In the Matter of the Civil Commitment of: D.H. v. Eskenazi Health/Midtown Mental Health CMHC (mem. dec.)

CourtIndiana Court of Appeals
DecidedSeptember 19, 2018
Docket18A-MH-635
StatusPublished

This text of In the Matter of the Civil Commitment of: D.H. v. Eskenazi Health/Midtown Mental Health CMHC (mem. dec.) (In the Matter of the Civil Commitment of: D.H. v. Eskenazi Health/Midtown Mental Health CMHC (mem. dec.)) is published on Counsel Stack Legal Research, covering Indiana Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
In the Matter of the Civil Commitment of: D.H. v. Eskenazi Health/Midtown Mental Health CMHC (mem. dec.), (Ind. Ct. App. 2018).

Opinion

MEMORANDUM DECISION Pursuant to Ind. Appellate Rule 65(D), this Memorandum Decision shall not be FILED regarded as precedent or cited before any Sep 19 2018, 9:01 am

court except for the purpose of establishing CLERK Indiana Supreme Court the defense of res judicata, collateral Court of Appeals and Tax Court estoppel, or the law of the case.

ATTORNEYS FOR APPELLANT ATTORNEYS FOR APPELLEE Victoria L. Bailey Bryan H. Babb Valerie K. Boots Sarah C. Thompson Marion County Public Defender Agency Bose McKinney & Evans LLP Indianapolis, Indiana Indianapolis, Indiana Anna Kirkman Eskenazi Health Legal Services Department Indianapolis, Indiana

IN THE COURT OF APPEALS OF INDIANA

In the Matter of the Civil September 19, 2018 Commitment of: Court of Appeals Case No. 18A-MH-635 D.H., Appeal from the Appellant-Respondent, Marion Superior Court v. The Honorable Steven R. Eichholtz, Judge The Honorable Eskenazi Health/Midtown Kelly M. Scanlan, Commissioner Mental Health CMHC, Trial Court Cause No. Appellee-Petitioner. 49D08-1712-MH-44331

Kirsch, Judge.

Court of Appeals of Indiana | Memorandum Decision 18A-MH-635 | September 19, 2018 Page 1 of 7 [1] D.H. appeals the trial court’s order extending her temporary involuntary

commitment to a regular involuntary commitment. D.H. raises the following

restated issue for our review: whether the order should be remanded because it

is defective.

[2] We affirm.

Facts and Procedural History [3] D.H. suffers from schizophrenia and diabetes, and prior to 2009, she was on a

regular commitment for “a couple of years” or “a few years.” Tr. Vol. II at 9.

Psychiatrist Dr. Hector Diez (“Dr. Diez”), who works for Eskenazi Health

Midtown Community Mental Health (“Midtown”), began working with D.H.

in March of 2017, around one year before the hearing in this case. Id. at 5-6.

D.H. was not on an involuntary commitment at that time, but had “an

established diagnosis and treatment for several years with Midtown.” Id. at 9.

She was taking daily oral doses of Clozaril, a strong anti-psychotic medication,

used to treat refractory patients with schizophrenia, who have not responded to

anti-psychotics. Id. at 10-11.

[4] At some point during the fall of 2017, D.H. decompensated. Id. at 11. In

November 2017, she stopped going to her appointments at Midtown and

stopped taking her medication. Id. at 9. She stopped eating and drinking, lost

her job, and became homeless. Id. at 11-12. Dr. Diez received reports that

D.H. was not taking care of herself, and he initiated an emergency detention.

Id. at 8. When she was hospitalized on November 30, 2017, D.H. was talking

Court of Appeals of Indiana | Memorandum Decision 18A-MH-635 | September 19, 2018 Page 2 of 7 to herself and was “internally preoccupied.” Id. at 12. She was refusing

everything, including medications and was at risk of dying from arrhythmia as a

result of not eating or drinking. Id. at 12, 14.

[5] A hearing was held on December 6, 2017, and D.H. was ordered to be on a

temporary commitment and began receiving treatment. Appellant’s App. Vol. II

at 60-61. D.H. began taking Clozaril again and improved, getting “back on

track.” Tr. Vol. II at 11-12, 13. In February 2018, Dr. Diez wrote a Physician’s

Statement expressing his opinion that D.H. should be under a regular

commitment to “achieve improvement in [D.H.’s] condition.” Appellant’s App.

