In re T.M.

2020 IL App (3d) 180086-U
Appellate Court of Illinois·Decided April 6, 2020·No. 3-18-0086·Unpublished

Opinion

NOTICE: This order was filed under Supreme Court Rule 23 and may not be cited as precedent by any party except in the limited circumstances allowed under Rule 23(e)(1).

2020 IL App (3d) 180086-U

Order filed April 6, 2020

IN THE

APPELLATE COURT OF ILLINOIS THIRD DISTRICT

2020

In re T.M., a Person Found Subject to ) Appeal from the Circuit Court Involuntary Commitment and Involuntary ) of the 10th Judicial Circuit, Medication ) Peoria County, Illinois )

(The People of the State of Illinois, )

) Appeal No. 3-18-0086 Petitioner-Appellee, ) Circuit No. 18-MH-23 )

v. )

)

T.M., ) Honorable ) Alicia N. Washington Respondent-Appellant). ) Judge, Presiding

JUSTICE O’BRIEN delivered the judgment of the court.

Presiding Justice Lytton and Justice Wright concurred in the judgment.

ORDER

¶1 Held: Trial court did not err when it granted the State’s petitions to involuntarily admit T.M. where the evidence established that T.M. was mentally ill and due to his mental illness he could harm himself or others or was unable to care for himself.

The trial court did err when it granted the State’s petition for involuntary administration of psychotropic medication where the State failed to provide adequate written information about the medication it wished to administer.

¶2 T.M. was the subject of petitions for involuntary admission and involuntary administration of psychotropic medication. The trial court granted both petitions. T.M. appealed. We affirm the trial court’s grant of the petition for involuntary admission and reverse its order granting the petition for involuntary administration of psychotropic medication.

¶3 FACTS

¶4 The State filed petitions for involuntary admission and involuntary administration of psychotropic medication concerning T.M. and a hearing took place on the State’s petitions on January 23, 2018. T.M.’s mother, Debbera H., testified. T.M., who was 30 years old, had a history of mental illness and was treated with medication for attention-deficient/hyperactivity disorder (ADHD) from the age of 6 to the age of 15, when he stopped taking his medication. He engaged in criminal activities when he was young, such as robbing the neighbors’ houses and spent the last 15 to 16 years in and out of prison. He had recently been doing alright until he started smoking crack cocaine and K2, a synthetic cannabinoid. At this point in the testimony, T.M. inserted that he liked K2 because it allowed him to zone out.

¶5 Debbera continued. T.M. had been working at Burger King but quit after he started smoking the drugs. T.M. interjected that he quit his job because everyone was talking and tripping him out. Debbera described that in the last three months, T.M.’s troubling behaviors included threatening to blow his head off, stating Satan took his soul and talking improperly about the Bible. He had previously made threats about a gun, which he knew how to use. T.M. had been living with her until four months earlier when she kicked him out because he had been smoking K2 in her garage. T.M. again interjected, stating that he also stole money from her, which he said was the main reason she kicked him out.

¶6 On cross-examination Debbera admitted T.M. had been bathing and eating and had not caused any physical harm in the last three months, although she expressed that she had seen a deterioration in T.M.’s ability to reason or communicate in that time period.

¶7 Thomas Boyd, a second-year resident training to be a psychiatrist, testified that he had examined T.M. that morning and every day for the past eight days. He shared his personal observations of T.M. and stated that he was treating T.M. for unspecified psychosis. Boyd prescribed Zyprexa for T.M., who refused to take it.

¶8 Narayan Reddy, a medical doctor and psychiatrist, testified. He was T.M.’s treating doctor during his involuntary hold. T.M. was admitted by his mother because of his delusions. He needed prompting to bathe and eat and was helped by aids. T.M. had a history of mental illness and he submitted that his drug use might have caused a “flair of the underlying [mental illness] symptoms.” Reddy believed a six-month period was needed to reach a diagnosis. He also stated that T.M.’s behaviors in the hospital supported a mental illness diagnosis. However, Reddy could not determine whether T.M. was suffering from the side effects of K2 or from mental illness. He opined that were T.M. not admitted, he would engage in harmful activities. Reddy specifically mentioned T.M. might follow through with his threats to acquire a gun to blow out his brains if released.

¶9 T.M. moved for a directed verdict, arguing the State had not proved T.M. suffered from mental illness because the doctors did not know if T.M.’s psychotic behavior was caused by mental illness or was a side effect from using K2. The trial court granted the directed verdict, finding that T.M.’s behavior was caused by either mental illness or the drug’s side effects. T.M. was discharged following the hearing.

¶ 10 On January 24, 2018, the State filed another petition for the involuntary commitment of T.M. and a petition for the involuntary administration of psychotropic medication. The admission petition alleged that T.M. suffered from mental illness and as a result of his mental illness; he was likely to harm himself or others; he could not provide for his basic needs; he was unable to understand the need for treatment; and he was in need of immediate hospitalization. The petition further provided that T.M. heard voices telling him to rape a nurse; he believed that people were pursuing him; he was on a high security alert by the government; he was being pursued by the Federal Bureau of Investigation (FBI) and needed to flee; he was able to hear everyone’s thoughts; and he was in need of immediate hospitalization.

¶ 11 The petition for involuntary administration of psychotropic medication stated that T.M. had a mental illness with active psychosis and threats of harm to himself and others and that T.M. lacked the capacity to give informed consent to his treatment. The petition referred to Zyprexa, Haldol and Risperidone as preferred drugs to treat T.M. The petition also requested the following tests as necessary for safe administration of the drugs: complete blood count, comprehensive metabolic panel, drug levels, and an electrocardiogram. The drugs were antipsychotic drugs used to treat schizophrenia and bipolar disorder. Attached to the petition was a supplemental petition referencing the following drugs as treatment options for T.M.: Prolixin, Thorazine, Invega, Zyprexa, Abilify, Depakoke, Ativan, Cogentin. The list included dosage ranges and treatment periods. The drugs included antipsychotic medication and medications designed to combat the side effects from the other medications. T.M. was provided information on all the drugs and their side effects except Thorazine but he refused the information.

¶ 12 Two inpatient certificates of examination were included with the petitions. The first one described T.M. as delusional and paranoid. It stated the same circumstances as the petition and

added that he said he would acquire a gun and rob someone and “shoot stuff up” in order to obtain money to buy K2. The second certificate referenced T.M.’s delusional thoughts, sexual threats to others and suicidal comments, noting that T.M. authored a suicide note during his last admission. The certificate further provided that T.M. groped a nurse while being admitted and laughed about his actions.

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In re T.M., 2020 IL App (3d) 180086-U (Ill. Ct. App. 2020).

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