Charles C. Rouse v. Dale C. Cameron, Superintendent, Saint Elizabeths Hospital

373 F.2d 451
CourtCourt of Appeals for the D.C. Circuit
DecidedApril 4, 1967
Docket19-1177
StatusPublished
Cited by190 cases

This text of 373 F.2d 451 (Charles C. Rouse v. Dale C. Cameron, Superintendent, Saint Elizabeths Hospital) is published on Counsel Stack Legal Research, covering Court of Appeals for the D.C. Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Charles C. Rouse v. Dale C. Cameron, Superintendent, Saint Elizabeths Hospital, 373 F.2d 451 (D.C. Cir. 1967).

Opinions

BAZELON, Chief Judge.

In this habeas corpus case appellant attacks his confinement in Saint Elizabeths Hospital. He was involuntarily committed1 in November 1962 by the Municipal Court,' now the Court of General Sessions, upon finding him not guilty by reason of insanity of carrying a dangerous weapon, a misdemeanor for which the maximum imprisonment is one year.2 The District Court has held a hearing and denied relief in habeas corpus. It refused to consider appellant’s contention that he has received no psychiatric treatment. The judge said:

My jurisdiction is limited to determining whether he has recovered his sanity. I don’t think I have a right to consider whether he is getting enough' treatment. * * * .

I

The principal issues raised by this ap-. peal are whether a person involuntarily committed to a mental hospital on being acquitted of an offense by reason of insanity has a right to treatment that is cognizable in habeas corpus, and if so, how violation of this right may be established.

The purpose of involuntary hospitalization is treatment, not punishment.3 The provision for commitment [453]*453rests upon the supposed “necessity for treatment of the mental condition which led to the acquittal by reason of insanity.”4 Absent treatment, the hospital is “transform [ed ] * * * into a penitentiary where one could be held indefinitely for no convicted offense, and this even though the offense of which he was previously acquitted because of doubt, as to his sanity might not have been one of the more serious felonies” 5 or might have been, as it was here, a misdemeanor.

Absence of treatment “might draw into question ‘the constitutionality of [this] mandatory commitment section’ as applied.”6 (1) Lack of improvement raises a question of procedural due process where the commitment is under D.C. Code § 24-301 rather than under the civil commitment statute,7 for under § 24-301 commitment is summary, in contrast with civil commitment safeguards.8 It does not rest on any finding of present insanity and dangerousness but, on the contrary, orf a jury’s reasonable doubt that the defendant was sane when he committed the act charged. Commitment on this basis is permissible because of its humane therapeutic goals.9 (2) Had appellant been found criminally responsible, he could have been confined a year, at most, however dangerous he might have been. He has been confined four years and the end is not in sight. Since this difference rests only on need for treatment,10 a failure to supply treatment may raise a question of due process of law. It has also been suggested that a failure to supply treatment may violate the equal protection clause.11 (3) Indefinite confinement without'treatment of one who has been found not criminally responsible may be so inhumane as to be “cruel and unusual punishment.”12

Impressed by the considerable constitutional problems that arise because “institutionalized patients often receive only custodial 'care,”13 Congress established a statutory “right to treatment” in the 1964 Hospitalization of the Mentally 111 Act. The Act provides:

A person hospitalized in a public hospital for a mental illness shall, during his hospitalization, he entitled to med-’ ' ical and psychiatric care and treatment. The administrator of each pub[454]*454Jic hospital shall keep records detailing all medical and psychiatric care and treatment received by a person hospitalized for a mental illness and the records shall be made available, upon that person's written authorization, to his attorney or personal physician.14

It appears that this provision, like the one limiting the use of mechanical restraints,15 was intended to cover persons hospitalized under any statutory authorization. Other sections of the Act apply only to patients “hospitalized pursuant to [the 1964 Act],”16 or to “mentally ill persons,”

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Bluebook (online)
373 F.2d 451, Counsel Stack Legal Research, https://law.counselstack.com/opinion/charles-c-rouse-v-dale-c-cameron-superintendent-saint-elizabeths-cadc-1967.