Heard v. Cuomo

150 Misc. 2d 257, 567 N.Y.S.2d 594, 1991 N.Y. Misc. LEXIS 87
CourtNew York Supreme Court
DecidedFebruary 26, 1991
StatusPublished
Cited by3 cases

This text of 150 Misc. 2d 257 (Heard v. Cuomo) is published on Counsel Stack Legal Research, covering New York Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Heard v. Cuomo, 150 Misc. 2d 257, 567 N.Y.S.2d 594, 1991 N.Y. Misc. LEXIS 87 (N.Y. Super. Ct. 1991).

Opinion

[259]*259OPINION OF THE COURT

Edward H. Lehner, J.

After trial the court finds that the success of in-patient care and treatment given to mentally ill persons is in large part dependent on their being able after discharge to reside in stable housing with available supportive services. A discharge to the street, to a congregate public shelter, or to a "flop house” would not constitute effective "rehabilitation” required to be given to such persons pursuant to section 7.07 (c) of the Mental Hygiene Law as these places are not appropriate residences for them in light of the dangers involved in such living arrangements.

The principal issues raised in the case at bar is whether the New York City Health and Hospitals Corporation (HHC) or any city agency has an obligation to see that dischargees from psychiatric hospitals operated by HHC obtain appropriate housing. The court finds that both HHC and the City of New York jointly have this obligation which has not been fulfilled, which failure is one of the root causes of the homeless crisis in our city.

These two actions were tried jointly. One was instituted against HHC, executives thereof, and the City Commissioner of Mental Health, Mental Retardation and Alcoholism Services (the municipal defendants), while the other names the Governor and the State Office of Mental Health (the State defendants).

The amended complaint against the municipal defendants is on behalf of the named plaintiffs and "all other homeless mentally ill persons who have been discharged or conditionally released from hospitals administered by the New York City Health and Hospitals Corporation without a 'written service plan’, an assurance of a residence and other after care services” in violation of the Mental Hygiene Law, the common law and constitutional guarantees of equal protection. It is asserted that "mentally ill persons * * * require an appropriate residence in order to benefit from a course of treatment and in order to avoid the recurrence of debilitating episodes of mental illness”. The relief sought is a judgment (i) declaring that defendants have violated duties owing to the plaintiffs in failing to provide each dischargee with a written service plan in compliance with Mental Hygiene Law § 29.15 (f) and (g), and have breached their duties of care owing to plaintiffs, and (ii) requiring defendants to comply with these statutory provi[260]*260sions and to provide plaintiffs "with appropriate care and services in a non-discriminatory fashion”.

The complaint against the State defendants is similar except that compliance with subdivision (h) of section 29.15 is also demanded.

Subdivisions (f), (g) and (h) of Mental Hygiene Law § 29.15 provide:

"(f) The discharge or conditional release of all clients at developmental centers, patients at psychiatric centers or patients at psychiatric inpatient services subject to licensure by the office of mental health shall be in accordance with a written service plan prepared by staff familiar with the case history of the client or patient to be discharged or conditionally released and in cooperation with appropriate social services officials and directors of local governmental units. In causing such plan to be prepared the director of the facility shall take steps to assure that the patient to be discharged or conditionally released is interviewed, provided an opportunity to actively participate in the development of such plan and advised of whatever services might be available to him through the mental hygiene legal service.

"(g) A written service plan prepared pursuant to this section shall include, but shall not be limited to, the following:

"1. a statement of the patient’s need, if any, for supervision, medication, aftercare services, and assistance in finding employment following discharge or conditional release, and

"2. a specific recommendation of the type of residence in which the patient is to live and a listing of the services available to the patient in such residence.

"3. A listing of organizations, facilities, including those of the department, and individuals who are available to provide services in accordance with the identified needs of the patient.

"4. The notification of the appropriate school district and the committee on special education regarding the proposed discharge or release of a patient under twenty-one years of age, consistent with all applicable federal and state laws relating to confidentiality of such information.

"(h) It shall also be the responsibility of the director of any department facility from which a client or patient has been discharged or conditionally released, in collaboration, when appropriate, with appropriate social services officials and directors of local governmental units, to prepare, to cause to be [261]*261implemented, and to monitor a comprehensive program designed:

"1. to determine whether the residence in which such client or patient is living, is adequate and appropriate for the needs of such patient or client;

"2. to verify that such patient or client is receiving the services specified in such patient’s or client’s written service plan; and

"3. to recommend, and to take steps to assure the provisions of, any additional services”.

It is acknowledged that the discharge planning mandates set forth in Mental Hygiene Law § 29.15 (f) and (g) apply to all mental health facilities in the State, while subdivision (h) only applies to facilities operated by the State Office of Mental Health (OMH). Prior to the adoption of Laws of 1980 (ch 341), discharge planning was only required in State facilities. That chapter, which amended subdivisions (f) and (g) to make such planning required in all mental institutions, did not alter subdivision (h).

The State acknowledges that, as a result of the implementation and monitoring requirements of Mental Hygiene Law §29.15 (h), it has an obligation to see that dischargees from psychiatric facilities operated by OMH obtain "adequate and appropriate” housing. It agrees with plaintiffs that public shelters are not appropriate places to send patients. Although the proof showed that there were instances where some of its patients did go to a shelter or other inappropriate residence, the court is satisfied that the number is not sufficient to warrant an "obey the law” type of injunction to be issued against it. (Cf., Grant v Cuomo, 134 Misc 2d 83 [Sup Ct, NY County 1986], mod 130 AD2d 154 [1st Dept 1987], affd 73 NY2d 820 [1988].) Moreover, the improper discharges basically resulted when patients left without leave, were released upon presenting a 72-hour letter demanding discharge as authorized by Mental Hygiene Law § 9.13 (b), were discharged by court order pursuant to Mental Hygiene Law § 9.31 (c), or refused offered residential recommendations.

Prior to the institution of this action, HHC hospitals did not employ any form providing for the information required to be set forth in a service plan under the provision of subdivision (g) of section 29.15. The HHC discharge plans consisted of notes scattered in various places in the patient’s hospital record. Thus, upon discharge there was no document that it [262]*262gave to its patients containing all of the information required by that subdivision. The State, on the other hand, did have such a form that was in use in all mental health facilities that was given to patients when released.

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Related

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600 F. Supp. 2d 405 (E.D. New York, 2009)
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Bluebook (online)
150 Misc. 2d 257, 567 N.Y.S.2d 594, 1991 N.Y. Misc. LEXIS 87, Counsel Stack Legal Research, https://law.counselstack.com/opinion/heard-v-cuomo-nysupct-1991.