State v. Worrell

CourtCourt of Appeals of Arizona
DecidedFebruary 15, 2024
Docket1 CA-CR 23-0356-PRPC
StatusUnpublished

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

Bluebook
State v. Worrell, (Ark. Ct. App. 2024).

Opinion

NOTICE: NOT FOR OFFICIAL PUBLICATION. UNDER ARIZONA RULE OF THE SUPREME COURT 111(c), THIS DECISION IS NOT PRECEDENTIAL AND MAY BE CITED ONLY AS AUTHORIZED BY RULE.

IN THE ARIZONA COURT OF APPEALS DIVISION ONE

STATE OF ARIZONA, Respondent,

v.

GARY AUSTIN WORRELL, Petitioner.

No. 1 CA-CR 23-0356 PRPC FILED 2-15-2024

Appeal from the Superior Court in Yavapai County No. P1300CR201701536 The Honorable Debra R. Phelan, Judge

REVIEW GRANTED AND RELIEF DENIED

COUNSEL

Yavapai County Attorney’s Office, Prescott By Scott W. Blake Counsel for Respondent

Law Office of Randal B. McDonald, Phoenix By Randal Boyd McDonald Counsel for Petitioner STATE v. WORRELL Decision of the Court

MEMORANDUM DECISION

Vice Chief Judge Randall M. Howe delivered the decision of the court, in which Presiding Judge Anni Hill Foster and Judge Brian Y. Furuya joined.

H O W E, Judge:

¶1 Gary Austin Worrell seeks review of the trial court’s order, which denied his first petition for post-conviction relief (“PCR”) filed under Arizona Rule of Criminal Procedure (“Rule”) 32.1. We have considered the petition for review and, for the reasons stated, grant review but deny relief.

FACTS AND PROCEDURAL HISTORY

¶2 One morning in 2017, Worrell and his wife, H.W., brought their son, C.W., then almost five months old, to a hospital emergency room because his upper right arm was swollen, causing him pain. Hospital personnel took four x-rays, revealing a recent fracture of C.W.’s right humerus and other healed fractures—approximately six to eight weeks old—in several of his ribs and left forearm. The emergency room doctor who examined C.W. suspected that all the fractures resulted from child abuse because (1) the injuries occurred at different times, (2) C.W. was “nonambulatory,” and (3) no alternative explanation for the fractures was evident. The Department of Child Safety (“DCS”) and law enforcement launched an investigation.

¶3 A detective questioned Worrell and H.W. separately at the hospital. Worrell repeatedly denied having any knowledge of how C.W. was injured. Eventually, however, he admitted during the questioning that when C.W. kept removing his pacifier the previous night and “just wouldn’t stop” crying, Worrell pushed his arm down and heard a “pop.” Worrell also recalled that C.W.’s ribs and left forearm were “tender” approximately two months earlier, and he acknowledged he might have caused those injuries when he “pulled” C.W. down from his changing table to the ground.

¶4 The State charged Worrell with two counts of intentionally or knowingly committing child abuse. DCS removed C.W. from Worrell and H.W.’s custody and placed him with a foster family. C.W. suffered no more

2 STATE v. WORRELL Decision of the Court

fractures and exhibited no atypical medical conditions while in the foster family’s custody.

¶5 Before trial, Worrell hired an expert who opined that C.W. was not abused and that his injuries were caused by metabolic bone diseases and vitamin D deficiency. But Worrell and his counsel lost contact with this expert witness about a month before trial. Worrell’s counsel advised Worrell to proceed to trial without a medical expert. His trial strategy changed to challenging Worrell’s purported confession instead. To do so, Worrell and his counsel hired an expert on false and coerced confessions.

¶6 At Worrell’s trial, the State presented three expert medical witnesses—the emergency room doctor, a nurse practitioner who had evaluated C.W. in person shortly after the emergency room visit, and a pediatric child abuse specialist who had reviewed C.W.’s records and relevant police reports. All three expert witnesses agreed that C.W.’s injuries were consistent with child abuse or nonaccidental trauma because no alternative medical reason explained the injuries.

¶7 Worrell did not offer any medical evidence in his defense, but he suggested that C.W.’s injuries could have resulted from an undiagnosed vitamin deficiency. Worrell’s counsel asked the emergency room doctor if he had tested C.W. for any vitamin deficiencies, to which the emergency room doctor answered in the negative. The nurse practitioner testified she had followed protocol and had done “labs to make sure that there [was] no medical problem with the baby regarding [his] bones.” She testified that C.W. underwent a “skeletal survey” consisting of 21 x-rays and laboratory tests to make sure he “didn’t have a medical condition,” including vitamin D deficiency, rickets, or brittle bone that may have contributed to his injuries. And “all of those bone labs were completely normal.” Finally, she testified that she did not test C.W. for the genetic bone disorder Osteogenesis Imperfecta (“OI”) because he did not present the symptoms associated with OI. She also testified that C.W. did not have OI if he did not have any more broken bones since being taken from his parents’ custody.

¶8 The pediatric child abuse specialist testified that C.W. had undergone two standard metabolic screenings at birth and both were normal, with no indication of any underlying metabolic bone disease. She also testified that “children with metabolic bone disease heal very poorly” and that the “healing takes a long time,” but C.W.’s x-rays showed that his right arm was healing normally. Based on her review of C.W.’s medical records, she concluded that C.W. “was a healthy boy with no underlying

3 STATE v. WORRELL Decision of the Court

illnesses,” such as “rickets[,] any type of metabolic bone disease or genetic bone disease,” or vitamin D deficiency.

¶9 Along with suggesting an alternative medical reason for C.W.’s injuries, Worrell also argued that his confessions were falsely made. Worrell’s counsel vigorously cross-examined the detective that questioned Worrell, focusing on the detective’s questioning techniques and having the detective go through the 23 times that Worrell had denied any wrongdoing. During the long direct examination, Worrell’s false confessions expert testified that the detective’s interrogation of Worrell incorporated many tactics associated with eliciting false confessions, pointing out each specific tactic used.

¶10 The jury found Worrell guilty of (1) child abuse committed intentionally or knowingly for C.W.’s broken humerus in his upper right arm, and (2) the lesser-included offense of child abuse committed recklessly for the injuries to C.W.’s ribs and left forearm. After the State presented evidence in an aggravation phase, jurors found that (1) C.W. suffered physical harm, and (2) Worrell was on probation at the time of the offenses. Considering the convictions for which Worrell was serving probation, the trial court sentenced him as a repetitive offender to concurrent, somewhat aggravated, prison terms of 12 and six years respectively for the two child abuse convictions. Worrell timely appealed and this court affirmed his convictions and sentences. State v. Worrell, 1 CA-CR 19-0546, 2020 WL 7828772 (App. Dec. 31, 2020) (mem. decision).

¶11 Worrell then petitioned for PCR. In his petition, he claimed that he received ineffective assistance of counsel (“IAC”) because his trial counsel induced the State to present medical testimony and then his counsel presented none. He also claimed that newly discovered evidence existed. Over three years after the trial, H.W. collected C.W.’s DNA and sent it to a genetic testing company. The DNA testing results showed that he had a mutation on his COL1A1 gene, which is associated with bone diseases such as Ehlers-Danlos Syndrome (“EDS”) and OI. Then, upon examining C.W., another nurse practitioner concluded that C.W. exhibited symptoms typically associated with EDS and OI. Based on the newly discovered evidence, Worrell also claimed actual innocence.

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Bluebook (online)
State v. Worrell, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-v-worrell-arizctapp-2024.