In re Ralph M.

99 Misc. 2d 828, 417 N.Y.S.2d 608, 1979 N.Y. Misc. LEXIS 2344
CourtNew York Family Court
DecidedMay 21, 1979
StatusPublished
Cited by2 cases

This text of 99 Misc. 2d 828 (In re Ralph M.) is published on Counsel Stack Legal Research, covering New York Family Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
In re Ralph M., 99 Misc. 2d 828, 417 N.Y.S.2d 608, 1979 N.Y. Misc. LEXIS 2344 (N.Y. Super. Ct. 1979).

Opinion

[829]*829OPINION OF THE COURT

Aileen Haas Schwartz, J.

The issue of mental illness in a criminal or juvenile delinquency proceeding tests our society’s dedication to the principle of fundamental fairness.1 Two questions are raised in this case: (1) Does the preponderance standard of proof prescribed by subdivision 4 of section 760 of the Family Court Act comply with procedural due process requirements in the wake of Addington v Texas (441 US 418)? (2) Is respondent entitled to the procedural safeguards of article 9 of the Mental Hygiene Law, including the right to jury trial review, as an equal protection right pursuant to Baxstrom v Herold (383 US 107)?2

On September 25, 1978, respondent was found to have committed acts that would constitute the crime of unauthorized use of a vehicle (Penal Law, § 165.05), upon admission (Schwartz, J.). Prior thereto, on June 20, 1978, respondent had been found to have committed acts that would constitute the crime of criminal possession of a weapon in the fourth degree (Penal Law, § 265.01) upon admission (Miller, J.). Shortly after institution of the proceeding before Miller, J., respondent began to manifest severe emotional behavior on several occasions resulting in emergency temporary psychiatric hospitalization upon the orders of several Judges.

A dispositional hearing pursuant to sections 743, 745 and 760 of the Family Court Act was scheduled. That the respondent required "supervision”, "treatment” and "confinement” was virtually uncontested. (Family Ct Act, § 712, subd [g].) Rather was the hearing devoted in major portion to the issue of "mental illness * * * as defined in section 1.03 of the mental hygiene law, which is likely to result in serious harm to himself or others”. (Family Ct Act, § 760, subd 1.)

Three psychiatrists testified: Dr. Peter Guggenheim, Medical Director of Mental Health Services (Family Ct), Dr. Paul Perry, Attending Psychiatrist at Bellevue Hospital, and Dr. [830]*830Victor D’Arc, Chief Psychiatrist, Manhattan Children’s Psychiatric Center. Each psychiatrist diagnosed respondent as suffering from schizophrenia, paranoid type. Each testified to respondent’s state of acute psychosis, suicidal and aggressive. Dr. Guggenheim traced respondent’s development during the past year and recounted some 12 interviews. Respondent had been diagnosed as acutely psychotic on several occasions and repeatedly hospitalized on an emergency basis. The recommended treatment plan, confirmed by the attending doctors at Bellevue Hospital, included placement at a residential treatment center that could provide psychotherapy and psychotropic medication. "Only with medication,” the plan emphasized, "can this youngster’s psychiatric status be controlled.” Thorazine in varying dosages was prescribed. Respondent’s pattern of conduct was marked by frequent "escapes” and protracted absences from hospitals and other facilities. On December 5, 1978, respondent was apprehended after one such "escape”. Testimony by Dr. Guggenheim that respondent was acutely psychotic, that respondent had a "neck abrasion from hanging attempt”, that respondent had spoken of a "suicide attempt” earlier in the day, and that respondent threatened suicide resulted in emergency psychiatric hospitalization upon order of this court without opposition by the law guardian, counsel for respondent. Respondent absconded. Respondent was apprehended and returned to custody on January 31, 1979. Dr. Guggenheim last saw the respondent on that occasion. According to the doctor, who examined respondent on a top priority emergency basis, respondent had "deteriorated greatly.” Respondent was "grossly and markedly suicidal, threatening and aggressive”; respondent was "suffering auditory, hallucinatory experiences.” Respondent was remanded for emergency psychiatric hospitalization with the consent of the law guardian. Remand was extended with the law guardian’s consent.

At the dispositional hearing, the doctor rejected the earlier treatment plan and unqualifiedly recommended psychiatric hospitalization to protect respondent from his suicidal intentions. Dr. Guggenheim spoke of the "great danger of harming himself.”

Dr. Paul Perry who first met respondent at Bellevue Hospital during the last emergency remand, concurred in the diagnosis of Dr. Guggenheim and described respondent as depressed, suicidal, angry and threatening. Dr. Perry and Dr. [831]*831Geller, who had attended respondent on earlier emergency hospitalizations, decided that respondent now required long-term psychiatric hospitalization, and the two psychiatrists so certified for initiation of involuntary commitment proceedings.

Dr. Victor D’Arc examined respondent on March 8, 1979, after respondent’s admission to Manhattan Children’s Psychiatric Center, pursuant to section 9.27 of the Mental Hygiene Law, and continued the psychiatrist-patient relationship through the hearing which was commenced on March 14, 1979 and completed on March 19, 1979. The doctor concurred in the diagnosis of Dr. Guggenheim. Dr. D’Arc had first examined respondent in October through November, 1978, and was then convinced that respondent required long-term psychiatric hospitalization. He testified that respondent remained in an acute state and was presently suicidal and "possibly homicidal.”

The entire probation record was admitted into evidence with the recommendation by the probation department that respondent be placed with Division for Youth, title 3.

For purposes of this opinion, suffice it to say that as indicated above the evidence established beyond a reasonable doubt (without real opposition) that respondent requires "supervision, treatment or confinement” within the context of subdivision (g) of section 712 of the Family Court Act and is adjudicated a juvenile delinquent.

Legal issues regarding involuntary commitment for psychiatric hospitalization dominated the dispositional proceeding. At the very inception of the hearing, the court sua sponte, advised of its concern regarding the procedural due process sufficiency of the section 760 preponderance standard of proof and the respondent’s "equal protection” rights pursuant to Baxstrom v Herold (383 US 107, supra). Indeed, the issue of the constitutional sufficiency of the preponderance standard was raised during the hearing by respondent’s application to the court to dispense with the testimony of Dr. D’Arc as the doctor was and would continue in a psychiatrist-patient relationship in the event of a commitment.

Although the doctor’s testimony was limited to some extent upon consent, the court denied the application upon the ruling that the preponderance standard was constitutionally infirm. The ruling was made at that stage because only Dr. D’Arc had personal knowledge of respondent’s present condition and that factor was critical to a state of certitude greater than the preponderance standard. Parenthetically, it is noted that no [832]*832decision was reached as to the exact standard required by due process. The case sub judice and other like matters, however, proved vexing on that very issue.

The Attorney-General supported the constitutionality of the preponderance standard and continues to support that standard notwithstanding Addington v Texas (441 US 418), supra, decided subsequent to this court’s ruling (supra) that the preponderance standard is violative of procedural due process.

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Related

In Re Randolph T.
437 A.2d 230 (Court of Appeals of Maryland, 1981)
People v. Escobar
110 Misc. 2d 1089 (New York Supreme Court, 1980)

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Bluebook (online)
99 Misc. 2d 828, 417 N.Y.S.2d 608, 1979 N.Y. Misc. LEXIS 2344, Counsel Stack Legal Research, https://law.counselstack.com/opinion/in-re-ralph-m-nyfamct-1979.