In Re The Detention Of: C.C.

Court of Appeals of Washington·Decided May 23, 2023·No. 57176-5·Unpublished

Opinion

Filed

Washington State

Court of Appeals

Division Two

May 23, 2023

IN THE COURT OF APPEALS OF THE STATE OF WASHINGTON

DIVISION II

In the Matter of the Detention of: No. 57176-5-II

C.C.,

Appellant.

UNPUBLISHED OPINION

CRUSER, A.C.J. – CC appeals the superior court’s 180-day commitment order for involuntary treatment under the “Involuntary Treatment Act” (ITA), chapter 71.05 RCW.1 CC argues that the superior court erred when it concluded that she continues to present a substantial likelihood of repeating acts similar to the charged criminal behavior because the evidence presented was not recent and “was largely hearsay.” Br. of Appellant at 12. We affirm.

FACTS

I. BACKGROUND

On August 10, 2018, CC met with her former boyfriend in violation of a no contact order (NCO) prohibiting her from contacting him. During this meeting, CC punched her former boyfriend in the face and struck him with her car.

1 Because an involuntary commitment order may have adverse consequences on future involuntary commitment determinations, this appeal is not moot even though CC’s commitment period under the challenged order has expired. In re Det. of M.K., 168 Wn. App. 621, 625-30, 279 P.3d 897 (2012).

The State charged CC with first degree assault and assault in violation of a protective order.

CC later assaulted two corrections officers while in jail, and the State added two counts of third degree assault.

CC was determined to be incompetent, and the criminal charges were dismissed. On October 5, 2018, a superior court commissioner committed CC to 180 days of involuntary treatment after finding that CC, as the result of a mental disorder, presented “a substantial likelihood of repeating acts similar to the charge criminal behavior” and was “gravely disabled.” Clerk’s Papers (CP) at 136.

II. PETITION TO EXTEND INVOLUNTARY TREATMENT On April 1, 2022, examining physician Rosa Epistola, MD, and examining mental health professional Rosario Archer, PhD, petitioned to for an additional 180 days of involuntary treatment under RCW 71.05.280(3). They asserted that CC continued to present a substantial likelihood of repeating acts similar to the charged behavior. In a supporting declaration, Dr. Epistola and Archer, provided the facts to support the petition.

The declarants stated that CC had a significant mental health history consisting of more than “270 contacts with the mental health system . . . since 2005” and several hospitalizations for mental health concerns. Id. at 5. CC’s admission to Western State Hospital (WSH) at that time was her third.

Her first civil commitment was from October 9, 2017 to October 13, 2017, following an assault of her former boyfriend and a violation of an NCO. Her second commitment was from January through June 2018, following another violation of the NCO. During these commitments, CC was diagnosed with “Delusional Disorder,” “Bipolar Disorder,” and “Autism Spectrum

Disorder.” Id. at 6. She was released from the 2018 commitment on conditional release on June 5, 2018, just two months before the August 10 incident.

Regarding the commitment period at issue here, the declarants stated CC had not violated the still-existing NCO with the victim. But they further stated that CC’s “behavioral functioning” had not significantly changed, that she was dismissive of boundaries when enforced, and that she continued to engage in “defiant behavior” and to have difficulty complying with various phone and ward protocols. Id. at 7, 11. They noted that CC frequently displayed irrational emotional responses when stressed, told no, or believed her rights were violated. And she justified her attempts to violate any phone restrictions by asserting that it was her right to make phone calls to anyone she chose. The declarants concluded that these behaviors demonstrated that CC’s judgment was still “markedly impaired,” and that her oppositional and defiant behaviors were likely a manifestation of her behavior health disorders. Id. at 11.

The declarants also stated that, based on “clinical chart documentation,” CC continued to resist meaningful participation in treatment, she did not believe she had a mental health disorder, and she continued to claim that there was no evidence that she had actually struck the victim with her vehicle and she was just “ ‘trying to teach him a lesson.’ ” Id. at 7-8 (italics omitted). They further stated that although CC had not engaged in any “significant assaultive behavior since 04/05/2019,” CC continued to engage in other behaviors that were “provocative, criminal and defiant” as the result of non-conscious impulsive, reflexive, or compulsive efforts to deal with underlying anxiety. Id. at 12.

Additionally, the declarants stated that on March 23, 2022, CC’s social worker noted that CC “reported she feels the NCO holder has to pay in some way for her staying at WSH and that

she is ‘likely’ to contact him upon her discharge from WSH.” Id. at 7 (italics omitted). The declarants found this comment particularly concerning. And when they asked CC during the mental status examination about whether she intended to comply with the NCO if she was released, CC had refused to respond.

The declarants summarized,

During the last 180 days [CC] has demonstrated some evidence of reckless disregard for the safety of herself and others. She has continually stated that her phone calls have nothing to do with safety, including ward safety and the safety of the alleged victim of her index offense. Despite this assertion she has demonstrated greater compliance with them, evidencing some positive aspects of her current treatment regime on insight. [CC] has demonstrated a lack of remorse, as indicated by her indifference to causing others harm and continual rationalizing of her behaviors. As she discussed, he[r] primary goal in initiating phone calls or contact to the victim of the alleged index offense was to achieve fairness and justice[,] “I wanted to teach him a lesson” (her answer when asked to detail her index offense.)

. . . . [CC] has shared with treatment providers that her intention is to share her feelings towards the protected party as she believes he should bear some accountability for her commitment.

Id. at 14-15 (internal citation omitted). The declarants also emphasized that although CC had not contacted the victim during this review period, “[a]ccording to medical records[,] [CC] has stated that she inten[ds] to contact [the victim] upon release and is concerned that this may ‘blow up’ if she [is] not allowed to contact him prior to her release.” Id. at 15.

The declarants further stated,

It is [hypothesized] that her desire to be heard and validated by the protected party and for him to “acknowledge what he’s done” continues to enhance her desire to reach out to him (including indirectly) since she believes he no longer listens to her voice messages. In addition, she also believes that he will change his mind since [CC] reports he has set limits historically but not been consistent [in] maintain[ing]

those limits. Despite holding these beliefs, [CC] has demonstrated that with specific rules and staff preventing her she can adhere to the NCO and has not reached out to him as documented in [her] chart over this review period.

It is the view of the undersigned that given her previously documented attempts to contact the victim, there is a high likelihood this would occur if release[d] directly to the community without any supportive structure in place. [CC]

has expressed a desire and motivation to participate in therapy in a less restrictive alternative [(LRA)] to address her feelings toward the protected party and to process her admission to [WSH].

Id. at 15-16.

III. HEARING AND COMMITMENT ORDER On June 14, 2022, a pro tem commissioner considered the petition. After permitting CC to read a statement, the commissioner considered the petition and supporting declaration. CC did not attempt to rebut the petition and declaration with her own expert’s opinion. The court granted the petition.

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