In re Weinstock

187 Misc. 2d 384, 723 N.Y.S.2d 617, 2001 N.Y. Misc. LEXIS 49
CourtNew York Supreme Court
DecidedMarch 6, 2001
StatusPublished
Cited by2 cases

This text of 187 Misc. 2d 384 (In re Weinstock) is published on Counsel Stack Legal Research, covering New York Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
In re Weinstock, 187 Misc. 2d 384, 723 N.Y.S.2d 617, 2001 N.Y. Misc. LEXIS 49 (N.Y. Super. Ct. 2001).

Opinion

OPINION OF THE COURT

Anthony J. Cutrona, J.

Petitioner, Kingboro Psychiatric Center (petitioner), commenced this special proceeding in Kings County seeking authorization for assisted outpatient treatment (ACT) for patient respondent Julio H. (respondent), pursuant to Mental Hygiene Law § 9.60 (Kendra’s Law). At the hearing, petitioner introduced into evidence, as a basis for satisfying one of the required criteria enumerated in Mental Hygiene Law § 9.60, that respondent assaulted a staff psychiatrist during his present hospitalization.

Mental Hygiene Law § 9.60 (c) (4) states in pertinent part:

“(4) the patient has a history of lack of compliance with treatment for mental illness that has * * *
“(ii) resulted in one or more acts of serious violent behavior toward self or others or threats of, or attempts at, serious physical harm to self or others within the last forty-eight months, not including any period in which the person was hospitalized or incarcerated immediately preceding the filing of the petition” (emphasis added).

Respondent moves for an order dismissing the instant proceeding asserting that a violent act occurring during the present psychiatric hospitalization cannot be used to satisfy the criterion of “one or more acts of serious violent behavior toward self or others” as enunciated in Mental Hygiene Law § 9.60 (c) (4) (ii), as the language of that section specifically excludes the present hospitalization. Furthermore, respondent claims that there is a “general understanding” that a patient in a psychiatric hospital is receiving treatment, and therefore, that the “lack of compliance with treatment for mental illness” resulting in violent behavior component cannot be met (Mental Hygiene Law § 9.60 [c] [4] [ii]). Petitioner argues, and this court agrees, that respondent’s violent act occurring during his present hospitalization can be used to satisfy the “violent act” criterion of Mental Hygiene Law § 9.60 (c) (4) (ii), and that whether a patient has been noncompliant with treatment while in a psychiatric hospital is a fact to be determined at the AOT hearing.

[386]*386In Matter of Dailey (185 Misc 2d 506 [Sup Ct, Kings County 2000]), this court was asked to decide whether a patient’s current hospitalization can be included in the calculation of the two hospitalizations required by Mental Hygiene Law § 9.60 (c) (4) (i).

Mental Hygiene Law § 9.60 (c) (4) (i) states in pertinent part:

“the patient has a history of lack of compliance with treatment for mental illness that has:
“(i) at least twice within the last thirty-six months been a significant factor in necessitating hospitalization in a hospital, or receipt of services in a forensic or other mental health unit of a correctional facility or a local correctional facility, not including any period during which the person was hospitalized or incarcerated immediately preceding the filing of the petition” (emphasis added).

This court held that “the section seeks only to expand the number of months which a petitioner can look back to 36 months prior to the current hospitalization and does not exclude the acts of noncompliance with treatment and the current hospitalization itself from consideration for an AOT order.” (Id., at 510.) Accordingly, the current hospitalization may be used to satisfy one of the two required hospitalizations under Mental Hygiene Law § 9.60 (c) (4) (i).

Respondent is now asking this court to interpret the language of Mental Hygiene Law § 9.60 (c) (4) (ii) differently: that the violent act in the current hospitalization may not be used to satisfy the “serious violent behavior toward self or others” component of Mental Hygiene Law § 9.60 (c) (4) (ii). Respondent claims that the current hospitalization must be excluded from consideration, despite almost identical qualifying language between the two sections.

As previously stated, Mental Hygiene Law § 9.60 (c) (4) (ii) provides that the petitioner must demonstrate that the patient has a history of lack of compliance with treatment for mental illness that has:

“(ii) resulted in one or more acts of serious violent behavior toward self or others * * * within the last forty-eight months, not including any period in which the person was hospitalized or incarcerated immediately preceding the filing of the petition” (emphasis added).

Consistent with this court’s prior ruling in Matter of Dailey (supra), a proper reading of Mental Hygiene Law § 9.60 (c) (4) (ii) does not exclude a violent act in the present [387]*387hospitalization from satisfying the criterion enunciated in Mental Hygiene Law § 9.60 (c). (4) (ii). This section clearly refers to the “look back” period of time during which the subject was hospitalized immediately preceding the filing of the AOT petition. It is that “look back” period of time which is to be excluded (in the case of Mental Hygiene Law § 9.60 [c] [4 ] [ii], 48 months), not the present hospitalization itself, nor any acts of violence which occur during that hospitalization. If the intent of this section were otherwise, it would not refer to an excludable period of time, but would simply state that the hospitalization immediately preceding the filing of the petition was not to be used for any reason, including as a predicate for the “serious violent behavior” criterion enunciated therein (Mental Hygiene Law § 9.60 [c] [4] [ii]). It is clear that the purpose behind the language of this section is to expand the number of months in which a petitioner may look back to 48 months prior to the current hospitalization, and not to exclude the current hospitalization, nor any violent acts occurring in the current hospitalization itself from consideration for an AOT order.

Respondent’s argument that there is an understanding that a patient is receiving treatment while in a psychiatric hospital is specious. Under Rivers v Katz (67 NY2d 485 [1986]), a psychiatric inpatient has an absolute right to refuse psychotropic medications for treatment purposes. If the hospital wants to medicate the patient against his or her will, the hospital must go to court and seek an order authorizing medication over the patient’s objection. Only then may a patient be medicated against his or her will for treatment purposes. Even assuming, arguendo, that there is a presumption of treatment while in a psychiatric hospital, it would be clearly rebuttable. Nothing prevents petitioner from introducing into evidence information that the patient was not compliant with treatment during his current hospitalization. Whether a patient is noncompliant with treatment while in a psychiatric hospital is a fact to be determined at the AOT hearing.

Respondent argues that the patient’s violent behavior while in a psychiatric hospital should be excluded from consideration at an AOT hearing as it is not relevant as to how the patient will behave while in the community. This argument is without merit.

In Donaldson v Daley (206 AD2d 298, 299 [1st Dept 1994]), the Appellate Division reversed a Supreme Court order which granted the patient’s release. The Court held that “[t]he fact that a patient’s condition can be stabilized in a hospital setting [388]*388* * * does not necessarily lead to the conclusion that the patient can function normally, on his own in an outpatient setting

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Related

In re Weinstock
191 Misc. 2d 143 (New York Supreme Court, 2002)
In re Weinstock
288 A.D.2d 480 (Appellate Division of the Supreme Court of New York, 2001)

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Bluebook (online)
187 Misc. 2d 384, 723 N.Y.S.2d 617, 2001 N.Y. Misc. LEXIS 49, Counsel Stack Legal Research, https://law.counselstack.com/opinion/in-re-weinstock-nysupct-2001.