Matter of N.A.

2021 MT 228
Montana Supreme Court·Decided September 14, 2021·No. DA 19-0706·Published·Cited by 6 cases

Opinion

09/14/2021

DA 19-0706 Case Number: DA 19-0706

IN THE SUPREME COURT OF THE STATE OF MONTANA 2021 MT 228

IN THE MATTER OF:

N.A.,

Respondent and Appellant.

APPEAL FROM: District Court of the First Judicial District, In and For the County of Broadwater, Cause No. ADI-2019-01 Honorable Michael F. McMahon, Presiding Judge

COUNSEL OF RECORD:

For Appellant:

Chad Wright, Appellate Defender, Kristen L. Peterson, Assistant Appellate Defender, Helena, Montana

For Appellee:

Austin Knudsen, Montana Attorney General, Tammy K Plubell, Appellate Services Bureau Chief, Bree Gee, Assistant Attorney General, Helena, Montana

Cory J. Swanson, Broadwater County Attorney, Townsend, Montana

Submitted on Briefs: August 18, 2021

Decided: September 14, 2021

Filed: q3,,---, 6mal•-.— 4( __________________________________________ Clerk Justice Laurie McKinnon delivered the Opinion of the Court.

¶1 N.A. appeals the order of the Montana First Judicial District Court,

Broadwater County, committing her to Montana State Hospital at Warm Springs for a

period of up to ninety days. We reverse.

¶2 N.A. presents the following issue for review:

Whether the District Court committed reversible error when it allowed testimony by video conferencing at the commitment hearing over N.A.’s objection.

FACTUAL AND PROCEDURAL BACKGROUND

¶3 N.A. suffers from unspecified schizophrenia. On October 1, 2019, N.A. told her

psychiatrist that she was experiencing increased depression with suicidal thoughts and

auditory hallucinations. On her psychiatrist’s recommendation, N.A. went to St. Peter’s

Hospital in Helena, where she was evaluated by a certified mental health professional after

reporting the same concerns. Based on these concerns, N.A. was voluntarily admitted to

the Hays Morris House in Butte on October 1. Upon discharge on October 4, N.A.

informed staff that she would commit suicide by slitting her wrists if she left Hays Morris.

This conversation led to the State’s petition for N.A.’s involuntary commitment that same

day. The petition alleged that N.A. presented an imminent risk of harm to herself based

upon her statements of suicidality.

¶4 The District Court scheduled an evidentiary hearing on the petition for October 11.

At the onset of the hearing, the State informed N.A. of its intent to call four witnesses,

including Ashley Post (Post), a licensed clinical social worker with the Western Montana

Mental Health Center. The State proposed to have Post testify by Vision Net (a two-way

2 electronic audio-video communication system). N.A. objected on Confrontation Clause

grounds. The prosecutor representing the State indicated that “this is the first notice I have

that there is a concern there. I thought I had informed them that I was potentially going to

be calling [Post] by Vision Net . . . We could have had her appear in person.” The State

further explained that Post’s absence stemmed from a concern about being away from her

office in case of an emergency. N.A. did not withdraw the objection, but indicated that, if

the District Court wished to proceed, N.A. would not seek to continue the hearing. The

District Court overruled the objection, relying on its interpretation of Montana’s

Confrontation Clause jurisprudence and the State’s presentation of §§ 53-21-140(1) and

53-21-140(3), MCA. The State did not alert the District Court of any other subsection of

§ 53-21-140, MCA.

¶5 The State proceeded to call Post to testify by Vision Net. Post testified regarding

the circumstances that led to N.A.’s involuntary commitment. Post also testified

concerning her evaluation of N.A. the day before the commitment hearing. During Post’s

evaluation, N.A. presented delusional thoughts that her brothers tried to overdose her and

that one of her brothers held her captive for a year. N.A. informed Post that, while she had

expressed suicidal thoughts on October 4, she did not feel suicidal on October 10. Post

drafted a report based on her evaluation of N.A. In her report, Post noted that N.A. was

inconsistently taking her mental health medications, but that it remained unknown whether

N.A. was able to provide for her own basic needs. Post’s report also reflected her opinion

that N.A. was an imminent threat of injury to herself or others and required a placement

that allowed involuntary medication for N.A.’s psychiatric stabilization. Based on her

3 evaluation and her review of N.A.’s records, Post testified that she believed N.A. remained

suicidal and would potentially deteriorate without further treatment. Post also testified that

her opinion as to N.A.’s mental disorder was based upon a reasonable degree of medical

certainty.

¶6 Three other witnesses were present and testified after Post. N.A.’s brother and

N.A.’s sister-in-law testified to their observations of N.A.’s behaviors over the previous

two years and offered their general opinions that N.A. was unable to care for herself. The

State also offered testimony from the county’s fire chief. The fire chief testified regarding

an instance eight months prior in which N.A. called in a false report of a fire, thereby

raising his concerns over decreasing the limited pool of first responders for other potential

fires.

¶7 Based on the testimony presented, the District Court found that N.A. suffered from

a mental disorder and required commitment. The District Court further found that, based

upon the testimony of N.A.’s brother and N.A.’s sister-in-law, N.A. was substantially

unable to provide for her own basic needs. Relying upon Post’s testimony, the

District Court found that an imminent threat of injury to N.A. and others existed and that

N.A.’s recent behaviors, including her failure to consistently take her medications, created

difficulties in protecting her life and/or health. The District Court noted that less restrictive

options were unavailable because other inpatient treatment facilities could not provide

involuntary medication for N.A. The District Court ordered that N.A. be involuntarily

placed at Montana State Hospital in Warm Springs for a period of up to ninety days.

4 STANDARD OF REVIEW

¶8 This Court reviews a district court’s civil commitment order to determine whether

the court’s findings of fact are clearly erroneous and its conclusions of law are correct.

In re B.H., 2018 MT 282, ¶ 9, 393 Mont. 352, 430 P.3d 1006. A finding of fact is clearly

erroneous only if it is not supported by substantial credible evidence, the district court

misapprehended the effect of the evidence, or we have a definite and firm conviction upon

review of the record that the court otherwise erred. In re C.K., 2017 MT 69, ¶ 10, 387 Mont.

127, 391 P.3d 735. Strict adherence to the involuntary commitment statutory scheme is

required, considering the utmost importance of the rights at stake. In re S.D., 2018 MT

176, ¶ 8, 392 Mont. 116, 422 P.3d 122. We exercise de novo review when deciding

questions of law such as whether the district court correctly interpreted and applied relevant

statutes. In re Mental Health of O.R.B., 2008 MT 301, ¶ 14, 345 Mont. 516, 191 P.3d 482.

DISCUSSION

¶9 Whether the District Court committed reversible error when it allowed testimony by video conferencing at the commitment hearing over N.A.’s objection.

¶10 N.A. argues that the District Court committed reversible error when it allowed Post

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