Outagamie County v. C. J. A.

CourtCourt of Appeals of Wisconsin
DecidedApril 12, 2024
Docket2022AP002186
StatusUnpublished

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

Bluebook
Outagamie County v. C. J. A., (Wis. Ct. App. 2024).

Opinion

COURT OF APPEALS DECISION NOTICE DATED AND FILED This opinion is subject to further editing. If published, the official version will appear in the bound volume of the Official Reports. April 12, 2024 A party may file with the Supreme Court a Samuel A. Christensen petition to review an adverse decision by the Clerk of Court of Appeals Court of Appeals. See WIS. STAT. § 808.10 and RULE 809.62.

Appeal No. 2022AP2186 Cir. Ct. No. 2016ME157

STATE OF WISCONSIN IN COURT OF APPEALS DISTRICT III

IN THE MATTER OF THE MENTAL COMMITMENT OF C. J. A.:

OUTAGAMIE COUNTY,

PETITIONER-RESPONDENT,

V.

C. J. A.,

RESPONDENT-APPELLANT.

APPEAL from an order of the circuit court for Outagamie County: JEFFREY R. WISNICKY, Judge. Affirmed.

¶1 HRUZ, J.1 Catherine2 appeals a recommitment order entered pursuant to WIS. STAT. § 51.20. Catherine argues that Outagamie County did not

1 This appeal is decided by one judge pursuant to WIS. STAT. § 752.31(2) (2021-22). All references to the Wisconsin Statutes are to the 2021-22 version unless otherwise noted. No. 2022AP2186

prove, by clear and convincing evidence, that she is currently dangerous pursuant to § 51.20(1)(a)2.b. and the recommitment standard in § 51.20(1)(am); therefore, she claims that her commitment should be vacated. Specifically, Catherine alleges that the County failed to establish her current dangerousness and instead presented evidence only regarding her past dangerousness and potential future dangerousness. Catherine also asserts that the County failed to prove there is a substantial likelihood that she would become dangerous if treatment were withdrawn.

¶2 We conclude that the County met its burden to show that Catherine is currently dangerous, as well as the other required elements, for her to be recommitted under WIS. STAT. § 51.20. We therefore affirm.

BACKGROUND

¶3 Catherine started receiving mental health services from the County in April 2012 as a condition of her probation. She was placed on probation following her prosecution for threatening a judge in 2011. In 2015, Catherine’s treatment became voluntary, after which she discontinued treatment and her mental health decompensated.

¶4 In early September 2016, Catherine was emergently detained, under WIS. STAT. § 51.15, after allegedly making violent threats toward the same judge and appearing at that judge’s home with a knife. Later that month, after a hearing, Catherine was involuntarily committed under WIS. STAT. § 51.20 for a period of

2 For ease of reading, we refer to the appellant in this confidential appeal using a pseudonym, rather than her initials.

2 No. 2022AP2186

six months. Since then, Catherine has been consecutively recommitted six times for periods of twelve months each. Catherine has contested most of her recommitments.

¶5 In September 2022, the County timely filed another petition to recommit Catherine, which is the petition at issue in this appeal. A hearing on the petition was held in October 2022, during which the County presented two witnesses: Dr. Marshall Bales, who is Catherine’s treating psychiatrist, and Russ Marmor, who is a clinical coordinator for the County.3 No report from an independent doctor was prepared for this extension hearing.

¶6 Doctor Bales testified that he believed Catherine’s diagnosis to be “either schizophrenia or … schizoaffective disorder.” Bales also testified that Catherine “has been fairly asymptomatic” and has “been stable on the medication” during her most recent period of commitment. He stated that Catherine is “on a very low dose”—“almost a pediatric dose”—of Abilify, an injectable antipsychotic medication. Bales opined that the dosage was the minimum amount necessary to prevent Catherine’s symptoms from breaking through and leading to her becoming unstable, thereby needing to be hospitalized or being otherwise harmed. According to Bales, Catherine is mostly compliant with medication, but she tends to embellish the medication’s side effects.

¶7 Despite Catherine’s compliance with her medication, Dr. Bales also explained that she only takes the medication because a circuit court has ordered

3 Marmor worked with Catherine directly when she was first committed in 2016 and as a therapeutic/case manager from July 2018 until February 2020. After that, he worked with her in a supervisory capacity.

3 No. 2022AP2186

her to do so. Bales opined that “without a commitment in place,” Catherine will “stop her medication,” because she adamantly believes she does not need it, and will “be done with Outagamie County case management and services in general.” Notably, Bales twice stated that Catherine will stop taking her medication and “will become endangered or dangerous again” if treatment is withdrawn. While he opined that there will be “some kind of dangerousness,” he could not predict the particular form such dangerous behavior would take.

¶8 One other prominent problem, according to Dr. Bales, is that Catherine lacks insight into her mental health and “just does not accept that she has a mental health condition.” Catherine’s condition, Bales testified, also contains a “mood component” that results in Catherine becoming “dysphoric” and “very angry, irritable, [and] labile.” In the past, Bales explained, the irritability and the dysphoria have “been very prominent with her … to the point where in the past [Catherine] has been threatening.”

¶9 In addition, Dr. Bales described that, in his past appointments with Catherine, there was an issue with Catherine focusing on her prior incidents of threatening a judge, even though Bales tries to avoid the subject with her.4 During cross-examination, Bales testified that Catherine continues to deny ever having threatened a judge in the past. Bales further testified that Catherine has not made any new threats while on her current treatment regimen.

4 Doctor Bales explained that he tries to avoid the subject of Catherine threatening a judge because “[s]he’s got this viewpoint, almost a persecutory demeanor about it, and I … just don’t think it’s been productive to bring it up every visit with her. She just gets upset, it ruins her day, and it is just not helpful.”

4 No. 2022AP2186

¶10 Doctor Bales acknowledged that Catherine had been able to “keep appointments” and “take her medication”5 and that there had been no “recent dangerousness, recent hospitalization,” or “recent crisis or police contact.” Bales stated that Catherine was even able to maintain employment during this time period.

¶11 Marmor testified that the 2016 emergency detention was sought for Catherine due to her threatening a judge. These threats, Marmor opined, are “well documented” and were “homicidal threats.” Additionally, Marmor testified that when Catherine has not been receiving treatment in the past, she has decompensated. Marmor further stated that, in the past, Catherine has been very focused on “persecutory delusions” and would become very “angry, agitated, accusatory, [and] irritable.”

¶12 Marmor also testified that Catherine had been stable for the last twelve months—and had not had any hospitalizations or police contact during that time—because of the medication she was receiving. Marmor stated that Catherine had also been able to maintain a job during the prior year. Marmor opined that Catherine would benefit from more intensive services from the County, but she receives only the minimum services necessary to maintain her stability. Indeed, and similar to Dr. Bales, Marmor further testified that Catherine frequently states that she does not want to be on medication and that she does not want to engage in treatment with the County. Also, and again similar to Bales, Marmor noted that he

5 Again, Dr.

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Bluebook (online)
Outagamie County v. C. J. A., Counsel Stack Legal Research, https://law.counselstack.com/opinion/outagamie-county-v-c-j-a-wisctapp-2024.