Darren B. Hooper was convicted of lewd conduct with his daughter, six-year-old A.H. At trial, the district court deemed A.H. unavailable and admitted a videotaped interview of the child. After Hooper’s conviction, the U.S. Supreme Court decided
Crawford v. Washington,
I.
On August 2, 2003, Crystal Hooper woke and learned Darren Hooper was in the bathroom with their daughter, A.H. The door was locked. Crystal Hooper used a screwdriver to open the bathroom door. She ordered A.H. into Crystal’s bedroom and questioned Darren about his activities in the bathroom. Then, after speaking with A.H., Crystal accused Darren of sexually molesting A.H. and called the police.
When the police arrived, they questioned Darren and Crystal Hooper and attempted to question A.H. The police did not collect evidence at this time, but Detective Marshall and Detective Plaza arranged a forensic examination with on-call personnel at the Sexual Trauma Abuse Response (“STAR”) Center in Ontario, Oregon.
*141 At the STAR Center, Dr. De La Paz first talked with Crystal Hooper and then conducted a sexual abuse examination of A.H., during which she found breaking and swelling in the rectal area. Jeremi Helmick, a STAR Center nurse and forensic interviewer, interviewed A.H. after Dr. De La Paz completed the medical examination. Helmick videotaped the interview while Detective Plaza observed from another room via a closed circuit system. At the end of the interview, Detective Plaza talked with Helmick and Crystal Hooper. Plaza collected the videotape and two swabs taken during the physical examination and put them into evidence storage at the Payette Police Department. Following the examination and interview, the police returned to the Hooper home to collect evidence, including a sheet from AH.’s bed, underwear belonging to A.H. and a washcloth from the bathroom.
Prior to trial, the State served notice of intent to introduce the videotaped interview of A.H. and hearsay statements made by A.H. to the forensic examiner, based on Idaho Rules of Evidence 803(24) and 804(5). The District Court reserved ruling on the matter. At trial, the State called A.H. to testify. After A.H. was unable to take the oath, the district court declared A.H. unavailable and the state sought to introduce the videotaped interview. The defense objected based on the Defendant’s Sixth Amendment right to confront and cross-examine witnesses against him. 1 The court admitted the videotape over Defendant’s objection, based on a pre-Crawford analysis, and played the video for the jury.
The jury found Mr. Hooper guilty of lewd and lascivious conduct with a minor child under the age of sixteen pursuant to Idaho Code § 19-1508. The District Court sentenced Mr. Hooper to six years imprisonment, with two and one-half years fixed. Mr. Hooper timely filed his Notice of Appeal from his Judgment of Conviction. The Court of Appeals held that the admission of the videotaped interview violated Mr. Hooper’s right to cross-examine his accuser as guaranteed by the Confrontation Clause: “The conclusion is inescapable that the nurse was acting in tandem with law enforcement officers to gain evidence of past events potentially to be used in a later criminal prosecution.” The court further held the error was not harmless. As a result, the court vacated the Judgment of Conviction and remanded the case. This Court granted the State’s Petition for Review.
II.
The question presented is whether videotaped statements made by a child during an interview by a forensic examiner at a sexual trauma abuse response center are testimonial when the police directed the child to the center and observed the interview from another room. We hold that the videotaped statements were testimonial in nature, based on Crawford and Davis, and that admission of the statements was not harmless error. We vacate the conviction and remand the case for further proceedings.
A.
When considering a case on review from the Court of Appeals, this Court gives serious consideration to the Court of Appeals’ decision.
State v. Cope,
*142
When a violation of a constitutional right is asserted, the appellate court should give deference to the trial court’s factual findings unless those findings are clearly erroneous.
Doe v. State,
B.
This is an issue of first impression for the Idaho Supreme Court. The U.S. Supreme Court’s decision in
Crawford v. Washington,
Hooper contends the videotaped statements are testimonial because the forensic nurse examiner was acting as an agent of the police and no emergency existed at the time the statements were taken. According to Hooper, investigative interrogations are directed at establishing the facts of a past crime in order to identify, or provide evidence against, the perpetrator. Since the purpose of a forensic interview is to collect information to be used in a criminal prosecution, and there is a clear connection between the police and the STAR Center, the interview was the functional equivalent of a police interrogation. Thus, it is testimonial under Crawford and Davis, and inadmissible unless the witness is unavailable and the defendant had a prior opportunity to cross-examine the witness.
