Defendant-Appellant Rigoberto Martinez-Haro was indicted with two counts of possession with intent to distribute methamphetamine. Before trial, MartinezHaro’s counsel requested that a psychiatric examination be performed on Martinez-Haro to determine his mental competency to stand trial, pursuant to 18 U.S.C. § 4241(b). Dr. O’Connor performed a psychiatric examination and concluded that Martinez-Haro was likely not competent to stand trial. But Dr. O’Con-nor also recommended more “psychological and neuropsychological testing in Spanish by a Spanish speaking neuropsychologist” to assist the court in making its competency determination and indicated a willingness to revise her conclusion of incompetency based on the outcome of that examination. Therefore, the Government moved for a second competency examination. Martinez-Haro objected, but the district court granted the Government’s motion. Martinez-Haro filed this interlocutory appeal challenging the district court’s order. For the following reasons, we affirm. *
I. BACKGROUND
A grand jury indicted Martinez-Haro with two counts of possession with intent to distribute methamphetamine, in violation of 21 U.S.C. § 841(a) and (b). Before trial, the Government notified MartinezHaro that if convicted he would be subject to a mandatory minimum of twenty years’ imprisonment for the first count of the indictment and a mandatory minimum of ten years’ imprisonment for the second count. After that, Martinez-Haro’s counsel informed the district court that he had “some questions about whether [MartinezHaro] had a mental breakdown.” (Aplt.App., vol. II at 9.) So MartinezHaro’s counsel requested a competency examination under 18 U.S.C. § 4241. 1 Based *1230 on this request, the district court ordered a psychological examination to be conducted by Dr. Beverly O’Connor, Ph.D.
Dr. O’Connor reviewed relevant records, applied several testing methods, and conducted a clinical interview with the assistance of an interpreter. In that interview, Martinez-Haro explained that he was forty-one years old but only had a fifth-grade education. He had a substantial history of drug abuse, a significant criminal history, and was physically abused by his father. Martinez-Haro was also diagnosed with diabetes in 2009 and feared that a twenty-year sentence would be a life sentence for him because the diabetes would prevent him from living that long.
Martinez-Haro also shared his thoughts on the pending criminal charges against him with Dr. O’Connor. Martinez-Haro wanted a plea agreement that would result in a ten-year sentence, and thus “he would • just ask for another [ajttorney” until he got that deal. (ApltApp., vol. Ill at 4.) Further, he indicated that the court “should just let him go back to Mexico and he would promise not to come back because he doesn’t want to hurt people.” {Id.)
Based on this information, Dr. O’Connor concluded as follows (we quote Dr. O’Con-nor’s opinion at length because of its significance to the outcome of this case):
Does the Defendant presently suffer from a mental disease or defect that renders him mentally incompetent to the extent that he is unable to understand the nature and consequences of the proceedings against him? Yes. Mr. Martinezr-Haro appears to be low functioning intellectually and appears to have difficulty with comprehension and abstract reasoning and judgment. Although it is difficult to get a totally accurate assessment of his intellectual functioning with him being tested in English through an interpreter, his IQ test results are in the mild mental retardation range. Given the problems of the language barrier I would judge that his overall IQ is likely in the Borderline Range. Mr. Martinez-Haro appears to have many risk factors for likely organic brain damage including the following: severe physical abuse as a child; long term inhalant use beginning as a child; long term use of methamphetamine and cocaine; multiple mild head injuries; and untreated diabetes. I cannot rule out the possibility that he may have some level o[f] dementia due to these factors, but a neuropsychological evaluation would have to be performed in *1231 Spanish to determine this for sure. While the Defendant has a very basic factual understanding of his case, he appears to lack a rational understanding of his case and believes that because he sees himself as being in poor health he should deserve a very low Plea Agreement offer. He also believes that if he keeps requesting new attorneys that one of these attorneys will be able to get him what he is demanding. Alternatively, he also has an almost fantasy belief that the legal system should just let him go back to Mexico if he promises not to come back. While some of this may be due in part to personality or characterological factors, it appears that at this time his difficulty with comprehension, abstract reasoning, and judgment due to his low IQ may likely render him incompetent to the extent that he is unable to adequately understand the nature and consequences of the proceedings against him. His lack of formal education and his level of severe depression also likely interfere with his ability to rationally understand the proceedings against him.
This is a difficult case to make an absolute statement regarding Mr. Martinez-Haro’s competency due to the language barrier and his unwillingness to discuss certain parts of his history or elaborate on some of his stated psychiatric symptoms. However, given the review of the legal records, his clinical presentation, the neuropsychological screening, and the interview with his Attorney, it is my best opinion that Mr. Martinez-Haro currently is likely not competent to stand trial for the charges pending against him in the United States District Court.
If it were possible to have Mr. Martinez-Haro administered some psychological and neuropsychological testing in Spanish by a Spanish speaking neuropsychologist this may give the Court more complete information to base its opinion regarding competency on. If that more extensive testing were in contrast to my current opinion I would be ivilling to revieiv that material and possibly reconsider my opinion.
(Id. at 6-7 (second emphasis added).)
Because of Dr. O’Connor’s equivocations in her conclusion about Martinez-Haro’s competency, the Government filed a motion seeking a second competency examination under § 4241. Martinezr-Haro objected to the request, but the district court granted it over his objection and ordered that Martinez-Haro be committed in a suitable Bureau of Prisons facility for the purposes of this examination. MartinezHaro now appeals to this Court.
II. DISCUSSION
A.
