People v. Batts
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Opinion
2025 IL App (3d) 240502
Opinion filed October 29, 2025 _____________________________________________________________________________
IN THE
APPELLATE COURT OF ILLINOIS
THIRD DISTRICT
THE PEOPLE OF THE STATE OF ) Appeal from the Circuit Court ILLINOIS, ) of the 18th Judicial Circuit, ) Du Page County, Illinois. Plaintiff, ) ) v. ) ) ) ESTELLE MICHELLE BATTS, ) Appeal No. 3-24-0502 ) Circuit No. 24-CM-144 Defendant-Appellee ) ) ) (The Department of Human Services, Dr. ) Sharon Coleman, and Dr. Agorista ) Barczak, ) The Honorable ) Paul A. Marchese, Contemnors-Appellants). ) Judge, Presiding. _____________________________________________________________________________
JUSTICE PETERSON delivered the judgment of the court, with opinion. Justices Holdridge and Anderson concurred in the judgment and opinion. _____________________________________________________________________________
OPINION
¶1 In the context of a criminal case, defendant, Estelle Michelle Batts, filed a petition for a
rule to show cause against two doctors who were officials of the Department of Human Services
(Department), Dr. Sharon Coleman and Dr. Agorista Barczak, for failing to transfer Batts to a
Department facility for fitness restoration treatment in violation of the trial court’s order. Following hearings, the trial court issued the rule to show cause, found the two doctors in indirect
civil contempt of court, and eventually imposed a monetary sanction against the doctors for every
day that passed going forward without Batts being transferred to a facility. After the transfer had
been completed and the monetary sanction had been established, the Department and the doctors
(collectively referred to hereinafter as contemnors) appealed. We vacate the trial court’s contempt
order and the sanction imposed.
¶2 I. BACKGROUND
¶3 In January 2024, Batts was charged in Du Page County, Illinois, with violating a stalking
no contact order, a Class A misdemeanor, and a warrant was issued for her arrest. The warrant was
later executed on Batts. Batts was given pretrial release, placed on electronic monitoring, and
ordered to remain at least 1,000 feet away from, and to have no contact with, the victims, 1 their
home, and their place of employment.
¶4 In March 2024, the prosecutor filed an amended petition to have sanctions imposed on
Batts for repeatedly violating the conditions of her pretrial release. Following a hearing on the
petition, the trial court sentenced Batts to 30 days in county jail as a sanction for her violations.
After the hearing was concluded, the trial court ordered that a fitness evaluation be conducted of
Batts. While the fitness evaluation was pending, the prosecutor filed a petition requesting that the
trial court deny Batts’s pretrial release. The trial court granted the prosecutor’s request.
¶5 On April 17, 2024, after the evaluation had been completed, a status hearing was held in
the trial court on Batts’s fitness. Upon considering the stipulations of the attorneys and the fitness
evaluation report, the trial court found that Batts was unfit to stand trial but that there was a
1 Although the charging instrument referred to only one victim, it is obvious from other documents in the record on appeal that two victims were involved in the underlying criminal case.
2 substantial likelihood she would attain fitness within the statutory time period if she was provided
with a course of treatment. The trial court ordered that Batts be transferred to a Department facility
instanter for fitness restoration treatment. A court date was scheduled for May 30, 2024, for a
status hearing on Batts’s fitness and for the receipt of a 30-day treatment report.
¶6 Less than a week later, on April 22, 2024, the Department conducted an in-person,
preplacement evaluation of Batts, found that she remained unfit to stand trial, and determined that
the best inpatient facility for her treatment was the Elgin Mental Health Center. The Department
notified the trial court by letter dated that same day of the Department’s preplacement evaluation
and its findings.
¶7 On the May 30 status hearing date, the trial court was told that Batts was still in the county
jail and that she had not yet been transported to a Department facility for treatment. Batts’s attorney
made an oral motion to have Batts released from custody because she had not been placed in
treatment. However, the trial court denied the motion because the 60-day deadline contained in the
fitness statute (725 ILCS 5/104-17(b) (West 2024)) for Batts to be placed into treatment had not
yet passed. The trial court continued the case to June 17, 2024, for another status hearing and
ordered the Department to comply with the court’s April 17 ruling and transport Batts to a
Department facility for treatment. The May 30 order also provided that, if Batts was not
transported by the June 17 status hearing date, the Department was required to have a
representative present at the hearing to explain why the Department had failed to transport Batts.
¶8 On June 3, 2024, the Department sent the trial court a letter regarding Batts’s treatment
status. The Department informed the trial court that, despite the Department’s “best efforts,” it had
not yet been able to place Batts into treatment because of the Department’s backlog of patients and
limited bed availability. The Department explained in the letter that (1) it operated forensic
3 treatment programs at four different facilities in the state—Elgin, Chester Mental Health Center,
Alton Mental Health Center, and Packard Mental Health Center—and that it supervised an
additional program at the Choate Developmental Center; (2) all of the Department’s forensic
treatment programs were at full capacity; (3) there was an ongoing waiting list of 162 people who
were waiting for inpatient admission to the Department’s forensic treatment programs and another
142 people who were waiting to be evaluated to determine if inpatient admission was necessary;
and (4) the Department had reevaluated Batts and had determined that outpatient fitness restoration
treatment was not appropriate for her and that Elgin was the least restrictive placement consistent
with Batts’s needs. The Department also described in the letter some of the actions that it had taken
to address the backlog, such as contracting for additional beds at a local hospital, converting two
civil units at one of the Department’s facilities into forensic units, pursuing alternative placement
options for individuals awaiting admission for fitness restoration, and negotiating with various
county sheriffs regarding the purchase of additional bed space to relieve the stress on local jails.
The Department assured the trial court in the letter that it was diligently working to safely admit
Batts to an inpatient forensic treatment program within the next 30 days; that it would notify the
sheriff to transport Batts as soon as a bed became available; and that it would notify the court, the
prosecutor, and Batts’s attorney when Batts was admitted to a facility.
