Almgren v. Rush-Presbyterian-St. Luke's Medical Center

608 N.E.2d 92, 240 Ill. App. 3d 585, 181 Ill. Dec. 19, 1992 Ill. App. LEXIS 1991
CourtAppellate Court of Illinois
DecidedDecember 8, 1992
Docket1-89-3263
StatusPublished
Cited by5 cases

This text of 608 N.E.2d 92 (Almgren v. Rush-Presbyterian-St. Luke's Medical Center) is published on Counsel Stack Legal Research, covering Appellate Court of Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Almgren v. Rush-Presbyterian-St. Luke's Medical Center, 608 N.E.2d 92, 240 Ill. App. 3d 585, 181 Ill. Dec. 19, 1992 Ill. App. LEXIS 1991 (Ill. Ct. App. 1992).

Opinion

JUSTICE McCORMICK

delivered the opinion of the court:

Cheryl Almgren sued Rush-Presbyterian-St. Luke’s Medical Center for malpractice based in part on the acts of Dr. Renee Mehlinger, a psychiatric resident who treated plaintiff at the hospital. Plaintiff brings an interlocutory appeal from an order permitting defendant’s attorneys to have private discussions with Dr. Mehlinger.

On March 30, 1986, Dr. Mehlinger issued a pass to plaintiff, who was then a psychiatric in-patient in defendant’s care, authorizing plaintiff to leave the hospital. According to the complaint, while plaintiff was out on the pass, she wandered aimlessly in a psychotic state until she was struck by a Chicago Transit Authority (CTA) train in a subway station. She suffered severe injuries.

Plaintiffs attorney scheduled a deposition of Dr. Mehlinger, and prior to the deposition, defendant sought leave to conduct an ex parte interview of Dr. Mehlinger. The trial court granted defendant’s motion, staying enforcement of the order pending this appeal.

The parties agreed that this court has jurisdiction over the interlocutory appeal under the Mental Health and Developmental Disabilities Confidentiality Act (hereinafter Act) (Ill. Rev. Stat. 1991, ch. 91V2, par. 801 et seq.), which provides that any court order permitting or disallowing a therapist’s disclosure of communications with a client “shall be considered a final order for purposes of appeal and shall be subject to interlocutory appeal.” (Ill. Rev. Stat. 1991, ch. 911/2, par. 810(b).) We questioned jurisdiction sua sponte in light of Kmoch v. Klein (1991), 214 Ill. App. 3d 185, 573 N.E.2d 267. In that case, the Appellate Court, Second District, found that the Act’s provision for interlocutory appeal was an unconstitutional infringement upon the supreme court’s rulemaking power. (Kmoch, 214 Ill. App. 3d at 194.) The parties have submitted supplemental briefs. Since the case involves a challenge to the constitutionality of a State statute, we notified the Attorney General of the State of Illinois, who decided not to brief the issue. We find that the Act does not conflict with supreme court, rules since orders appealable under the Act are also appealable under Supreme Court Rule 307(a)(1) (134 Ill. 2d R. 307(a)(1)), which permits interlocutory appeals from orders granting or denying injunctions.

This court looks to the substance and effect of an order, not its form, to determine whether it is an appealable injunctive order. (In re a Minor (1989), 127 Ill. 2d 247, 260, 537 N.E.2d 292.) In In re Marriage of Lombaer (1990), 200 Ill. App. 3d 712, 558 N.E.2d 388, the trial court ordered the deposition of the petitioner’s treating psychiatrist, and the petitioner took an interlocutory appeal. The appellate court found that it had jurisdiction to hear the appeal under Rule 307(aXl) because the order effectively enjoined the petitioner from asserting her therapist-patient privilege. Lombaer, 200 Ill. App. 3d at 721.

The court in Kmoch rejected the reasoning of Lombaer based on People ex rel. Scott v. Silverstein (1981), 87 Ill. 2d 167, 429 N.E.2d 483. In Silverstein a defendant subpoenaed a reporter and the trial court denied the reporter’s motion to quash. The reporter appealed and our supreme court found that it did not have jurisdiction under Supreme Court Rule 301 (73 Ill. 2d R. 301) to hear the appeal. The court noted that the parties did not argue that Rule 307 applied. (Scott, 87 Ill. 2d at 171.) The court stated that discovery orders are not made appealable under Rule 307, explaining that “¡preliminary orders in a pending case are not appealable because they are reviewable on appeal from the final order.” (Scott, 87 Ill. 2d at 171.) The court did not attempt to define when an order with injunctive effect which also affected discovery would constitute a nonappealable discovery order and when it would constitute an injunction appealable under Rule 307.

Subsequently, in In re a Minor, the court explained that Rule 307 does not permit appeals from “[ojrders of the circuit court which can be properly characterized as ‘ministerial,’ or ‘administrative’ — because they regulate only the procedural details of litigation before the court.” (In re a Minor, 127 Ill. 2d at 262.) The court held that when such ministerial orders have injunctive effect, they “may be considered noninjunctive because they *** do not affect the relationship of the parties in their everyday activity apart from the litigation, and are therefore distinguishable from traditional forms of injunctive relief.” In re a Minor, 127 Ill. 2d at 262.

Thus, orders are ministerial discovery orders, and not appealable, when they have no effect apart from the litigation, and when they are effectively reviewable on appeal from the final judgment. If an order has injunctive effect on the parties apart from its effect on the litigation, and that effect cannot be undone if the order is erroneous, the order is not merely a preliminary discovery order, but rather an appealable injunction.

The plaintiff’s privilege in this case cannot be effectively restored on review from the final judgment after trial. If this court lacks jurisdiction to consider her privilege now, defense counsel will conduct the ex parte interview with Dr. Mehlinger, in which Dr. Mehlinger may disclose information she gained from plaintiff in confidence because of the therapist-patient relationship. Once the doctor has made such disclosure permitted by the trial court’s order, nothing this court can do can ever restore the complete confidentiality so essential to an effective treatment relationship between the therapist and her patient. See Laurent v. Brelji (1979), 74 Ill. App. 3d 214, 217, 392 N.E.2d 929.

Neither can plaintiff here appeal from the order in the manner suggested in Silverstein for obtaining review of discovery orders. The court there reminded the parties that “an order cast in terms of a contempt proceeding imposing sanctions is a final and appealable order and has been held to be an appropriate method for testing pretrial discovery orders.” (Silverstein, 87 Ill. 2d at 171-72.) While the order here prevents plaintiff from asserting her therapist-patient privilege, there are no acts plaintiff can take in defiance of the order, no matter how contemptuous of the court, to obtain review of the court’s order in a contempt proceeding.

Therefore, the grounds asserted in Silverstein for denying appeal from preliminary discovery orders do not apply to this case. The order is not merely an administrative order which, if it is in error, this court can effectively correct on review from the final judgment; rather, once the therapist discloses the substance of her confidential conversations with her patient to any person outside of the therapeutic relationship, this court is powerless to undisclose the information.

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608 N.E.2d 92, 240 Ill. App. 3d 585, 181 Ill. Dec. 19, 1992 Ill. App. LEXIS 1991, Counsel Stack Legal Research, https://law.counselstack.com/opinion/almgren-v-rush-presbyterian-st-lukes-medical-center-illappct-1992.