In re: D.H.

CourtCourt of Appeals of North Carolina
DecidedApril 18, 2023
Docket22-639
StatusPublished

This text of In re: D.H. (In re: D.H.) is published on Counsel Stack Legal Research, covering Court of Appeals of North Carolina primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
In re: D.H., (N.C. Ct. App. 2023).

Opinion

IN THE COURT OF APPEALS OF NORTH CAROLINA

No. COA22-639

Filed 18 April 2023

Wake County, No. 22 SPC 895

IN THE MATTER OF: D.H.

Appeal by respondent from order entered 11 April 2022 by Judge Mark Stevens

in Wake County District Court. Heard in the Court of Appeals 7 February 2023.

Attorney General Joshua H. Stein, by Special Deputy Attorney General Robert T. Broughton, for the State.

Appellate Defender Glenn Gerding, by Assistant Appellate Defender David W. Andrews, for respondent-appellant.

ZACHARY, Judge.

D.H.1 (“Respondent”) appeals from an Involuntary Commitment Order entered

against him. Respondent argues that the trial court’s ultimate finding that he posed

a danger to himself was not supported by its underlying findings regarding whether,

absent inpatient mental health treatment, there was a reasonable probability that

Respondent would suffer serious physical debilitation in the near future; in turn,

Respondent contends, these findings were not supported by the evidence. After

careful review, we affirm.

Background

1 Given the sensitive nature of this appeal, we use initials to protect Respondent’s identity. IN RE: D.H.

Opinion of the Court

On 28 March 2022, Respondent’s father executed an Affidavit and Petition for

Involuntary Commitment alleging, inter alia, that Respondent was “hearing voices[,]”

hallucinating, “riding around the city of Raleigh displaying odd [b]ehaviors[,]” and

refusing to participate in therapy or take his medication. The magistrate ordered that

Respondent be taken into custody later that day.

The next day, Dr. Nancy Clayton of UNC Health Care Crisis and Assessment

Services at WakeBrook, an inpatient 24-hour facility, examined Respondent and

completed a “24 Hour Facility Exam for Involuntary Commitment” form. On the form,

Dr. Clayton marked boxes indicating that Respondent was “[a]n individual with a

mental illness[,]” “[d]angerous to” himself, and “[d]angerous to” others. To support

her conclusions, Dr. Clayton included in the “Description of Findings” that

Respondent

was telling parents about being Emperor of Japan. [Respondent is] distractible and slow to respond. [Respondent] appears to respond to internal stimuli and is thought blocking in interview. He reports being off meds [for] several months and denies need for meds or having a mental illness despite this being his 3rd psych admit[tance] since March 2021. 1st psychosis noted in March 2021 when [Respondent] hospitalized at Old Vineyard. [Respondent] had taken off and driven for long periods when unwell in the past and more recently. Family report he is having poor sleep. [Respondent] recently fired from job a week ago due to poor performance. [Respondent] needs inpatient hospitalization for safety/stabilization.

2 IN RE: D.H.

This matter came on for hearing on 7 April 2022 in Wake County District

Court.2 The trial court heard testimony from Respondent, Respondent’s father, and

Dr. Clayton, and on 11 April 2022, the court entered an Involuntary Commitment

Order. In the order, the trial court marked boxes indicating that Respondent was

mentally ill and dangerous to himself. To support those conclusions, the trial court

marked another box that stated: “Based on the evidence presented, the Court . . . by

clear, cogent, and convincing evidence finds . . . facts supporting involuntary

commitment”; the court attached to the order and incorporated by reference a

document titled “Findings of Fact in Support of Inpatient Commitment.” The trial

court found, in relevant part, the following additional facts in support of involuntary

commitment:

I. As to Mental Illness

The Court finds by clear, cogent, and convincing evidence that . . . Respondent suffers from a mental illness — specifically, the mental illness of schizophrenia. . . .

....

II. As to Dangerousness to Self

The Court also finds by clear, cogent, and convincing evidence that . . . Respondent is dangerous to self because within the relevant past he has acted in such a way as to show that he would be unable, without care, supervision,

2 A transcript of the commitment hearing, which was conducted via Webex, was unavailable due to a malfunction in the recording equipment. In lieu of a transcript, the parties requested that the hearing participants submit their notes and written recollections of the testimony in narrative form, pursuant to N.C.R. App. P. 9(c)(1). The participants’ responses are included in the record on appeal, which was settled by the parties’ stipulation and agreement. See N.C.R. App. P. 11(b).

3 IN RE: D.H.

and the continued assistance of others not otherwise available to exercise self-control, judgment, and discretion in the conduct of his daily responsibilities and social relations, and there is a reasonable probability of Respondent suffering serious physical debilitation within the near future unless adequate inpatient treatment is given. In support of this finding of ultimate fact, this Court finds the following evidentiary facts based upon the competent evidence from the hearing:

3. Respondent’s psychiatric state was declining prior to his admission to Wake[B]rook as evidenced by the following events and behaviors occurring within the relevant past:

i. In June 2021 Respondent believed himself to be involved with the FBI and drove to northern Virginia for this reason. Similarly, in August or September 2021 Respondent believed himself to be President of the United States and drove to Washington DC for this reason.

ii. In January 2022 Respondent quit taking medication prescribed for the treatment of his mental illness. He did so because he did not like the medicine, and because he had secured a job driving for Amazon.

iii. After becoming medication non-compliant, Respondent began talking and laughing to himself with increasing frequency and regularity. He also regularly paced throughout his home and his sleep habits changed. . . .

vi. During this time Respondent lost his delivery job with Amazon, having held it for only approximately two weeks. He held his prior delivery job with UPS for more than one year, and

4 IN RE: D.H.

Respondent’s father attributed the loss of the Amazon job to Respondent’s increasingly erratic behavior.

ix. When Respondent arrived at Wake[B]rook[’s] Crisis and Assessment unit on 28 March 2022 he displayed delusional and disorganized thought processes as well as thought blocking, endorsed auditory hallucinations, displayed a blunted affect, and was observed responding to internal stimuli.

4. Since being admitted to Wake[B]rook[’s] Inpatient unit on 29 March 2022 Respondent has continued to display many of these same symptoms. . . . In addition, he has resisted cooperating with lab-work and his medication regimen.

5. It is the opinion of Dr. Clayton that when Respondent arrived at Wake[B]rook on 28 March 2022 he was acutely psychotic. Further, it is the opinion of Dr. Clayton that Respondent remains acutely psychotic as of the date of this hearing. This Court finds Dr. Clayton’s opinions to be credible. If released from Wake[B]rook in this current condition, Respondent’s state of acute psychosis makes it reasonably probable that he would suffer serious physical debilitation within the near future. Further inpatient treatment at Wake[B]rook is therefore required to prevent such a result.

6. It is the opinion of Dr. Clayton that Respondent has really poor insight [in]to his mental illness, and has no insight into the fact that he is currently acutely psychotic. This Court finds Dr.

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Cite This Page — Counsel Stack

Bluebook (online)
In re: D.H., Counsel Stack Legal Research, https://law.counselstack.com/opinion/in-re-dh-ncctapp-2023.