in the Guardianship of N.P., an Incapacitated Person

Court of Appeals of Texas·Decided December 10, 2020·No. 02-19-00233-CV·Published

Opinion

In the

Court of Appeals

Second Appellate District of Texas at Fort Worth

No. 02-19-00233-CV

IN THE GUARDIANSHIP OF N.P., AN INCAPACITATED PERSON

On Appeal from Probate Court No. 2 Tarrant County, Texas

Trial Court No. 2018-GD00257-2

Before Sudderth, C.J.; Gabriel and Kerr, JJ.

Memorandum Opinion by Justice Kerr Dissenting Memorandum Opinion by Chief Justice Sudderth

MEMORANDUM OPINION

This is an appeal from an order creating a limited guardianship of the person of N.P. (Noelle)1 under Section 1101.152 of the Estates Code. See Tex. Est. Code Ann. § 1101.152. The probate court declined to grant the full guardianship, see id. § 1101.151, that was recommended by her treating physician of roughly ten years, the court’s investigator, and Noelle’s parents, and which Noelle’s attorney ad litem did not argue against or refute. In multiple issues, Appellants M.P. (Mother) and J.P. (Father) challenge the probate court’s denial of their application to be appointed full guardians of the person of their intellectually disabled adult daughter. Because we hold that the probate court abused its discretion in not appointing guardians with full authority when the need was uncontested and the evidence supported it, we reverse.

Background

With an IQ between 50 and 70, Noelle has been diagnosed with a mild intellectual disability as well as autism, disruptive mood dysregulation, attention- deficit/hyperactivity disorder, and anxiety disorder. Noelle lives with her Mother and Father. In September 2018, shortly before Noelle’s eighteenth birthday, her parents applied to be appointed guardians of her person. See id. § 1103.001 (providing that within 180 days of a minor’s 18th birthday, a person may file an application for a minor who, because of an incapacity, will require a guardianship after turning 18).

1 “Noelle” is a pseudonym.

The day after the application was filed, the probate court appointed Arlene Shorter—who at the time was a 20-year assistant court investigator for Tarrant County Probate Court No. 2—to function as the Court Visitor.2 See id. § 1054.103.

Shorter filed the statutorily required sworn court-visitor report after meeting with Noelle, Father, and Mother in their home. See id. §§ 1054.103, .104. Shorter’s report recommended the appointment of a full guardianship, stating that (a) supports and services were considered and were not sufficient; (b) alternatives to guardianship were considered but were not feasible; (c) Noelle needed a guardian to make placement (residential) decisions, medical decisions, and financial decisions; and (d) Noelle’s rights to drive, vote, dispose of property, and marry should be removed.

Among many other things, Shorter’s report noted that

• Noelle’s parents reported Noelle’s age equivalent as that of a third- or fourth-grader;

2 The hearing record does not really distinguish between Shorter’s role as assistant court investigator and court visitor, although the latter position carries with it the obligation to file the detailed written evaluation that Shorter provided. See id. § 1054.104. A court investigator, on the other hand, is charged with filing “a report containing the court investigator’s findings and conclusions after conducting an investigation” under (as applicable here) Section 1054.151 into the “circumstances alleged in the application to determine whether a less restrictive alternative to guardianship is appropriate.” See id. §§ 1054.153(a), .151. Two and a half weeks after the guardianship application was filed, the probate court’s chief court investigator filed a one-page report in which he noted that “Court Investigator is undertaking investigation into less restrictive alternatives to a guardianship of the person through appointment of a Court Visitor.” From that point, the chief court investigator deferred entirely to Shorter. We will refer to Shorter as either court visitor or court investigator where appropriate.

• Noelle could not give informed consent for medical care; had several medical concerns; was frequently dehydrated because she would not drink water without prompting or reinforcement, leading to as many as 10– 12 emergency-room visits per year; and had seen several cardiologists during the past year;

• Noelle “did not assess risk in her environment” and according to her parents was “very trusting of strangers”;

• Noelle self-reported that she could not take care of herself because of her autism and that she had memory problems and would forget things she was told to do;

• Noelle did not require assistance with activities of daily living (ADLs) but did need “a lot of prompting”;

• Noelle could not, with supports and services, meet her needs for food, clothing, or shelter; care for her physical or mental health; manage her financial affairs; or make decisions concerning her residence, voting, operating a motor vehicle, and marriage;

• although some supports and services were available and being used by Noelle and her parents, Noelle did not have the requisite mental capacity to consent to allow her parents to assist with accessing them; and

• because Noelle’s cognitive impairments precluded her from executing any legal documents, none of the listed alternatives to guardianship was a possibility.

The court separately appointed Bonny Link as Noelle’s attorney ad litem, a

mandatory appointment “to represent the proposed ward’s interests.” See id. § 1054.001; see also id. § 1002.002 (defining attorney ad litem). The appointment order set out the duties required of that position under the Estates Code, among other instructions. See id. § 1054.004. The order specified that Link was not to file a written report, and she did not do so.

1. Noelle’s parents’ evidence At the March 2019 hearing, Noelle’s parents testified about the need for a guardianship and introduced the statutorily required Physician’s Certificate of Medical Examination (CME) from Noelle’s long-time treating physician Dr. Shanti Nagireddy. See id. § 1101.103.3 Dr. Nagireddy, who did not testify at the hearing, also provided an affidavit. The attorney ad litem stipulated to the admissibility of both the CME and affidavit, and she voiced no objection to their being admitted.

Like Shorter’s report, Dr. Nagireddy’s CME supported a full guardianship, describing Noelle as totally incapacitated. The CME diagnosed Noelle with the mental conditions described previously, noted “moderate” severity and a poor prognosis, and found no possibility for improvement. According to the CME, Noelle cannot initiate and make responsible decisions regarding:

• making complex business, managerial, and financial decisions;

• managing a personal bank account;

• safely operating a motor vehicle;

• voting in a public election;

• making decisions about marriage;

3 Dr. Nagireddy used the prescribed CME form posted on the website of Tarrant County Probate Court No. 2. See https://www.tarrantcounty.com /content/dam/main/probate-courts/probate-court-2/CME_2015_with_legislative_ changes.pdf (last visited Nov. 30, 2020). Alternatively, a physician may file a letter containing the same information. See id. § 1101.103.

• determining her own residence;

• administering her own medications;

• attending to basic ADLs—for example, bathing, grooming, dressing, walking, toileting—with and without4 supports and services;

• attending to instrumental activities of daily living (like shopping, cooking, traveling, and cleaning); and

• consenting to medical, dental, psychological, or psychiatric treatment.

Dr. Nagireddy also indicated on the CME that Noelle would not be able to “attend, understand, and participate” in the guardianship hearing and recommended against her attending the hearing. 5 The doctor concluded that Noelle is totally incapacitated. The least restrictive placement the doctor considered appropriate for Noelle is with her family.

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