In re Hanna

484 A.2d 537, 1984 D.C. App. LEXIS 538
CourtDistrict of Columbia Court of Appeals
DecidedNovember 2, 1984
DocketNo. 83-224
StatusPublished

This text of 484 A.2d 537 (In re Hanna) is published on Counsel Stack Legal Research, covering District of Columbia Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
In re Hanna, 484 A.2d 537, 1984 D.C. App. LEXIS 538 (D.C. 1984).

Opinion

PER CURIAM:

John Wesley Hanna was committed to St. Elizabeths Hospital (Hospital) in 1972 pursuant to D.C.Code § 21-501 et seq. (1981) (Ervin Act). While considering a petition for Hanna’s commitment to another institution as a mentally retarded person pursuant to id. § 6-1901 et seq. (Retarded Citizens Act), the court ordered his discharge [539]*539based upon the Hospital’s assessment that he was not mentally ill. Following presentation of testimonial and documentary evidence to a Hearing Commissioner and, thereafter, oral argument before the court, the court granted the petition and ordered Hanna’s commitment under the Retarded Citizens Act.1 The District of Columbia appeals, arguing that the trial court erred in failing to conduct an evidentiary hearing testing the Hospital’s determination that Hanna was not mentally ill. We reverse and remand for further proceedings.

I

In 1962, at age five, Hanna was diagnosed as severely mentally retarded and committed to Forest Haven. In re John Wesley Hanna, D.C. Training School No. 41-62 (D.D.C.1962). Hanna’s behavior became more aggressive soon after his arrival at the institution, leading to several attacks on his fellow patients. On a number of occasions he was referred for psychiatric evaluations and was eventually civilly committed to the Hospital in 1972. In 1974, while living at the Hospital, Hanna killed an elderly patient and was transferred to the institution’s John Howard Pavilion.2 He was subsequently charged with second-degree murder, referred for a competency determination and diagnosed as having “severe mental retardation (IQ 29) ... and [un]likely to regain competence in the foreseeable future.” The homicide charge was eventually dismissed, and Hanna was returned to the John Howard Pavilion where he has resided since 1974.

In 1981, Hanna’s grandmother as well as members of the Hospital staff became concerned that the Hospital had no programs suited to his particular needs and petitioned the court to order his commitment under the Retarded Citizens Act. A Hearing Commissioner received testimony from several mental health professionals concerning Hanna’s present state and concluded that he must be institutionalized, reserving for the court the question of whether commitment as a retarded person is required. The record reveals that Hanna’s treating psychiatrist at the Hospital, Dr. Smith, diagnosed him as mentally retarded and concluded that the degree of retardation made it impossible to determine whether he was mentally ill as well. Similar conclusions were reached by a court-appointed psychologist and a psychologist representing the Department of Human Services. Dr. Eist, a consultant for the District of Columbia, was the only mental health professional to determine that Hanna is mentally ill. However, the doctor acknowledged that Hanna is also severely mentally retarded and that any psychosis he suffers may be caused by retardation. Moreover, the record demonstrates that Dr. Eist’s conclusion that Hanna is a “proph-schizophrenic” is not among the diagnoses recognized in the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (3d ed. 1980).

In these circumstances, the District of Columbia contends that the trial court was obliged to conduct an independent eviden-tiary hearing and provide findings and conclusions on the question of Hanna’s mental illness.

The court did not do so. Based upon the record of testimony before Commissioner Doyle, as well as upon the representations of the Hospital’s counsel, the court found that the hospital’s “Chief of Service” had determined “after a § 21-548 review examination” that Hanna was “no longer mentally ill.” Thus, “[f]or all legally relevant purposes he has been discharged from St. Elizabeths and could be released today. D.C.Code § 21-548 (1981). Mr. Hanna is [540]*540not mentally ill.” The court also observed that Hanna’s “release could legally have been effectuated a long time ago ... [w]ere it not for the well-founded concerns of St. Elizabeths’ staff about the safety of both the community and Mr. Hanna.”3 The court then concluded that Hanna was “a mentally retarded person in need of commitment under D.C.Code § 6-1901 et seq.” The court ordered Hanna committed under the Retarded Citizens Act and further ordered his release from civil commitment “at such time as the services and placement to which he is entitled under D.C.Code § 6-1901 et seq. (1981) are available and functional.”

II

As the trial court itself recognized, a civil committee is releasable, solely at the instance of the hospital’s chief of service, if the chief “determines that the patient is no longer mentally ill to the extent that he is likely to injure himself or other persons if not hospitalized...” D.C.Code § 21-546 (1981). Thus, if the chief determines, after an examination (required every six months), “that the conditions which justify the involuntary hospitalization of the patient no longer exist, the chief of service shall immediately release the patient.” Id. § 21-548. In considering whether Hanna should receive habilitation under the Retarded Citizens Act, the court accordingly had to answer a threshold question: whether the chief of service had released Hanna, or, more appropriately — since the hospital still had custody — whether the chief of service had, in fact, concluded that he was releasable.

In answering this question, the court has no authority to review the chief’s determination on the merits, since release is discretionary with the hospital. The court, rather, is limited to determining whether the hospital’s assessment is “permissible and reasonable,” Dixon v. Jacobs, 138 U.S.App.D.C. 319, 327, 427 F.2d 589, 597 (1970), i.e., whether the decision is based solely on statutory grounds and not motivated by concerns incompatible with the aims of the Ervin Act. See In re Hurt, 437 A.2d 590, 595 (D.C.1981). In this case, for example, there was an implicit concern as to whether the hospital’s support for Hanna’s habilitation under the Retarded Citizens Act was motivated, to any extent, by the fact that the costs of his treatment would be shifted from the federal government, which operated St. Elizabeths Hospital, to the District of Columbia government, which is responsible for commitment and treatment under the Retarded Citizens Act.

Accordingly, it was critical for the trial court to determine whether the chief of service — in this ease Dr. Smith — had concluded on “permissible and reasonable” grounds, Dixon, supra, 138 U.S.App.D.C. at 327, 427 F.2d at 597, that Hanna was releasable under D.C.Code §§ 21-546, -548 (1981).

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Related

In Re Hurt
437 A.2d 590 (District of Columbia Court of Appeals, 1981)

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Bluebook (online)
484 A.2d 537, 1984 D.C. App. LEXIS 538, Counsel Stack Legal Research, https://law.counselstack.com/opinion/in-re-hanna-dc-1984.