State

Court of Appeals of Texas·Decided December 5, 2006·No. 06-06-00100-CV·Published

Opinion



In The

Court of Appeals

Sixth Appellate District of Texas at Texarkana



______________________________


No. 06-06-00100-CV
______________________________




THE STATE OF TEXAS FOR THE BEST INTEREST
AND PROTECTION OF G. B.





On Appeal from the County Court at Law
Hunt County, Texas
Trial Court No. M-08852





Before Morriss, C.J., Ross and Carter, JJ.
Memorandum Opinion by Chief Justice Morriss


MEMORANDUM OPINION

G. B., a mentally ill resident of Collin County, reported that she had awakened in a Greenville motel room while a man--whose identity was unknown to her and who had managed to get into her room without her recalling how--was trying to force sex on her. This was part of the evidence at a hearing in the County Court at Law of Hunt County which resulted in an order temporarily committing G. B. for mental health services.

G. B. appeals the trial court's order of commitment arguing that the evidence is legally and factually insufficient to support the order. Because we hold the evidence is both legally and factually sufficient, we affirm the trial court's order.

A trial court may order a proposed patient to receive temporary inpatient mental health services only if the fact-finder concludes from clear and convincing evidence that the proposed patient is mentally ill and also satisfies at least one of subparagraphs (A), (B), and (C) of Section 574.034(a)(2) of the Texas Health and Safety Code:

(2) as a result of that mental illness the proposed patient:



(A) is likely to cause serious harm to himself;



(B) is likely to cause serious harm to others; or



(C) is:



(i) suffering severe and abnormal mental, emotional, or physical distress;



(ii) experiencing substantial mental or physical deterioration of the proposed patient's ability to function independently, which is exhibited by the proposed patient's inability, except for reasons of indigence, to provide for the proposed patient's basic needs, including food, clothing, health, or safety; and



(iii) unable to make a rational and informed decision as to whether or not to submit to treatment.



Tex. Health & Safety Code Ann. § 574.034(a)(2) (Vernon 2003). Here, the trial court's written order affirmatively found the State's allegations under (A) and (C) to be true. (1)

G. B. does not challenge the determination that she was mentally ill. See Tex. Health & Safety Code Ann. § 574.034(a)(1). She contends the evidence was insufficient to support these findings: that she was likely to cause serious harm to herself (Section 574.034(a)(2)(A)); that she was suffering severe and abnormal mental, emotional, or physical distress (Section 574.034(a)(2)(C)(i)); that she was experiencing a substantial mental or physical deterioration of her ability to function independently (Section 574.034(a)(2)(C)(ii)); or that she was unable to make a rational and informed decision as to whether to submit to treatment (Section 574.034(a)(2)(C)(iii)).

The evidentiary standards for involuntary commitment are high. State ex rel. L.H., 183 S.W.3d 905 (Tex. App.--Texarkana 2006, no pet.); Harris v. State, 615 S.W.2d 330, 333 (Tex. Civ. App.--Fort Worth 1981, writ ref'd n.r.e.). The State has the burden of establishing by clear and convincing evidence that the proposed patient meets at least one of the additional criteria listed in Section 574.034(a)(2). See Mezick v. State, 920 S.W.2d 427, 430 (Tex. App.--Houston [1st Dist.] 1996, no writ). Clear and convincing evidence is that "degree of proof which will produce in the mind of the trier of fact a firm belief or conviction as to the truth of the allegations sought to be established." State v. Addington, 588 S.W.2d 569, 570 (Tex. 1979).

When court-ordered temporary mental health services are sought under Section 574.034(a), specific requirements for clear and convincing evidence are imposed: the evidence must include expert testimony and, unless waived, evidence of a recent overt act or a continuing pattern of behavior that tends to confirm "(1) the likelihood of serious harm to the proposed patient or others; or (2) the proposed patient's distress and the deterioration of the proposed patient's ability to function." Tex. Health & Safety Code Ann. § 574.034(d) (Vernon 2003). An expert diagnosis, without more, is not sufficient to confine a patient for compulsory treatment. Mezick, 920 S.W.2d at 430. The State cannot meet its burden of proof without presenting evidence of the behavior of the proposed patient that provides the factual basis for the expert opinion. See id. The recent overt act or continuing pattern of behavior shown by the State must also relate to the criteria on which the judgment is based. See T.G. v. State, 7 S.W.3d 248, 252 (Tex. App.--Dallas 1999, no pet.).

In reviewing the legal sufficiency of the evidence where the burden of proof is clear and convincing evidence, we consider all of the evidence in the light most favorable to the finding to determine whether a reasonable trier of fact could have formed a firm belief or conviction that its findings were true. In re J.F.C., 96 S.W.3d 256, 266 (Tex. 2002). We must assume that the trier of fact resolved disputed facts in favor of its finding if a reasonable trier of fact could do so, and must disregard all contrary evidence that a reasonable trier of fact could have disbelieved or found to be incredible. Id.

In reviewing factual sufficiency challenges, we review all the evidence in the record, both supporting and opposing the trial court's findings. In re C.H., 89 S.W.3d 17, 27-29 (Tex. 2002). We must give due consideration to evidence the trier of fact could reasonably have found to be clear and convincing. Id. at 25. Under the clear and convincing standard, we determine whether the evidence is such that the trier of fact could reasonably form "a firm belief or conviction" as to the truth of the allegations sought to be established by the State. Id. We must consider whether disputed evidence is such that a reasonable trier of fact could not have reconciled that disputed evidence in favor of its finding. J.F.C., 96 S.W.3d at 266. The trial court as the trier of fact is the exclusive judge of the credibility of the witnesses and the weight to be given their testimony. In re Estate of Canales, 837 S.W.2d 662, 669 (Tex. App.--San Antonio 1992, no writ).

At the temporary commitment hearing, the State presented the testimony of Dr. Heath Penl

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