In re Am.H.

District of Columbia Court of Appeals·Decided August 17, 2023·No. 22-PR-0337·Published

Opinion

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DISTRICT OF COLUMBIA COURT OF APPEALS

No. 22-PR-0337

IN RE AM. H., APPELLANT.

Appeal from the Superior Court of the District of Columbia (2022-INT-000036)

(Hon. Carmen G. McLean, Trial Judge)

(Submitted June 13, 2023 Decided August 17, 2023)

Matthew Frumin was on the brief for appellant.

Lisa Ellern-Feldman was on the brief for appellee.

Before MCLEESE and DEAHL, Associate Judges, and THOMPSON, Senior Judge.

Opinion for the court by Associate Judge MCLEESE.

Concurring opinion by Senior Judge THOMPSON at page 13.

MCLEESE, Associate Judge: Appellant Am. H. seeks review of an order appointing her mother, appellee Al. H., as Am. H.’s guardian, over Am. H.’s objection. We vacate the order and remand for further proceedings.

I. Factual and Procedural Background

Am. H. has been diagnosed with metastatic cancer, and a court-appointed examiner concluded that she has severe cognitive impairment, suffers from heroin and fentanyl addiction, lacks insight into her condition, and is unable to make sound personal decisions. It is undisputed that a guardian should be appointed for Am. H. See D.C. Code § 21-2044(b) (court may appoint guardian “if it is satisfied that the individual for whom a guardian is sought is incapacitated and that the appointment is necessary as a means of providing continuing care and supervision of the . . . incapacitated individual”); see also D.C. Code § 21-2011(11) (defining “incapacitated individual” to mean “an adult whose ability to receive and evaluate information effectively or to communicate decisions is impaired to such an extent that he or she lacks the capacity to manage all or some of his or her financial resources or to meet all or some essential requirements for his or her physical health, safety, habilitation, or therapeutic needs without court-ordered assistance or the appointment of a guardian”). The disputed issue is whether Al. H. was properly appointed as that guardian over Am. H.’s objection, or whether instead a guardian should have been appointed from the list of court-approved guardians, which was Am. H.’s stated preference.

The trial court held a hearing on the petition to appoint a guardian. The information presented at the hearing included the following. Am. H.’s guardian ad litem, Jonathan Leo, stated that Am. H. had clearly indicated that she did not wish Al. H. to be appointed as guardian. Mr. Leo opined that Am. H. “didn’t articulate a great reason why.” Mr. Leo expressed the view that appointing Al. H. would be in Am. H.’s best interests. On the other hand, Mr. Leo argued that Am. H. had the capacity to express a preference as to who should be appointed and that Am. H.’s preference “deserves heavy weight.”

The report of a court-appointed examiner recommended that a guardian be appointed from the list of court-approved guardians, but the report did not discuss the possibility of appointing Al. H.

Am. H.’s attorney represented that Am. H. did not wish Al. H. to be appointed as guardian but was receptive to a guardian being appointed from list of court- approved guardians.

Am. H. stated at the hearing that she did not want Al. H. to be appointed as guardian, explaining that she would prefer that Al. H. focus on providing care for

Am. H.’s children. Am. H. acknowledged that Al. H. “has done everything for [Am. H.] ever since [Am. H.] was little.”

Counsel for Al. H. acknowledged that Am. H. did not want Al. H. to be appointed as guardian, but (1) represented that Am. H. had originally wanted “her fellow drug abuser boyfriend” to be appointed guardian; and (2) suggested that Am. H. may have been blaming Al. H. for preventing Am. H. from receiving heroin while in the hospital.

Am. H.’s sister and brother-in-law supported the appointment of Al. H.

Am. H.’s brother-in-law opined that Am. H. might perceive going home to live with Al. H. “as a restriction on her freedoms,” because Am. H. might be forced to follow rules. He also expressed the view that living with Al. H. might permit Am. H. to rekindle her relationships with her children.

Al. H. acknowledged that dealing with Am. H.’s medical issues would be difficult for both of them. Al. H. explained, however, that she had been Am. H.’s advocate, “fiercest protector,” “ally, and defender,” through many challenges. Al. H. knew how to take care of Am. H.’s medical needs and how to advocate for Am. H. with medical personnel. Al. H. said that caring for Am. H. would not be a

burden; rather, it would be a burden to Al. H. to not care for Am. H. Noting that Am. H. was currently estranged from her twelve-year-old daughter, who lived with Al. H., Al. H. explained that both Am. H. and Am. H.’s daughter could benefit if Am. H. came to live with Al. H. Al. H. told Am. H. that she loved her, and Am. H. said that she loved Al. H. too.

The trial court stated that it took “very seriously” the requirement to “defer”

to Am. H.’s preference as to guardian. The trial court found that Al. H. was very familiar with Am. H.’s needs and was “very dedicated to taking whatever steps are necessary to get [Am. H.] what she needs.” Acting in Am. H.’s “best interests,” the trial court therefore appointed Al. H. as guardian.

II. Analysis

The court’s authority to appoint a guardian for an incapacitated individual must be exercised “so as to encourage the development of maximum self-reliance and independence of the incapacitated individual.” D.C. Code § 21-2044(a); see also D.C. § 21-2004 (incapacitated persons “shall retain all legal rights and abilities” except as specifically provided). More broadly, “[a] principal theme of the Guardianship Act is that the wishes of the subject of an intervention proceeding

regarding the decisions to be made are entitled to consideration and respect— notwithstanding that the subject of the proceeding is incapacitated . . . .” In re Orshansky, 804 A.2d 1077, 1093 (D.C. 2002).

The general statutory policy of respecting and fostering the autonomy of incapacitated persons, to the extent reasonably possible, is reflected in the specific provision governing the selection of a guardian. If the incapacitated person has a preference as to who will be appointed guardian, that preference must be honored “[u]nless lack of qualification or other good cause dictates the contrary.” D.C. Code § 21-2043(b) (preference can be expressed through “current stated wishes” or most recent power of attorney).

The concurrence takes the view that the phrase “current stated wishes” refers not solely to the incapacitated person’s wishes as to who will be appointed guardian, but rather includes more broadly the incapacitated person’s “priorities and values.” Infra at 13. We disagree. Section 21-2043(b) requires the court to appoint a guardian “in accordance with the individual’s current stated wishes or his or her most recent nomination in a durable power of attorney,” “[u]nless lack of qualification or other good cause dictates the contrary.” We view that language as clearly focused on the incapacitated person’s wishes as to who will be appointed guardian. Thus, if

an incapacitated person says generally that she wants the best guardian but also requests a specific person as guardian, we do not believe that the trial court would comply with the requirements of § 21-2043(b) by appointing a different guardian on the theory that doing so was in accord with the incapacitated person’s “current stated wishes” that the best guardian be appointed.

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