Conservatorship of M.B.

CourtCalifornia Court of Appeal
DecidedSeptember 12, 2018
DocketA152586
StatusPublished

This text of Conservatorship of M.B. (Conservatorship of M.B.) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Conservatorship of M.B., (Cal. Ct. App. 2018).

Opinion

Filed 8/20/18; Modified and Certified for Partial Publication 9/12/18 (order attached)

IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA

FIRST APPELLATE DISTRICT

DIVISION FIVE

Conservatorship of the Person of M.B.

ALAMEDA COUNTY PUBLIC GUARDIAN,

Petitioner and Respondent, A152586

v. (Alameda County M.B., Super. Ct. No. RM16800412) Objector and Appellant.

M.B. (Minor) appeals from the order appointing the Alameda County Public Guardian (Public Guardian) as the conservator of her person pursuant to the Lanterman- Petris-Short Act (the Act or the LPS Act). (Welf. & Inst. Code, § 5000 et seq.)1 Minor argues the order should be reversed because the conservatorship investigator failed to conduct an investigation of all available alternatives to conservatorship. She also contends the Public Guardian failed to prove she was gravely disabled, and there was

1 All undesignated statutory references are to the Welfare and Institutions Code. Although the underlying petition refers to petitioner as the “Public Conservator,” respondent’s brief refers to petitioner as the “Public Guardian.” We adopt the terminology used in respondent’s brief. 1 insufficient evidence to support her placement at Star View Adolescent Center (Star View). We disagree and affirm. FACTUAL AND PROCEDURAL BACKGROUND On March 30, 2017, the Public Guardian petitioned the superior court to establish a conservatorship of the person for Minor, who was admitted to John Muir Behavioral Health Center (John Muir) on March 16, 2017. (§ 5352.) Minor was 16 years old, and she was placed in the care of Alameda County’s Child Protective Services (CPS) over a year earlier. While a juvenile dependent, Minor suffered multiple involuntary hospitalizations.2 She presented at John Muir “with suicidal ideation and poor impulse control.” On the same day the petition was filed, the court appointed the Public Guardian as Minor’s temporary conservator. After a number of continuances, the court held a bench trial on the petition for appointment of a conservator on August 4 and 29, 2017. Based on testimony from Minor, her psychiatrist, her child welfare worker, the conservatorship investigator, and her therapist, the court granted the petition. The conservatorship will automatically terminate on August 29, 2018. Testimony of Minor’s Psychiatrist Kira Ann Williams, M.D., an expert in psychiatry, was Minor’s treating psychiatrist since her admission to Star View in April 2017. Dr. Williams diagnosed Minor as suffering from “post-traumatic stress disorder, and [a] major depress[ive] disorder [that is] recurrent, severe, with psychotic features.” Minor heard voices telling her she had no reason to live. Minor had a history of “very significant mood fluctuations[,] including depressive symptoms, auditory hallucinations, a lot of anxiety,

2 The Welfare and Institutions Code authorizes an involuntary 72-hour detention of a person who “as a result of a mental health disorder, is a danger to others, or to himself or herself, or [is] gravely disabled[.]” (§ 5150, subd. (a).) This detention is often referred to as a “5150 hold.” After 72 hours, the individual may be certified for up to 14 additional days of intensive treatment if he or she is still gravely disabled or dangerous. (§ 5250.) 2 frequent bouts of agitation and irritability, feelings of hopelessness, changes in her sleep patterns, flashbacks, [and] intrusive thoughts about a prior trauma. [¶] . . . [S]he had . . . 12 or 13 hospitalizations in the period from September 2015 until she was admitted to Star View in April of 2017.” Minor threatened to tie a pillow case around her neck, and smother her roommate. Dr. Williams explained that Minor was the victim of a crime, and it is common for young victims of serious crimes to experience negative moods, and to feel that life has no point. Dr. Williams testified that Star View consists of a community treatment facility (CTF) and a psychiatric health facility (PHF). The CTF has a school, and persons in the CTF can leave the building on group outings. The PHF is “a more acute facility.” When Minor was first admitted to Star View on April 3, 2017, she was admitted to the PHF, but she transitioned to the CTF on June 1, 2017. According to Dr. Williams, during her first two months at Star View, Minor was “doing quite well,” but, around the middle of July 2017, she had “an acute change in her mental status.” Minor experienced “some auditory hallucinations, . . . [felt] more depressed, . . . [and had] increased thoughts of wanting to hurt herself.” She engaged in “superficial self-injury” by picking at old wounds, and she scratched herself “hard enough to draw blood.” Minor voiced “suicidal intent,” and mentioned to a staff member she did not feel safe without supervision. As a result of her “acute decompensation,” Minor was placed on a “line-of-sight precaution,” which meant a staff member could observe her at all times, except in the bathroom. Dr. Williams opined that Minor’s decompensation was triggered by a difficult conversation with her child welfare worker, and frustration with her mother, whom Minor felt “wasn’t doing the things that she was required to do in order to get her back.” At the time of Dr. Williams’s testimony in August 2017, Minor was no longer on a line-of-sight precaution. Minor was prescribed a number of drugs, including an antipsychotic, and a drug for post-traumatic stress disorder.

3 Dr. Williams had no reason to think Minor would not take her medication if she was not at Star View. However, Dr. Williams opined that Minor was not ready for a lower level of care, “[e]specially given the more recent decompensation. The degree to which she kind of fell off of her trajectory is concerning. [¶] She still needs time to learn some appropriate coping skills, and not allow these disappointments to get her to a point where she thinks her life is not worth living.” If Minor had been at home when her most recent decompensation occurred, Dr. Williams opined she would likely have ended up “back in a hospital setting.” Minor was likely to leave an unsecured facility because “she desperately wants to be reunited with her mother.” According to Dr. Williams, Minor had “a long way to go in terms of dealing with her trauma, and really addressing her feelings of guilt and shame around it.” Testimony of Minor’s Child Welfare Worker Angelique Hadden had monthly face-to-face meetings with Minor since becoming her child welfare worker in December 2015. During this time, Minor was hospitalized about 15 or 16 times pursuant to section 5150. From February 2016 to June 2016, Minor was placed with her aunt in Stockton, California. While living with her aunt, Minor met with therapists and a support worker, and Minor’s aunt was “open to all the supports.” Minor had visits from her grandfather, and also one visit from her mother—who lived in Las Vegas, Nevada. Nevertheless, Minor experienced about five involuntary hospitalizations during her placement at her aunt’s home. Minor’s aunt felt “overwhelmed,” reporting that Minor wrote a suicide note. The aunt was raising two other children, one of whom stated she also wanted to kill herself, and the aunt’s work schedule required her to commute each day from Stockton to the Bay Area. The aunt was concerned that Minor was often unsupervised. After a group meeting involving Minor’s aunt, mother, and her therapists, Minor was placed “in a group home, where she could have 24 hour supervision, for safety reasons[.]” Minor went to Charis Group Home (Charis), where she remained for almost six months, from June to December 2016. At Charis, Minor was placed in the “Level 14

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