¶9 At the June 17 status hearing, Batts’s attorney informed the trial court that Batts was still
in the county jail and that she had not yet been transported to a Department facility for fitness
restoration treatment. Although a formal appearance had not yet been filed, an assistant attorney
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2025 IL App (3d) 240502
Opinion filed October 29, 2025 _____________________________________________________________________________
IN THE
APPELLATE COURT OF ILLINOIS
THIRD DISTRICT
THE PEOPLE OF THE STATE OF ) Appeal from the Circuit Court ILLINOIS, ) of the 18th Judicial Circuit, ) Du Page County, Illinois. Plaintiff, ) ) v. ) ) ) ESTELLE MICHELLE BATTS, ) Appeal No. 3-24-0502 ) Circuit No. 24-CM-144 Defendant-Appellee ) ) ) (The Department of Human Services, Dr. ) Sharon Coleman, and Dr. Agorista ) Barczak, ) The Honorable ) Paul A. Marchese, Contemnors-Appellants). ) Judge, Presiding. _____________________________________________________________________________
JUSTICE PETERSON delivered the judgment of the court, with opinion. Justices Holdridge and Anderson concurred in the judgment and opinion. _____________________________________________________________________________
OPINION
¶1 In the context of a criminal case, defendant, Estelle Michelle Batts, filed a petition for a
rule to show cause against two doctors who were officials of the Department of Human Services
(Department), Dr. Sharon Coleman and Dr. Agorista Barczak, for failing to transfer Batts to a
Department facility for fitness restoration treatment in violation of the trial court’s order. Following hearings, the trial court issued the rule to show cause, found the two doctors in indirect
civil contempt of court, and eventually imposed a monetary sanction against the doctors for every
day that passed going forward without Batts being transferred to a facility. After the transfer had
been completed and the monetary sanction had been established, the Department and the doctors
(collectively referred to hereinafter as contemnors) appealed. We vacate the trial court’s contempt
order and the sanction imposed.
¶2 I. BACKGROUND
¶3 In January 2024, Batts was charged in Du Page County, Illinois, with violating a stalking
no contact order, a Class A misdemeanor, and a warrant was issued for her arrest. The warrant was
later executed on Batts. Batts was given pretrial release, placed on electronic monitoring, and
ordered to remain at least 1,000 feet away from, and to have no contact with, the victims, 1 their
home, and their place of employment.
¶4 In March 2024, the prosecutor filed an amended petition to have sanctions imposed on
Batts for repeatedly violating the conditions of her pretrial release. Following a hearing on the
petition, the trial court sentenced Batts to 30 days in county jail as a sanction for her violations.
After the hearing was concluded, the trial court ordered that a fitness evaluation be conducted of
Batts. While the fitness evaluation was pending, the prosecutor filed a petition requesting that the
trial court deny Batts’s pretrial release. The trial court granted the prosecutor’s request.
¶5 On April 17, 2024, after the evaluation had been completed, a status hearing was held in
the trial court on Batts’s fitness. Upon considering the stipulations of the attorneys and the fitness
evaluation report, the trial court found that Batts was unfit to stand trial but that there was a
1 Although the charging instrument referred to only one victim, it is obvious from other documents in the record on appeal that two victims were involved in the underlying criminal case.
2 substantial likelihood she would attain fitness within the statutory time period if she was provided
with a course of treatment. The trial court ordered that Batts be transferred to a Department facility
instanter for fitness restoration treatment. A court date was scheduled for May 30, 2024, for a
status hearing on Batts’s fitness and for the receipt of a 30-day treatment report.
¶6 Less than a week later, on April 22, 2024, the Department conducted an in-person,
preplacement evaluation of Batts, found that she remained unfit to stand trial, and determined that
the best inpatient facility for her treatment was the Elgin Mental Health Center. The Department
notified the trial court by letter dated that same day of the Department’s preplacement evaluation
and its findings.
¶7 On the May 30 status hearing date, the trial court was told that Batts was still in the county
jail and that she had not yet been transported to a Department facility for treatment. Batts’s attorney
made an oral motion to have Batts released from custody because she had not been placed in
treatment. However, the trial court denied the motion because the 60-day deadline contained in the
fitness statute (725 ILCS 5/104-17(b) (West 2024)) for Batts to be placed into treatment had not
yet passed. The trial court continued the case to June 17, 2024, for another status hearing and
ordered the Department to comply with the court’s April 17 ruling and transport Batts to a
Department facility for treatment. The May 30 order also provided that, if Batts was not
transported by the June 17 status hearing date, the Department was required to have a
representative present at the hearing to explain why the Department had failed to transport Batts.
¶8 On June 3, 2024, the Department sent the trial court a letter regarding Batts’s treatment
status. The Department informed the trial court that, despite the Department’s “best efforts,” it had
not yet been able to place Batts into treatment because of the Department’s backlog of patients and
limited bed availability. The Department explained in the letter that (1) it operated forensic
3 treatment programs at four different facilities in the state—Elgin, Chester Mental Health Center,
Alton Mental Health Center, and Packard Mental Health Center—and that it supervised an
additional program at the Choate Developmental Center; (2) all of the Department’s forensic
treatment programs were at full capacity; (3) there was an ongoing waiting list of 162 people who
were waiting for inpatient admission to the Department’s forensic treatment programs and another
142 people who were waiting to be evaluated to determine if inpatient admission was necessary;
and (4) the Department had reevaluated Batts and had determined that outpatient fitness restoration
treatment was not appropriate for her and that Elgin was the least restrictive placement consistent
with Batts’s needs. The Department also described in the letter some of the actions that it had taken
to address the backlog, such as contracting for additional beds at a local hospital, converting two
civil units at one of the Department’s facilities into forensic units, pursuing alternative placement
options for individuals awaiting admission for fitness restoration, and negotiating with various
county sheriffs regarding the purchase of additional bed space to relieve the stress on local jails.
The Department assured the trial court in the letter that it was diligently working to safely admit
Batts to an inpatient forensic treatment program within the next 30 days; that it would notify the
sheriff to transport Batts as soon as a bed became available; and that it would notify the court, the
prosecutor, and Batts’s attorney when Batts was admitted to a facility.
¶9 At the June 17 status hearing, Batts’s attorney informed the trial court that Batts was still
in the county jail and that she had not yet been transported to a Department facility for fitness
restoration treatment. Although a formal appearance had not yet been filed, an assistant attorney
general (AAG) from the Illinois Attorney General’s Office appeared on behalf of the Department.
In response to a question from Batts’s attorney, the AAG represented that Batts would hopefully
be transported to a facility within the next 14 days.
