State of Louisiana v. Christopher Cloudie

CourtSupreme Court of Louisiana
DecidedMarch 6, 2026
Docket2025-KK-00471
StatusPublished

This text of State of Louisiana v. Christopher Cloudie (State of Louisiana v. Christopher Cloudie) is published on Counsel Stack Legal Research, covering Supreme Court of Louisiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
State of Louisiana v. Christopher Cloudie, (La. 2026).

Opinion

FOR IMMEDIATE NEWS RELEASE NEWS RELEASE #009

FROM: CLERK OF SUPREME COURT OF LOUISIANA

The Opinions handed down on the 6th day of March, 2026 are as follows:

BY Hughes, J.:

2025-KK-00471 STATE OF LOUISIANA VS. CHRISTOPHER CLOUDIE (Parish of Orleans Criminal)

REVERSED. SEE OPINION.

Weimer, C.J., concurs and assigns reasons. Hughes, J., additionally concurs and assigns reasons. McCallum, J., dissents. Cole, J., additionally concurs for the reasons assigned by Weimer, C.J. Penzato, J., dissents and assigns reasons. SUPREME COURT OF LOUISIANA

No. 2025-KK-471

STATE OF LOUISIANA

VS.

CHRISTOPHER CLOUDIE

On Supervisory Writ to the Criminal District Court, Parish of Orleans Criminal

HUGHES, J.*

In this case, the defendant seeks review of the trial court’s ruling permitting

an expert witness to give her diagnosis at trial of child sexual abuse. For the

following reasons, we reverse.

FACTS AND PROCEDURAL HISTORY

The defendant, Christopher Cloudie, was charged with one count of first-

degree rape in violation of La. R.S. 14:42(A)(4) and one count of aggravated crime

against nature in violation of La. R.S. 14:89.1(A)(2). The State of Louisiana accuses

Mr. Cloudie of performing oral sex on his minor son while giving the child a bath

on December 16, 2023. The child was eight years old at the time.

The child was taken to the emergency department of a hospital on the evening

of the alleged abuse, and the medical exam revealed no physical findings.

Approximately one month later on January 19, 2024, the complaining witness was

seen at the Audrey Hepburn CARE Center in the New Orleans Children’s Hospital

by a psychiatric mental health nurse practitioner, Ongelle Bergeron, who diagnosed

the child with “child sexual abuse.”

The State filed a notice of intent to offer Ms. Bergeron as an expert at trial. At

the Daubert hearing, Ms. Bergeron testified as to her education and professional

experience as well as the procedure she follows for medical evaluations carried out

* Judge Allison H. Penzato of the Court of Appeal, First Circuit, appointed as Justice pro tempore, sitting for the vacancy in the First District. at the CARE Center. Ms. Bergeron testified that her appointment with the child in

this case was not a forensic exam but rather a “medical assessment.” As to the

procedure, Ms. Bergeron testified that a medical evaluation begins with speaking to

the child and his or her caregiver to get a “past medical history,” which includes any

medical diagnosis, past surgeries, and medication. Then the interviewer speaks one-

on-one with the child to obtain a “medical incident history.” This includes building

rapport with the child, a discussion about private parts, private part rules, and

whether those rules were broken. After this, a physical examination is conducted,

where a child’s body is thoroughly examined to look for signs of injury. Based on

these steps and possibly others (such as reviewing lab results, reports previously

written by other healthcare providers, and consultation with other medical

specialists), a diagnosis is formed.

Ms. Bergeron testified that in 80 to 85 percent of cases, there are no physical

findings. She further testified that cases will be peer reviewed by her colleagues at

the CARE Center if there are any abnormalities found, but in this case there were no

abnormalities. Ms. Bergeron also testified that she takes what a child tells her as true.

