PRESENT: All the Justices
TANISHA JUANIKA BATES OPINION BY v. Record No. 130259 JUSTICE LEROY F. MILLETTE, JR. JANUARY 10, 2014 COMMONWEALTH OF VIRGINIA
FROM THE CIRCUIT COURT OF PRINCE WILLIAM COUNTY Craig D. Johnston, Judge
In this appeal, we consider whether the circuit court
properly applied Code §§ 19.2-182.3 and 19.2-182.7 to its
findings of fact in determining that Tanisha Juanika Bates,
found not guilty of arson by reason of insanity, required
commitment to inpatient hospitalization.
I. Background
Bates lived in a six unit apartment building in a multi-
building complex in the City of Manassas, Virginia. While in
her apartment, Bates ignited her t-shirt by laying it on the
burner of her stove, then carried it to the bedroom, and set
the t-shirt on the bed. She locked her door and sat down on
the floor of the bedroom with the intent to remain in the
burning building and kill herself, but as the flames grew she
changed her mind. Bates exited the apartment building and
notified her neighbors of the fire. Bates had a loaded firearm
in the apartment at the time of the fire and she later told
investigators that she had tried to use the gun to kill herself
the night prior but it had not worked properly. Bates was indicted for arson in violation of Code § 18.2-
77. The Circuit Court of Prince William County found Bates not
guilty by reason of insanity and remanded her to the temporary
custody of the Commissioner of Mental Health, Mental
Retardation and Substance Abuse Services ("Commissioner") for
an evaluation of treatment options: inpatient hospitalization
or release with or without conditions. See Code § 19.2-182.2.
In accordance with the requirements of Code § 19.2-182.2, one
psychiatrist and one clinical psychologist performed the
evaluation and separately prepared reports for the court,
defense counsel, the Commonwealth, and the Prince William
County Community Services Board ("CSB"). Dr. Jyothi Racha, the
psychiatrist, prepared a report that recommended conditional
release with outpatient treatment. Dr. Abigail W. Cobey, the
licensed clinical psychologist, recommended inpatient
hospitalization.
Dr. Racha's recommendation of conditional release
triggered a portion of Code § 19.2-182.2 which provides, "[i]f
either evaluator recommends conditional release or release
without conditions of the acquittee, the court shall extend the
evaluation period to permit the hospital in which the acquittee
is confined and the appropriate community services board or
behavioral health authority to jointly prepare a conditional
release or discharge plan, as applicable, prior to the
2 hearing." In accordance with Code § 19.2-182.2, the circuit
court extended Bates' temporary custody to allow for further
evaluation and the creation of a conditional release plan.
The Northern Virginia Mental Health Institute ("NVMHI"),
where Bates was confined, and the CSB prepared Bates' court-
ordered conditional release plan. The conditional release plan
proposes that Bates is able to live on her own and attend
outpatient treatment. However, no appropriate Virginia
residence had been located at the time of the plan's creation.
The conditional release plan therefore requires that Bates
remain hospitalized at the NVMHI until an appropriate place of
residence in Virginia is secured, and provides that the CSB
will coordinate changes to Bates' residence and provide case
management for her medication and treatment.
At the request of the Commissioner, the Forensic Review
Panel prepared and submitted to the circuit court a report
containing treatment and release recommendations for Bates.
The Commissioner created the Forensic Review Panel pursuant to
Code § 19.2-182.13 to "ensure that (I) release and privilege
decisions for [acquittees] appropriately reflect clinical,
safety and security concerns; (II) standards for . . .
conditional release [of acquittees] and release planning have
been met, and (III) expert consultation is provided to
treatment teams working with [acquittees]." The Panel
3 concluded that Bates' continued delusions, risk of suicide,
lack of substantial response to treatment, and history of
deadly and dangerous behavior indicated that Bates "cannot be
safely managed in the community at this time." The Panel
recommended continued commitment to inpatient hospitalization
with "gradual preparation for release."
