In re R.D.

739 A.2d 548, 1999 Pa. Super. 226, 1999 Pa. Super. LEXIS 2840
CourtSuperior Court of Pennsylvania
DecidedSeptember 10, 1999
StatusPublished
Cited by32 cases

This text of 739 A.2d 548 (In re R.D.) is published on Counsel Stack Legal Research, covering Superior Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
In re R.D., 739 A.2d 548, 1999 Pa. Super. 226, 1999 Pa. Super. LEXIS 2840 (Pa. Ct. App. 1999).

Opinions

CAVANAUGH, J.:

¶ 1 R.D. appeals the trial court’s order denying her petition for review of a commitment order entered pursuant to section 303 of the Mental Health Procedures Act1, extending her confinement to a mental health facility for an additional twenty days. R.D. challenges the portion of section 303(e) that allows the hearing judge or mental health review officer to review “any relevant information even if it would be normally excluded under rules of evidence if he believes that such information is reliable.” R.D. argues, inter alia, that because this provision allows a commitment order to be entered on the basis of hearsay, it deprives the affected individual of due process. We conclude that in balancing the therapeutic purposes advanced by the Mental Health Procedures Act against the liberty interest of the person committed, section 303(c) does not violate due process. Further, we find that the specific hearsay evidence complained of possessed sufficient indicia of reliability to sustain R.D.’s commitment under section 303. Thus, we affirm the order denying R.D.’s petition for review.

¶ 2 The facts, as gleaned from the record, show that three days before the sec[551]*551tion 303 petition was filed, R.D. had been involuntarily committed for emergency psychiatric treatment of five days (120 hours) duration at Mercy Hospital of Philadelphia (MHOP) under section 302 of the Act. The five day commitment order was based in part on certain averments contained in the section 302 petition of Marilyn Miles, the operator of a boarding home in which appellant was residing. The section 302 petition averred, inter alia, that R.D. was refusing to take her medication, was refusing to eat, had threatened to set fire to the home and had “picked up her cane and threatened the caregiver (to hit caregiver)[.]”2 The section 302 petition, which requested that the County Administrator issue a warrant authorizing R.D.’s transport to a psychiatric facility for examination, was granted and R.D.’s involuntary 120 hour commitment into treatment at MHOP started on the evening of February 17,1998, after Dr. Charles McGlynn of MHOP examined R.D. and found her to be severely mentally disabled and in need of treatment.3

¶ 3 Two days later, on February 19, 1998, a section 303 petition was filed by the Philadelphia County Office of Mental Health (OMH) on behalf of the petitioner, MHOP. MHOP sought to have R.D.’s involuntary treatment extended by an additional twenty days. The petition included the results of an examination of R.D. conducted on February 18,1998, by an MHOP attending psychiatrist who found her to possess aggressive impulses, poor impulse control, poor judgment, a lack of insight into her mental illness and displays of anger. The psychiatrist affirmed that, based on his examination of her, R.D. continued to be severely mentally disabled and in need of treatment. The informal conference on MHOP’s section 303 petition to extend R.D.’s involuntary emergency treatment convened on Friday, February 20,1998, at 9:00 a.m.

¶4 Section 303 provides, in pertinent part:

§ 7303. Extended involuntary emergency treatment certified by a judge or mental health review officer-not to exceed twenty days
(a) Persons Subject to Extended Involuntary Emergency Treatment.-Application for extended involuntary emergency treatment may be made for any person who is being treated pursuant to section 3021 whenever the facility determines that the need for emergency treatment is likely to extend beyond 120 hours. The application shall be filed forthwith in the court of common pleas, and shall state the grounds on which extended emergency treatment is believed to be necessary. The application shall state the name of any examining physician and the substance of his opinion regarding the mental condition of the person.
(c) Informal Conference on Extended Emergency Treatment Application.-(l)
[552]*552At the commencement of the informal conference, the judge or the mental health review officer shall inform the person of the nature of the proceedings. Information relevant to whether the person is severely mentally disabled and in need of treatment shall be reviewed, including the reasons that continued involuntary treatment is considered necessary. Such explanation shall be made by a physician who examined the person and shall be in terms understandable to a layman. The judge or mental health review officer may review any relevant information even if it would be normally excluded under rules of evidence if he believes that such information is reliable. The person or his representative shall have the right to ask questions of the physician and of any other witnesses and to present any relevant information. At the conclusion of the review, if the judge or the review officer finds that the person is severely mentally disabled and in need of continued involuntary treatment, he shall so certify. Otherwise, he shall direct that the facility director or his designee discharge the person.

Mental Health Procedures Act, § 303(a), (c)(1).

¶ 5 In support of its section 303 petition, MHOP first presented the averments contained in the previously granted section 302 petition.4 MHOP next presented the testimony of consulting psychiatrist, Dr. Ladenheim, who had examined R.D. earlier that same day. Dr. Ladenheim testified that R.D. expressed “vague paranoid ideas about the staff at the boarding home” and that “she feels that she was being held hostage at the boarding home.” Dr. La-denheim further testified that R.D. suffered from schizo-affective disorder and had undergone several recent psychiatric hospitalizations of varying length. The most recent hospitalization prior to R.D.’s involuntary commitment ended on February 10, 1998, when she became a resident of the boarding home. He testified that by February 17, 1998, the date when R.D. was involuntarily committed to MHOP on a section 302 petition, she had stopped taking her psychotropic medications. Moreover, he testified that her verbal threat “to hit the boarding home proprietor” was a manifestation of R.D.’s mental illness. He testified that R.D. was “having difficulty adjusting to life in the community” and that a twenty day extension under section 303 was requested because “we are seeking to avoid another rapid rehospitali-zation.”

¶ 6 After Dr. Ladenheim finished his testimony, R.D., who is apparently either fully or functionally deaf, testified against the advice of counsel as follows:

[R.D.]: Let me speak. I have the right to say what I think, don’t I? (inaudible) Let me speak too, my part.
MR. HOULON: Can the interpreter instruct her ...
MS. SHREEVES [R.D.’s COUNSEL]: Okay. I’m just going to advise that she would be testifying against the advice' of counsel if she insists, because, at this point, it would be my intent to rest based on what I feel is the insufficiency of the allegations.
[R.D.]: Why? Why should I shut up, why?
MR. HOULON: Do you have questions for the doctor?
MS. SHREEVES: No. I don’t have any questions. Did you explain to her what I just said? Does she still insist on testifying?
[553]

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Cite This Page — Counsel Stack

Bluebook (online)
739 A.2d 548, 1999 Pa. Super. 226, 1999 Pa. Super. LEXIS 2840, Counsel Stack Legal Research, https://law.counselstack.com/opinion/in-re-rd-pasuperct-1999.