History
  • No items yet
midpage
State of Iowa v. Christopher Craig Thompson
837 N.W.2d 180
Iowa
2013
Check Treatment

*1 Iowa, Appellee, STATE NEIDERBACH, Dorian

Appellant. 11-1082.

No. Iowa.

Supreme Court 23, 2013.

Aug. Rehearing on Denial

As Amended 8, 2013.

Oct. 22, Nov.

As Corrected

review and for further proceedings consis- tent opinion. with this Background I. Facts and Proceed- ings.

“We recite the facts in the light most favorable to the Garcia, verdict.” State v. (Iowa 2000). E.N. May was born on parents, His Jherica, Jonas and were age twenty at that Gary Dickey D. Angela Jr. and L. time and living parents, Jonas’s Jon Campbell Dickey & Campbell Law Firm Mary Neiderbach. Although E.N. P.L.C., Moines, Des appellant. for was full term and appeared healthy over- Miller, General, Thomas J. Attorney all, he spent the first days four following Tauber, Thomas S. Assistant Attorney his birth in the neonatal intensive care unit General, Sarcone, John P. County Attor- (NICU) physicians because his feared he Foritano, ney, and Steven M. Nan M. Hor- aspirated have fecal matter in útero. vat, Noble, Jeffrey K. Assistant Coun- In addition to this potentially life-threaten- ty Attorneys, appellee. concern, ing E.N. was born with the umbil- ical wrapped neck, cord around his exhibit WATERMAN, Justice. activity, ed tremor and did not feed well. A County jury Polk found Jonas Neider- E.N. positive also tested marijuana guilty bach of six counts of child endanger- birth, which triggered a notification to the ment, and the district court imposed a Iowa Department of Human Services fifty-year prison sentence. The victim is (DHS). son, E.N., his who was less than seven arm, weeks old when he suffered a broken parents new brought baby E.N. fractures, fifteen rib a permanent home to the Neiderbach residence. brain injury over a period. three-week light positive test, marijuana DHS mother, Richardson, The victim’s Jherica provided the family visiting with a nurse pled guilty to child endangerment and is who came to the biweekly house on a basis *8 serving twenty-year a prison sentence. to Check on the baby and to ques- answer appeals Jonas his convictions on numerous by tions. E.N. was seen either the visiting grounds. follow, For the reasons that we nurse or his pediatrician four times during vacate his convictions toas two counts for the first two weeks after he left the hospi- baby’s the broken ribs because we find the appeared tal and healthy at each visit. evidence insufficient. We also find the evening On the of June E.N. district court erred in vomited denying Jonas’s mo- coughed aup tion for an in small amount of camera review of blood. Jherica’s The next morning, mental health Jonas and Jherica records under took Iowa Code 622.10(4) him section to a clinic. The (Supp.2011), baby diagnosed a was statute we uphold today as with acid reflux prescribed constitutional in State v. and was Zan- (Iowa Thompson, tac. The visiting nurse came to check in 2013). later, We affirm the on E.N. days district court on all three and he appeared other issues. We remand the case for the normal with the coughing vomiting perform district court to an in camera blood resolved. later, physician next a on E.N. E.N. was seen on June was days

Five rushed him July time for a when Jonas and Jherica hospital again the taken to —this Jonas, breathing. hospital stopped That Jheri- after he morning, arm. to the broken afternoon, Jonas, Jherica, ca, paper and E.N. E.N. returned from Jonas’s That errands, E.N. awak- baby asleep. the home includ- with had returned from route him to Jherica handed Jonas crying. visiting ened Jonas’s father and Jherica’s ing Jon, Richardson, She prepare mother, room bottle. and left the to at work. Connie to a scream baby’s Connie, cries escalate heard the their noted E.N. coworkers the bed lying to E.N. on and returned find was healthy day. E.N. appeared that arm his head and right home; above his they with his how- when returned sleeping him. Jonas stood limp arm beside ever, left crying. Jherica he soon awakened baby. told Jherica that over the Jonas he was not baby, to feed the but tried became behind his back pinned E.N.’s arm to bottle. handed E.N. taking his Jherica laid him the bed and he as Jonas on to smoke a Jonas while she went outside wheth- pop. heard a Jherica checked had cigarette. with finger could her his grasp er E.N. she heard Jherica was outside when could not.

hand and found that he stop three crying abruptly, E.N.’s within E.N. to and Jherica took the Jonas five minutes had handed to after she phy- attending room emergency where inside, infant to Jonas. As she returned baby had sician determined holding walking was the stairs Jonas down humerus, upper fracture of spiral his E.N. was still. crying; E.N. Jonas over- hospitalized E.N. was arm bone. stopped Jonas told Jherica that E.N. had signs for other night to examined yellowish breathing. Jherica noticed hospital injury reported abuse. The mouth. oozing E.N.’s substance from DHS. she cleared mouth as best Jherica his could, baby but the not resume breath- did Tyler Tim

DHS notified Detective Jherica her mother to ask ing. called who Department Moines Police came Des do and to take E.N. what to was told DHS workers to hospital to the with two to the liv- hospital. Jherica returned Jonas, attending physician, interview E.N. ing shaking room and saw Jonas story repeated and Jherica. Jonas he saying, you f- “Why while aren’t Jherica the doctor. Jonas had told breathing?” yelled Jherica at Jonas were instructed separately and Jherica they told him take stop and should safety would be a going forward there re- hospital. initially E.N. under would not plan place which Jonas mentioning go hospital, fused to alone E.N. be allowed time,” “third con- was the but Jherica hospital discharge After his from go together. vinced him to pediatrician, E.N. was seen his June *9 into strapped from his broken Jonas and Jherica E.N. Dr. Eric Andersen. Aside arm, good emergency in car seat and drove to the appeared E.N. to be health. his Hospital. Upon Blank since his last room at Children’s gained pounds He had two they told that E.N. had during remained the exami- arrival Dr. visit and calm Carlin Lindaman, screamed, and then Lynn pedia- gasping, Dr. E.N.’s started nation. breathing phy- E.N.’s again stopped altogether. E.N. orthopedic surgeon, tric saw baby with subdural diagnosed sicians follow-up appointment June 26 for his brain, fif- on both of his arm. Dr. Lindaman found E.N.’s hematomas sides broken (some and some rib fractures old healing good alignment. arm to be teen new), They and the broken arm. also agreed to recommend that Jherica receive hypoxic injury, found a ischemic which is a total sentence of twenty years in prison. damage oxygen. to the brain due to lack of The State amended its trial information Ekhardt, Tracy pediatric Dr. E.N.’s criti- on March to drop Jherica as a codefen- specialist, cal care determined E.N.’s dant and eliminate one count of child en- injury “brain was due to a force to his dangerment. jury The trial began May head” and that explanation that “[t]he trial, 2011. During the State dismissed got family from the was not [she] consis- two more counts. The balance of the case tent with the amount of force that would was jury submitted to the on May 18. On be needed to that damage cause to his May deliberation, days after two head.” jury guilty found Jonas on all six remain- ing counts. The district court sentenced E.N. hospitalized seven weeks and years fifty prison. Jonas to nursing then was transferred to a home Jonas appealed, and we ap- retained his needs, special for children with where he peal. Additional procedural facts and his- the next spent five months. Jherica’s sis- tory provided will be in the discussion of ter, Nelson, Shannon and Shannon’s hus- specific issues below. adopted band E.N. November 2009. E.N. legs remains unable to move his Appeal. II. Issues Raised on only barely can move his arms. He can Jonas raises the following issues on ap side, move his head side to but cannot hold (1) peal: whether the district court erred up his head on his own. E.N. is also by failing to dismiss counts two through verbally, unable to communicate has six as lesser included offenses of count one stomach, feeding tube in his and a tra- pursuant to Iowa Rule of Criminal Proce cheostomy tube that requires regular suc- 2.6(1) by dure failing grant his mo tioning. Doctors expect significant no im- (2) counts; tion to sever those whether the provement in E.N.’s condition. district court violated due process Jonas’s information, The State’s initial trial filed rights by refusing to issue a subpoena for August charged Jonas and Jherica with Jherica’s mental health sought records eight endangerment, counts of child in vio- exculpatory evidence under State v. Cash (2009), lation of Iowa section Code 726.6 en, (Iowa 2010), 789 N.W.2d 400 and Iowa multiple and one count of acts of child 622.10(4) (3) Code section (Supp.2011); endangerment, in violation of section July whether Jonas’s 8 statement to De 21, 2010, 726.6A. On January Jherica Kelly tective acknowledging he shook the plea agreement, reached a under which baby suppressed should have been because pled she guilty endangerment to child she interfered with his attorney-father’s causing injury, endangerment serious child (4) him; attempt represent whether the causing bodily injury, neglect of a district court abused its discretion ad dependent person. plea colloquy mitting photographs into evidence and vid smoking marijuana shows she admitted to eighteen eo of E.N. taken months after his útero, baby (5) with the to leaving E.N. injuries; whether the district court alone with Jonas in safety violation of the erred allowing expert testimony de plan, failing get and to medical care scribing medical shaken-baby studies on *10 E.N. after being injuries told he had broken ribs. reported care confessions (6) agreed testify Jherica to for givers; the State at whether the district court Jonas’s trial. In exchange, the State by limiting abused its discretion the cross-

190 of hear- her in- view the court’s admission prior as to district of Jherica examination law, health ‘when say on mental evidence for errors at statements consistent (7) prosecutor treatment; hearsay whether of evidence is basis for admission testimony requiring a expert opinion employ rule ... we will expert misstated ” (8) trial; Stenzel, the district court whether new of discretion standard.’ abuse aiding and abet- by submitting the erred at 697 Kurth v. Iowa (quoting 827 N.W.2d (9) (Iowa instruction; weight 1, of whether ting Dep’t Transp., 628 5 N.W.2d of jury’s 2001)). contrary the evidence (10) six; on counts three verdicts allegations Our review of of sup- sufficient to the evidence was

whether is for abuse of prosecutorial misconduct on counts four and the convictions port v. Krogmann, State 804 discretion. five. (Iowa 2011). 518, 523 We review N.W.2d Scope Review. III. of there was sufficient evidence to whether jury submission of a instruction Our motions to dismiss warrant review of at re for of errors at law. See State for correction of errors law. correction 2007). (Iowa (Iowa Stenzel, 690, Smith, 289, v. N.W.2d 293 Det. 827 N.W.2d 697 739 2013). ruling court’s of a a district We review a trial denial We review court’s to contrary motion to sever abuse defendant’s whether a verdict was Elston, weight discretion. State v. 735 N.W.2d abuse of discre of the evidence for (Iowa 2007). Reeves, 196, 198 199, tion. v. 670 N.W.2d 203 State (Iowa 2003). challenges to the We review We constitutional issues review correction of sufficiency of evidence for Pearson, v. 804 de novo. See State Hearn, v. at law. State errors 2011) (‘We (Iowa 260, review N.W.2d 265 2011). (Iowa sup court’s refusal to de novo district press allegedly statements made in viola IV. Dismissal Severance safeguards.”); State tion of constitutional Through Two Six Pursu- Counts (Iowa Wells,

v. 218-19 N.W.2d ant to Iowa Rule of Criminal 2007) novo defendant’s claim (reviewing de 2.6(1). Procedure hearsay testimony that admission violat right ed his Sixth Amendment to confront A. appeals Motion to Dismiss. him). against Discovery rulings a witness motion the district court’s denial of his challenged grounds on constitutional are through dismiss counts two six. The Cashen, de reviewed novo. N.W.2d trial information State’s amended filed (“Because in this the issues case rest 29, 2011, charged April Jonas with these involving constitutional claims on Cashen’s endangerment: six counts of child defense, process right present due our Multiple child endan- Count 1: acts of novo.”). de review is Nonconstitutional germent in violation Iowa sec- Code discovery rulings re challenges are tion 726.6A. (“Ordi viewed abuse of discretion. Id. narily, discovery we for an review orders 2: result- endangerment Count Child discretion.”). 8, 2009, ing injury July abuse of in a brain 726.6(1). violation of Iowa Code section

We the district court’s ev- review identiary endangerment abuse of 3: Child result- rulings for discretion. Count Huston, ing arm on N.W.2d in a broken June State 726.6(1). 2013). (Iowa “Although generally we re- violation of Iowa Code section *11 4: endangerment causing Count Child fenses of the multiple acts of child endan- 17-30, 2009, rib fractures from June in germent charged in count one. See State 726.6(1). Iowa Hickman, violation of Code section 367 n. 1 (Iowa 1998). endangerment causing Count 5: Child 1-8, 2009, July fractures from in rib court, however, The district reached a 726.6(1).

violation of Iowa Code section different conclusion based on its reading of endangerment by 6: will- Count Child two decisions our court of appeals: fully depriving a child of health care for Flanders, (Iowa State v. N.W.2d 2-8, 2009, July fractured ribs between in Arends, and Ct.App.1996), State v. No. 03- 726.6(1). violation of Iowa section Code (Iowa 2004 WL Ct.App. May 2004) (unpublished opinion). In Flan contends the State’s trial informa- ders, appeals court of considered tion violates Iowa Rule of Criminal Proce- whether second-degree 2.6(1), sexual abuse was a which dure states: lesser included offense of first-degree kid Two or more public indictable offenses napping. 546 N.W.2d 224. The defen which arise from the same transaction dant had been convicted of one count of or occurrence or from two or more second-degree sexual abuse and one count constituting transactions occurrences of first-degree kidnapping. Id. The court parts of a common plan, scheme or when that, noted although sexual abuse can be a alleged prosecuted and contemporane- lesser included offense of kidnapping, it ously, alleged shall be and prosecuted as every not be case. Id. at 224-25. separate counts in a single complaint, This is because “[t]he lesser-included of indictment, unless, information or analysis fense addresses situations where shown, good cause the trial court its multiple charges apply to a single occur discretion determines otherwise. Where rence. Where the alleged acts occur sepa public offense carries with it certain rately offenses, and constitute distinct offenses, lesser included the latter there can complaint be no one ais lesser- charged, should not be and it is suffi- included offense of the other.” Id. at 224. charge cient to that the accused commit- Thus, if alleged the State the “defendant major ted the offense. had committed at separate least two Jonas focuses on the last sentence of the abuse, distinct only acts sexual one rule, prohibits charging which lesser in- of those acts formed the basis for the along major cluded offenses with the of- kidnapping charge,” only then one of the argues fense. Jonas the State’s trial infor- charges sexual abuse would be a lesser mation violates this rule because it would included offense of kidnapping charge. “impossible greater to commit the of- Id. at 225. Endangerment fense of Child under [Iowa 726.6A ... section] Code without also com- The district court seized on this lan- Arends, mitting the offenses 2 guage set forth Counts which the district court McNitt, through 6.” See State v. interpreted to hold that “where defendant 1990) (Iowa (“A N.W.2d charged lesser with Multiple Acts of Child necessarily offense is included in Endangerment supporting evidence is greater if greater presented offense offense can- injured child was on at occasions, not be committed committing separate without also least three the lesser lesser.”). analysis The State concedes the child apply.” included does not court, endangerment charged however, offenses misapprehended counts district through two six are lesser holding included of- of Arends. The Arends court *12 separat- 726.6A “must be charge individual child a section consider whether

did not incident place are lesser included time and so that each counts ed endangerment Yeo, multiple acts of charge distinct,” of a of separate offenses and State is rather, (Iowa that court endangerment; 2003), child the individu- N.W.2d of child “the crime considered whether endangerment are not al child offenses included offense is a lesser endangerment the multi- separate and distinct from also WL involuntary manslaughter.” of offense. ple-acts 1159730,at *5. example, a scenario imagine For lesser- agree

We that “[t]he a defendant with charges which the state situa analysis offense addresses included multiple of child endan- one count of acts to a multiple charges apply where tions and three counts of child endan- germent alleged occurrence. Where acts single arm, causing leg, a broken germent broken distinct of separately occur and constitute injury.1 proves a brain The state fenses, complaint can no one is a there arm, leg, causing acts broken broken of the other.” lesser-included offense time injury “separated by and brain were Flanders, pres at 224. In the N.W.2d separate so that each incident is place case, however, major offense and ent lesser Although and distinct.” the three over offenses involve the lesser included separate are distinct from offenses lapping acts. other, they not mean that each does multi- separate are from the distinct provides Section 726.6A a They, in ple-acts they support. offense felony if guilty of a class “B” person fact, hypothetical, not. are Under this person prove could not the defendant com- state engages in a course conduct includ- multiple endangerment mitted acts child or child endan- ing three more acts of com- proving without also the defendant germent in section 726.6 defined child mitted each of the three counts of period months involv- within of twelve McNitt, ..., See endangerment. ing the same child where one or (“A necessarily in a at 825 lesser more of acts results serious offense injury to the ... results in greater child included in the offense if the injury age under the skeletal child with- greater offense cannot be committed years.... lesser.”). of four committing out also Accordingly, same is true this case.2 (2009) § (emphasis Iowa Code 726.6A add- endanger- the individual of child counts ed). Thus, one element of this offense are alleged through ment two six counts requires the State prove defendant included the first count’s lesser offenses of en- committed three or more acts of child multiple endanger- child charge Al- acts of dangerment under section 726.6. though the three acts ment. supporting or more simply in- simplicity, the sake of we assume differ this case 1. For should because requirements meets state also the other charges en- volved more than three of child n 726.6A. section dangerment under 726.6. See Iowa section (noting applies § when “[a] Code 726.6A Although it is true that the State engages person ... in a course of conduct prove required to all five of Jonas committed including three or of child endan- more acts endangerment the individual of child counts germent within a as defined in section 726.6 multiple he prove committed acts child added)). (emphasis period of twelve months” analysis endangerment, we do not believe the