A hearing was held "to determine the appropriate
disposition of the acquittee" in accordance with Code §§ 19.2-
182.3 and 19.2-182.7. After reviewing the conditional release
plan and hearing testimony and argument, the circuit court
found Bates in need of inpatient hospitalization by order
entered on November 7, 2012 and committed her to the custody of
the Commissioner.
Bates appealed the circuit court's decision and we granted
review of the following assignment of error:
The circuit court erred when it ordered Ms. Bates to inpatient hospitalization rather than to conditional release because it incorrectly applied the standards articulated in sections 19.2-182.3 and 19.2- 182.7 of the Virginia Code to its own findings of fact.
II. Discussion
A. Standard of Review
Bates contends that the circuit court misapplied Code
§§ 19.2-182.3 and 19.2-182.7 to determine that she required
commitment to inpatient hospitalization. It is well
4 established that "an issue of statutory interpretation is a
pure question of law which we review de novo." Conyers v.
Martial Arts World of Richmond, Inc., 273 Va. 96, 104, 639
S.E.2d 174, 178 (2007). When reviewing the statutory language,
the Court is "bound by the plain meaning of that language[,
and] must give effect to the legislature's intention as
expressed by the language used unless a literal interpretation
of the language would result in a manifest absurdity." Id.
(citations omitted).
B. Code § 19.2-182.3
The first of the statutes at issue, Code § 19.2-182.3,
provides that the circuit court shall commit a defendant
acquitted of a crime by reason of insanity "if it finds that
[s]he has mental illness or intellectual disability and is in
need of inpatient hospitalization." The circuit court is to
base its decision upon "consideration" of the following four
factors:
1. To what extent the acquittee has mental illness or intellectual disability. . . ;
2. The likelihood that the acquittee will engage in conduct presenting a substantial risk of bodily harm to other persons or to himself in the foreseeable future;
3. The likelihood that the acquittee can be adequately controlled with supervision and treatment on an outpatient basis; and
5 4. Such other factors as the court deems relevant.
Code § 19.2-182.3.
Bates contends that, although the circuit court properly
considered factor 1 of the Code § 19.2-182.3 evaluation, it
subsequently erred by ignoring the remaining factors. The
Commonwealth contends that the circuit court considered each of
the four factors of the Code § 19.2-182.3 evaluation. We agree
with the Commonwealth and find that the circuit court properly
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PRESENT: All the Justices
TANISHA JUANIKA BATES OPINION BY v. Record No. 130259 JUSTICE LEROY F. MILLETTE, JR. JANUARY 10, 2014 COMMONWEALTH OF VIRGINIA
FROM THE CIRCUIT COURT OF PRINCE WILLIAM COUNTY Craig D. Johnston, Judge
In this appeal, we consider whether the circuit court
properly applied Code §§ 19.2-182.3 and 19.2-182.7 to its
findings of fact in determining that Tanisha Juanika Bates,
found not guilty of arson by reason of insanity, required
commitment to inpatient hospitalization.
I. Background
Bates lived in a six unit apartment building in a multi-
building complex in the City of Manassas, Virginia. While in
her apartment, Bates ignited her t-shirt by laying it on the
burner of her stove, then carried it to the bedroom, and set
the t-shirt on the bed. She locked her door and sat down on
the floor of the bedroom with the intent to remain in the
burning building and kill herself, but as the flames grew she
changed her mind. Bates exited the apartment building and
notified her neighbors of the fire. Bates had a loaded firearm
in the apartment at the time of the fire and she later told
investigators that she had tried to use the gun to kill herself
the night prior but it had not worked properly. Bates was indicted for arson in violation of Code § 18.2-
77. The Circuit Court of Prince William County found Bates not
guilty by reason of insanity and remanded her to the temporary
custody of the Commissioner of Mental Health, Mental
Retardation and Substance Abuse Services ("Commissioner") for
an evaluation of treatment options: inpatient hospitalization
or release with or without conditions. See Code § 19.2-182.2.
