In re Search of Offices of Action Mental Health, Inc.

32 Pa. D. & C.3d 612, 1983 Pa. Dist. & Cnty. Dec. LEXIS 107
CourtPennsylvania Court of Common Pleas, Alleghany County
DecidedAugust 3, 1983
Docketno. GD 83-9786
StatusPublished

This text of 32 Pa. D. & C.3d 612 (In re Search of Offices of Action Mental Health, Inc.) is published on Counsel Stack Legal Research, covering Pennsylvania Court of Common Pleas, Alleghany County primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
In re Search of Offices of Action Mental Health, Inc., 32 Pa. D. & C.3d 612, 1983 Pa. Dist. & Cnty. Dec. LEXIS 107 (Pa. Super. Ct. 1983).

Opinion

FINKELHOR, J.,

This is an action in equity seeking to enjoin the examination by the district attorney of patient files seized under a valid search warrant from the offices of Action Mental Health, Inc. (Action) pursuant to a criminal investigation of alleged fraudulent billing practices. It is the position of petitioners that such records are statutorially and constitutionally protected and that the psychotherapist-patient privilege prohibits the district attorney from examining the documents seized in conjunction with its criminal investigation.

This court, by order dated June 10, 1983, ordered said records impounded until the issue of privilege could be resolved. Based upon the questions raised by counsel, the court must determine whether: (1) Action Mental Health has standing; (2) equity has jurisdiction; and (3) the constitutional right to privacy forbids the examination of the records of an individual receiving the services of a mental health counsel.

FACTS

Pursuant to the hearing held in June 1983, the facts are briefly summarized. Action maintained offices at 8150 Perry Avenue, North Hills, Allegheny County, Pa., and provided outpatient mental health, marital, drug and alcohol counseling and related services. Petitioner also operated through Action Weight Loss Clinic, a program of structured weight [614]*614loss through the use of a certain brand of prepackaged food products which were also sold at the clinic. In the mental health division, petitioner employed two part-time psychiatrists and two part-time licensed psychologists, plus an array of other counselors and support personnel of widely varying educational backgrounds and qualifications. The mental health services were financed, in part, by third party payees, chiefly Blue Shield of Pennsylvania. Following a number of “tips” telephoned to the Blue Shield Anti-Fraud Hotline, the district attorney’s office launched an investigation of the Action operation. As a result, a warrant was issued to authorize the seizure of the files of all patients in whose name Action had submitted claims to Blue Cross/Blue Shield.

At the hearing, a psychotherapist testified that some of the patients, whose records were seized, were under the care of a psychiatrist or psychologist or other persons with mental health training. The therapist performed individual and family counsel-ling involving highly sensitive issues and included in the files were the notes of the treating therapist. The district attorney has not sought permission from any patient for the use of his or her records nor has any patient sought to intervene to prevent the disclosure of these records. However, witnesses testified to the effect that certain unnamed patients were concerned over the seizure.

ACTION’S CLAIM OF THE PRIVILEGE

The general rule is that the claim of privilege belongs to the patient, not to the physician. Romanowicz v. Romanowicz, 213 Pa. Super. 382, 248 A.2d 238 (1968).

This question was raised in In Re: June 1979 Allegheny County Investigating Grand Jury, 490 Pa. [615]*615143, 415 A.2d 73 (1980). In this case, the grand jury subpoenaed tissue reports and other laboratory material as part of an investigation.

“Although the patient’s medical records are the property of the hospital, the personal nature of the information they contain results in an obligation on the part of the hospital to maintain the confidentiality of the records. Unless otherwise provided by law, the hospital must limit access to the records to authorized personnel in the absence of consent by the patient.” 415 A.2d at 76

As the purpose of the “physician-patient” privilege is to protect the privacy of the patient, the courts have accepted a claim of the privilege on the part of the institution holding the records. To hold otherwise would be to give the patient names to the court and the right of privacy would have been lost. Even though Action is a potential defendant in any further activity in this case, it may raise the privilege in order to protect the patient’s privacy.

EQUITY JURISDICTION

Traditionally, courts of equity have refused, except in rare instances, to enjoin criminal prosecutions. Cleary v. Bolger, 371 U.S. 392, 83 Supreme Ct. 385 (1963).