Thus, applying required jury the last sentence of rule the reconsider it issues already had in 2.6(1), determining the al- decided five lesser included offenses wheth- guilty major er Jonas was of the counts not offense— through in two six should leged for example, whether he caused in- E.N.’s charged suffi- have been because “it [was] jury. interpretation This all gives effect to charge that the cient to accused committed 2.6(1). language of the rule According- major offense.” Iowa R.Crim. P. the See ly, we hold the district court erred not 2.6(3). event, any court the district dismissing counts two through six of the the required jury, “to instruct would trial information as lesser of- included only public charged as to the offense major the Only fenses. offense under sec- to all offenses which the but as lesser tion 726.6A be charged. should might be under the guilty accused found ad- upon indictment the evidence We now turn to consider 2.6(3). Id. r. duced.” prejudiced whether this error the defen dant. a “When nonconstitutional error State require The contends to claimed, case, in this the test is whether only multiple a defendant charge with the rights the objecting party have been endangerment child be “cum- acts of would by ‘injuriously affected the error’ bersome, practical confusing, and of no party whether the has ‘suffered a miscar because value” Parker, riage justice.’” State v. would have had to instruct [the court] (Iowa 2008) N.W.2d (quoting State jurors guilt to consider Neiderbach’s (Iowa Sullivan, v. require Count 1—which in- under would 2004)). This case involves multiplicity, offenses, structions on all the underlying charging single which is “the of a offense findings would also require jury one more than count.” United States Further, concerning all those offenses. (11th Langford, 946 F.2d Cir. court would have had to instruct 1991). Two concerns arise from multiplici- that, jurors if the acquitted Neiderbach “First, may tous counts: the defendant 1, they under Count should determine receive multiple sentences for the same guilt underlying Neiderbach’s of- Second, multiplicitous offense. indict jurors would require fenses—which may prejudice ment improperly jury already they to reconsider issues decid- a defendant suggesting that has committed ed. several crimes—not one.” Id. In Langford, to see how practical We fail these consid- the Eleventh Circuit held a defendant had differ from circum- erations other been charged multiplicitous counts. when a with a charged stance defendant is The argued Id. at 804. defendant offense major and is instructed lesser should three counts be reversed because offenses. Taking included this case as they “improperly prejudiced jury had charged on count example, two Jonas was that the suggesting defendant commit endangerment causing with child serious several ted not one but crimes.” Id. The in violation of section injury Iowa Code court, however, emphasized that “[t]he 726.6(5). jury un- also instructed ... is ... principal danger that the defen two der count as to two lesser included multiple dant receive sentences for a endangerment causing offenses—child single Significantly, Id. offense.” bodily injury in violation of Iowa Code Eleventh held the defendant had Circuit 726.6(6) endangerment section and child prejudiced by multiplicitous not been 726.6(7). indictment, actually of Iowa though violation Code section even he had lesser have on all three counts These included offenses would received sentences be- requests mental records of the to run concur- health those sentences were cause self-defense, victim, claiming inap- and is rently. Id. 804-05. a codefendant’s plicable to efforts obtain primary risk of agree that We pre- During mental health records. multiplicitous in from prejudice arising case, legisla- *14 in the trial this proceedings could receive is that a defendant dictment 291, which passed ture Senate File took single for a offense. multiple sentences March upon effect its enactment on case, however, prejudice re no such this 2011 Iowa Acts ch. 8. Senate See merged court because the district sulted File adding 291 amended section 622.10 through two six on counts his convictions following the subsection: him on that count one and sentenced into guilty sep found count. Jonas was one as Except provided 4. a. otherwise chargeable sepa that subsection, arate acts were in confidentiality this the 726.6, but when rate crimes under section this shall be privilege under section ab- combined, also violated section 726.6A.Un regard solute with to a criminal action circumstances, there no un der these was shall be construed to this section not he had appearance fair that committed require the disclosure of authorize According crimes.” “not one but several any to a defendant in privileged records prejudiced. we hold was not ly, a action either of criminal unless the following occur: B. to Sever. Jonas also Motion the court’s denial of his appeals district (1) privilege voluntarily The holder through to sever counts two six. motion confidentiality privilege. the waives the victim All counts involved same the (2) (a) seeking The defendant access occurring acts within several weeks. under this section privileged records in be A defendant some circumstances good demonstrating files a motion prejudice to a to avoid entitled severance probability faith a reasonable jury hearing evidence from inadmissi sought likely to contain information prove in to coming ble on one count anoth not exculpatory information that is avail- count. not the situation here. er That is any able from other source one, which includes counts two Count is a need for the compelling which there offenses, through six as lesser included present defendant a defense The State enti could not severed. a filed case. Such motion shall be prove tled to offer on each act to evidence forty days arraignment than later after in count multiple-acts crime one. Ac seal of the court. Failure of the under district cordingly, we hold the court did timely defendant to file such motion its in denying not abuse discretion Jonas’s right a waiver constitutes seek motion sever. privileged access to records under this section, court, good but cause Request The Mental V. for Jherica’s shown, may grant relief from such waiv- Health Records. er. Applicability A. Section 622.10(4). (b) 20, 2010, of a July Upon showing On Jonas filed reasonable probability compel production privileged motion to Jherica’s records may likely exculpatory health under protocol sought mental records contain is not available from set forth Cashen. district court information source, grounds the court shall conduct denied Jonas’s motion on other only an in camera review of such records to applies when defendant Cashen informa- dence exculpatory trumped determine whether the statutory procedure protecting privileged tion is contained in such records. mental health rec ords, claims, as he logic the same would (c) If exculpatory information is con- allow Jonas access to Jherica’s privileged records, tained in such the court shall lawyer communications with her to see if balance the need to disclose such infor- she guilt way admitted in a that could help against privacy mation interest Yet, establish his innocence. courts would privilege holder. not allow a pierce codefendant to the attor (d) determination, the court’s Upon ney-client privilege of another defendant writing, that the privileged information to look for exculpatory evidence. We Cf. sought exculpatory and that there is a *15 State, 810, mark v. 602 N.W.2d 815-16 compelling need for such information (Iowa 1999) (discussing attorney-client outweighs privacy the interests of privilege in cases, the context of criminal holder, privilege the the court shall issue including general prohibition the on the allowing an order the only disclosure of disclosure of client’s confidential communi portions those of the records that con- cations). Clearly, legislature the is enti exculpatory tain the information. The tled to protect communications between shall prohibit any court’s order also fur- clients, attorneys just as it im ther dissemination of the information to pose procedures governing the disclosure defendant, any other person, than the of other records privileged under section attorney, prose- the defendant’s and the 622.10. These privileges important serve cutor, unless otherwise by authorized purposes that foster protect necessari the court. ly confidential communications. See id. at b. Privileged information obtained justification 815 (noting attorney-client of other than provided means as in privilege is to encourage “unrestrained paragraph “a” shall not be admissible clients”); communication see also any criminal action. McMaster v. Iowa Bd. Psychology of 622.10(4) § Iowa (Supp.2011). Code Exam’rs, (Iowa 758-59 1993) (discussing same for purpose psycho seeking

Jonas renewed his motion Jheri- therapist-patient privilege). Accordingly, pursuant ca’s mental health records to the although Thompson involved the victim’s procedure set forth in the statute. The health mental records and Jherica is a renewed motion included same offer of codefendant, reject we Jonas’s constitu proof original contained Jonas’s motion tional challenge for the same reasons ex production under the protocol; Cashen pressed in that opinion. Thompson, See however, supplemented Jonas later his of- 836 N.W.2d at 481. proof April fer of 25. The district court again denied Jonas’s motion. Furthermore, because this amend appeal, argues

On section ment to statutory privilege found in 622.10(4)is unconstitutional because section procedural, applies Cash- 622.10 is ret en requests set the constitutional floor for roactively. Godfrey, See State v. (Iowa 2009) curiam); of mental health In Thompson, (per records. N.W.2d Leas, today, N.W.2d decided we re State ex rel. 419-20 N.W.2d (Iowa 1981) ject challenge a facial (applying constitutional amendment to statu 622.10(4) ity of tory section and hold the statute physician-patient privilege retroac supersedes protocol. tively procedural rejecting argu Cashen We note that, if right exculpatory Jonas’s evi changed ment that amendment defendant’s history smoking of mari- supported by her precluding manner rights

substantive her demon- Godfrey, juana during pregnancy, her application). retrospective pattern dishonesty, and her ad- ordered state to disclose strated of court district taking its in a mitted while care her witnesses frustration addresses the home at 724. re- N.W.2d newborn son. The State Jherica proceeding. criminal application for state’s dis- granted We sisted. pretrial order and cretionary review unreported April day after an On ap- to the court of the case transferred hearing, denied the district court Jonas’s the order. Id. We peals, affirmed which seal. ruling motion filed under application the state’s granted then though Jonas had “dem- court found that review, deciding before but further possibility [Jheriea]’s onstrated the Iowa adopted Rule Criminal appeal, we exculpatory mental health records contain 2.11(12), governs which disclo- Procedure evidence, has not the defendant demon- Id. noted: of trial witnesses. We sure they strated a probability reasonable provisions do not relate to The new contain information.” The exculpatory crimes elements substantive district noted that because Jherica’s court *16 only pertain proce- charged, but “very time and lim- records were situation adjudicating the criminal dure for they unlikely to contain ited” were excul- against leveled a defendant. charges was first patory diag- evidence. Jherica applied Consequently, the amendment is early nosed with in her teens depression dispute and resolves the retrospectively then diagnosed again jail and appeal. raised district injuries. after E.N.’s The court the 2011 amendment to sec- Similarly,

Id. statements, “the rejected unpersuasive change did not the substantive tion 622.10 incidents defendant and behaviors” identi- charges against criminal elements of the in support fied of his contention that the Jonas, procedure altered the but rather exculpatory records evi- would contain privileged records under section seeking dence. The court also refused to district en- Although the amendment was 622.10. allow to access records on defendant ruling denying Jonas acted after the first possibili- the basis there was a “mere records, Jherica’s we hold the access to something to a ty that said men- [Jherica] retroactively governs applies statute and inculpates tal health her- professional ruling of that as well as our review exculpates self and the defendant.” On id. subsequent ruling. See observed, point, this the court “If that Thus, turn to consider whether we now disclosure, ground permitting were correctly applied court the district every in would have to be allowed case. statute in this case. Clearly, legislature not what is intended.” Application

B. Section 622.10(4). identified two argued postar- Jonas Jherica’s district court circum- particular case that grounds compel stances to this lead it provided rest behavior already health This to this conclusion: “the defendant to her mental records. access her call to a knows much about “had ac- [Jherica]” included emotionless behavior pre-incarceration her died cess to medical rec- report [her] funeral home to son had Finally, the district court conclud- prices, flashing about her ords.” inquire a compelling ed Jonas had not established jail, suggesting she should breasts records July Jonas need for the mental health because “psych be in a ward” suggesting he information “already his access to her records was argued ha[d] also why might reasons harm strangely [Jherica] in jail, by stating she should be baby suggest and that could try- ward,” she was in “a psych baring breasts, her ing keep such harm a falsely secret.” saying her son was dead while ask- ing, emotion, without about burial costs. The district court specifically found that pled She guilty to three counts of child Jonas had failed to establish the informa- endangerment, albeit without admitting to sought tion was not any available from personally inflicting the baby’s injuries. other source: Jonas’s defense strategy included raising the importance privacy [G]iven reasonable doubt whether injuries certain here, interest that is at stake and the may have been inflicted Jherica instead fact that specifically statute places of him. The district court made no finding the burden on the defendant to show that Jonas’s motion was made in bad faith there is no other source for the to intimidate or deter her testimony or for sought, information the court does not improper other reason. We conclude believe that a defendant is allowed un- good faith “demonstratefd] a rea- der the statute to obtain per- another sonable probability that the information son’s mental health records without first sought [in Jherica’s likely records] exhausting every other source from exculpatory contain ... evidence and for which there possibility reasonable which there is a compelling need for [Jo- that the same information could be ob- present nas] a defense” within the case, tained. At least this there is a 622.10(4)(a)(2)(a). meaning of section reasonable possibility that the defendant could obtain the he seeks *17 information The district court denied his motion in [Jherica], merely by And, deposing part because it found Jonas failed to show that, even if he cannot do there is an that “the information is not available from equally strong possibility, given the cir- source,” any other as required under the discussed, just cumstances by that tak- 622.10(4)(a)(2)(a). § statute. Iowa Code ing deposition he would at least be Specifically, the district court found Jonas able to make a stronger case for obtain- failed to meet requirement this because he ing her mental health records under the depose failed to Jherica. Under the cir- requirements of SF 291. case, cumstances of this disagree we that added.) (Emphasis his depose failure to Jherica was fatal to review,

On our de novo we find the his motion to obtain her mental health district court in failing erred to conduct an records. may Jherica have made admis- in camera inspection of Jherica’s mental sions to a mental health counselor that she health records. Jherica was a codefendant would forget deny or in an adversarial charged victim, with endangering the same interrogation. Statements memorialized baby E.N. credibility Her was a central therapist a neutral likely would be more issue in the case. Her testimony put E.N. credible than self-serving Jherica’s asser- in Jonas’s baby arms when the stopped Indeed, tions as a hostile witness. noted breathing. She and Jonas concocted commentators have recognized that matching stories to tell at hospital, taking of a deposition “[e]ven from a giving a version of what happened may hostile witness provide not the sub- at baby’s was odds with the life-threaten- equivalent stantial of the information the ing injuries. gave Jherica also given inconsis- has party witness to a to whom he or tent statements contradicted her trial she is not hostile.” Wright, Charles Alan testimony. Significantly, she behaved Marcus, Arthur R. Miller & Richard L. victim, § she learned that hospital, Procedure Practice and

Federal ed.2010) (3d E.N., (citing Fed. very & n. 23 condition and “was serious 26(b)(3) advisory committee’s Kelly R.Civ.P.- make it.” Detective inter- note). may very have Her records well Jon, people night: Mary, viewed four more effective- enabled defense counsel Jonas, Jherica, Greg and in that order. her at trial assisted ly cross-examine worker, Sweem, and a DHS on-call Ser- her preparation deposition. counsel’s Neely during geant present Lori were all Accordingly, reverse district the interviews. we denying Jonas’s motion for ruling court’s Kelly Detective finished interview- After mental in camera review of Jherica’s a.m., ing Jherica sometime around she remand the case for the health records and join private asked Jonas to her in a room pursu- court to conduct review district agreed for an interview. Jonas and )(2). 622.10(4)(a to section If the dis- ant interject- towards the room. Jon walked exculpatory trict court finds no evidence son, ed, my “I’m not comfortable Jo- review, remaining convic- on that Jonas’s nas, being interviewed.” He asked If exculpato- shall remain affirmed. tions and present during his son’s interview told found, the ry evidence is district court “I’m Kelly, acting as his Detective attor- proceed shall as directed section ney.” Kelly Jon Detective asked whether (d) 622.10(4)(aJ(2)(c) determine Iowa, practice he licensed to law to a whether Jonas is entitled new trial.3 confirmed that he was. Detective he July Defendant’s 8 Statements to VI. Kelly possible told Jon it not be would Kelly. Detective him sit in on interview because he But, was a witness. she “told both Jon and Procedural Back- A. Facts course, that, Jonas was welcome [Jonas] ground. evening July Late in the attorney to have that he wanted ... hospital Kelly notified Detective Lori ‘any attorney except in the world for Jon Department of the Des Moines Police ” nothing during Neiderbach.’ said baby brought had been with a brain *18 Kelly injury. exchange. When Detective arrived at 40, (1987). multistep procedure This is similar to that 58 Ritchie Court held the prescribed in for in camera entitled have the trial cases remanded defendant was to court exculpatory reviews to determine whether evi- conduct an in camera review of the victim’s agen- counseling possessed by dence was withheld in violation of the disclo- records a state remand, Maryland, cy. requirements Brady v. defendant was sure 373 Id. On to 83, 1194, if U.S. 10 L.Ed.2d 215 receive a new trial the records ”contain[] S.Ct. Johnson, (1963). probably v. example, For in State we information would have by denying changed concluded the court erred the outcome of his trial.” Id. Con- district produce versely, defendant’s to a list of names if the records “contain no such infor- motion mation, alleged who if the was of those witnessed crime or nondisclosure harmless 480, doubt, (Iowa beyond their a reasonable the lower court statements. 1978). prior We for an in camera re- will be free to conviction remanded reinstate [previously appellate it is view and directed that found that vacated the state "[i]f Id.; Garcia, exculpatory material was withheld see also State v. court].” from defendant, (citing granted. (N.M.Ct.App.2013) then shall a new trial be P.3d Rit- not, judgment If stand chie in remand for court's in shall affirmed.” trial camera records, (citing prior using proce- Id. Iowa cases this review of victim's mental health dure). granted Supreme only upon The United States Court also new trial to be determina- procedure Brady prejudiced by has directed such a tion that defendant had been Ritchie, Pennsylvania improper in first rule context. exclusion the records tri- See al). U.S. 107 S.Ct. 94 L.Ed.2d comforta- repeated Jon that “he was not involved. He’s a poten- witness. He’s a being interviewed at 2:00 in suspect. ble with Jonas tial Kelly explained Detective morning.” Kelly explained Detective that she consid- only to ask Jonas the same planned she ered Jon to be a suspect at time him, wife, questions she had asked his and because were four people “[t]here who Kelly then Jherica. Detective looked di- child, lived with the who had inju- several said, rectly up you at Jonas and “It’s to ries, experience and research shows you with us or speak whether not. It’s caretakers, that most cases involve the time, your decision.” At that Detective Jon was one of them.” Kelly noted she had “made it clear that his Jonas was not in custody during the going present father was not [for interview and was free to any leave at willing Jonas “said he was interview].” time. No claim appeal is made on that the speak with and followed into [them] [them] interview was Kelly custodial. Detective the room.” during testified that her interactions with thirty The interview ended about min- Jonas, he never right invoked his to an room, barged utes later when Jon into the attorney silent, right his to remain “saying enough, [they] that that was he never asked to end the interview. The questions.” ask other didn’t need to interview was not recorded. time, Kelly At that Detective and Jonas Although Jon admitted that he had not discussing were whether Jonas had ever formally been retained attorney by as an E.N., “even if it an attempt shaken son, his Jon testified that approximately him get get get his attention or to him ” years prior two and one-half repre- he had gone limp.... to breathe after he had his in a sented son criminal matter. Jon Significantly, just Jonas had answered af- recently also testified that he had given firmatively when father his entered the legal during investigation Jonas advice room to end the interview. of E.N.’s broken arm. 1, 2010, September On Jonas filed a suppress motion to the statements he The district court denied Jonas’s motion during made this interview. to suppress on October 18: Kelly Detective claimed had violated his Kelly correctly Detective informed Jon right deception to counsel and that her Neiderbach that he could not act as his to whether father him represent his could lawyer during son’s the criminal investi- attorney as an in- rendered his confession gation suspect, because Jon was also a *19 voluntary. The sup- district court held a an employee witness and of the DHS. pression hearing on October 1. Detective The Iowa Rules Professional Conduct Kelly and Jon testified. prohibit representation where there ais Kelly Detective testified that she denied significant risk that the representation request present Jon’s to be her during by will personal be limited the interest interview of Jonas because she considered attorney. Iowa R. of Profl Con- potential suspect, just every- Jon “a like 32:1.7(a)(2); § duct R. of see also Iowa in body else who had been contact with § (stating Profl 32:3.7 the gen- Conduct Kelly Detective added: [E.N.] prohibition against being eral advo- ” I something lawyer likely knew that was not that the cate at a trial when the witness). necessary Court would allow. It was absurd to me to be a Jon had a that he able represent potential would be to his clear conflict of interest as a son in a in simply suspect case because he is also and witness the case. Since ... will be representation materially out the suspect,

he been ruled as a had not personal he limited ... a interest of the Kelly properly determined Detective lawyer.”). We need not decide whether an- in on interview of could not sit ethically precluded repre- Jon was from in suspect the same case. other senting July night Jonas the because also found Detective court district we issue on another ground. decide this Kelly that it his choice informed Jonas was speak Zerbst, with her. The district whether to In the Unit Johnson “knowingly, court Jonas volun- concluded Supreme ed States Court discussed tarily intentionally right his to and waived assessing test whether defendant has also The district court right remain silent.” waived to his constitutional an attor Kelly had not violated Jo- ruled Detective ney: right counsel right

nas’s to because every indulge pre- “[C]ourts reasonable Jonas, thus, only invoked could sumption waiver” of against fundamen- had no assert standing “Jon Neiderbach rights tal and ... constitutional we “do rights these on behalf his adult son.” presume acquiescence the loss of court Finally, the district determined A waiver ordi- rights.” fundamental knowingly did not or inten- police “[t]he narily relinquishment an intentional or tionally opportu- frustrate defendant’s right of a known privi- abandonment or nity with an attorney lege. to meet before The determination whether non-custodial interview at the during intelligent there been an waiver of has hospital.” right depend, to counsel must in each case, facts upon particular and cir- Analysis. B. our de Upon case, surrounding that cumstances in- record, we novo review of the conclude the cluding background, experience, correctly district court found state Jonas’s conduct of the accused. Kelly voluntary ment was to Detective 464, 1019, 304 U.S. 58 S.Ct. any right may he waived counsel he (1938) (footnotes L.Ed. omit- lawyer have not the right had. Jon was ted); Hilpipre, State v. see also night July Jon his son (“It (Iowa 1976) N.W.2d is well one of four a witness as adults resid may legally settled an individual waive his E.N., ing grandson, home where his But rights. or her the State constitutional injured had repeatedly been recent prove by preponderance must of evi- very day. weeks and that Jon was also a knowingly, voluntarily dence such was suspect stage at this initial of the investi done.”). intelligently too, So, wife, gation. Mary, was Jon’s A grandmother. lawyer who is will first address whether victim’s We witness, personally closely voluntarily waiving right involved as a acted his member, family potential giving related and a counsel and interview. Madsen, suspect police applied totality-of- in a matter are State v. we investigating conflicting have to deflect the-circumstances test determine motives *20 lawyer rep blame. Such a should not be whether defendant made dur statements suspect by ing a interview resenting another interviewed noncustodial were volun (Iowa 2012). police. tary. See Iowa R. of 722-23 Profl Conduct N.W.2d 32:1.7(a)(2) (“[A] test, § lawyer voluntary are repre shall not Under this “statements sent if the if the will is not or representation a client involves defendant’s overborne ... self-determination capacity concurrent conflict of interest his for [that] critically 722. significant impaired.” if ... there is a Id. at The fac- exists risk in determining tors to be considered was voluntarily. made Kelly Detective Jonas, whether defendant’s statements were vol- specifically told “It’s up you untary include: whether you speak with us or not. It’s your decision.” She age; whether defendant said that with