4 ¶ 10 To obtain clarification about Batts’s treatment status, Batts’s attorney called Dr. Agorista
Barczak, a forensic psychologist and the court services administrator for the Department, to testify
regarding Batts’s position on the waiting list and the Department’s plan for transport. Barczak’s
testimony, to the extent that it is relevant to the issue raised in this appeal, can be summarized as
follows.
¶ 11 According to Barczak, Batts was currently about seventh on the Department’s waiting list
for treatment. Although it was anticipated that Batts would be treated at the Elgin facility, the
Department considered admissions from a statewide perspective and also considered their other
facilities as possible locations for the placement of Batts. Barczak estimated that Batts would be
placed in treatment in approximately three to four weeks but commented that the Department was
trying to expedite Batts’s placement, assuming that the Department was able to confirm that Batts
was decompensating, as Batts’s attorney had represented. The evaluator on Batts’s case was Dr.
Daidra Marano. Dr. Barczak testified that Marano had gone to see Batts in the county jail at least
twice, although she did not know the exact date of the second visit, and that Marano had also been
in regular contact with the jail staff regarding Batts’s mental and physical condition and whether
Batts was starting to decompensate. Barczak’s understanding was that Batts was delusional but
that she was not suffering. Barczak estimated that Elgin had approximately 500 beds that were
used for forensic restoration patients. The number of patients discharged from those beds each
week varied and could range anywhere from zero to five patients. Female beds tended to come
open a lot slower than male beds and generally ranged from zero to two patients per week. If the
Department was able to confirm that Batts was truly decompensating, Batts’s admission would be
expedited and would probably take place within the next week or two.
5 ¶ 12 During the status hearing, Batts’s attorney advised the trial court that she would be filing a
petition for a rule to show cause/petition for indirect civil contempt against the Department for its
failure to transport Batts to a facility for treatment. The trial court set the case for July 1, 2024, for
a hearing on the petition for a rule to show cause.
¶ 13 A few days after the status hearing, Batts’s attorney filed the petition for a rule to show
cause. In the petition, Batts’s attorney requested that the trial court enter an order requiring Dr.
Sharon Coleman, in her capacity as the director of forensic services of the Department, and Dr.
Barczak, in her capacity as the court services administrator of the Department, to show cause why
they should not be held in contempt of court for violating the trial court’s April 17 unfitness order
by failing to admit Batts to a facility for treatment within the 60-day period required by the fitness
statute. Among other things, Batts’s attorney asserted in the petition that Batts was significantly
decompensating while remaining in the county jail, a facility that lacked the capacity to address
forensic restoration and Batts’s mental health concerns.
¶ 14 In addition to filing a petition for a rule to show cause, Batts’s attorney also subpoenaed
documents from the Department pertaining to the inpatient forensic restoration bed capacity at
each facility, the waiting list for admission to a facility for forensic restoration as of the April 17
order and thereafter, and the number of involuntary administration of medication petitions that
each facility had filed since 2018. The subpoenaed material was supposed to be tendered in court
on June 27, 2024.
¶ 15 On the subpoena return date, the AAG filed a formal appearance in the trial court as the
attorney for the contemnors. The AAG tendered the subpoenaed documents to Batts’s attorney,
and the case was continued to the July 1 hearing date for a hearing on the petition for a rule to
show cause. The trial court explained to the attorneys, and the trial court’s written order
6 specifically provided, that if a rule to show cause was issued, it would be returnable to the trial
court instanter.
¶ 16 The following day, the doctors filed a response opposing the petition for a rule to show
cause and requesting that the petition be denied. In the response, the doctors asserted that a finding
of contempt would be inappropriate in this case because the Department had complied with the
requirements of the fitness statute; had been diligently working to place Batts into treatment; was
faced with a number of challenges to placement that were outside of the Department’s control,
including a substantial increase in admissions for treatment in both the state and the county; and
had not willfully violated the trial court’s placement order. The doctors attached several supporting
documents to their response, including the certified declaration of Dr. Coleman.
¶ 17 In her declaration, Coleman stated as follows. She was the deputy director of forensic and
justice services for the division of mental health at the Department. As part of her duties, Coleman
oversaw forensic mental health services for the State, including the coordination of inpatient and
outpatient placements of adults and juveniles referred through the court system who were found
not guilty by reason of insanity or unfit to stand trial. The Department operated forensic treatment
programs at the Elgin, Chester, Alton, and Packard facilities. The Department also managed a unit
at the Choate facility for defendants with intellectual disabilities and contracted for 24 beds at a
local hospital for nonviolent defendants. Those six facilities served all 102 counties in Illinois.
¶ 18 According to Coleman, the Department was currently facing substantial challenges with
respect to its ability to admit individuals to its psychiatric hospital system who had been remanded
by the court system to the Department for treatment. Since 2019, the Department had experienced
an unprecedented 100% increase in referrals by the courts for inpatient care, which placed
enormous stress on the Department’s resources. As of June 21, 2024, the waiting list for inpatient
7 admission to Department facilities included 176 individuals who had already been assessed for
placement and 132 individuals who were pending assessment, most of whom would require
inpatient admission. As the number of referrals had increased, the Department also faced a shortage
of the qualified mental health professionals and other staff members that were needed at the
Department’s facilities and limited community options for step-down placement of individuals
who were no longer in need of inpatient treatment. The Department’s inability to discharge patients
to a step-down setting in the community meant that individuals would remain in the Department’s
inpatient treatment beds until community placements were found, which restricted the number of
new admissions. To address the challenges that it faced, the Department had pursued numerous
efforts to expand its capacity, had made significant efforts to expand recruitment and expedite
staffing for its mental health facilities, and had worked with community providers to develop
additional step-down options for individuals who were appropriate for conditional release or
discharge from inpatient care (the specific actions that the Department had taken were described
in greater detail in the declaration).
¶ 19 On July 1, 2024, a hearing was held on the petition for a rule to show cause that Batts’s
attorney had filed. During the hearing, Batts’s attorney called Dr. Coleman to testify. Coleman’s
testimony at the hearing can be summarized as follows. Coleman testified that the Department had
several different facilities for people who had been found unfit to stand trial. Alton and Packard
were medium-security facilities that each had 100 beds for patients. Chester was an all-male
facility that was both medium and maximum security and had 284 beds. The Elgin facility, which
was a medium-security facility, had 371 beds, 87 more beds than Chester.
