In Matter of MJ

362 N.W.2d 190, 122 Wis. 2d 525
CourtCourt of Appeals of Wisconsin
DecidedDecember 27, 1984
Docket84-1263
StatusPublished

This text of 362 N.W.2d 190 (In Matter of MJ) is published on Counsel Stack Legal Research, covering Court of Appeals of Wisconsin primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
In Matter of MJ, 362 N.W.2d 190, 122 Wis. 2d 525 (Wis. Ct. App. 1984).

Opinion

122 Wis.2d 525 (1984)
362 N.W.2d 190

IN the MATTER OF M.J.:
M.J., Appellant,
v.
MILWAUKEE COUNTY COMBINED COMMUNITY SERVICES BOARD, Respondent.[†]

No. 84-1263.

Court of Appeals of Wisconsin.

Submitted on briefs November 7, 1984.
Decided December 27, 1984.

*526 For the appellant the cause was submitted on the briefs of Robert W. Pledl, assistant state public defender, of Wauwatosa.

For the respondent the cause was submitted on the briefs of Robert A. McKnight, principal assistant corporation counsel, of Milwaukee.

Before Wedemeyer, P.J., Moser and Brown, JJ.

WEDEMEYER, P.J.

M.J. appeals from an order entered April 4, 1984 extending her involuntary mental health commitment for a period of one year pursuant to secs. 51.20(1) (a)2.d[1] and 51.20(1) (am),[2] Stats. M.J. *527 claims this extension violated sec. 51.20(13) (g)2,[3] which she reads as limiting any commitment based on sec. 51.20 (1)(a)2.d to a maximum length of forty-five days per year. We conclude that a literal reading of sec. 51.20(13) (g) 2 would produce an absurd result, in that persons who remain dangerous to themselves, as defined by sec. 51.20 (1) (a) 2.d, for more than forty-five days per year would be left without protection. We conclude that this result is inconsistent with the purposes of ch. 51. We therefore hold that the forty-five day limit of sec. 51.20 (13) (g)2 applies only to the original commitment order and does not bar subsequent extensions of the order beyond forty-five days. We affirm the trial court's order.

M.J. was originally committed to the custody of the Milwaukee County 51.42 Board on February 10, 1984. The trial court found that M.J. was mentally ill, was a proper subject for treatment, and was dangerous to herself as defined in sec. 51.20 (1)(a) 2.d, Stats. The commitment order declares that pursuant to sec. 51.20(13) (g)2, the commitment is for a period not exceeding forty-five days.

This appeal concerns an extension of that commitment for a one-year period. In granting the extension, the *528 trial court found that M.J. is mentally ill and a proper subject for treatment under secs. 51.20(1) (a) 1[4] and 51.20(1) (am),[5] Stats. It further found under sec. 51.20 (1) (am) that if treatment were withdrawn, M.J. would be a proper subject for commitment and dangerous to herself under sec. 51.20(1) (a) 2.d. Lastly, it found that based on M.J.'s condition, outpatient treatment would not be appropriate. M.J. appeals.

M.J. points to the four definitions of "dangerousness" set forth in sec. 51.20(1) (a)2.a-2.d, Stats., and notes they are listed in a descending order of seriousness or degree of potential harm to the individual or others. Next M.J. cites sec. 51.20(13) (g)1, wherein it is provided that the initial commitment upon a finding of any one of the first three definitions of "dangerousness" is for a period of six months and may be extended indefinitely for periods of twelve months each.[6] In contrast, under sec. 51.20(13) (g)2, consistent with the descending definitional patterns of "dangerousness," any commitment under the fourth definition of "dangerousness" may not continue longer than forty-five days per year. M.J.'s was found to be "dangerous" under the fourth definition, sec. 51.20(1) (a) 2.d. M.J. argues that the language of sec. 51.20(13) (g)2 is plain and unambiguous and clearly prohibits this extension because it would continue the commitment longer than forty-five days. She argues that therefore the trial court was without authority to issue its order. We disagree.

*529 By the enactment of ch. 51, Stats., the legislature of this state declared its intention to provide a full range of treatment and rehabilitative services for all forms of mental disorders. To accomplish this end, it inaugurated a unified system which was designed to relieve the consequences of mental illness through a continuum of care. This approach embodies a two-fold thrust, emphasizing the continuing responsible treatment and care of the mentally ill and the avoidance of institutional care if adequate treatment can be provided in another way. Sec. 51.001.

Under ch. 51, Stats., county governments are given primary responsibility for the well-being, treatment and care of the mentally ill. They are required to establish a community mental health program to be administered by what has become known as a "51.42 board." Within the limits of the resources available, this board must provide for the needs of persons suffering from mental disabilities. The services which must be offered include comprehensive diagnostic and evaluative services, inpatient and outpatient care and treatment, residential facilities, partial hospitalization, emergency care, and supportive transitional services to achieve the ultimate purpose of rehabilitation. Sec. 51.42(5).

Consistent with this purpose, sec. 51.20, Stats., lists prerequisites for and provides the mechanics for treatment by involuntary commitment of the mentally ill. It requires findings that the subject individual is mentally ill, is a proper subject for treatment, and is "dangerous" under any one of the criteria delineated in sec. 51.20 (1) (a) 2.a, b, c, or d.

Section 51.20(13) (a)3, Stats., provides that if the findings specified above are made, the court shall order the individual committed to the care and custody of a local 51.42 board. The local board "shall have ongoing responsibility to review the individual's needs . . . and *530 transfer the person to the least restrictive program consistent with the individual's needs." Sec. 51.20(13) (f), Stats. In discharging this responsibility, the board must comply with sec. 51.20(17). That section requires:

[E]very patient committed involuntarily to a board under this chapter shall be reevaluated by the treatment staff or visiting physician within 30 days after the commitment, and within 3 months after the initial reevaluation, and again thereafter at least once each 6 months for the purpose of determining whether such patient has made sufficient progress to be entitled to transfer to a less restrictive facility or discharge.

Section 51.22 (5), Stats., reiterates that the 51.42 board shall provide the least restrictive treatment appropriate to the patient's needs and adjures movement of the patient through "all appropriate and necessary treatment components to assure continuity of care."

A patient's commitment may be extended, under sec. 51.20 (13) (g) 3., Stats.,[7] if the patient continues to be mentally ill and a proper subject for treatment and meets one of the criteria of sec. 51.20(1) (a)2 or 51.20 (1) (am). Section 51.20(1) (am) provides that in a proceeding to extend a patient's commitment, the requirements of sec. 51.20(1) (a)2 that the acts or omissions relied on must be recent behavior may be satisfied by showing that there is a substantial likelihood, based on the patient's treatment record, that he or she would be a proper subject for commitment if treatment were discontinued. The purpose of this provision is to allow *531 extension of a commitment when the patient's condition has not improved enough to warrant discharge. Because of the therapy received, evidence of recent action exhibiting "dangerousness" is often nonexistent.

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Bluebook (online)
362 N.W.2d 190, 122 Wis. 2d 525, Counsel Stack Legal Research, https://law.counselstack.com/opinion/in-matter-of-mj-wisctapp-1984.