“[Defendant’s Jon present. Jonas chose to prior experience jus- proceed had in the criminal without counsel. system; ... We affirm deception tice whether the district was court’s used; ruling denying whether defendant Jonas’s motion to suppress showed the statement he ability to understand the made to questions Kelly. Detective respond; length of time defendant

was detained interrogated; defen- January VII. The 2011 Video and physical dant’s and emotional reaction to Photograph. interrogation; physical punish- whether A. Facts and Procedural Back ment, including deprivation of food and ground. Jonas moved limine to exclude sleep, was used.” from evidence a nearly five-and-a-half min Id. at 722-23 (quoting Payton, State v. ute video and a photograph of E.N. taken (Iowa 1992)). N.W.2d 328-29 January eighteen months after he interview, Jonas, At the time of the age sustained injuries on July twenty, was an adult. According to his The DVD shows having E.N. his tracheos- testimony suppression father’s at the hear- tomy tube cleaned and suctioned. E.N. ing, Jonas prior experience had some had several during seizures the video. Jo justice the criminal system, although the argued nas the video was irrelevant and extent of that experience is not contained relevant, even if probative “its value is within the allege record. Jonas does not substantially outweighed by danger Kelly any Detective deception used in tak- prejudice, issues, unfair confusion of the ing Kelly his statement. Detective told misleading jury.” Specifically, Jonas “any attorney Jonas he could have in the argued “the video clearly intended world except Jon Neiderbach.” Jonas jury’s arouse the sense of horror and pro requested never any lawyer, and when told vide an instinct punish.” His appellate it was his choice whether to give the inter- brief describes the video as “heart-wrench view, proceed. he chose to ing.” On April the district court heard a.m., began The interview at 2 after argument on the motion in limine. The hospital Jonas had been at the for about argued State it intended to offer the video twelve hours emotionally under difficult to show “the injuries seriousness of the circumstances with the life baby of his and clearly [E.N.] the condition that he Yet, the balance. he makes no claim that in ... injuries.” after [those] he was too fatigued any right. to waive The police did not detain him The court did not rule on the motion period preceding the interview. We con- before the State sought pho- to admit the clude that even right if Jonas had a to tograph and video at May trial on 5. Dur- represent have Jon him night, ing the State’s direct examination of knowingly voluntarily waived that Shannon regarding E.N.’s current health right acquiesced condition, and that Jon by allowing the district court admitted the proceed the interview to without telling video and photograph into evidence over Jonas to remain silent or to await the objection. defense counsel’s renewed arrival of lawyer. another We played jury also find video was for the while Shan- *21 that Jonas’s statement to Kelly Detective non questions answered about it. The

202 long- video and reflected the not mention the dition before trial did

prosecution injuries effects E.N. had sus- term during closing arguments. eighteen The video tained months earlier. Analysis. must decide B. We are relevant to the issue of photograph court abused its dis district whether the injury. the victim’s serious photo by allowing video cretion Huston, 825 We next consider whether evidence. See graph into in evidentiary rulings were nonetheless (noting photograph at video N.W.2d 536 v. rule 5.403. See State Iowa Rule of Evidence 5.403 are admissible under under (Iowa 2005) discretion). Henderson, 5, of Our 696 N.W.2d 10 reviewed for abuse (“Even excluded, may relevant evidence be long recognized photographs has are court however, they if simply probative are its value is substan not inadmissible because tially by the of unfair sympa outweighed danger tend may or to create “gruesome evi prejudice.”). To determine whether thy just ... if reason for their there 5.403, Hummell, dence should be excluded under rule v. 228 admission.” State Huston, (Iowa a test. 825 1975); apply two-part we State N.W.2d 83 accord v. 1982) “First, (Iowa we ‘consider the N.W.2d 537. Coburn, 315 N.W.2d Second, probative of the evidence.’ value (affirming ruling allowing into evidence ‘“against probative we balance the value accu photos that were “a fair and “grisly” danger prejudicial wrongful of its or condi depiction” rate of the child-victim’s ”’ upon (quot effect the triers of fact.” Id. tion). have in de “Trial courts discretion (Iowa Cromer, v. ing State N.W.2d termining pictures whether the value of as 2009)). unfairly prejudicial Evidence is their nature.” outweighs grisly evidence when it Hickman, 337 N.W.2d State

(Iowa 1983); “appeals jury’s R. Evid. arous- sympathies, see also Iowa 5.403. horror, provokes its in- es its sense of with Jonas’s contention disagree We or other punish, triggers stinct January photo- video mainsprings of human action [that] rele- graph were Evidence is irrelevant. jury cause a to base decision on its “any make tendency vant if has something than other the established any consequence fact that existence propositions in the case.” to the determination the action more Henderson, (quoting at 10-11 696 N.W.2d or it would probable probable less than (Iowa Plaster, State v. without the evidence.” Iowa R. Evid. 1988)). sense, But, powerful in a all evi- charged 5.401. The with child State Jonas key prejudicial dence is to one side. The injury endangerment causing serious danger prejudice is whether the July injury the brain E.N. sustained on unfair substantially pro- outweighs evidence’s required prove beyond The State was a value, noted in bative as we Huston: reasonable doubt E.N. suffered a all is to injury.” purpose “serious See Iowa Code evidence [T]he (2009). 726.6(1), (5) § sway section the fact finder. In child abuse Iowa Code cases, part, at least injury,” 702.18 defines a “serious much evidence will be ... Exclusion is re- “[b]odily injury prejudicial. which somewhat [c]auses unfairly impairment quired only of the func- when evidence is protracted loss way substantially bodily organ.” prejudicial tion of member or Id. [in that] 702.18(1)(6)(3). stipulate outweighs probative § value. “Unfair did its tendency sug- E.N. injury. prejudice” suffered serious is the undue basis, depicted video and E.N.’s con- on an photograph gest improper decisions *22 commonly though necessarily, an for the conviction. Id. at 553. The court emotional one. noted the defendant stipulated had not injuries that the victim’s were serious. Id. (citations Huston, at 537 Jonas, Rodriguez, like argued the video omitted). marks quotation internal should have been excluded under rule 403 E.N. depicted The video of because medical testimony records and es- lasting care that he needs and the ongoing requisite tablished the bodily inju- serious injuries. of his Video evidence is effects ry and that the video was cumulative and jurisdic highly effective. “Courts of other prejudicial. Id. at 554. Rodriguez The prej tions have dealt with the issue of the disagreed, court stating, “Despite the exis- day-in-the-life udicial nature of videos and tence of other evidence to document [the frequently have admitted them into evi injuries, the recording victim]’s communi- Moore, Eckman v. 876 So.2d dence.” injuries cates that were serious in [his] (Miss.2004). Jonas does not claim the way non-technical that is capable being misleading deceptive video of E.N. is or easily by laymen.” understood Id. More- inaccurately depicts E.N.’s condi over, the video “reflected no more than (“In tion. See id. at 984 order for the jury what the would see” if the victim had have the amount prejudi video to least appeared in the courtroom. Id. at 555. value, portray ordinary, cial the video must The same is true for the video of E.N. situations.”). Rather, day-to-day Jonas ar We hold the district court did not abuse gues unnecessary the video was and in its discretion allowing into evidence the jury. flamed the The video’s impact January 2011 photograph video and jury results from the nature of E.N.’s E.N. condition, fairly depicted. which is We do probative not find the video’s value is sub Expert Testimony VIII. on Shaken stantially outweighed by prejudice. unfair Baby Studies with Confessions

Just as trial courts have discretion to ad by Caregivers. autopsy mit into evidence or crime scene victim, photographs showing challenges expert testimony murder discussing journal if medical case studies of even the cause of the victim’s death is injuries documented brain undisputed, so too district courts al which care givers shaking confessed to the infant-vic accurately depicting injured low video condition, expert tims. Jonas contends the testimo child’s even if other evidence ny violated the injury. establishes the seriousness of the Confrontation Clause and against hearsay. testimony rules The prosecution leeway The has in what evi experts two for the State is at prove injuries, subject dence to use to issue. the district court’s discretion under rule objected Defense counsel first 5.403. testimony of Dr. Wilbur Smith. While State, Rodriguez explaining inju- the Texas Court the cause of E.N.’s head ries, Appeals held video of the victim’s cur- Dr. Smith described the historical admissible, rent condition was rejecting underpinnings of the acceleration-decelera- the criminal challenge theory. history defendant’s under tion One case discussed Texas Rule of nanny’s thought Evidence 403. 352 S.W.3d admission that she it was (Tex.Ct.App.2011). appellate appropriate violently shake babies. Jo- court noted the probative objected video had “some nas’s counsel to the statement as in showing hearsay, value suffered which should have [the victim] been excluded bodily injury” a serious was required from evidence because he did not “have *23 to question nanny the (off record) opportunity the interrogation.” a coerced see if it was objection THE is over- COURT: The objected later to similar counsel Jonas’s reasons ruled for the same that and Dr. expert, the State’s testimony from was overruled last objection similar Jenny Dr. Jenny. described Court, course, Carole permit- week with the injuries by compared study that suffered ting the at the break make defendant known have been who were children the defendant whatever record thinks injuries of whose shaken with the children Mr. Foritano. appropriate. they that had shaken caregivers denied you, MR. Thank Your FORITANO: objected counsel

them. Defense Honor. testimony Jenny: from Dr. following Q. Jenny, Dr. I am not sure where I talk to us Q. you a little about Can you off. this: left Let me ask Have type you of force or what kind of the comparing there been studies state- you to see if were an inde- might expect that by perpetrators ments discuss the this event. watching observer pendent shaking violent im- shaking and/or say people I can who have seen A. injuries or pact, compare looked being report beaten or shaken babies by injuries at the suffered those infants? extremely There are disturbing. to be study by recent A. most that have good reports been document- cases, at 189 Adamsbaum. She looked I ed, multiple, confes- multiple as well believe, adjudicated, that were that had people have been reports sional' who gone through the courts. There were 28 abusing and caus- involved with children people hurting who admitted to child. ing injury. head shaking. All of them admitted to Some something that in happens It is not impacting baby of them admitted parenting. of normal It is the course as well. is, know, you something holding baby patting them on the back. They they compared found that when a violent act as reported It is injuries cases in the confession it and the people who do who see people injuries people in where cases who it. confessed, they hadn’t were compa- rable, injured the babies were in the Honor, Your I will

MR. DICKEY: way. same hearsay. object. That is THE Overruled. COURT: Q. talking We are about that same Doctor, you let me ask Have Q. this: type injury? of acceleration/deceleration studies, fact, published Well, result, in there been yes, injury A. sub- Academy subarachnoids, the American Pediatrics durals brain dealing comparing admissions or damage. It was similar both groups. perpetrator the in- statements Q. journals published Those were particular that were seen in juries those typically on in the medical relied field? A. Yes. cases? published A. That article was in the Q. those consistent with what Were Pediatrics, journal which called is the individuals were saying? those journal Academy the American Objection, Hon- MR. DICKEY: Your Pediatrics, presti- which is the most hearsay. May approach? or. This is I journal gious pediatrics field of Yes. in the THE COURT: world. added.) Xtra,

(Emphasis overruling L.L.C., Jonas’s Gacke v. Pork *24 testimony (Iowa 2004) objection Jenny of Drs. (quoting Iowa R. Smith, the district court 5.703). stated: Evid. recently We noted that “rule I do not believe that the matters that 5.703 is give experts intended to appropri- you objecting are to violate either the work, ate latitude conduct their not to hearsay your rule or client’s Sixth parties enable to shoehorn otherwise inad- I rights. Amendment do not believe Stenzel, missible evidence into the case.” they amount to anything that would be 827 N.W.2d at Jenny 705. Dr. testified They considered testimonial. are mat- that the Adamsbaum study published was rely ters that on. experts Pediatrics, journal in the which she de- testimony basically Dr. Smith’s is scribed as the “most prestigious journal in Jenny’s] testimony same as [Dr. pediatrics field of in the world.” She they terms of how formed opinions identified journal Pediatrics as a “typically injuries about mechanisms of these relied on the medical Signifi- field.” so forth. however, cantly, she never testified that certainly You are entitled to ask these the facts and data the Adamsbaum possible witnesses whether it is that the study police derived from interrogations underlying information was relied were type reasonably “of a upon by relied on, such as confessions of individuals field, experts” in her required as under child, they about how treated a whether 5.703; rule 5.703. Iowa R. Evid. accord they considered the reliability of those Stenzel, (“Rule 827 N.W.2d at 705 5.703 words, confessions. any- other did requires that the facts and data be viewed body consider whether all of these or as reasonably reliable experts in ‘the some of these confessions were coerced ”). particular field.’ Nor does the State voluntary or were not or whatever. testimony claim her regarding that, I beyond So do not believe— study Adamsbaum was admissible under mean, general matters are in nature. I exception learned treatise to the hear- they are not testifying particular about 5.803(18). say rule. See Iowa R. Evid. incidents that have relationship to Accordingly, we conclude the district court particular this case other than that this by overruling hearsay objec- erred Jonas’s they is how studied type inju- these tions to the experts’ testimony regarding opinions ries and their about they how study nanny study. as well as the case happen. So I do not believe that testimony this Nevertheless, only “[w]e find violates, again, hearsay either the rule reversible error when the admission of your right. client’s Sixth Amendment improper evidence a party’s affects sub added.) (Emphasis Stenzel, rights.” stantial 827 N.W.2d at “ hearsay ‘The admission of evidence begin analysis We our with Iowa 5.703, presumed “is prejudicial to be error unless Rule of Evidence which we have said contrary affirmatively allows estab ’ ” Gacke, (quoting lished.” Id. expert opinion his or [to] base her 183). A prejudice may at lack of be estab facts or data that are not admissible in lished when similar information properly long they type evidence so as are “of a reasonably through expert admitted another witness. upon experts relied in the Gacke, particular forming opinions field in or See N.W.2d 183. We find upon subject.” inferences that occurred here. Dr. Smith testified, injured. the tissue is testified objection, without

Dr. Smith types inju- these that E.N. both of had follows: ries. tell us what that mecha- you Q. Can is, maybe record, then injury] we

nism brain conclude upon [of Based this bit about the resulting a little more we can talk there reversible error is no I did misstate. Jenny’s A. Sure. also studies? of Dr. testimo- from admission Geddes, Guthkelch, study or Dr. ny regarding The doctor the Adamsbaum *25 nanny was involved. the case testimony Smith’s about brief, testimony was study. hearsay The are a number of stud- But the—there properly admitted ample, and there was to make it clear have evolved ies which jury the could con- head, evidence from which par- of the severe acceleration that required that was not to in- words, impact clude off axis—in ticularly if it is other injuries. flict brain forth, being straight back and instead of from side to side—that flops head the next address Jonas’s Confron We injury. a severe can cause brain that the objection tation under Sixth Clause which are mainstream studies Those States Constitu Amendment to the United accepted. widely are I, tion and section 10 Iowa article question threshold in a Constitution. The studies, a There have been number analysis is whether Confrontation Clause we one that we did where including See the evidence is “testimonial.” Craw problem, at Iowa kids this looked 36, 68, 124 Washington, 541 U.S. ford half we about of the time and we found 1354, 1374, 158 L.Ed.2d S.Ct. impact, evidence of an half could find (2004). held that a The Court Crawford probably the time we couldn’t. There by spouse statement the defendant’s given it validity impact making to the some during police interrogation read into worse, my you but in belief can even evidence him at trial testimo against certainly just straight do it accelera- at nial. Id. at 124 S.Ct. tion/deceleration, shaking baby with the (“Whatever else the L.Ed.2d term off axis. the head covers, to prior it at a minimum applies added.) testimony hearing, before preliminary Dr. testi- at a (Emphasis Smith thus trial; grand jury, or at a former and to there are “mainstream studies fied that argues The State widely accepted” establishing police interrogations.”). which are that “confessions” in the theory that he was advocat- anecdotal the causation testimony study simply were referenced This did not contain Adamsbaum ing. testimony, nanny support expert opinion not twenty-eight reference for the the matters asserted. Jo accused of a crime from the truth of defendants Moreover, case histories with study. argues he testified nas that Adamsbaum study anecdotal referred objection to third confessions without —an were offered for experts showed was State’s study impact Iowa —that “shaking “truth” of always involving proposition found in cases brain- enough alone can force cause a Dr. Smith stated that cause injured children. Because baby’s injury.” of a causes traumatic rapid shaking head brain to cross-examine rip, opportunity of the brain to caus- lacked the the blood vessels underlying case histo hemorrhaging. persons further in the subdural He ing shaking the baby’s ries who babies temporal tip that when a “confessed” testified studied, skull, argues he injuries whose were against and forth moved back prohibited expert that she Confrontation Clause made an inconsistent statement testimony referring to those studies. Jo about it at some time the past. on concurring dissenting nas relies opinions support in Williams v. Illinois to suggestion question, this al- claim. his Confrontation Clause 567 U.S. though you impeach could her with her

-, 132 S.Ct. 183 L.Ed.2d 89 prior inconsistent statement and her (2012). Williams, four dissenters and guilty plea, comes too close to suggest- disagreed Justice Thomas the Con ing psychiatric issues are a substan- frontation Clause had been avoided be tive issue in this They case. aren’t. expert’s testimony regarding cause the There has been no foundation laid of her opinion basis was offered for a which would make them an issue. Its other than the purpose truth of the matter value, therefore, probative in—as re- -, asserted. See id. at 132 S.Ct. at *26 flects on her credibility is outweighed by 2256-59, (Thomas, 183 L.Ed.2d at 129-33 its potential prejudice. J., -, concurring); id. at 132 S.Ct. at 2268-70, 183 J., (Kagan, L.Ed.2d at 142-45 ... I think probative its value in chal- dissenting). Because we have concluded lenging credibility her is limited. Its above that error in admitting the testi potential I, prejudice great. And mony regarding nanny study ease or therefore, am going not to allow it. harmless, study Adamsbaum we need testimony not decide whether the was of agree We and conclude the dis fered for its truth or if it would be consid trict court did not abuse its discretion in ered “testimonial” for purposes of the Con limiting the cross-examination of Jherica frontation Clause. on this collateral issue. It is well settled ... right to im-

IX. The Limitation on Cross-Exami- peach by prior inconsistent statements is nation. not subject without limit. The of the During the cross-examination of statement, inconsistent if it is to be ad- Jherica, defense counsel asked Jherica missible, must material and not col- whether she was under the care of a physi lateral to the facts of the case. cian, psychologist, psychiatrist while she (Iowa Hill, State v. jail.

was in sought Defense counsel 1976). impeach Jherica with an inconsistent state Alleged X. Prosecutorial Miscon- judge ment she made to the her during duct. guilty plea. objected. The State After issue,

hearing proof Jonas’s offer of on the Background A. Facts and Procedur- the trial court objec sustained the State’s History. al allegation prosecu- Jonas’s tion, stating as follows: torial misconduct relates to his claim that think

I the collateralness of it prosecutor comes mischaracterized the testi- sense, witnesses, in this only mony that it has relevance expert one of his Dr. in challenging credibility. the witness’s Francis Blankenberg. Blankenberg Dr. I think you testified, there are limits to what can part, relevant as follows: way do of impeaching witnesses to Q. The subdural hematomas and the challenge their credibility. subarachnoid hematomas are result anything you

You can’t find could of the acceleration and deceleration and veins, then ask a prove witness about and then the shearing bridging Q. asked about Yes, teach- You were also accel- that is usual A. right? injuries. use a You Yes. ing. eration/deceleration couple that I think we need to of terms - That mainstream A. Q. That is the term explain. You used the mass effect. yes. opinion, is mainstream way: put you A. it this If Correct. Let’s observed, you right? That is what Q. injury— have acceleration/deceleration A. Yes. itself, talk about the brain not let’s have that kind of you When Q. bridging you veins. If surrounding deceleration to the that sudden injury, in- have severe acceleration/deceleration brain, hypoxic cause the is- that can juries, the white matter tracks you tear necessarily. A. Not injury? chemic matter, up along with the white along on the mat- the blood vessels white could, certainly right? A. Q. But it tracks, ter that tends to cause hemor- debate whether big is a about There rhage. hemorrhages are Sometimes actually can occur as an isolated CT, though easily seen on a lot of finding. times they are. areas of the that are The central brain certainly you But on MR see would that were—that suffered question sequences signs bleeding they on the injury, typical hypoxic is not severe provided they inju- had had kind of *27 abuse, very se. per for child That is ry to the brain itself. however, consistent, with ces- complete oxygen flow or for a sation of blood Q. I You also used—and don’t know

period to five of four minutes. this pronounce if I am to correct- going A. ly intraparenchymal? Intraparen- — certainly get from Q. You can edema chymal, meaning inside brain. injuries, acceleration/deceleration Q. Why would that be indicative of expect pure You wouldn’t ede- right? A. A. you acceleration/deceleration? If degree have to be some ma. It would hemorrhages, had intraparenchymal intraparenchymal hemorrhage gray where meets the white matter MR injury shear which is manifested on you matter a weak area when are in is And hemorrhage. sometimes CTs particular motion. That where is enough up, to it but pick can be sensitive you get tearing. MR is more sensitive. Q. you that on Did observe [E.N.]? Q. swelling, right? A. Edema A. No. Correct. added.) (Emphasis alleged misrepre- that with Q. get You acceleration/de- during sentation first occurred the State’s You injuries, right? A. No. celeration cross-examination of another defense microvasc, are injure have to which witnesses, Dr. counsel’s Ronald expert Us- disrupt in myelin you fibers. So have to cinski: of the brain in order to parts different Q. change your opinion at Would it

get mostly a lot of it is “edema.” But Blankenberg if Friday all Doctor said on white matter and blood ves- shearing of injuries to were the re- [E.N.] oc- sels inside the brain has injuries? sult acceleration/deceleration first, secondarily you and then curring Objection, MR. a DICKEY: that’s get edema. of Doctor Blanken- mischaracterization

berg’s testimony. again, jurors, THE Once trict objections COURT: court overruled the by Jo- counsel, nas’s while in you judges Krogmann are the of the facts. You Dahlstrom, objections were have to remember what other witnesses sustained. said so overruled. Krogmann, we held defendant your question again? A. And preserve did not prosecutorial claim for

