Green v. Healthcare Services

CourtCalifornia Court of Appeal
DecidedAugust 31, 2021
DocketG057950
StatusPublished

This text of Green v. Healthcare Services (Green v. Healthcare Services) 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
Green v. Healthcare Services, (Cal. Ct. App. 2021).

Opinion

Filed 8/31/21

CERTIFIED FOR PUBLICATION

IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA

FOURTH APPELLATE DISTRICT

DIVISION THREE

BARBARA GREEN et al.,

Plaintiffs and Respondents, G057950

v. (Super. Ct. No. 30-2017-00958866)

HEALTHCARE SERVICES, INC., OPINION

Defendant and Appellant.

Appeal from a judgment of the Superior Court of Orange County, Ronald L. Bauer, Judge. Affirmed. Horvitz & Levy, Andrea L. Russi and Robert H. Wright; Horton, Oberrecht, Kirkpatrick & Martha, Kimberly S. Oberrecht and Carolyn A. Mush for Defendant and Appellant. Strassburg, Gilmore and Wei, Justin K. Strassburg, William R. Gilmore, Adam R. Lugo; Esner, Chang & Boyer, Stuart B. Esner, Holly N. Boyer, Shea S. Murphy for Plaintiffs and Respondents. Barbara Green (Barbara) filed this wrongful death action after her son Jeffrey Green (Green) jumped from the roof of drug rehabilitation treatment facility 1 Anaheim Lighthouse (Lighthouse), and ended his life. Lighthouse appeals from the judgment following a jury verdict in Barbara’s favor. Specifically, it asserts the trial court committed reversible error by refusing to instruct the jury Green’s suicide was a superseding cause of harm and on premises liability. It also claims the judgment must be reversed because the court improperly allowed opinion testimony by an undisclosed rebuttal expert. We find no error and affirm the judgment. FACTS I. Green’s Addiction Treatment at Lighthouse Lighthouse is a nonmedical residential detoxification and treatment facility. It is an unlocked, voluntary facility. In his initial intake telephone call with Lighthouse’s salesperson Laura Kurz prior to his admission, Green said he needed to get off the methadone and he wanted to live, but not like this. He stated: “‘Every once in a while, it crosses my mind to end my life, but I want to live.’” Kurz said she often hears this kind of statement because she is usually talking to people on the worst day of their life. Green also told her his father had committed suicide a couple of years before. Green was 33 years old at the time of his admission to Lighthouse. Green had been addicted to oxycontin since age 16, and been taking a high dose of methadone since age 27. Green’s family was present for his intake interview at Lighthouse. No one suggested Green was suicidal, and Green stated he had no suicidal thoughts. In his depression assessment questionnaire, Green responded he had no thoughts of killing himself. Green completed a “no harm contract” where he agreed he was not going to harm himself or attempt suicide.

1 Lighthouse does business as Healthcare Services, Inc.

2 Andrew Jonas, a marriage and family therapist intern, assessed Green upon his arrival. Jonas asked Green about suicide, any history of self-harm, and any desire to hurt himself or end his life. Green told Jonas he had no current or prior thoughts of suicide, hurting himself, or ending his life. Jonas classified Green as “no safety risk” because his only risk factor was a prior family suicide. At trial, the experts disagreed whether Lighthouse should have admitted Green as a patient. Plaintiffs’ expert, Dr. Michel Sucher, opined Green should have been in a medically managed detoxification (detox) program. Lighthouse’s expert, Dr. Mace Beckson, testified Green did not need to be hospitalized for medical detox. He opined an opiate detox for a person who is otherwise young and healthy does not need to be in a hospital setting. II. Green Completes Detox and Transfers to Rehabilitation Treatment Green entered Lighthouse and began detox, which is housed in a separate facility than where patients undergo rehabilitation treatment. Six days after Green began detox, he reported “‘detox was great.’” The detox staff person perceived Green’s mood as good. Green was proud of himself and in “no type of distress.” Prior to Green’s transfer from detox to treatment, Mirela Elena Casapu, a marriage and family therapist intern, met with him. She noted that Green was anxious and exhibiting withdrawal symptoms, but he denied any suicidal ideation. Lighthouse’s treating physician, Dr. Michael Bishara, decided to transfer Green from the detox program to the rehabilitation treatment program. Green did not ask to delay the transfer. At trial, the experts disagreed whether Lighthouse should have transferred Green. After Green was transferred to treatment, he handed Casapu a note that read: “Temp I feel better[.] Im barely holding on[.] [M]y moms name is Barb Green her # is on the computer system also Garry is my brother his # & my other brother Joe

3 Green[.] If you could give them a call to tell them I made it through detox. I cant believe it. If you could let them know I love them[.] Ive got a ways to go but Im hanging tough. I am taking subsol [sic] 3 times a day[.] I would like to extend taking it as long as the doctor will allow even if its through the end of treatment[.] [¶] If I leave the clinic can you tell the police clinic Im suicidal to hold me.” After receiving the note, Casapu immediately informed the program director, program administrator, and program coordinator. She also called the supervising clinical psychologist, Dr. Preet Joneja. Joneja instructed Casapu to assess Green and call the psychiatric emergency team if needed. Casapu, who had performed at least 40 prior suicide assessments, spent one hour with Green and performed a suicide risk assessment. Casapu again noted that Green was anxious and experiencing severe withdrawal symptoms. At this meeting he reported having thought about suicide previously, but denied ever attempting suicide and denied any suicidal ideation. Casapu asked Green about his note, specifically about the part referencing “[i]f I leave the clinic can you tell the police . . . Im suicidal to hold me.” Green responded that “‘this is not now.’” After she met with Green for about an hour, Casapu concluded he was not suicidal and did not call the psychiatric emergency team. Based on Casapu’s assessment, Joneja directed that someone check on Green every 30 minutes. This meant someone had to have visual contact with Green and record these observations every 30 minutes. Casapu left work around 6:00 p.m. and while she testified she told another staff member to check on Green, there is no indication that occurred. Green’s assessment with Casapu ended around 5:30 p.m., and shortly thereafter, Green seemed anxious and was seen pacing outside the medication room. Green declined three offers for anxiety medication. At Green’s request, he was allowed to call his brother. A staff member testified Green told his brother everything was okay, and he should not worry.

4 At trial, the experts disagreed about the cause of Green’s suicide. Barbara’s expert, Sucher, stated if Green had gotten the proper level of care, “he would [not] have killed himself or been in a situation where he could have killed himself.” Sucher opined Green’s suicide was preventable and was the result of his intolerable withdrawal symptoms. Sucher questioned the conclusions by the marriage and family therapist interns, Jonas and Casapu, that Green was not suicidal. Lighthouse’s expert, Dr. Mace Beckson, testified it is difficult to predict suicide with any accuracy. He noted that Green had not previously been suicidal. Beckson testified Green showed no indication of severe mental illness, and that Green’s note was not a suicide note. He explained that a person normally writes a suicide note to be found after death, but here Green handed the note to a staff member. Green’s act was not consistent with an intent to commit suicide. In contrast, the statement in the note about suicide was conditional: “‘If I leave the clinic, can you tell the police I’m suicidal, to hold me.’” Beckson stated that Green was likely struggling with whether to stay at Lighthouse and wanted to set up a “fail-safe plan.” III.

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Green v. Healthcare Services, Counsel Stack Legal Research, https://law.counselstack.com/opinion/green-v-healthcare-services-calctapp-2021.