20221117_C361062_33_361062.Opn.Pdf

CourtMichigan Court of Appeals
DecidedNovember 17, 2022
Docket20221117
StatusUnpublished

This text of 20221117_C361062_33_361062.Opn.Pdf (20221117_C361062_33_361062.Opn.Pdf) is published on Counsel Stack Legal Research, covering Michigan Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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20221117_C361062_33_361062.Opn.Pdf, (Mich. Ct. App. 2022).

Opinion

If this opinion indicates that it is “FOR PUBLICATION,” it is subject to revision until final publication in the Michigan Appeals Reports.

STATE OF MICHIGAN

COURT OF APPEALS

In re EMILY BATES.

VALERIE EVANS, UNPUBLISHED November 17, 2022 Petitioner-Appellee,

v No. 361062 Washtenaw County Probate Court EMILY BATES, LC No. 22-000224-MI

Respondent-Appellant.

Before: GARRETT, P.J., and O’BRIEN and REDFORD, JJ.

PER CURIAM.

Respondent appeals as of right the probate court’s order that she receive mental health treatment. We affirm.

I. FACTUAL AND PROCEDURAL BACKGROUND

Respondent obtained mental health inpatient treatment at the University of Michigan Hospital (the hospital) in early April 2022, the most recent of a series of hospitalizations and emergency room visits for respondent between November 2020 and September, 2021. Doctors issued two clinical certificates1 that specified respondent’s diagnosis as “unspecified psychotic disorder” and concluded that respondent was a person requiring treatment who lacked insight into her need for treatment.

1 A clinical certificate is “the written conclusion and statements of a physician or a licensed psychologist that an individual is a person requiring treatment, together with the information and opinions, in reasonable detail, that underlie the conclusion, on the form prescribed by the department or on a substantially similar form.” MCL 330.1400(a).

-1- The first certificate provided facts for the determination: “[Patient] with psychotic symptoms including paranoia and disorganization that are resulting in reduced ability to function including isolating to her home in fear. [Patient] denies suicidal/homicidal ideation, intent or plan.” The certificate noted that, while respondent denied homicidal ideations, there was a “risk for unintentional harm to others given symptoms of psychosis.” The certificate determined that respondent could not care for her basic physical needs and reported the observation that she presented “notably disheveled, isolating to home, not buying groceries and decreased intake with reported weight loss.” The second certificate indicated that respondent was “disorganized, paranoid about father with decreased ability to function and attend to basic self care [sic].” The certificate did not determine that a likelihood of harm to others existed, but stated that respondent could not attend to her basic physical needs. The certificate noted that respondent presented “[d]isheveled with decreased self care and reported decreased eating & weight loss.”

Petitioner, a social worker, filed a petition seeking mental health treatment for respondent. Petitioner signified that she believed respondent had a mental illness, and checked the box indicating “as a result of that mental illness, the individual is unable to attend to those basic physical needs that must be attended to in order to avoid serious harm in the near future, and has demonstrated that inability by failing to attend to those basic physical needs.” Petitioner based her conclusions on her personal observations, stating that “[respondent’s] presentation today is very similar to previous psychiatric admission for psychosis and delusional parasitosis.”

A court liaison, a registered nurse, prepared a report on alternative mental health treatment. The liaison recommended hospitalization for up to 60 days, and assisted outpatient treatment afterward, supervised by Washtenaw County Community Mental Health (WCCMH). The liaison recommended that the assisted outpatient treatment involve respondent taking her prescribed medications, working with treatment teams, and giving permission to communicate with her family and all treatment providers, past, present, or future. The liaison acknowledged respondent’s objection to communication with her family, but also noted: “It has been shown that she does involve her father both when the relationship is resolved or in conflict[,]” and, at the time the liaison wrote the recommendation, respondent resided with her father. The proposed order indicated “WCCMH or appropriate hospitals” could speak with respondent’s family members, treatment providers, past, present, and future, and any other “contacts needed for collateral information and help with discharge planning.”

At the mental health hearing, Dr. Scott Mariouw, a staff psychiatrist at the hospital, and respondent’s attending psychiatrist at the inpatient psychiatric unit, testified regarding respondent’s treatment. Dr. Mariouw diagnosed respondent with unspecified psychotic disorder attached to respondent’s thoughts, as opposed to an unspecified psychotic disorder attached to respondent’s mood, and noted that respondent had “multiple psychiatric admissions in the past” which included diagnoses of “various forms of psychotic disorders[,]” including unspecified psychotic disorder and ongoing delusional thoughts. Dr. Mariouw stated that respondent often went to hospitals complaining of parasites or insect infestations causing skin issues, but medical evaluations did not reveal any infestation or infection. Dr. Mariouw also expressed concern regarding respondent’s reports of abuse from “numerous family members” because it was difficult to determine if these reports were delusions. Respondent’s delusions impaired her ability to function, as evidenced by her frequent hospitalizations. While respondent had no suicidal or

-2- homicidal thoughts, Dr. Mariouw had concern that respondent’s delusions posed a risk of unintentional harm.

Dr. Mariouw stated that he needed to “clarify what [the] dynamic” between respondent and her father because the hospital wanted to respect respondent’s reports of abuse, but also needed to consider the fact that respondent’s father sought guardianship and previously served as respondent’s guardian. Dr. Mariouw also noted that respondent lived with her father recently but planned to leave which sparked concern regarding her ability to function. Respondent did not understand her need for treatment, solely focused on treating her attention-deficit/hyperactivity disorder (ADHD), and only willingly took stimulants to treat her ADHD which worsened her mental illness. Dr. Mariouw confirmed that respondent expressed that she did not want the hospital to contact her father; and when respondent’s attorney asked if it would be possible to perform the Adult Protective Services (APS) investigation first before contacting respondent’s father, Dr. Mariouw had responded: “We’re happy to do that. Yes.”

Respondent’s counsel explained that respondent only objected to the order requiring mental health respecting the provision allowing the hospital to contact respondent’s father. Respondent pointed to Dr. Mariouw’s agreement to refrain from contacting respondent’s father until after the APS investigation concluded and asked the trial court to “fashion a remedy that allows that to happen.” The probate court determined that petitioner established by clear and convincing evidence that respondent was a person requiring treatment because of her inability to attend to her basic physical needs, noting her poor nutrition and isolation. The trial court acknowledged that respondent did not understand her need for treatment, which increased her chances of relapse and “present[ed] a substantial risk of significant physical or mental harm to herself or others.” The court granted the petition but refused to restrict the hospital’s ability to contact respondent’s father. It explained that it understood that respondent believed she suffered abuse at that hands of relatives and others but declined to direct the hospital regarding how to treat her and in what order, leaving such decisions to the hospital. The court expressed approval to Dr. Mariouw’s plan on how to proceed.

II. PRESERVATION

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