The State argues the Court of Appeals erred in its application of Davis to this case. According to the State, Davis applies only to determine whether statements to law enforcement personnel or their agents are testimonial. Since Hooper has not shown the interviewer here was an agent of the police, Davis is inapplicable and the question is whether the statement at issue is one of the three “core testimonial statements” listed in Crawford. Pointing to the third formulation of “core testimonial statements,” the State contends the evidence is nontestimonial because the defendant has not shown the circumstances of the interview would have led a child of the victim’s age to reasonably believe she was making a statement for use at a later trial. The State asserts that, at most, Hooper is entitled to have this ease remanded so that evidence of agency may be presented to the district court.
The Sixth Amendment’s Confrontation Clause provides that, “[i]n all criminal prosecutions, the accused shall enjoy the right ... to be confronted with witnesses against him.” U.S. Const, amend. VI,
cited in Crawford,
Crawford
altered this analysis with regard to testimonial statements. In
Crawford,
the Court held that testimonial statements of witnesses absent from trial are admissible only where declarant is unavailable and where defendant had a prior opportunity to cross-examine the witness.
(1) “ex parte in-court testimony or its functional equivalent-that is, material such as affidavits, custodial examinations, prior testimony that the defendant was unable to cross-examine, or similar pretrial statements that declarants would reasonably expect to be used prosecutorially;”
(2) “extrajudicial statements ... contained in formalized testimonial materials, such as affidavits, depositions, prior testimony, or confessions;” and
(3) “statements that were made under circumstances which would lead an objective witness reasonably to believe that the statement would be available for use at a later trial.”
Crawford,
The determination of whether evidence is testimonial requires the court to consider the purpose behind the Confrontation Clause. The Supreme Court based its holding in Crawford on the historical underpinnings of the Confrontation Clause, and noted that the Sixth Amendment must be interpreted with this history in mind:
First, the principal evil at which the Confrontation Clause was directed was the civil-law mode of criminal procedure, and particularly its use of ex parte examinations as evidence against the accused____ The Sixth Amendment must be interpreted with this focus in mind.
The Supreme Court applied this new Confrontation Clause doctrine in consolidated cases
Davis v. Washington
and
Hammon v. Indiana,
In
Davis,
the Supreme Court held that “[statements are nontestimonial when made in the course of police interrogation under circumstances objectively indicating that the primary purpose of interrogation is to enable police assistance to meet an ongoing emergency. They are testimonial when the circumstances objectively indicate that there is no such ongoing emergency, and that the primary purpose of the interrogation is to establish or prove past events potentially relevant to later criminal prosecution.”
Davis,
The circumstances surrounding the statements in
Davis
led the Court to conclude the statements were nontestimonial. In reaching its holding, the Court articulated certain factors that distinguished the nontestimonial statements in
Davis
from the testimonial statements in
Crawford.
First, the witness in
Davis
was speaking about events as they were actually happening, rather than describing past events.
We conclude from all this that the circumstances of MeCottry’s interrogation objectively indicate its primary purpose was to enable police assistance to meet an ongoing emergency. She simply was not acting as a witness: she was not testifying. What she said was not a “weaker substitute for live testimony.”
The Court considered the same factors to hold the statements made in
Hammon
were testimonial. First, there was no emergency in progress. “It is entirely clear from the circumstances that the interrogation was part of an investigation into possibly criminal past conduct — as, indeed, the testifying officer expressly acknowledged.”
We will employ a totality of circumstances analysis in order to determine whether the videotaped statements here were testimonial in nature. In this case, the police detectives arranged an examination with forensically-trained personnel at the STAR Center. The referral by police officers, in and of itself, is not of great significance, absent evidence of the purpose of the referral. Similarly, the fact that an interviewer has forensic training does not, in and of itself, make the statements “testimonial” in nature. The purpose of such interviews can be two-fold — medical treatment and forensic use. Statements made to medical personnel have frequently been held to be nontestimonial when the primary purpose was treatment, even where police officers referred the child to the medical personnel.