Q. My question change is would it misconduct when he failed to move for a your opinion if Doctor tes- mistrial after “the district Blankenberg court sustained objection Friday injuries question tified on and the was with [E.N.] ’s result, subdurals, drawn.” 804 N.W.2d at 526. were a This is be were a cause “the district court had no in- reason to result of acceleration/deceleration believe that any [the defendant] wanted jury? change my A. Would it opinion? thing further done respect No, my change opinion. wouldn’t prosecutor’s improper question.” Id. That Q. That the subdurals were caused rationale does not apply when the defen by shearing bridging of the veins. A. objection dant’s is overruled. Dahlstrom Again, change my opinion. it would not similarly preserved held error was not alleges prosecutor misrepresen- when defendant failed to move for a mis Blankenberg’s testimony again ted Dr. trial after the court objec sustained his said, during closing arguments when he tion. 224 N.W.2d at 449. We noted that “Dr. ... Blankenberg acknowledged that duty “it is the party aggrieved injuries were as result of the [E.N.J’s timely objection voice give the trial acceleration and the deceleration of the opportunity court to rule on the matter brain causing bridging those veins to since occupies position vantage [it] again objected sheer.” Defense counsel conclusion is entitled to much weight.” [its] the State’s characterization of Dr. Blank- *28 duty Id. That is satisfied the objection. enberg’s testimony. prosecutor then A motion a for mistrial would be futile interjected stating, “That is exactly what when the district court has overruled the said, you he remember.” The court objection to the giving statements rise to interrupted, admonishing jurors the grounds the for a mistrial. they judges “are the of the facts ... [and] Our previously court has held that de- the prosecu- what witnesses said.” The fense counsel need not move for a mistrial said, rely your tor then “You on memories preserve prosecuto- error on a claim of for what his testimony was. That is what rial misconduct when “he promptly object- he inju- said was the mechanism for those [prosecutor’s] ed to the statement ... ries.” request Defense counsel did not a objection was overruled.” [and] [t]he mistrial after the court overruled either of (Iowa Phillips, State v. 226 N.W.2d objections. his 1975). Phillips controlling is here. Coun- Analysis. B. sel need not move for a after an mistrial objection to the misstatement is overruled. 1. Preservation error. We Accordingly, we hold error preserved first consider the State’s claim that Jonas in this case. by failing request waived error a mistri objections. al after the court overruled his “To prevail Merits. on The State Krogmann, misconduct, relies on two cases: prosecutorial claim of the de Dahlstrom, 804 N.W.2d and State v. fendant must show both the misconduct (Iowa 1974). 224 N.W.2d 443 Both cases resulting prejudice.” Krogmann, 804 because, here, distinguishable are the In assessing dis- at 526. re- N.W.2d whether prosecutorial testimony mis- misstate risk harm- when ecutors who trial is warranted credibility jury. their with the ing we the follow- own alleged, consider conduct Cf. & n. Krogmann, N.W.2d at 526-27 ing: (observing inappropriate com- prosecutor’s “‘(1) pervasiveness of severity just likely jury ment was to offend (2) misconduct; significance state). points rather than score for the We the central issues misconduct to scrupulously admonish all trial counsel to (3) case; strength of the State’s expert misstating embellishing avoid (4) evidence; in- cautionary use of testimony on medical causation issues. measures; curative structions or other (5) invit- the extent to which the defense Yet, was better the district court ” ed the misconduct.’ appellate an court review positioned than whether ing transcript a cold determine Boggs, (quoting Id. State v. 741 N.W.2d prosecutor prej misstatements (Iowa 2007)). factors, 508-09 Of these udiced the defendant: important the most factor we consider is strength of the State’s evidence. Id. that a It is axiomatic trial court better Although result from an prejudice can be equipped appellate than courts prosecutorial miscon isolated incident prejudice determine whether occurs. duct, “‘[o]rdinarily finding prejudice This is because trial court is first- inject [pjersistent results from efforts to alleged of both hand observer mis- ” prejudicial jury.’ matter before the Id. any jury conduct reaction to it. Webb, (quoting 244 N.W.2d State Anderson, State v. (Iowa 1976)). (Iowa 1989). has no case cited on required new point holding a trial was argue The State does appeal on prosecutor because the misstated ex- correctly prosecutor characterized Dr. pert’s testimony. Accordingly, we hold Blankenberg’s testimony, argue but does the district court did not abuse its prejudice. lack of The district court made trial by denying discretion Jonas a new finding prosecutor no that the mischarac- this issue. expert testimony terized the and indeed objections overruled the of defense counsel *29 Aiding Abetting XL and and Alter- testimony argued who was miseharac- native-Theory Jury Instructions. terized. We affirm the district court on failed his bur- the trial grounds appeals Jonas to meet Jonas court’s prejudice aiding abetting den to show and requiring new submission of instruc two, one, affirmatively trial. testi- five. experts Several tions counts and Jonas injuries appeals fied E.N.’s brain were also the trial court’s submission of consistent instruction, alternative-theory jury with either or impact acceleration-de- jury jury celeration mechanism. The heard the which allowed the to convict even if testimony jurors agree experts. jury all the The also the did not as to whether aider objection during principal heard defense counsel’s Jonas acted as a or as an or contends evidence prosecutor’s the cross-examination. The abettor. Jonas closing argument objection, submit again drew an insufficient to those instructions. jurors only prop and the whether the court court admonished the to We address as rely erly on their of the testi- submitted these instructions own recollection two, however, mony. jury was also counts one and because instructed that lawyers argue opinion, what is not Pros- discussed in division XIII of this evidence.

211 sup- we hold the evidence insufficient to shaken stopped E.N. after he breathing, port count five. but later testified she never shook E.N. “ jury reject free to ‘[T]he [is] certain evi It is well established that ” dence, and credit other evidence.’ State theory sustain a conviction on the “[t]o (Iowa Sanford, 611, 814 N.W.2d 615 aiding abetting, the record must 2012) Nitcher, (quoting State v. 720 contain substantial evidence the accused (Iowa 2006)). 547, N.W.2d Given the ap assented to or lent countenance and evidence that Jonas and Jherica were both to the criminal proval by act either ac present when the offense was committed participation by

tive some manner they colluded with each other to prior encouraging to or at the time of condition, explain E.N.’s a reasonable jury its commission.” could have concluded that Jonas aided and (Iowa Spates, State v. N.W.2d abetted in committing Jherica an act that 2010) (quoting Tangie, State v. 616 N.W.2d resulted in E.N.’s injury. brain Accord (Iowa 2000)). may The State ingly, the court’s submission of aiding prove the defendant participated and abetting instruction and alternative- crime either direct or circumstantial theory instruction for counts one and two Hearn, evidence. “ 797 N.W.2d at 580. are affirmed. For the reasons discussed essential; however, ‘Knowledge is nei in division XIII opinion, of this we hold knowledge presence ther nor at the scene giving court erred in the instruction as prove of the crime is sufficient to aiding to count five. ” abetting.’ (quoting Id. State v. Weight XII. of the Evidence. Barnes, (Iowa 1972)). 204 N.W.2d “ previously haveWe held that ‘[e]vidence appeals also the district presence, of a defendant’s companionship, court’s denial of the part of his motion for and conduct alleged new trial that the verdicts on before after offense enough committed from which to counts three and six were contrary to the infer a defendant’s participation the weight presented of the evidence at trial.4 ” Lewis, crime.’ Id. at 581 (quoting State v. We accord the district court “broad discre (Iowa 1994)). tion in ruling on a motion for new trial.” Reeves, 670 N.W.2d at 202. reverse We July day

On E.N. suffered his only the district court if it has abused its injury, people brain two were in the Neid- Reeves, discretion. Id. In we stated: erbach home—Jonas and Jherica. Initial ly, hospital claim, Jherica told the physician, weight-of-the-evidence her On a ap mother, mother, pellate Jonas’s and Detective review is limited to a review of Kelly that she was in the room with Jonas exercise of discretion the trial *30 court, stopped breathing. when E.N. Jonas and not underlying question mutually story Jherica told a consistent against whether the verdict is the explain that failed to E.N.’s injuries: weight E.N. of the evidence. [Commonwealth screamed, Widmer, gasping, started and then v. 560 Pa. ] [745,] [(Pa.2000)]; turned blue. Jherica later recanted this A.2d see also Ashworth, story and that testified Jonas was alone United States v. 836 F.2d (6th Cir.1988) stopped breathing. with E.N. when he (appellate court nei Jherica judge credibility also told detectives she have ther sits to of witnesses challenged jury’s appeal 4. Jonas’s motion also the the denial of motion new his trial two, verdict as to count but he does not as to that count. evidence; State, that would be so ap- emphasized the rather reweigh “[i]t nor to it as a you probably publish the unusual could examining limited to court is pellate certainly case because it report trial to produced at determine evidence not— thoughts would variance most be at court’s determina- whether the district practices.” does does not tion the evidence heavily against the ver- “preponderate Selover, spiral Dr. a frac- According to manifest is a clear and abuse of dict” on resulting setting baby ture from a down discretion). unlikely, part, a bed because was count, challenged 203. each we Id. at For normal, newborn, healthy you when [a] an- presented the evidence summarize head, you lie or if their them down lower whether court abused its alyze the district something re- will elicit called a Moro determining discretion the evidence primitive a reflex where sponse. It is heavily preponderate against does baby’s up arms will in front come verdict. baby. legs will come as well. A. Count Three —Broken Arm. Also, newborn, their a normal muscle they them arms tone is such that hold testimony. Jonas and Summary of They legs and their front of them. emergency took E.N. to the room Jherica their arms their back. put don’t behind turned a on June for what out to be Selover, pe- arm. the treating broken Dr. expert Dr. and the two Lindaman State’s diatrician, recounted Jonas’s version of Jenny— Smith Dr. witnesses —Dr. injury how the occurred as follows: also that E.N.’s reflex and testified Moro history baby unlikely flexor tone made it his arm would Father related a hungry crying. was was have behind his back when Jonas was He been holding baby. on the bed. Dr. fur- sitting placed on a bed him Selover account, disputed noting room a ther Jonas’s Mother went to another to make weight alone baby. “unlikely baby’s bottle would to fracture provide sufficient force waiting While for Mom make the testimony arm.” This was but- baby’s bottle, the Dad baby crying. was still Smith, Dr. noted that tressed who baby set the onto the At the down bed. fairly strong is a bone.... “[t]he humerus bed, baby time he he set the good It a amount of force to break takes “snap,” baby related that heard a he agreed would Jenny that.” Dr. that there harder, cried and he discovered that of force significant degree need to be “a injury baby. there was an involved.” of in- ... When asked what mechanism baby put Father said that the his in an jury spiral would be for fracture arm behind as he child his back set the infant, onto Dr. Smith testified: down the bed. Usually, twisting, wrenching force.

Several other witnesses testified Jonas hit the possible somebody But it is could story. told them similar arm; I possible, in the or it child Although of the State’s physician none might like guess, caught, that a child *31 willing 'pos- witnesses were to rule out the know, or some you between a car that some— sibility E.N.’s arm had been broken pinned and be and fracture. hard surface described, they in the all manner Jonas classically is a agreed highly spiral version was fracture his unlike- Smith, ly. expert pretty Dr. for the fracture. But there is some witness twist good orthopedic sleeping baby[’s will, course, work literature muscles] be that follows the stress lines and shows ... relaxed [whereas awake baby, in] [a]n you impact can do it with too. It is active, the muscles are engaged.” Defense likely, just considerably likely, less less counsel Jenny confronted Dr. with the sec- impact. ond photograph, which showed E.N. being by grandmother.

held his Dr. Jenny ad- mitted E.N. was “not exhibiting flexor Usually, ... it grabbing more at the But, tone at point.” Dr. Jenny reiter- elbow and twisting wrenching, pulling or ated that an infant being who was in—I laid out or can’t tell which—the arm. down, opposed to being held as It takes a lot of was force. depicted the photograph, would exhibit acknowledged Dr. Lindaman he ad- had response Moro and flexor tone and vised E.N.’s other physicians and DHS thus up would lift his arms in front of him. injury that he believed E.N.’s was “consis- history they tent with the had obtained Analysis. 2. argues and the one had obtained.” He ex- [he] weight of the presented evidence does not however, plained, that at that time he was support his conviction for child endanger unaware flexor tone would still present ment under the third count. The jury trial, age. at E.N.’s At Dr. Lindaman instruction read as follows: that, in opinion, testified his Jonas’s ver- 1. On or about June 2009 the defen- unlikely sion was because flexor [E.N.] ’s dant: front, keep tone would his arms in a. knowingly acted in a manner that behind him. created a substantial risk to E.N.’s witnesses, expert Jonas also called two physical health safety; or or Mortimer, Dr. Blankenberg and Dr. Errol b. an intentional act or series of who testified about E.N.’s broken arm. acts, intentional used unreasonable They agreed it possible was a spiral (i) force: that resulted in E.N. suffer- fracture to result from an arm being arm; (ii) ing a broken with the pinned while an infant is laid on his back. specific causing intent of a serious Dr. Mortimer further opinion testified his injury to E.N. would be unaffected the fact that a act(s) 2. When he committed the child of E.N.’s age would exhibit the Moro defendant parent. was E.N.’s reflex and flexor they “really tone because acts, aAs result of the defendant’s only appl[y] they when are [children] injury. E.N. suffered a serious startled they or when are moved in a particular way.” challenge Jonas’s focuses on the first element of the cross-examining argues

While Dr. instruction. Jonas Selover and Jenny, Dr. the State failed to defense counsel also introduced rebut his version of how broken, given into evidence two E.N.’s arm was photographs showing he con- E.N. being sistently held with his arm dangling provided explanation the same behind his back. Defense counsel present- injury to several people and Dr. Linda- ed Dr. Selover with the first man photograph, possible testified that it was for E.N. agreed which he good did not show “a to have spiral suffered a fracture had his example back, of flexor muscle tone.” pinned On redi- arm been behind his as Jonas rect, however, Dr. Selover noted that described. pho- Jonas also claims the two appeared E.N. sleeping photo- showing “dangling tos of E.N. his arm graph, significant which was because “flatly the side and down below his back” “[a] *32 Every would take a breath. testimony that time he expert the State’s

refuted” “pop, just go exhale it story inconsistent with inhale and would was Jonas’s of infant involuntary responses pop” that. physical Finally, emphasizes Jonas age. E.N.’s have that Shannon noted E.N. “seemed never offered prosecution “the that testi- some with it.” Shannon discomfort injury.” for explanation alternative Joe, cousin who fied Shannon’s she disagree. We issue, first told Jonas noticed four jury physicians heard from they left popping before Jheriea about flexor presence testified that the who City. appointment in Iowa Jherica’s reflex an infant Moro tone they bring it to the Shannon recommended substantially undermined Jo- age E.N.’s next pediatrician E.N.’s at his attention of E.N.’s explanation for the cause of nas’s which Shannon be- appointment, doctor’s unlikely arm it made it broken because According couple days. lieved in a was his arm have been behind E.N.’s would testimony, appointment to Jherica’s he laid down on the bed. back when was July time 8. E.N. was set for some after Smith, Selover, Jenny Dr. and Dr. also Dr. by any professionals was not seen medical great that would have taken a testified after raised with Jonas Shannon the issue And, force E.N.’s arm. deal of to break July 2 was rushed and Jheriea on until he appeal, on contrary Jonas’s assertion emergency July room on 8. witness, Smith, Dr. State’s de- expert her cousin Jheriea testified trial that usually the mechanisms that cause scribed “Joe that it felt like it was a broken said infant’s arm —one of spiral fractures in an cross-examination, coun- rib.” On defense ... at “grabbing was [E.N.’s arm] which following impeached sel Jheriea with the twisting wrenching.” the elbow and for her proffer statement made her Considering in the rec- all of the evidence guilty “He told there was some- plea: us ord, say prepon- we cannot the evidence I it was thing wrong, but didn’t know jury’s heavily against derates verdict respond- To which broken ribs.” Jheriea finding guilty endangerment of child ed, something “He told us that there was causing injury under this count. serious De- wrong it felt like ribs.” broken Accordingly, court we hold district pointed fense then out that Jheriea counsel denying did not abuse its discretion in affirmatively had denied that she was told motion a new trial count Jonas’s on from a rib: popping was broken three. you Question: Q. When were asked: they say says, I had “And have —Joe B. to Seek Medi- Count Six —Failure pain. baby broken rib and cal Care. you inter- And when Shannon and Joe” — testimony. Summary Jherica’s rupt, you? A. don’t Yes. sister, Shannon, that when Jonas testified said, I Q. you say? do A. What E.N. off at her house dropped and Jheriea it was say was what “They did this July day her him for the to have watch while I was there.” popping 2 she noticed a on E.N.’s back: about a joint Defense counsel also asked Jheriea just It was almost like a —it mother had with her pop would conversation she popping, you like if kind knuckle, feel, jail. while was in Jheriea admitted would kind of she how that if told her mother that she place. It was she had popping and out had that E.N.’s rib was broken every every time would exhale—or known he *33 hospital. she would have taken him to the contrary weight to the of the evidence. testify at Joe did not trial. jury The instruction for this count re- quired the State prove the following: Shannon’s, day The after E.N. was at Jonas and Jherica left E.N. with Jherica’s 1. On or about approxi- between mother, fussy E.N. became so Connie. mately July July 2009 and 2009 the during this visit that Connie had to return deprived defendant E.N. of health care parents him to his at the Neiderbach by willfully failing to take him for treat- home. crying Connie noted that E.N.’s ment of broken ribs. “[pjretty

was much constant” and was not 2. At that time the defendant was him, by feeding changing alleviated his parent. E.N.’s diaper, attempts or her at consoling him. 3. At that time the defendant was mother, Mary, While Jonas’s was watching reasonably able to make provisions for E.N., after him Connie returned E.N.’s health care. home, Neiderbach popping she noticed a deprivation 4. The of such health E.N.’s back. Connie had alerted her to it care caused substantial harm to E.N.’s dropped when she E.N. off at her home. physical health. Mary testified she did not believe the pop- 5. As a deprivation, result of the ping causing E.N. any pain and she E.N. suffered a bodily injury other than was unaware E.N.’s ribs broken were injury for which the health care was that time. Jon noticed clicking E.N.’s needed. couple days July back a later on 5. He jury brought it instructions defined up Mary, they generally “bodily inju- ry” “physical pain, agreed any that the illness or impair- issue should be raised at ment appointment physical E.N.’s next pediatri- with his condition.” cian, which was scheduled for later that Jonas weight contends the of the evi week. dence fails to establish he knew or should Ekhardt, and, have known

