Winnebago County v. J.D.J.

CourtCourt of Appeals of Wisconsin
DecidedFebruary 21, 2024
Docket2023AP001085
StatusUnpublished

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

Bluebook
Winnebago County v. J.D.J., (Wis. Ct. App. 2024).

Opinion

COURT OF APPEALS DECISION NOTICE DATED AND FILED This opinion is subject to further editing. If published, the official version will appear in the bound volume of the Official Reports. February 21, 2024 A party may file with the Supreme Court a Samuel A. Christensen petition to review an adverse decision by the Clerk of Court of Appeals Court of Appeals. See WIS. STAT. § 808.10 and RULE 809.62.

Appeal No. 2023AP1085 Cir. Ct. No. 2023ME24

STATE OF WISCONSIN IN COURT OF APPEALS DISTRICT II

IN THE MATTER OF THE MENTAL COMMITMENT OF J.D.J.:

WINNEBAGO COUNTY,

PETITIONER-RESPONDENT,

V.

J.D.J.,

RESPONDENT-APPELLANT.

APPEAL from orders of the circuit court for Winnebago County: MICHAEL S. GIBBS, Judge. Reversed. No. 2023AP1085

¶1 GROGAN, J.1 J.D.J. appeals from an order extending his WIS. STAT. ch. 51 (hereinafter “ch. 51”) commitment and the corresponding order requiring the administration of involuntary medication. He claims: (1) the evidence failed to establish that he was dangerous; and (2) the involuntary medication order should be vacated because the County failed to present sufficient evidence to prove he was incompetent to refuse medication. This court reverses.

I. BACKGROUND

¶2 In January 2023, Winnebago County filed a petition to extend J.D.J.’s involuntary commitment along with a report from J.D.J.’s treating doctor, Dr. George Monese, who had recommended the extension and had indicated a corresponding need for involuntary medication.

¶3 The circuit court held a hearing on the petition in February 2023. The County called only Dr. Monese to testify at the hearing and did not enter Dr. Monese’s report into evidence. At the hearing, Dr. Monese testified that J.D.J. suffered from schizophrenia, that schizophrenia is a “major mental illness[,]” that schizophrenia is a substantial disorder that impacted J.D.J.’s “[t]hought and mood and perception[,]” and that J.D.J.’s schizophrenia grossly impaired his “[j]udgment and capacity to recognize reality.” When asked if J.D.J. “would become a proper subject for commitment” “if treatment were withdrawn,” Dr. Monese responded that he would “because it has happened before. He was on a commitment, it was withdrawn, and then he became a proper subject for

1 This appeal is decided by one judge pursuant to WIS. STAT. § 752.31(2)(d) (2021-22). All references to the Wisconsin Statutes are to the 2021-22 version unless otherwise noted.

2 No. 2023AP1085

commitment again.”2 Dr. Monese did not, however, provide any details as to the circumstances of the prior withdrawal or the circumstances that resulted in the subsequent commitment.

¶4 When asked if he had discussed “medication, specifically psychotropic medication, with [J.D.J.,]” Dr. Monese confirmed that he had done so and that he had also discussed the advantages, disadvantages, and potential alternatives with him. Dr. Monese further confirmed that he did not believe J.D.J. was “capable of expressing an understanding of the advantages and disadvantages” of medication and that based on his conversations with J.D.J., he did not believe J.D.J. was competent to refuse medication because J.D.J. did not believe the medications were working despite evidence to the contrary.

¶5 In response to the County’s question as to whether J.D.J. had “demonstrated a substantial likelihood that he needs care or treatment to prevent further disability or deterioration[,]” Dr. Monese responded “[y]es, I would say that to some degree[,]” and in providing an example from J.D.J.’s treatment history that led him to that conclusion, Dr. Monese simply explained that J.D.J. had gained weight—a side effect of the medication he was taking—and that although something needed “to be changed or” other “measures [needed to be taken] to remediate those side effects,” J.D.J. “doesn’t believe that that is the right

2 J.D.J.’s counsel objected on hearsay grounds, which the circuit court overruled.

3 No. 2023AP1085

way to do so.”3 The County followed up by asking whether there had “been any recent acts or omissions that would support [his] conclusion” on this point, and Dr. Monese explained that J.D.J. “had refused to take those specific medications that can help with the problems that he has had -- that he’s having” and that J.D.J. did not “want to take” “[t]he metformin that was prescribed for his symptoms[.]”

¶6 Dr. Monese then went on to discuss J.D.J.’s “underlying physical conditions”4 and stated that “[t]he single physical condition that he has is called metabolic syndrome[,]” that J.D.J. “was prescribed those medications specifically for metabolic syndrome and he’s not taking them[,]” and that if J.D.J. did not take the medication, “[h]e would continue to have side effects like severe weight gain, cardiac, elevated BP’s, including the possibility of becoming diabetic.” During cross-examination, Dr. Monese clarified that metformin had been prescribed to treat the psychotropic drug’s side effects and that metformin “is the one that he refuses[.]”

¶7 When asked to opine on whether J.D.J. had “evidenced a substantial likelihood that, if left untreated, he would lack the services necessary for his health or safety[,]” Dr. Monese agreed that he would because J.D.J. is “not interested in getting any specific treatment for the metabolic syndrome.” As to the question of whether J.D.J. had “evidenced a substantial likelihood that, if left untreated, he

3 In reading Dr. Monese’s testimony as a whole, it is not entirely clear what he meant when he stated that J.D.J. “doesn’t believe that that is the right way to do so.” The right way to treat his mental health condition? The right way to treat his metabolic syndrome? Other side effects from the psychotropic drug(s)? And what does “the right way” refer to? Medication? Some other type of treatment? For this court to be able to review the Record, the questions asked of witnesses must be clear with follow-up questions asked if needed to clarify ambiguous testimony. 4 The circuit court again overruled J.D.J.’s objection as to this line of questioning.

4 No. 2023AP1085

would suffer severe mental, emotional, or physical harm resulting in the loss of his ability to function independently within the community[,]” Dr. Monese responded “yes, within the community of the prison system.” Dr. Monese also agreed “[t]o some degree” that if left untreated, “it” would “be likely to impact [J.D.J.’s] cognitive control over [his] thoughts and actions[.]”5 It is unclear from the Record whether these references to J.D.J.’s condition being left untreated were in regard to J.D.J.’s schizophrenia, the underlying metabolic syndrome, the other side effects Dr. Monese testified J.D.J. suffered from, or a combination of all of the above.

¶8 In response to the County’s request that Dr. Monese provide “an example of severe physical harm that’s likely to result if left untreated[,]”6 Dr. Monese responded: “If left untreated and if he had metabolic syndrome left untreated in the past, he can have atherosclerosis, he can have a heart attack. In fact, he does already have some significant cardiac (unintelligible) even before the treatment, and those things can be very serious too.” He further opined that J.D.J. “would not avail” himself of treatment “if reasonable provisions for treatment were made available … in the community[.]” When asked why he believed that to be true, Dr. Monese simply responded, without further elaboration, “[b]ecause he’s evidenced that.” Finally, when asked if J.D.J.’s “behavior is being driven by his mental illness” and whether J.D.J.’s “mental illness is impacting his

5 Specifically, the County’s attorney asked: “Would it be likely to impact his cognitive control over thoughts and actions?” It is unclear what “it” refers to.

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Bluebook (online)
Winnebago County v. J.D.J., Counsel Stack Legal Research, https://law.counselstack.com/opinion/winnebago-county-v-jdj-wisctapp-2024.