Koestler v. Koestler

976 So. 2d 372, 2008 WL 566798
CourtCourt of Appeals of Mississippi
DecidedMarch 4, 2008
Docket2006-CA-01959-COA
StatusPublished
Cited by11 cases

This text of 976 So. 2d 372 (Koestler v. Koestler) is published on Counsel Stack Legal Research, covering Court of Appeals of Mississippi primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Koestler v. Koestler, 976 So. 2d 372, 2008 WL 566798 (Mich. Ct. App. 2008).

Opinion

976 So.2d 372 (2008)

Thelma KOESTLER, Appellant
v.
Marilyn Elizabeth KOESTLER, Appellee.

No. 2006-CA-01959-COA.

Court of Appeals of Mississippi.

March 4, 2008.

*374 Marcie Tanner Southerland, Vicksburg, Sharon Anglin Counts, Jennifer Powell Fortner, attorneys for appellant.

No Brief Filed, attorney for appellee.

Before LEE, P.J., IRVING and ROBERTS, JJ.

ROBERTS, J., for the Court.

SUMMARY OF THE CASE

¶ 1. Marilyn Elizabeth Koestler successfully petitioned the Hinds County Chancery Court to have her mother, Thelma Koestler, involuntarily committed to the Mississippi State Hospital at Whitfield (Whitfield). Thelma was discharged just days after she arrived at Whitfield. Thelma appeals and raises several issues centered on the prospect that the chancellor erred when he granted Marilyn's petition to have Thelma committed. After careful consideration of a very sparse record, we find the chancellor erred. Accordingly, we reverse the chancellor's judgment and render judgment for Thelma.

FACTS AND PROCEDURAL HISTORY

¶ 2. Thelma admitted herself in the Senior Behavioral Health Services wing of the Mississippi Baptist Memorial Hospital (Baptist). Though there are various allegations regarding Thelma's mental health, it seems undisputed that Thelma was depressed because Leo, her husband of more than fifty years, had been diagnosed with terminal cancer.

¶ 3. On October 11, 2006, Thelma's daughter, Marilyn, filed an application and affidavit to commit Thelma. By her affidavit, which we quote in its entirety with its original capitalization, Marilyn submitted:

CLIENT IS PRESENTLY AT BAPTIST GERI-PSYCH UNIT. DR. COOK HAS FOUND THAT CLIENT IS INCOMPETENT AND IS RECOMMENDING COMMITMENT. HUSBAND RECENTLY DIAGNOSED WITH CANCER. CLIENT IS MISMANAGING MEDICATION FOR HUSBAND. SHE HAS ADMITTED SUICIDAL THOUGHTS, EITHER WITH GUN OR OVERDOSE. PRESENT SYMPTOMS: THREAT TO OTHERS AND TO SELF; AGGRESSIVE, MANIPULATIVE, PARANOID. PREVIOUS TREATMENT: SOME ONE-ON-ONE COUNSELING WHICH SHE DIDN'T PURSUE. MEDICALS: KNEE PROBLEMS. RISK OF VIOLENCE AND SUICIDE.

On October 16, 2006, the Hinds County Chancery Clerk filed a writ to take Thelma into custody and retain custody of her at the Hinds County Detention Center (HCDC). The writ indicates that Thelma was taken into custody on that date.

¶ 4. On the same day, the chancellor (1) appointed an attorney to represent Thelma, (2) ordered a pre-evaluation of Thelma, (3) appointed Doug Packer, M.D., and psychologist David Powers, Ph.D., to examine Thelma, and (4) assigned a special master to conduct a hearing as to whether Thelma should be involuntarily committed. At some point that same day, Thelma received *375 notice that a hearing would take place at noon on that day.

¶ 5. That morning, Hinds Behavioral Health Services (HBHS) conducted a pre-evaluation of Thelma and found: (1) Thelma was not a threat to herself or others; (2) she was able to take care of herself; (3) she exhibited no antisocial or criminal behavior; (4) she did not abuse alcohol or drugs; and (5) she had no manic, psychotic, or dementia-like behavior. The pre-evaluation further indicated that Thelma was depressed because Leo was dying of cancer, and Thelma might have been suffering from "caretaker's stress." Ultimately, HBHS recommended that Thelma be monitored on an outpatient basis because she was no danger to herself or others.

¶ 6. At noon, the special master conducted the ultimate hearing on Marilyn's petition for commitment. Four people testified during the hearing: (1) Dr. Packer; (2) Tiffany Parker, a social worker with the "geri-psych" unit at Baptist; (3) Dr. Powers; and (4) Thelma. Dr. Packer did not testify as to Thelma's mental health and did not recommend any course of action as to whether Thelma should be committed.

¶ 7. Parker testified as to Dr. William Cook's opinions and recommendations as to whether Thelma should be committed. To be specific, Parker read a letter from Dr. Cook into evidence. Counsel for Thelma objected and argued that Dr. Cook's letter was inadmissible hearsay. The special master overruled Thelma's objection and allowed Parker to read Dr. Cook's letter into the record. That letter reads as follows:

To Whom It May Concern,
Thelma Koestler was admitted October 2, 2006 for treatment for depression, suicidal ideations and delusions. She has a history of poor compliance with her medication and a higher level of treatment was indicated. Her husband is dying of cancer and has been given approximately six months to live.
Based on my inpatient psychiatric evaluation so far has [sic] the following diagnoses:
1. Major Depressive Disorder, recurrent, severe
2. Severe Borderline Personality Disorder
3. Cognitive Disorder, Not Otherwise Specified
It is my understanding that Mrs. Koestler adjusted her husband's medications without physician approval. These adjustments apparently worsened his quality of life. It is also my understanding that her husband has been doing much better while is [sic] in the hospital and not acting as his caregiver. Individuals with Borderline Personality Disorder can appear calm at times and then extremely rageful in a few seconds. The prognosis is extremely poor, even with ongoing psychiatric treatment.
Based on my understanding of Mrs. Koestler, the family dynamics and the prognosis for her psychiatric illness I would recommend that Mrs. Koestler visit her husband only under the supervision of a competent family member. I do not feel that Mrs. Koestler is competent, at this time, to make decisions for her medical care, or financial decisions.

¶ 8. After Parker read Dr. Cook's letter into the record, the special master asked Parker, "Can you briefly tell me what Dr. Cook has said and what his opinions are with regard to her commitment?" Parker responded:

Yes, sir. He has diagnosed her with major depressive disorder, recurrent, and severe cognitive disorder, not otherwise specified, as an Axis 1 diagnosis. *376 Severe borderline personality disorder as an Axis II diagnosis. And he feels at this time Ms. Koestler is not competent and does not show any insight into her illness, and his recommendation is for her to receive treatments — more long-term treatments — than our facility can provide at the state hospital.

As to whether Thelma was a danger to herself or others, Parker testified, "She is incompetent to make decisions regarding to her medical care. In light of that, she might potentially be a harm to herself due to confusion."

¶ 9. Thelma's attorney cross-examined Parker. During cross-examination, Parker testified that Dr. Cook did not clarify what kind of medical treatment Thelma was incompetent to decide. Parker explained, "[Dr. Cook] just is making general terms regarding her well being might not.

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Bluebook (online)
976 So. 2d 372, 2008 WL 566798, Counsel Stack Legal Research, https://law.counselstack.com/opinion/koestler-v-koestler-missctapp-2008.