Dr. one E.N.’s ribs were broken physicians of the treat- thus, Rather, ing E.N. at Blank needed medical care. Hospital, Children’s ad- argues the merely mitted that evidence “[t]here no treatment “showed an ribs”; however, broken explained she awareness of a ‘popping1 feel E.N.’s treating physician given pain “would have back ... which his sister-in-law advised painful medicine because it is ... needed to be checked out.” This same popping clicking follow him to make sure it [would] healed was also noticed Connie, Jon, well.” Dr. Mary Ekhardt also testified that to of whom —none knowledge her required E.N. had not suffered a believed issue immediate ribs, secondary injury from argues: the broken medical attention. Jonas thus punctured lung. such as a Dr. Lindaman If grandparents, collectively who testified an infant signs would show years have over one hundred of experi- pain distress or after suffering multiple rib children, raising ence did not believe fractures “for the part day better care, was ever need of medical [E.N.] multiple other time that those rib only then how could Jonas —who had fractures were moved.” just been a father for over a month— possibly expected to have known[?] Analysis. Jonas claims the six, Yet, verdict as to count charged which Jo Jherica testified at trial that Joe nas with child endangerment failing told her and Jonas that he believed E.N.’s ribs, seek medical care for E.N.’s broken ribs were broken. Although Shannon tes- *34 216 in- have jury A reasonable could diaper. specific were less and Joe that she

tified that broken ribs the evidence judge the ferred from not our role to it is point, on this baby’s pain. appellate on our caused the credibility of witnesses Reeves, N.W.2d at review. See in the all of the evidence Considering “whether the dis- Rather, only we consider pre- record, say the evidence we cannot that the evi- court’s determination trict ver- heavily against jury’s the ponderates heavily ‘preponderate ... does not dence endanger- guilty of child finding dict Jonas a clear and mani- [was] the verdict’ against for medical care failing ment for to seek (quoting Id. of discretion.” fest abuse broken ribs. E.N.’s 266). Ashworth, We cannot 836 F.2d at hold the district court Accordingly, we heavily preponderated say the evidence denying discretion not abuse its did that Jonas knew or the conclusion against a new trial on count six. motion for Jonas’s were bro- known E.N.’s ribs have should in need of medical baby was ken and Sufficiency Evidence. of the XIII. attention. supporting the evidence Jonas contends evi- weight argues also relating five to E.N.’s counts four and under contrary to the verdict dence was For these ribs was insufficient. broken treatment there is no this count because counts, the evi- challenged we summarize was no ribs and because there for broken whether it analyze presented dence depriva- a result of the that “[a]s evidence conviction un- to sustain his was sufficient tion, bodily injury other suffered a E.N. der each count. which the health care injury than there is Jonas also contends needed.” to the suffi challenge we review a When separate E.N. suffered “a no evidence guilty ciency supporting of the evidence injury,” and the State subsequent serious verdict, all of the evidence we consider “ in a state was ever prove “[E.N.] failed to ‘in most favorable to light the record [a] directly or which either pain [Jonas] State, all reasonable infer including him medi- denying abetted in aided and fairly drawn from ences that ” cation.” at 615 Sanford, 814 N.W.2d evidence.’ Keopasaeuth, v. 645 N.W.2d however, (quoting State Dr. Ekhardt tes- Significantly, (Iowa 2002)). uphold the We there is no treatment although tified if is substantial evidence ribs, have verdict there E.N. still should for broken it. Id. “Evidence is supporting record so that brought physician in to see a been if, when viewed in substantial monitored considered healing of his ribs could be State, it can light most favorable prescribed. could be pain medication jury a rational defendant untreat- convince pain that severe from the The fact doubt.” Id. guilty beyond a reasonable have been alleviated injuries rib could ed “ jury ‘the free to recognize [is] and medication is We by medical intervention evidence, and credit other reject certain conviction. See State enough support ” Nitcher, 1981) (Iowa (quoting Id. McKee, evidence.’ 556). evidence Circumstantial N.W.2d the Model Penal Code definition (adopting as direct evidence. probative equally bodily injury). Connie testified 132, 138 Meyers, 799 N.W.2d State v. night he was E.N. was so inconsolable (Iowa 2011). “Evidence is not substantial him forced to return with her that she was speculation, or household, only suspicion, if raises though the Neiderbach even Yeo, N.W.2d at 547-48. conjecture.” his feeding changing him and she tried Testimony. Summary Jenny gave Dr. testimony regard- A. E.N.’s similar ing discovered phy- rib fractures were first cause of E.N.’s rib fractures: survey when the did a bone hospital sicians The multiple rib fractures are consistent *35 July day unresponsive the after with of multiple episodes having exces- emergency E.N. was rushed to the room. chest, sive pressure applied to the Dr. E.N.’s bone survey Smith testified that squeezing actually the chest. It is hard fractures, revealed fifteen rib separate to break baby they ribs because are some on the rib. Dr. Smith ex- same very flexible. plained process dating his rib of fractures: you chest, If in punch baby they breaks, rib, like a When bone it don’t you squeeze break. But if real days for knitting takes about seven hard —it is kind of like squeezing a beer X-ray begin of the bone to [so] they break at the sides and the can— you actually something can called see shut, back. it squeezes pops When callus, body’s healing which is the at- the sides pops at the back. It takes tempt at the fracture. excessive pressure degree to cause that you If fracture have a rib with no very fractures. Those fractures are it, callus about then rib fracture painful. happened immediately, could have or it During both time periods identified anywhere could have happened the State under counts four and five—June preceding seven days. 30, 2009, July June July identify Dr. Smith was able to three frac- 2009 —E.N. alone with number of “fresh, tures were that zero-to- different adult caregivers, including Jheri- range.” remaining seven fractures ca, Jon, Shannon, Mary, and Connie. range.” “were the two- to four-week previous Jherica testified Jonas had no He estimated that oldest rib fractures experience caring for babies and that he were about four old. weeks “impatient” feeding would become when Dr. that many Smith testified of the rib with E.N. because of the bottle. issues back, fractures were on E.N.’s which he cry, pick When E.N. would Jonas would important described as because those are voice,” up him and his “kind of accelerate “very get way hard to other than telling cry,” E.N. “there is need to or to no severe or compression squeezing.” He “stop crying.” believed Jherica this possible noted that to break them “[i]t scared E.N. When Jonas was unable to blow, with a usually direct but it is hard E.N., get console he would “frustrated” squeezing.” He noted a number also just “would him off to the next pass (side) lateral regard rib fractures. With to person, whether that or one [was Jherica] fractures, explained these he as follows: parents.” his Jherica testified that she recall, youAs is a curved a rib structure. anything never saw Jonas do that would I am holding my shape, hand a “C” have broken E.N.’s ribs. with the to the spine attachment here Analysis— where my right hand is and the attach- B. Four Count ment my argues to breast bone where index Older Rib Fractures. if finger you squeeze presented So insufficient evidence to (indicating). State hard, you count going put are maximum sustain his conviction under four. my trial right joins my stress where thumb The fourth count of the information charged index finger. endangerment Those are called lateral Jonas with child they causing rib fractures. is where rib fractures. The snap. That older abuse, very nature of child required the State to jury instruction establishing difficulty inherent prove: places times and abuse to precise approxi- or about between 1. On delay in frequent due to the children 2009 and June mately June abuse, discovery of as well as other defendant: based on the nature crime. factors manner knowingly in a a. acted omitted). (citations Id. a substantial risk E.N.’s created standard, this we held that the Under safety; health or physical presented evidence sufficient to state had *36 series of by an intentional act or b. four separate Yeo of each of the convict acts, used unreasonable intentional Id. endangerment. of child at 551. counts (i) E.N. suffer- that resulted in force: trial, testimony had At the witness estab- (ii) ribs; rib or with a broken or ing present was each time the child lished Yeo causing intent of serious specific injured and had committed acts of was E.N. injury to that were with child’s abuse consistent act(s), he committed the 2. When 549, 551; Id. at see also State v. injuries. parent. was E.N.’s defendant (Iowa 2003) Sayles, 662 N.W.2d 3-7 acts, E.N. suf- As a result of the cir- (holding evidence sufficient because injury. a serious fered established that cumstantial evidence present failed to “a argues State Jonas uninjured immediately child-victim was puts evidence ... that Jonas in scintilla of left of the being in the care defen- before E.N. 17th proximity with from June to dant); Watkins, State 659 N.W.2d 2003) (Iowa from which it can be inferred June 30th evidence (holding suffi- resulting act Jonas committed an that when state the nonaccidental proved cient Hickman, Jonas on broken ribs.” relies were while the child-vic- injuries inflicted separate which we held three acts “[t]he in the care of the tim was exclusive defen- dant). section required [Iowa under Code 726.6A] enough preci- should be established with case, State’s in this unlike evidence jury beyond to enable to be satisfied sion Yeo, sufficiency meet the fails to place and a reasonable doubt of a time A people threshold. number of aside from of the occurred.”

where each three acts E.N. during had been alone with Jonas subsequently at 368. clar- 576 N.W.2d We rib oc- time frame E.N.’s older fractures ified that Jherica; curred, mother, her including rule does mean that evidence of this Shannon, Connie; sister, as well as inci- precise place time and of each Mary. The parents, Jonas’s Jon and State merely act but required, dent or establishing no Jonas presented evidence three or acts must means the more injuries with the rib was alone E.N. when by time that each separated place so saw anyone or occurred separate distinct. incident E.N. squeeze Yeo, N.W.2d at then noted 550. We brief, appears rely In its the State follows: defending propensity argument sufficiency evidence under this approach is consistent with the

This count: statute, as well as our language patience not re- Neiderbach had no with

general rule the State is [E.N.j’s crying, prove precise crying [E.N.] time and quired him, just alone with compatible of a crime. It is also and Neiderbach was place injuries suffered the two b. [E.N.] before an intentional act or series of acts, specifically bro- intentional that can be dated —the used unreasonable (i) injury. and the brain Rational force: that resulted in ken arm E.N. suffer- (ii) ing ribs; a broken jurors could find that it was Neiderbach rib or or the specific intent of squeezed causing who and broke his ribs a serious [E.N.] E.N., injury to or aided and approximately between June 17 and abetted doing another in so. June 80. committed, 2. When he or aided and however, Normally, “evidence of one crime abetted, act(s), the defendant was used prove cannot be another crime parent. E.N.’s White, occurred.” State v. acts, 3. As a result of the E.N. suf- (Iowa 2003).

850, 858 injury. fered a serious presented by The evidence the State at four, As with count Jonas’s challenge to trial does little more than ... “raise[ ] his conviction on count five centers on the suspicion, speculation, conjecture” *37 first element of jury instruction. Jo- Yeo, baby’s Jonas broke the ribs. 659 nas specifically argues the presented State N.W.2d at 548. We conclude the evidence insufficient evidence to establish when support was insufficient to his conviction injuries E.N.’s fresh rib occurred so as to under count four. a jury allow reasonable beyond conclude a reasonable doubt that Jonas committed Analysis Five C. Count —Fresh an act causing injuries those or aided and Rib Fractures. argues Jonas the State abetted another to do so.5 agree. We presented insufficient evidence to sustain Although this count differs from the his conviction under count five. The fifth previous count in that Jonas could be con- charged count Jonas with endanger child if victed he either committed the act him- causing ment for or aiding abetting self or aided and person abetted the who another who caused the new rib fractures. did, the evidence was insufficient under jury The required instruction the State to either theory. Several other people were prove: alone during with E.N. this period, time 1.On approxi- about between Jherica, Jon, Shannon, including Mary, 1, mately July July 2009 and 2009 the present Connie. State did not defendant: evidence, circumstantial, direct or manner, knowingly a. acted or proving injuries Jonas caused the fresh rib aided and abetted in acting another in or aided or abetted someone who did. Ac- manner, that created a substantial cordingly, we conclude the in- evidence is physical risk to E.N.’s health or safe- sufficient to support his conviction on ty; or count five. argues prove

5. Jonas also the State failed appellate insufficient evidence for review in a case, the fresh rib fractures were caused criminal the defendant must make a mechanism other than the one that caused judgment acquittal motion for at trial that injuries. E.N.’s brain The State contends Jo- specific grounds ap- identifies the raised on preserve argument appeal nas did not this Truesdell, peal." State v. 679 N.W.2d complain because "Neiderbach did not [at (Iowa 2004). 615 Because we hold the evi- causing that the trial] acts the fresh fractures dence was insufficient under Jonas's first ar- (Count 5) proven separate were not to be gument, we decline to address whether Jonas causing injury distinct from those the brain preserved argument appeal. his second (Count 2).” preserve "To error on a claim of APPEL, (concurring specially). Justice XIY. Conclusion. below, four on counts the convictions I con expressed We vacate For the reasons insuffi- evidence was court and five because of the district judgment clude E.N.’s rib inflicted prove cient to allow for an in camera vacated to must be denying the order reverse injuries. We mental Richardson’s of Jherica inspection in camera review of for an motion Jonas’s under Iowa Code section health records re- health records. We mental 622.10(4) Jherica’s separately, I write (Supp.2011). court to allow the district the case to mand however, the im my views on express Iowa pursuant to Code that review conduct in this case and issues raised portant 622.10(4)(a)(2) de- (Supp.2011) to section Thompson, v. companion case of State contain ex- her records termine whether (Iowa 2013), also decided affirm on all We culpatory information. below, the demonstrated today. As will be exculpatory evidence If no other issues. respect to in these cases with legal issue one, found, on counts convictions Jonas’s legisla whether the statute is not the new affirmed, three, and the two, six are ap “better” than ture’s solution is Jonas. If shall resentence court district Cashen, v. of this court State proach found, then the exculpatory evidence (Iowa 2010), only but 407-10 N.W.2d forth in proceed as set court shall district con approach is legislature’s whether the (d) 622.10(4)faj(2)(c) and to deter- section Mauti, its face. See State stitutional on entitled to a new Jonas is mine whether (2012) A.3d N.J. *38 trial. has en legislature where the (stating that the court’s “own conclu privilege, acted RE- PART AND IN AFFIRMED policy be better about what would sions PART; REMAND- IN CASE VERSED consequence”); of no see also simply are ED WITH INSTRUCTIONS. Sebelius, Bus. v. of Indep. Nat’l Fed’n 2566, 2600, 2608, U.S. -, -, 132 S.Ct. CADY, J., except concur C. justices All (2012) (noting it 183 L.Ed.2d APPEL, and specially, concurs who pass upon role to is not the Court’s HECHT, JJ., WIGGINS, who Federal Affordable Care wisdom of the specially. separately concur pay a individuals requirement Act’s insurance, not obtain health they tax if do CADY, (concurring specially). C.J. constitutionality). only upon rather its but majority opinion, but I in the concur challenged provisions Although express my view separately write may constitutionally proble new statute judicial review statutory standard for I conclude the applications, in some matic Iowa records under Code of confidential inter facially constitutional when statute is 622.10(4) should be (Supp.2011) section below. preted explained through application its definition given thoroughly explore I write to more also basis. As this case-by-case facts on a of photograph of whether the the issue Thompson, and State v. case the medical condition (Iowa illustrate, depicting video 2013), facts into evi- admitted properly E.N. were into the meaning breathe are what should prop- standard, I this evidence this dence. conclude probability” “reasonable addition, I write to elab- erly greater clar- admitted. gain will continue to standard the admission question orate on additional cases contin- ity in the future as hearsay evi- testimony of through expert shape. give ue to dence found in published journal articles. health records to be produced under a I conclude admission of this evidence was protective order designed to safeguard the improper. confidentiality of the records. Id. at 408- 09. rejected We in camera inspection of Surrounding

I. Issues Production of records, explaining that the court “can- Mental Health Records in Crimi- not foresee may what or may not be im- nal Cases. portant to the defendant.” Id. at 409. A. Introduction. Neiderbach recognizes that after our de- Cashen, cision in the legislature amended parties. Positions Neider- Iowa Code section 622.10 adding bach claims the district new court erred in subsection. See 2011 Iowa § Acts ch. denying request his to review Jherica’s (codified 622.10(4) § Iowa Code mental health (Supp. records. According to Neid- 2011)). erbach, Among other things, the new “long postnatal Jherica’s stretch of sub- provides section bizarre behavior before depression” discovery warrant- mental health ed records investigation of her the defense records. Neider- must show bach asserts there “a reasonable probability be evidence in the information sought records “that ability likely would affect her ei- to contain ex- perceive culpatory ther to events information.” accurately or to Iowa Code 622.10(4)(a)(2)(a). credibly § testify Second, in court or may es- [that] the new sub- provides tablish motive.” section Neiderbach claims the that a defendant seeking failure to produce production the mental health rec- mental health records must ords violates the Due Process Clauses of show the information “is not available from the Iowa and United States Constitutions other source.” Id. Once the defendant and his right effectively cross-examine has shown “a reasonable probability that witnesses.6 the privileged sought may records likely contain exculpatory information that is not Neiderbach upon relies our holding in *39 source,” available from other the court Cashen, where we protocol outlined a re- must conduct an in camera inspection of lated to production of mental health the documents to determine whether the records criminal trials. 789 N.W.2d at records contain exculpatory information. 407-10. We required production of mental 622.10(4)(a)(2)(b). § Id. Neiderbach at- health records in a criminal trial when the tacks each of provisions these as a viola- defendant shows “a reasonable basis to tion of the principles Cashen and his rights believe the likely records are to contain process to due and confrontation under the exculpatory evidence tending to create a Iowa and Federal Constitutions. reasonable doubt as to the defendant’s guilt.” Id. at 408. Once a defendant Neiderbach further claims the district made showing, required this we mental improperly court applied section parties 1012, 6. The (Del.2009); address the issues in this case as 968 A.2d 1024-25 State v. involving process due 632, under the United States Kelly, (R.I.1989). 554 A.2d 635-36 I and Iowa question Constitutions. There is a regard argument Neiderbach’s that the dis- whether possession documents in the of a ruling right trict court violated his to effec- private party implicate process standard due tively raising cross-examine witnesses as a protections. When mental health records are claim under the Confrontation Clause of the private party, in the hands of a courts have Sixth Amendment to the United States Consti- applied due-process-type analysis a under the I, tution and article section 10 of the Iowa Confrontation Clauses of State and Federal Constitution. See, Delaware, e.g., Constitutions. Burns v. 222 According to the

622.10(4)faJ(2)(a) of this case. are constitutional.7 to the facts State, a that, Neiderbach failed to show reason among other *40 attacking grounds by on Common responds by abrogated State the other The 122, Dwyer, v. Mass. 859 protocol, improperly wealth 448 arguing Cashen 400, (2006). vein, statutory or rule- 414 In a similar balances a “defendant’s N.E.2d said discovery” “pa Supreme interest the United States Court has based “disclosure, pri suppression, than qualified right constitutional rather tient’s any ordinarily promotes in mental health records.” of relevant materials vacy event, jus the chal of criminal proper State further asserts the administration the 622.10(4)(a)(2) States, Dennis 384 of section tice.” v. United U.S. lenged provisions challenge challenge applied to section 7. constitutional Neiderbach's constitutional 622.10(4)(íi)(2)(c), pro- requires requirement which district limited to threshold duction, need for the role of "available from court to balance the disclosure evidence source,” against privacy if the con- any in camera review interest records other and the exculpatory express I evidence. no view mental health records under sections tain of )(2)(b). )(2)(a) 622.10(4)(a 622.10(4)(a might issue arise under section 622.10(4)(a )(2)(c). facial or as- case does involve a This 1840, 855, 870, 1849, (1974) 347, S.Ct. L.Ed.2d 39 L.Ed.2d 354-56 (holding ju (1966). 973, Thus, while the issues venile records made confidential by statute surrounding production of mental bias); admissible to show witness Cham may health in this case appear records bers v. Mississippi, 298-302, 410 U.S. surface, merely procedural they 1038, 1047-49, on the are 93 S.Ct. 35 L.Ed.2d actually (1973) important much more than that. 310-13 (holding a right defendant’s observed, As Justice Frankfurter “The his present witnesses in own his defense is, tory of American freedom in no small permitted the present defendant to hear measure, history of Ma procedure.” say testimony exception under the for dec York, 401, 414, linski v. New 324 U.S. 65 larations against a penal declarant’s inter (1945). 89 L.Ed. S.Ct. est notwithstanding Mississippi’s failure to recognize such an exception); Washington case, In this we must determine whether Texas, 14, 16-17, 22, 388 U.S. 87 S.Ct. our procedures production related to the of 1920, 1922, 1925, 18 1019, 1021-22, L.Ed.2d mental health records in a criminal case (1967) (holding a criminal defendant’s adequately reliably will allow a defen- right to have compulsory process for ob probative dant access to information that taining witnesses in his defense trumped a possible could bear on his conviction and state prohibiting persons statute charged subsequent long term of incarceration. coparticipants convicted as in the same suppression of important evidence crime from testifying on each other’s be bearing on the truth or the innocence of a half they even if given would have relevant defendant in a criminal trial and the refus- and material testimony). al to look for exculpatory available evi- dence in furthering the name of other so- Importance the doctrine consti- goals cial raise serious questions regarding tutional avoidance to interpretation rights to due process legislative noted, and confronta- acts. As legislature tion, least, say their extreme protocol codified a production forms, represent the underpinning of show mental health records in response to our trials justice systems and the criminal of Cashen decision. The new statute seeks hand, regimes. totalitarian On the other modify protocol Cashen in several unnecessary disclosure of mental key health respects, including substituting in records is inconsistent legislative with the camera inspection of documents for pro- policy privilege behind statutes and our duction of documents parties under recognition privacy interests of men- protective the control of orders. tal health patients. See McMaster v. Iowa Legislative enactments are entitled to Exam’rs, Psychology

Bd. great respect be held constitu- (Iowa 1993). 754, 758-59 tional even if the court disagrees with the broadly

Looking legal at modern devel policy legislature. choices of the At the *41 opments, time, the however, arc of the caselaw seeks to same the legislature cannot ensure a defendant has to deprive access evidence a criminal defendant of his or her See, provide sufficient to a fair trial. e.g., constitutionally protected right pro- to due Ritchie, 57-58, 480 at U.S. 107 S.Ct. at principle cess. Under one of constitutional 1001-02, avoidance, 94 L.Ed.2d at (holding 57-58 due we seek interpret legisla- to a process requires that statutory privilege tive enactment in a fashion that avoids give way to in inspection camera of excul problems. constitutional Simmons v. evidence); Alaska, patory 69, v. Defender, Davis 415 State Pub. 791 N.W.2d 74 308, 318-20, 1105, (Iowa 1111-12, 2010); Nail, U.S. 94 S.Ct. State v. 743 N.W.2d

