In re Kathleen M.

493 A.2d 472, 126 N.H. 379, 1985 N.H. LEXIS 312
CourtSupreme Court of New Hampshire
DecidedApril 18, 1985
DocketNo. 84-006; No. 84-007; No. 84-122
StatusPublished
Cited by10 cases

This text of 493 A.2d 472 (In re Kathleen M.) is published on Counsel Stack Legal Research, covering Supreme Court of New Hampshire primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
In re Kathleen M., 493 A.2d 472, 126 N.H. 379, 1985 N.H. LEXIS 312 (N.H. 1985).

Opinion

Douglas, J.

These three cases are on appeal from the Merrimack County Probate Court (Cushing, J.) pursuant to Supreme Court Rule 7. They present the common issue whether the physician-patient privilege set forth in RSA 329:26 is applicable to involuntary commitment hearings pursuant to RSA chapter 135-B. We hold [381]*381that no per se exception exists for such hearings, but that the physician-patient privilege is qualified and may be overcome by sufficiently compelling countervailing interests.

All three respondents timely excepted to the admission of testimony during their involuntary commitment hearings which involved confidential communications between them and either their present or their prior treating psychiatrists. Although at least one of the respondents is no longer committed to the New Hampshire Hospital, we will decide the appropriateness of admitting the challenged evidence in all three cases, since involuntary commitments are often for durations shorter than the time required to complete an appeal. Thus, the alleged errors in these cases may be “capable of repetition, yet evading review.” Southern Pacific Terminal Co. v. ICC, 219 U.S. 498, 515 (1911). Further, because of the stigma attached to being involuntarily committed, a person wrongfully subject to such confinement should at least have his or her records appropriately revised to reflect such a finding by this court. Proctor v. Butler, 117 N.H. 927, 930-31, 380 A.2d 673, 674-75 (1977).

Kathleen M.’s hearing was for recommitment after a three-month term of involuntary confinement. She challenges the admission of testimony by Dr. Peter Delfausse, the psychiatrist on her ward at the New Hampshire Hospital. He testified as to communications between him and Kathleen M. in which she stated that she was a danger to herself.

Kathleen D. challenges admission of testimony by Rena Ware, a mental health worker at the New Hampshire Hospital, only to the extent that it included statements made in Ms. Ware’s presence by Kathleen D. to her treating psychiatrist, Dr. Luigi N. Dolcino.

Charles W. argues on appeal that it was error to allow testimony relating to the contents of a current mental status exam which included communications between him and Dr. Neal Remington, his prior treating psychiatrist.

At the outset, we note that the communications in all three cases here are privileged under RSA 329:26, the physician-patient privilege. All involved confidential communications between treating psychiatrists, who are physicians, and their patients. None of the patients waived the privilege. RSA 329:26 provides in part:

“The confidential relations and communications between a physician . . . and his patient are placed oh the same basis as those provided by law between attorney and client, and, except as otherwise provided by law, no such physician . .. shall be required to disclose such privileged communications. Confidential relations and communica[382]*382tions between a patient and any person working under the supervision of a physician . . . that are customary and necessary for diagnosis and treatment are’ privileged to the same extent as though those relations or communications were with such supervising physician ....”

We have held in the past that the physician-patient privilege is a qualified one which will yield when there are sufficiently compelling countervailing considerations. State v. Kupchun, 117 N.H. 412, 415, 373 A.2d 1325, 1327 (1977); State v. Farrow, 116 N.H. 731, 733, 366 A.2d 1177, 1179 (1976). The State argues that the very nature of involuntary commitment proceedings under RSA chapter 135-B provides sufficiently compelling grounds to warrant exempting them from the physician-patient privilege. As the basis for this, the State asserts that in involuntary commitment proceedings, it must prove beyond a reasonable doubt that a person is mentally ill and that as a result of this mental condition, there is a serious likelihood of danger to himself or others. Proctor v. Butler, 117 N.H. 927, 935, 380 A.2d 673, 677-78 (1977); RSA 135-B:26. It further contends that because the statute is concerned with the protection of mentally ill persons and other members of society, and because the testimony of the treating psychiatrist is the best evidence with which to demonstrate mental illness and potential dangerousness, the physician-patient privilege should not apply to RSA chapter 135-B hearings. We disagree.

As we have recognized, “[t]he real purpose of any privilege is not to exclude relevant evidence, but simply to facilitate activities which require confidence.” In re Brenda H., 119 N.H. 382, 387, 402 A.2d 169, 173 (1979) (quoting McNamara, The Hierarchy of Evidentiary Privilege in New Hampshire, 20 N.H.B.J. 1, 27 (1978)). Confidentiality of psychiatrist-patient communications fosters the patient’s interest in privacy and the public’s interest in effective treatment, as well as the public’s interest in encouraging disturbed persons to seek therapy without fear of publicity. Poltz, Psychiatrists’ Duty to the Public: Protection from Dangerous Patients, UNIV. OP ILL. Law Forum 1103, 1111 (1976).

Given the intimate nature of the psychiatrist-patient relationship, “[t]he preservation of confidentiality of communications between therapist and patient may be a crucial factor in the successful treatment of psychiatric problems.” Brenda H., supra at 386, 402 A.2d at 172.

“The psychiatric patient confides more utterly than anyone else in the world. He exposes to the therapist not only what his words directly express; he lays bare his [383]*383entire self, his dreams, his fantasies, his sins, and his shame. Most patients who undergo psychotherapy know that this is what will be expected of them, and that they cannot get help except on that condition .... It would be too much to expect them to do so if they knew that all they say — and all that the psychiatrist learns from what they say — may be revealed to the whole world from a witness stand.”

Taylor v. United States, 222 F.2d 398, 401 (D.C. Cir. 1955) (quoting M. Guttmacher & H. Weihofen, Psychiatry and The Law 272 (1952)).

We can find no reason to justify negating the legislative purposes and policies which the psychiatrist-patient privilege is designed to foster by making a per se exception to this privilege for RSA chapter 135-B hearings. Indeed, because patients subject to those hearings may be quite disturbed, it is perhaps even more important in those cases to facilitate treatment by keeping the privilege intact wherever possible.

We note first that the physician-patient privilege is a statutory one and that there is no indication that the legislature intended to except RSA chapter 135-B hearings. RSA 329:26 specifically provides that the privilege is not applicable to certain proceedings.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

In re Search Warrant for Medical Records of C.T.
160 N.H. 214 (Supreme Court of New Hampshire, 2010)
In Re Ct
999 A.2d 210 (Supreme Court of New Hampshire, 2010)
In re Sandra H.
846 A.2d 513 (Supreme Court of New Hampshire, 2004)
Suesbury v. Caceres
840 A.2d 1285 (District of Columbia Court of Appeals, 2004)
State v. Barka
839 A.2d 837 (Supreme Court of New Hampshire, 2004)
In re Haines
808 A.2d 72 (Supreme Court of New Hampshire, 2002)
Weisbeck v. Hess
524 N.W.2d 363 (South Dakota Supreme Court, 1994)
People v. District Court, County of Adams
797 P.2d 1259 (Supreme Court of Colorado, 1990)
State v. Elwell
567 A.2d 1002 (Supreme Court of New Hampshire, 1989)

Cite This Page — Counsel Stack

Bluebook (online)
493 A.2d 472, 126 N.H. 379, 1985 N.H. LEXIS 312, Counsel Stack Legal Research, https://law.counselstack.com/opinion/in-re-kathleen-m-nh-1985.