Tuttle v. Housing Opportunities Management & Essential Services, Inc.

188 Misc. 2d 575, 729 N.Y.S.2d 355, 2001 N.Y. Misc. LEXIS 239
CourtNew York Supreme Court
DecidedJuly 2, 2001
StatusPublished

This text of 188 Misc. 2d 575 (Tuttle v. Housing Opportunities Management & Essential Services, Inc.) is published on Counsel Stack Legal Research, covering New York Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Tuttle v. Housing Opportunities Management & Essential Services, Inc., 188 Misc. 2d 575, 729 N.Y.S.2d 355, 2001 N.Y. Misc. LEXIS 239 (N.Y. Super. Ct. 2001).

Opinion

OPINION OF THE COURT

Walter J. Relihan, Jr., J.

[576]*576I. The Facts

The plaintiff, now 30, suffered serious burns on December 8, 1992. The injury was inflicted by a friend, a guest in the plaintiffs Geneva Street apartment, when a hair spray solution was set alight and sprayed upon him. The friend was arrested and charged with assault and reckless endangerment.

Plaintiff was diagnosed as retarded at an early age. When not living at home, he participated in a number of institutional assisted living arrangements over a period of many years. In August 1990 he was admitted to a facility operated by the defendant Housing Opportunities Management and Essential Services, Inc. (H.O.M.E.S.), a not-for-profit corporation which provides housing for persons with various psychiatric or developmental conditions. H.O.M.E.S. limits itself to housing services. Therapy and related services are provided by others.

Programs of this kind, authorized and encouraged by state law, are conceived and operated as cooperative efforts supported by state and local agencies and private groups such as H.O.M.E.S. (see Mental Hygiene Law art 41, particularly § 41.01 [“Declaration of purpose”]; 14 NYCRR part 586 [“Operation of Community Residences”]). Pursuant to this collaborative system, plaintiff was employed at Challenge Industries, engaged in training at BOCES, and counseled with psychiatric social workers at the County Department of Mental Health while living in H.O.M.E.S. facilities. These activities took plaintiff to a variety of locales in the City of Ithaca and beyond, on a daily basis, without supervision of any kind.

The H.O.M.E.S. “Community Living Housing” program provides group housing for those with a psychiatric diagnosis and this was the primary diagnosis assigned to plaintiff. In Tompkins County, H.O.M.E.S. operates two such units, called Evergreen and Malcolm House. Each is occupied by up to eight persons and staffed on a 24-hour basis. Plaintiff lived in these facilities from August 1990 to August 1992.

A second level of H.O.M.E.S. facilities described as the “apartment setting” is divided into two subcategories called supportive apartments and intensive supportive apartments. The former arrangement involves contact between the resident and a staff member one to three times a week. The intensive plan provides daily contact with a staff member. In both categories, the resident lives in a private apartment, not a group home. No H.O.M.E.S. staff member, or other professional caregiver, lives in the apartments. The resident is expected to move [577]*577freely in the community and to participate in all of the collaborative services described above. The plaintiff moved to an intensive supportive apartment on Hudson Avenue, in August 1992, and, subsequently, to a similar arrangement on Geneva Street.

The plaintiff was not confined at Malcolm House, or Evergreen, or the two “apartment setting” rooms on Hudson Street or Geneva Street, pursuant to court order or other constraint, and was free to leave any of these facilities at any time. Indeed, he was free to leave the H.O.M.E.S. program altogether (Mental Hygiene Law § 41.41 [“Rights of mentally retarded and developmentally disabled”]). The regulations of the Commissioner of the Office of Mental Health, promulgated under the authority of the statute, require that such community residences must be operated “to implement the principle of the least restrictive alternative.’ Thus, individuals must be served in a community residence which is least restrictive of the individual’s civil and human rights consistent with his or her need for services. This also means that as the person’s ability to live independently increases, he or she should change living accommodations, regardless of continuing need for treatment or rehabilitative services” (14 NYCRR 586.1 [b]). The regulations provide that, regardless of the nature or classification of the community housing provided, the purpose of the program must always include “a constant striving to enable residents to move to less restrictive living settings” (14 NYCRR 586.1 [e] [ID.

The June 1992 decision to permit plaintiff to move from Evergreen to an “apartment setting” on Hudson Street was reached after a consultation between the H.O.M.E.S. staff and a number of other therapists, instructors and counselors who were involved in the plaintiff’s program. The affidavit of the manager of Evergreen, Jyl Dowd, states that plaintiff, while at Evergreen, exhibited excellent daily living skills, which were far superior to many other residents, and that he was “out every day,” went to school at BOCES, worked at Challenge Industries, visited the Skylight Club (the mental health clinic) and would frequent the Commons area in downtown Ithaca. He often slept overnight with a friend at his apartment, away from Evergreen. In considering the plaintiff’s move, she recognized that “H.O.M.E.S., Inc. did not have authority to prevent Mr. Tuttle from leaving the group home or the H.O.M.E.S. program altogether.”

The other care-givers who were consulted included the plaintiff’s case worker at the County Mental Health Depart[578]*578ment who agreed that the move to an intensive supportive apartment “should be started” though plaintiff should be closely monitored at the beginning. The BOCES day treatment counselor advised that: “Bill certainly has shown that he is capable of caring for himself in the community and has the necessary ADL [activities of daily living] skills to live more independently.” The counselor added that plaintiffs sometimes obstreperous behavior was a concern but concludes “since Bill appears determined to move out of Evergreen anyway, he should be given the chance to have supervised apartment living.” The Challenge Industries vocational counselor stated: “assuming his skill levels are sufficient * * * I would agree with the change.” Finally, a psychiatric social worker opined that plaintiff had the skills required for the intensive supportive apartment, but was “not sure” he could maintain an apartment and its social environment and would need to continue his involvement in Skylight Club and Challenge Industries.

These assessments, in general, support the intensive supportive apartment move, though they are tentative and even equivocal about the prospects for long-term success. In September 1992, H.O.M.E.S. staff members became concerned that certain of plaintiffs friends were taking advantage of his relative isolation by accepting gifts of money or property from him. On November 16th, the H.O.M.E.S. staff concluded that plaintiff needs: “more staff support and supervision than we are currently able to provide.” Accordingly, he was invited to move into a double apartment unit where a staff member would be on site 24 hours a day. Plaintiff refused. In consequence, H.O.M.E.S. issued a 30-day notice of intent to discharge him from his single apartment. This transition had not been accomplished by December 8th when the injury occurred.

No one has contended that H.O.M.E.S. had the right to exclude visitors from the plaintiffs apartment (c/. Mental Hygiene Law § 41.41 [2] [c]) and there is no evidence that defendant was aware of the identity or the proclivities of the visitor who, on December 8th, became the assailant. Moreover, as we have seen, at the time plaintiff was permitted to occupy a H.O.M.E.S.

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Bluebook (online)
188 Misc. 2d 575, 729 N.Y.S.2d 355, 2001 N.Y. Misc. LEXIS 239, Counsel Stack Legal Research, https://law.counselstack.com/opinion/tuttle-v-housing-opportunities-management-essential-services-inc-nysupct-2001.