224 (Iowa sought may 2007); privileged records 535, v. Wieder State 539-40 (Iowa 538, 2006); ien, exculpatory contain information.” likely N.W.2d 542 709 215, 622.10(4)(a.)(2)(b); § 215 216-17 see Kueny, v. N.W.2d Iowa Code also State (Iowa )(2)(a). 1974); 622.10(4)(a v. Tenn. see also Ashwander §id. 348, Auth., 288, 56 S.Ct. 297 U.S. Valley outset, critical to distinguish At the it is (Bran (1936) 688, 466, 483, L.Ed. 712 80 appropriate produc test for between (“‘When deis, J., validity concurring) appropriate and the test for disclosure tion is drawn in Congress act of of an See, e.g., Bishop, records. 617 even if a serious doubt of question, and 996-98; State, v. N.E.2d at Goldsmith 337 raised, it is a cardinal constitutionality is (1995); 112, 866, 651 877 Md. A.2d Stana ascertain this Court will first principle that 575; Green, way, at State v. the statute a construction of whether 356, 298, N.W.2d 309 253 Wis.2d 646 question which the fairly possible (2002). performs test production ” Benson, v. (quoting be avoided.’ Crowell opens the threshold function that door to 296, 22, 62, 285, 52 76 L.Ed. S.Ct. 285 U.S. examining they the records to see if simply (1932))). 598, is an im principle This 619 in fact contain evidence relevant mate land portant judicial feature of review The test for rial to the defense. disclosure applied have Several state courts scape. only after the records have applied been dealing counseling statutes with uphold to to contain examined found material See, Stanaway, e.g., People v. privileges. Any factual and relevant evidence. or le 557, 643, 521 574-75 446 Mich. N.W.2d surrounding the gal questions issue Ritchie, (1994); v. Pa. Commonwealth provided whether documents camera 148, (1985), 357, rev’d on 502 A.2d 151-54 inspection must disclosed to the be defen Ritchie, at 60- 480 U.S. grounds other now dant are not before the court are 1003, at 94 L.Ed.2d 59-60. 107 S.Ct. in this not addressed or determined case. constitutional corollary

A to doctrine of only here We deal threshold test is the notion that statutes should avoidance pertaining production documents. facially found unconstitution lightly not be function, on respect In order to be unconstitutional its With to the threshold al. “ face, every must ‘void for broad appears a statute be there be a consensus that constitutionally ap and cannot be purpose the mere existence of mental health rec ” Eagle Vill. plied any set facts.’ War enough impose ords is not constitu Plummer, N.W.2d Apartments requirement they produced tional 2009) (Iowa Iowa (quoting F.K. v. Dist. See, e.g., criminal case. D.P. v. 2001)). (Iowa Ct., 630 N.W.2d As State, (Ala.Crim.App. 850 So.2d below, application of the doctrine explained 2002) (holding “when a defendant suf requires us of constitutional avoidance to ficiently alleges privileged documents challenged of section provisions find the may contain evidence relevant materi facially 622.10 constitutional. case, an issue in the trial al to court inspect the documents camera should Probability That B. Reasonable motion”); Likely ruling before the defendant’s May Privileged Sought Records (Colo. Ct., v. Dist. 719 P.2d People Exculpatory Information. The Contain 1986) (“The vague assertion that the victim constitutionality first issue is facial her may have made thera statements showing necessary production before *42 might differ from the pist possibly required of mental health records is under testimony anticipated trial does request- that the victim’s namely, the new statute — justify to “a a basis party probability provide show reasonable not sufficient ing 225 (de- (Simon, J., right rely to her 96 ignoring upon dissenting) the victim’s N.E.2d at People v. 121 statutory privilege.”); Foggy, scribing requirement a that the defendant 337, 18, 86, Ill.2d Ill.Dec. 521 N.E.2d 118 knowledge demonstrate of the contents of (1988) (rejecting gen 91-92 a defendant’s a mental health record that defendant the in camera of request inspection eral for an Catch-22”); does not have as “a perfect because the did counseling request records Graham, 357, State v. 142 702 N.H. A.2d provide not indicate records “would a the (1997) 322, (noting 326 a requirement “ impeachment”); Bishop, source of 617 ‘precise the articulate defendant na- (noting N.E.2d at a 994-95 defendant purported ture’ of of contents the rec- to a privileged not have access victim’s effectively ords ... would render review circumstances). in all cases records These superfluous, as the essentially defendant grounded privacy are in notion that would to obtain have the information itself the minimal in interests —even to extent burden”); in order to meet his State v. by inspection by vaded in a camera 899, Gagne, 101, N.H. 612 A.2d 901 judge be sacrificed unneces not —should (1992) courts, (noting trial determining in sarily speculative showings.8 overly warranted, in whether an camera review is Yet, liberty because a defendant’s interests realistically “cannot expect defendants to trial, are at stake in criminal stan a precise articulate the nature of the confi- high. production dard for cannot be too prior dential records without access having Bishop, As noted in “when relevant evi them”). to ... for purpose dence is excluded some enhancing The statute truth-seeking provides party other than Iowa that a function, inno danger convicting good an must in faith show a “reasonable cent at defendant increases.” 617 N.E.2d probability” production the mental 994. “may health records likely” produce excul- patory evidence. Iowa Code Further, Ritchie, impos as noted it is 622.10(4)(a)(2)(b); § also see id. say sible to with assurance that medical 622.10(4)(a)(2)(a). § phrase The “reason- will relevant records contain information probability” able has been in a num- used when no side has seen the records. 480 ber of a number by other statutes and 57, 107 at at U.S. at S.Ct. 94 L.Ed.2d establishing other courts the context of require 57. To a defendant to describe requirement production threshold particularity relevance of informa See, e.g., health mental records. State tion in he has is documents never seen (Fla.1996) Pinder, 678 So.2d something of a catch-22.9 State v. Bas (“To sine, n. obtain camera of confiden- Or.App. 71 P.3d review (2003); ... Foggy, accord 118 Ill.Dec. 521 tial communications or records a de- event, "fishing” sporting analogy I In resist the with a baitless hook won’t do. I many fishing people cannot meta- courts resist. The think it better leave entertaining phor, metaphors, legal analy- like employ all but who fish and for courts to catchy merely phrases than to determine often to state a rather ses rather used conclusion of a provide any meaningful than the outcome case. analysis. fact, because mental health are records phrase available to the defense the time 9. "Catch-22” is a utilized novelist production, Joseph problematic effort is al- to obtain their there Heller to describe "a situ ways "fishing” request. only ation which the is denied element solution boat, lake, problem by even fish is in the not the circumstance inherent in the compelling Collegiate request when the made. Dictio most rule.” Merriam-Webster's (11th ed.2003). might fishing nary It accurate be more to state that

226 result, proba while the term “reasonable a first establish a reasonable fendant must privileged matters in a bility” requires showing that the statute probability necessary material information to contain more than the mere fact that mental Fuller, defense.”); v. his Commonwealth a health records of witness or accuser (1996) 847, 216, N.E.2d 855 423 Mass. 667 exist, required plausible all is some that is (“A an in camera judge should undertake theory in demonstrable fact that founded only when [privileged of a records] review in the suggests the information mental production defendant’s motion might prove helpful health well to records faith, good has a records demonstrated by Hamp As noted the New defense. believing and reasonable basis for specific, Supreme shire Court: exculpatory the records will contain necessary to showing threshold is relevant and material to evidence which trigger an camera review is not undu- in abro guilt.”), the issue the defendant’s ly high. meaning- The defendant must 414; 859 N.E.2d at see gated Dwyer, fully how articulate the information Stanaway, (permit 521 N.W.2d at 574 also to sought relevant and material his is inspection “a ting upon showing camera so, present defense. To do he must a belief, good-faith a the defendant has plausible theory of relevance and mate- fact, on demonstrable grounded some riality justify to review of the sufficient probability is a reasonable that the there documents, likely protected are to contain material infor but he is re- records defense”). necessary to the quired theory mation As prove his true. explained, have terms such minimum, commentators pres- At a a defendant must probability” in mental as “reasonable concern, ent based specific some extremely are elas health records statutes that, in conjecture, more than bare rea- subject judicial interpretation. tic and explained by sonable will be probability, Fishman, S. Access to See Clifford Defense sought. the information Psychotherapy a Prosecution Witness’s 47, 331, v. N.H. A.2d Hoag, State 145 749 Records, 1, Counseling 86 Or. L.Rev. 40 (2000) Graham, (quoting 333 702 A.2d at (2007) As noted [hereinafter Fishman]. 325-26). agree Other state courts court, probability one a reasonable “lies State, approach. See v. this Burns 968 ‘mere possibility’ somewhere between ” (Del.2009) 1012, (holding A.2d 1025 “a de Blake, likely ‘more than not.’ State v. 63 make only ‘plausible fendant need a show 2002) 56, (Utah P.3d 61 State v. (quoting ing’ that records are material sought (Utah 1987)). 913, Knight, 734 P.2d 920 Green, relevant”); a adequately protect To criminal defen (noting produc standard for Wisconsin rights process dant’s to due and confronta ... unduly tion “is not intended high tion, interpreted the statute must be defendant”). court, for the At one least adequate that provides opportunity fashion however, has concluded that because a party to uncover evidence relevant to importance nature the crime guilt proceeding. actual or innocence a criminal impeachment, defendant potential Trombetta, Cf . California charged of a minor with sexual abuse 479, 485, 104 S.Ct. U.S. constitutionally entitled to an camera (1984) (noting L.Ed.2d that due inspection records to whether determine requires process “that criminal defendants exculpatory the records contain informa meaningful opportunity be afforded a McGill, defense,” N.C.App. tion. State v. present complete which in evidence). (2000). exculpatory cludes access to As 539 S.E.2d

227 theory plausible of relevance stan defendant’s constitutional rights to due dard is consistent with the United States process and confrontation.10 in Supreme approach Court’s United To avoid problems constitutional under Valenzuela-Bernal, 858, v. States 458 U.S. Constitutions, United States and Iowa 871-74, 3440, 3448-49, 102 S.Ct. 73 the phrase “reasonable probability” in sec- 1193, (1982), L.Ed.2d 1205-07 where the 622.10(4)(a )(2) tion should be construed to Court held a defendant could not show the require only a plausible showing that ex- government rights pro violated his to due culpatory evidence may likely be uncov- compulsory process by cess and deporting ered when the records are produced. alien witnesses absent some “plausible upon Based interpretation, above sec- showing testimony that the deported of the 622.10(4)(a )(2)’s tion reasonable probabili- witnesses would have been material and ty threshold meets constitutional muster favorable to his defense.” See also Wash under the Due Process and Confrontation 23, ington, 1925, 388 U.S. 87 S.Ct. at 18 Clauses of the United States and Iowa L.Ed.2d at 1025 (holding a state cannot Constitutions. arbitrarily prohibit a defendant from exer C. Information cising his Sixth Amendment That Is Not right to com Available Any pulsory process From when the evidence is rele Other Source. The next issue defense). vant and material to his is the When facial challenge constitutional to the doubt, provision the district court tip should the new statute regarding oth- production balance toward of mental er sources of information. Iowa Code sec- 622.10(4)(o)(2)(a) health records preserve the criminal tion production indicates production 10. Courts have ordered in camera requirement showing threshold from a fra’s under statutes similar to Iowa’s in a wide "may necessary records be to a determi See, variety settings. e.g., Gagne, State v. guilt good nation of or innocence” to a faith 101, 899, (1992) 136 N.H. 612 A.2d 900-02 showing specific of "a factual basis demon (holding plausible the defendant made a strating a reasonable likelihood that the rec showing that privileged he was entitled to ords contain necessary relevant information where, among things, records other he assert guilt to a determination of or innocence and might ed the prior records reveal a victim’s merely is not cumulative to other evidence inconsistent statements and the extent defendant”); available to the see also State v. participated which state counselors have Middlebrooks, 317, (Tenn. 840 S.W.2d 333 L.J.P., trial); preparing the victims for In re 1992) (holding that the defendant made a 429, 532, (Ct. N.J.Super. 270 637 A.2d plausible psychiatric case that records from a 1994) App.Div. (holding the defendant's show hospital might determining relevant ing might that records indicate the victim veracity testimony of a witness’s because allegations recanted her was sufficient to re "pertained instability records to the mental quire production); People McCray, a witness that existed within a reasonable 1000, 511, (App.Div. A.D.3d 958 N.Y.S.2d testimony time given,” before the was but that 2013) (holding production appropriate was denying produc the district error in court's history where the victim had a of mental light tion was appellate harmless illness, had been the victim of sexual abuse on records), superseded by court’s review of the occasions, prior attempted three and had sui grounds, § statute on other Tenn.Code 39—13— trial); during preceding cide the three months 204(i)(7) (Supp.1995), recognized in State v. 600, Shiffra, State v. 175 Wis.2d 499 N.W.2d Stout, 02C01-9812-CR-00376, 1993) No. WL (Ct.App. (holding production (Tenn.Crim.App. at *27 required Feb. "psychiatric where a witness's 2000). however, might again, Once it must be ability difficulties affect both her accurately produc stressed perceive ability that these cases involve the events and her truth”), abrogated inspection relate the tion of grounds on other documents for in camera Green, by State v. 253 Wis.2d and not disclosure of the documents (2002) (heightening slightly 309-10 defense. Shif- *45 Third, memory.”). the dulls treacherous the not unless evidence “is need occur not usually Not all themselves are any other source.” medical records from available however, all evidence, equal. is And not observers who are generated by trained thing equal the same has in saying litigation. evidence the issues regarding unbiased Thus, Shield, when we consid persuasive power. Inc. v. Ark. Blue Cross-Blue from is available 370, 509, er information whether Tompkins, Ark. 507 S.W.2d 256 source,” light in “any particularly (1974) other “it (citing expert testimony 512 that present in a concerns process the due in that medical is traditional medicine defense, we must consider both criminal is what is to key happening record power of the persuasive and content patient great placed stock is and Stanaway, 521 N.W.2d at evidence. See truly clearly in that and reflect record as that evi (rejecting 577 n. 44 notion patient to the to the ing happens what as unnecessary because it cumula dence is Fourth, care medical rec being given”). that cumulative evi explaining tive and ords contain information un frequently counseling bemay files dence contained including patient, known to the detailed Worthen, v. 177 quite Utah probative); causation, diagnoses, regarding comments (Utah 664, App.2008) (rejecting P.3d 673 patient’s a regarding ap and observations that cumulative nature of infor belief demeanor, may which pearance and deprives mental health mation in record See, e.g., Prymer relevant in a case. given independent probative of its record Astrue, 50311, v. No. 10 C 2012 WL 600, value); Shiffra, v. 175 State Wis.2d (N.D.Ill. 2012) 3988331, Sept. 10, *5 at 719, (Ct.App.1993) (noting 724 (noting (unpublished opinion) the record probability quality proba that the supplemental indicates for secu a claimant the information in mental tive value of rity disability income benefits and insur “may any be better than health records cognitively upon ance benefits was intact thing gleaned can be from other a motor following examination vehicle acci sources”), other abrogated grounds dent); Astrue, v. No. Hambrick 09-CV- Green, 309-10. 646 N.W.2d at 651408, 689-PJC, *1 2011 WL In considering persuasive content and (N.D.Okla. 2011) 11, Feb. (unpublished power, or mental health records medical he opinion) (indicating patient testified place evidentiary occupy special a sniffing paint, which did remember pantheon generally are superior was an incident noted his medical rec- of an memory recalled interested witness ords). First, jurors tend to multiple reasons. Any lawyer practical experience with which is written believe that over health medical or mental issues would Underwood, H. spoken. which Richard recognize deposition a of a patient Trial, Logic Law 18 Am. Common equivalent not the of a review witness is (1996) 151, (citing J. Irv Trial Advoc. person’s of that medical or mental health ing The Art Younger, Cross-Examina recognizes records. The caselaw this (1976)). Second, tion the mental health Peseti, 172, well. v. 101 Hawai’i See State contemporaneously generated. records are (2003) 119, (noting 65 P.3d animosi- States, 657, 129-30 See Jencks United U.S. 1103, ty may credibility, a witness’s undermine 77 S.Ct. L.Ed.2d (1957) therefore, the exclusion statements (“Every experienced trial was not made a counselor harmless judge lawyer knows and trial the value L.J.P., error); 270 N.J.Super. In re purposes of statements of the impeaching (Ct.App.Div.1994) recording the events time 637 A.2d 537-38 witness before (noting complaining party’s analogy, recantation one cannot state equals that X Y agency’s psychologist state was more knowing without something about both X credible than recantations made family and Y. As stated the context of execu- members, coerced); which have been tive privilege applicable but here as well: (“It Shiffra, 499 at 724 N.W.2d is also trial judge “[A] cannot accurately evaluate *46 quite probable quality that the proba the litigant’s showing of necessity without tive value of the information in the [mental knowing something of the content of the may health reports treatment] be better information sought. There is judicial no than anything gleaned that can be from algebra by which a court can determine ” sources.”); Fishman, other see also 86 Or. badly how a litigant needs ‘X.’ Paul Har- L.Rev. at (calling requirement the din, III, Executive Privilege in the Federal comparable evidence be unavailable from Courts, (1962) 71 Yale L.J. 893-94 other less “entirely intrusive sources ap (footnote omitted); Stanaway, accord propriate,” reminding but courts to deter J., N.W.2d at 588 (Boyle, concurring). mine whether the “evidence available from Thus, whether information is not available less intrusive sources persuasive pow has any from other source cannot ordinarily be comparable er in privileged to that the determined production without of the men- material”). that, While it possible is in tal result, health records themselves. As a cases, specific some evidence in a med all may required be at the threshold may ical record provide well no additional stage plausible is a reason to believe the defense, useful information for the see considering quality its information — Middlebrooks, State v. 840 S.W.2d 333 persuasive power not available from —is (Tenn.1992) (holding the district court’s re other sources. production fusal to order privileged rec Based on the analysis above and result- ords was harmless because the records ing interpretation, I conclude the “infor- “had little relevance to [the witness’s] mation that is not any available from other credibility or the probative value of his source” language in section testimony”), superseded by statute on oth 622.10(4)fci)(2)(a) facially is not unconstitu- 39-13-204(i)(7) grounds, § er Tenn.Code tional under the Due Process and Confron- (Supp.1995), recognized State tation Clauses of the United States and Stout, 02C01-9812-CR-00376, No. Iowa Constitutions. WL at *27 (Tenn.Crim.App. Feb. 2000), in many cases the records will Inspection. D. In Camera

not be useless and will offer evidence of a different persuasive content or quality. next, Introduction. The and most difficult, constitutionality issue is the facial however,

Importantly, to the extent evi- of the in inspection camera of documents might dence be available to degree some that meet the requirements threshold un- source, from another the decision of der statute. See Iowa whether the other Code comparable source is to 622.10(4)(a)(2)(b). § blush, At may medical or mental health first simply record seem cannot be made in camera inspection by with confidence until district entirely adequate record has been court is produced satisfy and a to compari- son made quality between the the demands of the due persua- process and con- power sive of the record provisions. and the other frontation court District conscientious, source. With approach, judges other the trial are they know the law, court would be conducting a they expected blind and can be to apply the comparison. irrational algebra To use an dispassionate law in a manner. We trust records from the messy fact- view the mental health leave judges. We our (who has perspective of the defense not discretion of issues the sound bound them) they if contain seen to determine story, next case. court. End district potentially exculpatory evidence. This under the hood of But if one looks judge to do. The be difficult potential finds diffi- inspection, camera one evaluating arguments, but also simply from lack The difficulties arise culties. required anticipate arguments the district court is focus on issues might made defense counsel. As consider, perspec- the limited required Dennis, Supreme noted Court considering the district court tive of enough adversary system, it is “[i]n our records, prac- the substantial relevance judges judge. The determination of in cam- with the problems tical associated *47 may what be useful to the defense can inspection evaluation of mental era only effectively by made properly and be records, difficulty pre- and the health 875, 384 U.S. at 86 S.Ct. at advocate.” serving meaningful appellate review of dis- 1851, 986; Zaal L.Ed.2d at also v. 16 see trict court decisions. State, 54, 1247, Md. 602 A.2d 1263 326 sure, thing is however—an un- One (1992) by value coun- (citing the of review inspection in of mental camera informed eye). sel with an advocate’s comport not with due health records will hand, Second, the in records words, In the district court process. other now, to being district court in addition must, fashion, disposal in have at its some advocate, placed position in the of an si meaning- conduct a necessary the tools to multaneously becomes an arm of the state. review and review must be thor- ful its obligation of state to disclose ex process not tolerate ough. Due does material, course, not culpatory does de production in guesswork shortcuts request pend presence specific on the of a have a on the bearing of evidence Kyles Whitley, by defendant. v. 514 Fur- guilt or innocence of accused. 1565, 419, 433, 1555, U.S. 115 131 S.Ct. ther, inspection pass if in camera is to 490, (1995); 505 also United L.Ed.2d see muster, constitutional it will more time- 682, 667, 473 105 Bagley, States v. U.S. below, and, consuming explained will 3375, 3383, S.Ct. 87 L.Ed.2d continuances, likely to result in more mis- (1985) J.); Blackmun, id. at (opinion trials, and even reversible error than at L.Ed.2d at 105 S.Ct. production result of rec- would from direct J., (White, concurring part in concur parties supervi- to the under court ords State ring judgment); accord sion. (Iowa Anderson, 231, 234 1987). Thus, the court possible it is Challenges by in in- posed 2. camera the file obligation under an review spection. any exculpatory information even disclose In Conflicting requested a. roles. camera if not defense. See Rit inspec- chie, n. requires tion that the district court assume at 58 107 S.Ct. U.S. First, n. at 58 15.11 uncomfortable the court must 94 L.Ed.2d n. roles. Suppose makes the mental health records related abili- plausible defendant events, ty perceive witness to but case that a has a mental illness that finds witness that, tending powerful to show the de- ability perceive affects his admissions events result, the the crime. Such ad- as a mental health records must be fendant did commit clearly exculpatory, inspection. Upon highly produced for missions are but in camera request nothing inspection, the finds the narrow confines of district court outside b. Limited base and lack verse witness and that “to defend himself information conducting A district court meaningfully, usually he must seek out the of focus. inspection necessarily camera will have a immediately: truth He cannot wait until trial”). considering limited information base in evi- the cause is called to As indicated dentiary above, matters without briefs from the the defendant must make some parties to focus its attention. With re- showing records, kind of of need for the evidentiary spect questions, the law but because the defendant has not seen the records, generally gives great emphasis particu- the defendant’s motion lack will larity failure and focus. The to make the ordinarily concreteness associated with instance, objection, for right leads to waiv- evidentiary short, other issues. In usually pretty are persnickety er. We “uncrystalized.” issues will be Bishop, 617 Evidentiary about are gener- this. issues N.E.2d at 995.