Vol. II at 66-68. Eskenazi Health/Midtown Mental Health CMHC

(“Eskenazi”) formally requested an extension of the temporary commitment to

a regular commitment and attached Dr. Diez’s statement. Id. at 64-68.

[6] On March 1, 2018, a hearing was held on Eskenazi’s request for the regular

commitment of D.H. Commissioner Kelly M. Scanlan (“Commissioner

Scanlan”) presided over the hearing. Id. at 11-12. Dr. Diez testified that he

believed that D.H. is gravely disabled due to her impaired reasoning and

judgment that caused her not to understand the risks of stopping her treatment.

Tr. Vol. II at 16, 18. Dr. Diez stated that D.H. does not have “the insight [into

her illness] to understand the implications of not being in treatment for her

schizophrenia or diabetes.” Id. at 16. Dr. Diez further noted that D.H. is

opposed to taking treatment and that she had stated multiple times that she

would only continue treatment if she is under commitment. Id. at 10, 12-13, 18.

Court of Appeals of Indiana | Memorandum Decision 18A-MH-635 | September 19, 2018 Page 3 of 7 [7] After considering the evidence, Commissioner Scanlan stated:

[B]ased on all of the evidence, the Court finds that by clear and convincing evidence the respondent does have a mental illness, specifically schizophrenia. And that she is gravely disabled in that she demonstrated a substantial impairment and obvious deterioration in her judgment and behavior that negatively affected her ability to function independently. The Court therefore grants the order of Regular commitment and orders the attending physical [sic] to submit a periodic report no later than March 1st, 2018 and orders that upon obtaining outpatient status, or while on outpatient status, the respondent shall take all medications as prescribed, attend all clinic sessions as scheduled and maintain her address and phone number with the court and the facility.

Id. at 28-29. On the same date, Commissioner Scanlan signed the “Order on

Extension of a Temporary Commitment to a Regular Commitment,” on a

signature line titled, “Judge, Steven R. Eichholtz, Marion County Superior

Court” (“Judge Eichholtz”). Appellant’s App. Vol. II at 6-7. Nothing in the

record indicated that Commissioner Scanlan was appointed special judge or

judge pro tempore in the present matter. The entries in the CCS for March 1,

2018 reflected that the hearing was held, with Commissioner Scanlan presiding,

and that: “Court finds by clear and convincing evidence that the Respondent,

[D.H.], suffers from a mental illness that is; schizophrenia and is gravely

disabled. REGULAR Commitment is GRANTED to Eskenazi

Health/Midtown Community Mental Health. Standard outpatient

conditions.” Id. at 11-12. There was also an entry that the “Order Granting

Extension of Mental Health Commitment” was signed on March 1, 2018, with

Court of Appeals of Indiana | Memorandum Decision 18A-MH-635 | September 19, 2018 Page 4 of 7 the Judicial Officer listed as Commissioner Scanlan. Id. at 12. There were no

further entries that reflected that Judge Eichholtz signed the order, and his

signature does not appear anywhere on the order. D.H. now appeals.

Discussion and Decision [8] D.H. argues that the court’s order for regular commitment is defective because

it lacks a judge’s signature and only contains the signature of Commissioner

Scanlan. A magistrate does not have the power of judicial mandate and may

not enter a final appealable order unless sitting as a judge pro tempore or a

special judge, or in certain other exceptions. Ind. Code § 33-23-5-8.1 Those

exceptions are criminal matters and other matters not relevant to the present

appeal. Ind. Code §§ 33-23-5-5; 33-23-5-9. Otherwise, the magistrate shall

report findings, but “[t]he court shall enter the order.” Ind. Code § 33-23-5-9

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In the Matter of the Civil Commitment of: D.H. v. Eskenazi Health/Midtown Mental Health CMHC (mem. dec.), Counsel Stack Legal Research, https://law.counselstack.com/opinion/in-the-matter-of-the-civil-commitment-of-dh-v-eskenazi-healthmidtown-indctapp-2018.