Mississippi Department of Mental Health v. Julia Renee Hall

CourtMississippi Supreme Court
DecidedJune 30, 2004
Docket2004-CA-01522-SCT
StatusPublished

This text of Mississippi Department of Mental Health v. Julia Renee Hall (Mississippi Department of Mental Health v. Julia Renee Hall) is published on Counsel Stack Legal Research, covering Mississippi Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Mississippi Department of Mental Health v. Julia Renee Hall, (Mich. 2004).

Opinion

IN THE SUPREME COURT OF MISSISSIPPI

NO. 2004-CA-01522-SCT

MISSISSIPPI DEPARTMENT OF MENTAL HEALTH

v.

JULIA RENEE HALL

DATE OF JUDGMENT: 06/30/2004 TRIAL JUDGE: HON. LARRY EUGENE ROBERTS COURT FROM WHICH APPEALED: LAUDERDALE COUNTY CIRCUIT COURT ATTORNEY FOR APPELLANT: EUGENE M. HARLOW ATTORNEY FOR APPELLEE: GEORGE L. FOLLETT NATURE OF THE CASE: CIVIL - MEDICAL MALPRACTICE DISPOSITION: AFFIRMED - 08/24/2006 MOTION FOR REHEARING FILED: MANDATE ISSUED:

BEFORE SMITH, C.J., WALLER, P.J., AND DICKINSON, J.

WALLER, PRESIDING JUSTICE, FOR THE COURT:

¶1. Julia Renee Hall filed a complaint against the East Mississippi State Hospital,1

alleging that, while she was a patient at East Mississippi, she sustained serious injuries after

falling from a third-story window. After conducting a bench trial pursuant to the Mississippi

Tort Claims Act, Miss. Code Ann. §§ 11-46-1 through -23 (Rev. 2002), the Lauderdale

1 The East Mississippi State Hospital is a psychiatric facility operated by the Mississippi Department of Mental Hospital. County Circuit Court entered a judgment against East Mississippi in the amount of $250,000.

We affirm the circuit court’s judgment in all respects.

FACTS

¶2. Julia Renee Hall, who was 25 years old at the time of the accident, has been

institutionalized at different mental health facilities since she was 13 years old. Her latest

admitting diagnosis was schizophrenia, disorganized type, borderline; and borderline

personality disorder. Her discharge diagnosis from her last stay at East Mississippi2 was Axis

One: schizoaffective disorder, bipolar type; alcohol dependency, in remission; amphetamine

abuse, in remission; cannabis abuse, in remission; Axis Two: borderline personality disorder.

She has been civilly committed to East Mississippi on four different occasions.

¶3. On June 4, 2001, Hall became convinced that she would be transferred to the “back

building,” a facility for chronically ill patients. Hall and other patients believed that the back

building was an area where violence and abuse run rampant among the patients and where

there was little to no hope for recovery. Angela Eason, a staff member, filed the following

report about what occurred the afternoon of June 4:

Pam Johnson and I took the patients out for a smoke break at 5:00 o’clock, 1700. . . .

When these patients finished smoking, we returned to the unit on the elevator where the patients started talking about the back building and asking why would a patient get sent to those buildings. I explained it’s usually they can’t be stabilized on medications or patients that just keep on cycling through the system time and time again.

2 The accident occurred on June 4, 2001. Her discharge date was March 8, 2002.

2 Julia Hall then laughed and said, You mean like me? I then said, I haven’t heard your name come up about going to the back building, but you do keep moving up and down between second (a less restrictive ward) and third and you need to get it together. You are too young to be institutionalized all your life.

¶4. When they returned to the third-floor ward, Hall was “hysterical” and “crying”

because she thought that the staff was going to transfer her to the back building. Patients

Amanda Neal and Regina O’Bryant told Hall that they had a plan in place to escape and

coaxed Hall to join them. Neal and O’Bryant’s plan was to escape through a third-story

window in the all-purpose conference room which adjoined the nurses’ station. The door to

the room was not locked, and there was no security screen on the window. The window was

inoperable, but the women somehow removed a window pane. The group took sheets from

a linen closet on the floor which was also unlocked. They entered and exited the conference

room several times before Hall actually went out the window and began climbing down a

“rope” created by tying the sheets together. Hall lost her footing and fell to the ground. She

suffered multiple fractures of the right leg, necessitating eight surgeries so far. Her right foot

and heel have become infected several times due to soft tissue damage. She has undergone

bone and skin grafts. At the time of the hearing, her right foot and lower leg were swollen

and appeared to be deformed, and she noticeably limped. The circuit judge found that Hall

would “never be able to hold gainful employment of any consequence for the rest of her life,”

and that “she has a future of probable repeated and long-term mental health treatment in

institutions.” 3

3 Prior to the accident, the Social Security Administration had declared Hall disabled due to her mental impairments.

3 ¶5. The circuit judge found that $1,000,000 for actual and compensatory damages 4 was

appropriate. He allocated fault as follows: East Mississippi, 50%; Hall, 25%; Neal, 12-

1/2%; and O’Bryant, 12-1/2%. Then, applying the cap on compensatory damages as set out

in Miss. Code Ann. §11-46-15 (Rev. 2002),5 the circuit judge entered a judgment against East

Mississippi in the amount of $250,000. East Mississippi appealed.

DISCUSSION

¶6. “A circuit court judge sitting without a jury is accorded the same deference with

regard to his findings as a chancellor, and his findings are safe on appeal where they are

supported by substantial, credible, and reasonable evidence.” City of Jackson v. Internal

Engines Parts Group, Inc., 903 So. 2d 60, 63 (Miss. 2005) (citing City of Jackson v. Perry,

764 So. 2d 373, 376 (Miss. 2000)). Questions of law are reviewed de novo. Internal

Engines, 903 So. 2d at 63 (citing Maldonado v. Kelly, 768 So. 2d 906, 908 (Miss. 2000)).

I. WHETHER EAST MISSISSIPPI HAD A DUTY TO PREVENT HALL FROM HARMING HERSELF BY ATTEMPTING TO ESCAPE THROUGH THE THIRD STORY WINDOW.

¶7. To prevail on a negligence claim, a plaintiff must establish by a preponderance of the

evidence each of the elements of negligence: duty, breach, causation and injury. Miss. Dep’t

of Transp. v. Cargile, 847 So. 2d 258, 262 (Miss. 2003). The cause of Hall’s injuries was

4 The circuit judge ruled that the compensatory damages consisted of “past, present and future reasonable medical expenses, pain and suffering, disability, disfigurement, and the like.” 5 The statutory limitation of liability in effect at the time of Hall’s accident was $250,000. Miss. Code Ann. § 11-46-15 (Rev. 2002).

4 her fall from the third-story window, and the parties stipulate to Hall’s injuries. Therefore,

at issue is whether East Mississippi had a duty to prevent Hall from harming herself by

attempting to escape through the third-story window and whether that duty was breached.

Standard of Care for Patients with Mental Impairments

¶8. A state facility providing mental health care is statutorily mandated to provide “proper

care and treatment, best adapted, according to contemporary professional standards.” Miss.

Code Ann.

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