ally tightly particular pieces focused on result, As a review the district court evidence a seeks to offer. party of mental health records will necessarily 622.10(4), under section cases howev- be less concrete and greater at a level of er, the defense will not know what is abstraction than if the records were avail- result, sharply records. As a focused able *48 an appropriate pretrial under protec- See, briefing will be impossible. e.g., counsel, tive by order for review defense Further, Gagne, 612 A.2d at 901. the who necessarily would be better informed court will not have district access to the about legal the factual and issues investigative may defense’s file and not be case. The lack of prob- concreteness is a potential strategies to privy available that solely lem for the by defense. As noted might by be affected or contingent upon Supreme Judicial Court of Massachu- information uncovered in mental health setts, the lack of concreteness could lead to Dwyer, records. As noted in overproduction both underproduction and their Despite best intentions and dedica- of mental health Dwyer, records. 859 tion, judges examining trial be- records N.E.2d at 418. complete

fore a trial lack information c. Practical limiting an in- difficulties about the facts of a case or defense to review—volume exper- and lack formed of indictment, are all and too often un- may tise. The district court also face to recognize significance, able or in- practical obstacles in conducting the mean- significance, particular of a document to ingful required review comport to with due a defense. process. may The mental health records 859 at N.E.2d so, be If quite organi- voluminous. sensible

The problem lack-of-focus is exacerbated zation of the material appro- is critical for by timing priate issues. The defense will often review. References abound with part pre- lawyers seek mental health records as regarding optimal instructions Timely may However, court, trial efforts. organization. disclosure be the district resources, critical to the development may of trial strate- with its limited not be Hammon, gy. See v. People 15 Cal.4th good position accomplish preliminary Further, Cal.Rptr.2d organizational 65 988 P.2d 994 tasks. aside from (1997) (Mosk, J., records, concurring) (noting a de- the voluminous nature of the requires fendant often prepara- advance district court must understand the infor- tion they for the cross-examination of an ad- mation contain. As noted one judge stage? Ignore exculpatory defendant. What does the do at this evidence? arm a medi- may may required ar- itself with

authority, records not be be “the fashion, dictionary, Diagnostic cal the latest in a abbreviations ranged uniform Manual of Mental Disorders Statistical abound, comments are often handwritten (DSM), references pharmacology will listed illegible, procedures be import order of the rec- to understand Hodge, See Samuel D. diagnostic codes.” required, court may ords. The district Jr., Mystery Medical Unraveling the instance, significance to understand (2006). Records, Law. Prac. impact diagnosis prescription of a or People McCray, 102 A.D.3d drags memory, recall. perception, provides an (App.Div.2013), N.Y.S.2d 511 armed, Even a district court not be so example potential of these difficulties. position in a mental very good to evaluate had McCray, inspected the trial court respect health to sophisticat- records of the victim’s mental pages thousands “suggestibility, ed issues such as undue determine what should health records to contamination, influence, memory the defense. Id. at 519. be disclosed to monitoring.” Camp- source Terence W. Eventually, twenty- the trial court selected Lorandos, bell & Ex- Demosthenes Cross eight pages “pertinent that it found in the Sci- amining Experts Behavioral Id. at case” disclose to defense. 2012) ences, 10:67.1, Sept. § at 174 (Supp. 518; J., (McCarthy, dissenting). id. Campbell & [hereinafter Lorandos]. that, dissenting opinion indicates fol- Thus, practical problem another lowing a review of the thorough documents exper arises lack of is the district court’s chambers, setting appellate in the calm reviewing tise records. mental health many arguably more should documents treatise, leading judge According to a “the have been Id. at A bare *49 disclosed. 523. likely any not have of scienti degree does majority appellate of the five-member fic if a training expertise and to determine agreed had court the dissent unearthed record has psychological information “relevant vic- additional documents to the may prove defendant.” exculpatory to the competence testify,” tim’s to such as refer- 10:67.1, § in a example, Id. at 171. For memory the ences to victim’s “short-term case, Georgia a defendant in a child moles loss,” but nonetheless found the district required tation in the case was to establish diligent court had not “failed in its efforts exculpa trial that records court contained pages of through to cull thousands of men- tory them. seeing information without tal health records to balance the victim’s State, 306 701 Ga.App. Tidwell v. against rights rights defendant’s such as (2010). S.E.2d 922 After in camera would an abuse of constitute discretion.” inspection, the trial the court concluded (majority opinion). any Id. at 518-19 should not be to the de records disclosed event, McCray poignantly illustrates the The appellate fendant. Id. “ court noted with problems associated burdensome re- who a trial challenges ‘[a] defendant busy view of by voluminous documents inspection appeal in camera court’s courts, trial, in the midst trial often sup must what information was show subsequent review. appellate pressed materially exculpato and how it is ” State, If the district court is to conduct an ry.’ 293 (quoting Id. at 923 Dodd v. (2008)). inspection in informed camera that com- S.E.2d Ga.App. writers, ports process, with due the district court treatise this re According to the reasons, get actually must the bottom of what the problematic sult is two in the mental health records. A blind first of which is that is no basis “[t]here any law or review of the issue to review is no The court scientific review. district nurses, judge’s trial doctors or capacity provide faith in a needed place explanations. involved in issues understand science & Campbell in a child case.” joined sex likelihood, In all court may district 171; 10:67.1, Mar- § at see Lorandos also well be as situated to examine volumi- McAuliff, Bradley Bull D. Kovera & garet nous mental health records. A district Review and Peer Evidence will, doubt, Effects of judge court no examine the Quality Psycho- on Judge Evaluations line, by records line and make a conscien- Judges Science: Are Ga- logical Effective tious effort to if there is determine rele- tekeepers?, 85 Applied Psychology J. evidence, material vant and but because of (2000) training the scientific (finding necessarily court’s restricted informa- help judges may receive be insufficient to experience tion base and its lack re- recognize psychological flaws them records, comprehensive review of medical search, missing groups such as control likely will review take more time and experimenters). The rea- nonblind second precise be less than if conducted son, authors, according treatise counsel. To the meaning extent the catch-22: “If the de- the aforementioned fully records cannot be plumbed without records, how fendant has not seen assistance, logistical outside or expert they is in would know what information district court could be a disadvantage at materially exculpato- and how it them compared attorney with access to 10:67.1, § ry?” Campbell & Lorandos And, course, such help. additional Thus, Georgia approach, 171. under by the court examination district will al- by implication approach other certainly most be more time-consuming mental jurisdictions, seeking defendant than review an informed advocate with win for Id. losing.” health records “cannot eye germane a clearer evidence. Avoiding problems constitutional Once the medical information been has inspection. camera Our desire an in translated, sensibly arranged, general- problems to avoid the real and substantial understood, next ly practical concern inspection led to poses ap- camera our judicial A that arises is careful review. *50 proach in Cashen. are several in- There competent ac- attorney representing an terpretive procedural approaches it cused would see to the mental however, available, might be em- to by health records are examined line line ployed potential address the difficulties. to (1) the determine whether records contain Anticipatory by parties. evidence to the a. the briefing direct related crime (2) extent, may other evidence to ac- miti- question; parties related To a certain the case; potential gate problems inspection tual or factual issues in the the of in camera (3) briefing that an- impeachment, by presenting meaningful evidence useful for wit- district court including by ticipates inconsistent statements the difficulties the is ability or of face. For the district likely example, ness evidence related to the to may accurately perceive, compre- expertise the witness to court’s lack of medical be hend, by In materi- attaching appropriate recall events. a voluminous remedied file, als, an attorney expert’s indicating the involved make such as affidavit would many judgment potential possible calls about the the relevance of discov- value records, pages ad- medical from presented potential information its eries the Further, DSM, likely if or other material missibility. there is doubt con- the source record, helpful court. The cerning meaning the of a to be to the district counsel however, will be unable to may experts, parties, retain the of still services such alone or inspect lack could the documents court because of the of court fully assist the of counsel. The bottom presence the actual contents of in the knowledge regarding anticipatory submissions court finds itself Any line is that if the district the records. retain a cart-before- necessarily still mental meaningfully will unable to review the flavor, counsel well-prepared but the-horse particu- in the context of a health records extent, able, to be at least some to should be to request, may there an avenue lar might anticipate the district court the tools of parties obtain the assistance inspection. for in camera need effective rights of the de- protect constitutional fendant. supplemental submis- b.Request for court never en- The district should sions. re- interpretation c. Reasonable of of mental gage in uninformed review production. Because the de- quests for course, problem, The of health records. opportunity to review fense has not had an one not knowing one of what does know. motion requested prior records by review Production of documents for should production, for district courts however, court, only an interme- district tra- narrowly such motions. The interpret step. If the district court is unable diate eye skeptical judicial ditional to evidentia- whether the mental health to determine replaced by district ry issues should be may records contain information that be understanding of court’s commonsense germane to the case because of the court’s seeking problems faced defense counsel supple- it expertise, lack seek had an production of documents has not Re- parties. mental assistance The court opportunity to see. district shaped for quests assistance could that under the circum- must understand avoid disclosure confidential records stances, advocacy general, will be more if possible, but an informed review

where precise, ordinarily the and less than is by the court is not without possible district calls, involving case. cases close disclosure, necessary some disclosure is tilt the side of district court should re- existence of an informed ensure the ordering production inspec- camera safeguard can view. The court continue to Green, at tion. N.W.2d confidentiality by entering appropriate protective orders. Disclosure to defense Recognition obligation d. to revisit expert or- appropriate protective under Any pre order on a preliminary orders. der, therefore, may be an option assist motion production trial or disclosure the district court in its review. subject to preliminary, must be considered request later review the court inspection in camera notion *51 Rit teaching the defense. This is the of by may judicially other complemented 59-61, at chie. See 480 U.S. at 107 S.Ct. supervised stranger processes not a 1002-03, 94 L.Ed.2d at Once the 58-60. Heemstra, our law. In State v. 721 trial, the (Iowa evidence has been admitted at 549, 2006), N.W.2d held 563 we position in a district court will be better produced mental health records should be rele than it was to determine the pretrial in inspection, copies for camera but that of health vancy information mental should also be made available to counsel light If court determines in records. protective under to as- appropriate orders of the evidence that disclosure of informa evaluating sist district court in the health records is re Similarly, contents tion mental of records. Zaal, at 1264, Maryland quired, 602 at the court can order disclosure A.2d time. of noted a Appeals Court district

235 rulings after evidence has come in and be in position While to vindicate due informed, will be better and therefore process rights subsequent if events show accurate, they necessarily will more be less the defendant has been deprived of timely That the down for defense. important might evidence that help estab- inspection side inherent in an in camera lish factual innocence. Once disclosure is made after the regime. e. Entry appropriate order provid of evidence, receipt of the defense is entitled ing meaningful appellate review. In the im period to a reasonable to consider addition, in order to process, ensure due readjust of the pact evidence and its strat the district court enter appropri should cross-examination, egy. Effective howev ate order that provides for meaningful ap er, ordinarily developed fly. is not on the so, pellate review. To do the district court Clark, 551,

See State v. 814 N.W.2d 568 should outline the manner in which it re (Iowa 2012) J., (Appel, dissenting); see records, viewed the generally outline the Hammon, Cal.Rptr.2d also 65 938 P.2d factual and legal presented issues in the (Mosk, J., at concurring); 994 William F. produce, motion to provide a sufficient Conour, Use Statements in Medical explanation of the court’s decision. Where Witness, Examining Records in 52 Res a defendant production claims the denial of (2009) trial, (“Before Gestae 42 medical process violated due rights, appellate re to be thoroughly records need and careful view will be de novo. See State v. Rain ly light reviewed counsel of all the (Iowa song, 2011); anticipated testimony evidence and to de Cashen, 789 N.W.2d at 405. possible termine the need for a motion in addition, if the district court makes a potential objections limine and to outline at judgment against production of evidence added.)). (Emphasis trial.” As noted trial, for use at may, the court ruling, after authority, one development of effective provide copies sealed underlying cross-examination is not an isolated event excerpts to counsel purposes of appeal but integrated must be with the fabric of appropriate under court supervision. See through preparation the trial “careful McGill, 539 way, S.E.2d at 355. In this painstaking Burgess, effort.” John A. appellate review will be far more meaning- Cross-Examination, Persuasive 59 Am. if parties ful than and the court were (2013). 1, § Jur. Trials Great cross- operating on a blind record. examination is not “ad libbed in the court 4. Facial constitutionality in cam- Further, room.” Id. a denial of effective “ inspection. era Assuming adoption cross-examination is a ‘constitutional er ” above, principles discussed I conclude Davis, magnitude.’ ror of the first the in inspection provision camera sec- 1111-12, U.S. at S.Ct. 622.10(4)(a)(2)(b) tion does not violate the (quoting L.Ed.2d at 355 Brookhart Jan Due is, Process or Confrontation Clauses of 1, 3, 1245, 1246, 384 U.S. 86 S.Ct. the Iowa or (1966)). ap- Federal It Constitutions. L.Ed.2d 316-17 Because of pears majority bare States adequate the need for United preparation, a con *52 Supreme in approved Court Ritchie may tinuance or mistrial required be to 58, 1002, practice. 480 at parties allow the U.S. 107 S.Ct. at adjust legal pos to their Further, in 94 L.Ed.2d at light ture of the new information. 58. while there is By authority for the in revisiting proposition the issue after the evidence that cam- has received, however, inspection been era of mental health in the district court records may mitigate the problem caused the criminal cases adequate is not under con- see, states, lack of information at the pretrial stage provisions stitutional in other 236 Stockhammer, high probative ders “have a value on the v. 409

e.g., Commonwealth 992, (1991); 867, credibility” ordinarily issue 570 1002-03 of and should Mass. N.E.2d 427, parties. to the See also Com Lloyd, v. 523 Pa. 567 be disclosed Commonwealth 193, (1989), 1357, Figueroa, v. 413 Mass. most have followed monwealth 595 A.2d 1360 (1992) Ritchie, Fishman, 779, (holding 785 that in see 86 N.E.2d approach as at 113. one of the is indecent charges L.Rev. 29 & n. “where Or. battery mentally sault on a retarded chosen legislature provide Our has to person, the defense must be enti counsel perceives great- to what it patients concerning tled to review the records privacy rights of their protection er witness’s of retarda complaining condition in in- through mechanism camera tion”). pro records When show evidence goal, In to achieve order spection. recall, key ability bative a “to witness’s procedure chosen a legislature has comprehend, relate accurately organizing, the burden of under- shifts subject testimony,” matter of the the men standing, winnowing mental health ordinarily privilege give tal health will a parties operating records from the under Barroso, 554, way. v. 122 S.W.3d State in order to the district court protective Gonzales, (Ky.2003); 563 see also State v. camera. 421, 297, 299, 121 N.M. 302-03 P.2d mitigating approaches imple- If the are (holding (Ct.App.1996) the district court opinion, in this I mented as described am did abuse its in ordering not discretion challenged conclude the prepared not to production psychotherapy records for in 622.10(4)(a) violate provisions section inspection camera where the defendant the Due Process or Confrontation Clauses “had complaining showed the witness a of the Iowa or Federal Constitutions on blackouts from history of alcohol” had relatively simple face. their some allegedly consumed alcohol and cocaine on cases, inspection may in camera work offense). alleged night of Similar merely in quite example, well. For cases ly, defense where the demonstrates a showing not routine treatment related given witness has inconsistent statements time or substance to events related to the crime, events regarding surrounding trial, may readily criminal the trial court relating mental health records to those conclude that should occur. disclosure obviously subject production. events are to See, Howard, e.g., State v. Conn. Peseti, See 65 P.3d 129-30. (1992) (upholding 604 A.2d however, cases, complex In more cam- decision, after inspecting district court’s may inspection era not work so well. De- records, nothing in the psychiatric inspec- termination of whether in camera remotely records related witness’s tion applied be unconstitutional as events); ability testify perceive to or see given case must await a concrete contro- Jackson, v. Conn.App. also State versy where the district court declines to (Ct.2005) A.2d (upholding provide requesting to party evidence deny trial court’s decision defendant or where a claim is asserted that the dis- that did access records “not contain engaged inadequate trict court or exculpatory impeachment evidence or blind review. relating ability evidence [to victim’s] correctly comprehend, Application principles know and relate the this truth”). hand, On in case. I that Neiderbaeh has met the agree the other noted Lindstrom, camera requirement States 698 F.2d threshold for in in- United *53 (11th Cir.1983), Clearly, he spection. certain has offered more mental disor- generalized request than a for records. cess to potentially exculpatory evidence He shown that the may has records reveal in contained mental health records. If this problems mental health reflect on case, turns out not to be the however, ability perceive Jherica’s to understand or may there be occasion to revisit the issues at about the events time the crime and posed in appeal.12 this regarding ability raise issues her to nar- statute, Applying the I conclude that the Barroso, 562-63; rate. See at S.W.3d mental health sought by records Neider- Gonzales, 912 P.2d at 302-03. The district bach in this case should have been pro- court must obtain the documents for in duced for in inspection. camera inspection. camera least, At stage proceeding, this II. Photographic Admission of judicial there is no basis for intervention Video Evidence. ground on the that a pro- violation of due A. Positions of the Parties. Neider- applied cess as has occurred as a result of challenges bach the admission of a photo- in camera inspection. Any further chal- graph and a video into evidence. The lenges must await proceedings further photograph, taken in January shows the district court. E.N. with a tracheal tube and a heat mois- Summary. E. Neiderbach has failed to exchanger. ture The video shows E.N.’s challenged show the provisions of section trachea tube being cleaned and suctioned 622.10(4)(a)(2) facially are unconstitution- and shows him experiencing several sei- al. The new subsection to section 622.10is zures. Neiderbach asserts that the evi- different from protocol. the Cashen It will dence is not relevant matter in the to some extent reduce the number of occa- case under Iowa Rule of Evidence 5.401. sions on which defense counsel obtain ac- alternative, In the Neiderbach asserts that cess to mental health records. The new relevant, photos even if the pro- are their subsection also sifting shifts burden of bative value was substantially outweighed court, through evidence to the district by the danger of unfair prejudice under may which not be in an position ideal Iowa Rule of Evidence 5.403. He claims properly evaluate the material. Even the exhibits were presented way though district judges court do the best “maximized theatrical effect [their] issues, they can to handle the the shift of clearly intended to jury’s arouse the delays, burden lead to continu- sense of horror.” ances, are, and even mistrials. There however, approaches that district courts The State responds photo that the may employ to mitigate the difficulties video were relevant to show that E.N. posed by inspection. in camera Hopefully, suffered a injury.” “serious The State em- the substantive results under the new stat- phasizes photo and video were not ute will be the same as under the gruesome Cashen likely to arouse the protocol namely, jury’s that defense counsel sense horror. The State analo- — gain will the constitutionally-required ac- gizes to cases where autopsy photographs review, only 12. Our experience recent with in camera On we determined the district court inspection of mental health records occurred have should disclosed the to the de- records Heemstra, (Iowa State 721 N.W.2d 549 protective fense under a order because 2006). Heemstra, origi- the district court explosive records indicated the victim had an nally engaged in in camera review and deter- disposition that could have been useful mined that no mental health records should defense. Id. at 563. produced to the defendant. Id. at 559. *54 238 the question un- whether evidence and make The first to illustrate