She continued: “I make sure that there aren’t any ambiguities. I look for clear and

concise details, also, if there is any abnormalities in lab work. So it’s not just what

the patient is saying. It’s all of those factors.” Ms. Bergeron said that she follows the

diagnostic criteria in the book Child Abuse and Neglect by Crosson-Tower, 9th

edition. She also testified that there are no standardized checklists for diagnostic

criteria and that a diagnosis “all depends on your experience.” Ms. Bergeron could

not provide an error rate for the diagnosis of child sexual abuse for the method used

in this case. She testified that occasionally a child’s statement of sexual abuse would

later be confirmed with a positive pregnancy or STI test.

Ms. Bergeron stated that when it came to a diagnosis she would typically

consider “[w]hat was said by the patient” and “if there are any abnormal findings.”

2 In a case with no physical findings, she stated she’s “looking for a clear and concise

disclosure from the medical incident history from the patient.” According to Ms.

Bergeron, a clear and concise disclosure is important because what “[w]e found in

child abuse medicine is that the more clear and concise a child is, the more detail

they’re able to provide, that’s the least likely they are coached.” In this case, Ms.

Bergeron said that the child gave her a “clear and concise” disclosure.1 She found

no physical abnormalities on the child, and she did not see signs of coaching.

At the conclusion of Ms. Bergeron’s testimony, the trial court found her to be

an expert in the field of pediatric child abuse medicine and stated that Ms. Bergeron

would be allowed to testify to the diagnosis she made as a result of her visit with the

child. The defendant sought review with the court of appeal. The court of appeal

denied his writ, citing State v. D.D., 18-891, p. 65 (La. App. 4 Cir. 12/27/19), 288

So.3d 808, 854, which it said stood for the proposition that a nurse practitioner’s

diagnosis of chronic sexual abuse was admissible because it ‘“did not take the place

of the jury in determining the ultimate fact of Defendant’s guilt or innocence.”’2

Justice Lobrano dissented from the writ denial on the basis that Ms. Bergeron should

not be allowed to present a medical diagnosis of child sexual abuse without evidence

of peer review by a board-certified child abuse pediatrician.

LAW AND ANALYSIS

The defendant challenges Ms. Bergeron’s diagnosis of child sexual abuse. He

argues that Ms. Bergeron’s diagnosis was improperly admitted because it was based

on insufficiently reliable methodology and because it goes to the ultimate issue of

his guilt, which is a judgment to be made by the jury. The State argues that Ms.

Bergeron’s diagnosis is admissible under the standards set forth in

1 Ms. Bergeron provided no details of what she considered “clear and concise.” 2 In D.D. the issue was whether the expert testimony went to the ultimate question of defendant’s guilt or innocence (in contravention of Louisiana Code of Evidence article 704) not whether the expert testimony bolsters the credibility of the complaining witness. 3 Daubert v. Merrell Dow Pharmaceuticals, Inc.3 or Kumho Tire Co., Ltd. v.

Carmichael4 and that the diagnosis does not speak on the ultimate issue of the

defendant’s guilt.

In reviewing rulings on the relevancy and admissibility of evidence, the trial

court is accorded great discretion and, absent a clear abuse of that discretion, such

rulings will not be disturbed. State v. Wesley, 22-1312 (La. 8/27/22), 344 So.3d 647

(per curiam).

Louisiana Code of Evidence article 702(A) provides:

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Related

Daubert v. Merrell Dow Pharmaceuticals, Inc.
509 U.S. 579 (Supreme Court, 1993)
Kumho Tire Co. v. Carmichael
526 U.S. 137 (Supreme Court, 1999)
United States v. James T. Whitted
994 F.2d 444 (Eighth Circuit, 1993)
United States v. James T. Whitted
11 F.3d 782 (Eighth Circuit, 1993)
Tantillo v. Liberty Mutual Ins. Co.
315 So. 2d 743 (Supreme Court of Louisiana, 1975)
State v. Quatrevingt
670 So. 2d 197 (Supreme Court of Louisiana, 1996)
State v. Foret
628 So. 2d 1116 (Supreme Court of Louisiana, 1993)
State v. Chauvin
846 So. 2d 697 (Supreme Court of Louisiana, 2003)

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