In accordance with the requirements of Code § 19.2-182.2, one
psychiatrist and one clinical psychologist performed the
evaluation and separately prepared reports for the court,
defense counsel, the Commonwealth, and the Prince William
County Community Services Board ("CSB"). Dr. Jyothi Racha, the
psychiatrist, prepared a report that recommended conditional
release with outpatient treatment. Dr. Abigail W. Cobey, the
licensed clinical psychologist, recommended inpatient
hospitalization.
Dr. Racha's recommendation of conditional release
triggered a portion of Code § 19.2-182.2 which provides, "[i]f
either evaluator recommends conditional release or release
without conditions of the acquittee, the court shall extend the
evaluation period to permit the hospital in which the acquittee
is confined and the appropriate community services board or
behavioral health authority to jointly prepare a conditional
release or discharge plan, as applicable, prior to the
2 hearing." In accordance with Code § 19.2-182.2, the circuit
court extended Bates' temporary custody to allow for further
evaluation and the creation of a conditional release plan.
The Northern Virginia Mental Health Institute ("NVMHI"),
where Bates was confined, and the CSB prepared Bates' court-
ordered conditional release plan. The conditional release plan
proposes that Bates is able to live on her own and attend
outpatient treatment. However, no appropriate Virginia
residence had been located at the time of the plan's creation.
The conditional release plan therefore requires that Bates
remain hospitalized at the NVMHI until an appropriate place of
residence in Virginia is secured, and provides that the CSB
will coordinate changes to Bates' residence and provide case
management for her medication and treatment.
At the request of the Commissioner, the Forensic Review
Panel prepared and submitted to the circuit court a report
containing treatment and release recommendations for Bates.
The Commissioner created the Forensic Review Panel pursuant to
Code § 19.2-182.13 to "ensure that (I) release and privilege
decisions for [acquittees] appropriately reflect clinical,
safety and security concerns; (II) standards for . . .
conditional release [of acquittees] and release planning have
been met, and (III) expert consultation is provided to
treatment teams working with [acquittees]." The Panel
3 concluded that Bates' continued delusions, risk of suicide,
lack of substantial response to treatment, and history of
deadly and dangerous behavior indicated that Bates "cannot be
safely managed in the community at this time." The Panel
recommended continued commitment to inpatient hospitalization
with "gradual preparation for release."
A hearing was held "to determine the appropriate
disposition of the acquittee" in accordance with Code §§ 19.2-
182.3 and 19.2-182.7. After reviewing the conditional release
plan and hearing testimony and argument, the circuit court
found Bates in need of inpatient hospitalization by order
entered on November 7, 2012 and committed her to the custody of
the Commissioner.
Bates appealed the circuit court's decision and we granted
review of the following assignment of error:
The circuit court erred when it ordered Ms. Bates to inpatient hospitalization rather than to conditional release because it incorrectly applied the standards articulated in sections 19.2-182.3 and 19.2- 182.7 of the Virginia Code to its own findings of fact.
II. Discussion
A. Standard of Review
Bates contends that the circuit court misapplied Code
§§ 19.2-182.3 and 19.2-182.7 to determine that she required
commitment to inpatient hospitalization. It is well
4 established that "an issue of statutory interpretation is a
pure question of law which we review de novo." Conyers v.
Martial Arts World of Richmond, Inc., 273 Va. 96, 104, 639
S.E.2d 174, 178 (2007). When reviewing the statutory language,
the Court is "bound by the plain meaning of that language[,
and] must give effect to the legislature's intention as
expressed by the language used unless a literal interpretation
of the language would result in a manifest absurdity." Id.
(citations omitted).
