring to violation of the decedent’s “Fourteenth Amendment rights,” does not state a separate claim which might support recovery.
. According to Mental Health Statistics for Fiscal Year Ending June 30, 1982 compiled by the Department of Mental Health, the St. Joseph State Hospital, as of that date, had 22 physicians, 337 resident patients in the hospital, 18 resident patients on authorized absence and 17 resident patients on unauthorized absence. The Missouri Official Manual for 1981-82 shows that there were 600 outpatients.
