In re Maimonides Medical Center

173 Misc. 2d 111, 660 N.Y.S.2d 614, 1997 N.Y. Misc. LEXIS 233
CourtNew York Supreme Court
DecidedMarch 17, 1997
StatusPublished
Cited by8 cases

This text of 173 Misc. 2d 111 (In re Maimonides Medical Center) is published on Counsel Stack Legal Research, covering New York Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
In re Maimonides Medical Center, 173 Misc. 2d 111, 660 N.Y.S.2d 614, 1997 N.Y. Misc. LEXIS 233 (N.Y. Super. Ct. 1997).

Opinion

OPINION OF THE COURT

Reinaldo E. Rivera, J.

I. factual background

This matter is before the court, sitting at Special Term -77 (Mental Hygiene) on application(s) by the petitioner hospital for authorization to medicate the respondent patient, and for her continued involuntary retention, and on motion(s) by Mental Hygiene Legal Services (MHLS), counsel for the patient, to dismiss both of the hospital’s applications.

On December 9, 1996, the respondent patient, Guia G., a homeless 36-year-old divorced Filipino female, was admitted as a patient with the petitioner Maimonides Medical Center’s Community Mental Health Center on an emergency basis under section 9.39 of the Mental Hygiene Law. She was alleged to have exhibited agitated delusional behavior and to have threatened to kill her landlady. Further, there is a history of psychiatric treatment and hospitalization. Her psychiatric diagnosis is bipolar disorder I, with the most recent episode being manic, severe with psychotic, paranoid features. The requested treatment objectives and anticipated benefits are cessation of psychosis, mood stabilization, elimination of dangerous behavior toward herself and improved functioning.

On December 23, 1996 (within the 15 days mandated by Mental Hygiene Law § 9.39 [b]) the patient was admitted on an involuntary basis on application supported by medical certification under Mental Hygiene Law § 9.31. This is commonly referred to as a 2PC (two physician certificate) conversion. The hospital was thereupon authorized by statute to retain the patient for 60 days from the date of her emergency admission on December 9, 1996. (Mental Hygiene Law § 9.39 [b].) If the hospital determined that continued retention was necessary to provide involuntary care and treatment, it was required to apply to the court prior to the expiration of the 60 days. (Mental Hygiene Law § 9.33 [a].) The 60 days expired on February 7, 1997.

[113]*113No application by the hospital to retain the patient on an involuntary basis was received by the court prior to the expiration of the 60-day period set forth in Mental Hygiene Law § 9.33. The patient did not, at any point prior to the expiration of the 60 days, request a hearing to adjudicate the need for her involuntary detention. The statute provides that, if, prior to the expiration of the 60-day period from the date of the emergency admission, the patient requested a court hearing on the question of need for immediate observation, care and treatment or on the question of need for involuntary care and treatment, she was entitled to such hearing not more than five days after the request was received. (Mental Hygiene Law §§ 9.39, 9.31.)

On February 11, 1997, the hospital presented to the court an order to show cause seeking authorization to medicate the patient over her objection (commonly referred to as a medication override). The order to show cause provided for service upon Mental Hygiene Legal Services and the patient by 5:00 p.m. on February 11, 1997 and a hearing on February 13, 1997. On the hearing date, February 13, 1997, the court first received from Maimonides Medical Center an application for authorization to retain the patient pursuant to Mental Hygiene Law § 9.33. That same day, MHLS moved to dismiss both the hospital’s applications, claiming the court had no jurisdiction to adjudicate them because the retention application had not been timely filed. The hospital opposed the motions to dismiss. The court reserved decision and requested memoranda of law.

In its memoranda of law, MHLS did not address the retention application; did not request a hearing pursuant to Mental Hygiene Law § 9.33 (a); did not move for discharge of the patient; and did not petition for a writ of habeas corpus on the patient’s behalf. MHLS sought only a ruling limited to the issue of the court’s jurisdiction to adjudicate the hospital’s application to medicate over the patient’s objection, asserting the following:

(1) 14 NYCRR 527.8 (c) (4) (ii) and 27.8 (b) require that authorization to medicate over a patient’s objection may only be made with respect to a patient involuntarily admitted;

(2) the 60-day period authorized for the patient’s initial involuntary admission had expired on February 7, 1997;

(3) no application for retention had been filed prior to the expiration of the 60 days on February 7, 1997;

(4) the patient’s status was therefore no longer an involuntary admission, but an illegal detention;

[114]*114(5) under such circumstances an application to medicate was not authorized and must be dismissed.

The hospital, in its memorandum of law, contended that it had effected personal service on the patient of notice of the retention application prior to the 60th day and mailed the retention application to the court and MHLS on the 60th day. The hospital asserted that such service had timely invoked the court’s jurisdiction to consider both applications.

On March 10, 1997, the court issued the following rulings and orders on the record: (1) The application for authorization to medicate was dismissed since the required jurisdictional basis for such an application was absent (14 NYCRR 527.8 [c] [4] [iij; 27.8 [b]) and (2) The court stated its intention to consider the retention application. On its own motion the court (pursuant to Mental Hygiene Law § 9.33 [c]) ordered a hearing to be held on the fifth working day following the date of the order issued on the record on March 10, 1997. (The patient had five days from the filing of the retention application on February 13,1997 to request a hearing. As of March 10,1997, the patient had not done so.) The parties were ordered to be prepared to proceed with a hearing in this matter on Monday, March 17, 1997. The hospital was ordered to reapply for authorization to medicate over the patient’s objection if it deemed it necessary. The new application was to be served on MHLS and the patient, and filed with the court on or before March 15, 1997, and to be considered by the court at the hearing on March 17, 1997.

II. QUESTIONS PRESENTED

This case brings up for consideration questions and issues of precedential significance related to jurisdiction, legislative intent, statutory construction, judicial discretion and public policy. The threshold issues presented are: (1) What constitutes timely commencement of a proceeding for court authorization to retain an involuntary patient under Mental Hygiene Law § 9.33 and (2) may the court adjudicate an application to retain an involuntary patient if the proceeding was not timely commenced?

III. LEGAL ANALYSIS

A. Timely Commencement Of Retention Proceeding

Mental Hygiene Law § 9.33/CPLR 304 The hospital contends that the retention application was timely. Thus, the required condition precedent for applying for [115]*115authorization to medicate was present. The retention application was personally served on the patient on February 6, 1997, within the 60-day period set forth in Mental Hygiene Law § 9.33 (a). It was served by mail on February 7, 1997 on MHLS and on the court. The hospital submitted proof of service. Relying on Matter of Klahs (55 Misc 2d 462), the hospital asserts that such service invokes the court’s jurisdiction irrespective of the court’s receipt of such application in those 60 days.

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Cite This Page — Counsel Stack

Bluebook (online)
173 Misc. 2d 111, 660 N.Y.S.2d 614, 1997 N.Y. Misc. LEXIS 233, Counsel Stack Legal Research, https://law.counselstack.com/opinion/in-re-maimonides-medical-center-nysupct-1997.