In re N.L.

476 Mass. 632
Massachusetts Supreme Judicial Court·Decided March 14, 2017·Published·Cited by 6 cases

Opinion

Lowy, J.

N.L. appeals from the order for his civil commitment to a mental health facility (hospital), pursuant to G. L. c. 123, §§ 7 and 8, and the order authorizing his treatment with anti-psychotic medications pursuant to G. L. c. 123, § 8B. He argues that the District Court judge improperly denied his prehearing request for a continuance to allow time for his counsel to prepare an adequate defense and an independent medical examiner to [633] complete a psychiatric evaluation. We transferred the case from the Appeals Court to this court on our own motion.

We dismiss the appeal as moot but exercise our discretion to address the issue before us, which is whether a judge may deny a person’s (or the person’s counsel’s) first request for a continuance of a hearing pursuant to G. L. c. 123, § 7 (c) or 8B. We hold that where a person or his or her counsel requests such a continuance, the grant of the continuance is mandatory where a denial thereof is reasonably likely to prejudice a person’s ability to prepare a meaningful defense.1

Background. 1. Facts. N.L. was admitted to the hospital on October 30, 2014, under the emergency hospitalization provisions of G. L. c. 123, § 12. On November 3, the hospital filed a petition for commitment pursuant to G. L. c. 123, §§ 7 and 8, and a petition for determination of incompetency and for authorization for medical treatment for mental illness pursuant to G. L. c. 123, § 8B. Counsel was appointed for N.L. The hearing on the petitions was scheduled for November 6. Due to administrative delays, counsel for N.L. did not receive a copy of N.L.’s medical records until November 5, the same day that an independent psychiatrist retained by counsel first met with N.L. On November 6, counsel for N.L. filed a motion to continue the hearing to allow him time to prepare a meaningful defense and to allow the independent medical examiner time to complete his evaluation. The hospital opposed the motion on the grounds that delay would jeopardize N.L.’s safety. The judge denied the motion to continue without stating her reasons, and proceeded with the commitment hearing. The judge then ordered N.L. to be involuntarily committed to the hospital for a period not to exceed six months. Immediately following the commitment hearing, the incompetency and medical treatment hearing commenced. The judge allowed the hospital’s petition to treat N.L. with antipsychotic medication against his will.

N.L. timely appealed this decision to the Appellate Division of the District Court Department. In September 2015, that court dismissed N.L.’s appeal as moot because he had since been discharged from the hospital, and the court declined to reach his arguments because it held that the circumstances of the case were not “capable of repetition.”

[634]*6342. Statutory overview. General Laws c. 123, as is relevant here, provides for procedures to allow the involuntary civil commitment of persons with mental illness, and for the involuntary medical treatment of such persons.

a. Civil commitment hearings. Sections 7 and 8 of G. L. c. 123 address the long-term commitment of persons with mental illness. Under § 7 (a), the superintendent of any facility2 may petition the District Court for the commitment of any patient3 already at the facility.4 A hearing on this petition must be conducted within five days of its filing, “unless a delay is requested by the person or his counsel.” G. L. c. 123, § 7 (c). Section 8 (a) provides that no person shall be committed unless the District Court finds after a hearing that “(1) such person is mentally ill, and (2) the discharge of such person from a facility would create a likelihood of serious harm.”

b. Involuntary medical treatment hearings. Section 8B of G. L. c. 123 deals with the treatment of committed persons with antipsychotic medications. If a civil commitment petition is filed under the provisions of G. L. c. 123, §§ 7 and 8, the superintendent of the facility may also petition the District Court under § 8B to allow the treatment of the person with antipsychotic medications against the person’s will. The involuntary medical treatment petition may not be considered by the court unless it has already issued a civil commitment order for the person under §§ 7 and 8. G. L. c. 123, § 8B (b). If an involuntary medical treatment petition is filed concurrently with a civil commitment petition — as was the case here — a hearing on both must commence on the same day.5 G. L. c. 123, § 8B (c). In such circumstances, this means that a continuance of a civil commitment hearing [635] results in a continuance of the involuntary medical treatment hearing.

c. Individuals' rights at hearings. Section 5 of G. L. c. 123 pertains to a person’s rights at civil commitment and involuntary medical treatment hearings, including the right to counsel and the right to present independent testimony at the hearing. An indigent person must be appointed counsel (unless he or she refuses the appointment of counsel), and the court may provide such a person with an independent medical examination. Id. A person is allowed “not less than two days after the appearance of his counsel” to prepare the case, and after this minimum period the hearing “shall be conducted forthwith . . . unless counsel requests a delay.” Id.

Discussion. 1. Mootness. Before N.L.’s appeal reached the Appellate Division, he was discharged from the hospital. Accordingly, the case is moot. “However, ‘[¡Issues involving the commitment and treatment of mentally ill persons are generally considered matters of public importance’ and present ‘classic examples’ of issues that are capable of repetition, yet evading review.” Newton-Wellesley Hosp. v. Magrini, 451 Mass. 777, 782 (2008), quoting Acting Supt. of Bournewood Hosp. v. Baker, 431 Mass. 101, 103 (2000). Therefore, we exercise our discretion and decide the issue.

2. Continuances for civil commitment and involuntary medical treatment hearings. General Laws c. 123, § 7 (c), provides that civil commitment hearings “shall be commenced within [five] days of the filing of the petition, unless a delay is requested by the person or his counsel.”6

Here, the word “unless” provides an exception to the general rule that civil commitment hearings must commence within five days of the filing of the petition. G. L. c. 123, § 7 (c). See Hashimi v. Kalil, 388 Mass. 607, 609 (1983). When a “request” for a delay is made by either the person or his counsel, that general rule no longer applies and the hearing may commence beyond the mandatory five-day window. G. L. c. 123, § 7 (c).

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