¶ 20 During her testimony, Coleman agreed with Batts’s attorney that, oftentimes, defendants
who had been referred to the Department for fitness restoration treatment would refuse to take
8 medications. A civil remedy was available by statute that allowed the Department to administer
psychotropic medications to such patients involuntarily. If a psychiatrist believed that a patient
who was unfit to stand trial needed medication, the psychiatrist could file a petition in the trial
court for the involuntary administration of medication. Once an unfit patient started taking
psychotropic medication, the medication usually started to work in 14 to 30 days, if it was going
to work at all. A patient who responded to medication would typically regain fitness faster but not
always. Once a patient was restored to fitness, he or she was sent back to the referring county
rather quickly, which would open that patient’s treatment bed for another patient.
¶ 21 Coleman also agreed that, over the past several years, the psychiatrists at the Chester
facility had consistently filed more involuntary administration petitions than the psychiatrists at
the Elgin facility. In 2018, Chester psychiatrists filed 68 petitions, and Elgin psychiatrists filed 9;
in 2019, Chester psychiatrists filed 153 petitions, and Elgin psychiatrists filed 6; in 2020, Chester
psychiatrists filed 137 petitions, and Elgin psychiatrists filed 5; in 2021, Chester psychiatrists filed
121 petitions, and Elgin psychiatrists filed 7; in 2022, Chester psychiatrists filed 133 petitions, and
Elgin psychiatrists filed 11; in 2023, Chester psychiatrists filed 90 petitions, and Elgin psychiatrists
filed 46; and in 2024, up to the date of the hearing, Chester psychiatrists had filed 24 petitions, and
Elgin psychiatrists had also filed 24. Coleman clarified, however, that the numbers she had stated
were the number of petitions that had been filed, not the number of petitions that the trial court had
granted.
¶ 22 According to Coleman, when a person was in custody waiting to be transported to a
Department facility, the policy of the Department was to clinically monitor that person’s condition
so that the person’s admission could be prioritized if he or she was decompensating. Some of the
signs of decompensation that the Department looked for were suffering, weight loss, and other
9 information provided by the jail that would indicate decompensation. Batts’s condition had been
fairly consistent and stable until the week before the hearing on the petition for a rule to show
cause, when the Department learned that Batts had been placed on suicide watch at the jail. The
Department only became aware of that information because Batts’s attorney had contacted Dr.
Marano and shared that information with her. When Coleman was asked during her testimony if
she was aware that Batts had five incidents the past week when the deputies at the jail had to put
their hands on her, that Batts had been physically restrained, and that Batts was also on emotional
watch at the jail, Coleman testified that she was not aware of that information. Batts’s attorney did
not present any additional evidence at the hearing, however, to establish that those events had
actually occurred.
¶ 23 On cross-examination by the AAG, Coleman testified about the process that the
Department had followed in trying to place Batts into a facility for treatment. After the Department
had received the April 17, 2024, unfitness order, the case was assigned to an evaluator, Dr. Marano,
for a preplacement evaluation to be conducted. Upon conducting the evaluation, Marano
determined that Batts was still unfit to stand trial and that Batts would need admission to a medium-
security facility. Marano designated Elgin as the appropriate place for Batts to receive treatment
and notified the trial court of that information by letter dated April 22, 2024. One of the reasons
that Elgin was selected as Batts’s treatment location was because the Department tried to keep
individuals closer to their home court if it was possible and Du Page County, Batts’s home court,
was in the Elgin facility’s catchment area. There was no less restrictive facility in Du Page County
that would have been an appropriate place for Batts to receive treatment. Even though the
Department was aware of Batts’s condition, Batts still did not qualify for immediate placement on
the date that the petition for a rule to show cause was filed because the Department had other
10 individuals that had a higher clinical priority for the beds that the Department had available. Batts
was reevaluated for admission at various times while she was waiting to be placed.
¶ 24 According to Coleman, the Department did not currently have a bed available for Batts
because the Department had a waiting list for treatment beds at its facilities. The waiting list was
currently over 300 persons long—about 176 of those individuals had already been assessed for
placement, and about 130 of those individuals still needed to be assessed. On average, once a
person was transferred to a Department facility, it took 3½ to 4 months to restore that person to
fitness. Currently, there were six to seven females that were ahead of Batts on the waiting list. To
ensure that individuals who were on the waiting list were quickly placed into a treatment facility,
the Department had its evaluators clinically monitor those individuals in person or by contacting
the jail staff for updates on the condition of those individuals. If there was some significant change
in the person’s clinical condition, some decompensation, the Department would make every effort
to expedite placement and would move the person ahead on the waiting list. Based on the current
information that the Department had received, Batts was being moved up on the waiting list, would
probably be within the next three females to be placed, and would hopefully be placed in treatment
within the next two weeks.
¶ 25 When the attorneys had finished questioning Coleman, the trial court asked some questions
of its own about Department patients who refused to take medications. In response to those
questions, Coleman testified that involuntary administration petitions were not filed for every
individual in a Department facility who was charged with a misdemeanor offense and had refused
to take medication. Petitions were only filed in those cases where the psychiatrists believed that
there was enough information to support the petition. The state’s attorney’s office would then
follow through with the petition in mental health court.
11 ¶ 26 After Coleman’s testimony ended, Batts’s attorney rested. The AAG declined to present
any additional evidence, and both sides made closing arguments to the trial court. Batts’s attorney
argued that the Department had not been making good-faith efforts to place Batts into treatment
because the Department’s Elgin facility was not filing involuntary administration petitions, which
caused the misdemeanor treatment beds at Elgin to remain filled. According to Batts’s attorney, if
the Department was encouraging its psychiatrists to file more involuntary administration petitions
at Elgin, the treatment beds would become available at a much faster rate. Batts’s attorney
described the issue as a “huge problem” and pointed out that Batts had been in the county jail for
122 actual days, was decompensating, had been placed on suicide and emotional watch, had
deputies put their hands on her five times in the past week, and would not have spent 122 actual
days in custody if she was not mentally ill. The AAG argued that Batts’s petition should be denied
because a contempt finding was unnecessary because the Department was already trying to secure
Batts’s placement in treatment, placement had not been made due to factors outside of the
Department’s control, the Department had made good-faith efforts to place Batts into treatment
and had not willfully defied the trial court’s placement order, the Department had acted in
compliance with the fitness statute, and the Department had kept the trial court informed about
Batts’s status and about the Department’s efforts to place Batts into treatment. In making those
arguments, the AAG pointed out that the fitness statute allowed the Department to go beyond the
60-day placement deadline, if the Department could demonstrate good-faith efforts at placement
and a lack of bed availability (see 725 ILCS 5/104-17(b) (West 2024)).
