Doe v. Lifestance Health Inc

District Court, W.D. Washington·Decided October 8, 2024·No. 2:23-cv-01441·Unknown

Opinion

UNITED STATES DISTRICT COURT AT SEATTLE JANE DOE, CASE NO. C23-1441-KKE Plaintiff, ORDER GRANTING IN PART AND DENYING IN PART DEFENDANTS’ v. MOTION FOR SUMMARY JUDGMENT LIFESTANCE HEALTH INC et al., Defendants.

Plaintiff Jane Doe, an adult mental health care patient, and TJ Carver, her therapist, engaged in a sexual romantic relationship while she was receiving treatment at Lifestance Health. Plaintiff now sues three Lifestance entities—Lifestance Health, Inc.; Lifestance Health, LLC; and Lifestance Health Group, Inc. (collectively, “Defendants”)—alleging that Defendants are liable for Carver’s conduct. Doe asserts claims for vicarious liability, negligent supervision, hiring and retention, as well as breach of fiduciary duties, intentional infliction of emotional distress, and negligent infliction of emotional distress. Defendants move for summary judgment on all Plaintiff’s claims. Dkt. No. 19. Because Doe raises material issues of fact with respect to whether Carver posed a risk of harm and whether Defendants knew or should have known about the risk he purportedly presented during his employment, the Court grants in part and denies in part Defendants’ motion for summary judgment.

A. Undisputed Facts Lifestance is a publicly held company with multiple subsidiaries, including Lifestance Health, Inc. and Lifestance Health Group, Inc.1 Dkt. No. 20 ¶ 2. In April 2021, Lifestance Health, Inc. (“Lifestance”), hired Carver as a Licensed Marriage and Family Therapist (“LMFT”) at its Gig Harbor, Washington office. Id. ¶ 5. As an LMFT, Carver did not hold supervisory responsibilities, and no employees reported to him. Dkt. No. 21 ¶ 3. To be hired, Carver needed to pass a provider credentialing process, which included running his credentialing application, education, job history, social security number, and national provider identification number through a National Practitioner Database. Dkt. No. 20 ¶ 6. Lifestance also verified Carver’s educational background and ran his information through the System Award Management database for federal contractors and the Washington State Department of Health’s database. Id. Carver passed the credentialing process, and his application raised no red flags. Id.; Dkt. No. 20-1 at 4–6. Lifestance also required Carver to complete its training process. Dkt. No. 20 ¶ 6. Specifically, Carver received training on the prohibition against romantic relationships with patients, which is explained in the Code of Ethics of the American Association for Marriage and Family Therapy and the Washington Administrative Code. Dkt. No. 21 ¶ 4. Lifestance also incorporated this prohibition in its code of conduct and employee handbook that Carver signed and agreed to before starting work. Dkt. No. 20-1 at 9, 15, 18.

1 Lifestance also formerly included Lifestance Health, LLC as a subsidiary, but it withdrew its registration to do business in Washington on December 15, 2020, and no longer exists. Id. ¶ 4 Dr. Curtis Greenfield served as Lifestance’s Regional Clinical Director for Washington and Carver’s supervisor during Carver’s tenure at the organization. Dkt. No. 21 ¶ 1, Dkt. No. 23- 1 at 34. In late 2021 or early 2022, a patient named Hillary called Greenfield to lodge a complaint

against Carver for making inappropriate comments and oversharing during their sessions. Dkt. No. 21-1 at 10; Dkt. No. 23-1 at 40, 44. In particular, Hillary complained that Carver disclosed too much personal information regarding his recovery from alcoholism. Dkt. No. 23-1 at 27. In response, Greenfield documented her complaint and referred her to another therapist. Id. Greenfield also coached Carver on the incident, and they “role-played appropriate self-disclosure.” Id. at 28. He did not notify other Lifestance employees about this complaint, nor monitor Carver more closely after this incident. Id. at 27; Dkt. No. 22-1 at 59. This was the only patient complaint Greenfield received about Carver. Dkt. No. 22-1 at 57. In August 2021, Doe sought treatment for depression and alcoholism from Lifestance. Dkt.

No. 23-1 at 9–10. Defendants referred Doe to Carver. Id. Doe previously made “suicidal gestures” and struggled with self-harm and alcohol abuse. Id. at 8–9. Before her therapy started, she signed a release in which she acknowledged that she could refuse treatment and terminate therapy at any time, that “sexual intimacy is not appropriate in the context of a professional relationship and…must be reported to applicable state regulators,” and that if she had concerns about how her provider is treating her, she should raise them to other Lifestance personnel. Dkt. No. 20-1 at 22–24; see also Dkt. No. 22-1 at 14, 21. Carver and Doe began a consensual, romantic relationship in January 2022. Dkt. No. 22- 1 at 18. Doe did not report Carver’s conduct to state regulators at any point while she was his patient. Dkt. No. 23-1 at 17. Instead, they hid their romantic relationship from Lifestance. Dkt.

No. 22-1 at 21. In one instance, Doe and Carver were sexually intimate at the Lifestance office after hours. Id. at 23. No one else was present at the office, there were no video cameras at the facility, and Doe did not notify Lifestance personnel about the incident. Id. at 24, 60–61. At the end of February 2022, Doe stopped therapy with Carver out of concern that Lifestance would discover their relationship. Id. at 25. Doe did not ask Lifestance to refer her to another therapist;

instead, she found another therapist a few months after terminating sessions with Carver. Id. at 26. On Friday, July 15, 2022, the Washington Department of Health (“DOH”) contacted Lifestance and notified Greenfield that a DOH complaint had been filed against Carver for having a romantic relationship with a patient. Dkt. No. 22-1 at 62, 74. Greenfield then contacted Megan Letts, Lifestance’s Human Resources Director. Id. at 74. The same day, Letts and Greenfield met with Carver, who admitted to having a romantic relationship with a patient. Id. at 62–63, 76. Carver also admitted that he understood that the relationship was a violation of his license and Lifestance policies. Id. at 77–78. Lifestance immediately placed him on administrative leave that

Friday and terminated his employment the following Monday, July 18, 2022. Id. at 76. In December 2022, Carver ended his romantic relationship with Doe. Id. at 44. A month later, Doe attempted suicide and was hospitalized for her injuries. Id. at 45–46. Doe states that she tried to commit suicide because Carver “left out of nowhere[,] took my house…and took my community.” Id. at 45. B. Disputed Facts Plaintiff claims that disputed facts remain as to whether Carver presented a risk of harm to others, whether Lifestance knew or reasonably should have known about this risk, and whether Doe suffered emotional distress and injury from Carver’s actions. First, the parties dispute the

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