B. Code § 19.2-182.3
The first of the statutes at issue, Code § 19.2-182.3,
provides that the circuit court shall commit a defendant
acquitted of a crime by reason of insanity "if it finds that
[s]he has mental illness or intellectual disability and is in
need of inpatient hospitalization." The circuit court is to
base its decision upon "consideration" of the following four
factors:
1. To what extent the acquittee has mental illness or intellectual disability. . . ;
2. The likelihood that the acquittee will engage in conduct presenting a substantial risk of bodily harm to other persons or to himself in the foreseeable future;
3. The likelihood that the acquittee can be adequately controlled with supervision and treatment on an outpatient basis; and
5 4. Such other factors as the court deems relevant.
Code § 19.2-182.3.
Bates contends that, although the circuit court properly
considered factor 1 of the Code § 19.2-182.3 evaluation, it
subsequently erred by ignoring the remaining factors. The
Commonwealth contends that the circuit court considered each of
the four factors of the Code § 19.2-182.3 evaluation. We agree
with the Commonwealth and find that the circuit court properly
evaluated each of the four factors of Code § 19.2-182.3 in
reaching its decision to commit Bates to inpatient
First, the circuit court made a clear finding of mental
illness and evaluated the extent of her illness in satisfaction
of factor 1 when it concluded that Bates suffers from a mental
illness of such a severity that it led her to burn down the
apartment complex in which she was living.
The circuit court also considered factor 2, indicating its
acceptance of medical professionals' opinions that "absent
treatment, medication, and supervision and monitoring, there is
a substantial . . . and unacceptable risk that she will relapse
in some fashion with the risk of the same thing happening."
The court recognized that Bates has placed herself and others
in danger by setting her apartment on fire in the past, and
6 that there is a substantial risk that she will do so again. We
find that these statements demonstrate that the circuit court
considered whether Bates was likely, absent sufficient
monitoring and treatment, to place herself or others in
substantial risk of bodily harm.
In evaluating factor 3, the circuit court acknowledged
that, according to the NVMHI and the CSB, Bates was "ready to
leave" inpatient hospitalization. However, the court also
found that there is currently no means for controlling her on
an outpatient basis. The court held that the CSB had not
provided any "mechanism by which they can assist in conditional
release," and that "there is no appropriate outpatient
supervision and treatment reasonably available." Considering
the options available to it, the court stated:
Once she gets out, what's going to happen? And if she goes to Ohio, that's unacceptable. If she gets out and she is thrown into the community with no job, no place to live. Or I continue where she is and try to structure some plan that doesn't fit anything [the CSB] do[es] on a routine basis or I order them to let her out three hours a day, even though they don't have any way to supervise her. And it's not in [the CSB's] jurisdiction, so who is she going to report to and who is going to go get her and who is going to take her to that job and bring her back from that job, the practical implementation of it.
7 Thus, in satisfaction of factor 3, the circuit court thoroughly
evaluated whether the CSB could adequately control Bates with
supervision and treatment on an outpatient basis and determined
that the necessary treatment and supervision was not available.
The circuit court also considered the proposition that
Bates return to her family in Ohio on unconditional release.
The court rejected the proposition because such a plan would
"present[] an unacceptable risk that she will have a falling
out with [her family] and who knows what will happen in Ohio."
Therefore, the circuit court completed a thorough
evaluation of each of the factors required by Code § 19.2-182.3
to determine that Bates required commitment to inpatient
C. Code § 19.2-182.7
The second statute at issue, Code § 19.2-182.7, requires a
circuit court, any time it considers the acquittee's need for
inpatient hospitalization, to order conditional release of the
acquittee if it finds that each of the following four factors
have been met:
(i) based on consideration of the factors which the court must consider in its commitment decision, [s]he does not need inpatient hospitalization but needs outpatient treatment or monitoring to prevent [her] condition from deteriorating to a degree that [s]he would need inpatient hospitalization;
8 (ii) appropriate outpatient supervision and treatment are reasonably available;
(iii) there is significant reason to believe that the acquittee, if conditionally released, would comply with the conditions specified; and
(iv) conditional release will not present an undue risk to public safety.