See, e.g., People v. Vigil,
A review of the factors in this case indicates that the interview was geared toward gathering evidence, rather than providing medical treatment. When the Officers questioned Darren Hooper, the accused abuser, Detective Marshall informed him that the child would be going to the STAR Center for an interview, and that “depending on the type of information [he] get[s] back from there, gonna depend on what kind of action is done.” The Detective also asked Hooper whether there was any information A.H. was going to divulge to the counselors that Marshall should know “before [he] hear[s] it from them.”
See Davis,
At the beginning of the interview, Helmick showed A.H. the camera and stated “That’s where my special camera is and that makes it so I don’t have to write everything down we talk about, cause I forget stuff sometimes, okay? ... and my friend John [Detective Plaza] is watching to make sure that I remember to ask all the questions I need to ask, okay?” Helmick commenced the interview by describing certain rules to A.H. with regard to telling the truth: “Make sure that what we talk about is only the truth in here, okay?” Helmick then proceeded to ask questions regarding the event in question. She sought details, including questions seeking to identify the perpetrator: Who is that? What was his name? Where were you when that happened? How many times did it happen? Toward the end of the interview, Helmick consulted with the detective. When she returned to the room, she said “I did forget just a couple things,” and continued to ask a few questions regarding specific details of what happened in the bathroom. At the end of the interview the detective talked with Helmick and Crystal Hooper, then collected the videotape and two swabs taken during the physical examination and put them into evidence storage at the Payette Police Department. The police also returned to the Hoopers’ home to collect additional evidence following the interview. These factors suggest the STAR Center interviewer was working in concert with the police to establish or prove past events relevant to a later criminal prosecution.
Based on the foregoing facts, we hold the videotaped statements were testimonial under Crawford and Davis. The circumstances surrounding this particular case objectively indicate that the primary purpose of the *146 interview was to establish or prove past events potentially relevant to later criminal prosecution, as opposed to meeting the child’s medical needs. Helmick did not ask any questions regarding A.H.’s medical condition, or whether the child was injured. Further, this interview took place after a medical assessment and separately from the medical assessment. The police officer was present only at the second interview, not during Dr. De La Paz’ examination. Unlike the situation in Davis, there is no evidence the statements were made in the course of police interrogation under circumstances objectively indicating the primary purpose of the interrogation was to enable police assistance to meet an ongoing emergency. The parties clearly anticipated that the videotaped statements would provide a substitute for the child’s live testimony in court. Thus, the statements are admissible only if A.H. was unavailable and only if the defendant had a prior opportunity to cross-examine the witness. Since Hooper had no prior opportunity to cross-examine A.H., it was error to admit the videotape in evidence at trial.
C.
The State argues that even if the videotaped statements are testimonial in nature, the admission of the statements at trial was harmless error. An error that does not affect a defendant’s substantial rights is considered harmless and does not require reversal or a new trial.
State v. Doe,
Idaho courts applied the harmless error test to Confrontation Clause violations prior to
Crawford
and
Davis. See, e.g., Doe,
Whether an error is harmless in a particular case depends upon a host of factors, including the importance of the witness’ testimony in the prosecution’s case, whether the testimony was cumulative, the presence or absence of evidence corroborating or contradicting the testimony of the witness on material points, the extent of cross-examination otherwise permitted, and, of course, the overall strength of the prosecution’s ease.
Green,
III.
We vacate the conviction and remand the case for further proceedings consistent with this opinion. This result renders a discussion of additional issues unnecessary because Hooper’s additional issues can be corrected on remand. Specifically, in response to Hoo
*147
per’s argument that the jury instruction created a fatal variance from the indictment, we note that the jury instruction should match the indictment on remand.
See State v. Sherrod,
Notes
. Defense objected based on the Supreme Court’s ruling in
Ohio v. Roberts,
. In
Davis,
where the statements were made to a 911 operator during the course of a domestic disturbance, the statements met the emergency exception and were deemed nontestimonial.
See Davis,