are admissible an probative value on issue patholo- a offered has testimony the of derstandable Metz, evidence has case. Id. at 8. If the See, 636 N.W.2d the e.g., State v. gist. 2001). event, value, (Iowa inquiry our next asks 94, any probative In the 99 the evidence whether admission of any error argues nonconstitutional State substantially prejudice to a new trial cause unfair not entitle Neiderbach would Id. at probative its value. 9-10. because, outweighs of evidence of light the other photo- the of the injuries, admission E.N.’s question, ques- first there is no On the injuriously did affect and video not graph videotape the in the has tion that evidence miscar- rights create a Neiderbach’s value. E.N. suffered Whether probative See, Parker, justice. e.g., of State riage of child injuries a result abuse serious as 2008). 196, (Iowa N.W.2d 209-10 litigation. in the important issue was injuries in E.N.’s The video demonstrates Discussion. B. the way. It true that evi- powerful a Rule Evi- 1. Relevance under Iowa of to some extent cumulative of dence was outset, I consider At the dence 5.4-01. testimony, probative evi- expert but where to the evidence as challenge Neiderbach’s cumulative, merely the dence is admissibil- Rule no relevance under Iowa of having left to the ity generally determination is I argument. 5.401. the reject Evidence judge. of court discretion the district 5.401, if rule is relevant it evidence Under 432, Maxwell, 222 State v. N.W.2d tendency make the existence “any has to 1974). (Iowa However, persuasive the consequence that is to of fact of the Thus, power of video is clear. probable more action determination cumulative, merely was not but of- video than would be without probable or less of to in a fered evidence serious harm E.N. evidence.” Iowa R. Evid. 5.401. The convincing persuasive fashion. Nota- relatively a low standard for relevance is stipulate bly, the defense declined bar, the hur- jumped and I find the State a issue of whether E.N. suffered serious respect photo video. dle and, result, injury prosecution Clearly, photo and the video contained its with the available prove free to case E.N. suf- evidence that tended to show evidence. injuries. fered serious inquiry, Turning second Crom “ ‘ prejudice” Iowa under Rule “Unfair ... prejudice” er we stated “unfair I consider Neider- Evidence now 5.103. tendency suggest undue means an deci argument more substantial bach’s basis, improper commonly, on an sion have should been excluded under evidence necessarily, an emotional though ” 5.403. This rule Iowa Rule Evidence (quoting Old one.’ N.W.2d at 9 Chief may ex- court provides district 180, States, v. United 519 U.S. probative “if its clude relevant evidence L.Ed.2d S.Ct. substantially outweighed value is (1997)). also evidence that We referred to unfair Iowa R. danger prejudice.” danger prejudice as a presents of unfair Evid. 5.403. Id. at baggage.” 9-10. piece “unwanted cases, upheld evi- have district considering admissibility In certain we 5.403, proffered first es- decision to exclude evi under rule we must court’s dence collateral legal prejudicial dence that contained legal tablish the framework. to the elements of the baggage was well in State v. unrelated framework described 2009). instance, (Iowa Cromer, we have underlying crime. For 8-10

239 baggage may to exclude eral are they a district court’s decision excluded if upheld a undress merely quite gruesome. of decedent’s state of cumulative and evidence See, Poe, the time of an e.g., 113, the waist down at State v. 21 441 from Utah 2d (1968) 512, in a state’s involving case our P.2d 514-15 (holding accident the trial shop Argosy Gaming act. Horak v. admitting court its discretion in dram abused 2002). (Iowa Co., 137, N.W.2d 149 We during 648 color slides made the course of that should autopsy depicting have also held a district court af- deceased’s skull brain). testimony a police have excluded officer’s ter removal of But see State v. (Utah (re- Wells, 810, 1979) and vio prior a defendant’s arrests about 603 P.2d 813 patted he why lent when asked jecting tendencies a defendant’s contention pho- weapons down for because tographs gunshot the defendant victim’s wounds very for such evidence weak the need “was should not have been evi- admitted into dence). case,” primary issues in of our light generally Some older cases already officer had testified about reject approach. seem to this v. “[t]he See State valid, Hickman, 512, (Iowa ... nonprejudicial reasons two other N.W.2d 337 515-16 1983) conducting pat-down,” “evi (noting dis- “[t]rial courts have violent nature determining [the defendant’s] dence cretion in whether the value only passions serve to inflame the pictures could as evidence outweighs their Martin, State v. jury.” grisly 704 N.W.2d and that pictures nature” “[d]eath (Iowa 2005). present ordinarily In the they 671-72 are not excluded because however, case, bag there is no collateral ... gruesome are for murder is by nature Rather, business.”); the claim is made gage. gruesome accord State power Seehan, (Iowa 1977); probative simply evidence was too 258 N.W.2d ful, emotional-laden, Lass, (Iowa admitted too to be State v. N.W.2d 1975). under rule 5.403. event,

We have occasion held that evidence we need not decide wheth- be excluded under rule 5.403 where should er relevant videos or do photographs that there was not collateral but baggage not baggage may contain collateral never confusing the evidence was too where on unfair prejudice grounds be excluded encouraged jury to make unwarranted solely of their emotional because content. example, For in State v. assumptions. powerful, The evidence this case was (Iowa Huston, 537-38 power objective but arose from the 2013), testimony depart we held that the injuries was nature of the child and human ment of services considered child- staging not or presenta- due dramatic report abuse founded should have been was not gruesome, tion. The evidence because of of unfair danger excluded confusing, and it did invite was not on the in In re jury. Similarly, influence conclusions. cir- unwarranted Under the Stenzel, case, 705- Detention N.W.2d cumstances of this I conclude there is (Iowa 2013), testimony we held from an unfair prejudice not sufficient to reverse regarding process which the expert the district court’s decision to allow intro- which become state decides inmates will evidence. duction of the sexually pro subject predator violent Expert III. Issues Related to Testi- under

ceedings should have been excluded mony. rule 5.403. photo- A. of the Parties. authority

There some Positions Neider- testimony carry of a crime collat- bach the admission of graphs challenges that do not testify, and the de experts evi- he unavailable regarding prosecution two *56 prior opportunity fendant had a for had published in articles contained dence Neiderbach notes the cross-examination.” Dr. expert, The first journals. medical Jenny Dr. article cited states Pediatrics Smith, testimony about an offered Wilbur respect twenty-eight persons story nanny who recounting the of a article “ babies, shaking who their ‘No admitted to physician and admitted worked for a during hospitaliza statement was obtained baby, thereby producing having shaken during All came police tion. confessions expert, injuries. The second Dr. Carole custody investigation, weeks or judicial testimony study in about a Jenny, offered ” Appellant’s diagnosis.’ months after the twenty- which journal the Pediatrics 35 et (quoting Br. Catherine' Adamsbaum to babies eight shaking admitted persons al., Abusive Head Trauma: Judicial Ad subsequently found to have seri- who were Repetitive Highlight missions Violent injuries. brain ous (2010)). Shaking, Pediatrics 549 126 claims the should Neiderbach evidence “ Neiderbach, According an ex ‘[w]here hearsay. as Neider- been excluded have merely acts pert well-credentialed did the claims the State not show bach hearsay,’ conduit for such testi testimonial scope within the of Iowa Rule hearsay was mony right violates a defendant’s to con 5.703, expert which allows an Evidence (quoting at 36 frontation.” Id. United type on facts or data if “of a rely Ramos-Gonzáles, v. 664 States F.3d 5 upon by in the reasonably experts relied (1st Cir.2011)). forming or in particular opinions field State, Iowa Rule of citing Evidence subject.” Neiderbach upon ferences 5.703, experts may rely upon maintains Barrett, v. points to State 445 N.W.2d facts or otherwise inadmissible data in ar- (Iowa 1989), stated, in which “The we riving at if opinions their such facts or data, rule, under would usual facts or “reasonably data are from sources derived results, or other ordinarily be lab test particular upon by experts relied charts, texts, etc.” Neiderbach asserts Brown, field.” Brunner v. See also State failed to meet the founda that the 1992) (Iowa (examining N.W.2d 34-37 of rule Even if requirement tional 5.703. 5.703). maintains rule The State that Drs. requirement, this Neider- the State met simply upon Smith relied infor- Jenny Sales, under C.S.I. Chemical argues, bach pub- mation contained in that was studies Products, Inc., Mapco Inc. v. Gas journals in prestigious lished medical (Iowa 528, 531 Ct.App.1996), N.W.2d widely physicians. accepted by other Fur- “only should then admitted [be] evidence ther, the argues State the evidence for the expert opin the basis explain only admitted not for its truth but to show ion,” its truth. not for experts’ opinions. the basis See contends Xtra, L.L.C., Neiderbach also the admission v. Gacke Pork N.W.2d testimony (Iowa (“[E]vidence violated the 2004) Confrontation admitted the State and Federal Clauses of Constitu under is admitted the limit- [rule 5.703] cites tions. Neiderbach purpose showing ed the basis for the Crawford 36, 53-54, 541 U.S. 124 S.Ct. Washington, expert it is not opinions; witnesses’ admis- 177, 194(2004), 1354, 1365, 158 L.Ed.2d sible as evidence of the mat- substantive therein.”). Because proposition Confrontation ters asserted the facts truth, of the Federal Constitution bars and data not offered for their Clause were claims, testimony testimonial of a the State is not hear- statements “admission (c). say under Rule of Evidence appear not Iowa 5.801 witness who did at trial unless evidence, respect according enough With to such that an individual expert purports to the State the defendant is entitled to a rely upon Further, the data. Id. (which limiting instruction Neiderbach did reliance upon the data must be reasonable. request) but not exclusion. See Brun An expert’s determination that his reliance ner, 480 N.W.2d at 37. conclusive, reasonable is not but rather “ ” ‘only one factor in the consideration.’ respect With to the Confrontation Brunner, Id. (quoting at 706 claim, Clause the State contends the chal- *57 35). at lenged out-of-court statements were not hearsay. offered for their truth and are not 2. 5.803(18). Iowa Rule Evidence of 10, Crawford, See 541 at 59 n. 124 U.S. 5.803(18) Iowa Rule of Evidence allows 10, at n. S.Ct. 1369 158 L.Ed.2d at 197-98 admission of facts in a learned treatise (“The n. 10 Clause also does not bar the the extent ... upon by “[t]o relied [an use of testimonial statements for purposes expert] examination, witness in direct other than establishing truth of the statements contained in ... published pe- asserted.”). matter The State cites a lead- riodicals ... established as a reliable au- treatise, ing Iowa which indicates thority by testimony or admission of significant number of [a] courts have witness or other expert testimony expert opinion testimony concluded that by judicial State, or however, notice.” The hearsay based on testimonial not does specifically does not urge application violate the Confrontation Clause because exception this appeal. expert subject is available and body There is a authority federal cross-examination and because the oth- under a parallel rule of evidence related to offered, erwise inadmissible data is not learned treatises. One of the issues in the truth, for its evaluating but to assist in federal eases is whether testimony about the testifying expert’s opinion. the nature of the periodical generally is Doré, Kratky

7 Laurie Iowa Practice Ser- sufficient to allow an expert to introduce (2012). Evidence, 5.703:4, § ies: at 715 hearsay under the excep- learned treatise tion. A leading regard case in this Hearsay Excep- B. The Rule and its Inc., Meschino v. North Drager, American tions. (1st Cir.1988), 841 F.2d 434 which Iowa Rule Evidence 5.708. Rule stated: 5.703 hearsay allows testimony “[i]f type reasonably upon by relied experts days research, In these of quantified particular in forming opinions field pressure publish, an article does not upon subject.” inferences Iowa R. reach the dignity of a “reliable authori- Evid. 5.703. emphasized have ty” merely editor, We rule because some even a 5.703 is give experts one, “intended to appropri reputable most sees fit to circulate work, ate latitude to their Physicians conduct not to engaged it. research enable parties to shoehorn otherwise inad write of papers during dozens a lifetime. Stenzel, missible evidence into the case.” Mere publication cannot make them au- 827 N.W.2d at 704. We have tomatically held that authority. price reliable 5.703, order to invoke rule the record must of escape from cross-examination is a show that experts particular “in ‘the higher standard than “qualified,” set for ” generally field’ rely on the data in form live witnesses who do not. The words ing opinions. their (quoting Id. at 706 meaning, recogni- have a serious such as 5.703). Iowa R. Evid. It is thus not tion of the authoritive stature of the Medical As an article from Southern writer, acceptance of the or affirmative profession. properly itself in the was excluded article sociation Journal evidence proponent offered no because Ins. City Twin Fire Co. v. Coun See also writing presented substantially “a (7th Co., Ins. 23 F.3d try Mut. Cir.1994) (“It theory be recognized might such as found enough jour that the is not in a medical also The appeared reputable; which it standard book.” See nal in 233; had to particular 5.4.2, § article the author New Jack P. Wigmore authority to be an before O’Connor, be shown Bruce D. Lipton, Maureen & consistently Fed. be article could used Sales, Admissibility Rethinking the 803(18).”); ex rel. R.Evid. Jacober Jacober Evidence, 11 Am. Treatises Medical Ctr., N.J. St. Peter’s Med. (1991) (noting recent J.L. & Med. (“Mere (1992) publication A.2d assumption indicate the studies render automatically a text does trustworthy “may medical treatise is *58 However, authority. expert reliable unjustified”). text’s authoritativeness can demonstrate a point, While there are no Iowa cases on testifying professionals in the field by suggests magic words federal caselaw (Citation trustworthy.” the text as regard required are not to establish the founda omitted.)). Herzog, But v. see Costantino of Cir.2000) requirements tional the learned treatise (2d (“[G]ood 164, 172 203 F.3d exception Burgess v. hearsay to rule. compel recognizing to sense would seem (9th Corp., 727 834 Cir. Premier F.2d there is a basis periodicals provided some — 1984) sufficiently (holding to facts that doing undisputed so—as esteemed admitting in of presumption preemi a favor a “the justify the author of treatise was accepted publication articles there industry expert” company nent that a in”). “required its salesmen to read books recommend them to investors” was to has en approach

The of Meschino been instance, the idea that the sufficient to “substantiate by For dorsed commentators. accepted Wigmore: authority”); A books were Dawson the authors of The New (3rd Expert Corp., on Chrysler Treatise Evidence: Evidence v. F.2d Cir.1980) that an (concluding “[t]he note that fact article from quotations two peer after review in a published editorial reports on automobile crashworthiness journal or medical respected scientific prepared Depart for the States United to reli qualify not sufficient article as Transportation ment were admissible authority.” Kaye, David H. E. able David exception under the learned treatise where Bernstein, Mnookin, & L. Jennifer The opponent’s inferentially experts one of the on Wigmore: New A Treatise Evidence: and the op conceded its authoritativeness (2d 5.4.2, § at Expert Evidence trial). ponent object not at the time of did ed.2010) Wigmore]. The New [hereinafter Application 3. rules to the testimo- authors, Thus, the treatise according to ny expert, The Dr. Dr. Smith. State’s “the ultimate test of whether article is Smith, hearsay about sought testify authority respectabili a reliable is not nanny appar- who statements made ty journal, of the but the authoritativeness ently violently shaken having admitted 5.4.2, particular § article.” Id. at of the found subsequently babies who were application As an example objected injuries. have Neiderbach rule, Wiggins this the treatise cites State, hearsay grounds the admission Dr. 104 So.2d Ala.App. (1958), testimony nanny’s related to the where an Alabama court ruled that Smith’s response, statements. the State elicit- was published journals “in typically relied testimony ed from Dr. Smith that on in the medical field.” Dr. Jenny re- hearsay in published was contained re- sponded that the published article was in port “good journal.” Pediatrics, medical journal of the American defense at trial countered that the State Pediatrics, Academy of which Jenny Dr. had satisfied the learned treatise ex- described as “the most prestigious journal rule, ception hearsay noting in the pediatrics.” field of The district “we don’t even know the name of the court then admitted the evidence over article or journal pub- which it was objection. Neiderbach’s Nonetheless, lished.” the court after this The admission of this hearsay was also record was objection. made overruled the error. The State did not establish that the I conclude the court erred on this record or data in the article were the kind of facts allowing testimony regarding state- material upon by relied experts in the field ments made nanny. The State under rule 5.703. The same is true re- made no effort to establish that the hear- garding any admission of the material un- say was considered reliable in forming 5.803(18). der rule Although may opinions by experts the field under Iowa generally Pediatrics prestigious is a Stenzel, Rule of Evidence 5.703. See 827 journal typically upon by relied experts in *59 N.W.2d 704. While the State offered field, the State did not establish that testimony some related fact that the specific journal article in the was of a hearsay published good was in “a medical type upon which experts in the field ordi- journal,” qualify this is not sufficient to for narily rely. admissibility under the learned treatise ex- Prejudicial 5. error. As noted in Sten- Co., ception. City See Twin Fire Ins. zel, only we find reversible error when 1183; Meschino, F.3d at 841 F.2d at 434. admission improper evidence affects a Thus, the State failed to show the article party’s rights. substantial 827 N.W.2d at itself was authoritative and was relied Yet, 708. hearsay “‘[t]he admission of upon by experts the field. evidence presumed prejudicial to be er argues not, The State hearsay was ror unless the contrary affirmatively fact, admitted for ” the truth of the mat- Gacke, established.’ Id. (quoting asserted, ter only but rather to show the 183) (internal quotation N.W.2d at marks expert’s opinion. basis But even as omitted). I conclude on this record that a basis for expert’s opinion, the evi- any error in the ruling court’s initial requirements dence must meet the of rule prejudicial. 5.703. Because the testimony of Dr. Smith nanny relates to the quali- did not so IV. Conclusion. fy, testimony regarding nanny his reasons, For the above I concur in the should not have been admitted. result in this case. Application rules to the testimo- ny Dr. Jenny. sought The State also HECHT, JJ„ join WIGGINS this hearsay introduce through Jenny Dr. re- special concurrence. garding study, Adamsbaum which twenty-eight persons involved child-

abuse cases having confessed to shaken trial,

their children. At the State asked Jenny

Dr. whether the study Adamsbaum notes Neiderbach mental health rec the dis that the probability to able presented he evidence things, marijuana sought likely exculpa were to contain ords that Jherica smoked trict court instead, and, only tory dem information showed she had pregnancy, her during might conduct, that the records contain possibility pattern of dishonest onstrated addition, exculpatory information. taking while admitted frustration that she failed to son, show she flashed State contends Neiderbach her newborn care of was unavailable days sought trau information two after her son’s her breasts Finally, the State other sources. injury, that she threatened to from matic brain that to extent Neiderbach has get jail, and that asserts herself to out of starve produc burden on of report question that met his a funeral she called home records, the in ser mental cam about tion of health inquire had died and her son inspection provision section though even he was alive. era prices vices )(2)(b) 622.10(a con constitutional under argues court’s Neiderbach the district Ritchie, 39, v. 480 U.S. 57- Pennsylvania not meet the that this evidence did clusion 40, 58, 989, 1001-02, men 94 L.Ed.2d 107 S.Ct. statutory production threshold for (1987), contrary to and because a defendant will records was 57-58 tal health Anfin (Iowa State, identify sought the information 758 505-06 have son v. N.W.2d enabling reasonable 2008), possible specificity, we found was where there potentially district court better find ex postpartum depression between nexus culpatory cites evidence. infanticide. Neiderbach also cases witness’s mental condition noting a Evidentiary privilege right about or she testi events which he time of “every man’s a criminal defendant ” See East impact credibility. fies can v. Supreme As noted evidence. Cir.1995) (5th Scott, F.3d Massachusetts, “when Judicial Court of mental health records can cast (noting from relevant evidence is excluded the tri accuracy testi on the of a witness’s doubt other than process purpose al some Lindstrom, mony); v. United States function, enhancing truth-seeking (11th Cir.1983) (“Certain F.2d convicting an innocent defendant danger high proba of mental disorder have forms Bishop, increases.” Commonwealth credibility.”). on the tive value issue (1993), 617 N.E.2d Mass.

Case Details

Case Name: State of Iowa v. Christopher Craig Thompson
Court Name: Supreme Court of Iowa
Date Published: Aug 23, 2013
Citation: 837 N.W.2d 180
Docket Number: 12–0255
Court Abbreviation: Iowa
AI-generated responses must be verified and are not legal advice.