In the Matter of the Necessity for the Hospitalization of: Arthur A.

457 P.3d 540
CourtAlaska Supreme Court
DecidedFebruary 7, 2020
DocketS17210
StatusPublished
Cited by3 cases

This text of 457 P.3d 540 (In the Matter of the Necessity for the Hospitalization of: Arthur A.) is published on Counsel Stack Legal Research, covering Alaska Supreme Court 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 Necessity for the Hospitalization of: Arthur A., 457 P.3d 540 (Ala. 2020).

Opinion

Notice: This opinion is subject to correction before publication in the PACIFIC REPORTER. Readers are requested to bring errors to the attention of the Clerk of the Appellate Courts, 303 K Street, Anchorage, Alaska 99501, phone (907) 264-0608, fax (907) 264-0878, email corrections@akcourts.us.

THE SUPREME COURT OF THE STATE OF ALASKA

In the Matter of the Necessity for the ) Hospitalization of ) Supreme Court No. S-17210 ) ARTHUR A. ) Superior Court No. 4FA-18-00446 PR ) ) OPINION ) ) No. 7427 – February 7, 2020

Appeal from the Superior Court of the State of Alaska, Fourth Judicial District, Fairbanks, Michael A. MacDonald, Judge.

Appearances: Kelly R. Taylor, Assistant Public Defender, and Beth Goldstein, Acting Public Defender, Anchorage, for Arthur A. Laura E. Wolff, Assistant Attorney General, Anchorage, and Kevin G. Clarkson, Attorney General, Juneau, for State of Alaska.

Before: Bolger, Chief Justice, Winfree, Stowers, Maassen, and Carney, Justices.

WINFREE, Justice.

I. INTRODUCTION A respondent appeals a 30-day involuntary commitment order entered after the superior court determined he was mentally ill, posed a risk of harm, and was gravely disabled. He contends the court erred by refusing to allow him to represent himself at the commitment hearing. We hold that a respondent in involuntary commitment proceedings has at least an implied statutory right to self-representation, although that right is not absolute. If a respondent clearly and unequivocally invokes the self- representation right, the superior court must hold a preliminary hearing and consider factors we outlined in McCracken v. State to determine whether self-representation should be allowed.1 Because the respondent’s self-representation request in this case was denied without adherence to the McCracken framework, we conclude that the 30-day commitment order must be vacated. II. FACTS AND PROCEEDINGS A. Facts Leading To Involuntary Commitment After attending Stanford University for undergraduate education, then-25­ year-old Arthur A.2 moved to Fairbanks in January 2018 to pursue additional education at University of Alaska Fairbanks (UAF). Over the next few months Arthur twice went to Fairbanks Memorial Hospital (FMH) for unspecified reasons, but he did not meet FMH’s “involuntary hold criteria” either time and was not admitted.3 In August Arthur was taken to a local correctional facility following an “altercation” in the community. There is little admissible evidence in the record

1 518 P.2d 85 (Alaska 1974). We held in that case that the trial court should: (1) “ascertain whether a [respondent] is capable of presenting his allegations in a rational and coherent manner”; (2) ensure that the respondent “understands precisely what he is giving up by declining the assistance of counsel”; (3) explain the “advantages of legal representation” to the respondent “in some detail”; and (4) “determine that the [respondent] is willing to conduct himself with at least a modicum of courtroom decorum.” Id. at 91-92. 2 We use a pseudonym to protect the respondent’s privacy. 3 FMH’s referenced “involuntary hold criteria” apparently relates to AS 47.30.710(b), providing that a mental health professional may hospitalize a person “on an emergency basis” if the person either is “mentally ill and that condition causes the [person] to be gravely disabled or to present a likelihood of serious harm to self or others” or otherwise “is in need of care or treatment.”

-2- 7427 regarding this incident other than vague references to a disturbance at a fast-food chain restaurant. Arthur apparently became “agitated and disorganized”; he was taken to FMH,4 where a medical professional determined he met involuntary hold criteria. An FMH staff member applied for an ex parte order to involuntarily hospitalize Arthur for evaluation.5 FMH’s staff member alleged that Arthur had been diagnosed with “schizoaffective disorder, bipolar type” and that he previously had been hospitalized in California. She stated that Arthur was mentally ill — noting that he was “manic, impulsive, and highly energetic” — and had disorganized thoughts. She further stated that Arthur was gravely disabled or likely to cause serious harm to himself or others, noting that he indicated he was president of the United States and owned multiple sports franchises, banged on windows and tapped his fists, refused to use the telephone for privacy reasons, could not choose his meals, removed his pants in front of staff, and clogged the toilet with trash. She noted that FMH staff had administered three “agitation sets” to Arthur since his arrival “to calm his irri[t]ability and mania.” (Arthur’s psychiatrist later testified that “agitation sets” are medications given for “acute dangerousness.”) She stated that, taken together, these behaviors indicated “abnormal thinking and perception . . . caus[ing] [Arthur] to become agitated and aggressive

4 Alaska Statute 47.30.705 authorizes peace officers and certain mental health professionals to detain and deliver a person to the nearest appropriate facility for evaluation on an emergency basis. 5 Alaska Statute 47.30.700 sets out procedures for obtaining an ex parte court order for the initial involuntary hospitalization of a person alleged to be mentally ill. A mental health professional who has performed an emergency examination may hospitalize a person in an emergency under AS 47.30.710(b) and must “apply for an ex parte order authorizing hospitalization for evaluation” if an order has not yet been obtained.

-3- 7427 (verbally)” and that he was “creating an unsafe environment for others” because he had “los[t] touch with reality.” The superior court authorized Arthur’s hospitalization for evaluation, finding probable cause to believe he was both likely to cause serious harm to others, based on “abnormal thinking” making him “extremely agitated and posturing,” and gravely disabled, based on his inability “to manage affairs safely.” B. 30-Day Commitment Petition And Hearing Two days later Arthur’s FMH psychiatrist and another FMH mental health professional filed a 30-day involuntary commitment petition.6 The psychiatrist alleged that Arthur presented as “actively psychotic” and that Arthur believed he had invented the internet and had one trillion dollars. The psychiatrist noted that Arthur was manic, slept poorly, and had poor physical boundaries. She also noted that Arthur was refusing medications and becoming “increasingly agitated.” She believed that Arthur was “likely to cause harm to himself[] or others,” requiring commitment for 30 days.7 The superior court held a hearing on the petition the following day.8 Arthur’s attorney first informed the court that Arthur wanted to represent himself during that hearing. The court responded: “[B]ased on the petition, the [c]ourt would find that the responde[nt] is not fit to represent himself.” The court asked

6 Alaska Statute 47.30.730(a) allows specified mental health professionals to petition for a person’s 30-day involuntary commitment and establishes procedures for the petition. 7 See AS 47.30.730(a)(1) (requiring that petition for 30-day commitment allege respondent is mentally ill and, as a result, is (1) likely to cause harm to self or others, or (2) gravely disabled). 8 See AS 47.30.715 (providing court shall set time for commitment hearing to be held “within 72 hours after the respondent’s arrival” at an evaluation facility); AS 47.30.735 (establishing commitment hearing procedures).

-4- 7427 Arthur’s attorney whether further inquiry was required; the attorney responded that she did not believe so.

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