¶ 27 When the arguments concluded, the trial court made its ruling. The trial court explained
that the court was in the “first part” of the proceedings and that Batts, as the petitioner, had the
burden to prove a prima facie case of contempt by a preponderance of the evidence. The trial court
12 stated that it had considered the arguments of the attorneys, the testimony of the witnesses, the
documents and attachments to which the attorneys had referred, and the orders contained in the
court file. The trial court recognized that the Department had a backlog for placement in treatment
and acknowledged that the fitness statute allowed the 60-day deadline for placement to be extended
if the Department was making good-faith efforts at placement. Ultimately, however, the trial court
determined that part of the reason that the Department’s backlog existed was because the Elgin
facility, where Batts was supposed to be treated, was not filing involuntary administration
petitions. Thus, the Elgin facility was failing to use one of the tools available to restore individuals
to fitness and to have those individuals returned to court at a faster rate. Correspondingly, this
would also make treatment beds come available at a faster rate. The trial court commented that, in
essence, the Department was “deferring the decision as to whether or not to administer meds to
people with mental illness who are housed” at the Elgin facility and was not exercising its
professional guidance or using the tools available to it to restore people to fitness. The trial court
believed that the problem was the result of a policy decision by the Department and did not reflect
directly on Dr. Coleman, who the trial court thought was a credible witness. The trial court stated
further that it could not find that the Department had made good-faith efforts under the present
circumstances and indicated that the court was going to find the doctors in contempt.
¶ 28 The AAG expressed some confusion or disagreement with the procedure that the trial court
had followed and questioned whether the trial court was merely issuing a rule to show cause against
the doctors or actually finding the doctors in contempt. The trial court indicated that it had made
the rule to show cause returnable instanter, if it was issued, and that the court was proceeding to a
finding on the merits of the contempt petition. The trial court gave the AAG a brief continuance
to determine whether the doctors would present any additional evidence.
13 ¶ 29 When the case resumed later that day, the AAG informed the trial court that the doctors
were not going to present any additional evidence at that time. The trial court found the two doctors
in indirect civil contempt of court for the Department’s failure to transport Batts to one of its
facilities for fitness restoration treatment within the statutory time period as required by the trial
court’s April 17 unfitness order. In so doing, the trial court again commented that part of the reason
that Elgin had a large backlog of patients and limited bed availability was due to the facility’s
failure to file involuntary administration petitions. The trial court entered a written contempt order
and specified in the order that, as a purge condition, the Department was required to transport Batts
to a Department facility for fitness restoration treatment by July 16, 2024, at 8:30 a.m. A status
hearing was scheduled for that date and time. Batts’s attorney asked the trial court to start imposing
a monetary sanction against the doctors for their failure to comply with the trial court’s order, but
the trial court declined to do so at that time.
¶ 30 Prior to the status hearing date, the doctors filed a motion to reconsider, asking the trial
court to vacate the finding of indirect civil contempt. In the motion, the doctors repeated many of
the same arguments that they had made to the trial court during the hearing on the petition for a
rule to show cause/contempt hearing. The doctors also argued that the procedure that the trial court
had followed was flawed and had denied the doctors their due process rights to notice and an
opportunity to be heard.
¶ 31 At the July 16 status hearing, the trial court was informed that Batts was still in the county
jail and had not yet been transferred for treatment. Batts’s attorney again asked the trial court to
start imposing a monetary sanction against the doctors for their failure to comply with the unfitness
order. The trial court again denied that request and continued the case to the following day for
14 hearing on the doctors’ motion to reconsider and on the proper sanction to be imposed on the
doctors.
¶ 32 After a hearing the following day, the trial court denied the doctors’ motion to reconsider.
As the sanction for the Department’s failure to purge the contempt, the trial court sanctioned the
doctors $500 per day ($250 to each doctor) going forward until Batts was transported to a
Department facility for treatment. The trial court scheduled a July 24, 2024, status hearing.
¶ 33 On the July 24 status hearing date, the trial court was informed that Batts had been
transported to a Department facility for fitness restoration treatment. The trial court ordered that
the sanction against the doctors would cease because the Department had complied with the
transport command in the unfitness order. The total amount of the sanction was $3,500. The
doctors subsequently appealed.
¶ 34 II. ANALYSIS
¶ 35 On appeal, contemnors argue that the trial court erred in finding the doctors in indirect civil
contempt of court for failing to transport Batts for fitness restoration treatment within the 60-day
deadline as required by the trial court’s unfitness order. Contemnors maintain that the finding of
contempt was erroneous for several reasons. First, contemnors assert that the trial court’s
underlying factual determination—that the Department had willfully violated the trial court’s
unfitness order—was against the manifest weight of the evidence because (1) the trial court
improperly based its determination entirely upon conduct that had occurred prior to the date that
the unfitness order was entered (the disparity in the number of involuntary administration petitions
that had been filed by Chester and Elgin from 2018 to 2023) and arbitrarily ignored conduct that
had occurred closer to the date of the unfitness order (the number of involuntary administration
petitions filed by Chester and Elgin in 2024 up to the date of the hearing on the petition for a rule
15 to show cause), (2) there was no evidence that either doctor had any control over the number of
involuntary administration petitions filed by psychiatrists at Elgin or Chester, (3) it was
unreasonable for the trial court to infer that Department psychiatrists were failing to exercise
professional judgment based solely upon the number of involuntary administration petitions that
were filed at two different facilities, (4) the trial court’s findings and inferences were based upon
speculation as to why involuntary administration petitions were not being filed at Elgin and why
the waiting list existed, and (5) the uncontested evidence showed that the Department had
diligently attempted to place Batts into a treatment facility on a timely basis but that external
factors outside of the Department’s control had prevented the Department from doing so, even
though the Department had taken steps to address those factors and to reduce its backlog. Second,
contemnors assert that the trial court’s contempt order was also an abuse of discretion because it
infringed upon the executive branch’s authority to operate its own agencies, infringed upon the
professional judgment of Department psychiatrists to make treatment and medication decisions,
and created serious ethical and constitutional concerns by essentially requiring Department
psychiatrists to file more involuntary administration petitions, regardless of clinical necessity and
statutory appropriateness. Third and finally, contemnors assert that the contempt proceedings
followed by the trial court in this case violated the doctors’ due process rights to notice and an
opportunity to be heard because neither the petition for a rule to show cause that was filed nor the
rule to show cause identified the involuntary administration petitions as a basis for holding the
doctors in contempt and because the trial court improperly merged the rule to show cause and
merits stages of the contempt proceedings, which left the doctors unable to prepare a defense. For
all of the reasons stated, therefore, contemnors ask that we vacate the trial court’s finding of
contempt and the monetary sanction that the trial court imposed on the doctors.