It is the Commonwealth’s position that a full, complete and adequate statutory remedy at law is available under Pa.R.Crim.P. 324 and that, consequently, equity should not have taken jurisdiction over the instant matter. While Rule 324 permits a person aggrieved by a search and seizure to move for the return of the property on the ground that he is entitled to lawful possession thereof, this would not protect the rights of the patients who conceivably could be harmed by disclosure. In addition, [616]*616Rule 324 does not protect the privacy of the information but is limited to suppressing their use at time of trial. Even if the court directed that the records be suppressed and returned, it would not prevent law enforcement officials from examining the records and perhaps inadvertently disclosing information contained therein. Under the circumstances, the remedy afforded by the rule is not adequate, complete and effective to prevent the casual inspection of private records. Accordingly, absent an action in equity, the patients, involved, would lack a remedy to protect their right of privacy.

STATUTORY PRIVILEGE

The next issue is whether there exists any statutory basis for the assertion of the privileged character of patient records. The physician-patient privilege, 42 Pa.C.S. §5929 (1982), is inapplicable to the facts presented here. First, the privilege applies only to civil matters. Com. v. Edwards, 318 Pa. 1, 178 Atl. 20 (1935). It does not extend to nurses or other support personnel except in the limited circumstances where, for example, a nurse overhears a communication between a patient and physician. In Re: ABC, Juvenile, 12 Adams L.J.; 51 D.&C.2d 424 (1971). Lastly, the privilege applies only to information which would tend to blacken the character of the patient. It does not render incompetent testimony regarding facts which the physician learned from examination or observation, nor is it a bar to testimony concerning communications between physician and patient where such communication does not tend to blacken the character of the patient. Com. ex rel. Platt v. Platt, 266 Pa. Super. 276, 404 A.2d 410 (1979).

[617]*617Petitioners also cite the Mental Health Procedures Act, 50 P.S. §7111 (Supp. 1983), as mandating that the patient records be held in confidence. The scope of the Mental Health Procedures Act is limited to persons receiving involuntary treatment and to those receiving voluntary treatment on an inpatient basis. 50 P.S. §7103 (Supp. 1983). There is no evidence that persons, whose records were seized, were undergoing inpatient or involuntary outpatient treatment.

Equally inapplicable to most of the persons providing treatment at Action is the Act of July 9, 1976, P.L. 586, No. 142 §2, relating to the confidentiality of communications to licensed psychologists.

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Related

Poe v. Ullman
367 U.S. 497 (Supreme Court, 1961)
Cleary v. Bolger
371 U.S. 392 (Supreme Court, 1963)
Griswold v. Connecticut
381 U.S. 479 (Supreme Court, 1965)
Miranda v. Arizona
384 U.S. 436 (Supreme Court, 1966)
Eisenstadt v. Baird
405 U.S. 438 (Supreme Court, 1972)
Roe v. Wade
410 U.S. 113 (Supreme Court, 1973)
Paris Adult Theatre I v. Slaton
413 U.S. 49 (Supreme Court, 1973)
Carey v. Population Services International
431 U.S. 678 (Supreme Court, 1977)
Tarasoff v. Regents of University of California
551 P.2d 334 (California Supreme Court, 1976)
Commonwealth Ex Rel. Romanowicz v. Romanowicz
248 A.2d 238 (Superior Court of Pennsylvania, 1968)
In Re B.
394 A.2d 419 (Supreme Court of Pennsylvania, 1978)
Matter of Pittsburgh Action Against Rape
428 A.2d 126 (Supreme Court of Pennsylvania, 1981)
Commonwealth Ex Rel. Platt v. Platt
404 A.2d 410 (Superior Court of Pennsylvania, 1979)
In Re the June 1979 Allegheny County Investigating Grand Jury
415 A.2d 73 (Supreme Court of Pennsylvania, 1980)
Commonwealth v. Edwards
178 A. 20 (Supreme Court of Pennsylvania, 1935)
Commonwealth v. Helms
343 A.2d 362 (Superior Court of Pennsylvania, 1975)

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Bluebook (online)
32 Pa. D. & C.3d 612, 1983 Pa. Dist. & Cnty. Dec. LEXIS 107, Counsel Stack Legal Research, https://law.counselstack.com/opinion/in-re-search-of-offices-of-action-mental-health-inc-pactcomplallegh-1983.