Code § 19.2-182.7 also specifies that "[t]he court shall
subject a conditionally released acquittee to such orders and
conditions it deems will best meet the acquittee's need for
treatment and supervision and best serve the interests of
justice and society."
Bates contends that the circuit court erroneously relied
solely upon the recommendations included in the conditional
release plan prepared by the NVMHI and the CSB to determine
that the elements of Code § 19.2-182.7 were not satisfied.
Bates further argues that Code § 19.2-182.7 places the burden
on the circuit court, not mental health evaluators and the
community services board, to find an appropriate conditional
release plan. Bates alleges that the circuit court, by
refusing to acknowledge this statutory burden, limited Bates'
options for conditional release and caused her unnecessary
commitment to inpatient hospitalization. We do not agree.
As addressed in our consideration of the circuit court's
evaluation of Code § 19.2-182.3, the court completed a thorough
9 evaluation of the supervision and treatment options before it,
and determined that no appropriate supervision and treatment
options were available. The court found that inpatient
hospitalization was necessary for the safety of Bates and the
public. Therefore, Bates' circumstances failed to satisfy each
of the elements required for conditional release under Code
§ 19.2-182.7.
Moreover, Code § 19.2-182.7 does not, by its plain
language, place a duty on the circuit court to seek out an
appropriate plan for the treatment of an acquittee through
conditional release when the acquittee's circumstances do not
satisfy the elements of Code § 19.2-182.7. It is well
established that "we must assume that the General Assembly
chose, with care, the words it used in enacting the statute."
Hollingsworth v. Norfolk S. Ry., 279 Va. 360, 366, 689 S.E.2d
651, 654 (2010)(quoting Halifax Corp. v. First Union Nat'l
Bank, 262 Va. 91, 100, 546 S.E.2d 696, 702 (2001)). Code
§ 19.2-182.7 provides that "[t]he court shall subject a
conditionally released acquittee to such orders and conditions
it deems will best meet the acquittee's need for treatment and
supervision and best serve the interests of justice and
society." (Emphasis added.) We must assume that the General
Assembly's specific reference to "a conditionally released
acquittee" rather than "each acquittee" or "an acquittee" was
10 intentional. We therefore hold that Code § 19.2-182.7 imposes
upon the circuit court a duty to assign orders and conditions
for an acquittee's treatment and supervision only when each
element of Code § 19.2-182.7 is met and the acquittee is
eligible for conditional release. Accordingly, Code § 19.2-
182.7 does not direct that the circuit court has an affirmative
duty to locate an alternative residence that might make an
otherwise unacceptable conditional release plan acceptable.
The statute does not require the circuit court to fashion
an appropriate plan for Bates' outpatient treatment and
supervision when it had already determined that Bates was not
eligible for conditional release, and that she required
inpatient hospitalization. This result does not confine Bates
to inpatient hospitalization indefinitely, nor does it preclude
review of her commitment to inpatient hospitalization before
her annual review. Code § 19.2-182.6(A) provides, "[t]he
Commissioner may petition the committing court for conditional
or unconditional release of the acquittee at any time he
believes the acquittee no longer needs hospitalization."
(Emphasis added.) Thus, pursuant to the statutory scheme, if
the Commissioner at any time finds a suitable residence for
Bates and an appropriate conditional release plan for her
outpatient treatment and supervision, Code § 19.2-182.6(A)
grants him the statutory right to petition the circuit court to
11 consider the new developments and request Bates' release from
inpatient hospitalization. *
III. Conclusion
For the aforementioned reasons, we will affirm the circuit
court's application of Code §§ 19.2-182.3 and 19.2-182.7 to the
present case and its determination that the particular
circumstances warranted Bates' commitment to inpatient
Affirmed.
* The same Code provision recognizes that periodic review will be undertaken as required pursuant to Code § 19.2-182.5 and that the acquittee herself may petition for review of the commitment in any year where no annual review would otherwise be required.