Oregon State Hospital v. A. J. G.

CourtCourt of Appeals of Oregon
DecidedMay 30, 2024
DocketA179054
StatusPublished

This text of Oregon State Hospital v. A. J. G. (Oregon State Hospital v. A. J. G.) is published on Counsel Stack Legal Research, covering Court of Appeals of Oregon primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Oregon State Hospital v. A. J. G., (Or. Ct. App. 2024).

Opinion

No. 342 May 30, 2024 697

IN THE COURT OF APPEALS OF THE STATE OF OREGON

In the Matter of A. J. G., a Person Alleged to have Mental Illness. OREGON STATE HOSPITAL and Oregon Health Authority, Appellants, v. A. J. G., Respondent, and LEGACY EMANUEL HOSPITAL & HEALTH CENTER, dba Unity Center for Behavioral Health, Intervenor-Respondent, and MARION COUNTY, Other Interested Party. Marion County Circuit Court 22CC00740; A179054

Audrey J. Broyles, Judge. Argued and submitted March 4, 2024. Jona J. Maukonen, Assistant Attorney General, argued the cause for appellants. Also on the briefs were Ellen F. Rosenblum, Attorney General, and Benjamin Gutman, Solicitor General. Liza Langford argued the cause and filed the brief for respondent A. J. G. Eric J. Neiman argued the cause for respondent Legacy Emanuel Hospital & Health Center. Also on the brief were Emma P. Pelkey and Epstein Becker Green; and Alex Van Rysselberghe, Timothy W. Snider, Nathan R. Morales, and Stoel Rives, LLP. 698 Oregon State Hospital v. A. J. G.

Before Ortega, Presiding Judge, Powers, Judge, and Hellman, Judge. ORTEGA, P. J. Motion to dismiss appeal denied; July 12, 2022, order vacated and remanded with instructions to grant Oregon State Hospital’s and Oregon Health Authority’s motion to dismiss the motion for immediate placement. Cite as 332 Or App 697 (2024) 699

ORTEGA, P. J. In this civil commitment case, the Oregon State Hospital and the Oregon Health Authority (collectively, OHA) appeal from a post-judgment order of the trial court that directed OHA to immediately place AG, a person civilly committed to the authority of OHA, into a secure residential treatment facility. In the order, the court granted a motion for immediate placement brought by Legacy Emanuel Hospital & Health Center d/b/a Unity Center for Behavioral Health (Unity), an acute-care psychiatric hospital, which was treat- ing AG when she was civilly committed, and denied OHA’s motion to dismiss Unity’s motion for that immediate place- ment. In this appeal, we are asked to decide whether we have jurisdiction to review the placement order, whether the appeal is moot, and whether the trial court had authority to consider Unity’s motion and issue the placement order. We conclude that we have jurisdiction and that the appeal is not moot. As for the final question, we conclude that the court did not have authority to consider Unity’s motion or issue the placement order given the scope of a civil commitment case as limited by statute. As a result, the trial court erred in denying OHA’s motion to dismiss. Accordingly, we vacate the court’s placement order and remand with instructions to grant OHA’s motion to dismiss Unity’s motion for immediate placement. I. FACTS AND PROCEDURE The following facts are not in dispute. AG, a Marion County resident, first came to Unity, located in Multnomah County, on January 1, 2022. Unity is a free-standing psy- chiatric hospital with emergency services as well as several inpatient units. Its intended function is to admit individuals experiencing a psychiatric crisis, stabilize the person’s con- dition, and then transfer the person to a facility where they can receive the next level of care. The average length of stay for a patient at Unity is 14 days. When AG arrived at Unity, her thinking was dis- organized, she was experiencing command auditory hal- lucinations telling her to kill herself as well as hyper- religious delusions and suicidal and homicidal thoughts, 700 Oregon State Hospital v. A. J. G.

and she was hypersexual. About four weeks after admit- ting her, Unity initiated proceedings to have AG committed to OHA. On February 11, AG stipulated to a civil commit- ment in Multnomah County to the custody of OHA for up to 180 days, but she remained at Unity. On March 31, AG was discharged from Unity for a trial visit in a community placement in Marion County, and the commitment case was transferred to Marion County. Shortly after beginning that trial visit, AG overdosed on fentanyl and later was arrested on a parole violation and jailed. On April 20, AG was trans- ported from the jail back to Unity. At that time, she was again in a decompensated state. A week after AG was readmitted to Unity, on April 28, the exceptional needs care coordinator for Marion County, in cooperation with Unity, referred AG for admission to the Oregon State Hospital. On May 3, OHA approved the referral and AG was placed on the waitlist, but OHA denied Unity’s separate request for expedited admission for AG. While she was on the waitlist, OHA inquired about post-acute intensive treatment services for AG, which involves a short-term inpa- tient secure residential treatment facility that is available while a person is on the Oregon State Hospital waitlist. On June 16, however, AG was removed from the Oregon State Hospital waitlist because she no longer needed that level of care. At that point, the Marion County care coordinator made several other referrals to various forms of residential treatment, all of which were accepted but which resulted in AG being placed on waitlists. Thus, after AG was removed from the Oregon State Hospital waitlist, she remained at Unity. While AG was still on the Oregon State Hospital waitlist, on June 1, Unity moved to intervene in the civil- commitment case for the purpose of “obtaining an order to immediately transfer [AG] to an appropriate long-term placement.” At that point, the court appointed counsel to represent AG. For its part, OHA also moved to intervene but did not oppose Unity’s intervention. On June 21, the court granted the motions to intervene. On June 24, Unity filed its motion for immediate placement of AG. In response, OHA moved to dismiss Unity’s motion or alternatively deny Cite as 332 Or App 697 (2024) 701

it, arguing that Unity could not obtain the relief requested through intervention in the case and that the court did not have authority to direct placement decisions. AG did not file a written response to either Unity’s or OHA’s motions, but her attorney participated in the hearing on the motions. At the hearing AG’s attorney stated that AG’s position was that she wanted to transfer to a less restrictive placement, acknowledging that that placement may be available soon but is not available now, and also stated that AG’s main desire was to not be placed at the Oregon State Hospital. At the hearing on Unity’s motion, the court sum- marily denied OHA’s motion to dismiss, explaining that, in its view, “the Court has the inherent authority to address the issues that have been raised today.” After taking evi- dence, the court granted Unity’s motion, making extensive findings about AG’s history, including that the “people who are intimately familiar with AG and her needs believe that a secure residential treatment facility is most appropriate at this time.” The court found that Unity was not a “suitable” placement for AG, and that “there has been a dereliction of the obligation of OHA to find [AG an] appropriate long-term placement.” The court found that AG was unable to advocate for herself and that OHA’s failure to find a long-term place- ment violated her due process rights, which “require[ ] that mentally ill persons who are detained receive treatment cal- culated to lead to the end of their involuntary detention” and give a “realistic opportunity to be cured or to improve the mental condition.” The court stated: “This is not an issue of the Court telling OHA where [AG] needs to go. That would be inappropriate. But this is a directive to figure out the appropriate [placement] rather than turning a blind eye to this issue.

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