This Court generally has jurisdiction only over appeals from final decisions of the district courts. 28 U.S.C. § 1291. Usually, in criminal cases this rule requires that a defendant await conviction and sentencing before raising an appeal.
See Flanagan v. United States, 465
U.S. 259, 263,
In
Cohen v. Beneficial Industrial Loan Corp.,
the Supreme Court set forth the criteria that an order must meet to be appealable prior to a final judgment.
[TJhis court’s precedents indicate an interlocutory appeal in the context of pretrial commitment for competency proceedings is permitted because the “disputed question,” i.e., the defendant’s liberty interest in not being confined during an evaluation, is wholly separate from the merits of the criminal case. That interest cannot be fully vindicated in an appeal from a final judgment.
B.
This Court reviews a district court’s interpretation of a statute de novo.
United States v. Becker,
Section 4241(b) provides that “[pjrior to the date of the [competency] hearing, the court may order that a psychiatric or psychological examination of the defendant be conducted.” 18 U.S.C. § 4241(b) (emphasis added). “[A] psychiatric or psychological examination ordered pursuant to this chapter shall be conducted by a licensed or certified psychiatrist or psychologist, or, if the court finds it appropriate, by more than one such examiner.... ” Id. § 4247(b).
Martinez-Haro contends that the use of the article “a” suggests that the statute only authorizes one competency examination. Martinez-Haro suggests that the district court could have ordered a single examination to be conducted with multiple examiners but not two separate evaluations. We find that argument unavailing.
We look first to the plain language of the statute, and if “the terms of the statute are clear and unambiguous, the inquiry ends and we simply give effect to the plain language of the statute.”
United States v. Sprenger,
With that statutory framework in mind, we turn to the question of whether the district court abused its discretion by ordering a second competency examination. We would be concerned if a defendant was found incompetent and the district court then allowed the Government to conduct more competency examinations only for the purpose of “shopping” for a psychologist or psychiatrist who would conclude that the defendant was competent. But that is not the case before us.
Here there were legitimate reasons for the district court to order a second competency examination. Dr. O’Connor specifically recommended further testing in her conclusion: “If it were possible to have Mr. Martinez-Haro administered some psychological and neuropsychological testing in Spanish by a Spanish speaking neuropsychologist this may give the Court more complete information to base its opinion regarding competency on.” (ApltApp., vol. Ill at 7.) Further, Dr. O’Connor questioned her own opinion and expressed a willingness to revise her conclusion based on further testing.
We cannot say that the district court abused its discretion by ensuring that it had sufficient information to evaluate Martinez-Haro’s competency. In fact, based on Dr. O’Connor’s statements, we conclude that in this case it would be prudent for the district court to order an additional competency examination. Therefore, the district court did not abuse its discretion by ordering a second competency examination. 2
*1234 III. CONCLUSION
For the foregoing reasons, we AFFIRM the district court.
Notes
After examining the briefs and appellate record, this panel has determined unanimously to grant the parties’ request for a decision on the briefs without oral argument. See Fed. R.App. P. 34(f) and 10th Cir. R. 34.1(G).
. Section 4241 reads in pertinent part as follows:
(a) Motion to determine competency of defendant. — At any time after the commence *1230 ment of a prosecution for an offense and prior to the sentencing of the defendant, or at any time after the commencement of probation or supervised release and prior to the completion of the sentence, the defendant or the attorney for the Government may file a motion for a hearing to determine the mental competency of the defendant. The court shall grant the motion, or shall order such a hearing on its own motion, if there is reasonable cause to believe that the defendant may presently be suffering from a mental disease or defect rending him mentally incompetent to the extent that he is unable to understand the nature and consequences of the proceedings against him or to assist properly in his defense. (b) Psychiatric or psychological examination and report. — Prior to the date of the hearing, the court may order that a psychiatric or psychological examination of the defendant be conducted, and that a psychiatric or psychological report be filed with the court, pursuant to the provisions of section 4247(b) and (c).
Importantly for this case, § 4247(b) states that ''[a] psychiatric or psychological examination ordered pursuant to this chapter shall be conducted by a licensed or certified psychiatrist or psychologist, or, if the court finds it appropriate, by more than one such examiner." 18 U.S.C. § 4247(b) (emphasis added).
. New courts have squarely addressed whether § 4241(b) authorizes multiple competency examinations, particularly when the result of the first competency examination is the conclusion that the defendant is incompetent to stand trial. But we found one persuasive authority that supports our conclusion. In
United States v. Weston,
a district court ordered a competency examination, and the conclusion of that examination was that the defendant was incompetent to stand trial.
Martinez-Haro attempts to distinguish Weston by pointing out that the Government in that case was dissatisfied with the original examination because the examiner failed to discuss the fact that the "defendant filed over *1234 half a dozen civil lawsuits” more than ten years before the defendant was charged in the pending case. Id. at 12-13. Martinez-Haro argues that the situation in Weston differs from this case because in Weston "the reason for the second evaluation was a problem with the original examiner.” (Aplt. B. at 10.) But if anything this further supports our conclusion. In this case, there was a problem with the original examination: the examination was conducted through an interpreter instead of by a Spanish-speaking psychologist or psychiatrist. While we are not saying that there must be a problem with the first examination for a court to find that a second examination is warranted, this does show that the court’s conclusion in Weston supports our conclusion in this case.
Finally, both parties also discuss
United States v. Zhou,
There are two types of cases that suggest the appropriateness of multiple competency hearings even though the cases do not squarely resolve the issue before us. First, there are cases that discuss the fact that a district court ordered multiple competency examinations.
See, e.g., United States v. Chaudhry,