16 ¶ 36 Batts argues that the trial court’s contempt and sanction orders were proper and should be
upheld. In short, Batts disagrees with the contemnors’ assertions. More specifically, Batts contends
first that the trial court’s willfulness finding was well supported by the evidence, that the
willfulness finding was not based upon improper evidence, and that the trial court properly found
that the Department had created the inpatient treatment backlog or had allowed it to continue to
exist by failing to use all of the tools available to it to reduce the backlog, including failing to file
involuntary administration petitions for patients at the Elgin facility. In making that contention,
Batts notes that the doctors failed to present any evidence of their own at the hearing on the petition
for a rule to show cause/contempt hearing to establish that their failure to comply with the unfitness
order was not willful or that they had a valid excuse for their noncompliance, even though the trial
court had given the doctors the opportunity to present evidence that they had of that nature. In
addition, Batts maintains, the trial court did not speculate as to its finding of willfulness but, rather,
reasonably and logically concluded from the disparity in involuntary administration petitions that
the Department’s failure to use the tools available to it was a contributing factor in the backlog of
unfit individuals waiting for fitness restoration treatment. Furthermore, Batts contends, many of
the factors that the Department claimed were external and were contributing to the Department’s
backlog were actually factors that were under the Department’s control, such as the staffing at the
Department’s facilities, the placement process, and the treatment procedures.
¶ 37 Batts also maintains that the contemnors cannot reasonably argue in this case that the two
doctors who held leadership roles in the Department did not have any influence over the methods
used by the Department’s treating psychiatrists or over the policies and procedures that pertained
to the filing of involuntary administration petitions. According to Batts, the trial court did not order
the Department to file involuntary administration petitions, exercise control over the Department’s
17 treatment methods, or require that patients be given medications involuntarily without due process.
Thus, the Department did not infringe on the power of the Department to determine the appropriate
form of treatment nor on the bodily autonomy of patients in the Department’s care. Instead, Batts
maintains that the trial court merely used its contempt powers to control the Department’s
adherence to the trial court’s unfitness order and its command that the Department transport Batts
to one of its facilities for fitness restoration treatment, a command that was well within the trial
court’s authority to make under the fitness statute.
¶ 38 Finally, Batts contends that the trial court did not conduct the hearing on the petition for a
rule to show cause/contempt hearing in an improper manner and did not deprive the doctors of
their due process rights of notice and an opportunity to be heard. In making that contention, Batts
points out that both the petition and the rule stated the basis upon which the doctors were found in
contempt (the failure to transport Batts for treatment as required by the unfitness order). Further,
Batts points out that the doctors were told multiple times and were well aware that the trial court
intended to proceed immediately to a hearing on the merits of the contempt allegation if the rule
to show cause was issued and that the doctors were given the opportunity to present any evidence
that they wanted to present. Consequently, Batts contends that the contemnors’ claim—that the
doctors were denied due process during the contempt proceeding—was unfounded. For all of the
reasons set forth, Batts asks that we affirm the trial court’s contempt ruling and the sanction
imposed.
¶ 39 All courts have the inherent power to punish an individual for contemptuous conduct. See
In re Marriage of Weddigen, 2015 IL App (4th) 150044, ¶ 19. That power is essential to the
maintenance and administration of the court’s judicial authority. Id. Whether a party is guilty of
contempt is a question of fact for the trial court to decide. Id. ¶ 22. A reviewing court will not
18 disturb a trial court’s determination in that regard unless it is against the manifest weight of the
evidence or the record indicates an abuse of discretion. In re Marriage of Logston, 103 Ill. 2d 266,
286-87 (1984); In re Marriage of Virgin, 2021 IL App (3d) 190650, ¶ 58; In re Marriage of
Charous, 368 Ill. App. 3d 99, 108 (2006). “A decision is against the manifest weight of the
evidence where the opposite conclusion is clearly evident or where the court’s findings are
unreasonable, arbitrary, and not based on any of the evidence.” (Internal quotation marks omitted.)
In re Marriage of Knoll, 2016 IL App (1st) 152494, ¶ 50.
¶ 40 A contempt proceeding may be classified as being either criminal or civil in nature and
also as being either direct or indirect. See In re Marriage of Betts, 200 Ill. App. 3d 26, 43 (1990).
In this case, Batts alleged that the doctors had committed indirect civil contempt. In general, civil
contempt occurs when a party fails to do something ordered by the trial court, resulting in the loss
of a benefit or advantage to the opposing party, with the dignity of the court being only incidentally
involved. Virgin, 2021 IL App (3d) 190650, ¶ 58; In re Marriage of Tatham, 293 Ill. App. 3d 471,
479 (1997). When the contempt occurs outside the presence of the court, it is classified as indirect
contempt. Virgin, 2021 IL App (3d) 190650, ¶ 58. One of the main characteristics or requirements
of a civil contempt proceeding is that the contemnor must be capable of taking the action that the
petitioner seeks to have the trial court coerce. See Betts, 200 Ill. App. 3d at 44. If the contemnor is
unable to comply with the trial court order at issue, a finding of contempt is inappropriate. See
Felzak v. Hruby, 226 Ill. 2d 382, 391 (2007) (stating that a contemnor must be able to purge the
civil contempt by doing that which the trial court had ordered the contemnor to do); In re Marriage
of Kneitz, 341 Ill. App. 3d 299, 304 (2003) (recognizing that the contemnor’s inability to comply
with the trial court order at issue precludes a finding of contempt).
19 ¶ 41 In an indirect civil contempt proceeding, the existence of a court order and proof of willful
disobedience of that order are essential to any finding of indirect civil contempt. See Tatham, 293
Ill. App. 3d at 480. In such a proceeding, the burden falls initially upon the petitioner to prove by
a preponderance of the evidence that the alleged contemnor has violated a court order. See Virgin,
2021 IL App (3d) 190650, ¶ 60; Charous, 368 Ill. App. 3d at 107. If the petitioner satisfies that
burden, the burden then shifts to the alleged contemnor to show that noncompliance with the
court’s order was not willful and/or contumacious and that he or she had a valid excuse for failing
to follow the court order. See Virgin, 2021 IL App (3d) 190650, ¶ 60; Charous, 368 Ill. App. 3d
at 107-08. Contumacious conduct has been defined as “conduct calculated to embarrass, hinder,
or obstruct a court in its administration of justice or lessening the authority and dignity of the
court.” (Internal quotation marks omitted.) In re Marriage of Knoll, 2016 IL App (1st) 152494,
¶ 50.
¶ 42 The appropriate procedures to be used in a contempt proceeding vary depending upon the
type of contempt involved. Betts, 200 Ill. App. 3d at 43. A person charged with indirect civil
contempt, such as the two doctors in the instant case, is entitled to minimal due process, including
the right to notice and an opportunity to be heard. Id. at 52-53. In addition, a civil contempt order
must be in writing and must specify what the offending party is required to do to purge itself of
the contempt. Pancotto v. Mayes, 304 Ill. App. 3d 108, 112 (1999).
¶ 43 In the present case, although the contemnors and Batts have made multiple arguments, we
find it necessary to address only the question of whether the evidence established that the
Department willfully and/or contumaciously violated the trial court’s unfitness order because
resolving that question is dispositive of the issue presented in this appeal. Upon reviewing the
evidence that was before the trial court at the time of the hearing on the petition for a rule to show
20 cause/contempt hearing, we conclude that the trial court’s finding of indirect civil contempt against
the two doctors was against the manifest weight of the evidence. 2 Contrary to the trial court’s
finding, the evidence before the trial court showed that the Department had worked diligently to
try to place Batts into treatment in a timely and safe manner. The Department conducted a
preplacement evaluation of Batts within a week after the unfitness order was entered and
determined that Batts remained unfit to stand trial and that Elgin was the placement location that
best met Batts’s needs. Batts’s placement in that facility, however, was delayed by a matter outside
of the Department’s control—the backlog that existed for inpatient treatment beds in the
Department’s facilities—and was not the result of willful conduct on behalf of the Department
after the court order was entered. See Felzak, 226 Ill. 2d at 391; Kneitz, 341 Ill. App. 3d at 304.
During the delay, while Batts was in the county jail waiting to be placed into treatment, the
Department evaluator continued to monitor Batts’s condition for signs of decompensation by going
to see Batts in person and by contacting staff members at the jail to inquire about Batts’s condition
and reevaluated Batts to determine if Batts’s need for treatment or her treatment priority had
changed.
¶ 44 The evidence before the trial court also showed that the Department had complied with the
steps outlined in the fitness statute for placing a criminal defendant, such as Batts, into a
Department facility for court-ordered fitness restoration treatment. As indicated above, the
Department conducted a preplacement evaluation of Batts within the first week after the unfitness
order was entered and promptly notified the trial court of the evaluation. See 725 ILCS 5/104-
17(b) (West 2024) (requiring the Department to evaluate the defendant to determine the most
2 We note that, although the Department did not offer additional evidence after Batts rested during the hearing, the Department’s witnesses testified fully as to the issue before the court—reasonable efforts versus willful and/or contumacious conduct.
21 appropriate secure facility to receive the defendant and, within 20 days after the placement order
is transmitted to the Department, to notify the trial court of the designated facility to receive the
defendant). In addition, when the Department became aware that it was not going to be able to
place Batts within the 60-day deadline provided in the fitness statute, it promptly notified the trial
court in detail of the delay and of the reasons for the delay. See id. (requiring the Department to
admit the defendant to a secure facility within 60 days after the placement order is transmitted to
the Department, unless the Department can demonstrate good-faith efforts at placement and a lack
of bed and placement availability). The Department also had its representatives appear in court,
when directed, to explain in person (or through remote video) the reasons for the delay and to
answer any questions that the trial court or the attorneys had regarding Batts’s treatment status.
¶ 45 We think it is worth noting that the legislature clearly contemplated that that there would
be occasions when the Department would be unable to place defendants in a secure facility within
the 60-day time frame set forth in the statute due to a lack of placement availability (beds) because
it included a procedure for such occasions in the statute. If the defendant cannot be placed within
the 60 days due to a lack of beds and the Department demonstrates “good faith efforts at
placement” then “the Department shall provide an update to the ordering court every 30 days until
the defendant is placed.” 725 ILCS 5/104-17(b) (West 2024). Nothing in the statute or case law
requires courts to follow the procedure set forth by the legislature for this situation to give the
Department additional time to place a defendant before going directly to a contempt proceeding;
however, it would seem the court in the present case took the most extreme approach by proceeding
to a contempt hearing the same day the petition was returned and the rule issued and conducting
not one of the 30-day status hearings contemplated in the statute.
22 ¶ 46 Based upon the Department’s good-faith efforts to place Batts into fitness restoration
treatment and its compliance with the steps outlined in the fitness statute, we must conclude that
the trial court’s findings of willfulness and contempt were against the manifest weight of the
evidence and that its ruling, therefore, constituted an abuse of discretion. Contrary to Batts’s
assertion on appeal, the trial court could not reasonably infer, based solely upon the difference in
the number of involuntary administration petitions filed at the Elgin and Chester facilities from the
years before Batts’s detention, that the psychiatrists at Elgin were willfully failing to exercise their
professional judgment and failing to file involuntary administration petitions while Batts was in
custody.
¶ 47 It is also problematic that, in making its contempt finding, the trial court focused on
statistics comparing involuntary administration petitions filed by the psychiatrists at the Elgin and
Chester facilities from years 2018 to 2023 (prior to the defendant’s arrest and the court’s
transfer/fitness restoration order in this case in April 2024), which were in great disparity, and
discounted the 2024-to-date statistics, which demonstrated no disparity. The focus of a court in a
civil contempt proceeding should be on the actions of the respondent after the court’s order that is
the basis of the contempt allegation. See In re J.S., 2022 IL App (1st) 220083, ¶ 76. Although the
court could consider the statistics from prior years as relevant background information (People v.
Weinstein, 2024 IL App (2d) 230062, ¶ 148), the contempt finding should be based on conduct
after the order was entered.
¶ 48 We acknowledge the challenges and urgency for trial courts and county jails to get unfit
defendants out of their jails and into the Department’s facilities so that they can receive the
necessary treatment. However, the evidence here was insufficient to support a finding that these
two doctors willfully or contumaciously violated the court’s order. Accordingly, we vacate the
23 trial court’s finding of indirect civil contempt against the doctors and the monetary sanction that
the trial court imposed.
¶ 49 In reaching the conclusion that the trial court’s ruling in this case was erroneous, we have
considered the Second District’s decision in Weinstein, 2024 IL App (2d) 230062, a case with
somewhat similar facts that involved the Department and some of the same doctors. However,
Weinstein is distinguishable from the present case. In Weinstein, the trial court in Lake County
found the Department guilty of indirect civil contempt in multiple cases and imposed monetary
sanctions against the Department because of the Department’s failure to promptly admit criminal
defendants who had been found unfit to stand trial to inpatient fitness restoration treatment in the
Department’s facilities. Id. ¶ 1. On appeal, the appellate court upheld the trial court’s findings of
contempt and the sanctions imposed against the Department. Id. In so doing, the appellate court
focused upon, among other things, (1) the Department’s failure to comply with the specific
requirements contained in the trial court’s unfitness orders, which mirrored the specific
requirements contained in the fitness statute and required the Department, as to each defendant, to
determine appropriate placement and provide appropriate treatment, to render an opinion within
30 days of the unfitness order as to the probability of the defendant attaining fitness within the
statutory time period, and to file a treatment plan for the defendant if such a probability existed;
(2) the Department’s failure to comply with the fitness statute, which required the Department to
admit a defendant to treatment within 30 days after the trial court’s unfitness order had been
entered; (3) the Department’s policy that it would not conduct a full evaluation of a defendant until
after the defendant was admitted to one of its facilities, which was a limitation that the Department
had imposed upon itself; (4) the Department’s failure to monitor or track the defendants at the jail
who were waiting to be placed in a facility; and (5) the evidence provided in Coleman’s declaration
24 and testimony that funding was not an issue for the Department, which cut against the
Department’s claim that its failure to comply was due to matters outside of its control, such as
increased referrals, staffing shortages, and a lack of capacity at its facilities. Id. ¶¶ 119, 128, 138-
45.
¶ 50 The Weinstein case is distinguishable from the present case for several reasons. First, the
trial court in the present case focused primarily upon the number of involuntary administration
petitions that had been filed at the Elgin and Chester facilities in years before the order at issue
was entered and, from that evidence, developed a series of unwarranted inferences on which its
ruling was based. The trial court inferred that the treating psychiatrists at Elgin were not filing
involuntary administration petitions in cases where such petitions should have been filed, that the
Department had failed to encourage its psychiatrists to file such petitions or to ensure that the
psychiatrists had done so, and that the psychiatrists’ and the Department’s failure in that regard
was a partial cause of the Department’s treatment backlog.
¶ 51 Second, the trial court’s unfitness order in the present case merely required that the
Department transport Batts for treatment instanter. The unfitness order did not contain the detailed
requirements that were contained in the unfitness orders in the Weinstein case (see id. ¶¶ 119, 128).
Indeed, the trial court’s unfitness orders in the Weinstein case, by spelling out the requirements of
the fitness statute that were in effect at that time and making those requirements part of the trial
court’s order, could serve as a road map for trial courts to follow in future cases to better ensure
that the Department complies with the requirements of the fitness statute and avoids a finding of
contempt.
¶ 52 Third, the fitness statute in effect during the time frame involved in the present case did
not require the Department to file its 30-day treatment report until 30 days after Batts had been
25 admitted to one of the Department’s facilities (see 725 ILCS 5/104-17(e) (West 2024)), whereas
the fitness statute in effect during the Weinstein case required the Department to file the 30-day
treatment report for each defendant within 30 days after the unfitness orders had been entered (see
725 ILCS 5/104-17(e) (West 2020); Weinstein, 2024 IL App (2d) 230062, ¶ 100 n.2), which the
Department in Weinstein was failing to do. See Weinstein, 2024 IL App (2d) 230062, ¶ 119. The
Department’s failure in that regard seemed to be a significant factor with both the trial and
appellate courts in the Weinstein case. See id. ¶¶ 24, 29, 65-66, 82, 93, 119-20, 127-28.
¶ 53 Fourth, in the instant case, no evidence was presented that funding was not an issue in the
backlog for the Department, as was presented in the Weinstein case. See id. ¶ 145. Perhaps more
significantly, nor was sufficient evidence presented in the instant case that the Department had
failed to monitor Batts while she was in the county jail awaiting placement, nearly to the extent
that the Department had failed to monitor the defendants in Weinstein. See id. ¶¶ 138-44. For
example, regarding one of the defendants in Weinstein, there was testimony that no one from the
Department communicated with the jail mental health staff at the time of the hearing (id. ¶ 22),
and the court found that Dr. Barczak “did not know that her subordinate was not coming to the
jail[, which] showed willfulness” (id. ¶ 24). In the present case Dr. Barczak testified that Dr.
Marano had been in regular contact with the jail and had visited the defendant twice. Thus, we
agree with the decision in Weinstein; however, it is factually distinguishable from the present case.
¶ 54 III. CONCLUSION
¶ 55 For the foregoing reasons, we vacate the trial court’s finding of indirect civil contempt
against the doctors and the monetary sanction that the trial court imposed.
¶ 56 Vacated.
26 People v. Batts, 2025 IL App (3d) 240502
Decision Under Review: Appeal from the Circuit Court of Du Page County, No. 24-CM- 144; the Hon. Paul A. Marchese, Judge, presiding.
Attorneys Kwame Raoul, Attorney General, of Chicago (Jane Elinor Notz, for Solicitor General, and Benjamin F. Jacobson, Assistant Attorney Appellant: General, of counsel), for appellants.
Attorneys John W. Radosevich and Katherine A. McCollum, of Del Re for Law Group, of Waukegan, for appellee Estelle Michelle Batts. Appellee: No brief filed for other appellee.
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